This single-group interventional study investigates the safety and physiologic effects of functional electrical stimulation (FES) applied to the tongue and submental muscles in adults at high risk for sleep apnea. Participants will receive five stimulation frequencies (15, 25, 35, 45, and 75 Hz) in randomized order during a single visit. Ultrasound and tongue pressure (IOPI) measurements, as well as subjective assessments of discomfort and perceived effects, will be conducted before, during, and after stimulation. The primary objective is to evaluate changes in muscle thickness, length, and tongue strength across different stimulation frequencies. Secondary objectives include assessing participant discomfort, safety, and subjective treatment effects.
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Change in genioglossus muscle thickness measured by ultrasonography
Timeframe: Before and immediately after stimulation at each frequency during a single study visit (~1 hour)
Change in genioglossus muscle length measured by ultrasonography
Timeframe: Before and immediately after stimulation at each frequency during a single study visit (~1 hour)
Change in tongue strength measured by the Iowa Oral Performance Instrument (IOPI)
Timeframe: Before stimulation and immediately after completion of all frequency conditions during a single study visit (~1 hour)