Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach
Study objectives: To evaluate tone, apraxia and stereognosis dysfunctions in patients with SDB compared with healthy controls, and to monitor the effectiveness of Airway Gym® as an easy-to-use myofunctional therapy (MT) modality in terms of the tongue's motor and sensory responses, comparing re...
| 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:10171/111314 |
| Acceso en línea: | https://hdl.handle.net/10171/111314 |
| Access Level: | acceso abierto |
| Palabra clave: | Apraxia Exercise Myofunctional therapy Obstructive sleep apnoea-hypopnoea Syndrome Oropharynx Sleep apnoea Stereognosis |
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Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approachRodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5Martín-Lagos, J. (Juan)|||/items/13aaa81a-3113-42f3-9dbb-9830baec88edBaptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195Ríos-Fernández, R. (Raquel)|||/items/91d438da-7ff2-4437-b7c6-378049e224f5Gómez-Pérez, F. J. (Francisco Javier)|||/items/74ed6dd0-cb55-4450-8141-c8a362e6419fParejo-Santaella, J. (Jesús)|||/items/561bc598-2146-4155-8fa3-f96930824296Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868ApraxiaExerciseMyofunctional therapyObstructive sleep apnoea-hypopnoea SyndromeOropharynxSleep apnoeaStereognosisStudy objectives: To evaluate tone, apraxia and stereognosis dysfunctions in patients with SDB compared with healthy controls, and to monitor the effectiveness of Airway Gym® as an easy-to-use myofunctional therapy (MT) modality in terms of the tongue's motor and sensory responses, comparing results before and after therapy. Methods: This was a prospective, non-randomised pilot study of 25 patients with moderate to severe obstructive sleep apnoea-hypopnoea syndrome (OSAHS), 25 patients with primary snoring (PS) and 20 healthy controls. Qualitative and quantitative instruments-Iowa Oral Performance Instrument (IOPI), lingual apraxia and stereognosis tests were used to assess tongue sensorimotor function. Results: 22 patients with PS, 21 with OSAHS and all 20 controls ended the therapy. In OSAHS, the Epworth Sleepiness Scale score decreased from 16 ± 7.3 to 12 ± 4.5 after therapy (p = 0.53). In PS and OSAHS groups, the IOPI scores increased significantly. These measures did not change significantly in the controls. Lingual apraxia testing showed that controls performed all the manoeuvres, whereas PS 5.6 ± 1.4 and OSAHS 4.5 ± 1.9 (p = 0.14). In the stereognosis test, the mean number of figures recognised was 2.6 ± 2.2 in OSAHS, 3.3±1.2 in PS and 5.7±0.9 in control group (p < 0.05). Patients with OSAHS recognised circles and ovals less often. Conclusion: Using the Airway Gym® app produced improvements in sensorimotor tongue function in patients with SDB, due to continuous stimulation of the brain based on proprioceptive training required to localise responses when doing the exercises.John Wiley & Sons LtdDadun. 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/10171/111314reponame: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:10171/1113142026-06-21T12:47:57Z |
| dc.title.none.fl_str_mv |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach |
| title |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach |
| spellingShingle |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5 Apraxia Exercise Myofunctional therapy Obstructive sleep apnoea-hypopnoea Syndrome Oropharynx Sleep apnoea Stereognosis |
| title_short |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach |
| title_full |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach |
| title_fullStr |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach |
| title_full_unstemmed |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach |
| title_sort |
Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach |
| dc.creator.none.fl_str_mv |
Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5 Martín-Lagos, J. (Juan)|||/items/13aaa81a-3113-42f3-9dbb-9830baec88ed Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Ríos-Fernández, R. (Raquel)|||/items/91d438da-7ff2-4437-b7c6-378049e224f5 Gómez-Pérez, F. J. (Francisco Javier)|||/items/74ed6dd0-cb55-4450-8141-c8a362e6419f Parejo-Santaella, J. (Jesús)|||/items/561bc598-2146-4155-8fa3-f96930824296 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author |
Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5 |
| author_facet |
Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5 Martín-Lagos, J. (Juan)|||/items/13aaa81a-3113-42f3-9dbb-9830baec88ed Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Ríos-Fernández, R. (Raquel)|||/items/91d438da-7ff2-4437-b7c6-378049e224f5 Gómez-Pérez, F. J. (Francisco Javier)|||/items/74ed6dd0-cb55-4450-8141-c8a362e6419f Parejo-Santaella, J. (Jesús)|||/items/561bc598-2146-4155-8fa3-f96930824296 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author_role |
author |
| author2 |
Martín-Lagos, J. (Juan)|||/items/13aaa81a-3113-42f3-9dbb-9830baec88ed Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195 Ríos-Fernández, R. (Raquel)|||/items/91d438da-7ff2-4437-b7c6-378049e224f5 Gómez-Pérez, F. J. (Francisco Javier)|||/items/74ed6dd0-cb55-4450-8141-c8a362e6419f Parejo-Santaella, J. (Jesús)|||/items/561bc598-2146-4155-8fa3-f96930824296 Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868 |
| author2_role |
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 |
Apraxia Exercise Myofunctional therapy Obstructive sleep apnoea-hypopnoea Syndrome Oropharynx Sleep apnoea Stereognosis |
| topic |
Apraxia Exercise Myofunctional therapy Obstructive sleep apnoea-hypopnoea Syndrome Oropharynx Sleep apnoea Stereognosis |
| description |
Study objectives: To evaluate tone, apraxia and stereognosis dysfunctions in patients with SDB compared with healthy controls, and to monitor the effectiveness of Airway Gym® as an easy-to-use myofunctional therapy (MT) modality in terms of the tongue's motor and sensory responses, comparing results before and after therapy. Methods: This was a prospective, non-randomised pilot study of 25 patients with moderate to severe obstructive sleep apnoea-hypopnoea syndrome (OSAHS), 25 patients with primary snoring (PS) and 20 healthy controls. Qualitative and quantitative instruments-Iowa Oral Performance Instrument (IOPI), lingual apraxia and stereognosis tests were used to assess tongue sensorimotor function. Results: 22 patients with PS, 21 with OSAHS and all 20 controls ended the therapy. In OSAHS, the Epworth Sleepiness Scale score decreased from 16 ± 7.3 to 12 ± 4.5 after therapy (p = 0.53). In PS and OSAHS groups, the IOPI scores increased significantly. These measures did not change significantly in the controls. Lingual apraxia testing showed that controls performed all the manoeuvres, whereas PS 5.6 ± 1.4 and OSAHS 4.5 ± 1.9 (p = 0.14). In the stereognosis test, the mean number of figures recognised was 2.6 ± 2.2 in OSAHS, 3.3±1.2 in PS and 5.7±0.9 in control group (p < 0.05). Patients with OSAHS recognised circles and ovals less often. Conclusion: Using the Airway Gym® app produced improvements in sensorimotor tongue function in patients with SDB, due to continuous stimulation of the brain based on proprioceptive training required to localise responses when doing the exercises. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021 2021-01-01 2021 2021-01-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/10171/111314 |
| url |
https://hdl.handle.net/10171/111314 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.rights.none.fl_str_mv |
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 |
| dc.publisher.none.fl_str_mv |
John Wiley & Sons Ltd |
| publisher.none.fl_str_mv |
John Wiley & Sons Ltd |
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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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Dadun. Depósito Académico Digital de la Universidad de Navarra |
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1869414978435416064 |
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15,81155 |