Obstructive sleep apnea (OSA) in patients whose AHI remains higher than 14 events per sleep hour despite the use of MAD. Obstructive sleep apnea, Oropharyngeal myofunctional therapy , Mandibular advancement device, Home sleep apnea test
Conditions
Interventions
The researcher will help each subject to set up the SnoreGym mobile application on his or her mobile phone before instructing of how to use it. The daily target will be set at ten minutes per day, con
Experimental Other,Placebo Comparator Other
Oropharyngeal myofunctional exercises,Neck stretch exercises
Sponsors
Chulalongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1.OSA patients diagnosed with laboratory polysomnography to have OSA and have been treating with MAD, 2.Age 18 years old or older, 3.Residual AHI is higher than 14 events per hour
Exclusion criteria
Exclusion criteria: 1.Patients with serious comorbidities such as moderate to severe pulmonary disease, neuromuscular disease, obesity hypoventilation syndrome, congestive heart failure, nocturnal arrythmias, 2.patients with other sleep disorders involved such as central sleep apnea, periodic limb movement disorder, insomnia, parasomnias, circadian rhythm disorders, narcolepsy, REM sleep behavioural disorder, 3.patients with painful TMD signs and symptoms according to DC/TMD, 4.patients on narcotics or muscle relaxants, 5.patients who had undergone oropharyngeal surgery, 6.patients with severe cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Respiratory event index Before the intervention starts and at 2 months after end of the intervention Home sleep test | — |
Secondary
| Measure | Time frame |
|---|---|
| Daytime sleepiness Before the intervention starts and at 2 months after end of the intervention Epworth Sleepiness Scale questionnaire,Oxygen saturation index Before the intervention starts and at 2 months after end of the intervention Home sleep test,Oxygen nadir Before the intervention starts and at 2 months after end of the intervention Home sleep test,Oxygen saturation Before the intervention starts and at 2 months after end of the intervention Home sleep test,Lip and tongue strength and endurance Before the intervention starts and at 2 months after end of the intervention Iowa Oral Performance Instrument | — |
Countries
Thailand
Contacts
Public ContactPhenbunya Siripajana
Chulalongkorn university
Outcome results
None listed