成人口面部肌功能行为（OMA-）项目：有或无口面部肌功能治疗史的健康成年人的口面部肌功能行为、口面部力量及与口腔健康相关的生活质量

The Orofacial Myofunctional Behaviour in Adults (OMA-) Project: Orofacial Myofunctional Behaviour, Orofacial Strength and Oral Health-Related Quality of Life in Healthy Adults With and Without a History of Orofacial Myofunctional Therapy.

作者信息

Van der Straeten Charis, Ockier Noor, Verbeke Jolien, Van Hecke Ineke, Bettens Kim, Van Lierde Kristiane

机构信息

Department of Rehabilitation Sciences, Center for Speech and Language Sciences (CESLAS), Ghent University, Ghent, Belgium.

Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa.

出版信息

J Oral Rehabil. 2025 Jul;52(7):1070-1082. doi: 10.1111/joor.13974. Epub 2025 May 14.

DOI:10.1111/joor.13974

PMID:40369780

Abstract

BACKGROUND

Orofacial Myofunctional Therapy (OMT) is a widely adopted behavioural intervention for managing Orofacial Myofunctional Disorders (OMDs). Nevertheless, there is a lack of data on the long-term outcomes of OMT.

OBJECTIVES

The aim of this study was to compare orofacial myofunctional status, orofacial strength, and Oral Health-Related Quality of Life (OHRQoL) in healthy adults with and without a history of OMT, and to explore person- and therapy-related factors influencing long-term outcomes of OMT.

METHODS

Thirty-one healthy adults (mean age 23.9 years old, SD 3.99 years) who underwent OMT as a child or adolescent were included in this cross-sectional study (OMT group), as well as 31 age and gender matched control participants without a history of OMT (non-OMT group). For perceptual assessment of orofacial functions, the Orofacial Myofunctional Evaluation with Scores (OMES) was used, with higher scores indicative of better performance. Maximum isometric pressure and endurance measurements were obtained using the Iowa Oral Performance Instrument (IOPI). The Oral Health Impact Profile questionnaire (OHIP-NL14) was used to assess OHRQoL.

RESULTS

The OMT group did not show significant differences in orofacial appearance/posture, mobility, strength, endurance, or OHRQoL compared to those who did not undergo therapy. The OMT group did demonstrate a significantly higher OMES function sub score (p = 0.046) and exhibited a typical swallowing pattern significantly more frequently (p = 0.045) than the non-OMT group. No demographic or therapy-related factors significantly influencing long-term OMT intervention outcomes were identified.

CONCLUSIONS

These results suggest that OMT may have a lasting positive impact in the treatment of OMDs, indicating its effectiveness over the long term.

摘要

背景

口面部肌功能治疗（OMT）是一种广泛应用于管理口面部肌功能障碍（OMD）的行为干预方法。然而，关于OMT长期疗效的数据却很匮乏。

目的

本研究旨在比较有和没有OMT治疗史的健康成年人的口面部肌功能状态、口面部力量以及与口腔健康相关的生活质量（OHRQoL），并探讨影响OMT长期疗效的个人因素和治疗相关因素。

方法

本横断面研究纳入了31名在儿童或青少年时期接受过OMT治疗的健康成年人（平均年龄23.9岁，标准差3.99岁）（OMT组），以及31名年龄和性别匹配且无OMT治疗史的对照参与者（非OMT组）。对于口面部功能的感知评估，使用了带评分的口面部肌功能评估（OMES），分数越高表明表现越好。使用爱荷华口腔功能仪器（IOPI）获得最大等长压力和耐力测量值。使用口腔健康影响概况问卷（OHIP-NL14）评估OHRQoL。