Division of Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan.
Research Coordinate, Inc., 8F Nishi-Shinjuku-Takagi Building, 1-20-3 Nishi-Shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Sci Rep. 2024 Nov 19;14(1):28645. doi: 10.1038/s41598-024-79884-0.
Previously reported oropharyngeal exercises are long and difficult to perform. Therefore, we created a 10-min daily oropharyngeal exercise program and conducted a study to confirm its effectiveness. Twenty-five participants whose apnoea-hypopnoea index (AHI) values were greater than 5 were enrolled. All of the participants performed 10 min of exercise per day for 12 weeks and were evaluated for AHI values, tongue pressure, lip closure pressure, snoring, and Mallampati scores before and after the exercise. Twenty-two participants (88% of all participants) completed the oropharyngeal exercise. Another patient was unable to attend the last evaluation session due to illness. The AHI value improved significantly from an average of 20.9 to 16.9 times/hour in patients with a pre-exercise AHI of 5 to 30 (P = 0.0317). The AHI improvement group included younger participants than did the AHI deterioration group (P = 0.0498). Although the tongue pressures in the AHI improvement group did not improve significantly (P = 0.354), the lip closure pressures tended to increase from a median of 17.6 N to 21.3 N with oropharyngeal exercises (P = 0.0677). This novel oropharyngeal exercise may be appropriate for younger SAS patients with an AHI less than 30.
先前报道的口咽部锻炼既冗长又难以执行。因此，我们创建了一个每天 10 分钟的口咽部锻炼计划，并进行了一项研究以确认其有效性。共纳入了 25 名呼吸暂停低通气指数（AHI）值大于 5 的参与者。所有参与者每天进行 10 分钟的锻炼，共进行 12 周，并在锻炼前后评估 AHI 值、舌压、唇闭合力、打鼾和 Mallampati 评分。22 名参与者（所有参与者的 88%）完成了口咽部锻炼。另一名患者因疾病无法参加最后一次评估。在 AHI 为 5 至 30 的患者中，AHI 值从平均 20.9 次/小时改善至 16.9 次/小时（P=0.0317）。与 AHI 恶化组相比，AHI 改善组的参与者更年轻（P=0.0498）。尽管 AHI 改善组的舌压没有显著改善（P=0.354），但口咽部锻炼后唇闭合力有从 17.6N 中位数增加至 21.3N 的趋势（P=0.0677）。这种新的口咽部锻炼可能适用于 AHI 小于 30 的年轻 SAS 患者。
