Institut de Recherche Expérimentale et Clinique (IREC), Pôle de Pneumologie, ORL et Dermatologie, Université Catholique de Louvain, Brussels, Belgium.
Service de Pneumologie, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
J Clin Sleep Med. 2024 Sep 1;20(9):1535-1549. doi: 10.5664/jcsm.11074.
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.
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.
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.
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.
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.
本研究的首要目标是比较阻塞性睡眠呼吸暂停（OSA）患者与健康参与者的舌运动技能。其次，评估口咽肌肉功能疗法（MFT）对 OSA 患者舌肌功能的影响。
检索了截至 2023 年 7 月的 5 个电子数据库。通过 Joanna Briggs 研究所横断面研究评估检查表（目标 1）和 Physiotherapy Evidence Database（PEDro）量表评估随机对照试验（目标 2）评估偏倚风险。使用随机效应模型计算标准化均数差值和 95%置信区间。
有 13 项研究（共 520 名成人）和 1 项研究（共 92 名儿童）针对目标 1。与健康成年人相比，OSA 患者的舌前突力量（9 项研究，n=366；标准化均数差值[95%置信区间]，-0.00[-0.45，0.44]）或耐力（5 项研究，n=125；0.31[-0.26，0.88]）无显著差异，但舌上抬力量（6 项研究，n=243；1.00[0.47，1.53]）和上抬耐力（3 项研究，n=98；0.52[0.11，0.94]）较低。在儿童中，OSA 患者的舌上抬力量较低，但上抬耐力较高。2 项随机对照试验（28 名成人，54 名儿童）针对目标 2，但方法学质量较差。在这些研究中，肌肉功能疗法改善了 OSA 患者的舌运动技能。
OSA 患者的舌上抬运动技能下降，而舌前突运动技能似乎保持不变。儿童的数据非常有限。关于肌肉功能疗法对舌运动技能影响的数据也很少。
Poncin W, Willemsens A, Gely L, Contal O. 阻塞性睡眠呼吸暂停中舌运动技能的评估和康复：系统评价和荟萃分析。. 2024;20(9):1535-1549.
