Effect of oropharyngeal exercise on snoring and quality of sleep among obstructive sleep apnea patients
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Author:
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SATHYA PRIYA.S, D. ANANDHI
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Abstract:
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BACKGROUND: Obstructive Sleep Apnea (OSA) is a common condition characterized by recurrent upper airway obstruction during sleep. Snoring is one of the most common (70%-95%) symptoms associated with OSA and it is caused by vibration of soft tissues obstructing the pharynx during sleep. Oropharyngeal exercises are, non-invasive, cost effective treatment of mild to moderate obstructive sleep apnea. These exercises reinforce the oropharyngeal muscles and increase the tone, thereby dilating the upper airway during sleep. It aims at correcting the posture adequacy, the sensibility and proprioception, and the tonus and mobility of the orofacial and pharyngeal musculature. OBJECTIVE: The purpose of this study was to determine the effectiveness of oropharyngeal exercise on snoring and quality of sleep among obstructive sleep apnea patients. METHODOLOGY: It is the quasi-experimental design, with pre and posttest type. 30 patients both men and women, aged 30-50 years with BMI of =25 kg/m2, with recently diagnosed patients with moderate OSA were conveniently included. Current and planned intervention for weight reduction, thyroid disorder, old CVA, neuromuscular disese, cardiac conditions, severe obstructive nasal disease, craniofacial malformation, abnormally large tonsils, regular use of alcohol, antidepressant, hypnotic medicine were excluded. Oropharyngeal exercises were taught to medically diagnosed obstructive sleep apnea patients for 3 months period. The Pittsburgh and Berlin questionnaire was given prior and after the intervention and scoring was done. OUTCOME MEASURES: berlin questionnaire sleep apnea, the Pittsburgh sleep quality index (PSQI). RESULTS: The results of the study showed that there is no significant difference in mean values of Berlin Questionnaire and Pittsburgh Sleep Quality Index in OSApatients trained with Oropharyngeal Exercise (P>0.05). CONCLUSION: The study concludes that oropharyngeal muscle exercises maynot reduce obstructive sleep apnea symptom severity and increased sleep quality in patientswith moderate OSA.
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Keyword:
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Obstructive sleep apnea, snoring, oropharyngeal exercise, sleep quality, Pittsburgh sleep quality index, Berlin questionnaire.
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2020.12.04.417
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