Effects of Oropharyngeal Exercises on Patients With Primary Snore, Mild and Moderate Obstructive (EOE)
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Purpose
Randomized study of patients with primary snore, mild and moderate obstructive sleep apnea. Protocol include 40 patients randomized to oropharyngeal exercise or use of nasal dilator, breathing exercise and nasal wash. The objectives are study the effects of therapy on oropharyngeal in a series of clinical and physiologic and anatomic variables, changes on snore and quality of sleep using Pharyngeal Critical Pressure, Magnetic Ressonance, Negative expiratory pressure and snore analyses. Hypothesis that the therapy group (oropharyngeal exercises) will have more modifications compared to the control group.
| Condition | Intervention |
|---|---|
|
Primary Snore, Obstructive Sleep Apnea (Mild and Moderate). |
Behavioral: Oropharyngeal exercises Behavioral: Respiratory exercises, nasal dilator, nasal wash |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | EFFECTS OF OROPHARYNGEAL EXERCISES ON SNORING INTENSITY, SYMPTOMS, UPPER AIRWAY ANATOMY AND COLAPSABILITY OF UPPER AIRWAYS AWAKE AND ASLEEP IN PATIENTS WITH PRIMARY SNORING AND MILD TO MODERATE OBSTRUCTIVE SLEEP APNEA |
- Upper airway colapsability [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
- Images from magnetic resonance [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
- Negative expiratory pressure [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
- Snore [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
- Sleep related questionnaires [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 40 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | January 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
Oropharyngeal exercises and oropharyngeal functions
|
Behavioral: Oropharyngeal exercises
Oropharyngeal exercises (derived from speech language pathology) to the soft palate, tongue and facial muscles exercises as well as stomatognathic functions.
|
|
Sham Comparator: 2
Nasal dilator, respiratory exercise, nasal wash
|
Behavioral: Respiratory exercises, nasal dilator, nasal wash
Respiratory exercises, nasal dilator, nasal wash
|
Eligibility| Ages Eligible for Study: | 25 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
sujects with primary snore, mild and moderate obstructive sleep apnea
Exclusion Criteria:
BMI > or = 40, craniofacial malformations, smokers, pregnat women, edentulous, total dental prostheses, use of hypnotic medications, stroke, neuromuscular dystrophy, coronary artery disease, chronic heart failure, chronic obstructive pulmonary disease, severe nasal obstructive disease, pharyngeal surgery,already made some kind of treatment for obstructive sleep apnea.
Contacts and Locations| Contact: Geraldo Lorenzi-Filho, MD, PhD | 55-XX-11-26615486 | geraldo.lorenzi@incor.usp.br |
| Brazil | |
| Incor- Heart Institute, Sleep Laboratory | Recruiting |
| São Paulo, Brazil, 05403-904 | |
| Contact: Geraldo Lorenzi-Filho, MD, PhD 55 (0xx) 11- 2661-5486 geraldo.lorenzi@gmail.com | |
| Sub-Investigator: Pedro Rodrigues Genta, MD, PhD | |
| Sub-Investigator: Fabiane Kayamori | |
| Sub-Investigator: Vanessa Ieto | |
| Principal Investigator: | Vanessa Ieto | Heart Institute - InCor |
| Principal Investigator: | Fabiane Kayamori | Heart Institute - InCor |
| Principal Investigator: | Geraldo Lorenzi-Filho, MD, PhD | Heart Institute - InCor |
More Information
No publications provided
| Responsible Party: | Geraldo Lorenzi-Filho, Associated Professor of Pulmonary Division, University of Sao Paulo |
| ClinicalTrials.gov Identifier: | NCT01636856 History of Changes |
| Other Study ID Numbers: | 3604/11/022 |
| Study First Received: | July 5, 2012 |
| Last Updated: | July 5, 2012 |
| Health Authority: | Brazil: Ethics Committee |
Keywords provided by University of Sao Paulo:
|
oropharyngeal exercises, obstructive sleep apnea, speech therapy, magnetic resonance, PCRIT, negative expiratory pressure, snore |
Additional relevant MeSH terms:
|
Apnea Sleep Apnea Syndromes Snoring Sleep Apnea, Obstructive Respiration Disorders Respiratory Tract Diseases Signs and Symptoms, Respiratory |
Signs and Symptoms Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases Respiratory Sounds |
ClinicalTrials.gov processed this record on May 16, 2013