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Smartphone-based delivery of oropharyngeal exercises for treatment of snoring: a randomized controlled trial.


ABSTRACT:

Purpose

Upper airway exercises for snoring treatment can be effective but difficult to administer and monitor. We hypothesized that a brief, relatively simple daily upper airway exercise regimen, administered by a smartphone application, would reduce snoring and encourage compliance.

Methods

Targeted vowel sounds causing tongue base movements were incorporated into a voice-controlled smartphone game application. Participants with habitual snoring, apnea hypopnea index (AHI) ≤ 14 events/h, and BMI ≤ 32 kg/m2 were randomly assigned to perform 15 min of daily gameplay (intervention group) or 5 s of daily voice recording (control group) and to audio record their snoring for 2 nights/week for up to 12 weeks. Sounds above 60 dB were extracted from recordings for snore classification with machine learning support vector machine classifiers.

Results

Sixteen patients (eight in each group) completed the protocol. Groups were similar at baseline in gender distribution (five males, three females), mean BMI (27.5 ± 3.8 vs 27.4 ± 3.8 kg/m2), neck circumference (15.1 ± 1.6 vs 14.7 ± 1.7 in.), Epworth Sleepiness Score (8 ± 3.5 vs 7 ± 4.0), and AHI (9.2 ± 4.0 vs 8.2 ± 3.2 events/h). At 8 weeks, the absolute change in snoring rate (> 60 dB/h) was greater for the intervention group than the control group (- 49.3 ± 55.3 vs - 6.23 ± 23.2; p = 0.037), a 22 and 5.6% reduction, respectively. All bed partners of participants in the intervention group reported reduced snoring volume and frequency, whereas no change was reported for the control group.

Conclusions

Smartphone application-administered upper airway training reduces objective and subjective snoring measures and improves sleep quality.

Trial registration

ClinicalTrials.gov ; no.: NCT03264963; URL: www.clinicaltrials.gov.

SUBMITTER: Goswami U 

PROVIDER: S-EPMC6340784 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Publications

Smartphone-based delivery of oropharyngeal exercises for treatment of snoring: a randomized controlled trial.

Goswami Umesh U   Black Adam A   Krohn Brian B   Meyers Wendy W   Iber Conrad C  

Sleep & breathing = Schlaf & Atmung 20180721 1


<h4>Purpose</h4>Upper airway exercises for snoring treatment can be effective but difficult to administer and monitor. We hypothesized that a brief, relatively simple daily upper airway exercise regimen, administered by a smartphone application, would reduce snoring and encourage compliance.<h4>Methods</h4>Targeted vowel sounds causing tongue base movements were incorporated into a voice-controlled smartphone game application. Participants with habitual snoring, apnea hypopnea index (AHI) ≤ 14 e  ...[more]

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