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Positional Therapy for Obstructive Sleep Apnea Patients: A 6‐Month Follow‐Up Study
Author(s) -
Oksenberg Arie,
Silverberg Donald,
Offenbach Dalia,
Arons Elena
Publication year - 2006
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/01.mlg.0000237674.66716.a7
Subject(s) - supine position , medicine , obstructive sleep apnea , alertness , sleep apnea , physical therapy , sleep (system call) , anesthesia , sleep quality , insomnia , psychiatry , computer science , operating system
Background: Approximately half of obstructive sleep apnea (OSA) patients are positional (i.e., the majority of their breathing abnormalities during sleep appear in the supine posture). Little information exists as to whether avoiding the supine posture during sleep (positional therapy) is a valuable form of therapy for these patients. Aim: To assess the use of positional therapy (by the tennis ball technique [TBT]) during a 6 month period in 78 consecutive positional OSA patients. Methods: Demographic, polysomnographic, and self‐reported questionnaire data on the use of the TBT were analyzed. Results: Of the 50 patients who returned the questionnaire, 19 (38%) (group A) said they were still using the TBT, and 12 (24%) (group B) said they used it initially and stopped using it within a few months but were still avoiding the supine position during sleep. Nineteen patients (38%) (group C) stopped using the TBT within a few months but did not learn how to avoid the sleep supine posture. Patients still using the TBT showed a significant improvement in their self‐reported sleep quality ( P < .005) and daytime alertness ( P < .046) and a decrease in snoring loudness ( P < .001). Patients of groups A and B were older than patients who did not comply with this therapy ( P < .001). The main reason for patients stopping the use of the TBT in group C was that using it was uncomfortable. Conclusions: Positional therapy appears to be a valuable form of therapy mainly for some older aged positional OSA patients.