Efficiency of oro-facial myofunctional therapy in treating obstructive sleep apnoea: A meta-analysis of observational studies

作者全名："Zhang, Feng; Tian, Zhuo; Shu, Yan; Zou, Bin; Yao, Hongbing; Li, Shaojun; Li, Qiu"

作者地址："[Zhang, Feng; Shu, Yan; Zou, Bin; Yao, Hongbing] Chongqing Med Univ, Childrens Hosp, Dept Otolaryngol, Chongqing, Peoples R China; [Zhang, Feng; Shu, Yan; Zou, Bin; Yao, Hongbing; Li, Shaojun; Li, Qiu] Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Zhang, Feng; Shu, Yan; Zou, Bin; Yao, Hongbing; Li, Shaojun; Li, Qiu] Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Tian, Zhuo] Chongqing Gen Hosp, Dept Geratol, Chongqing, Peoples R China; [Li, Shaojun] Chongqing Med Univ, Childrens Hosp, Dept Emergency, Chongqing, Peoples R China; [Li, Qiu] Chongqing Med Univ, Childrens Hosp, Dept Nephrol, Bldg 6,Zhongshan Er Rd 136, Chongqing 400014, Peoples R China; [Li, Qiu] Chongqing Key Lab Pediat, Chongqing, Peoples R China"

通信作者："Li, Q (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Nephrol, Bldg 6,Zhongshan Er Rd 136, Chongqing 400014, Peoples R China.; Li, SJ (通讯作者)，Dept Emergency, Bldg 3,Zhongshan Er Rd 136, Chongqing 400014, Peoples R China."

来源：JOURNAL OF ORAL REHABILITATION

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000796292500001

JCR分区：Q1

影响因子：2.9

年份：2022

卷号：49

期号：7

开始页：734

结束页：745

文献类型：Article

关键词：meta-analysis; oral and facial movement; OSA; sleep apnoea syndrome; treatment

摘要："Objective The literature on oro-facial myofunctional therapy (OMT) in children and adults with obstructive sleep apnoea (OSA) was systematically reviewed to investigate the effects of OMT on patients with OSA by age and disease severity to verify the effect of OMT on OSA. Data sources All the comparative literature was retrieved from the PubMed, Embase and Cochrane libraries. Method We searched the articles published up to 12 February 2022 and followed the preferred reporting project for systematic review and meta-analysis of reports. The quality of the studies was evaluated using the Newcastle-Ottawa scale. Results Of the primary indicators for evaluating OSA, 13 studies reported on the apnoea index (AHI), showing a decrease in the mean standard deviation of AHI from before OMT to after OMT (p < .00001). The lowest oxygen saturation was reported in nine studies, and the mean standard deviation of the lowest oxygen saturation increased from before to after OMT (p = .0009). Ten studies reported the Epworth Sleepiness Scale (ESS), indicating that the mean standard deviation of the ESS decreased from before to after OMT (p < .00001). The subgroup analysis showed that the AHI scores indicating mild and moderate OSA were significantly reduced, and the AHI scores indicating severe OSA also decreased, but this was not statistically significant. The lowest oxygen saturation increased obviously in patients with both mild and moderate and severe OSA. Of the secondary indicators of OSA, there was a statistically significant improvement in snoring intensity (p = .0002). Conclusion Oral and facial muscular function therapy can be used as a simple and non-invasive new technique to improve the AHI, minimum oxygen saturation, ESS, and snoring intensity in patients with mild and moderate OSA and the lowest oxygen saturation in patients with severe OSA."

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