Validity and reliability of a protocol of orofacial myofunctional evaluation for patients with obstructive sleep apnea

Folha, Gislaine Aparecida; Valera, Fabiana Cardoso Pereira; Felício, Cláudia Maria de

doi:10.1111/eos.12180

Cited by 33 publications

(42 citation statements)

References 35 publications

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“…The Expanded Protocol of Orofacial Myofunctional Evaluation with Score (OMES‐E) was used for all participants. This protocol is based on live clinical evaluation of the patients and with the aid of video‐recording images.…”

Section: Methodsmentioning

confidence: 99%

“…Next, patients were instructed to breathe, masticate and swallow, and these functions were also assessed. Each item was scored and the sum of all scores ranged from 52 (the worst myofunctional condition) to 232 points (complete normal myofunctional status) …”

Section: Methodsmentioning

confidence: 99%

“…While the protocol was executed, all the images were captured with a video camera, to confirm the live observation. Details of this protocol are described elsewhere …”

Section: Methodsmentioning

confidence: 99%

“…Inflammatory infiltration in the muscles, neuronal dysfunction and muscular atrophy/degeneration are reported as prevalent alterations involved in the OSAS physiopathology . Myofunctional alterations have been reported in patients with OSAS, with changes in postures and mobility of facial structures and in functions (breathing, swallowing and mastication) …”

Section: Introductionmentioning

confidence: 99%

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Cephalometric, muscular and swallowing changes in patients with OSAS

Valarelli

Corradi

Grechi

et al. 2018

J of Oral Rehabilitation

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Obstructive Sleep Apnoea Syndrome (OSAS) is believed to be associated with craniofacial and neuromuscular changes, although the interplay among these variables still is poorly recognised. The objective of this study was to identify hyoid, muscular and swallowing changes associated with OSAS, and to correlate these alterations with OSAS severity. Cross-sectional study, in a tertiary referral centre. Seventy-two adult individuals participated in this study: 12 controls (without apnoea) and 60 patients with apnoea (mild, moderate and severe OSAS-20 individuals in each group). All participants were initially evaluated by otorhinolaryngologist and neurologist and underwent polysomnography for OSAS stratification. Cephalometric data, clinical myofunctional status and swallow videofluoroscopy exam were assessed. A hybrid effect model was used to analyse swallowing parameters; dependent variables were age, body mass index (BMI) and cephalometric measures. Individuals with OSAS presented lower hyoid position and narrower posterior airway distance when compared to controls. These parameters correlated to OSAS severity. Additionally, OSAS patients exhibited significantly lower myofunctional scores. Both velum and hyoid contraction times were significantly lower in the OSAS group at videofluoroscopy, regardless of its severity. Premature leakage into pharynx was more common in OSAS groups. Laryngeal penetration phenomenon occurred only in two patients (both from OSAS group). Our results suggest that hyoid bone position is associated with OSAS severity. Muscular pattern and swallowing are impaired in OSAS patients, irrespective of OSAS severity and facial profile. These findings indicate a higher predisposition of OSAS patients to present an inferior hyoid positioning, accompanied by myofunctional and swallowing disorders.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…While the protocol was executed, all the images were captured with a video camera, to confirm the live observation. Details of this protocol are described elsewhere …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cephalometric, muscular and swallowing changes in patients with OSAS

Valarelli

Corradi

Grechi

et al. 2018

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Diagnósticos acurados são de suma importância para a definição de intervenções, por isso vários autores publicaram propostas de avaliação para crianças, jovens e adultos (FELÍCIO et al, 2006;FERREIRA, 2008;GENARO et al, 2009;FELÍCIO et al, 2010;MARCHESAN, 2010;MARCHESAN, 2012;VALERA;FELÍCIO, 2015 (DOUGLAS, 1993).…”

Section: Resultsunclassified