Obstructive Sleep Apnea
Conditions
Keywords
obstructive sleep apnea, oropharyngeal exercises, inspiratory muscle training, sleep quality
Brief summary
The effects of orofarangeal exercises (OE) and inspiratory muscle training (IMT) on sleep quality, disease severity, and airway muscle tone have been investigated in several studies. IMT and OE exercise modalities for patients and practitioners have advantages and disadvantages. It is recommended to compare exercise modalities in the studies. Whether OE or IMT exercise type is more effective on disease severity, sleep quality and snoring has not been investigated. The aim of this study was to compare the effectiveness of inspiratory muscle training and oropharyngeal exercises in patients with OSAS in terms of disease severity, snoring, daytime sleepiness, respiratory muscle strength and sleep quality.
Interventions
OTHERrespiratory muscle strengthening exercise
These exercises strengthen locally inspiratory muscles. IMT can be done with threshold loaded devices.
OTHERoropharyngeal muscles strengthening exercise
These exercises strengthen locally oropharyngeal muscles. Oropharyngeal exercise can be done with some facial movements .
Sponsors
Ahi Evren Chest and Cardiovascular Surgery Education and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
19 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
\*To be diagnosed with mild, moderate and severe OSAS.
Exclusion criteria
* Patients with a history of stroke, * neurological disease, * severe obstructive nasal disease, * and infection in the last month, * BMI being 40 kg /m2 or more.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Polysomnography | 2 day | Sleep efficiency, apnea-hypopnea index (AHI). Higher sleep efficiency and lower AHI values shows that patient have better status and lower disease severity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 6 minute walk test | 2 day | Exercise capacity |
| Epworth Sleepiness Scale | 2 day | minimum and maximum scores: 0-24. The higher the ESS score, the higher that person's average sleep propensity in daily life (ASP), or their 'daytime sleepiness' |
| Berlin Questionnaire | 2 day | Snoring frequency (0-3) and severity (0-4). Higher scores show higher snoring frequency and severity |
| Maximal inspiratory and expiratory muscle strength measurement with mouth pressure device | 6 day | Respiratory muscle strength |
| The Pittsburgh Sleep Quality Index | 2 day | Sleep quality. Minimum and maximum scores: 0-21. Higher scores show worse sleep quality |
| Fatigue Severity Scale | 2 day | Fatigue severity. Minimum and maximum scores: 0-7. Scores higher than 4 shows high intensity fatigue perception |
| Functional Outcomes of Sleep Questionnaire | 2 day | Quality of life related with sleep. Minimum and maximum scores: 0-16. Higher scores show worse sleep related quality of life |
Countries
Turkey (Türkiye)
Outcome results
None listed