Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT05678088

Oropharyngeal Exercises to Treat Obstructive Sleep Apnea

Led by Sunnybrook Health Sciences Centre · Updated on 2026-04-24

45

Participants Needed

1

Research Sites

204 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this study is to determine whether a randomized controlled trial using oropharyngeal exercises to treat sleep apnea is feasible. Continuous positive airway pressure (CPAP) is the standard therapy for Obstructive sleep apnea (OSA), but it is poorly tolerated by many patients. Oropharyngeal exercises (OPEs) which are commonly used by speech-language pathologists to improve oro-motor strength, may serve as a promising alternative approach. The main questions this study aims to answer are: * Is it feasible to use an oropharyngeal exercise protocol in patients with sleep apnea? * Will oropharyngeal exercises improve sleep apnea severity, daytime sleepiness, sleep quality, mood, workplace performance, and quality of life Participants will be randomized into a supervised OPE intervention arm vs. unsupervised OPE intervention arm vs. sham treatment for a 10-week/5-day per week/two 20-minute session exercise protocol. The exercises will be administered via an app and the investigators will assess feasibility, as well as several sleep-related and oro-motor physiological outcomes before treatment, immediately post-treatment, and 4 weeks post-treatment. The investigators will use the results of this feasibility trial to inform the sample size needed for a larger clinical trial that will determine the efficacy of using oropharyngeal exercises to treat OSA.

CONDITIONS

Official Title

Oropharyngeal Exercises to Treat Obstructive Sleep Apnea

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with obstructive sleep apnea (apnea-hypopnea index 10/hr) with more than 50% obstructive respiratory events
  • Patients unwilling to use CPAP or unable to tolerate CPAP after a 2-week trial
  • Patients not currently using equipment-based treatments or surgery for OSA
Not Eligible

You will not qualify if you...

  • Planned airway surgery or use of equipment-based OSA treatments during the study
  • Central respiratory events make up 50% or more of apnea-hypopnea index
  • Reduced cognition (MoCA score less than 18)
  • Significant neurological conditions affecting oropharyngeal activity
  • Use of medications affecting upper airway tone (e.g., hypnotics, opiates) at least 3 nights per week in the 4 weeks before randomization
  • Use of medical devices interfering with home sleep apnea test
  • Plans to move to another city during the study affecting compliance

AI-Screening

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Trial Site Locations

Total: 1 location

1

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada, M4N3M5

Actively Recruiting

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Research Team

M

Mark Boulos, MD, MSc

CONTACT

S

Sarah Berger, MSc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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