Obstructive Sleep Apnea Syndrome Clinical Trial
Official title:
Phonoaudiologic Therapy as an Adjunct to the Continuous Positive Airway Pressure Treatment on Patients With Obstructive Sleep Apnea Syndrome
Objective: to evaluate the effects of a speech therapy exercises program in the treatment of
Obstructive Sleep Apna Syndrome (OSAS) patients based on the clinical and polysomnography
(PSG) parameters.
Methods: 80 patients with OSAS will be evaluated: men, 25-65 years old, body mass index < 35
kg/m2 and scores of Epworth Sleepiness Scale > 9. Patients will be divided into four groups:
I: 20 patients with OSAS underwent speech therapy; II: 20 patients with OSAS underwent
placebo therapy of Speech Therapy; III: 20 patients starting treatment with CPAP underwent
speech therapy; IV: 20 patients starting treatment with CPAP without speech therapy or
placebo. The speech therapy include isometric and isotonic exercises to improve posture,
mobility and muscle tone of the soft palate, pharyngeal constrictor muscles, tip and base of
tongue, cheeks and lips. Placebo therapy includes relaxation exercises and stretching neck,
without therapeutic purpose. Both therapies are applied for three months, three times a day,
lasting 20 minutes each session. During the treatment, the subjects will be monitored in
weekly meetings, for orientation and description of the exercises and return of the
fulfilled exercises diary. The subjects will also be followed at the CPAP clinic in returns
after one week, a month and at the end of the study. Conduct assessments before and after
treatment and after twenty one days washout, including: assessing the upper airway,
anthropometric investigation of the facial skeleton and speech of Orofacial, questionnaires
(Epworth Sleepiness Scale, FOSQ, General Segment and use of CPAP, WHOQOL-BREF, snoring),
Psychomotor Vigilance Test and PSG.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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