Treatment of snoring with positional therapy in patients with positional obstructive sleep apnea syndrome

Scientific Reports

Volumn 5, Issue , 2015, Pages

  Chen, Wen Chyuan ^a   Lee, Li Ang ^b,c   Chen, Ning Hung ^b,c   Fang, Tuan Jen ^b,c   Huang, Chung Guei ^b,c   Cheng, Wen Nuan ^d   Li, Hsueh Yu ^b,c,e  

^a CHANG GUNG UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Taiwan)

^b CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

^c CHANG GUNG UNIVERSITY COLLEGE OF MEDICINE   (Taiwan)

^d UNIVERSITY OF TAIPEI   (Taiwan)

^e ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; BODY POSITION; COHORT ANALYSIS; FEMALE; HUMAN; MALE; MIDDLE AGED; PATHOPHYSIOLOGY; PATIENT POSITIONING; POLYSOMNOGRAPHY; PROCEDURES; RISK FACTOR; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE; SNORING; TREATMENT OUTCOME;

ADULT; COHORT STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; PATIENT POSITIONING; POLYSOMNOGRAPHY; POSTURE; RISK FACTORS; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE; SNORING; TREATMENT OUTCOME;

EID: 84949560617     PISSN: None     EISSN: 20452322     Source Type: Journal    
DOI: 10.1038/srep18188     Document Type: Article

References (37)

1. Young, T. et al. The occurrence of sleep-disordered breathing among middle-Aged adults. N. Engl. J. Med. 328, 1230-1235 (1993).
2. Iber, C., Ancoli-Israel, S., Chesson, A. & Quan, S. F. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. American Academy of Sleep Medicine (ed.) Westchester, IL, (2007).
3. Dille, J. R. Snoring can be fatal for your marriage and for you. Aviat. Space Environ. Med. 58, 1234 (1987).
4. Kendzerska, T. et al. Untreated obstructive sleep apnea and the risk for serious long-Term adverse outcomes: A systematic review. Sleep Med. Rev. 18, 49-59 (2014).
5. Drager, L. F. et al. Effects of CPAP on body weight in patients with obstructive sleep apnea: A meta-Analysis of randomised trials. Thorax 70, 258-264 (2015).
6. Frank, M. H. et al. Positional OSA part 1: Towards a clinical classification system for position-dependent obstructive sleep apnea. Sleep Breath. 19, 473-480 (2015).
7. Cartwright, R., Ristanovic, R., Diaz, F., Caldarelli, D. & Alder, G. A comparative study of treatments for positional sleep apnea. Sleep 14, 546-552 (1991).
8. Oksenberg, A., Silverberg, D. S., Arons, E. & Radwan, H. Positional vs nonpositional obstructive sleep apnea patients: Anthropomorphic, nocturnal polysomnographic, and multiple sleep latency test data. Chest 112, 629-639 (1997).
9. Li, H. Y. et al. Positional dependency and surgical success of relocation pharyngoplasty among patients with severe obstructive sleep apnea. Otolaryngol. Head Neck Surg. 149, 506-512 (2013).
10. Cartwright, R. D., Lloyd, S., Lilie, J. & Kravitz, H. Sleep position training as treatment for sleep apnea syndrome: A preliminary study. Sleep 8, 87-94 (1985).
11. Jokic, R., Klimaszewski, A., Crossley, M., Sridhar, G. & Fitzpatrick, M. F. Positional treatment vs continuous positive airway pressure in patients with positional obstructive sleep apnea syndrome. Chest 115, 771-781 (1999).
12. Skinner, M. A., Kingshott, R. N., Jones, D. R., Homan, S. D. & Taylor, D. R. Elevated posture for the management of obstructive sleep apnea. Sleep Breath. 8, 193-200 (2004).
13. Zuberi, N. A., Rekab, K. & Nguyen, H. V. Sleep apnea avoidance pillow effects on obstructive sleep apnea syndrome and snoring. Sleep Breath. 8, 201-207 (2004).
14. Heinzer, R. C. et al. Positional therapy for obstructive sleep apnea: An objective measurement of patients usage and efficacy at home. Sleep Med. 13, 425-428 (2012).
15. van Maanen, J. P. et al. Evaluation of a new simple treatment for positional sleep apnea patients. J. Sleep Res. 21, 322-329 (2012).
16. van Maanen, J. P. & de Vries, N. Long-Term effectiveness and compliance of positional therapy with the sleep position trainer in the treatment of positional obstructive sleep apnea syndrome. Sleep 37, 1209-1215 (2014).
17. Ha, S. C., Hirai, H. W. & Tsoi, K. K. Comparison of positional therapy versus continuous positive airway pressure in patients with positional obstructive sleep apnea: A meta-Analysis of randomized trials. Sleep Med. Rev. 18, 19-24 (2014).
18. Ravesloot, M. J., van Maanen, J. P., Dun, L. & de Vries, N. The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-A review of the literature. Sleep Breath. 17, 39-49 (2013).
19. van Kesteren, E. R., van Maanen, J. P., Hilgevoord, A. A., Laman, D. M. & de Vries, N. Quantitative effects of trunk and head position on the apnea hypopnea index in obstructive sleep apnea. Sleep 34, 1075-1081 (2011).
20. Yu, J. F., Chen, Y. S., Li, H. Y. & Li, L. A. Sleeping position can reduce the effect of snoring on sleeping partners. J. Acoust. Soc. Am. 135, 2165 (2014).
21. Jackson, E. & Schmidt, J. Modification of sleeping position in the treatment of obstructive sleep apnea. In: Chase, M., Webb, W. & Jones, R. eds Sleep research. (11) 149, Los Angeles, Brain Research Institute, University of California, 1982. 22.
22. Randerath, W. J. et al. Non-CPAP therapies in obstructive sleep apnea. Eur. Respir. J. 37, 1000-1028 (2011).
23. Ono, T., Lowe, A. A., Ferguson, K. A. & Fleetham, J. A. Associations among upper airway structure, body position, and obesity in skeletal Class I male patients with obstructive sleep apnea. Am. J. Orthod. Dentofacial. Orthop. 109, 625-634 (1996).
24. Michaelson, P. G. & Mair, E. A. Popular snore aids: do they work ? Otolaryngol. Head Neck Surg. 130, 649-658 (2004).
25. Schwab, R. J. et al. Identification of upper airway anatomic risk factors for obstructive sleep apnea with volumetric magnetic resonance imaging. Am. J. Respir. Crit. Care Med. 168, 522-530 (2003).
26. Saigusa, H., Suzuki, M., Higurashi, N. & Kodera K. Three-dimensional morphological analyses of positional dependence in patients with obstructive sleep apnea syndrome. Anesthesiology 110, 885-890 (2009).
27. Ramar, K. et al. Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: An update for 2015. J. Clin. Sleep Med. 11, 773-827 (2015).
28. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363, 157-163 (2004).
29. Hsu, P. P. et al. Computer-Assisted quantitative upper airway analysis following modified uvulopalatal flap and lateral pharyngoplasty for obstructive sleep apnea: A prospective case-controlled study. Clin. Otolaryngol. 37, 188-196 (2012).
30. Li, H. Y. et al. Positional dependency and surgical success of relocation pharyngoplasty among patients with severe obstructive sleep apnea. Otolaryngol. Head Neck Surg. 149, 506-512 (2013).
31. Adnet, F. et al. Randomized study comparing the "sniffing position" with simple head extension for laryngoscopic view in elective surgery patients. Anesthesiology 95, 836-841 (2001).
32. Lee, L. A. et al. Energy types of snoring sounds in patients with obstructive sleep apnea syndrome: A preliminary observation. PLoS One 7, e53481 (2012).
33. Lee, L. A. et al. Comparative effects of snoring sound between two minimally invasive surgeries in the treatment of snoring: A randomized controlled trial. PLoS One 9, e97186 (2014).
34. White, J. E. et al. The use of sound recording and oxygen saturation in screening snorers for obstructive sleep apnoea. Clin. Otolaryngol. Allied Sci. 19, 218-221 (1997).
35. Li, H. Y. et al. Changes of snoring sound after relocation pharyngoplasty for obstructive sleep apnoea: The surgery reduces mean intensity in snoring which correlates well to apnoea-hypopnoea index. Clin. Otolaryngol. 40, 98-105 (2015).
36. Powell, N. B. et al. Radiofrequency volumetric tissue reduction of the palate in subjects with sleep-disordered breathing. Chest 113, 1163-1174 (1998).
37. Hers, V. et al. Residual effect of nCPAP applied for part of the night in patients with obstructive sleep apnoea. Eur. Respir. J. 10, 973-976 (1997).