Friedman Tongue Position with the Obstructive Sleep Apnea Syndrome (OSAS) Correlation on Patient with Ischemic Stroke

Abstract

Stroke is the number one cause of disability in the world. Sleep disturbances exacerbate post-stroke disabilities in addition to physical disorders. Sleep disorder breathing (SDB), especially obstructive sleep apnea syndrome (OSAS) is the most commonly found in stroke patients (more than 50%). Sleep disorders in patients with ischemic stroke may occur because of obstruction in the upper airway. To facilitate the assessment of the upper airway, Friedman set up a standard naso-velo-oropharyngeal examination area. There are four degrees of Friedman tongue position. This check can predict the presence or absence of OSAS. Obstructive sleep apnea syndrome can be assessed using STOP-BANG questionnaire, an instrument designed to rapidly detect obstructive sleep apnea (OSA) disorder, with an indication of score 5-8 is high-risk, 3-4 is moderate-risk, and 0-2 is low-risk. The method of this study was observational with cross-sectional design in acute phase ischemic stroke patient based on head CT-scan in RSAU dr. M. Salamun Bandung from August-December 2016. Statistical analysis using non-parametric Kruskal-Wallis test and Spearman's rank correlation test. The total subjects of this study were 38 people. The results showed that there was a significant relationship between Friedman tongue position and OSAS in stroke patients at RSAU dr. M. Salamun with p value=0.007. In conclusion, the tongue is an important anatomical structure in OSA patients, so evaluation of the position of the tongue is important to predict the severity of OSA.