Luccas Gabriele Ramos de, Halawa Raphaela Godoi Abu, Martins Carlos Henrique Ferreira, Berretin-Felix Giédre
Departamento de Fonoaudiologia, Faculdade de Odontologia de Bauru - FOB, Universidade de São Paulo - USP - Bauru (SP), Brasil.
Codas. 2025 Apr 28;37(3):e20240033. doi: 10.1590/2317-1782/e20240033pt. eCollection 2025.
to verify whether orofacial myofunctional symptoms are related to findings from orofacial myofunctional clinical assessment in adults sleeping breathing disorders (SBD).
observational study; 15 adults, with a mean age of 43 years and diagnosed with primary snoring or OSA by polysomnography; evaluated using the Orofacial Myofunctional Assessment Protocol MBGR, including the Clinical History Protocol to assess symptoms, and the Clinical Examination Protocol to identify signs, considering tests of mobility of lips, tongue, soft palate and jaw; tone of lips, tongue, cheeks and chin; respiratory mode; chewing; and swallowing solids and liquids. For the correlation between signs and symptoms, Spearman's Correlation Coefficient, considering p<0.05 statistically significant, was used.
The main orofacial myofunctional complaints were related to chewing (use of only one side during chewing and the need to drink liquids during meals), and swallowing (choking and residue after swallowing). In the orofacial myofunctional assessment, there was a greater frequency of alterations in tongue tone; lip mobility; unilateral chewing pattern with increased speed and chewing inefficiency; swallowing with excessive contraction of the perioral muscles, associated head movement and presence of residue in the oral cavity. The correlation between the scores of orofacial myofunctional signs and symptoms showed significance only between the aspects related to the chewing function (p=0.034), being moderate and inversely proportional (r=-0.548).
a moderate negative correlation was found between masticatory signs and symptoms in adults with SBD, and no correlation was observed for breathing and swallowing functions.
验证口面部肌功能症状是否与成人睡眠呼吸障碍（SBD）口面部肌功能临床评估结果相关。
观察性研究；15名成年人，平均年龄43岁，通过多导睡眠图诊断为原发性打鼾或阻塞性睡眠呼吸暂停；使用口面部肌功能评估方案MBGR进行评估，包括评估症状的临床病史方案和识别体征的临床检查方案，考虑嘴唇、舌头、软腭和下颌的活动度测试；嘴唇、舌头、脸颊和下巴的张力；呼吸模式；咀嚼；以及吞咽固体和液体。对于体征和症状之间的相关性，使用Spearman相关系数，p<0.05被认为具有统计学意义。
主要的口面部肌功能主诉与咀嚼（咀嚼时仅使用一侧以及进餐时需要喝液体）和吞咽（吞咽时呛咳和残留）有关。在口面部肌功能评估中，舌张力改变、嘴唇活动度改变、单侧咀嚼模式且速度加快和咀嚼效率低下、口周肌肉过度收缩伴头部运动以及口腔内有残留的吞咽情况更为常见。口面部肌功能体征和症状评分之间的相关性仅在与咀嚼功能相关的方面具有显著性（p=0.034），呈中度且负相关（r=-0.548）。
在患有SBD的成年人中，咀嚼体征和症状之间存在中度负相关，呼吸和吞咽功能未观察到相关性。
