Tongue Protrusion Force: A Pilot Study
1 other identifier
interventional
N/A
1 country
1
Brief Summary
From Weill Cornell Medical College Center for Sleep Medicine, the investigators will recruit patients (N = 25) with previously documented moderate to severe OSA. They will receive an all-night in-home sleep study to document the severity of their OSA immediately before starting the training regimen. Scales and questionnaires measuring sleepiness, snoring, fatigue, and insomnia will be administered prior to starting the training and repeated after six weeks of training. Subjects may be removed from the study due to failing to adhere to the training regimen at anytime via remote data monitoring. The principal measure of the efficacy of the treatment will be the change in RDI, the number of abnormal breathing events per hour of sleep.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Jan 2017
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 19, 2016
CompletedFirst Posted
Study publicly available on registry
May 24, 2016
CompletedStudy Start
First participant enrolled
January 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2021
CompletedFebruary 8, 2022
January 1, 2022
4.9 years
May 19, 2016
January 24, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
RDI
RDI (the sum of apneas, hypopneas, and milder, more subtle sleep disruptions known as respiratory effort related arousals, or RERAs, that can still lead to sleep fragmentation).
Six weeks
Secondary Outcomes (3)
TPFmax
Six Weeks
AHI
Six Weeks
dur50%
Six weeks
Study Arms (1)
Tongue Trainer
EXPERIMENTALThe strength of participants tongue will be measured and participants will be shown how to perform tongue training exercises using a special device. Participants will be given instructions on how to perform a workout for the tongue. Each day once in the morning (am) and once in the afternoon/evening (pm), participants will train with the device and have a "tongue workout" that lasts about 10 minutes. Therefore, participants will work out about 20 minutes a day for 6 weeks.
Interventions
The strength of participants tongue will be measured and participants will be shown how to perform tongue training exercises using a special device. Participants will be given instructions on how to perform a workout for the tongue. Each day once in the morning (am) and once in the afternoon/evening (pm), participants will train with the device and have a "tongue workout" that lasts about 10 minutes. Therefore, participants will work out about 20 minutes a day for 6 weeks.
Eligibility Criteria
You may qualify if:
- Age: 21 to 70
- At home confirmation of moderate to severe OSA (AHI 15-60)
- BMI less than or equal to 35
- Not currently on a weight loss plan and no intention of beginning a weight loss regimen during the duration of the study
- If not currently treated for OSA (AHI 15-20), not planning on starting treatment for OSA during the duration of the study
- Willing to have a diagnostic sleep study before the training
- Willing to have a diagnostic sleep study after the training
- Willing to perform tongue training exercises twice daily for 6 weeks
- Willing to keep a sleep diary
You may not qualify if:
- Dental problems, e.g., less than a full complement of front teeth, loose front teeth, brittle teeth, by history
- Temporomandibular joint (TMJ) disorder by history
- Jaw, neck, or facial muscle pain or discomfort by history
- Consumes more than one alcoholic beverage per day and unwilling to reduce alcohol consumption to no more than one alcoholic beverage per day (muscle relaxant)
- On benzodiazepine medication (or specific muscle relaxant)
- Sleeps less than 5 hours per night on average (sleep deprivation can weaken UA)
- Pregnant
- Has had an upper airway surgical procedure for sleep apnea below the level of the nasopharynx
- Non-English speaker or illiterate
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Weill Medical College of Cornell Universitylead
- Cornell Universitycollaborator
Study Sites (1)
Weill Cornell Medical College Center for Sleep
New York, New York, 10065, United States
Related Publications (17)
Shepherd KL, Jensen CM, Maddison KJ, Hillman DR, Eastwood PR. Relationship between upper airway and inspiratory pump muscle force in obstructive sleep apnea. Chest. 2006 Dec;130(6):1757-64. doi: 10.1378/chest.130.6.1757.
PMID: 17166993BACKGROUNDMalhotra A, Huang Y, Fogel RB, Pillar G, Edwards JK, Kikinis R, Loring SH, White DP. The male predisposition to pharyngeal collapse: importance of airway length. Am J Respir Crit Care Med. 2002 Nov 15;166(10):1388-95. doi: 10.1164/rccm.2112072.
PMID: 12421747BACKGROUNDEastwood PR, Barnes M, Walsh JH, Maddison KJ, Hee G, Schwartz AR, Smith PL, Malhotra A, McEvoy RD, Wheatley JR, O'Donoghue FJ, Rochford PD, Churchward T, Campbell MC, Palme CE, Robinson S, Goding GS, Eckert DJ, Jordan AS, Catcheside PG, Tyler L, Antic NA, Worsnop CJ, Kezirian EJ, Hillman DR. Treating obstructive sleep apnea with hypoglossal nerve stimulation. Sleep. 2011 Nov 1;34(11):1479-86. doi: 10.5665/sleep.1380.
PMID: 22043118BACKGROUNDPeppard PE, Young T, Palta M, Skatrud J. Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med. 2000 May 11;342(19):1378-84. doi: 10.1056/NEJM200005113421901.
PMID: 10805822BACKGROUNDYaggi HK, Concato J, Kernan WN, Lichtman JH, Brass LM, Mohsenin V. Obstructive sleep apnea as a risk factor for stroke and death. N Engl J Med. 2005 Nov 10;353(19):2034-41. doi: 10.1056/NEJMoa043104.
PMID: 16282178BACKGROUNDEikermann M, Jordan AS, Chamberlin NL, Gautam S, Wellman A, Lo YL, White DP, Malhotra A. The influence of aging on pharyngeal collapsibility during sleep. Chest. 2007 Jun;131(6):1702-9. doi: 10.1378/chest.06-2653. Epub 2007 Apr 5.
PMID: 17413053BACKGROUNDCampos-Rodriguez F, Martinez-Garcia MA, Martinez M, Duran-Cantolla J, Pena Mde L, Masdeu MJ, Gonzalez M, Campo Fd, Gallego I, Marin JM, Barbe F, Montserrat JM, Farre R; Spanish Sleep Network. Association between obstructive sleep apnea and cancer incidence in a large multicenter Spanish cohort. Am J Respir Crit Care Med. 2013 Jan 1;187(1):99-105. doi: 10.1164/rccm.201209-1671OC. Epub 2012 Nov 15.
PMID: 23155146BACKGROUNDMartinez-Garcia MA, Campos-Rodriguez F, Duran-Cantolla J, de la Pena M, Masdeu MJ, Gonzalez M, Del Campo F, Serra PC, Valero-Sanchez I, Ferrer MJ, Marin JM, Barbe F, Martinez M, Farre R, Montserrat JM; Spanish Sleep Network. Obstructive sleep apnea is associated with cancer mortality in younger patients. Sleep Med. 2014 Jul;15(7):742-8. doi: 10.1016/j.sleep.2014.01.020. Epub 2014 May 15.
PMID: 24907033BACKGROUNDBusetto L, Enzi G, Inelmen EM, Costa G, Negrin V, Sergi G, Vianello A. Obstructive sleep apnea syndrome in morbid obesity: effects of intragastric balloon. Chest. 2005 Aug;128(2):618-23. doi: 10.1378/chest.128.2.618.
PMID: 16100146BACKGROUNDWolkove N, Baltzan M, Kamel H, Dabrusin R, Palayew M. Long-term compliance with continuous positive airway pressure in patients with obstructive sleep apnea. Can Respir J. 2008 Oct;15(7):365-9. doi: 10.1155/2008/534372.
PMID: 18949106BACKGROUNDWang Y, Gao W, Sun M, Chen B. Adherence to CPAP in patients with obstructive sleep apnea in a Chinese population. Respir Care. 2012 Feb;57(2):238-43. doi: 10.4187/respcare.01136. Epub 2011 Jul 12.
PMID: 21762553BACKGROUNDWeaver TE, Kribbs NB, Pack AI, Kline LR, Chugh DK, Maislin G, Smith PL, Schwartz AR, Schubert NM, Gillen KA, Dinges DF. Night-to-night variability in CPAP use over the first three months of treatment. Sleep. 1997 Apr;20(4):278-83. doi: 10.1093/sleep/20.4.278.
PMID: 9231953BACKGROUNDWeaver TE, Sawyer AM. Adherence to continuous positive airway pressure treatment for obstructive sleep apnoea: implications for future interventions. Indian J Med Res. 2010 Feb;131:245-58.
PMID: 20308750BACKGROUNDRusso-Magno P, O'Brien A, Panciera T, Rounds S. Compliance with CPAP therapy in older men with obstructive sleep apnea. J Am Geriatr Soc. 2001 Sep;49(9):1205-11. doi: 10.1046/j.1532-5415.2001.49238.x.
PMID: 11559380BACKGROUNDSchwartz AR, Bennett ML, Smith PL, De Backer W, Hedner J, Boudewyns A, Van de Heyning P, Ejnell H, Hochban W, Knaack L, Podszus T, Penzel T, Peter JH, Goding GS, Erickson DJ, Testerman R, Ottenhoff F, Eisele DW. Therapeutic electrical stimulation of the hypoglossal nerve in obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 2001 Oct;127(10):1216-23. doi: 10.1001/archotol.127.10.1216.
PMID: 11587602BACKGROUNDPuhan MA, Suarez A, Lo Cascio C, Zahn A, Heitz M, Braendli O. Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial. BMJ. 2006 Feb 4;332(7536):266-70. doi: 10.1136/bmj.38705.470590.55. Epub 2005 Dec 23.
PMID: 16377643BACKGROUNDGuimaraes KC, Drager LF, Genta PR, Marcondes BF, Lorenzi-Filho G. Effects of oropharyngeal exercises on patients with moderate obstructive sleep apnea syndrome. Am J Respir Crit Care Med. 2009 May 15;179(10):962-6. doi: 10.1164/rccm.200806-981OC. Epub 2009 Feb 20.
PMID: 19234106BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Matthew Ebben, Ph. D.
Weill Medical College of Cornell University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2016
First Posted
May 24, 2016
Study Start
January 1, 2017
Primary Completion
December 1, 2021
Study Completion
December 1, 2021
Last Updated
February 8, 2022
Record last verified: 2022-01
Data Sharing
- IPD Sharing
- Will not share
There is no plan to make IPD available.