La identificación precisa de autores e instituciones es clave para garantizar la calidad, trazabilidad y visibilidad de la producción científica. El uso de identificadores estándar como ORCID para los profesionales y ROR para las instituciones asegura una atribución correcta y homogénea de las contribuciones, reduciendo errores y carga administrativa.
ORCID vincula de forma única la actividad investigadora de cada autor y facilita su integración en plataformas y procesos de evaluación. ROR estandariza la identificación institucional, evitando duplicidades y mejorando la representación del impacto científico.
La correcta implementación de estos identificadores refuerza el posicionamiento y la visibilidad tanto de los profesionales como de la institución, y resulta esencial para acreditaciones, evaluaciones, memorias científicas, justificación de financiación y definición de indicadores de calidad e impacto.
A Novel Approach to the Study of Pathophysiology in Patients with Obstructive Sleep Apnea Using the Iowa Oral Performance Instrument (IOPI)
Abstract:
Background: Myofunctional therapy has emerged as a treatment option for obstructive sleep apnea (OSA). The Iowa Oral Performance Instrument (IOPI) enables objective measurement of lingual and orofacial muscle strength, although it was originally designed for evaluating dysphagia. OSA is frequently associated with a hypotonic phenotype characterized by reduced strength in upper airway muscles, but its identification remains unclear. Objective: We evaluated the usefulness of IOPI measurements in identifying hypotonic phenotypes among patients with obstructive sleep apnea (OSA). Methods: We carried out a cross-sectional study analyzing the relationship between IOPI scores, sleep polygraphy metrics-such as the apnea-hypopnea index (AHI)-and findings from physical examination. In addition to the standard IOPI protocol, we introduced novel maneuvers aimed at providing a more comprehensive assessment of oropharyngeal muscle function. Results: Although IOPI conventional maneuvers showed no clear association with AHI or ODI, the inferior tongue maneuver showed higher awake tongue strength, with a statistically significant correlation to both AHI (r = 0.2873; p = 0.008) and ODI (r = 0.2495; p = 0.032). Performing each exercise three times yielded highly consistent results across trials (r > 0.94), but did not significantly alter the overall outcome. Interestingly, lower tongue strength values were observed in patients with a high-arched palate (p < 0.05), whereas no relevant associations were found with the presence of a restricted lingual frenulum or CPAP use. Conclusions: Incorporating specific IOPI maneuvers, especially the inferior tongue exercise, may provide additional insight into muscle function in OSA. Selective repetition is advisable for borderline values. (Summary); Navarro, A (corresponding author), Univ Rey Juan Carlos, Hosp Univ Fuenlabrada, Dept Otorhinolaryngol, Madrid 28042, Spain.;Navarro, A (corresponding author), Hosp Univ Sanitas La Zarzuela, Dept Otorhinolaryngol, Madrid 28023, Spain. (Author of contact); Navarro, Andrés, Department of Otorhinolaryngology, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain, Department of Otorhinolaryngology, Hospital Sanitas La Zarzuela, Madrid, Madrid, Spain; Bosco, Gabriela, Department of Otorhinolaryngology, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain, Department of Otorhinolaryngology, Hospital Sanitas La Zarzuela, Madrid, Madrid, Spain; Serrano, Bárbara, Department of Otorhinolaryngology, Complejo Hospitalario de Toledo, Toledo, Toledo, Spain; Baptista, Peter Michael J., Department of Otorhinolaryngology, Al Zahra Hospital Dubai, Dubai, United Arab Emirates; O'Connor-Reina, Carlos, Department of Otorhinolaryngology, Hospital Quironsalud Marbella, Malaga, Spain; Plaza-Mayor, Guillermo, Department of Otorhinolaryngology, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain, Department of Otorhinolaryngology, Hospital Sanitas La Zarzuela, Madrid, Madrid, Spain (Authors with Filk)
