Obstructive sleep apnea (OSA) is one of the most common sleep disorders in Thailand. The collapse of soft tissues in the upper airways of patients can cause the snoring and deoxygenation during sleep. OSA, Obstructive sleep apnea, myofunctional training, myofunctional exercise, Snoring, Rehabilitation, Randomized Controlled Trial, non-invasive treatment
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18 years old 2. Patient who was diagnosed mild to moderate OSA within 3 months 3. Patient who cannot tolerate CPAP and discontinue CPAP at least 2 weeks 4. Patient who has smartphone and can use VDO call feature
Exclusion criteria
Exclusion criteria: 1. Facial abnormality 2. Severe tongue tie 3. Uncontrolled allergic rhinitis or asthma 4. Neuromuscular disorder 5. Neurodegenerative disorder eg. PD 6. Heart failure, Ischemic heart disease 7. Patient who use SSRI, SNRI, benzodiazepine, anti-cholinergic and anti-spastic drugs 8. Morbid obesity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| apnea hypopnea index baseline, 12 week after intervention Polysomnography | — |
Secondary
| Measure | Time frame |
|---|---|
| Tongue strength baseline, 12 week after intervention Tongue elevation pressure by IOPI device,Lowest oxygen saturation baseline, 12 week after intervention Polysomnography,Neck circumference baseline, 12 week after intervention measured at the midpoint of the neck by the measuring tape in centimeter,Daytime sleepiness baseline, 12 week after intervention Thai version of Epworth Sleepiness Scale | — |
Countries
Thailand
Contacts
Faculty of Medicine Ramathibodi Hospital, Mahidol University