Evidence map›Paper›PMID 28785240›Full record

ArticleFrontiers in neurology2017

Mandibular Movements As Accurate Reporters of Respiratory Effort during Sleep: Validation against Diaphragmatic Electromyography.

Jean-Benoît Martinot, Nhat-Nam Le-Dong, Valerie Cuthbert, Stephane Denison, Philip E Silkoff, Hervé Guénard, David Gozal, Jean-Louis Pepin, Jean-Christian Borel

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. From classic to cutting-edge: technological approaches to respiratory physiological signals in assessing sleep-disordered breathing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Review
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  10. Review
  11. Insights, recommendations, and research priorities for central sleep apnea: report from an expert panel.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  12. Article
  13. Paediatric sleep diagnostics in the 21st century: the era of "sleep-omics"?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  14. Insights on mandibular jaw movements during polysomnography in obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Feasibility Assessment of Wearable Respiratory Monitors for Ambulatory Inhalation Topography.International journal of environmental research and public health · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 3 countries.

Jean-Benoît MartinotCHU UCL Namur, Namur, Belgium.
Nhat-Nam Le-DongRespiSom, Erpent, Belgium.
Valerie CuthbertCHU UCL Namur, Namur, Belgium.
Stephane DenisonCHU UCL Namur, Namur, Belgium.
Philip E SilkoffPenn Valley, Allentown, PA, United States.
Hervé GuénardUniversité and CHU de Bordeaux, Bordeaux, France.
David GozalUniversity of Chicago, Chicago, IL, United States.
Jean-Louis PepinCHU de Grenoble, Laboratoire EFCR, Pôle Thorax et Vaisseaux, Grenoble, France.
Jean-Christian BorelUniversity Grenoble Alps, HP2 INSERM U1042, Grenoble, France.
CHU Dinant Godinne UCL Namur · BECentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Grenoble · FRInserm · FRUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextMandibular movements (MM) are considered as reliable reporters of respiratory effort (RE) during sleep and sleep disordered breathing (SDB), but MM accuracy has never been validated against the gold standard diaphragmatic electromyography (EMG-d).

objectivesTo assess the degree of agreement between MM and EMG-d signals during different sleep stages and abnormal respiratory events.

methodsTwenty-five consecutive adult patients with SDB were studied by polysomnography (PSG) that also included multipair esophageal diaphragm electromyography and a magnetometer to record MM. EMG-d activity (microvolt) and MM (millimeter) amplitudes were extracted by envelope processing. Agreement between signals amplitudes was evaluated by mixed linear regression and cross-correlation function and in segments of PSG including event-free and SDB periods.

resultsThe average total sleep time was 370 ± 18 min and the apnea hypopnea index was 24.8 ± 5.2 events/h. MM and EMG-d amplitudes were significantly cross-correlated: median

conclusionMM amplitudes change proportionally to diaphragmatic EMG activity and accurately identify variations of RE during normal sleep and SDB.

Indexed as

diaphragm electromyographymandibular movementsobstructive sleep apneapolysomnographyrespiratory effort

Identifiers

PMID28785240
PMCPMC5519525
OpenAlexW2733599334

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.