RT Journal Article T1 Improving Adherence to Myofunctional Therapy in the Treatment of Sleep-Disordered Breathing A1 O'Connor-Reina, Carlos A1 Ignacio Garcia, Jose Maria A1 Rodriguez Alcala, Laura A1 Rodriguez Ruiz, Elisa A1 Garcia Iriarte, Maria Teresa A1 Casado Morente, Juan Carlos A1 Baptista, Peter A1 Plaza, Guillermo K1 obstructive sleep apnoea K1 myofunctional therapy K1 adherence K1 apnea hypopnea index K1 Iowa oral performance instrument K1 Positive airway pressure K1 Oropharyngeal exercises K1 Apnea K1 Efficacy AB Myofunctional therapy (MT) is used to treat sleep-disordered breathing. However, MT has low adherence-only similar to 10% in most studies. We describe our experiences with MT delivered through a mobile health app named Airway Gym(R), which is used by patients who have rejected continuous positive airway pressure and other therapies. We compared ear, nose, and throat examination findings, Friedman stage, tongue-tie presence, tongue strength measured using the Iowa oral performance instrument (IOPI), and full polysomnography before and after the 3 months of therapy. Participants were taught how to perform the exercises using the app at the start. Telemedicine allowed physicians to record adherence to and accuracy of the exercise performance. Fifty-four patients were enrolled; 35 (64.8%) were adherent and performed exercises for 15 min/day on five days/week. We found significant changes (p PB Mdpi YR 2021 FD 2021-12-01 LK https://hdl.handle.net/10668/27157 UL https://hdl.handle.net/10668/27157 LA en DS RISalud RD Apr 17, 2025