Speech-language therapists’ awareness of the use of orofacial myofunctional therapy as a treatment of obstructive sleep apnoea in Czechia

Authors

DOI:

https://doi.org/10.31261/LOGOPEDIASILESIANA.2022.11.01.06

Keywords:

obstructive sleep apnoea, myofunctional disorder, myofunctional therapy, speech-language therapy, interdisciplinary approach

Abstract

Obstructive sleep apnoea is an increasingly frequent lifestyle disease which affects both children and adults, affecting more than 10% of the adult population. The risk factors include unhealthy lifestyle, older age, structural and functional changes in the orofacial area as well as spinal cord injuries. Presently, there is no specific treatment of this disorder. One of the options for supportive treatment to alleviate the occurrence of apnoea during sleep is orofacial myofunctional therapy. The aim of the research presented in the article was to identify speech-language therapists’ awareness of the application of myofunctional therapy as a treatment of obstructive sleep apnoea and their awareness of the therapeutic methods in patients under supervision of a speech-language therapist. The aim of the paper is to emphasize the possibility of using myofunctional
therapy among patients with obstructive sleep apnoea.

Author Biographies

Kateřina Vitásková, Palacký University in Olomouc

Professor at the Institute of Special Education Studies, Faculty of Education, Palacký University in Olomouc and Head of the Department of Speech Language Therapy (SLT) and Communication Ability Studies. She specializes in speech-language pathology (SLP) across age groups, voice disorders, learning disabilities, inclusion and multicultural approach, pragmatics of communication, ASD, intersectoral tertiary education in SLP, and international collaboration in SLT and special/inclusive pedagogy.

Karolína Červinková, Palacký University in Olomouc

Graduating student of the unique 5-year Master´s study program “Logopedie” at the Faculty of Education, Palacký University in Olomouc, specialized in communication, speech, language disorders and respiratory and swallowing difficulties. She has been involved in the interdisciplinary research activities of the the Department of Speech Language Therapy (SLT) and Communication Ability Studies and variable speech-language therapy activities across different age groups. 

 

Jana Mironova Tabachová, Palacký University in Olomouc

Assistant at the Institute of Special Education Studies, Faculty of Education, Palacký University in Olomouc, the member of the Department of Speech Language Therapy (SLT) and Communication Ability Studies. She specializes in speech-language pathology (SLP) in the population of infants and children and in special education for preschool age, especially in infants and children with neurodevelopmental disorders. She has been also practising as a clinical and counselling speech-language therapist.

References

Bahr, D. (2010). Nobody ever told me (or my mother) that! USA: Sensory World.

Barczok, M. (2018). Zdravé plíce: Jak se zbavit dýchacích potíží, astmatu, alergií a chrápání. Praha: Euromedia Group.

Baxter, R. (Eds.). (2018). Tongue-tied. Alabama: Alabama Tongue-Tie Center.

Carter, K. (2020). Oral myofunctional disorders. Speakeasy Therapy Services. https://www.speakeasytherapylv.org/oral-myology/ [access: 23.10.2021].

Červinková, K. (2022). Povědomí logopedů a spánkových center o možnosti využití myofunkční terapie jako terapie obstrukční spánkové apnoe v ČR. Olomouc. https://theses.cz/id/0e4zmv/. Diploma thesis. Univerzita Palackého v Olomouci, Pedagogická fakulta. Thesis supervisor: Mgr. Bc. Jana Mironova Tabachová.

Chuang, L., et al. (2019). Changes in craniofacial and airway morphology as well as quality of life after passive myofunctional therapy in children with obstructive sleep apnea: a comparative cohort study. Sleep and Breathing, 23(4), 1359–1369. https://doi.org/10.1007/s11325-019-01929-w.

Diaféria, G., et al. (2017). Myofunctional therapy improves adherence to continuous positive airway pressure treatment. Sleep and Breatching, 21(2), 387–395. https://doi.org/10.1007/s11325-016-1429-6.

Drager, L. F., et al. (2005). Early signs of atherosclerosis in obstructive sleep apnea. American Journal of Respiratory and Critical Care Medicine, 172(5), 613–618. https://doi.org/10.1164/rccm.200503-340OC.

Fisher-Voolsholz, M., & Spenthof, U. (2002). Orofaziele Muskulfunktions-störungen. Berlin: Springer-Verlag.

Foldvary-Schaffer, N. (2019). Obstructive sleep apnea: A wake-up call for better outcomes. Cleveland Clinic Journal of Medicine, 86(9 suppl 1) 1. https://doi.org/10.3949/ccjm.86.s1.01.

Genta, P. R., et al. (2017). Airflow shape is associated with the pharyngeal structure causing OSA. Chest, 152(3), 537–546.https://doi.org/10.1016/j.chest.2017.06.017.

Guimaraes, K. C., Drager, L. F., Genta, P. R., Marcodes, B. F. & Lorenzi-Filho, G. (2009).

Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome. American Journal of Respiratory and Critical Care Medicine, 179(10), 962–966. https://doi.org/10.1164/rccm.200806-981OC.

Hirata, R. P., et al. (2016). Upper airway collapsibility assessed by negative expiratory pressure while awake is associated with upper airway anatomy. Journal of Clinical Sleep Medicine, 12(10), 1339–1346. https://doi.org/10.5664/jcsm.6184.

Hobzová, M. (2011). Spánková medicína v pneumologii: Obstrukční spánková apnoe. Postgraduální medicína, 13, 666–672.

Hobzová, M. (2016). Zástavy dechu ve spánku: Diagnostika a možnosti léčby. Olomouc: SOLEN.

Jordan, A. S., McSharry, D. G., & Malhotra, A. (2014). Adult obstructive sleep apnoea. Lancet, 383(9918), 736–747. https://doi.org/10.1016/S0140-6736(13)60734-5.

Kahn, S., & Ehrlich, P. R. (2018). Jaws: The story of a hidden epidemic. USA: Standford University Press.

Katz, E. S., & D’Ambrosio, C. M. (2008). Pathophysiology of pediatric obstructive sleep apnea. Proceedings of the American Thoracic Society, 5(2), 253–262. https://doi.org/10.1513/pats.200707-111MG.

Kittel, A. (2014). Myofunktionelle Therapie. 11. Idstein: Schulz-Kirchner.

Koka, V., et al. (2021). Orofacial myofunctional therapy in obstructive sleep apnea syndrome: a pathophysiological perspective. Medicina, 57(4), 323. https://doi.org/10.3390/medicina57040323.

Lee, Y., Huang, Y., Chen, I., Lin, P., & Chuang, L. (2020). Cranifacial, dental arch morphology, and characteristics in preschool children with mild obstructive sleep apnea. Journal of Dentistry Sciences, 15(2), 193–199. https://doi.org/10.1016/j.jds.2019.09.005.

Marcus, C. L. (2001). Sleep-disordered breathing in children. American Journal of Respiratory and Critical Care Medicine, 164(1), 16–30. https://doi.org/10.1164/ajrccm.164.1.2008171.

Marcus, C. L., et al. (2012). Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 130(3), 714–755. https://doi.org/10.1542/peds.2012-1672.

Marcus, C., L., et al. (2013). A randomized trial of adenotonsillectomy for childhood sleep apnea. The New England Journal of Medicine: Research and Review, 368(25), 2366–2376. https://doi.org/10.1056/NEJMoa1215881.

McSharry, D. G., et al. (2014). Physiological mechanism of upper airway hypotonia during REM sleep. Sleep, 37(3), 561–569. https://doi.org/10.5665/sleep.3498.

Memon, J., & Manganaro, S. N. (2020). Obstructive sleep-disordered breathing. Treasuer Island: StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK441909/ [access: 23.10.2021].

Neumannová, K., Hobzová, M., Sova, M., & Prasko, J. (2018). Pulmonary rehabilitation and oropharyngeal exercises as an adjunct therapy in obstructive sleep apnea: a randomized controlled trial. Journal of Sleep Medicine, 52, 92–97. https://doi.org/10.1016/j.sleep.2018.03.022.

Oh, J. S., et al. (2021). Determinants of sleep-disordered breathing during the mixed dentition: development of a Functional Airway Evaluation Screening Tool (FAIREST-6). Pediatric Dentistry Journal, 43(4), 262–272.

Osman, A. M., Carter, S. G., Carberry, J. C., & Eckert, D. J. (2018). Obstructive sleep apnea: current perspectives. Nature and Science of Sleep, 10, 21–34. https://doi.org/10.2147/NSS.S124657.

Peppard, P. E., et al. (2013). Increase prevalence of sleep-disordered breathing in adults. American Journal of Epidemiology, 177(9), 1006–1014. https://doi.org/10.1093/aje/kws342.

Romero, E., Krakow, B., Haynes, P., & Ulibarri, V. (2010). Nocturia and snoring: predictive symptoms for obstructive sleep apnea. Sleep and Breathing, 14(4), 337–343. https://doi.org/10.1007/s11325-009-0310-2.

Saccomanno, S., & Paskay, L. C. (2020). New trends in myofunctional therapy. Milano: EdiErmes.

Sateia, M. J. (2014). International classification of sleep disorders – third edition: highlights and modifications. Chest, 146(5), 1387–1394. https://doi.org/10.1378/chest.14-0970.

Sedlák, V., Koblížek, V., Lánský, M., Šimek, R., & Smolík, P. (2006). Léčba syndromu obstrukční spánkové apnoe. Medicína pro praxi, 3, 124–128.

Slouka, D. (2016). Obstrukční spánková apnoe. Plzeň: Euroverlag.

Šonka, K. (2004). Apnoe a další poruchy spánku. Praha: Grada.

Šonka, K., & Slonková, J. (2008). Spánková apnoe dospělého věku. Česká a slovenská neurologie a neurochirurgie, 6, 634–656.

TalkTools (2021). What is Myo? TalkTools. https://talktools.com/pages/omt-orofacial-myofunctionaltherapy101 [access: 21.10.2021].

Verma, R. K., et al. (2016). Oropharyngeal exercises in the treatment of obstructive sleep apnoea: our experience. Sleep and Breathing, 20(4), 1193–1201. https://doi.org/10.1007/s11325-016-1332-1.

Villa, M. P., Evangelisti, M., Matella, S., Barreto, M., & Pozzo, M. D. (2017). Can myofunctional therapy increase tongue tone and reduce symptoms in children with sleep-disordered breathing? Sleep and Breathing, 21(4), 1025–1032. https://doi.org/10.1007/s11325-017-1489-2.

Villa, M. P., et al. (2015). Rapid maxillary expansion outcomes in treatment of obstructive sleep apnea in children. Journal of Sleep Medicine, 16(6), 709–716. https://doi.org/10.1016/j.sleep.2014.11.019

Downloads

Published

2022-06-30

How to Cite

Vitásková, K., Červinková, K., & Mironova Tabachová, J. (2022). Speech-language therapists’ awareness of the use of orofacial myofunctional therapy as a treatment of obstructive sleep apnoea in Czechia. Logopedia Silesiana, 11(1), 1–17. https://doi.org/10.31261/LOGOPEDIASILESIANA.2022.11.01.06

Issue

Vol. 11 No. 1 (2022): Logopedia Silesiana

Section

Articles

License

The Copyright Owners of the submitted texts grant the Reader the right to use the pdf documents under the provisions of the Creative Commons 4.0 International License: Attribution-Share-Alike (CC BY SA). The user can copy and redistribute the material in any medium or format and remix, transform, and build upon the material for any purpose.

1. License

The University of Silesia Press provides immediate open access to journal’s content under the Creative Commons BY-SA 4.0 license (http://creativecommons.org/licenses/by-sa/4.0/). Authors who publish with this journal retain all copyrights and agree to the terms of the above-mentioned CC BY-SA 4.0 license.

2. Author’s Warranties

The author warrants that the article is original, written by stated author/s, has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author/s.

If the article contains illustrative material (drawings, photos, graphs, maps), the author declares that the said works are of his authorship, they do not infringe the rights of the third party (including personal rights, i.a. the authorization to reproduce physical likeness) and the author holds exclusive proprietary copyrights. The author publishes the above works as part of the article under the licence "Creative Commons Attribution-ShareAlike 4.0 International".

ATTENTION! When the legal situation of the illustrative material has not been determined and the necessary consent has not been granted by the proprietary copyrights holders, the submitted material will not be accepted for editorial process. At the same time the author takes full responsibility for providing false data (this also regards covering the costs incurred by the University of Silesia Press and financial claims of the third party).

3. User Rights

Under the CC BY-SA 4.0 license, the users are free to share (copy, distribute and transmit the contribution) and adapt (remix, transform, and build upon the material) the article for any purpose, provided they attribute the contribution in the manner specified by the author or licensor.

4. Co-Authorship

If the article was prepared jointly with other authors, the signatory of this form warrants that he/she has been authorized by all co-authors to sign this agreement on their behalf, and agrees to inform his/her co-authors of the terms of this agreement.

I hereby declare that in the event of withdrawal of the text from the publishing process or submitting it to another publisher without agreement from the editorial office, I agree to cover all costs incurred by the University of Silesia in connection with my application.