Cochrane · systematic review · CD013449
Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea
Rueda, J-R, Mugueta-Aguinaga, I, Vilaró, J, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
25
current version
GRADE rated
25
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 4%Low 21 · 84%Moderate 3 · 12%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Myofunctional therapy compared to sham therapy for obstructive sleep apnoea
Population: obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Daytime sleepiness (ESS): endpoint score. Myofunctional therapy vs sham therapy | no estimate extracted | 2 studies · 82 participants | Moderate Downgraded: risk of bias |
Sleep quality (PSQI): endpoint score. Myofunctional therapy vs sham therapy | no estimate extracted | 1 study · 31 participants | Low Downgraded: risk of bias |
Apnoea Hypopnoea Index: endpoint score. Myofunctional therapy vs sham therapy | no estimate extracted | 2 studies · 82 participants | Low Downgraded: risk of bias |
Snoring frequency: change from baseline. Myofunctional therapy vs sham therapy | no estimate extracted | 1 study · 16 participants | Very low Downgraded: risk of bias, imprecision |
Snoring intensity: endpoint score. Myofunctional therapy vs sham therapy | no estimate extracted | 1 study · 51 participants | Moderate Downgraded: risk of bias |
Myofunctional therapy compared to waiting list for obstructive sleep apnoea
Population: obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Daytime sleepiness (ESS): change from baseline. Myofunctional therapy vs waiting list | no estimate extracted | 1 study · 25 participants | Low |
Sleep quality (PSQI): change from baseline. Myofunctional therapy vs waiting list | no estimate extracted | 1 study · 25 participants | Low |
AHI: change from baseline. Myofunctional therapy vs waiting list | no estimate extracted | 1 study · 25 participants | Low |
Myofunctional therapy compared to CPAP for obstructive sleep apnoea
Population: obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Daytime sleepiness (ESS): endpoint score. Myofunctional therapy vs CPAP | no estimate extracted | 1 study · 54 participants | Low Downgraded: risk of bias |
AHI: endpoint score. Myofunctional therapy vs CPAP | no estimate extracted | 1 study · 54 participants | Low Downgraded: risk of bias |
Snoring frequency: endpoint score. Myofunctional therapy vs CPAP | no estimate extracted | 1 study · 54 participants | Low Downgraded: risk of bias |
Snoring intensity: endpoint score. Myofunctional therapy vs CPAP | no estimate extracted | 1 study · 54 participants | Low Downgraded: risk of bias |
Myofunctional therapy compared to CPAP + Myofunctional therapy for obstructive sleep apnoea
Population: obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Daytime sleepiness (ESS): endpoint score. Myofunctional therapy vs CPAP + Myofunctional therapy | no estimate extracted | 1 study · 49 participants | Low Downgraded: risk of bias |
AHI: endpoint score. Myofunctional therapy vs CPAP + Myofunctional therapy | no estimate extracted | 1 study · 49 participants | Low Downgraded: risk of bias |
Snoring frequency: endpoint score. Myofunctional therapy vs CPAP + Myofunctional therapy | no estimate extracted | 1 study · 49 participants | Low Downgraded: risk of bias |
Snoring intensity: endpoint score. Myofunctional therapy vs CPAP + Myofunctional therapy | no estimate extracted | 1 study · 49 participants | Low Downgraded: risk of bias |
Myofunctional therapy compared to respiratory exercises + nasal dilator strip for obstructive sleep apnoea
Population: Obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Daytime sleepiness (ESS): endpoint score. Myofunctional therapy vs respiratory exercises + nasal dilator strip | no estimate extracted | 1 study · 58 participants | Low |
Sleep quality (PSQI): endpoint score. Myofunctional therapy vs respiratory exercises + nasal dilator strip | no estimate extracted | 2 studies · 97 participants | Moderate |
AHI: endpoint score. Myofunctional therapy vs respiratory exercises + nasal dilator strip | no estimate extracted | 1 study · 58 participants | Low |
Myofunctional therapy plus nasal washing compared to Nasal washing alone for obstructive sleep apnoea
Population: Obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
AHI score reduction to below 5 points. Myofunctional therapy plus nasal washing vs Nasal washing alone | OR 12.5 [0.84, 186.3] | 1 study · 13 participants | Low |
AHI score change. Myofunctional therapy plus nasal washing vs Nasal washing alone | no estimate extracted | 1 study · 13 participants | Low |
Myofunctional therapy compared to Standard medical treatment for obstructive sleep apnoea
Population: obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Daytime sleepiness (ESS): change from baseline. Myofunctional therapy vs Standard medical treatment | no estimate extracted | 1 study · 26 participants | Low |
Sleep quality (PSQI): change from baseline. Myofunctional therapy vs Standard medical treatment | no estimate extracted | 1 study · 26 participants | Low |
Snoring frequency: change from baseline. Myofunctional therapy vs Standard medical treatment | no estimate extracted | 1 study · 26 participants | Low |
Snoring intensity: change from baseline. Myofunctional therapy vs Standard medical treatment | no estimate extracted | 1 study · 26 participants | Low |