Piia Kipinä, Anne Oikarinen, Kristina Mikkonen, Maria Kääriäinen, Anna-Maria Tuomikoski, Merja Merilainen, Eevi Karsikas, Arja Rantala, Päivi Jounila-Ilola, Kirsi Koivunen, Erika Jarva
Competence of healthcare professionals in stroke care pathways: a cross-sectional study
Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing
first objective compare tongue motor skills patients obstructive sleep apnea osa healthy subjects secondly effect oropharyngeal myofunctional therapy mft tongue muscular qualities patients osa evaluated searches conducted five electronic databases july 2023 risk bias assessed via joanna briggs institute appraisal checklist crosssectional studies aim 1 pedro scale randomized controlled trials aim 2 pooled standardized mean differences smd 95 confidence intervals calculated using randomeffects model thirteen studies including 520 adults one study including 92 children addressed aim 1 compared healthy adults individuals osa significant difference tongue protrusion strength 9 studies n366 smd 95ci 000 045 044 endurance 5 studies n125 031 026 088 presented lower tongue elevation strength 6 studies n243 100 047 153 elevation endurance 3 studies n98 052 011 094 pediatric tongue elevation strength lower elevation endurance higher children osa healthy children two randomized controlled trials 28 adults 54 children addressed aim 2 poor methodological quality studies mft improved tongue motor skills patients osa tongue elevation motor skills decreased adults osa whereas tongue protrusion motor skills seem preserved data available children also little data impact myofunctional therapy tongue motor skills prospero registration number crd42022307148