Showing posts with label positional therapy. Show all posts
Showing posts with label positional therapy. Show all posts

Friday, June 18, 2010

A positional device that makes you sleep on your sides may be an effective alternative to CPAP in solving select sleep apnea cases. Study results from the June issue of the Journal of Clinical Sleep Medicine show apneic episodes caused by sleeping on your back can be nearly eliminated by changing positions.

The Zzoma Positional Sleeper is a large harness designed to prevent people from sleeping on their backs. The contraption, seen below, resembles a large backwards fanny pack.

Positional therapy may help reduce sleep breathing pauses because the soft tissue in your throat is less likely to collapse and block the airway when you sleep on your side.

The study involved 40 patients with mild to moderation positional obstructive sleep apnea. Each spent a night in a sleep lab without treatment. The subjects later returned. Half used a Zzoma Positional Sleeper; others used CPAP.

Researchers observed 91 percent of the subjects had fewer than five episodes per hour while wearing a positional device. The results were only slightly better using CPAP; 97 percent of patients had fewer than five episodes per hour.

Nearly all patients were able to remain sleeping on their sides for the duration of the night. A polysomnogram measured improved quality of sleep for most subjects.

The device used in the study to treat positional sleep apnea is similar to a home remedy covered previously in the sleep education blog. By fastening a tennis ball to your back, you can prevent rolling onto your back.

Other variations of the technique have been used. These include a backpack with a foam ball inside, a triangular pillow, and a posture alarm.

The Sleep Education blog cautions positional therapy is only effective in select positional sleep apnea cases. CPAP therapy is the treatment of choice for mild to severe forms of sleep apnea. If you think may have obstructive sleep apnea you’re advised to seek treatment at an AASM accredited sleep center.


Monday, October 19, 2009

A new study from Australia examined long-term compliance with the tennis ball technique in people with obstructive sleep apnea. The results were published in the Journal of Clinical Sleep Medicine.

What is the tennis ball technique? It is a simple method of positional therapy that helps you avoid sleeping on your back. It was first introduced in the early 1980s.

A tennis ball is fastened to the back with a belt or strap. This makes sleeping on your back uncomfortable.

Soft tissue in the throat is less likely to collapse and block the airway when you sleep on your side. As a result positional therapy may help reduce the breathing pauses that occur when you have OSA.

The study involved 67 people with OSA, mostly men. They were overweight and had an average age of 60 years.

They had an overall apnea-hypopnea index of 29.6 breathing pauses per hour of sleep; an AHI of 15 to 30 is considered “moderate” sleep apnea. Their average AHI soared to 53 when sleeping on their back; it dropped to 14.1 when side sleeping.

They were instructed to use the tennis ball technique. Then they were followed up after an average of 2.5 years.

Results show that only four people reported that they were still using the technique. Nine people claimed that they had learned to avoid sleeping on their back.

The primary complaint was that the technique was too uncomfortable. Another common complaint was that the tennis ball moved around. Some people said the technique was ineffective. Others reported that it caused backache.

A similar
study in 2006 followed up 50 people after six months. Nineteen people were still using the technique; 12 said that they had learned to avoid back sleeping.

Other variations of the technique have been used. These include
a backpack with a foam ball inside, a vest that contains a piece of hard foam, a thoracic anti-supine band, a triangular pillow, and a posture alarm.

The AASM
reports that positional therapy can be an effective treatment option. But some people with OSA will continue to have breathing pauses while side sleeping. Talk to your sleep specialist to see if positional therapy is a good option for you.

Get help for sleep apnea at an
AASM-accredited sleep center near you.

Image by Tiffany
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