Obstructive Sleep Apnea Obstructive Sleep Apnea Myofunctional Therapy Upper Airway Muscles Apnea Hypopnea Index Sleep Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female patients aged 18 to 65 years 2. Diagnosed with moderate to severe obstructive sleep apnea (Apnea Hypopnea Index more than 15 events/hour) 3. Not currently using continuous positive airway pressure (CPAP) therapy or discontinued CPAP for at least 2 weeks 4. Body mass index less than 29.9 5. Able to understand and perform exercise instructions 6. Willing to participate and provide written informed consent
Exclusion criteria
Exclusion criteria: 1. Uncontrolled cardiovascular, metabolic, or pulmonary diseases 2. Other sleep-related disorders 3. History of surgical treatment for obstructive sleep apnea 4. Ankyloglossia or severe tonsillar hypertrophy 5. Cognitive disorders preventing adherence to exercise instructions 6. Participation in less than 80% of prescribed intervention sessions 7. Voluntary withdrawal from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Apnea Hypopnea Index Baseline and week 12 Overnight polysomnography,Upper airway muscle parameters Baseline and week 12 Ultrasonography | — |
Secondary
| Measure | Time frame |
|---|---|
| Sleep architecture parameters Baseline and week 12 Overnight polysomnography,Tongue muscle strength and endurance Baseline, week 4, week 8, and week 12 Tongue pressure measurement device,Cognitive function Baseline and week 12 Standardized cognitive assessments,Quality of life and sleep-related symptoms Baseline and week 12 Validated questionnaires | — |
Countries
Thailand
Contacts
Faculty of Sports Science, Chulalongkorn University