The prospective before - after study to investigate efficacy of oropharyngeal- lingual exercises (OPL exes) on primary snoring (PS) severity. From 20-65 years old patients who are referred to university Amiralmomenin Hospital, Rasht, because of primary snoring after clinical examinations including vital sign, ENT physical examinations, weight, height, neck and abdomen circumference, and history taking about daytime sleepiness, neuromuscular, thyroid, and cardiopulmonary diseases, and about snoring and its severity (from his/her roommate) we will receive a written informed consent for participating in the study. After that, a standard questionnaire about PS and its severity including Visual Analogue Scale (VAS) will be fulfilled by the patient and his/her roommate. Those patients suffering from severe pulmonary diseases; craniofacial malformations; those with regular use of hypnotic medications & severe obstructive nasal disease will not included in the study. Also, those with probability of severe obstructive sleep apnea syndrome (i.e. more than 5 apnea episodes, daytime sleepiness, Body Mass Index more than 30) will not included in the study.
The eligible cases will be referred to voice therapy clinic and an expert voice therapist will train the cases OPL exercises in several sessions. These are a 3 set of exercises for soft palate (2 exercises), tongue (4 exercises), and buccal/facial muscles (5 exercises).
After assurance from doing the exercises correctly, we will deliver a Compact Disc containing files of the films of the exercises to the patients and frequently call with them for checking the status of performing the exercises and frequent visits at 3-4 weeks intervals until 3 months.
The exercises must be done at least 5 days in the week and 30 minutes daily.
In every visit, quality of doing the exercises and severity of the exercises will be registered.Those who would not have the compliance of doing the exercises during last 3 months (according to the patients’ and their roommates confess or according to the speech therapist diagnosis with the accuracy of 80% in doing the exercises) and also those who will not fulfill the follow-up visits will be excluded from the study. The severity of the PS will be measured before and one week after the intervention according to the VAS and standard questionnaire.