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Passive myofunctional therapy applied on children with obstructive sleep apnea: A 6-month follow-up

Li-Chuan Chuang1, Yun-Chia Lian1, Michèle Hervy-Auboiron2

  • 1Department of Pediatric Dentistry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Graduate Institute of Craniofacial and Dental Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|October 8, 2016
PubMed

Insights

Passive myofunctional therapy using an oral appliance improved sleep breathing in children with obstructive sleep apnea. This treatment shows promise for managing pediatric obstructive sleep apnea (OSA).

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Physiology
  • Oral Appliance Therapy

Background:

  • Obstructive sleep apnea (OSA) is a common sleep disorder in children.
  • Myofunctional therapy is recommended but faces low compliance.
  • Oral appliances offer a potential solution for passive therapy during sleep.

Purpose of the Study:

  • To evaluate the effectiveness of passive myofunctional therapy via an oral appliance in children with OSA.
  • To compare outcomes between prematurely born and full-term children.

Main Methods:

  • Twenty-nine children with OSA were enrolled and divided into premature and full-term groups.
  • Participants used an oral device for 6 months to stimulate tongue muscle activity during sleep.
  • Polysomnography was conducted before and after the treatment period.

Main Results:

  • Both groups demonstrated positive polysomnographic changes.
  • Full-term children showed significant reductions in apnea-hypopnea index, hypopnea index, and arousal percentage.
  • Prematurely born children experienced a significant decrease in REM sleep apnea-hypopnea index and mean heart rate.

Conclusions:

  • Passive myofunctional therapy with an oral device can improve sleep breathing in children with OSA.
  • This approach offers a viable treatment option for pediatric obstructive sleep apnea.
Abstract

Keywords:
childrenobstructive sleep apneaoral devicepassive myofunctional therapy

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