Evidence map›Paper›PMID 41205126›Full record

Trial reportSleep & breathing = Schlaf & Atmung2025

Effectiveness of strenghtning oropharyngeal myofunctional therapy combined with cervical spine exercises in mild to moderate obstructive sleep apnoea.

Teresa Díaz de Terán, Javier Bolado, Patricia Palomo, Pedro Muñoz, Carmen de Labra, Mónica González

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Teresa Díaz de TeránDepartment of Pneumology. Sleep and Non-Invasive Ventilation Unit, 'Marqués de Valdecilla' University Hospital, University of Cantabria, 'Marqués de Valdecilla' Institute for Research (IDIVAL), Santander, Spain.
Javier BoladoRehabilitation Unit, 'Marqués de Valdecilla' University Hospital, Cantabrian Health Service, Santander, Spain. Javier.bolado@scsalud.es.
Patricia PalomoDepartment of Nursing, University of Extremadura, Badajoz, Spain. patribiom@unex.es.ORCID 0000-0003-3821-949X
Pedro MuñozPublic Health Unit, Primary Care Management, Cantabrian Health Service, Santander, Spain.
Carmen de LabraResearch, Health and Podiatry Group, Department of Physiotherapy, Medicine and Biomedical Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, Ferrol, Spain.
Mónica GonzálezDepartment of Pneumology. Sleep and Non-Invasive Ventilation Unit, 'Marqués de Valdecilla' University Hospital, University of Cantabria, 'Marqués de Valdecilla' Institute for Research (IDIVAL), Santander, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effectiveness of an intervention programme combining Oropharyngeal Myofunctional Therapy (OMT) and cervical spine exercises in the general population with mild to moderate Obstructive Sleep Apnoea (OSA), analysing its impact on respiratory variables (AHI, MSatO MATERIALS AND

methodsA single-blind randomised clinical trial with 32 participants diagnosed with mild to moderate OSA, assigned into two groups: control (n = 16) and intervention (n = 16). Both groups received hygiene- and diet-related recommendations, and the intervention group completed an OMT programme and cervical spine exercises over 20 weeks (May 2023-November 2024). The respiratory variables were evaluated using respiratory polygraphy, and daytime sleepiness and quality of life were measured using the Epworth Sleepiness Scale and EuroQol-5D scales, respectively.

resultsNo statistically significant differences were found between groups (Median [IQR]): Apnoea-hypopnoea index (2.0 [-6/6], CI 95%, p = 0.86), Mean oxygen saturation (-0.5 [-1/0], CI 95%, p = 0.43), Oxygen Desaturation index (1.0 [-1/5], CI 95%, p = 0.72), Time with oxygen saturation below 90% (1.0 [0/3], CI 95%, p = 0.10), Epworth Sleepiness Scale score (-1.5 [-4/0], CI 95%, p = 0.83), and EuroQol-5D quality of life questionnaire (5.0 [0-10], CI 95% p = 0.08).

conclusionThe comprehensive 20-week OMT programme and cervical spine exercises showed no effectiveness in improving respiratory parameters, daytime sleepiness or quality of life in patients with mild to moderate OSA compared to hygiene- and diet-related measures alone. The null results observed in this study suggest relevant clinical implications, such as the limited efficacy of low-frequency OMT protocols.

Indexed as

Cervical VertebraeExercise TherapyMyofunctional TherapyOropharynxSleep Apnea, ObstructiveAdultCombined Modality TherapyFemaleHumansMaleMiddle AgedQuality of LifeSingle-Blind MethodTreatment OutcomeApnoea-Hypopnoea indexObstructive sleep apnoeaOropharyngeal myofunctional therapyRespiratory polygraphy

Identifiers

PMID41205126
PMCPMC12596285

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Registered trials

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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.