Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing
Myofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence—only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym<sup>®</sup>, which is used by patients who have rejected continuous...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-12-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/10/24/5772 |
| _version_ | 1797503531052171264 |
|---|---|
| author | Carlos O’Connor-Reina Jose María Ignacio Garcia Laura Rodriguez Alcala Elisa Rodríguez Ruiz María Teresa Garcia Iriarte Juan Carlos Casado Morente Peter Baptista Guillermo Plaza |
| author_facet | Carlos O’Connor-Reina Jose María Ignacio Garcia Laura Rodriguez Alcala Elisa Rodríguez Ruiz María Teresa Garcia Iriarte Juan Carlos Casado Morente Peter Baptista Guillermo Plaza |
| author_sort | Carlos O’Connor-Reina |
| collection | DOAJ |
| description | Myofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence—only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym<sup>®</sup>, which is used by patients who have rejected continuous positive airway pressure and other therapies. We compared ear, nose, and throat examination findings, Friedman stage, tongue-tie presence, tongue strength measured using the Iowa oral performance instrument (IOPI), and full polysomnography before and after the 3 months of therapy. Participants were taught how to perform the exercises using the app at the start. Telemedicine allowed physicians to record adherence to and accuracy of the exercise performance. Fifty-four patients were enrolled; 35 (64.8%) were adherent and performed exercises for 15 min/day on five days/week. We found significant changes (<i>p</i> < 0.05) in the apnoea–hypopnoea index (AHI; 32.97 ± 1.8 to 21.9 ± 14.5 events/h); IOPI score (44.4 ± 11.08 to 49.66 ± 10.2); and minimum O<sub>2</sub> saturation (80.91% ± 6.1% to 85.09% ± 5.3%). IOPI scores correlated significantly with AHI after the therapy (Pearson <i>r</i> = 0.4; <i>p</i> = 0.01). The 19 patients who did not adhere to the protocol showed no changes. MT based on telemedicine had good adherence, and its effect on AHI correlated with IOPI and improvement in tongue-tie. |
| first_indexed | 2024-03-10T03:51:59Z |
| format | Article |
| id | doaj.art-bdf63713ec0a4f49b6e5deedbd327a89 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T03:51:59Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-bdf63713ec0a4f49b6e5deedbd327a892023-11-23T08:56:00ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011024577210.3390/jcm10245772Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered BreathingCarlos O’Connor-Reina0Jose María Ignacio Garcia1Laura Rodriguez Alcala2Elisa Rodríguez Ruiz3María Teresa Garcia Iriarte4Juan Carlos Casado Morente5Peter Baptista6Guillermo Plaza7Otorhinolaryngology Department, Hospital Quironsalud Marbella, 29603 Marbella, SpainPulmonology Department, Hospital Quironsalud Marbella, 29603 Marbella, SpainOtorhinolaryngology Department, Hospital Quironsalud Marbella, 29603 Marbella, SpainPulmonology Department, Hospital Quironsalud Marbella, 29603 Marbella, SpainOtorhinolaryngology Department, Hospital Virgen de Valme, 41014 Sevilla, SpainOtorhinolaryngology Department, Hospital Quironsalud Marbella, 29603 Marbella, SpainOtorhinolaryngology Department, Clínica Universitaria de Navarra, 31008 Pamplona, SpainOtorhinolaryngology Department, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, 28942 Madrid, SpainMyofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence—only ~10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym<sup>®</sup>, which is used by patients who have rejected continuous positive airway pressure and other therapies. We compared ear, nose, and throat examination findings, Friedman stage, tongue-tie presence, tongue strength measured using the Iowa oral performance instrument (IOPI), and full polysomnography before and after the 3 months of therapy. Participants were taught how to perform the exercises using the app at the start. Telemedicine allowed physicians to record adherence to and accuracy of the exercise performance. Fifty-four patients were enrolled; 35 (64.8%) were adherent and performed exercises for 15 min/day on five days/week. We found significant changes (<i>p</i> < 0.05) in the apnoea–hypopnoea index (AHI; 32.97 ± 1.8 to 21.9 ± 14.5 events/h); IOPI score (44.4 ± 11.08 to 49.66 ± 10.2); and minimum O<sub>2</sub> saturation (80.91% ± 6.1% to 85.09% ± 5.3%). IOPI scores correlated significantly with AHI after the therapy (Pearson <i>r</i> = 0.4; <i>p</i> = 0.01). The 19 patients who did not adhere to the protocol showed no changes. MT based on telemedicine had good adherence, and its effect on AHI correlated with IOPI and improvement in tongue-tie.https://www.mdpi.com/2077-0383/10/24/5772obstructive sleep apnoeamyofunctional therapyadherenceapnea hypopnea indexIowa oral performance instrument |
| spellingShingle | Carlos O’Connor-Reina Jose María Ignacio Garcia Laura Rodriguez Alcala Elisa Rodríguez Ruiz María Teresa Garcia Iriarte Juan Carlos Casado Morente Peter Baptista Guillermo Plaza Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing Journal of Clinical Medicine obstructive sleep apnoea myofunctional therapy adherence apnea hypopnea index Iowa oral performance instrument |
| title | Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing |
| title_full | Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing |
| title_fullStr | Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing |
| title_full_unstemmed | Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing |
| title_short | Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing |
| title_sort | improving adherence to myofunctional therapy in the treatment of sleep disordered breathing |
| topic | obstructive sleep apnoea myofunctional therapy adherence apnea hypopnea index Iowa oral performance instrument |
| url | https://www.mdpi.com/2077-0383/10/24/5772 |
| work_keys_str_mv | AT carlosoconnorreina improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing AT josemariaignaciogarcia improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing AT laurarodriguezalcala improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing AT elisarodriguezruiz improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing AT mariateresagarciairiarte improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing AT juancarloscasadomorente improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing AT peterbaptista improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing AT guillermoplaza improvingadherencetomyofunctionaltherapyinthetreatmentofsleepdisorderedbreathing |