Evidence map›Paper›PMID 38578211›Full record

Trial reportActa odontologica Scandinavica2024

Effects of respiratory exercises in sleep bruxism and associated obstructive sleep apnea: a double-blind, placebo-controlled randomized clinical trial.

Bianca Lopes Cavalcante-Leao, André Luís Porporatti, Rosa Cíntia Felicio Adriano, Rosane Sampaio Santos, Maria Isabel Vanelli, Isabella Perez, Cristiano Miranda de Araújo, José Stechman-Neto, Bianca Simone Zeigelboim

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta odontologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Exploring Exercise Interventions for Obstructive Sleep Apnea: A Scoping Review.Journal of functional morphology and kinesiology · 2025
    Review
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 3 institutions in 2 countries.

Bianca Lopes Cavalcante-LeaoFaculty of Health Sciences, Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil. blcleao@gmail.com.
André Luís PorporattiLaboratoire de Neurobiologie Oro-Faciale, Université Paris Cité, Paris, France; GHPS Assistance Publique Hopitaux de Paris, Paris, France.
Rosa Cíntia Felicio AdrianoHospital IPO, Instituto Paranaense de Otorrinolaringologia, Curitiba, Paraná, Brazil.
Rosane Sampaio SantosFaculty of Health Sciences, Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
Maria Isabel VanelliFaculty of Health Sciences, Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
Isabella PerezFaculty of Health Sciences, Dentistry, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
Cristiano Miranda de AraújoFaculty of Health Sciences, Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
José Stechman-NetoFaculty of Health Sciences, Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
Bianca Simone ZeigelboimFaculty of Health Sciences, Speech Therapy, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil. b.
Universidade Tuiuti do Paraná · BRAssistance Publique – Hôpitaux de Paris · FRHospital IPO · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study is to assess the effects of respiratory exercises (inspiratory and expiratory) in individuals with sleep bruxism (SB) and associated obstructive sleep apnea (OSA).

methodsThis is a double-blind, placebo-controlled randomized clinical trial including individuals with SB and associated respiratory events in OSA. Respiratory physical therapy was performed using inspiratory (Threshold® IMT), expiratory (Threshold® PEP) muscle training, and compared with a placebo group. A total of 30 daily respiratory cycles (inspiration and expiration) were performed five times a week for 12 weeks. Individuals were reassessed at two times, at baseline (T1) and after 12 weeks of training (T2) by means of the Pittsburgh Sleep Quality Index and Polysomnography.

resultsAwakening was significantly different (p ≤ 0.05) between the inspiratory group and placebo 12 weeks after respiratory physical therapy. The number of contractions of the masseter muscle differed between the inspiratory, expiratory, and placebo groups (p ≤ 0.05).

conclusionRespiratory physical therapy for OSA improved awaking levels in 80 and 67% of the number of masseter muscle contractions, when compared to placebo.

trial registrationBrazilian Registry of Clinical Trials (No. RBR-9F6JKM).

Indexed as

Sleep Apnea, ObstructiveSleep BruxismBrazilBreathing ExercisesDouble-Blind MethodHumansPolysomnographySleepSouth American People

Identifiers

PMID38578211
PMCPMC11302487
OpenAlexW4393993864

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.