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The clinical results of ZBox Therapy are impressive, but if you currently use a CPAP machine or similar appliance you should not decrease or discontinue your regimen without consulting your physician.

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• Catriona M. Steele, Ph.D., On the Plausibility of Upper Airway Remodeling as an Outcome of Orofacial Exercise American Journal of Respiratory and Critical Care Medicine Vol. 179, 2009 Issue 10, pp. 858-859

• Milo A. Puhan, Alex Suarez, Christian Lo Cascio, Alfred Zahn, Markus Heitz, Otto Braendli, Didgeridoo playing as alternative treatment for obstructive sleep apnoea syndrome: randomised controlled trial BMJ 2006;332:266

• Kátia C. Guimarães, Luciano F. Drager, Pedro R. Genta, Bianca F. Marcondes, and Geraldo Lorenzi- Filho "Effects of Oropharyngeal Exercises on Patients with Moderate Obstructive Sleep Apnea Syndrome", American Journal of Respiratory and Critical Care Medicine, Vol. 179, No. 10 (2009), pp. 962-966.

• Brown DL, Zahuranec DB, Majersik JJ, Wren PA, Gruis KL, Zupancic M, Lisabeth LD. Risk of sleep apnea in orchestra members. Sleep Med. 2009 Jun;10(6):657-60.

• Christopher P. Ward, Ph.D., Kaki M. York, Ph.D., and John G. McCoy, Ph.D. Risk of Obstructive Sleep Apnea Lower in Double Reed Wind Musicians J Clin Sleep Med. 2012 June 15; 8(3): 251–255.

• Palmer, P.M., Jaffe, D.M., McCulloch, T.M., Finnegan, E.M., Van Daele, D.J. & Luschei, E.S. (2008). Quantitative contributions of the muscles of the tongue, floor of mouth, jaw and velum to intraoral pressure generation. Journal of Speech Language and Hearing Research, 51(4), 828-35.

• Neel, A.T., Palmer, P.M., & Gass, C.A. (2008). Can IOPI be used to measure tongue pressure for speech sounds? Journal of Medical Speech-Language Pathology, 16(4), 235-241.

• Burkhead LM, Sapienza CM, Rosenbek JC. Strength-training exercise in dysphagia rehabilitation: principles, procedures, and directions for future research. Dysphagia. 2007 Jul;22 (3):251-65. Epub 2007 Apr 25.

• Robbins J, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR, Taylor AJ. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007 Feb;88(2):150-8.

• Erin M Yeates, Sonja M Molfenter, and Catriona M Steele Improvements in tongue strength and pressure-generation precision following a tongue-pressure training protocol in older individuals with dysphagia: Three case reports Clin Interv Aging. 2008 December; 3(4): 735–747. PMCID: PMC2682406

• Robbins J, Gangnon RE, Theis SM, Kays SA, Hewitt AL, Hind JA. The effects of lingual exercise on swallowing in older adults J Am Geriatr Soc. 2005 Sep;53(9):1483-9.

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