journal article Mar 31, 2017

A Sleep Position Trainer for positional sleep apnea: a randomized, controlled trial

Journal of Sleep Research Vol. 26 No. 5 pp. 641-650 · Wiley
View at Publisher Save 10.1111/jsr.12530
Abstract
SummaryWe tested the effect of the Sleep Position Trainer, a vibrational device, for positional sleep apnea in an open, randomized controlled trial with 101 patients, where 52 patients were allocated to Sleep Position Trainer and 49 patients to a non‐treatment control group for 2 months (Part 1). All patients were then followed as a cohort for a period of 6 months with use of the Sleep Position Trainer (Part 2). The participants were assessed with polygraphy at entry, and after 2 and 6 months. The mean apnea–hypopnea index supine was 35 per h (SD, 18) in the Sleep Position Trainer group and 38 per h (SD, 15) in the control group at entry. In a per protocol analysis, the mean total apnea–hypopnea index at entry and after 2 months in the Sleep Position Trainer group was 18 per h (SD, 10) and 10 per h (SD, 9; P < 0.001) versus 20 per h (SD, 9) and 18 per h (SD, 10; NS) in the control group. The mean supine sleep time decreased from 47% (SD, 22) to 17% (SD, 18; P < 0.001) in the Sleep Position Trainer group after 2 months. In the control group, the mean supine sleep time was 48% (SD, 20) at entry and 39% (SD, 21; NS) after 2 months. The positive effect of Sleep Position Trainer was maintained in all patients treated with Sleep Position Trainer after 6 months. Daytime sleepiness improved after 6 months. Compliance with the Sleep Position Trainer device during the first 2 months, defined as use of Sleep Position Trainer >4 h per night for all weekdays, was 75.5% (SD 21.2). The discontinuation rate was 28.8 and 49.4% after 2 and 6 months, respectively.
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References
23
[1]
Rules for Scoring Respiratory Events in Sleep: Update of the 2007 AASM Manual for the Scoring of Sleep and Associated Events

Richard B. Berry, Rohit Budhiraja, DANIEL J. GOTTLIEB et al.

Journal of Clinical Sleep Medicine 2012 10.5664/jcsm.2172
[4]
Effect of Sleep Position on Sleep Apnea Severity

Rosalind Dymond Cartwright

SLEEPJ 10.1093/sleep/7.2.110
[5]
Eijsvogel M. M. "Sleep position trainer versus tennis ball technique in positional obstructive sleep apnea syndrome" J. Clin. Sleep Med. (2015) 10.5664/jcsm.4460
[8]
Laub R. R. "Prevalence of positional obstructive sleep apnea and patients characteristics using various definitions" Eur. Respir. J. (2015)
[9]
Levendowski D. J. "Assessment of a neck‐based treatment and monitoring device for positional obstructive sleep apnea" J. Clin. Sleep Med. (2014) 10.5664/jcsm.3956
[13]
Prevalence of Positional Sleep Apnea in Patients Undergoing Polysomnography

M. JEFFERY MADOR, THOMAS J. KUFEL, Ulysses J. Magalang et al.

Chest 10.1378/chest.128.4.2130
[15]
National Database for Sleep Apnoea.National Database for Søvnapnø. National årsrapport 2014;www.rkkp.dk.
[16]
Positional vs Nonpositional Obstructive Sleep Apnea Patients

Arie Oksenberg, Elena Arons, Henryk Radwan et al.

Chest 10.1378/chest.112.3.629
[21]
The role of sleep position in obstructive sleep apnea syndrome

Wietske Richard, Dennis Kox, Cindy Herder et al.

European Archives of Oto-Rhino-Laryngology 10.1007/s00405-006-0090-2
[22]
van der Star A. Mekking S.andvan Riet M.The technical validation of the Sleep Position Trainer. NightBalance Research and Development.2012:1–12. Available fromhttp://www.nightbalance.com/research.
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Citations
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References
Details
Published
Mar 31, 2017
Vol/Issue
26(5)
Pages
641-650
License
View
Funding
Maribo Medico A/S Denmark and Night Balance
Cite This Article
Rasmus R. Laub, Philip Tønnesen, Poul J. Jennum (2017). A Sleep Position Trainer for positional sleep apnea: a randomized, controlled trial. Journal of Sleep Research, 26(5), 641-650. https://doi.org/10.1111/jsr.12530