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Abstract：
Background Myofunctional therapy has shown promise in addressing sleep-disordered breathing. This study aimed to investigate the efficacy of myofascial exercise and voluntary breathing techniques in reducing the apnea-hypopnea index (AHI) among adolescents. Methodology In this randomized controlled study, adolescents aged 13-18 with sleep-disordered breathing were randomly assigned to one of three groups (n=40 per group): myofascial exercise, voluntary breathing techniques, and a standard care control group. Baseline assessments, including the AHI and sleep quality, were conducted before the interventions. A polysomnography (PSG) sleep study was performed in a sleep laboratory, with recordings conducted over six to eight hours during the night to calculate the AHI. The myofascial exercise and voluntary breathing technique groups received their respective interventions, while the control group received standard care. Post-intervention assessments were conducted to measure changes in AHI and other outcomes. Results The study found no significant differences in age, BMI, and gender among the three groups. However, significant differences were observed in AHI and sleep quality measures. The control group\'s AHI was 8.72 ± 1.78, whereas the myofascial exercise group (4.82 ± 1.42) and the voluntary breathing group (6.81 ± 1.83) exhibited more substantial reductions (p < 0.001). Similarly, while baseline sleep quality scores did not differ, significant improvements were observed in all groups post-intervention, with more substantial enhancements in the myofascial exercise (4.38 ± 1.19) and voluntary breathing (7.23 ± 1.76) groups. The analysis of baseline AHI categories revealed no significant differences, but at follow-up, significant variations emerged among the groups, indicating greater reductions in AHI categories in the myofascial exercise and voluntary breathing groups compared to the control group. Conclusion These findings indicate that incorporating myofascial exercises or voluntary breathing techniques into treatment plans for adolescents with sleep-disordered breathing can result in significant improvements in AHI and overall sleep quality.
摘要：
背景肌功能疗法在解决睡眠呼吸紊乱方面显示出希望。本研究旨在探讨肌筋膜运动和自主呼吸技术在降低青少年呼吸暂停低通气指数（AHI）中的作用。方法学在这项随机对照研究中，13-18岁有睡眠呼吸障碍的青少年被随机分为三组(每组40例):肌筋膜锻炼,自愿呼吸技术，和标准护理对照组。基线评估，包括AHI和睡眠质量，是在干预之前进行的。在睡眠实验室进行了多导睡眠图（PSG）睡眠研究，在夜间进行六到八个小时的录音以计算AHI。肌筋膜锻炼和自主呼吸技术组接受了各自的干预措施，对照组接受标准护理。进行干预后评估以测量AHI和其他结果的变化。结果研究发现年龄差异无统计学意义,BMI,三组的性别。然而,在AHI和睡眠质量测量方面观察到显著差异.对照组的AHI为8.72±1.78，而肌筋膜运动组（4.82±1.42）和自主呼吸组（6.81±1.83）表现出更大幅度的降低（p<0.001）。同样，虽然基线睡眠质量评分没有差异，干预后所有组均有显著改善，在肌筋膜运动（4.38±1.19）和自主呼吸（7.23±1.76）组中有更多的增强。对基线AHI类别的分析没有显着差异，但在后续行动中,群体之间出现了显著的差异，表明与对照组相比，肌筋膜运动和自主呼吸组的AHI类别减少更大。结论这些发现表明，将肌筋膜锻炼或自主呼吸技术纳入睡眠呼吸障碍青少年的治疗计划可以显着改善AHI和整体睡眠质量。
