The sleep position trainer: a new treatment for positional obstructive sleep apnoea

Background Positional obstructive sleep apnoea (POSA), defined as a supine apnoea–hypopnoea index (AHI) twice or more as compared to the AHI in the other positions, occurs in 56 % of obstructive sleep apnoea patients. Positional therapy (PT) is one of several available treatment options for these pa...

Full description

Saved in:

Bibliographic Details
Published in:	Sleep & breathing Vol. 17; no. 2; pp. 771 - 779
Main Authors:	van Maanen, J. Peter, Meester, Kristel A. W., Dun, Lideke N., Koutsourelakis, Ioannis, Witte, Birgit I., Laman, D. Martin, Hilgevoord, Antonius A. J., de Vries, Nico
Format:	Journal Article
Language:	English
Published:	Berlin/Heidelberg Springer-Verlag 01-05-2013 Springer Springer Nature B.V
Subjects:	Adult Biological and medical sciences Dentistry Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Equipment Design Female Fundamental and applied biological sciences. Psychology Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Internal Medicine Male Medical sciences Medicine Medicine & Public Health Middle Aged Nervous system (semeiology, syndromes) Neurology Original Article Otorhinolaryngology Patient Compliance - psychology Pediatrics Pneumology/Respiratory System Polysomnography Posture Signal Processing, Computer-Assisted Sleep apnea Sleep Apnea, Obstructive - etiology Sleep Apnea, Obstructive - psychology Sleep Apnea, Obstructive - therapy Sleep. Vigilance Supine Position Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Surveys and Questionnaires Therapy Treatment Outcome Vertebrates: nervous system and sense organs Vibration - therapeutic use Obstructive sleep apnoea OSA Positional Positional therapy Nervous system diseases Sleep apnea syndrome Sleep Treatment Respiratory disease Sleep disorder Sleep wake cycle Neurological disorder
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Background Positional obstructive sleep apnoea (POSA), defined as a supine apnoea–hypopnoea index (AHI) twice or more as compared to the AHI in the other positions, occurs in 56 % of obstructive sleep apnoea patients. Positional therapy (PT) is one of several available treatment options for these patients. So far, PT has been hampered by compliance problems, mainly because of the usage of bulky masses placed in the back. In this article, we present a novel device for treating POSA patients. Methods Patients older than 18 years with mild to moderate POSA slept with the Sleep Position Trainer (SPT), strapped to the chest, for a period of 29 ± 2 nights. SPT measures the body position and vibrates when the patient lies in supine position. Results Thirty-six patients were included; 31 patients (mean age, 48.1 ± 11.0 years; mean body mass index, 27.0 ± 3.7 kg/m 2 ) completed the study protocol. The median percentage of supine sleeping time decreased from 49.9 % [20.4–77.3 %] to 0.0 % [range, 0.0–48.7 %] ( p < 0.001). The median AHI decreased from 16.4 [6.6–29.9] to 5.2 [0.5–46.5] ( p < 0.001). Fifteen patients developed an overall AHI below five. Sleep efficiency did not change significantly. Epworth Sleepiness Scale decreased significantly. Functional Outcomes of Sleep Questionnaire increased significantly. Compliance was found to be 92.7 % [62.0–100.0 %]. Conclusions The Sleep Position Trainer applied for 1 month is a highly successful and well-tolerated treatment for POSA patients, which diminishes subjective sleepiness and improves sleep-related quality of life without negatively affecting sleep efficiency. Further research, especially on long-term effectiveness, is ongoing.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1520-9512 1522-1709
DOI:	10.1007/s11325-012-0764-5