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Oropharyngeal and tongue exercises (myofunctional therapy) for snoring: a systematic review and meta-analysis
- Source :
- European Archives of Oto-Rhino-Laryngology. 275:849-855
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- Purpose Oropharyngeal and tongue exercises (myofunctional therapy) have been shown to improve obstructive sleep apnea. However, to our knowledge, a systematic review has not been performed for snoring. The study objective is to perform a systematic review, with a meta-analysis, dedicated to snoring outcomes after myofunctional therapy. Methods PubMed/MEDLINE and three other databases were searched through November 25, 2017. Two authors independently searched the literature. Eligibility (1) patients: children or adults with snoring, (2) intervention: oropharyngeal and/or tongue exercises, (3) comparison: pre and post-treatment data for snoring, (4) outcomes: snoring frequency and snoring intensity, (5) study design: publications of all study designs. Results A total of 483 articles were screened, 56 were downloaded in their full text form, and nine studies reported outcomes related to snoring. There were a total of 211 patients (all adults) in these studies. The snoring intensity was reduced by 51% in 80 patients from pre-therapy to post-therapy visual analog scale values of 8.2 ± 2.1 (95% CI 7.7, 8.7) to 4.0 ± 3.7 (95% CI 3.2, 4.8). Berlin questionnaire snoring intensity reduced by 36% in 34 patients from 2.5 ± 1.0 (95% CI 2.2, 2.8) to 1.6 ± 0.8 (95% CI 1.3, 1.9). Finally, time spent snoring during sleep was reduced by 31% in 60 patients from 26.3 ± 18.7% (95% CI 21.6, 31.0) to 18.1 ± 20.5% (95% CI 12.9, 23.3) of total sleep time. Conclusions This systematic review demonstrated that myofunctional therapy has reduced snoring in adults based on both subjective questionnaires and objective sleep studies.
- Subjects :
- medicine.medical_specialty
Visual Analog Scale
Visual analogue scale
Myofunctional Therapy
MEDLINE
Severity of Illness Index
03 medical and health sciences
0302 clinical medicine
Tongue
Severity of illness
medicine
Humans
business.industry
Snoring
General Medicine
medicine.disease
respiratory tract diseases
Obstructive sleep apnea
medicine.anatomical_structure
030228 respiratory system
Otorhinolaryngology
Meta-analysis
Physical therapy
population characteristics
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 14344726 and 09374477
- Volume :
- 275
- Database :
- OpenAIRE
- Journal :
- European Archives of Oto-Rhino-Laryngology
- Accession number :
- edsair.doi.dedup.....f0604604ed4f7e07cca5022ade38e18b