The effectiveness of oropharyngeal exercises compared to inspiratory muscle training in obstructive sleep apnea: A randomized controlled trial

Ertürk, Nurel; Çalık-Kütükçü, Ebru; Arıkan, Hülya; Savcı, Sema; Inal-Ince, Deni̇z; Caliskan, Hakan; Sağlam, Melda; Vardar-Yağlı, Naciye; Fırat, Hikmet; Celik, Adem; Yüceege, Melike; Ardıç, Sadık

doi:10.1016/j.hrtlng.2020.07.014

Cited by 18 publications

(70 citation statements)

References 31 publications

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“…The search strategy identified 23 studies that met the inclusion criteria [ 5 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 ]. The mean sample size (excluding systematic reviews and meta-analyses) was 38.28.…”

Section: Resultsmentioning

confidence: 99%

“…The mean age pondered by the sample size and excluding systematic reviews and meta-analyses was 51.19 years. The search strategy retrieved three meta-analyses [ 5 , 10 , 15 ], one systematic review [ 23 ], nine randomized clinical trials [ 8 , 11 , 12 , 13 , 19 , 21 , 24 , 25 , 26 ], seven quasi-experimental studies [ 9 , 16 , 17 , 18 , 20 , 22 , 29 ], one cohort study [ 14 ], one case series [ 27 ], and no case–control studies.…”

Section: Resultsmentioning

confidence: 99%

“…Polysomnographic (PSG) variables were included in 18 studies [ 5 , 9 , 10 , 11 , 12 , 13 , 15 , 16 , 17 , 19 , 21 , 22 , 23 , 24 , 25 , 28 , 29 ], including two meta-analyses [ 5 , 10 ] and two systematic reviews [ 23 , 28 ]. We note that the meta-analysis of Hsu et al [ 10 ] and the review by Valbuza et al [ 23 ] reported studies using MFT and respiratory exercises, as well as protocols that included singing exercises and playing wind instruments, which were not considered to be MFT in the meta-analysis of Camacho et al [ 5 ] or in our review.…”

Section: Discussionmentioning

confidence: 99%

“…The studies by Verma et al [ 16 ], Erturk et al [ 11 ], and Randerath et al [ 25 ] were the only selected studies that did not find significant differences in the AHI. Verma et al reported a small difference in the AHI from 20.1 to 19.7 after 3 months of MFT [ 16 ], and that other PSG variables improved more.…”

Section: Discussionmentioning

confidence: 99%

“…A possible explanation is that their training programme, protocol, or patient selection was not described fully. Erturk et al reported a change in the AHI from 42.6 to 39.9 with MFT [ 11 ]. The authors suggested that this improvement may have been related to the severity of the baseline AHI.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

The Role of Myofunctional Therapy in Treating Sleep-Disordered Breathing: A State-of-the-Art Review

Carrasco-Llatas

O’Connor-Reina

Calvo‐Henríquez³

2021

IJERPH

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Myofunctional therapy (MFT) may have a role in improving muscle tone and alleviating upper airway collapse in sleep-disordered breathing. The purposes of this state-of-the-art review are to first review systematically the current literature on the effectiveness of MFT in treating sleep-disordered breathing and then to provide an overview of the current understanding of patient selection, side effects, type and duration of exercises, guidance of exercise performance, evaluation of results, and how best to promote adherence. PubMed (Medline), the Cochrane Library, and the EMBASE, Scopus and SciELO databases were checked for relevant studies by three authors, and a total of 23 studies were included. This review focuses only on adults with sleep-disordered breathing. The available evidence shows a positive effect of MFT in reducing sleep apnoea, as measured using polysomnography and clinical variables (including snoring). There is no evidence of the utility of MFT for treating upper airway resistance syndrome, the duration of the effects of MFT, or regarding which MFT protocol is best. Despite these knowledge gaps, the available evidence suggests that MFT is a safe treatment modality.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The Role of Myofunctional Therapy in Treating Sleep-Disordered Breathing: A State-of-the-Art Review

Carrasco-Llatas

O’Connor-Reina

Calvo‐Henríquez³

2021

IJERPH

View full text Add to dashboard Cite

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Respiratory muscle training for obstructive sleep apnoea

Rueda-Etxebarria

Mugueta-Aguinaga

Rueda

et al. 2021

Cochrane Database of Systematic Reviews

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Orofacial Myofunctional Therapy for Obstructive Sleep Apnea: A Systematic Review and Meta‐Analysis

Saba,

Kim,

Huynh

et al. 2023

The Laryngoscope

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ObjectiveOrofacial myofunctional therapy (OMT) is an alternative form of treatment of obstructive sleep apnea (OSA), that incorporates various exercises to optimize tongue placement and increase oropharyngeal tone. The objective of this systematic review and meta‐analysis is to determine the efficacy of OMT in OSA patients.Data SourcesPubMed/Medline, EMBASE, Cochrane, Web of Science.Review MethodsUsing PRISMA guidelines, a directed search strategy was performed for randomized control trials (RCTs) published prior to March 24, 2023, featuring 10+ patients with OSA undergoing mono‐therapeutic OMT. The primary outcome of interest was apnea‐hypopnea index (AHI). Secondary outcomes included subjective sleepiness, sleep‐related quality‐of‐life, and snoring frequency.ResultsOf the 1244 abstracts that were identified, 7 RCTs involving 310 patients met inclusion criteria. Adult OMT patients had a statistically significant improvement in AHI (MD −10.2; 95% CI, −15.6, −4.8, p < 0.05), subjective sleepiness (Epworth Sleepiness Scale; MD −5.66; 95% CI, −6.82, −4.5, p < 0.05), sleep‐related quality‐of‐life (Pittsburgh Sleep Quality Index; MD −3.00; 95% CI, −4.52, −1.49, p < 0.05), and minimum oxygen saturation (MD 2.71; 95% CI, 0.23, 5.18, p < 0.05) when compared with sham OMT or no therapy. Within the single RCT featuring pediatric OMT patients, patients had poor compliance (<50%) and did not show any improvements in AHI, minimum oxygen saturation, or snoring frequency.ConclusionOMT may provide a reasonable alternative for OSA patients who cannot tolerate CPAP or other more established treatment options. OMT benefits appear limited in children due to poor compliance. More studies are required to evaluate compliance and the long‐term effects of OMT on OSA outcomes.Level of EvidenceI Laryngoscope, 2023

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The effectiveness of oropharyngeal exercises compared to inspiratory muscle training in obstructive sleep apnea: A randomized controlled trial

Cited by 18 publications

References 31 publications

The Role of Myofunctional Therapy in Treating Sleep-Disordered Breathing: A State-of-the-Art Review

The Role of Myofunctional Therapy in Treating Sleep-Disordered Breathing: A State-of-the-Art Review

Respiratory muscle training for obstructive sleep apnoea

Orofacial Myofunctional Therapy for Obstructive Sleep Apnea: A Systematic Review and Meta‐Analysis

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