A novel intraoral neuromuscular stimulation device for treating sleep-disordered breathing
Purpose To ascertain the usefulness of a novel intraoral neuromuscular stimulation device in treating patients with primary snoring and mild obstructive sleep apnoea (OSA). This device uses daytime awake neuromuscular electrical stimulation (NMES) as an application to induce toning of the tongue mus...
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| Veröffentlicht in: | Sleep & breathing 2021-12, Vol.25 (4), p.2083-2090 |
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| creator | Kotecha, Bhik Wong, Phui Yee Zhang, Henry Hassaan, Amro |
| description | Purpose
To ascertain the usefulness of a novel intraoral neuromuscular stimulation device in treating patients with primary snoring and mild obstructive sleep apnoea (OSA). This device uses daytime awake neuromuscular electrical stimulation (NMES) as an application to induce toning of the tongue muscles.
Methods
A prospective cohort study of 70 patients with sleep-disordered breathing was conducted. Objective snoring and respiratory parameters were recorded with 2 consecutive night WatchPat sleep studies before and after treatment. The device was used for 20 min once daily for a 6-week period. Secondary outcome measures using visual analogue scale reporting of snoring by patient and Epworth Sleepiness Score (ESS) were recorded. Quality of life parameters were also noted.
Results
Objective reduction of snoring was noted on the sleep studies in 95% of participants, with an average snoring time reduction of 48%. Subjectively, the visual analogue scale reported by partners’ similarly demonstrated reduction in 95% of the patients with an average reduction of 40%. In a subset of 38 patients with mild OSA, AHI reduced from 9.8 to 4.7/h (52% reduction), ODI 7.8 to 4.3/h (45% reduction), and ESS from 9.0 to 5.1. Adverse effects encountered were minimal.
Conclusion
This prospective cohort study demonstrates a notable improvement in both objective and subjective parameters of snoring and mild OSA in both simple snorers and patients with mild OSA. This device offers a safe and novel approach to reduce snoring and mild OSA by utilising intraoral neuromuscular electrical stimulation. This could be a preferred option for patients as it alleviates the need of using an oral device during sleep.
Trial registration
clinicaltrials.gov
identifier
NCT03829956 |
| doi_str_mv | 10.1007/s11325-021-02355-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_webof</sourceid><recordid>TN_cdi_proquest_miscellaneous_2506278919</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2597013279</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-bd037227ea02ba8d0ff4f1fa6fa4d272fe787defd64a28b3859c8b2dbe72435b3</originalsourceid><addsrcrecordid>eNqNkU-L1TAUxYMozjj6BVxIwI0gnblJ2qbdCMPDfzDgZty4CWlz8yZDmzyT9g1-e9PX8amzEAMhl9zfOeTmEPKSwTkDkBeJMcGrAjjLW1RVIR-RU1ZxXjAJ7eNDDUVbMX5CnqV0C8DKpmVPyYkQUnLRylPy7ZL6sMeBOj9FHaIeqMc5hnFO_TzoSNPkxlxMLnhqcO96pDZEOkXMd35L04C4K4xLIRqMaGi3dG5y6zl5YvWQ8MX9eUa-fnh_vflUXH35-HlzeVX0pSynojMgJOcSNfBONwasLS2zura6NFxyi7KRBq2pS82bTjRV2zcdNx1KXoqqE2fk3eq7m7sRTY_LJIPaRTfq-EMF7dTfHe9u1DbsVXaCuqyzwZt7gxi-z5gmNbrU4zBoj2FOildQc5l_rs3o6wfobZijz-NlqpWQA5ELxVeqjyGliPb4GAZqiU6t0akcnTpEp2QWvfpzjKPkV1YZaFbgDrtgU-_Q93jEAKAW2bOGZbGNmw6ZbcLspyx9-__STIuVTpnwW4y_h_zH-38Cw-zH0g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2597013279</pqid></control><display><type>article</type><title>A novel intraoral neuromuscular stimulation device for treating sleep-disordered breathing</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Kotecha, Bhik ; Wong, Phui Yee ; Zhang, Henry ; Hassaan, Amro</creator><creatorcontrib>Kotecha, Bhik ; Wong, Phui Yee ; Zhang, Henry ; Hassaan, Amro</creatorcontrib><description>Purpose
To ascertain the usefulness of a novel intraoral neuromuscular stimulation device in treating patients with primary snoring and mild obstructive sleep apnoea (OSA). This device uses daytime awake neuromuscular electrical stimulation (NMES) as an application to induce toning of the tongue muscles.
Methods
A prospective cohort study of 70 patients with sleep-disordered breathing was conducted. Objective snoring and respiratory parameters were recorded with 2 consecutive night WatchPat sleep studies before and after treatment. The device was used for 20 min once daily for a 6-week period. Secondary outcome measures using visual analogue scale reporting of snoring by patient and Epworth Sleepiness Score (ESS) were recorded. Quality of life parameters were also noted.
Results
Objective reduction of snoring was noted on the sleep studies in 95% of participants, with an average snoring time reduction of 48%. Subjectively, the visual analogue scale reported by partners’ similarly demonstrated reduction in 95% of the patients with an average reduction of 40%. In a subset of 38 patients with mild OSA, AHI reduced from 9.8 to 4.7/h (52% reduction), ODI 7.8 to 4.3/h (45% reduction), and ESS from 9.0 to 5.1. Adverse effects encountered were minimal.
Conclusion
This prospective cohort study demonstrates a notable improvement in both objective and subjective parameters of snoring and mild OSA in both simple snorers and patients with mild OSA. This device offers a safe and novel approach to reduce snoring and mild OSA by utilising intraoral neuromuscular electrical stimulation. This could be a preferred option for patients as it alleviates the need of using an oral device during sleep.
Trial registration
clinicaltrials.gov
identifier
NCT03829956</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-021-02355-7</identifier><identifier>PMID: 33772397</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Aged ; Apnea ; Clinical Neurology ; Dentistry ; Electric Stimulation Therapy - instrumentation ; Electrical stimuli ; Equipment and Supplies ; Female ; Humans ; Internal Medicine ; Life Sciences & Biomedicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Muscle, Skeletal - physiology ; Muscles ; Neurology ; Neuromuscular electrical stimulation ; Neurosciences & Neurology ; Otorhinolaryngology ; Outcome Assessment, Health Care ; Patients ; Pediatrics ; Pneumology/Respiratory System ; Prospective Studies ; Quality of life ; Respiration ; Respiratory System ; Science & Technology ; Sleep ; Sleep and wakefulness ; Sleep apnea ; Sleep Apnea, Obstructive - therapy ; Sleep Breathing Physiology and Disorders • Original ; Sleep Breathing Physiology and Disorders • Original Article ; Sleep deprivation ; Sleep disorders ; Snoring - therapy ; Tongue - physiology ; Young Adult</subject><ispartof>Sleep & breathing, 2021-12, Vol.25 (4), p.2083-2090</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>12</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000633256000001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c474t-bd037227ea02ba8d0ff4f1fa6fa4d272fe787defd64a28b3859c8b2dbe72435b3</citedby><cites>FETCH-LOGICAL-c474t-bd037227ea02ba8d0ff4f1fa6fa4d272fe787defd64a28b3859c8b2dbe72435b3</cites><orcidid>0000-0001-7899-6707</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-021-02355-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-021-02355-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,27928,27929,41492,42561,51323</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33772397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kotecha, Bhik</creatorcontrib><creatorcontrib>Wong, Phui Yee</creatorcontrib><creatorcontrib>Zhang, Henry</creatorcontrib><creatorcontrib>Hassaan, Amro</creatorcontrib><title>A novel intraoral neuromuscular stimulation device for treating sleep-disordered breathing</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>SLEEP BREATH</addtitle><addtitle>Sleep Breath</addtitle><description>Purpose
To ascertain the usefulness of a novel intraoral neuromuscular stimulation device in treating patients with primary snoring and mild obstructive sleep apnoea (OSA). This device uses daytime awake neuromuscular electrical stimulation (NMES) as an application to induce toning of the tongue muscles.
Methods
A prospective cohort study of 70 patients with sleep-disordered breathing was conducted. Objective snoring and respiratory parameters were recorded with 2 consecutive night WatchPat sleep studies before and after treatment. The device was used for 20 min once daily for a 6-week period. Secondary outcome measures using visual analogue scale reporting of snoring by patient and Epworth Sleepiness Score (ESS) were recorded. Quality of life parameters were also noted.
Results
Objective reduction of snoring was noted on the sleep studies in 95% of participants, with an average snoring time reduction of 48%. Subjectively, the visual analogue scale reported by partners’ similarly demonstrated reduction in 95% of the patients with an average reduction of 40%. In a subset of 38 patients with mild OSA, AHI reduced from 9.8 to 4.7/h (52% reduction), ODI 7.8 to 4.3/h (45% reduction), and ESS from 9.0 to 5.1. Adverse effects encountered were minimal.
Conclusion
This prospective cohort study demonstrates a notable improvement in both objective and subjective parameters of snoring and mild OSA in both simple snorers and patients with mild OSA. This device offers a safe and novel approach to reduce snoring and mild OSA by utilising intraoral neuromuscular electrical stimulation. This could be a preferred option for patients as it alleviates the need of using an oral device during sleep.
Trial registration
clinicaltrials.gov
identifier
NCT03829956</description><subject>Adult</subject><subject>Aged</subject><subject>Apnea</subject><subject>Clinical Neurology</subject><subject>Dentistry</subject><subject>Electric Stimulation Therapy - instrumentation</subject><subject>Electrical stimuli</subject><subject>Equipment and Supplies</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - physiology</subject><subject>Muscles</subject><subject>Neurology</subject><subject>Neuromuscular electrical stimulation</subject><subject>Neurosciences & Neurology</subject><subject>Otorhinolaryngology</subject><subject>Outcome Assessment, Health Care</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Respiration</subject><subject>Respiratory System</subject><subject>Science & Technology</subject><subject>Sleep</subject><subject>Sleep and wakefulness</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - therapy</subject><subject>Sleep Breathing Physiology and Disorders • Original</subject><subject>Sleep Breathing Physiology and Disorders • Original Article</subject><subject>Sleep deprivation</subject><subject>Sleep disorders</subject><subject>Snoring - therapy</subject><subject>Tongue - physiology</subject><subject>Young Adult</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU-L1TAUxYMozjj6BVxIwI0gnblJ2qbdCMPDfzDgZty4CWlz8yZDmzyT9g1-e9PX8amzEAMhl9zfOeTmEPKSwTkDkBeJMcGrAjjLW1RVIR-RU1ZxXjAJ7eNDDUVbMX5CnqV0C8DKpmVPyYkQUnLRylPy7ZL6sMeBOj9FHaIeqMc5hnFO_TzoSNPkxlxMLnhqcO96pDZEOkXMd35L04C4K4xLIRqMaGi3dG5y6zl5YvWQ8MX9eUa-fnh_vflUXH35-HlzeVX0pSynojMgJOcSNfBONwasLS2zura6NFxyi7KRBq2pS82bTjRV2zcdNx1KXoqqE2fk3eq7m7sRTY_LJIPaRTfq-EMF7dTfHe9u1DbsVXaCuqyzwZt7gxi-z5gmNbrU4zBoj2FOildQc5l_rs3o6wfobZijz-NlqpWQA5ELxVeqjyGliPb4GAZqiU6t0akcnTpEp2QWvfpzjKPkV1YZaFbgDrtgU-_Q93jEAKAW2bOGZbGNmw6ZbcLspyx9-__STIuVTpnwW4y_h_zH-38Cw-zH0g</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Kotecha, Bhik</creator><creator>Wong, Phui Yee</creator><creator>Zhang, Henry</creator><creator>Hassaan, Amro</creator><general>Springer International Publishing</general><general>Springer Nature</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7899-6707</orcidid></search><sort><creationdate>20211201</creationdate><title>A novel intraoral neuromuscular stimulation device for treating sleep-disordered breathing</title><author>Kotecha, Bhik ; Wong, Phui Yee ; Zhang, Henry ; Hassaan, Amro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-bd037227ea02ba8d0ff4f1fa6fa4d272fe787defd64a28b3859c8b2dbe72435b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Apnea</topic><topic>Clinical Neurology</topic><topic>Dentistry</topic><topic>Electric Stimulation Therapy - instrumentation</topic><topic>Electrical stimuli</topic><topic>Equipment and Supplies</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - physiology</topic><topic>Muscles</topic><topic>Neurology</topic><topic>Neuromuscular electrical stimulation</topic><topic>Neurosciences & Neurology</topic><topic>Otorhinolaryngology</topic><topic>Outcome Assessment, Health Care</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Respiration</topic><topic>Respiratory System</topic><topic>Science & Technology</topic><topic>Sleep</topic><topic>Sleep and wakefulness</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Sleep Breathing Physiology and Disorders • Original</topic><topic>Sleep Breathing Physiology and Disorders • Original Article</topic><topic>Sleep deprivation</topic><topic>Sleep disorders</topic><topic>Snoring - therapy</topic><topic>Tongue - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kotecha, Bhik</creatorcontrib><creatorcontrib>Wong, Phui Yee</creatorcontrib><creatorcontrib>Zhang, Henry</creatorcontrib><creatorcontrib>Hassaan, Amro</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kotecha, Bhik</au><au>Wong, Phui Yee</au><au>Zhang, Henry</au><au>Hassaan, Amro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A novel intraoral neuromuscular stimulation device for treating sleep-disordered breathing</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><stitle>SLEEP BREATH</stitle><addtitle>Sleep Breath</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>25</volume><issue>4</issue><spage>2083</spage><epage>2090</epage><pages>2083-2090</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Purpose
To ascertain the usefulness of a novel intraoral neuromuscular stimulation device in treating patients with primary snoring and mild obstructive sleep apnoea (OSA). This device uses daytime awake neuromuscular electrical stimulation (NMES) as an application to induce toning of the tongue muscles.
Methods
A prospective cohort study of 70 patients with sleep-disordered breathing was conducted. Objective snoring and respiratory parameters were recorded with 2 consecutive night WatchPat sleep studies before and after treatment. The device was used for 20 min once daily for a 6-week period. Secondary outcome measures using visual analogue scale reporting of snoring by patient and Epworth Sleepiness Score (ESS) were recorded. Quality of life parameters were also noted.
Results
Objective reduction of snoring was noted on the sleep studies in 95% of participants, with an average snoring time reduction of 48%. Subjectively, the visual analogue scale reported by partners’ similarly demonstrated reduction in 95% of the patients with an average reduction of 40%. In a subset of 38 patients with mild OSA, AHI reduced from 9.8 to 4.7/h (52% reduction), ODI 7.8 to 4.3/h (45% reduction), and ESS from 9.0 to 5.1. Adverse effects encountered were minimal.
Conclusion
This prospective cohort study demonstrates a notable improvement in both objective and subjective parameters of snoring and mild OSA in both simple snorers and patients with mild OSA. This device offers a safe and novel approach to reduce snoring and mild OSA by utilising intraoral neuromuscular electrical stimulation. This could be a preferred option for patients as it alleviates the need of using an oral device during sleep.
Trial registration
clinicaltrials.gov
identifier
NCT03829956</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33772397</pmid><doi>10.1007/s11325-021-02355-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7899-6707</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Aged Apnea Clinical Neurology Dentistry Electric Stimulation Therapy - instrumentation Electrical stimuli Equipment and Supplies Female Humans Internal Medicine Life Sciences & Biomedicine Male Medicine Medicine & Public Health Middle Aged Muscle, Skeletal - physiology Muscles Neurology Neuromuscular electrical stimulation Neurosciences & Neurology Otorhinolaryngology Outcome Assessment, Health Care Patients Pediatrics Pneumology/Respiratory System Prospective Studies Quality of life Respiration Respiratory System Science & Technology Sleep Sleep and wakefulness Sleep apnea Sleep Apnea, Obstructive - therapy Sleep Breathing Physiology and Disorders • Original Sleep Breathing Physiology and Disorders • Original Article Sleep deprivation Sleep disorders Snoring - therapy Tongue - physiology Young Adult |
| title | A novel intraoral neuromuscular stimulation device for treating sleep-disordered breathing |
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