AI Article Synopsis
- This study aimed to compare tongue motor skills in patients with obstructive sleep apnea (OSA) to those of healthy individuals and to assess the impact of oropharyngeal myofunctional therapy (MFT) on OSA patients' tongue muscles.
- The research involved analyzing 13 studies on adults and one study on children, revealing no significant differences in tongue protrusion and endurance for adults with OSA, but lower strength and endurance in tongue elevation.
- The findings indicate that while adults with OSA may retain certain tongue functions, they exhibit lower tongue elevation skills, and there's limited data on how effective myofunctional therapy is for improving these skills in both adults and children.
Article Abstract
Study Objectives: The first objective of this study was to compare tongue motor skills between patients with obstructive sleep apnea (OSA) and healthy participants. Second, the effect of oropharyngeal myofunctional therapy (MFT) on the tongue muscular qualities of patients with OSA was evaluated.
Methods: Searches were conducted in 5 electronic databases up to July 2023. Risk of bias was assessed via the Joanna Briggs Institute appraisal checklist for cross-sectional studies (aim number 1) and the Physiotherapy Evidence Database (PEDro) scale for randomized controlled trials (aim number 2). Pooled standardized mean differences and 95% confidence intervals were calculated using a random-effects model.
Results: Thirteen studies including 520 adults and one study including 92 children addressed aim number 1. Compared to healthy adults, individuals with OSA had no significant difference in tongue protrusion strength (9 studies, n = 366; standardized mean difference [95% confidence interval], -0.00 [-0.45, 0.44]) or endurance (5 studies, n = 125; 0.31 [-0.26, 0.88]) but presented a lower tongue elevation strength (6 studies, n = 243; 1.00 [0.47, 1.53]) and elevation endurance (3 studies, n = 98; 0.52 [0.11, 0.94]). In children, tongue elevation strength was lower but elevation endurance was higher in those with OSA than in healthy children. Two randomized controlled trials (28 adults, 54 children) addressed aim number 2 and were of poor methodological quality. In these studies, myofunctional therapy improved tongue motor skills in patients with OSA.
Conclusions: Tongue elevation motor skills are decreased in adults with OSA, whereas tongue protrusion motor skills seem preserved. Very few data are available in children. There are also too few data about the impact of myofunctional therapy on tongue motor skills.
Citation: Poncin W, Willemsens A, Gely L, Contal O. Assessment and rehabilitation of tongue motor skills with myofunctional therapy in obstructive sleep apnea: a systematic review and meta-analysis. . 2024;20(9):1535-1549.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11367718 | PMC |
| http://dx.doi.org/10.5664/jcsm.11074 | DOI Listing |
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