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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
41
These exercises strengthen locally inspiratory muscles. IMT can be done with threshold loaded devices.
These exercises strengthen locally oropharyngeal muscles. Oropharyngeal exercise can be done with some facial movements .
Trabzon Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital
Trabzon, Turkey (Türkiye)
Polysomnography
Sleep efficiency, apnea-hypopnea index (AHI). Higher sleep efficiency and lower AHI values shows that patient have better status and lower disease severity
Time frame: 2 day
Maximal inspiratory and expiratory muscle strength measurement with mouth pressure device
Respiratory muscle strength
Time frame: 6 day
6 minute walk test
Exercise capacity
Time frame: 2 day
Epworth Sleepiness Scale
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'
Time frame: 2 day
Berlin Questionnaire
Snoring frequency (0-3) and severity (0-4). Higher scores show higher snoring frequency and severity
Time frame: 2 day
Functional Outcomes of Sleep Questionnaire
Quality of life related with sleep. Minimum and maximum scores: 0-16. Higher scores show worse sleep related quality of life
Time frame: 2 day
The Pittsburgh Sleep Quality Index
Sleep quality. Minimum and maximum scores: 0-21. Higher scores show worse sleep quality
Time frame: 2 day
Fatigue Severity Scale
Fatigue severity. Minimum and maximum scores: 0-7. Scores higher than 4 shows high intensity fatigue perception
Time frame: 2 day
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