Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study

Cary, Doug; Jacques, Angela; Briffa, Kathy

doi:10.1371/journal.pone.0260582

Cited by 15 publications

(13 citation statements)

References 52 publications

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“…A limited number of physiological and clinical studies have been conducted to test the real effect of HOBE, compared to the supine position, in reducing OSA events, decreasing collapsibility of the mucous membranes, and increasing the upper airway area [ 12 , 15 , 16 , 17 , 18 , 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…The pathophysiology of OSA is complex and is related to the interplay of both anatomical and non-anatomical factors, including neuromuscular responsiveness, ventilatory instability, and arousal threshold [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ]. All these aspects should be considered in the genesis of POSA patients and could be related to the positive effect of the HOBE position.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Head-Of-Bed Elevation (HOBE) for Improving Positional Obstructive Sleep Apnea (POSA): An Experimental Study

Iannella

Cammaroto

Meccariello

et al. 2022

JCM

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Purpose: Evaluate the effectiveness of the head-of-bed elevation position (HOBE) with a 30° elevation of the head and trunk, in improving obstruction of the upper airways in obstructive sleep apnea (OSA) patients. A prospective trial simultaneously performing drug-induced sleep endoscopy (DISE) and polysomnography (PSG) tests was performed. Methods: Forty-five patients were included in the prospective study protocol. All patients enrolled in the study and underwent the following evaluations: (1) a drug-induced sleep endoscopy, with an evaluation of obstructions and collapse of the upper airways at 0° and in a HOBE position, with head and trunk elevation of 30°; (2) an overnight PSG assessment in the hospital with head and trunk elevation from 0° to 30° during the night; (3) a questionnaire to evaluate the feedback of patients to sleeping with head-of-bed elevation. Results: Velum (V) and oropharynx lateral wall (O) collapses were reduced in the 30° up position. There were no statistical differences that emerged in the obstruction of the tongue base and epiglottis between the 0° position and the 30° up position (p > 0.05). The average AHI score changed from 23.8 ± 13.3 (0° supine position) to 17.7 ± 12.4 (HOBE position), with a statistical difference (p = 0.03); the same statistical difference emerged in the percentage of apneas that decreased from 55 ± 28.1 to 44 ± 25.8 (p = 0.05). Conclusions: By adopting the HOBE position with 30° elevation of the head and trunk, it is possible to obtain a reduction of upper airways collapses and an improvement of apnea/hypopnea events and nightly respiratory outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Head-Of-Bed Elevation (HOBE) for Improving Positional Obstructive Sleep Apnea (POSA): An Experimental Study

Iannella

Cammaroto

Meccariello

et al. 2022

JCM

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“…Poor sleep quality not only affects productivity and academic performance, but may also lead to injury and car accidents [ 4 ]. Sleep postures are closely related to sleep quality and disorders [ 5 ], and an analysis of sleep posture changes have been used to identify the deep sleep stage [ 6 ]. It was reported that individuals with poor sleep quality spent more time in provocative poses with more frequent posture changes [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Sleep postures are closely related to sleep quality and disorders [ 5 ], and an analysis of sleep posture changes have been used to identify the deep sleep stage [ 6 ]. It was reported that individuals with poor sleep quality spent more time in provocative poses with more frequent posture changes [ 5 ]. While sleep aims to relieve the fatigue of muscles and ligaments, a side-lying posture accompanied by poor support may lead to a sagging spine and sinking lumbar, resulting in sleep-related musculoskeletal problems, such as neck and back pain [ 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Depth-Camera-Based Under-Blanket Sleep Posture Classification Using Anatomical Landmark-Guided Deep Learning Model

Tam

Zha

et al. 2022

IJERPH

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Emerging sleep health technologies will have an impact on monitoring patients with sleep disorders. This study proposes a new deep learning model architecture that improves the under-blanket sleep posture classification accuracy by leveraging the anatomical landmark feature through an attention strategy. The system used an integrated visible light and depth camera. Deep learning models (ResNet-34, EfficientNet B4, and ECA-Net50) were trained using depth images. We compared the models with and without an anatomical landmark coordinate input generated with an open-source pose estimation model using visible image data. We recruited 120 participants to perform seven major sleep postures, namely, the supine posture, prone postures with the head turned left and right, left- and right-sided log postures, and left- and right-sided fetal postures under four blanket conditions, including no blanket, thin, medium, and thick. A data augmentation technique was applied to the blanket conditions. The data were sliced at an 8:2 training-to-testing ratio. The results showed that ECA-Net50 produced the best classification results. Incorporating the anatomical landmark features increased the F1 score of ECA-Net50 from 87.4% to 92.2%. Our findings also suggested that the classification performances of deep learning models guided with features of anatomical landmarks were less affected by the interference of blanket conditions.

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“…44].At the beginning of the complaint[45], she avoided lying on the right side, but as soon as she enters "nREM", her body moves towards the preferred sleeping position, later awakening with paraesthesia and pain, as it is referred to occur by some authors[18,46]. But after a month, she couldn't even lie on her left side because she started to feel the shoulder pain on that side, a finding that is also described in the literature as a natural evolution of the condition when not treated[47,48,49].Gradually, she began to feel functional limitation at work.To make the patient understand and adhere to the intervention, she was explained the possible cause of her Paraesthesia/pain.…”

mentioning

confidence: 99%

To sleep tight you should sleep right.

2022

JCRMH

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The impact of environmental context and lifestyle to our health is crucial. Balancing physical activity and rest, especially sleep, is the key to healthier ageing and greater functional capacity. Humans spend about 1/3 of their lives sleeping, usually in the recumbent position. Favourable sleeping environment is not only a quiet place but also an adjustable sleep system may hold one of the keys to sleep right and tight. All systems deteriorate with ageing, and the vascular system is particularly affected, which in turn aggravates the natural limitations that occur in the musculoskeletal system. In this paper we will see why sleeping system should be addressed to meet the increased impairment of the musculoskeletal system and the sleep function. The age-related decrease in vascular function affects all body systems, and also exposes the musculoskeletal system to greater risk factors for chronic pain conditions. Changes occurs also in sleep architecture, the decreasing shifting of positions while asleep, the adoption of side lying and less posture options due to health conditions alone are some of the risk factors for sustained compression on all the musculoskeletal structures, particularly in the side of the body in contact with the bed. Shoulders and hips are the regions of the body that suffer greater pressure and impaired blood perfusion. Musculoskeletal conditions and sleep disorders in the United States alone affect about 50%of the 126.6 million American adults; about 40% of those subjects who suffer from low back/neck pain, sustain pain and sleep disturbances despite analgesic treatment. Women are more susceptible to these complaints, especially those with more prominent body contours, or frail people with severe muscle atrophy. Ageing increases the demand for a better contextual environment, not only during activity but also at rest and especially during sleep. This paper based on the records of a case-series study of 19 subjects focusing only on paraesthesia and comorbid insomnia and their evolution with the systematic application of a customised topper.

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Examining relationships between sleep posture, waking spinal symptoms and quality of sleep: A cross sectional study

Cited by 15 publications

References 52 publications

Head-Of-Bed Elevation (HOBE) for Improving Positional Obstructive Sleep Apnea (POSA): An Experimental Study

Head-Of-Bed Elevation (HOBE) for Improving Positional Obstructive Sleep Apnea (POSA): An Experimental Study

Depth-Camera-Based Under-Blanket Sleep Posture Classification Using Anatomical Landmark-Guided Deep Learning Model

To sleep tight you should sleep right.

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