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CTRI Number  CTRI/2025/10/095692 [Registered on: 08/10/2025] Trial Registered Prospectively
Last Modified On: 07/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Effect of strengthening genioglossal and palatoglossal muscles in case of obstructive sleep apnea 
Scientific Title of Study   Effect of strengthening genioglossal and palatoglossal muscles using a spring based device on obstructive sleep apnea 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Srishty goyal 
Designation  MPT (Cardiopulmonary) 
Affiliation  Sharda university 
Address  Physiotherapy department, Sharda university

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  7007061734  
Fax    
Email  srigoyal1089@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Mayank Shukla (PT) 
Designation  Professor 
Affiliation  Sharda university 
Address  Department of Physiotherapy, Sharda University

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9711113097  
Fax    
Email  mayank.shukla1@sharda.ac.in  
 
Details of Contact Person
Public Query
 
Name  Srishty goyal 
Designation  MPT (Cardiopulmonary) 
Affiliation  Sharda university 
Address  Department of physiotherapy, Sharda University

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  7007061734  
Fax    
Email  srigoyal1089@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Srishty Goyal 
Address  Sharda University, plot no. 32, 34, Knowledge park III, Greater Noida, Uttar Pradesh, 201310 
Type of Sponsor  Other [Independent] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Srishty goyal PT  Sharda University  Department of Physiotherapy, Sharda University, plot no. 32 34, Knowledge Park III, Greater Noida, Uttar Pradesh.
Gautam Buddha Nagar
UTTAR PRADESH 
7007061734

srigoyal1089@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee School of Medical Science and Research and Sharda Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J398||Other specified diseases of upperrespiratory tract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group A- Muscle strengthening (Oral spring-based device)   Group A- Deep breathing with pursed lip breathing, thoracic expansion with neck extension, jaw and tongue ROM and Muscle strengthening (Oral spring-based device) Duration of study is 1 year  
Comparator Agent  Group B- Placebo Therapy  Group B- Deep breathing with pursed lip breathing, thoracic expansion with neck extension, jaw and tongue ROM Duration of study is 1 year 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Witnessed apnea while sleeping- 14 and above event per hour according to AHI that is moderate to severe.
2. Snoring- Positive or Negative.
3. Fatigue- According to Fatigue Severity Scale if a person scores more than 36.
4. Unrefreshing sleep- A person score 9 and above according to ESS.
5. Overweight.
6. Well conscious and oriented. 
 
ExclusionCriteria 
Details  1.Pregnancy.
2.Ventilated patient.
3.Unconscious and non-oriented.
4.Oral Infection.
5.Use of CPAP.
6.Upper airway surgery.
7.Neuromuscular disorder.
8.Temporomandibular joint disorder or severe jaw pain.
9.Severe Dental issue.
10.Buccal mucosa carcinoma. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Apnea Hypopnea Index (AHI)
2.Epworth Sleepiness Scale (ESS) 
3 week and 6 week 
 
Secondary Outcome  
Outcome  TimePoints 
MMT of Tongue  3 week & 6 week 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   20/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/10/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

A randomized controlled trial would be conducted at department of physiotherapy, Sharda Hospital. Age group will be sorted between 30-60 years both male and female. OSA patients (N=) will be selected and randomized via chit method into two groups. Interventional Session will be held on 3 days per week for 6 weeks. The patients will be selected according to the inclusion and exclusion criteria.

The patients will be educated about the treatment and the procedure they are going to receive and its benefits. An ethical approval and informed consent will be taken.  

The two groups will be categorized in which Group A will receive tongue muscle strengthening exercise by using a spring-based device (IPR No-504718 has been granted for the device) in which the strengthening of Genioglossal and Palatoglossal muscles of tongue will be held in different directions (Laterally, Upward and Downward) which can lead to the improvement of sleep apnea severity and also improves overall sleep quality.

At first week the treatment will be started with a minimum resistance and it will increase gradually after a week.

Group B will receive placebo treatment in which they receive an inactive treatment.

The outcome measures will be recorded according to the Apnea hypopnea scale (AHS) and Epworth sleepiness scale (ESS) as pre and post intervention. 

 
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