Evaluation of a Trial Period With a Sleep Position Trainer in Patients With Positional Sleep Apnea

Beyers, Jolien; Dieltjens, Marijke; Kastoer, Chloé; Opdebeeck, Lynn; Boudewyns, An; Volder, Ilse De; Gastel, Ann Van; Verbraecken, Johan; Backer, Wilfried A. De; Braem, M; Heyning, P.H. Van de; Vanderveken, Olivier M.

doi:10.5664/jcsm.7048

Cited by 17 publications

(10 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently positional devices have become available that are more comfortable and have objective adherence monitoring capability. 15,20,[21][22][23][24][25][26] The SPT is one such device. However, treatment efficacy and adherence with the SPT device had not been previously compared with positive airway pressure.…”

Section: Discussionmentioning

confidence: 99%

“…The effectiveness of the device has been documented in several clinical trials. 15,[21][22][23][24][25][26] However, the relative effectiveness, adherence, and satisfaction compared to the gold standard of positive airway pressure treatment has not been tested in a group of patients with ePOSA. The purpose of this study was to demonstrate noninferiority of the SPT device compared to auto-adjusting positive airway pressure (APAP).…”

mentioning

confidence: 99%

See 1 more Smart Citation

NightBalance Sleep Position Treatment Device Versus Auto-Adjusting Positive Airway Pressure for Treatment of Positional Obstructive Sleep Apnea

Berry

Uhles

Abaluck

et al. 2019

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Study Objectives: Compare treatment efficacy and objective adherence between the NightBalance sleep position treatment (SPT) device and auto-adjusting positive airway pressure (APAP) in patients with exclusive positional obstructive sleep apnea (ePOSA) defined as a supine apnea-hypopnea index (sAHI) ≥ 2 times the nonsupine AHI (nsAHI) and a nsAHI < 10 events/h. Methods: This prospective multicenter randomized crossover trial enrolled treatment naive participants with ePOSA (AHI ≥ 15 events/h and nsAHI < 10 events/h) or (AHI > 10 and < 15 events/h with daytime sleepiness and nsAH < 5 events/h). Polysomnography and objective adherence determination (device data) were performed at the end of each 6-week treatment. Patient device preference was determined at the end of the study. Results: A total of 117 participants were randomized (58 SPT first, 59 APAP first). Of these, 112 started treatment with the second device (adherence cohort) and 110 completed the study (AHI cohort). The AHI on SPT was higher (mean ± standard deviation, 7.29 ± 6.8 versus 3.71 ± 5.1 events/h, P < .001). The mean AHI difference (SPT-APAP) was 3.58 events/h with a one sided 95% confidence interval upper bound of 4.96 events/h (< the prestudy noninferiority margin of 5 events/h). The average nightly adherence (all nights) was greater on SPT (345.3 ± 111.22 versus 286.98 ± 128.9 minutes, P < .0001). Participants found the SPT to be more comfortable and easier to use and 53% reported a preference for SPT assuming both devices were equally effective. Conclusions: Treatment with SPT resulted in non-inferior treatment efficacy and greater adherence compared to APAP in ePOSA suggesting that SPT is an effective treatment for this group.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

NightBalance Sleep Position Treatment Device Versus Auto-Adjusting Positive Airway Pressure for Treatment of Positional Obstructive Sleep Apnea

Berry

Uhles

Abaluck

et al. 2019

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

show abstract

“…Short- and long-term results of these devices showed a reduction in AHI combined with high compliance rates [ 99 , 105 ]. However, in real-life registries, <60% of the patients remains adherent, and only 25% are willing to purchase the device, related to poor objective results, intolerance to the vibrations, cost of the device, persistent symptoms or preference for another treatment option [ 106 , 107 ]. In general, patients expressed a preference for position training versus CPAP.…”

Section: Mechanical Obstructionmentioning

confidence: 99%

Current and novel treatment options for obstructive sleep apnoea

et al. 2022

View full text Add to dashboard Cite

Obstructive sleep apnoea (OSA) is challenging medical problem due to its prevalence, its impact on quality of life and performance in school and profession, the implications on risk of accidents and comorbidities and mortality. Current research has carved out a broad spectrum of clinical phenotypes and defined major pathophysiological components. These findings indicate to the concept of personalised therapy, oriented on both the distinct clinical presentation and the most relevant pathophysiology in the individual patient. This leads to the question if sufficient therapeutical options other than positive airway pressure (PAP) alone are available, for which patients they may be useful, if there are specific indications for single or combined treatment, and if there is solid scientific evidence for recommendations. This review describes our knowledge on PAP and non-PAP therapies to address upper airway collapsibility, muscle responsiveness, arousability and respiratory drive. The spectrum is broad and heterogeneous, including technical and pharmaceutical options, already in clinical use or in an advanced experimental stage. Although there is an obvious need for more research on single or combined therapies, the available data demonstrate the variety of effective options, which should replace the unidirectional focus on PAP therapy.

show abstract

“…A recently reported study evaluated a 1-month trial period with a sleep position trainer (SPT) in patients with positional OSA. In the 79 adult patients who completed the study protocol, adherence was found to be 95 ± 8%, and 50% of patients were responders with a reduction on the respiratory event index [ 77 ]. This study did not evaluate pediatric patients.…”

Section: Adjuvant Therapy: Positional Therapymentioning

confidence: 99%

Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review

et al. 2020

View full text Add to dashboard Cite

Continuous positive airway pressure (CPAP) is considered first-line treatment in the management of pediatric patients without a surgically correctible cause of obstruction who have confirmed moderate-to-severe obstructive sleep apnea (OSA). The evidence supports its reduction on patient morbidity and positive influence on neurobehavioral outcome. Unfortunately, in clinical practice, many patients either refuse CPAP or cannot tolerate it. An update on alternative approaches to CPAP for the management of OSA is discussed in this review, supported by the findings of systematic reviews and recent clinical studies. Alternative approaches to CPAP and adenotonsillectomy for the management of OSA include weight management, positional therapy, pharmacotherapy, high-flow nasal cannula, and the use of orthodontic procedures, such as rapid maxillary expansion and mandibular advancement devices. Surgical procedures for the management of OSA include tongue-base reduction surgery, uvulopalatopharyngoplasty, lingual tonsillectomy, supraglottoplasty, tracheostomy, and hypoglossal nerve stimulation. It is expected that this review will provide an update on the evidence available regarding alternative treatment approaches to CPAP for clinicians who manage patients with pediatric OSA in daily clinical practice.

show abstract

Evaluation of a Trial Period With a Sleep Position Trainer in Patients With Positional Sleep Apnea

Abstract: Treatment with the SPT came with high adherence rates and was effective in reducing REI and supine sleep position. The trial period is in the patients' best interest, as it may prevent those who will not benefit from positional training from purchasing an SPT.

Cited by 17 publications

References 46 publications

NightBalance Sleep Position Treatment Device Versus Auto-Adjusting Positive Airway Pressure for Treatment of Positional Obstructive Sleep Apnea

NightBalance Sleep Position Treatment Device Versus Auto-Adjusting Positive Airway Pressure for Treatment of Positional Obstructive Sleep Apnea

Current and novel treatment options for obstructive sleep apnoea

Alternative Approaches to Adenotonsillectomy and Continuous Positive Airway Pressure (CPAP) for the Management of Pediatric Obstructive Sleep Apnea (OSA): A Review

Contact Info

Product

Resources

About