Obstructive Sleep Apnea and a Comprehensive Remotely Supervised Rehabilitation Program: Protocol for a Randomized Controlled Trial
JMIR Research Protocols · 7 authors, 5 centres
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This is a protocol for a randomized controlled trial that will compare a 12-week home-based, remotely supervised rehabilitation program combined with CPAP therapy against CPAP therapy alone in 50 male participants with moderate to severe obstructive sleep apnea. No results have been reported yet; the study aims to evaluate effects on apnea-hypopnea index, quality of life, body composition, exercise tolerance, lipid profile, and respiratory muscle function.
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This paper describes the protocol for a randomized controlled trial evaluating whether a comprehensive remotely supervised rehabilitation program (tele-RHB), combined with CPAP therapy, is superior to CPAP therapy alone for improving outcomes in men with moderate to severe OSA. Fifty male participants aged 30 to 60 years will be randomized 1:1 to receive either the 12-week tele-RHB program alongside CPAP or CPAP alone, with a planned 1-year follow-up. The tele-RHB program incorporates aerobic exercise training, oropharyngeal training, respiratory muscle training, and nutritional, lifestyle, and behavior change recommendations delivered via teleconsultations. Secondary outcomes encompass oxygen desaturation index, anthropometric measures, spirometry, WHOQOL-BREF, and lipid profile. Recruitment began October 25, 2021, with estimated completion December 2024. As a protocol paper, no outcome data are reported; a recognized limitation is the absence of direct physiotherapist supervision during the home-based intervention.
