Perception of the bed partner and the individual suffering from snoring/ osas before and after speech therapy /A percepcao do acompanhante e do individuo com ronco/saos antes e apos fonoterapia

• Published in: Revista CEFAC 2014-05, Vol.16 (3), p.907
• Main Authors: Matsumura, Erika, Tonisi, Gislene A. Barros Rodrigues, Vecina, Ana Lucia Cruz, Inocencio, Lia Ba, Guimaraes, Katia C. Carmello, Nemr, Nair Katia
• Format: Article
• Language: Spanish
• Subjects: Sleep; Sleep apnea syndromes; Speech therapy
• ISSN: 1516-1846
• DOI: 10.1590/1982-0216201425612

Purposes: the purpose of this study was to evaluate the perception of bed partners, autoevaluate individuals with snoring/obstructive sleep apnea syndrome, collect cervical and abdominal circumferences before and after speech therapy, and conduct a myofunctional evaluation to associate the results with the severity of sleep disorder. Methods: eleven patients between ages 25 and 75 years, of both genders presenting a recent polysomnographic diagnosis of obstructive sleep apnea syndrome of mild to severe and/or primary snoring were selected as subjects. All patients were subjected to speech therapy, myofunctional clinical assessment, and Berlin (adapted) and Epworth questionnaires before and after therapy. Results: the data obtained were statistically analyzed with the Wilcoxon test (α = 0.05). Two individuals did not adhere to the treatment. No significant difference was observed between the initial and the Anal cervical and abdominal circumferences (cervical p = 0.069 / abdominal p = 0.789). All the patients improved their suprahyoid muscles tonus, lowering of the back of tongue, soft palate, bilateral chewing, speech, and nasal breathing. The results of the Berlin questionnaire showed a reduction in the perception of the bed partner in snoring intensity (p = 0.005) more so than frequency (p = 0.05). Significant reductions of the excessive diurnal somnolence were observed in all the patients (p = 0.000). Conclusions: considering the limitations of this study, it could be concluded that after speech therapy the perceptions of the patients with obstructive sleep apnea syndrome/snoring and their bed partners was that their sleep and life quality was improved, there was a reduction of snoring intensity, and an improved in their daily activities due to the excessive diurnal somnolence reduction. KEYWORDS: obstructive sleep apnea; snoring; speech therapy Objetivo: verificar a percepcao do acompanhante e a auto-avaliacao do individuo com ronco/sindrome da apneia obstrutiva do sono; coletar medidas das circunferencias abdominal e cervical antes e apos fonoterapia, alem de realizar avaliacao miofuncional para relacionar os resultados com a gravidade do disturbio do sono observado. Metodos: participaram deste estudo onze individuos entre 25 e 75 anos de ambos os sexos com diagnostico polissonografico recente de sindrome da apneia obstrutiva do sono leve a severo e/ou ronco primario. Os sujeitos receberam fonoterapia, exame clinico fonoaudiologico, aplicacao de quest