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

Sleep & Breathing = Schlaf & Atmung
Umesh GoswamiConrad Iber

Abstract

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. 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. 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 interv...Continue Reading

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Citations

May 8, 2020·Physical and Engineering Sciences in Medicine·Yanmei JiangXiaowen Zhang
Nov 4, 2020·The Cochrane Database of Systematic Reviews·José-Ramón RuedaMikel Rueda-Etxebarria
Feb 9, 2021·Journal of Healthcare Informatics Research·N HernandezW Ben Mortenson
Jul 25, 2021·International Journal of Environmental Research and Public Health·Marina Carrasco-LlatasChristian Calvo-Henríquez

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