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New Treatment Approach for Sleep Apnea Patients: Strengthening Tongue Muscles during Wakefulness to Prevent Tongue Collapse during Sleep

Research Project

Project/Area Number 17K11788
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Prosthodontics/ Dental materials science and
Research InstitutionThe Nippon Dental University

Principal Investigator

INOKO YOSHIMI  日本歯科大学, 新潟生命歯学部, 准教授 (50386265)

Co-Investigator(Kenkyū-buntansha) 河野 正己  日本歯科大学, 新潟生命歯学部, 教授 (20170201)
清水 公夫  日本歯科大学, 新潟生命歯学部, 准教授 (30267265)
Project Period (FY) 2017-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords舌圧 / 舌圧測定 / 睡眠時無呼吸 / オトガイ筋 / オトガイ舌筋 / おとがい舌筋 / 歯学 / 顎口腔機能 / 睡眠
Outline of Final Research Achievements

During sleep, tongue muscle relaxation causes tongue root subsidence, which is known to trigger sleep apnea. Therefore, we aimed to construct and clinically apply a new treatment method to decrease the severity of sleep apnea by reducing muscle relaxation during sleep and suppressing the occurrence of apnea by training the tongue muscles of the mastoid tongue during waking hours.
We measured the muscle strength of the tongue using a tongue pressure measuring device in patients who came to the hospital with suspected sleep apnea, and showed the relationship between tongue pressure and the severity of sleep apnea in elderly patients. Appropriate tongue training equipment was then selected according to the subject's muscle strength, and training was initiated; however, training did not reduce the severity of sleep apnea.

Academic Significance and Societal Importance of the Research Achievements

55歳以上の被験者群は、舌圧と無呼吸低呼吸指数との間で負の有意な相関関係を認めたが、55歳未満被験者群では、相関関係は見られなかった。このことから、覚醒時の舌圧の低下が睡眠時無呼吸と関係するのは55歳以上であり、若年者の睡眠時無呼吸と舌圧との関係は否定された。また、65歳以上の高齢者における睡眠時無呼吸は舌の筋力低下によって悪化することが示された。このことから、舌の筋力低下を予防することは、高齢者にとって睡眠時無呼吸の重症化を軽減させる事が示された。

Report

(7 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (8 results)

All 2022 2021 2020 2019 2018

All Presentation (8 results) (of which Int'l Joint Research: 4 results)

  • [Presentation] Decreased Tongue Pressure Worsens Obstructive Sleep Apnea in Elderly Patients2022

    • Author(s)
      INOKO Y and SHIMIZU K
    • Organizer
      the virtual 100th General Session & Exhibition of the IADR, 2022.
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 舌の筋力低下が高齢者の閉塞性睡眠時無呼吸を悪化させる2022

    • Author(s)
      猪子芳美,清水公夫
    • Organizer
      第21回日本睡眠歯科学会総会・学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] Relationship between tongue muscle strength and tongue position in patients with obstructive sleep apnea2021

    • Author(s)
      INOKO Y, SHIMIZU K, KOHNO M
    • Organizer
      The 99th General Session & Exhibition of the IADR
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] 閉塞性睡眠時無呼吸を有する患者の舌圧値低下の影響2020

    • Author(s)
      猪子芳美, 清水公夫, 井田泉, 岡田一哉, 宇野清博
    • Organizer
      日本補綴歯科学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 閉塞性睡眠時無呼吸患者の覚醒時舌圧について2019

    • Author(s)
      猪子芳美, 清水公夫, 井田泉, 岡田一哉, 宇野清博
    • Organizer
      日本補綴歯科学会
    • Related Report
      2019 Research-status Report
  • [Presentation] Decrease in tongue pressure while awake exacerbates sleep apnea in elderly Japanese2019

    • Author(s)
      INOKO Y, SHIMIZU K, KOHNO M
    • Organizer
      International Association for Dental Research
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 睡眠時無呼吸が疑われる患者の舌圧と舌位との関係2018

    • Author(s)
      猪子 芳美,清水 公夫,井田 泉,岡田 一哉
    • Organizer
      日本補綴歯科学会
    • Related Report
      2018 Research-status Report
  • [Presentation] Effect of Tongue Pressure on the Severity of OSA2018

    • Author(s)
      INOKO Y, SHIMIZU K, KOHNO M
    • Organizer
      International Association for Dental Research
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research

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Published: 2017-04-28   Modified: 2024-01-30  

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