Journals / Neurological sciences and neurophysiology (Online) / 2020 / Cilt: 37 - Sayı: 2

Motor Unit Potential Analysis of the Palatal Muscles in Obstructive Sleep Apnea Syndrome

Pages
75–81
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our results showed that, although mild in severity, structural neurogenic and myogenic changes characterized as mild and nonuniform MUP changes may co‑exist in OSAS patients.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Among different theories about pathogenesis of obstructive sleep apnea syndrome (OSAS), dysfunction of upper airway muscles still awaits to be delineated.
📊
Key Findings & Data:Results: In PG muscle parameters, the mean MUP area was significantly smaller (P = 0.040) in OSAS patients than those in controls.
💡
Conclusion & Impact:Conclusion: Our results showed that, although mild in severity, structural neurogenic and myogenic changes characterized as mild and nonuniform MUP changes may co‑exist in OSAS patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: Among different theories about pathogenesis of obstructive sleep apnea syndrome (OSAS), dysfunction of upper airway muscles still awaits to be delineated. The aim of this study is to examine differences in motor unit potential (MUP) parameters of upper airway muscles between OSAS patients and healthy controls. Methods: Ten male patients diagnosed as OSAS by whole‑night polysomnography were analyzed for MUP parameters of genioglossus (GG) muscle, palatoglossus muscle (PG), palatopharyngeus muscle, and uvular (U) muscle. Eight healthy volunteer men matched by age were enrolled as a control group. Results: In PG muscle parameters, the mean MUP area was significantly smaller (P = 0.040) in OSAS patients than those in controls. On the other hand, U muscle parameters showed a significantly larger mean MUP area (P = 0.022) in OUAS patients compared to those in the control group. In OSAS patients, the percentages of polyphasic MUPs of GG and PG muscles were significantly high (P ˂ 0.001 and P = 0.05, respectively). Body mass index was positively correlated with number of phases of GG muscle (rs = 0.63, P < 0.05) and duration of Umuscle (rs = 0.71, P < 0.05) in OSAS patients. Other MUP parameters of palatal muscles were similar between the two groups. Conclusion: Our results showed that, although mild in severity, structural neurogenic and myogenic changes characterized as mild and nonuniform MUP changes may co‑exist in OSAS patients. These changes in palatal muscles may be attributed to compensatory adaptation of muscle fibers to other precipitating factors in OSAS.

🔖

Cite This Article

KARAALİ-SAVRUN, F., ADATEPE, N. U., ŞENEL, G. B., İNAN, R., KAYNAK, H., KAYTAZ, A., KARADENİZ, D. (2020). Motor Unit Potential Analysis of the Palatal Muscles in Obstructive Sleep Apnea Syndrome. Neurological sciences and neurophysiology (Online), Cilt: 37 - Sayı: 2, 75–81. https://ajindex.com/articles/290613

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Zhao M, Barber T, Cistulli PA, Sutherland K, Rosengarten G. Simulation of upper airway occlusion without and with mandibular advancement in obstructive sleep apnea using fluid‑structure interaction. J Biomech 2013;46:2586‑92
  2. Wilkinson V, Malhotra A, Nicholas CL, Worsnop C, Jordan AS, Butler JE, et al. Discharge patterns of human genioglossus motor units during arousal from sleep. Sleep 2010;33:379‑87
  3. Mu L, Sobotka S, Chen J, Su H, Sanders I, Adler CH, et al. Arizona Parkinson’s disease consortium. Altered pharyngeal muscles in Parkinson disease. J Neuropathol Exp Neurol 2012;71:520‑30
  4. Mu L, Chen J, Li J, Arnold M, Sobotka S, Nyirenda T, et al. Sensory ınnervation of the human soft palate. Anat Rec (Hoboken) 2018;301:1861‑70
  5. Fraigne JJ, Orem JM. Phasic motor activity of respiratory and non‑respiratory muscles in REM sleep. Sleep 2011;34:425‑34
  6. Huang J, Pinto SJ, Yuan H, Katz ES, Karamessinis LR, Bradford RM, et al. Upper airway collapsibility and genioglossus activity in adolescents during sleep. Sleep 2012;35:1345‑52
  7. Zhou YQ, Ye JY. Neuromuscular properties of genioglossus activity in healthy adults and obstructive sleep apnea patients. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018;53:70‑2
  8. Oliven R, Cohen G, Somri M, Schwartz AR, Oliven A. Peri‑pharyngeal muscle response to inspiratory loading: Comparison of patients with OSA and healthy subjects. J Sleep Res 2018;30:e12756
  9. Mortimore IL, Mathur R, Douglas NJ. Effect of posture, route of respiration, and negative pressure on palatal muscle activity in humans. J Appl Physiol 1995;79:448‑54
  10. Genta PR, Owens RL, Edwards BA, Sands SA, Eckert DJ, Butler JP, et al. Influence of pharyngeal muscle activity on inspiratory negative effort dependence in the human upper airway. Respir Physiol Neurobiol 2014;201:55‑9
  11. Oliven R, Cohen G, Dotan Y, Somri M, Schwartz AR, Oliven A. Alteration in upper airway dilator muscle coactivation during sleep: Comparison of patients with obstructive sleep apnea and healthy subjects. J Appl Physiol (1985) 2018;124:421‑9
  12. Gupta A, Kumar R, Bhattacharya D, Thukral BB, Suri JC. Craniofacial and upper airway profile assessment in North Indian patients with obstructive sleep apnea. Lung India 2019;36:94‑101
  13. Svanborg E. Impact of obstructive apnea syndrome on upper airway respiratory muscles. Respir Physiol Neurobiol 2005;147:263‑72
  14. Kim JH, Guilleminault C. The nasomaxillary complex, the mandible, and sleep‑disordered breathing. Sl