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Effects of an Oral-Pharyngeal Motor Training Programme on Children with Obstructive Sleep Apnea Syndrome in Hong
S Y Cheng1, S H W Kwong1, W M Pang1
1Occupational Therapy Department, East Wing, 1/F, Kwong Wah Hospital, Yau Ma Tei, Kowloon, Hong Kong Special Administrative Region.
Insights
Oropharyngeal motor training improved tongue strength and orofacial function in children with Obstructive Sleep Apnea Syndrome (OSAS). This occupational therapy intervention shows promise for enhancing respiratory function in pediatric OSAS patients.
Area of Science:
- Pediatric occupational therapy
- Respiratory health
- Sleep medicine
Background:
- Obstructive Sleep Apnea Syndrome (OSAS) affects children's respiratory function.
- Oropharyngeal motor deficits may contribute to pediatric OSAS.
- Investigating targeted interventions is crucial for managing pediatric OSAS.
Purpose of the Study:
- To evaluate the effectiveness of an oropharyngeal motor training program.
- To assess the impact on tongue strength, endurance, and orofacial function in children with OSAS.
- To determine the role of occupational therapy in managing pediatric OSAS.
Main Methods:
- Retrospective review of 10 children with OSAS undergoing occupational therapy.
- 10-session oropharyngeal motor training program focusing on orofacial and pharyngeal mobilization.
- Assessment of tongue strength and endurance using the Iowa Oral Pressure Instrument (IOPI).
- Evaluation of orofacial function using the Nordic Orofacial Test-Screening (NOT-S).
Main Results:
- Significant improvements observed in tongue strength post-training.
- Significant improvements noted in Nordic Orofacial Test-Screening (NOT-S) scores.
- No significant changes were found in tongue endurance levels.
Conclusions:
- Oropharyngeal motor training can enhance tongue strength and orofacial function in children with OSAS.
- Occupational therapists play a vital role in implementing these training modalities.
- This intervention shows potential for improving respiratory function in pediatric OSAS.
Background:
This study aimed to investigate the effects of an oropharyngeal motor training programme on children with Obstructive Sleep Apnea Syndrome (OSAS) in Hong Kong.
Methods:
In this retrospective study, we reviewed the outcomes of 10 children with OSAS who had received an oropharyngeal motor training programme in Occupational Therapy Department of an acute hospital in Hong Kong over a 1-year programme. Each participant attended an individual oropharyngeal motor training programme plus a follow-up session after 2 months. The training programme consisted of 10 individual mobilization exercises involving the orofacial and pharyngeal area for 45 minutes. Each exercise had to be repeated for 10 times. Three outcome measures were chosen to study the effectiveness of the training programme including tongue strength, tongue endurance level and orofacial function. Tongue strength and tongue endurance level were assessed using the Iowa Oral Pressure Instrument (IOPI). The Nordic Orofacial Test-Screening (NOT-S) Assessment was used to assess the orofacial function. Seven out of 10 participants completed the training programme and attended the follow-up session after two months.
Results:
The tongue strength and the scores of NOT-S of the 7 participants were found to have significant improvement after training. However, there was no significant difference in tongue endurance level.
Conclusion:
The findings of this study support the role of occupational therapist in oromotor training modalities to improve the respiratory function for children with OSAS in Hong Kong. Copyright © 2017, Hong Kong Occupational Therapy Association. Published by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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