Department of Otorhinolaryngology. Hospital, Universitario Clínico San Cecilio, Granada, Spain.
PhD Programme in Clinical Medicine and Public Health, University of Granada, Granada, Spain.
J Oral Rehabil. 2021 Dec;48(12):1363-1372. doi: 10.1111/joor.13247. Epub 2021 Oct 18.
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.
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.
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.
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.
评估阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者与健康对照组之间的音调、失用症和实体觉障碍，并监测气道健身房作为一种易于使用的肌肉功能治疗（MT）方式的有效性，比较治疗前后的舌运动和感觉反应结果。
这是一项针对 25 名中重度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）患者、25 名原发性打鼾（PS）患者和 20 名健康对照者的前瞻性、非随机试验研究。使用定性和定量仪器——爱荷华口腔表现仪器（IOPI）、舌失用症和实体觉测试来评估舌的感觉运动功能。
22 名 PS 患者、21 名 OSAHS 患者和所有 20 名对照组患者均完成了治疗。在 OSAHS 组中，治疗后嗜睡量表评分从 16±7.3 降至 12±4.5（p=0.53）。在 PS 和 OSAHS 组中，IOPI 评分显著增加。对照组的这些指标没有明显变化。舌失用症测试显示，对照组能够完成所有动作，而 PS 组为 5.6±1.4，OSAHS 组为 4.5±1.9（p=0.14）。在实体觉测试中，OSAHS 组识别的数字平均值为 2.6±2.2，PS 组为 3.3±1.2，对照组为 5.7±0.9（p<0.05）。OSAHS 患者识别圆形和椭圆形的次数较少。
使用气道健身房应用程序可改善 SDB 患者的舌感觉运动功能，因为基于需要进行本体感受训练来定位运动时的大脑会持续受到刺激。
