Feasibility of oropharyngeal and respiratory muscle training in individuals with OSA and spinal cord injury or disease: A pilot study

Author:

Sankari Abdulghani1234ORCID,Najjar Abed Alkader13,Maresh Scott A.3,Prowting Joel L.5,Fung Constance H.67,Knack Arthur1,Yarandi Hossein3,Badr M. Safwan13

Affiliation:

1. Department of Medicine, John D. Dingell VA Medical Center Detroit Michigan USA

2. Department of Medicine Michigan State University East Lansing Michigan USA

3. Department of Medicine Wayne State University Detroit Michigan USA

4. Department of Medical Education, Ascension Providence Medical Center Southfield Michigan USA

5. School of Kinesiology and Health Science York University Toronto Ontario Canada

6. Department of Medicine UCLA David Geffen School of Medicine California Los Angeles USA

7. Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System California Los Angeles USA

Abstract

AbstractObjectivesTo examine the feasibility of individuals with spinal cord injury or disease (SCI/D) to perform combined oropharyngeal and respiratory muscle training (RMT) and determine its impact on their respiratory function.MethodsA prospective study at a single Veterans Affairs (VA) Medical Center. Inclusion criteria included: 1) Veterans with chronic SCI/D (>6 months postinjury and American Spinal Injury Association (ASIA) classification A–D) and 2) evidence of OSA by apnea‐hypopnea index (AHI ≥5 events/h). Eligible participants were randomly assigned to either an experimental (exercise) group that involved performing daily inspiratory, expiratory (using POWERbreathe and Expiratory Muscle Strength Trainer 150 devices, respectively), and tongue strengthening exercises or a control (sham) group that involved using a sham device, for a 3‐month period. Spirometry, maximal expiratory pressure (MEP), maximal inspiratory pressure (MIP), polysomnography, and sleep questionnaires were assessed at baseline and at 3 months.ResultsTwenty‐four individuals were randomized (12 participants in each arm). A total of eight (67%) participants completed the exercise arm, and ten (83%) participants completed the sham arm. MIP was significantly increased (p < 0.05) in the exercise group compared with the baseline.ConclusionsCombined oropharyngeal and RMT are feasible for individuals with SCI/D. Future studies are needed to determine the clinical efficacy of these respiratory muscle exercises.

Funder

U.S. Department of Veterans Affairs

Publisher

Wiley

Reference33 articles.

1. Validation of the Insomnia Severity Index as an outcome measure for insomnia research

2. Ventilatory muscle training improves exercise capacity in chronic obstructive pulmonary disease patients;Belman M. J.;American Review of Respiratory Disease,1980

3. Respiratory muscle training for cervical spinal cord injury;Berlowitz D. J.;The Cochrane Library,2013

4. AASM scoring manual updates for 2017 (version 2.4);Berry R. B.;American Academy of Sleep Medicine,2017

5. The AASM manual for the scoring of sleep and associated events;Berry R. B.;Rules, Terminology and Technical Specifications, Darien, Illinois, American Academy of Sleep Medicine,2012

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