{"id":1546,"date":"2026-07-11T13:42:04","date_gmt":"2026-07-11T11:42:04","guid":{"rendered":"https:\/\/dr-holger-hein.de\/reloaded\/?p=1546"},"modified":"2026-07-11T13:42:04","modified_gmt":"2026-07-11T11:42:04","slug":"telemedizinisch-angeleitete-myofunktionelle-therapie-fuehrt-zu-einem-remodelling-der-oberen-atemwege-bei-osa","status":"publish","type":"post","link":"https:\/\/dr-holger-hein.de\/reloaded\/2026\/07\/11\/telemedizinisch-angeleitete-myofunktionelle-therapie-fuehrt-zu-einem-remodelling-der-oberen-atemwege-bei-osa\/","title":{"rendered":"Telemedizinisch angeleitete Myofunktionelle Therapie f\u00fchrt zu einem Remodelling der oberen Atemwege bei OSA"},"content":{"rendered":"Eine telemedizinisch begleitete myofunktionelle Therapie (MT) mit t\u00e4glichen oropharyngealen \u00dcbungen f\u00fchrte zu messbaren strukturellen Ver\u00e4nderungen der oberen Atemwege bei Patienten mit obstruktiver Schlafapnoe. 60 Erwachsene mit mittelschwerer bis schwerer OSA wurden drei Gruppen zugeteilt: mittelschwere OSA + MT (n=19), schwere OSA + MT + CPAP (n=20) und eine Kontrollgruppe mit CPAP allein (n=18). Die \u00dcbungen (20 Minuten t\u00e4glich, 5\u20137 Tage\/Woche \u00fcber 3 Monate) wurden \u00fcber eine App mit Biofeedback vermittelt. In der Gruppe mit mittelschwerer OSA sanken Zungenvolumen (\u22128 cm\u00b3, p=0,002), Zungendicke (\u22124 mm, p<0,001) und der Abstand zwischen den Zungenarterien (\u22125 mm, p<0,001) signifikant; in der schweren Gruppe zeigten sich R\u00fcckg\u00e4nge bei Zungenvolumen und Arterienabstand, jedoch nicht bei der Zungendicke. In der Kontrollgruppe blieben die Werte unver\u00e4ndert. Der Anteil der Patienten ohne Zungenbasis-Kollaps in der Schlafendoskopie stieg in der moderaten Gruppe von 15 % auf 80 % (p=0,039). Der AHI sank in beiden Interventionsgruppen signifikant (moderat: \u22126,8\/h; schwer: \u221211,1\/h), w\u00e4hrend sich in der Kontrollgruppe keine Ver\u00e4nderung zeigte. Auch Zungen- und Lippendruck (IOPI) verbesserten sich deutlich unter MT.<br \/>(Rodr\u00edguez-Alcal\u00e1 C, Rodr\u00edguez-Alcal\u00e1 L, Ignacio-Garc\u00eda JM, Plaza G, Gozal D, Baptista P, O&#8217;Connor-Reina C. Telemedicine-delivered myofunctional therapy remodels upper airway anatomy in obstructive sleep apnea: a prospective controlled study. J Clin Sleep Med. 2026;22:12)<br \/>","protected":false},"excerpt":{"rendered":"<p>Eine telemedizinisch begleitete myofunktionelle Therapie (MT) mit t\u00e4glichen oropharyngealen \u00dcbungen f\u00fchrte zu messbaren strukturellen Ver\u00e4nderungen der oberen Atemwege bei Patienten mit obstruktiver Schlafapnoe. 60 Erwachsene mit mittelschwerer bis schwerer OSA wurden drei Gruppen zugeteilt: mittelschwere OSA + MT (n=19), schwere OSA + MT + CPAP (n=20) und eine Kontrollgruppe mit CPAP allein (n=18). Die \u00dcbungen [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1546","post","type-post","status-publish","format-standard","hentry","category-allgemein"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"hein","author_link":"https:\/\/dr-holger-hein.de\/reloaded\/author\/hein\/"},"uagb_comment_info":0,"uagb_excerpt":"Eine telemedizinisch begleitete myofunktionelle Therapie (MT) mit t\u00e4glichen oropharyngealen \u00dcbungen f\u00fchrte zu messbaren strukturellen Ver\u00e4nderungen der oberen Atemwege bei Patienten mit obstruktiver Schlafapnoe. 60 Erwachsene mit mittelschwerer bis schwerer OSA wurden drei Gruppen zugeteilt: mittelschwere OSA + MT (n=19), schwere OSA + MT + CPAP (n=20) und eine Kontrollgruppe mit CPAP allein (n=18). Die \u00dcbungen&hellip;","_links":{"self":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1546","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/comments?post=1546"}],"version-history":[{"count":2,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1546\/revisions"}],"predecessor-version":[{"id":1555,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/posts\/1546\/revisions\/1555"}],"wp:attachment":[{"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/media?parent=1546"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/categories?post=1546"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-holger-hein.de\/reloaded\/wp-json\/wp\/v2\/tags?post=1546"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}