Didgeridoo for Sleep Apnea: First Clinical Study

obstructive sleep apnea didgeridoo natural sleep apnea therapy
In obstructive sleep apnea air is obstructed where the base of tongue meets the soft palate during sleep. Image by Habib M’henni


“I’ve had breathing problems during sleep for at least a year and a half, maybe much longer: snoring, gasping for breath when I was sleeping. At best it was a loud snore. I have now been playing didgeridoo for sleep apnea for about two months and I’ve been practicing four or five times a week for about thirty minutes a day. This past weekend I was at my friend’s house and he said that throughout the night my breathing was just beautiful. He was so thrilled to hear such a difference, just quiet constant breathing. I’m very proud of that. Using the didgeridoo as a natural sleep apnea therapy has led to a big change in my life.”
– Paul Auerbach, educator

Is There Evidence That Playing Didgeridoo For Sleep Apnea Can Help People?

A participant playing didgeridoo in the sleep apnea study

In 2005 The British Medical Journal reported on a successful study conducted at the University of Zurich in which researchers hypothesized that regular didgeridoo playing could be an effective treatment for obstructive sleep apnea. The sleeping disorder is characterized by pauses in breathing during sleep, often leading to daytime restlessness. Participants, mostly men aged around 50 and experiencing high amounts of daytime sleepiness, were to learn to play the didgeridoo by taking periodic lessons and practicing at least 20 minutes per day, 5 days a week for four months. All participants used identical acrylic didgeridoos (as seen in the first photo). In this natural sleep apnea therapy, participants were given four lessons as follows (quoted directly from the study):

1. Participants learned the lip technique to produce and hold the keynote for 20-30 seconds

2. The instructor explained the concept and technique of circular breathing. Circular breathing is a technique that enables the wind instrumentalist to maintain a sound for long periods of time by inhaling through the nose while maintaining airflow through the instrument, using the cheeks as bellows

3. The didgeridoo instructor taught the participants his technique to further optimize the complex interaction between the lips, the vocal tract, and circular breathing so that the vibrations in the upper airway are more readily transmitted to the lower airways

4. The instructor and the participants repeated the basics of didgeridoo playing and made corrections when necessary

A Natural Sleep Apnea Therapy

What were the results of the didgeridoo for sleep apnea study?

Participants were tested at the beginning and end of the study for four different quality-of-sleep and daytime sleepiness indicators and were then compared to a control group that was not allowed to play the didgeridoo. For each indicator, the group that practiced the didgeridoo made significant improvements compared to the group that did not.

The most significant indicator used in the study is the Epworth scale, a measurement of daytime sleepiness (the higher one measures on the scale, the more daytime sleepiness the person experiences). The figure below shows that those who practiced the didgeridoo saw their level of daytime sleepiness decrease, while those in the control group saw various changes, including testing better, the same and far worse.

Results from participants in the didgeridoo sleep apnea study, plotted on the Epworth Scale (a self-reporting metric).

The didgeridoo for sleep apnea study was hailed as a success but only through continued research will we know the true effects of playing the didgeridoo to treat sleep apnea. It is unclear the level to which the participants mastered circular breathing, a technique which often challenges newer didge players. Enhanced results could potentially be found in longer experiment periods (greater than four months) and more in-depth and frequent didge lessons. For information on learning to play the didgeridoo, check out our current course offerings.

(Images taken from the British Medical Journal report)

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  1. 1) Any suggestions on where to find a decent lower cost didge to help with sleep apnea?
    2) What part of playing the didge is most important for sleep apnea? Is it the circular breathing? 3) Will playing the oboe or high tones on a trumpet or another more meoldic wind instrument elicit the same good results?

    • Hi David, Thanks so much for writing. To answer your questions: 1) a great low cost portable didge is our 4-piece travel didgeridoo. It’s great because it can fit in any backpack or suitcase and sounds great! 2) The most important part of didgeridoo playing for sleep apnea therapy is strengthening the throat and tongue muscles. Exercises that work the tongue and focus on getting a good quality sound are ideal for this. Check out this video on how to get a good sound for some of these practices: Getting A Better Drone Sound. 3) I can’t speak for other wind instruments, but I will say that the didgeridoo works because you need to have a very relaxed throat and lips to play. Trumpet requires much tighter lips and higher levels of face tension; I know this from my experience playing it. I don’t know much about oboe playing so can’t comment on it with respect to sleep apnea. I hope this reply has been helpful to you and our readers. Please let us know if you have more questions!

  2. Hi David,
    1) Two low-cost options:
    a) My first didgeridoo was made of PVC tubing wrapped in nice material fitted with a mouthpiece of beeswax. You may try this version if craft-making is your thing. Note: keep this out of high heat in the car as the beeswax will melt down the material… Actually best to keep all didgeridoos out of the heat as the bamboo ones will crack.
    b) Fiberglass didgeridoos are my current favorite because these are durable, easy to play, lightweight, affordable, and consistently sound amazing.

    2) regarding sleep apnea, I find these aspects with my yoga therapy and didgeridoo clients: the sound is fun and silly to make – especially when we start the exploration & for sure! Laughter is great medicine for many an ailment – including sleep apnea! The oxygen-rich breath and the vibrational tingle around the mouth, nose, and head are new in the beginning. Once a regular tone is found, a relaxed ease is established that significantly decreases tension. Once a rhythm is established, circular breathing becomes a possibility. As circular breathing is found, the brain remaps the muscle actions in the back of the throat to simultaneously engage and relax. As a result, sleep apnea decreases.

    3) re: oboe or high tones on a trumpet or another more melodic wind instrument:
    While any instrument can be a meditation and may yield positive results; the didgeridoo provides something particularly special in both tonal resonance and breath activation for me with my daily rhythms. See what works for you and write back!

    Hope that helps! & AJ thanks for this site!
    Stacie in Atlanta

    David April 12, 2017 at 11:36 am
    1) Any suggestions on where to find a decent lower cost didge to help with sleep apnea?
    2) What part of playing the didge is most important for sleep apnea? Is it the circular breathing?
    3) Will playing the oboe or high tones on a trumpet or another more melodic wind instrument elicit the same good results?