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Updated: Jan 11, 2026

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Wind Instrument Training and Sound-Based Interventions for Sleep Quality and Obstructive Sleep Apnoea: A Narrative

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  • 1School of Music, Shanghai Normal University, Shanghai, China.

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This summary is machine-generated.

Sound-based interventions show promise for improving obstructive sleep apnoea (OSA) and sleep quality. These nonpharmacological methods may offer alternatives for patients unable to tolerate continuous positive airway pressure (CPAP) therapy.

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Area of Science:

  • Sleep Medicine
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Continuous positive airway pressure (CPAP) therapy for obstructive sleep apnoea (OSA) presents tolerability challenges.
  • Interest is growing in nonpharmacological alternatives to improve upper airway function and sleep quality.

Purpose of the Study:

  • To systematically review the effectiveness of sound-based interventions for obstructive sleep apnoea (OSA).
  • To explore alternatives or adjuncts to CPAP therapy for OSA patients.

Main Methods:

  • Systematic literature search of major databases (PubMed, Embase, Scopus, Web of Science, Cochrane) up to March 2024.
  • Inclusion of eight studies: four RCTs, one quasi-experimental, and three observational studies.
  • Evaluation of wind instrument training, vocal interventions, and music therapy for OSA and sleep outcomes.

Main Results:

  • Wind instrument training, especially with high-resistance instruments, moderately reduced OSA severity and improved sleep.
  • Music-based interventions had variable effects on sleep quality.
  • Vocal exercises showed potential for reducing snoring and improving outcomes, particularly when combined with CPAP, though results were inconsistent.

Conclusions:

  • Sound-based interventions represent a unique, promising nonpharmacological treatment for OSA.
  • These methods aim to enhance airway patency through upper airway muscle training.
  • Further large-scale trials are needed to confirm efficacy and elucidate mechanisms, especially in comparison to CPAP.