@misc{10481/71411,
year = {2021},
month = {8},
url = {http://hdl.handle.net/10481/71411},
abstract = {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.},
publisher = {John Wiley & Sons},
keywords = {Apraxia},
keywords = {Exercise},
keywords = {Myofunctional therapy},
keywords = {Obstructive sleep apnoea-hypopnoea syndrome},
keywords = {Oropharynx},
keywords = {Sleep apnoea},
keywords = {Stereognosis},
title = {Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach},
doi = {10.1111/joor.13247},
author = {Rodríguez Alcalá, Laura and Martín-Lagos Martínez, Juan and Ríos Fernández, Raquel and Gómez Jiménez, Francisco J. and Parejo Santaella, Jesús},
}