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Consecutive transcranial magnetic stimulation twitches reduce flow limitation during sleep in apnoeic patients

•  What is the central question of this study? A transcranial magnetic stimulation (TMS)‐induced twitch applied on isolated single breaths over the motor cortex somatotopic representation of the tongue briefly recruits submental muscles and improves airflow dynamics of flow‐limited respiratory cycles without arousing sleep apnoea patients. However, the mechanical impact of the TMS‐induced twitch applied during consecutive breathing cycles on airflow dynamics remains unknown. •  What is the main finding and what is its importance? Our results show that application of TMS with the stimulator output set at the sleep submental motor threshold intensity on consecutive respiratory cycles increases inspiratory flow and reduces the turbulent airflow component. These results indicate an improvement of airflow pattern after two single consecutive TMS‐induced twitches without arousing sleep apnoea patients.