Oropharyngeal exercises to reduce symptoms of OSA after AT

Purpose This study evaluated the efficacy of oropharyngeal exercises in children with symptoms of obstructive sleep apnea syndrome (OSA) after adenotonsillectomy. Methods Polysomnographic recordings were performed before adenotonsillectomy and 6 months after surgery. Patients with residual OSA (apne...

Full description

Saved in:
Bibliographic Details
Published in:Sleep & breathing 2015-03, Vol.19 (1), p.281-289
Main Authors: Villa, Maria Pia, Brasili, Luca, Ferretti, Alessandro, Vitelli, Ottavio, Rabasco, Jole, Mazzotta, Anna Rita, Pietropaoli, Nicoletta, Martella, Susy
Format: Article
Language:English
Subjects:
Adenoidectomy
Case-Control Studies
Child
Child, Preschool
Children & youth
Dentistry
Exercise Therapy
Female
Humans
Internal Medicine
Male
Medicine
Medicine & Public Health
Neurology
Original Article
Oropharynx - physiopathology
Otorhinolaryngology
Pediatrics
Pneumology/Respiratory System
Polysomnography
Postoperative Complications - diagnosis
Postoperative Complications - physiopathology
Postoperative Complications - rehabilitation
Prospective Studies
Sleep apnea
Sleep Apnea, Obstructive - physiopathology
Sleep Apnea, Obstructive - rehabilitation
Throat
Throat surgery
Tonsillectomy
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose This study evaluated the efficacy of oropharyngeal exercises in children with symptoms of obstructive sleep apnea syndrome (OSA) after adenotonsillectomy. Methods Polysomnographic recordings were performed before adenotonsillectomy and 6 months after surgery. Patients with residual OSA (apnea-Hypopnea Index, AHI > 1 and persistence of respiratory symptoms) after adenotonsillectomy were randomized either to a group treated with oropharyngeal exercises (group 1) or to a control group (group 2). A morphofunctional evaluation with Glatzel and Rosenthal tests was performed before and after 2 months of exercises. All the subjects were re-evaluated after exercise through polysomnography and clinical evaluation. The improvement in OSA was defined by ΔAHI: (AHI at T1 − AHI at T2)/AHI at T1 × 100. Results Group 1 was composed of 14 subjects (mean age, 6.01 ± 1.55) while group 2 was composed of 13 subjects (mean age, 5.76 ± 0.82). The AHI was 16.79 ± 9.34 before adenotonsillectomy and 4.72 ± 3.04 after surgery ( p  
ISSN:1520-9512
1522-1709
DOI:10.1007/s11325-014-1011-z