Researchers are planning a larger, multi-hospital trial to compare shankh blowing with CPAP and to test its effects in more severe OSA cases. Blowing the conch shell, or shankh blowing, has been part of Indian culture for thousands of years. Those randomized to the intervention group (16 people) were encouraged to practice blowing shankh at home for a minimum of 15 minutes, five days per week. Intra-group analysis of proportional AHI changes revealed that, at six months, the intervention group experienced a significant reduction in overall AHI, whereas the control group showed a non-significant change. “This is an intriguing study that shows the ancient practice of shankh blowing could potentially offer an OSA treatment for selected patients by targeting muscles training.