MATSUI Kentaro
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position |
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Article types | Original article |
Language | English |
Peer review | Non peer reviewed |
Title | Efficacy of oral myofunctional therapy in middle-aged to elderly patients with obstructive sleep apnoea treated with continuous positive airway pressure. |
Journal | Formal name:Journal of oral rehabilitation Abbreviation:J Oral Rehabil ISSN code:13652842/0305182X |
Domestic / Foregin | Foregin |
Volume, Issue, Page | 48(2),pp.176-182 |
Author and coauthor | SUZUKI Mayumi, OKAMOTO Toshihiro, AKAGI YUICHI, MATSUI Kentaro, SEKIGUCHI Haruki, SATOYA Natsumi, INOUE Yuji, TATSUTA Akihisa, HAGIWARA Nobuhisa |
Publication date | 2021/02 |
Summary | BACKGROUND:Oral myofunctional therapy (MFT) is an effective treatment for mild-to-moderate obstructive sleep apnoea (OSA) in middle-aged patients. However, few reports have described its use in elderly patients with moderate and severe OSA. Moreover, no studies have examined the relationship between changes in tongue pressure with MFT and the severity of OSA.OBJECTIVE:We conducted an interventional study using MFT to evaluate the effect of MFT on middle-to-senior-aged patients with moderate or severe OSA and compared changes in apnoea-hypopnea index (AHI) and tongue pressure.METHODS:Thirty-two OSA patients (≥45 years) treated with continuous positive airway pressure (CPAP) were included. MFT was performed in parallel with CPAP. Three days after CPAP discontinuation, polysomnographies were performed and tongue pressures were measured before and after MFT.RESULTS:Patients were 69.3 ± 1.5 years old. After 6 months of MFT, AHI decreased significantly from 34.7 to 29.0/h (P = .03), while tongue pressure significantly increased from 35.9 to 45.6 kPa (P < .01). Seven patients (22%), including 6 of the 12 patients with moderate OSA (50%), experienced successful CPAP discontinuation.CONCLUSIONS:MFT can be a useful intervention even among middle-aged to elderly patients with OSA. Increased tongue pressure may have contributed to the AHI improvement. Clinical trials: Trial registration at www.umin.ac.jp UMIN000027547. |
DOI | 10.1111/joor.13119 |
PMID | 33080062 |