Metgud Deepa, Angadi Punnya V, Panthee Anjana
Department of Pediatric Physiotherapy, KAHER Institute of Physiotherapy, KLE Academy of Higher Education and Research, Nehru Nagar, Belagavi, Karnataka, India.
Department of Oral Pathology and Microbiology, KLE VK Institute of Dental Sciences and Hospital, KLE Academy of Higher Education and Research, Nehru Nagar, Belagavi, Karnataka, India.
J Oral Biol Craniofac Res. 2022 Sep-Oct;12(5):639-644. doi: 10.1016/j.jobcr.2022.08.002. Epub 2022 Aug 13.
Sleep-disordered breathing (SDB) ranges from partial obstruction of the upper airway resulting in snoring to total upper airway obstruction leading to obstructive sleep apnea. The impairment in the dynamics of the stomatognathic system is termed as orofacial dysfunction. This study investigates the prevalence of orofacial dysfunction and sleep-disordered breathing in primary school children and identifies their correlation.
A total of 560 forms were distributed to 8 primary schools in Belagavi city. Among them, 482 parents responded (86% response rate), which included 239 boys (49.58%) and 243 girls (50.41%). All the participants were screened for orofacial dysfunction using Nordic Orofacial Dysfunction Test-screening (NOT-S) and sleep-disordered breathing using the Pediatric Sleep Questionnaire (PSQ).
A positive direct correlation of sleep-disordered breathing with orofacial dysfunction (r = 0.47; p ≤ 0.001) was noted. A total of 41(8.58%) children were found to be at risk of sleep-disordered breathing with a score less than or equal to eight, based on (PSQ) Pediatric Sleep Questionnaire, and 156 (32.6%) children showed symptoms of orofacial dysfunction based on Nordic Orofacial Test-Screening (NOT-S).
The study demonstrates that around 32.6% of children had orofacial dysfunction symptoms, and 8.58% of children were at risk for sleep-disordered breathing, girls having a greater risk as compared to boys. There was a positive correlation between orofacial dysfunction and sleep-disordered breathing among children aged 6-12 years.
睡眠呼吸障碍（SDB）范围从导致打鼾的上呼吸道部分阻塞到导致阻塞性睡眠呼吸暂停的上呼吸道完全阻塞。口颌系统动力学的损害被称为口面部功能障碍。本研究调查了小学生口面部功能障碍和睡眠呼吸障碍的患病率，并确定它们之间的相关性。
共向贝拉加维市的8所小学发放了560份问卷。其中，482名家长做出了回应（回应率为86%），包括239名男孩（49.58%）和243名女孩（50.41%）。所有参与者均使用北欧口面部功能障碍测试筛查（NOT-S）对口面部功能障碍进行筛查，并使用儿童睡眠问卷（PSQ）对睡眠呼吸障碍进行筛查。
发现睡眠呼吸障碍与口面部功能障碍呈正相关（r = 0.47；p≤0.001）。根据儿童睡眠问卷（PSQ），共有41名（8.58%）儿童睡眠呼吸障碍风险得分小于或等于8分，156名（32.6%）儿童根据北欧口面部测试筛查（NOT-S）显示出口面部功能障碍症状。
该研究表明，约32.6%的儿童有口面部功能障碍症状，8.58%的儿童有睡眠呼吸障碍风险，女孩比男孩风险更大。6至12岁儿童的口面部功能障碍与睡眠呼吸障碍之间存在正相关。
