Effects of Oropharyngeal Exercises on Snoring

Ieto, Vanessa; Kayamori, Fabiane; Montes, Maria Isabel; Hirata, Raquel Pastréllo; Gregório, Marcelo Gervilla; Alencar, Adriano M.; Drager, Luciano F.; Genta, Pedro Rodrigues; Lorenzi-Filho, Geraldo

doi:10.1378/chest.14-2953

Cited by 105 publications

(176 citation statements)

References 43 publications

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“…Regarding the methodological therapeutic parameters applied to each of the studies [1][2][3][4]17,19 , the approach and procedures in OMT were the same considering the period of therapy, being prescribed 12 sessions, one time per week. They differ nevertheless in the selection of exercises, number of repetitions, frequency and period of daily practice and also in the type of functional approach.…”

Section: Selective Results Reportmentioning

confidence: 99%

“…The other three RCTs 1-4 seem to suggest the following up of exercises and functional practice progress without considering stages. Two of the studies indicate programs with a higher amount of exercises 1,2,4 and another 3 shows a great reduction of such number, maybe trying to facilitate the technique for the patient or because of the main focus of the study, which was primary snoring.…”

Section: Selective Results Reportmentioning

confidence: 99%

“…For the past 10 years, Speech, Language and Hearing Sciences intervention using OMT have been presented in this field as one of the possible treatments for snoring and obstructive sleep apnea (OSA), with evidence found specially in studies on Sleep Breathing DIsorders in adults [1][2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

“…Changes in such mechanism are associated with the syndrome of obstructive sleep apnea disorder 7 . In that sense, OMT applied to OSA has the objective of strengthening the nasopharynx and oropharynx musculature contributing to reduce collapse of the airway during sleep [1][2][3][4] . However, the exact mechanisms by which OMT helps with Sleep Breathing Disorders are still not clear to this day.…”

Section: Introductionmentioning

confidence: 99%

“…Contemporary studies show OMT efficient results in improving the quality of life 2 , in the reduction of intensity and frequency of snoring 3 and in the better adherence of CPAP (Continuous Positive Airway Pressure) 4 . Such studies endorse the Speech, Language Therapist interest in this field and validate the presence of that professional in the interdisciplinary realm of Sleep Breathing Disorders, especially in Brazil with the existence of a specific certification for Speech, Language and Hearing Sciences in the field of sleep disorders 8 .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Effects of orofacial myofunctional therapy on the symptoms and physiological parameters of sleep breathing disorders in adults: a systematic review

Kayamori

Bianchini

2017

Rev. CEFAC

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Recently, the orofacial myofunctional therapy (OMT) has appeared as a possible alternative treatment for obstructive sleep apnea (OSA). Systematic reviews are required to achieve scientific evidence, seeking to direct the decision on therapeutic issues. The aim of this study was to systematically review the literature about the OMT proposals in adults with OSA related to symptoms and physiological parameters. Data sources were Lilacs, MEDLINE, Pubmed, Cochrane and Scielo using the descriptors: obstructive sleep apnea; myofunctional therapy; oropharyngeal exercises; breathing exercises; upper airway exercises; speech therapy. Studies published from 2000 to 2017 that evaluated the treatment with isolated OMT in subjects with OSA were included, obligatorily with polysomnographic data, pre and post therapy. Eight studies, out of 124 articles, were eligible according to the criteria adopted. Two systematic reviews, one clinical trial, three randomized clinical trials, and two case reports were included. Six studies showed a decrease in the Apnea and Hypopnea Index (AHI), five studies showed improvement in the minimum SpO2, decrease in the Epworth Sleepiness Scale (ESS) and in snoring. OMT proposals refer to a three-month program changing the parameters related to partial reduction of AHI, ESS index, snoring, and partial increase of SpO2. There are few randomized studies.

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Section: Selective Results Reportmentioning

confidence: 99%

Section: Selective Results Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effects of orofacial myofunctional therapy on the symptoms and physiological parameters of sleep breathing disorders in adults: a systematic review

Kayamori

Bianchini

2017

Rev. CEFAC

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Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea

Rueda

Mugueta-Aguinaga

Vilaró

et al. 2020

Cochrane Database of Systematic Reviews

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International Consensus Statement on Obstructive Sleep Apnea

Chang

Goldberg

Alt

et al. 2023

Int Forum Allergy Rhinol

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Background: Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICS:OSA). Methods: Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidencebased review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICS:OSA was created and reviewed by all authors for consensus. Results: The ICS:OSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated. Conclusion:This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.

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Effects of Oropharyngeal Exercises on Snoring

Cited by 105 publications

References 43 publications

Effects of orofacial myofunctional therapy on the symptoms and physiological parameters of sleep breathing disorders in adults: a systematic review

Effects of orofacial myofunctional therapy on the symptoms and physiological parameters of sleep breathing disorders in adults: a systematic review

Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea

International Consensus Statement on Obstructive Sleep Apnea

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