Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0033-1351682
Evaluation of Respiratory Muscle Strength in Mouth Breathers: Clinical Evidences
Publication History
24 February 2013
15 May 2013
Publication Date:
05 November 2013 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00025477/201403/lookinside/thumbnails/10.1055-s-0033-1351682-1.jpg)
Abstract
Introduction The child who chronically breathes through the mouth may develop a weakness of the respiratory muscles. Researchers and clinical are seeking for methods of instrumental evaluation to gather complementary data to clinical evaluations. With this in mind, it is important to evaluate breathing muscles in the child with Mouth Breathing.
Objective To develop a review to investigate studies that used evaluation methods of respiratory muscle strength in mouth breathers.
Data Synthesis The authors were unanimous in relation to manovacuometry method as a way to evaluate respiratory pressures in Mouth Breathing children. Two of them performed with an analog manovacuometer and the other one, digital. The studies were not evaluated with regard to the method efficacy neither the used instruments.
Conclusion There are few studies evaluating respiratory muscle strength in Mouth Breathing people through manovacuometry and the low methodological rigor of the analyzed studies hindered a reliable result to support or refuse the use of this technique.
-
References
- 1 Díaz MJE, Fariñas CMM, Pellitero RBL, Álvarez IE. La respiración bucal y su efecto sobre la morfologia dentomaxilofacial. Correo Cientifico Médico de Holguin; 2005:9 [cited 2012 August 13, 2012]. Available at: http://www.cocmed.sld.cu/no91/n91ori6.htm . Accessed March 27, 2012
- 2 Abreu RR, Rocha RL, Lamounier JA, Guerra AFM. Etiology, clinical manifestations and concurrent findings in mouth-breathing children. J Pediatr (Rio J) 2008; 84: 529-535
- 3 Pires MG, Di Francesco RC, Grumach AS, Mello Júnior JF. Avaliação da pressão inspiratória em crianças com aumento do volume de tonsilas. Rev Bras Otorrinolaringol 2005; 71: 598-602
- 4 Branco A, Ferrari GF, Weber SAT. Alterações orofaciais em doenças alérgicas de vias aéreas. Rev Paul Pediatr 2007; 25 (3) 266-270
- 5 Lemos CM, Wilhelmsen NS, Mion OdeG, Mello Júnior JF. Functional alterations of the stomatognathic system in patients with allergic rhinitis: case-control study. Braz J Otorhinolaryngol 2009; 75: 268-274
- 6 Balbani AP, Weber SA, Montovani JC. Update in obstructive sleep apnea syndrome in children. Braz J Otorhinolaryngol 2005; 71: 74-80
- 7 Howick J. Levels of evidence. Oxford Centre for Evidence Based Medicine. March 2009 [cited January 5, 2013]. Available at: http://www.cebm.net/index.aspx?o=1025 . Accessed on January 21, 2012.
- 8 Sampaio RF, Mancini MC. Estudos de revisão sistemática: um guia para síntese criteriosa da evidência científica. Braz J Phys Ther (Impr) 2007; 11 (1) 83-89
- 9 Okuro RT, Morcillo AM, Ribeiro MÂ, Sakano E, Conti PB, Ribeiro JD. Mouth breathing and forward head posture: effects on respiratory biomechanics and exercise capacity in children. J Bras Pneumol 2011; 37: 471-479
- 10 Barbiero EF, Vanderlei LCM, Nascimento PC, Costa MM, Scalabrini Neto A. Influência do biofeedback respiratório associado ao padrão quiet breathing sobre a função pulmonar e hábitos de respiradores bucais funcionais. Braz J Phys Ther (Impr) 2007; 11 (5) 347-353
- 11 Banzatto MGP. Avaliação da função pulmonar (pressão inspiratória, expiratória e volume pulmonar) em crianças com aumento de tonsilas: pré e pós adenotonsilectomia [dissertação]. São Paulo, Brazil: Universidade de São Paulo; 2009
- 12 Steier J, Kaul S, Seymour J , et al. The value of multiple tests of respiratory muscle strength. Thorax 2007; 62: 975-980
- 13 Severino FG, Resqueti VR, Bruno SS, Azevedo IG, Vieira RH, Fregonezi GA. Comparison between a national and a foreign manovacuometer for nasal inspiratory pressure measurement. Rev Bras Fisioter 2010; 14: 426-431
- 14 Andrada e Silva MA, Marchesan IQ, Ferreira LP, Schmidt R, Ramires RR. Postura, tônus e mobilidade de lábios e língua de crianças respiradoras orais. Rev CEFAC 2012; 14 (5) 853-860
- 15 Aragão W. Aragao's Function Regulator, the estomatognathic system and postural changes in children. J Clin Pediatr Dent 1991; 15 (4) 226-231
- 16 Costa JR, Pereira SRA, Mitri G, Motta JC, Pignatari SSN, Weckx LLM. Relação da oclusão dentária com a postura de cabeça e coluna cervical em crianças respiradoras orais. Rev Paul Pediatria 2005; 23 (2) 88-93
- 17 Marins RS. Síndrome do respirador bucal e modificações posturais em crianças e adolescentes: a importância da fisioterapia na equipe interdisciplinar. Fisioter Mov 2001; 14 (1) 45-52
- 18 World Health Organization (WHO). Physical Status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Geneva 1995 (854): 263-305
- 19 Merkus PJ, Ten Have-Opbroek AA, Quanjer PH. Human lung growth: a review. Pediatr Pulmonol 1996; 21 (6) 383-397
- 20 Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis 1969; 99 (5) 696-702
- 21 Onaga FI, Jamami M, Ruas G, Di Lorenzo VAP, Jamami LK. Influência de diferentes tipos de bocais e diâmetros de traqueias na manovacuometria. Fisioter Mov 2010; 23 (2) 211-219
- 22 Cópio FCQ. A capacidade funcional da criança respiradora oral avaliada pelo teste de caminhada de seis minutos [dissertação]. Belo Horizonte: Universidade Federal de Medicina; 2008
- 23 De Menezes VA, Leal RB, Pessoa RS, Pontes RM. Prevalência e fatores associados à Respiração Oral em escolares participantes do projeto Santo Amaro, Recife, Brasil. Braz J Otorhinolaryngol (Impr) 2006; 72 (3) 394-399
- 24 Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement (Guidelines and Guidance). Am Rev Respir Dis 2009; 6 (7) 1-6