Nobuhisa Hagiwara
   Department   Other, Other
   Position  
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 / ForeginForegin
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
Authorship Last author
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