Treatment for Sleep Disordered Breathing

Sleep-disordered breathing includes a wide spectrum of conditions that affect breathing during sleep, like snoring and obstructive sleep apnea. At Strategies for Success in Los Gatos, California, Nicole Cavalea, MS, CCC-SLP, and the team specialize in diagnosing and treating sleep-disordered breathing. They see a strong connection between abnormal orofacial muscle movement and function and sleep-disordered breathing. To learn more about sleep-disordered breathing, call the office or schedule a consultation online today. Virtual visits are also available.

You might wonder what the treatment entails if you or your child are exploring Myofunctional Therapy to improve airway function and address orofacial patterning. This innovative therapy focuses on correcting muscular imbalances of the lips, tongue, and jaw to enhance breathing patterns, particularly in those with conditions like obstructive sleep apnea (OSA). Here’s a detailed overview of what you can expect during the course of treatment.

Understanding the Goals of Myofunctional Therapy

The primary objective of Myofunctional Therapy is to improve airway function by addressing the underlying orofacial muscle imbalances. The treatment typically follows these co-treatment goals:

Assessment of Postural Imbalances: The first step in your journey will involve identifying any postural imbalances affecting craniofacial development and functional abilities. These imbalances can include improper tongue posture, jaw alignment issues, or lip function, all of which can contribute to compromised airway function.

Correction of Muscular Imbalances: Once the assessment is complete, the therapist will focus on correcting these imbalances through specific exercises. These exercises are designed to re-pattern, coordinate, and strengthen the oral and facial muscles.

The Treatment Process

Initial Assessment:  During your initial appointment, the myofunctional therapist will conduct a thorough evaluation. This evaluation may include:

Physical Examination: Oral and facial muscle function, tongue posture, and overall craniofacial alignment.

Discussion of Symptoms: Understanding any airway issues, sleep disturbances, or other health concerns that may be present.

Customized Exercise Regimen: The therapist will develop a tailored exercise regimen based on the identified needs after the assessment

Some key components of this regimen include:

Strengthening Oral-Facial Muscles: The therapist will activate and strengthen the oral-facial muscles of mastication to support the mandible and genioglossus muscle at night. This is crucial since approximately 30% of OSA patients exhibit poor responsiveness of the genioglossus muscle to airway narrowing.

Tongue Muscle Training: Patients will be trained to achieve a palatal tongue rest position, vital for proper oral posture during rest, speech, and swallowing. Correct placement and precision are taught for efficient swallowing. Patients will learn to place their tongue against the roof of their mouth while keeping their lips together, creating suction to facilitate swallowing.

Establishing Correct Nasal Breathing: Achieving proper nasal breathing is essential for improving lung volume and increasing nitric oxide levels in the body. The therapist will educate patients on nasal and diaphragmatic breathing techniques, which can enhance overall respiratory efficiency.

Biomechanical and Biochemical Breathing Exercises:  

Biomechanical: Techniques will be introduced to maximize breathing skills, such as practicing deep, slow breaths through the nose to expand the diaphragm effectively.

Biochemical: Patients will learn to breathe in a manner that creates a desire for air—using narrow, light breaths—to decrease sensitivity to carbon dioxide (CO2), thereby increasing their threshold to avoid sleep disturbances.

Duration and Commitment

Myofunctional Therapy typically lasts 4 to 6 months, and daily exercises are recommended for optimal results. Consistency is key; patients must commit to practicing the prescribed exercises regularly to achieve the desired improvements in airway function.

Collaborative Approach

Myofunctional Therapy is often part of a broader treatment plan that may include collaboration with other healthcare professionals, such as sleep physicians, orthodontists, and pediatric dentists. This multidisciplinary approach ensures comprehensive management of any underlying health issues contributing to airway dysfunction.  Referrals and recommendations for healthcare professionals are provided during the assessment and treatment process.

Conclusion

Myofunctional Therapy offers a promising avenue for individuals seeking to improve their airway function by correcting orofacial patterning. This therapy can significantly enhance overall health and well-being by strengthening oral and facial muscles, establishing proper breathing techniques, and correcting postural imbalances. If you’re considering Myofunctional Therapy, consult with a qualified therapist to embark on a path toward better sleep and improved airway function. With dedication and guidance, you can expect positive changes in your breathing patterns and overall quality of life.