Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing
Myofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence-only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym®, which is used by patients who have rejected continuous positive airway pressur...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universidad de Navarra |
| Repositorio: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Idioma: | inglés |
| OAI Identifier: | oai:dadun.unav.edu:10171/112452 |
| Acceso en línea: | https://hdl.handle.net/10171/112452 |
| Access Level: | acceso abierto |
| Palabra clave: | Obstructive sleep apnoea Myofunctional therapy Adherence Apnea hypopnea index lowa oral performance instrument |
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Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathingO’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7Garcia, J.M.I. (José Maria Ignacio)|||/items/0e7c19a9-d9b7-4824-a139-e04237c4bf72Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5Rodriguez-Ruiz, E. (Elisa)|||/items/363c6828-398d-42a2-a567-3a09ab9574c0Garcia-Iriarte, M.T. (Maria Teresa)|||/items/897c4487-cc22-45db-9334-9e92d937055fCasado-Morente, J.C. (Juan Carlos)|||/items/010c1389-3d47-424f-acaf-33ed59837224Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868Obstructive sleep apnoeaMyofunctional therapyAdherenceApnea hypopnea indexlowa oral performance instrumentMyofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence-only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym®, which is used by patients who have rejected continuous positive airway pressure and other therapies. We compared ear, nose, and throat examination findings, Friedman stage, tongue-tie presence, tongue strength measured using the Iowa oral performance instrument (IOPI), and full polysomnography before and after the 3 months of therapy. Participants were taught how to perform the exercises using the app at the start. Telemedicine allowed physicians to record adherence to and accuracy of the exercise performance. Fifty-four patients were enrolled; 35 (64.8%) were adherent and performed exercises for 15 min/day on five days/week. We found significant changes (p < 0.05) in the apnoea-hypopnoea index (AHI; 32.97 ± 1.8 to 21.9 ± 14.5 events/h); IOPI score (44.4 ± 11.08 to 49.66 ± 10.2); and minimum O2 saturation (80.91% ± 6.1% to 85.09% ± 5.3%). IOPI scores correlated significantly with AHI after the therapy (Pearson r = 0.4; p = 0.01). The 19 patients who did not adhere to the protocol showed no changes. MT based on telemedicine had good adherence, and its effect on AHI correlated with IOPI and improvement in tongue-tie.MDPIDadun. Depósito Académico Digital Universidad de Navarra20212021-01-0120212021-01-01journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/112452reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/1124522026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing |
| title |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing |
| spellingShingle |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Obstructive sleep apnoea Myofunctional therapy Adherence Apnea hypopnea index lowa oral performance instrument |
| title_short |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing |
| title_full |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing |
| title_fullStr |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing |
| title_full_unstemmed |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing |
| title_sort |
Improving adherence to myofunctional therapy in the treatment of sleep-disordered breathing |
| dc.creator.none.fl_str_mv |
O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Garcia, J.M.I. (José Maria Ignacio)|||/items/0e7c19a9-d9b7-4824-a139-e04237c4bf72 Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5 Rodriguez-Ruiz, E. (Elisa)|||/items/363c6828-398d-42a2-a567-3a09ab9574c0 Garcia-Iriarte, M.T. (Maria Teresa)|||/items/897c4487-cc22-45db-9334-9e92d937055f Casado-Morente, J.C. (Juan Carlos)|||/items/010c1389-3d47-424f-acaf-33ed59837224 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author |
O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 |
| author_facet |
O’Connor-Reina, C. (Carlos)|||/items/5f02abf5-9355-4cf9-868a-f6eb1df7b4d7 Garcia, J.M.I. (José Maria Ignacio)|||/items/0e7c19a9-d9b7-4824-a139-e04237c4bf72 Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5 Rodriguez-Ruiz, E. (Elisa)|||/items/363c6828-398d-42a2-a567-3a09ab9574c0 Garcia-Iriarte, M.T. (Maria Teresa)|||/items/897c4487-cc22-45db-9334-9e92d937055f Casado-Morente, J.C. (Juan Carlos)|||/items/010c1389-3d47-424f-acaf-33ed59837224 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author_role |
author |
| author2 |
Garcia, J.M.I. (José Maria Ignacio)|||/items/0e7c19a9-d9b7-4824-a139-e04237c4bf72 Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5 Rodriguez-Ruiz, E. (Elisa)|||/items/363c6828-398d-42a2-a567-3a09ab9574c0 Garcia-Iriarte, M.T. (Maria Teresa)|||/items/897c4487-cc22-45db-9334-9e92d937055f Casado-Morente, J.C. (Juan Carlos)|||/items/010c1389-3d47-424f-acaf-33ed59837224 Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author2_role |
author author author author author author author |
| dc.contributor.none.fl_str_mv |
Dadun. Depósito Académico Digital Universidad de Navarra |
| dc.subject.none.fl_str_mv |
Obstructive sleep apnoea Myofunctional therapy Adherence Apnea hypopnea index lowa oral performance instrument |
| topic |
Obstructive sleep apnoea Myofunctional therapy Adherence Apnea hypopnea index lowa oral performance instrument |
| description |
Myofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence-only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym®, which is used by patients who have rejected continuous positive airway pressure and other therapies. We compared ear, nose, and throat examination findings, Friedman stage, tongue-tie presence, tongue strength measured using the Iowa oral performance instrument (IOPI), and full polysomnography before and after the 3 months of therapy. Participants were taught how to perform the exercises using the app at the start. Telemedicine allowed physicians to record adherence to and accuracy of the exercise performance. Fifty-four patients were enrolled; 35 (64.8%) were adherent and performed exercises for 15 min/day on five days/week. We found significant changes (p < 0.05) in the apnoea-hypopnoea index (AHI; 32.97 ± 1.8 to 21.9 ± 14.5 events/h); IOPI score (44.4 ± 11.08 to 49.66 ± 10.2); and minimum O2 saturation (80.91% ± 6.1% to 85.09% ± 5.3%). IOPI scores correlated significantly with AHI after the therapy (Pearson r = 0.4; p = 0.01). The 19 patients who did not adhere to the protocol showed no changes. MT based on telemedicine had good adherence, and its effect on AHI correlated with IOPI and improvement in tongue-tie. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-01-01 2021 2021-01-01 |
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journal article http://purl.org/coar/resource_type/c_6501 |
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info:eu-repo/semantics/article |
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article |
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https://hdl.handle.net/10171/112452 |
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https://hdl.handle.net/10171/112452 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 |
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openAccess |
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application/pdf |
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MDPI |
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MDPI |
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reponame:Dadun. Depósito Académico Digital de la Universidad de Navarra instname:Universidad de Navarra |
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Universidad de Navarra |
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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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