Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis

Camacho, Macario; Certal, Victor; Abdullatif, José; Zaghi, Soroush; Ruoff, Chad; Capasso, Robson; Kushida, Clete A.

doi:10.5665/sleep.4652

Cited by 297 publications

(250 citation statements)

References 27 publications

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“…However, the systematic literature review previously published 15 , with focus in the increase of muscle tonus with exercises did not present favorable effects for AIH reduction under five 15 . We should reinforce that given the criteria of the described literature review potential results above this level were not considered as they would be later 16 , understanding that the AIH criteria under five events per hour indicates remission of the disorder.…”

Section: Nomentioning

confidence: 99%

“…Data from the literature review 16 performed through meta-analysis attest for the positive effects of OMT in adults based in parameters from polysomnography, indicating approximately 50% decrease in AIH, improvement in minimum blood oxygen saturation and snoring. However, the systematic literature review previously published 15 , with focus in the increase of muscle tonus with exercises did not present favorable effects for AIH reduction under five 15 .…”

Section: Nomentioning

confidence: 99%

“…Considering the focus of the present systematic literature review on the effects of isolated OMT for adults with OSA, 8 studies were considered, two of them Camacho et al, 2015 (16) Systematic literature review considering OMT for the treatment of OSA in children and adults performing meta-analysis of polysomnography, snoring and sleepiness…”

Section: Literature Reviewmentioning

confidence: 99%

“…with systematic literature review 15,16 , three RCT 1-4 , one clinical study 17 and two case reports 18,19 . A description of the studies can be found in Tables 1 and 2.…”

Section: Literature Reviewmentioning

confidence: 99%

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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: Nomentioning

confidence: 99%

Section: Nomentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

“…with systematic literature review 15,16 , three RCT 1-4 , one clinical study 17 and two case reports 18,19 . A description of the studies can be found in Tables 1 and 2.…”

Section: Literature Reviewmentioning

confidence: 99%

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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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“…A "passive MFT" [34] has been tried recently but results are only available in an abstract form; however, such an approach would be very useful: it calls upon mandibular devices that would lead to sensory stimulation of the tongue, leading to tongue muscle activity. More work in this area is needed.…”

Section: Addressing the Dysfunction As Early As Possiblementioning

confidence: 99%

Pediatric Obstructive Sleep Apnea: Where Do We Stand?

Huang

Guilleminault

2017

Advances in Oto-Rhino-Laryngology

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Pediatric obstructive sleep apnea (OSA) was initially described in 1976. In 1981, Dr. Guilleminault emphasized that pediatric OSA was different from the clinical presentation reported in adults. It was characterized by more disturbed nocturnal sleep than excessive daytime sleepiness, and presented more behavioral problems, particularly school problems, hyperactivity, nocturnal enuresis, sleep terrors, depression, insomnia, and psychiatric problems. The underlying causes of pediatric OSA are complex. Such factors as adenotonsillar hypertrophy, obesity, anatomical and neuromuscular factors, and hypotonic neuromuscular disease are also involved. Adenotonsillectomy (T&A) has been the recommended treatment for pediatric OSA, but in the recent past this practice has been placed very much in question. Therefore, we will discuss the mechanism of pediatric OSA and investigate obese and nonobese pediatric sleep-disordered breathing. Moreover, the important concept that dysfunction leads to the dysmorphism that impacts on the size of the Lin H-C (ed): Sleep-Related Breathing Disorders.

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Alternative and Adjunctive Options for the Management of Sleep Disorders

2022

Dental Management of Sleep Disorders

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Myofunctional Therapy to Treat Obstructive Sleep Apnea: A Systematic Review and Meta-analysis

Cited by 297 publications

References 27 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

Pediatric Obstructive Sleep Apnea: Where Do We Stand?

Alternative and Adjunctive Options for the Management of Sleep Disorders

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