Gamified workouts before bed may ease sleep apnea

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * 18-65 years of age * Individuals diagnosed with mild, moderate, or severe OSAS (AHI 5-30 events/hour) based on laboratory diagnostic polysomnography assessments * Individuals diagnosed by a pulmonologist within the last year and who have started CPAP therapy for at most 12 months and who are regular users * Those with habitual snoring * All participants in the exercise group must have or have access to a phone, tablet, or computer compatible with SMART technologies using the exercise system app * Participants must have sufficient physical function to follow the exercise instructions * Familiarity with mobile health applications, as assessed by the VAS, and a willingness to participate in these exercises of \>7 * Not having participated in physiotherapy-based interventions targeting OSAS in the last 3 months * A score of 68 or higher on the System Usability Scale (SUS) Exclusion Criteria: * • BMI \> 40 kg/m2 * Serious drug or alcohol abuse * Regular use of sedatives, muscle relaxants, or opioids that may affect sleep patterns or exercise performance * Pregnancy or postpartum (\<6 months) due to hormonal effects on sleep and respiratory function * Any medical contraindication to physical activity (unstable coronary disease, decompensated heart failure) according to the American College of Sports Medicine (ACSM) exercise guidelines (American College of Sports Medicine, 2021) * History of stroke * Presence of any significant respiratory, neuromuscular, or other disorder causing hypercapnia * Systemic disease associated with an inflammatory entity (e.g., arthritis, sarcoidosis, vasculitis, lupus) * Craniofacial deformity * Presence of secondary respiratory diseases such as severe upper airway obstruction or COPD * Presence of dysphagia * Presence of a frenulum restricting tongue movement