Positional modification techniques for supine obstructive sleep apnea: A systematic review and meta-analysis

Sleep Medicine Reviews

Volumn 36, Issue , 2017, Pages 107-115

  Barnes, Hayley ^a   Edwards, Bradley A ^b   Joosten, Simon A ^b,c   Naughton, Matthew T ^a,b   Hamilton, Garun S ^b   Dabscheck, Eli ^a,b  

^a ALFRED HOSPITAL   (Australia)

^b MONASH UNIVERSITY   (Australia)

^c MONASH MEDICAL CENTRE   (Australia)

Author keywords

CPAP; Obstructive sleep apnea; Positional modification device

Indexed keywords

APNEA HYPOPNEA INDEX; BODY POSITION; CARDIOVASCULAR DISEASE; CLINICAL EFFECTIVENESS; CLINICAL OUTCOME; COMFORT; COST BENEFIT ANALYSIS; DATA ANALYSIS; HUMAN; INSULIN RESISTANCE; INTERMETHOD COMPARISON; META ANALYSIS; POSITIONAL MODIFICATION TECHNIQUE; POSITIVE END EXPIRATORY PRESSURE; QUALITY CONTROL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SLEEP DISORDERED BREATHING; SNORING; SUPINE POSITION; SYSTEMATIC REVIEW; UTILIZATION;

CONTINUOUS POSITIVE AIRWAY PRESSURE; HUMANS; POSTURE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SLEEP APNEA, OBSTRUCTIVE; SUPINE POSITION;

EID: 85008222823     PISSN: 10870792     EISSN: 15322955     Source Type: Journal    
DOI: 10.1016/j.smrv.2016.11.004     Document Type: Review

References (44)

1. Oksenberg, A., Silverberg, S.D., Arons, E., Radwan, H., Positional vs nonpositional obstructive sleep apnea patients: anthropomorphic, nocturnal polysomnographic, and multiple sleep latency test data. Chest 112 (1997), 629–639.
2. Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., Badr, S., The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 328 (1993), 1230–1235.
3. Gottlieb, D.J., Whitney, C., Bonekat, W.H., Iber, C., James, G.D., Lebowitz, M., et al. Relation of sleepiness to respiratory disturbance index: the Sleep Heart Health Study. Am J Respir Crit Care Med, 159, 1999, 502e7.
4. Nieto, F.J., Young, T., Lind, B.K., Shahar, E., Samet, J.M., Redline, S., et al. Association of sleep-disordered breathing, sleep apnea, and hypertension in a large community-based study. Sleep Heart Health Study. J Am Med Assoc, 283, 2000, 1829e36.
5. Ip, M.S., Lam, B., Ng, M.M., Lam, W.K., Tsang, K.W., Lam, K.S., Obstructive sleep apnea is independently associated with insulin resistance. Am J Respir Crit Care Med, 165, 2002, 670e6.
6. Shamsuzzaman, A.S., Gersh, B., Somers, V.K., Obstructive sleep apnea: implications for cardiac and vascular disease. J Am Med Assoc, 290, 2003, 1906e14.
7. Marin, J.M., Carrizo, S.J., Vicente, E., Agusti, A.G., Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet 365 (2005), 1046–1053.
8. Qaseem, O., Dallas, P., Owens, D., Starkey, M., Holty, J.E.C., Shekelle, P., Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med 161 (2014), 210–220.
9. American Academy of Sleep Medicine, International classification of sleep disorders. 3rd ed., 2014, American Academy of Sleep Medicine, Darien, IL.
10. Qaseem, A., Holty, J.E., Owens, D.K., Dallas, P., Starkey, M., Shekelle, P., Management of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med, 159, 2013 471– 83.
11. Giles, T.L., Lasserson, T., Smith, B.J., White, J., Wright, J., Cates, C.J., Continuous positive airways pressure for obstructive sleep apnoea in adults. The cochrane database of systematic reviews, 2006, 10.1002/14651858.CD001106.pub2 Art. No.: CD001106.
12. Wolkove, N., Baltzan, M., Kamel, H., Dabrusin, R., Palayew, M., Long-term compliance with continuous positive airway pressure in patients with obstructive sleep apnea. Can Respir J J Can Thorac Soc 15 (2008), 365–369.
13. Antic NA, Catcheside P, Buchan C, Hensley M, Naughton M, Rowland S, et al. The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA.
14. Joosten, S.A., O'Driscoll, D.M., Berger, P.J., Hamilton, G.S., Supine position related obstructive sleep apnea in adults: pathogenesis and treatment. Sleep Med Rev 18 (2014), 7–17.
15. Joosten SA, Hamza K, Sands S, Turton A, Berger P, Hamilton G. Phenotypes of patients with mild to moderate obstructive sleep apnoea as confirmed by cluster analysis.
16. Ravesloot, M.J., Frank, M.H., van Maanen, J.P., Verhagen, E.A., de Lange, J., de Vries, N., Positional OSA part 2: retrospective cohort analysis with a new classification system (APOC). Sleep Breath 20 (2016), 881–888.
17. Frank, M.H., Ravesloot, M.J., van Maanen, J.P., Verhagen, E., de Lange, J., de Vries, N., Positional OSA part 1: towards a clinical classification system for position-dependent obstructive sleep apnoea. Sleep Breath 19 (2015), 473–480.
18. Sawyer, A.M., Gooneratne, N., Marcus, C.L., Ofer, D., Richards, K.C., Weaver, T.E., A systematic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions. Sleep Med Rev 15 (2011), 343–356.
19. Permut, I., Diaz-Abad, M., Chatila, W., Crocetti, J., Gaughan, J.P., D'Alonzo, G.E., et al. Comparison of positional therapy to CPAP in patients with positional obstructive sleep apnea. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med, 2010, 238–243.
20. Skinner, M.A., Kingshott, R.N., Filsell, S., Taylor, D.R., Efficacy of the 'tennis ball technique' versus nCPAP in the management of position-dependent obstructive sleep apnoea syndrome. Respirology 13 (2008), 708–715.
21. Cartwright, R., Ristanovic, R., Diaz, F., Caldarelli, D., Alder, G., A comparative study of treatments for positional sleep apnea. Sleep 14 (1991), 546–552.
22. 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 (1999), 771–781.
23. Ha, S.C.N., Hirai, H.W., Tsoi, K.K.F., 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 (2014), 19–24.
24. Higgins, J.P.T., Green, S., Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011 Available from: http://www.cochrane-handbook.org.
25. Version 5.3 Review Manager (RevMan) [Computer program], 2014, The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen.
26. Koornneef, Y.L., Vlak, M.H.M., Hofman, W.F., Hamburger, H.L., The Snore-Breaker as a positional therapy for positional sleep apnoea. Journal of Sleep Research Conference: 21st Congress of the European Sleep Research Society Paris France Conference Start: 20120904 Conference End: 20120908 Conference Publication: (varpagings), 2012, 241.
27. Jackson, M., Collins, A., Berlowitz, D., Howard, M., O'Donoghue, F., Barnes, M., Efficacy of sleep position modification to treat positional obstructive sleep apnea. Sleep Med 16 (2015), 545–552.
28. Bignold J, Mercer J, Gorman M, McEvoy D, Antic N, Catcheside P. Validation and performance of a novel positional therapy device for supine dependent obstructive sleep apnoea. In: Sleep and Biological Rhythms.Conference: 21st Annual Scientific Meeting of the Visions of the Night: Sleep, Science and Research on the World Stage. Australasian Sleep Association and Australasian Sleep Technologies Association Melbourne, VIC Australia. Conference Start: 20091008 Conference End: 10. Conference Publication: (var.pagings). 7, pp. A39–A40.
29. Svatikova, A., Chervin, R.D., Wing, J.J., Sanchez, B.N., Migda, E.M., Brown, D.L., Positional therapy in ischemic stroke patients with obstructive sleep apnea. Sleep Med 12 (2011), 262–266.
30. Singh, M., Yadollahi, A., Liao, P., Kang, W., Islam, S., Chung, F., Semi-upright position during sleep prevents postoperative worsening of apnea hypopnea index in patients with supine-related obstructive sleep apnea (OSA). Anesth Analg, 2015, S527.
31. Hamilton, S., Mercer, J., Antic, N., McEvoy, D., Peake, E., Heath, M., et al. A modest supine-avoidance conditioning effect following positional therapy in snorers. Sleep Biol Rhythms, 2014, 31.
32. Maanen, J., Richard, W., van Kesteren, E., Ravesloot, M., Evaluation of a new simple treatment for positional sleep apnoea patients. J Sleep Res 21 (2012), 322–329.
33. Dieltjens, M., Vroegop, A.V., Verbruggen, A.E., Wouters, K., Willemen, M., Backer, W.A., A promising concept of combination therapy for positional obstructive sleep apnea. Schlaf Atmung [Sleep Breath], 2014, 637–644.
34. 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, 2004, 193–200.
35. Eijsvogel, M.M., Ubbink, R., Dekker, J., Oppersma, E., Jongh, F.H., Palen, J., et al. Sleep position trainer versus tennis ball technique in positional obstructive sleep apnea syndrome. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med, 2015, 139–147.
36. Nilius, G., Domanski, U., Franke, K.J., Ruehle, K.H., Effects of a 30 and 60 sleep position on sleep quality, snoring and apnoea/hypopnoea (AHI) index in patients with mild obstructive sleep apnoea (OSA). Eur Respir J, 2006, 642s [P3747].
37. Bignold, J.J., Deans-Costi, G., Goldsworthy, M.R., Robertson, C.A., McEvoy, D., Catcheside, P.G., et al. Poor long-term patient compliance with the tennis ball technique for treating positional obstructive sleep apnea. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med 5 (2009), 428–430.
38. Ravesloot, M., 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 (2013), 39–49.
39. Bignold, J.J., Mercer, J.D., Antic, N.A., McEvoy, R.D., Catcheside, P.G., Accurate position monitoring and improved supine-dependent obstructive sleep apnea with a new position recording and supine avoidance device. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med, 2011, 376–383.
40. Barnes M, McEvoy D, Banks S, Tarquinio N, Murray, Vowles N, et al. Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea.
41. Montesi, S.B., Edwards, B.A., Malhotra, A., Bakker, J.P., The effect of continuous positive airway pressure treatment on blood pressure: a systematic review and meta-analysis of randomized controlled trials. J Clin Sleep Med JCSM Off Publ Am Acad Sleep Med 8 (2012), 587–596.
42. Singh M, Yadollahi A, Liao P, Kang W, Islam S, Chung F. Semi-upright position during sleep prevents postoperative worsening of apnea hypopnea index in patients with supine-related obstructive sleep apnea (OSA) Anesthesia and Analgesia. In: Conference: 2015 Annual Meeting of the International Anesthesia Research Society, IARS Honolulu, HI United States. Conference Start: 20120321 Conference End: 4. Conference Publication: (var.pagings). 120 (3 Suppl. 1): S527.
43. Chen, W.C., Lee, L., Chen, N.H., Fang, T.J., Huang, C.G., Cheng, W.C., et al. Treatment of snoring with positional therapy in patients with positional obstructive sleep apnea syndrome. Sci Rep, 5, 2015.
44. Marklund, M., Persson, M., Franklin, K.A., Treatment success with a mandibular advancement device is related to supine-dependent sleep apnea. Chest 114 (1630), 1630–1635.