Apnea and Speech Therapy: Pharyngeal Stimulation Proposal

Taísa Giannecchini
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Abstract

Introduction: Obstructive sleep apnea syndrome (OSAS) currently represents one of the biggest health problems for the individual, causing changes in breathing during sleep. It is accompanied by Snoring, described by a malfunctioning vibration of the oropharynx generating noise emissions. Among the causes of this pathology, there are alterations in the soft structures of the Stomatognathic System. Objective: To describe the specific myofunctional therapy work for the Pharynx Walls in a female patient, a 22-year-old patient, diagnosed with Apnea and to show its efficiency.   Method: The object of study was a patient of the FMU clinic, 22 years old, diagnosed with severe Apnea by Polysomnography exam and with oromyofunctional alteration. Patient performed 30 continuous days of pharynx wall exercises. Results: After 30 days the patient showed a significant improvement in facial appearance, in the coloration of periorbital hyperpigmentation of the eyes, Mallampati II classification, greater balance of the muscles during chewing and absence of pain when swallowing. Conclusion: In this case, pharynx wall exercises are effective for improving muscle condition and should be included in the therapeutic plan for working with Apnea; however, they were not sufficient to resolve the change, due to the severe degree of the pathology.
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呼吸暂停和语言治疗:咽刺激方案
导读:阻塞性睡眠呼吸暂停综合征(OSAS)目前是个人最大的健康问题之一,它会导致睡眠时呼吸的变化。它伴随着打鼾,描述为口咽部产生噪音的故障振动。在这种病理的原因中,有改变的软结构的口颌系统。目的:描述一名22岁女性呼吸暂停患者咽壁肌功能治疗的具体工作,并展示其效果。方法:研究对象是一名22岁的FMU门诊患者,经多导睡眠图检查诊断为严重呼吸暂停,并伴有口肌功能改变。患者进行了连续30天的咽壁练习。结果:30天后,患者的面部外观、眼窝周围色素沉着的颜色、Mallampati II分类明显改善,咀嚼时肌肉更加平衡,吞咽时疼痛消失。结论:在本病例中,咽壁锻炼对改善肌肉状况有效,应纳入呼吸暂停治疗方案;然而,由于病理的严重程度,它们不足以解决变化。
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