Effects of oropharyngeal exercises on CPAP compliance: A prospective intervention study

Peiying Huang; Qinglai Tang; Xinming Yang; Mengmeng Li; Shisheng Li

doi:10.1016/j.amjoto.2024.104274

Effects of oropharyngeal exercises on CPAP compliance: A prospective intervention study

Am J Otolaryngol. 2024 Apr 3;45(4):104274. doi: 10.1016/j.amjoto.2024.104274. Online ahead of print.

Authors

Peiying Huang¹, Qinglai Tang¹, Xinming Yang¹, Mengmeng Li¹, Shisheng Li²

Affiliations

¹ Department of Otolaryngology Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
² Department of Otolaryngology Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China. Electronic address: lissdoctor@csu.edu.cn.

PMID: 38593552
DOI: 10.1016/j.amjoto.2024.104274

Abstract

Purpose: To investigate the effects of oropharyngeal exercise on continuous positive airway pressure (CPAP) compliance in patients with moderate to severe obstructive sleep apnea over a period of 6 months.

Materials and methods: This study was conducted as a prospective, observational, and interventional investigation. A total of 70 patients with moderate to severe obstructive sleep apnea were randomly assigned to either the oropharyngeal exercise group (n = 44) or the sham-therapy group (n = 26). The compliance of the enrolled patients with CPAP therapy was assessed at baseline, 3-month follow-up and 6-month follow-up. Objective sleep data, questionnaire and CPAP use time were collected over a half-year period (i.e., baseline, 6 months, and 12 months).

Results: The study found that the average use time of CPAP within one month was significantly longer in the oropharyngeal exercises group compared to the sham-therapy group at the 3-month assessment (5.5 ± 1.2 vs 4.8 ± 1.3 h per night; p=0.030), and much significantly longer at 6-months assessment (6.0 ± 1.4 vs 4.9 ± 1.3 h per night; p=0.001). Furthermore, the average use time of CPAP increased over time, with the oropharyngeal exercises group exhibiting a more pronounced growth from baseline to the six-month follow-up (4.8 ± 1.0 h per night to 6.0 ± 1.3 h per night, p < 0.001) compared to the sham-therapy group (4.8 ± 1.3 h per night to 4.9 ± 1.3 h per night, p=0.952). Additionally, the oropharyngeal exercise group demonstrated an improvement in the Epworth sleepiness scale compared to the sham-therapy group at the 3-month follow-up (6.0 ± 2.0 vs 8.8 ± 3.2; p < 0.001), as well as decreased significantly at 6-month follow-up (p = 0.032).

Conclusions: CPAP adherence can be improved with oropharyngeal exercises therapy among moderate to severe OSA patients. Notably, the average duration of CPAP usage and reduction in daytime sleepiness were maintained even after six months of oropharyngeal exercise therapy.

Keywords: Obstructive sleep apnea; Oropharyngeal exercises; Patient compliance.