Effects of Frequency Adjustment in Functional Electrical Stimulation on Genioglossus Muscle Activity
Condition(s) studied
Investigational drug(s) / intervention(s)
Functional Electrical Stimulation Device: A functional electrical stimulation device is applied to the submental region using surface adhesive electrodes. Stimulation is delivered at five different frequencies (15, 25, 35, 45, and 75 Hz) in randomized sequence during a single study visit. Each frequency is administered within the same session to evaluate immediate physiologic responses of the tongue muscles. Participants are blinded to the stimulation frequency applied during each condition.
Study summary
This single-group interventional study investigates the safety and physiologic effects of functional electrical stimulation (FES) applied to the tongue and submental muscles in adults at high risk for sleep apnea. Participants will receive five stimulation frequencies (15, 25, 35, 45, and 75 Hz) in randomized order during a single visit. Ultrasound and tongue pressure (IOPI) measurements, as well as subjective assessments of discomfort and perceived effects, will be conducted before, during, and after stimulation. The primary objective is to evaluate changes in muscle thickness, length, and tongue strength across different stimulation frequencies. Secondary objectives include assessing participant discomfort, safety, and subjective treatment effects.
Eligibility
Primary outcome measure(s)
- Change in genioglossus muscle thickness measured by ultrasonography — Before and immediately after stimulation at each frequency during a single study visit (~1 hour)
The thickness of the genioglossus muscle is measured using ultrasonography before and immediately after electrical stimulation at each frequency (15, 25, 35, 45, and 75 Hz) during a single study visit. - Change in genioglossus muscle length measured by ultrasonography — Before and immediately after stimulation at each frequency during a single study visit (~1 hour)
The length of the genioglossus muscle is measured using ultrasonography before and immediately after electrical stimulation at each frequency (15, 25, 35, 45, and 75 Hz) during a single study visit. - Change in tongue strength measured by the Iowa Oral Performance Instrument (IOPI) — Before stimulation and immediately after completion of all frequency conditions during a single study visit (~1 hour)
Tongue strength is measured using the Iowa Oral Performance Instrument (IOPI) in kilopascals (kPa) before electrical stimulation and immediately after completion of all frequency conditions during a single study visit (\~1 hour). IOPI scores range from 0 kPa (no measurable pressure) to approximately 70 kPa (maximum tongue strength), with higher scores indicating greater tongue strength.
Trial sites (1)
| Facility | City | Region | Status |
|---|---|---|---|
| Seoul National University Bundang Hospital | Gyeonggi-do | Seongnam-si | Recruiting |
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