Evidence map›Paper›PMID 40952626›Full record

Trial reportSleep & breathing = Schlaf & Atmung2025

Effects of steam-assisted respiratory muscle training on sleep apnoea symptoms and pulmonary function in men and women: a pilot study.

U Al-Rammahi, T Soukka, J Malinen, R P Happonen, A Sovijärvi, U Anttalainen

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05320952 (Effect of Upper Respiratory Muscle Strength Exercise on Sleep Apnea Using WellO2 Respiratory Exercise Device), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05320952 nacompletednot on this map

Effect of Upper Respiratory Muscle Strength Exercise on Sleep Apnea Using WellO2 Respiratory Exercise Device

TypeinterventionalSponsorTurku University HospitalRan2022 to 2024Enrolled60ConditionsSleep ApneaArmsWellO2
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Steam-assisted respiratory muscle training may improve sleep quality in mild-to-moderate obstructive sleep apnea: a pilot polysomnography study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

U Al-RammahiDivision of Surgery and Cancer Diseases, Department of Oral and Maxillofacial Surgery, Turku University Hospital, Turku, Finland. usame.al-rammahi@tyks.fi.ORCID 0009-0003-6688-4136
T SoukkaDivision of Surgery and Cancer Diseases, Department of Oral and Maxillofacial Surgery, Turku University Hospital, Turku, Finland.
J MalinenDepartment of Mathematics and System Analysis, Aalto University, Espoo, Finland.
R P HapponenDivision of Surgery and Cancer Diseases, Department of Oral and Maxillofacial Surgery, Turku University Hospital, Turku, Finland.
A SovijärviDepartment of Clinical Physiology, University of Helsinki, Helsinki, Finland.
U AnttalainenSleep Research Center, Department of Pulmonary Diseases and Clinical Allergology, University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObstructive sleep apnoea (OSA) negatively impacts quality of life and increases cardiovascular and metabolic risks. Although continuous positive airway pressure is the gold-standard treatment, limited adherence reduces its clinical effectiveness. This study investigates whether steam-assisted respiratory muscle training (RMT) can alleviate symptoms, improve pulmonary function, and explore potential differences in response between men and women with OSA.

methodsThis open-label, 12-week prospective pilot study included 60 participants with mild to moderate OSA, who performed individualized inspiratory and expiratory counter-pressure breathing exercises with steam inhalation. Pulmonary function tests, sleep-related questionnaires, and general health assessments were conducted at baseline and post-intervention. Participants showing notable improvements from baseline were classified as high responders, enabling subgroup analyses.

resultsFinal results of 33 of the 60 participants showed significant mean improvements, with the Insomnia Severity Index (ISI) decreasing by 1.8 points, the Pittsburgh Sleep Quality Index (PSQI) by 2 points, and the 12-item General Health Questionnaire (GHQ-12) by 7.9 points (all p < 0.01). Forced expiratory volume in one second (FEV₁) increased from from 3.6 L to 3.8 L (p = 0.04). Subgroup analysis revealed an enhancement in sleep-related symptoms and pulmonary function.

conclusionsRMT may serve as a patient-centered alternative for managing the symptomatic burden of mild to moderate OSA. While larger trials are needed to confirm these preliminary findings, these pilot results do not yet demonstrate sustained benefit and should be interpreted with caution. Trial registration ClinicalTrials.gov, register no. NCT05320952.

Indexed as

Breathing ExercisesRespiratory MusclesSleep Apnea, ObstructiveSteamAdultAgedFemaleHumansMaleMiddle AgedPilot ProjectsProspective StudiesQuality of LifeRespiratory Function TestsSex FactorsSteamGender differencesPulmonary functionRespiratory exercisesSleep quality

Identifiers

PMID40952626
PMCPMC12436549

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.