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 results...

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Authors: 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
Format: Article
Publication date:2021
Country:España
Institution:Universidad de Navarra
Repository:Dadun. Depósito Académico Digital de la Universidad de Navarra
Language:English
OAI Identifier:oai:dadun.unav.edu:10171/111314
Online Access:https://hdl.handle.net/10171/111314
Access Level:Open access
Keyword:Apraxia
Exercise
Myofunctional therapy
Obstructive sleep apnoea-hypopnoea Syndrome
Oropharynx
Sleep apnoea
Stereognosis
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author Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5
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
author_browse Baptista-Jardin, P.M. (Peter Michael)|||/items/66ecbc41-d708-4b43-a527-b733813d5195
Gómez-Pérez, F. J. (Francisco Javier)|||/items/74ed6dd0-cb55-4450-8141-c8a362e6419f
Martín-Lagos, J. (Juan)|||/items/13aaa81a-3113-42f3-9dbb-9830baec88ed
Parejo-Santaella, J. (Jesús)|||/items/561bc598-2146-4155-8fa3-f96930824296
Plaza, G. (Guillermo)|||/items/769de495-2430-40c5-b0c0-9739120b7868
Rodriguez-Alcala, L. (Laura)|||/items/17636c6b-a213-43dd-89b9-a9d7b2a03dc5
Ríos-Fernández, R. (Raquel)|||/items/91d438da-7ff2-4437-b7c6-378049e224f5
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
collection Dadun. Depósito Académico Digital de la Universidad de Navarra
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.
eu_rights_str_mv openAccess
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institution Universidad de Navarra
instname_str Universidad de Navarra
language eng
network_acronym_str ES
network_name_str España
oai_identifier_str oai:dadun.unav.edu:10171/111314
publishDate 2021
publishDateSort 2021
publisher John Wiley & Sons Ltd
publisherStr John Wiley & Sons Ltd
reponame_str Dadun. Depósito Académico Digital de la Universidad de Navarra
spelling Sensorimotor tongue evaluation and rehabilitation in patients with sleep-disordered breathing: a novel approach 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 Apraxia Exercise Myofunctional therapy Obstructive sleep apnoea-hypopnoea Syndrome Oropharynx Sleep apnoea Stereognosis 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. John Wiley & Sons Ltd https://hdl.handle.net/10171/111314
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 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_short 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
topic Apraxia
Exercise
Myofunctional therapy
Obstructive sleep apnoea-hypopnoea Syndrome
Oropharynx
Sleep apnoea
Stereognosis
topic_facet Apraxia
Exercise
Myofunctional therapy
Obstructive sleep apnoea-hypopnoea Syndrome
Oropharynx
Sleep apnoea
Stereognosis
url https://hdl.handle.net/10171/111314