Myofunctional Therapy : A Novel Treatment of Pediatric Sleep-Disordered Breathing - 31/05/14

Doi : 10.1016/j.jsmc.2014.03.002

Joy L. Moeller, BS, RDH ^a,^⁎ , Licia Coceani Paskay, MS, CCC-SLP ^a, Michael L. Gelb, DDS, MS ^b
^a Academy of Orofacial Myofunctional Therapy (AOMT), 910 Via de la Paz #106, Pacific Palisades, CA 90272, USA
^b Department of Oral Medicine and Pathology, Tufts University School of Dental Medicine, NYU, 635 Madison Avenue, 19th Floor B/W: 59th & 60th Street, New York, NY 10022, USA

^∗Corresponding author.

Résumé

Orofacial myofunctional therapy (OMT) restores nasal breathing and repatterns muscles to correct and optimize the same orofacial functions that are involved in sleep-disordered breathing (SDB). This article explores the link between orofacial muscle dysfunction and SDB and examines the rationale to include OMT in the range of options for pediatric SDB treatments. An overview of the current scientific literature addressing application of OMT in pediatric SDB and a review of both assessment and therapy protocols for SDB and the principles of neuroplasticity and muscle function that make OMT a viable option in treating pediatric SDB are also presented.

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Keywords : Myofunctional, Sleep, Breathing, Nasal, Tongue, Posture, Neuroplasticity, Assessment

Plan

Key points

Introduction

History of OMT

Rationale: development of the upper airway

Genioglossus Muscle Stabilizing the Airway

Clinical assessment

Treatment

Disclosures: Paid lecturer for the Academy of Orofacial Myofunctional Therapy (AOMT), personally related to the AOMT Managing Director a main shareholder, Marc Moeller; Vice-president of the Academy of the 501(c)3 Academy of Applied Myofunctional Sciences (AAMS) (J.L. Moeller); Licia Coceani Paskay is a paid lecturer for the AOMT and President of the 501(c)3 AAMS (L.C. Paskay); No conflicts of interest (M.L. Gelb).