- Title
- Mattress and pillow for prone positioning for treatment of obstructive sleep apnoea
- Creator
- Bidarian-Moniri, Armin; Nilsson, Michael; Attia, John; Ejnell, Hasse
- Relation
- Acta Oto-Laryngologica Vol. 135, Issue 3, p. 271-276
- Publisher Link
- http://dx.doi.org/10.3109/00016489.2014.968674
- Publisher
- Taylor & Francis
- Resource Type
- journal article
- Date
- 2015
- Description
- Conclusion: The new mattress and pillow for prone positioning (MPP) is efficient in reducing the apnoea-hypopnoea index (AHI) and oxygen desaturation index (ODI) in most patients with obstructive sleep apnoea (OSA), with satisfactory compliance. Objective: The aim of the present study was to evaluate the effect of the prone body and head sleep position on severity of disease in patients with OSA after 4 weeks of adaptation to a mattress and pillow facilitating prone positioning. Methods: Fourteen patients with mild to severe OSA, 11 men and 3 women with a mean AHI of 26 (min, 6; max, 53) and mean ODI of 21 (min, 6; max, 51) were evaluated. Two polysomnographic (PSG) studies were performed. The first PSG study was without any treatment and the second was after 4 weeks of adaptation to the MPP for prone positioning of the body and the head. Results: Mean AHI and ODI decreased from 26 and 21 to 8 and 7, respectively (p < 0.001) with treatment. The mean time spent in the supine position was reduced from 128 to 10 min (p = 0.02) and the prone time increased from 42 to 174 min (p = 0.02) with the MPP. The mean total sleep time was 390 min during the first PSG study night without treatment and 370 min during the second night with the MPP (p = 0.7). Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment. All patients managed to sleep on the MPP for > 4 h per night during the 4-week study.
- Subject
- positional treatment; prone sleep position; lateral sleep position; supine sleep position; non-invasive; conservative; non-surgical treatment; polysomnography
- Identifier
- http://hdl.handle.net/1959.13/1319441
- Identifier
- uon:23865
- Identifier
- ISSN:0001-6489
- Language
- eng
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