Experts discuss Peer Reviewed Study on Myofunctional Therapy and Sleep Apnea скачать в хорошем качестве

Experts discuss Peer Reviewed Study on Myofunctional Therapy and Sleep Apnea

Is Myofunctional Therapy effective? Who can benefit from it? How does it help? Do the treatments last? Can it treat snoring and sleep apnea? Dr. Martin N. Gorman: Hi my name is Dr. Martin N. Gorman and I practice in Encino CA and I am the director of the accredited Dental Sleep Medicine center by the American Academy Sleep Medicine. I am here with Sanda Valcu a certified Myo Functional Therapist. And Dr. Zaghi and advanced ENT specialist. Now Sanda is going to give the introduction to Dr. Zaghi and how they met and how we got together. Dr. Sanda Valcu-Pinkerton: Hi I am Sanda Valcu-Pinkerton and I am a Myo functional Therapist in Encino CA. I met Dr. Zaghi at a UCLA Medicine of Sleep course last December. We started to discuss a study published by the American Academy of Sleep. The article talked about the importance of Myo functional Therapy; the treating and caring for sleep apnea and snoring. Dr. Soroush Zaghi: Thank you for having me Dr. Gorman. It has been a pleasure being apart of your group here. As you know I am an ENT Doctor. I did fellowship training at Stanford University to specialize in snoring and sleep apnea. Myofunctional therapy is a program that Dr. Sanda to help improve the improper tongue functioning. Dr. Sanda Valcu-Pinkerton: And the balance of the facial muscle, lips, and tongue. Dr. Soroush Zaghi: Absolutely; so what we did and what I am very fortunate to be part of a group at Stanford that focuses on research to better understand medical treatments for snoring and obstructive sleep apnea. Under the leadership under Dr. Camacho we have done a bunch of meta-analysis and systematic reviews to see which therapies out there actually work. We had a few specific goals for this study. The first was to determine whether Myofuctional Therapy could be effective in treating sleep apena by improving the apenea opothnia index and the lowest oxidation saturation. We also wanted to see if it improves snoring? Does it improve sleepiness? And most importantly to evaluate the quality of the evidence in the support of this treatment. And we look for studies evaluating myofunctional therapy As a treatment for sleep apnea in both children and adults. What we did for this study is that we only looked at studies with pre treatment and post treatment results for people who only went under Myo functional therapy. The results were actually quite surprisingly interesting. They showed the myofucntional therapy does improve sleep apnea and it reduces the apena optnia index by approximately 50 percent in adults and 62 percent in children. It also contributes to movements in daytime sleepiness and snoring. And it was interesting that it showed effectiveness in children of all ages. The youngest patient treated was three years old and the oldest was 60 years old. And even more interesting, we found an article that discussed an important role in preventing relapse. And so I wanted to talk to you more about relapse. So studies that we specifically looked at Myo functional therapy alone to treat sleep apnea. But there was one study by Dr. Giamino who took 24 children with sleep disordered breathing who were cured of the sleep disorder breathing after they had their tonsils removed or they had orthodontic surgery to expand their mandible. And they referred all 24 patients from myofucntional therapy. There were 11 patients who completed the therapy and there were 13 patients who decided not to pursue it. Among the 11 who pursed the therapy and completed it, there was an average AHI of 0.5 after 3 years. That means they remained cured after the surgery. Among the 13 who did not, actually showed a mild significant relapse with an average AHI of 5.3. This is very interesting because it shows the important role of myo functional therapy has in treating sleep apnea and preventing the relapse once they are cured. Now the question that remains for us that is unknown is this does work, but what I come here for you guys is to better understand how does it work? By what mechanism? And so I would like to hear more from your perspective on what the therapy is and how it works. Dr. Martin N. Gorman: That was great information you shared with us today. And it’s really great to see the correlation of the science with our hands on that we see everyday at the practice. One of the things that I see the reason people who went through therapy is much higher than people who don’t do myofunctional. Is that when the oral muscles are working correctly, that’s your retention. The tongue and the lips and the cheeks keep the teeth and the jaws in the right position.