A Oksenberg

A Vito De

Anneclaire V. Vroegop

Annelies E. Verbruggen

AS Chan

CA Kushida

DM Berge Ten

F Safiruddin

FX Petit

H Loord

I Permut

JH Choi

JJ Bignold

Johan A. Verbraecken

JP Maanen van

K Sutherland

KA Ferguson

Kristien Wouters

M Dieltjens

M Marklund

Marc J. Braem

Marc Willemen

Marijke Dieltjens

MH Frank

MJ Mador

MJ Ravesloot

Nico de Vries

Olivier M. Vanderveken

OM Vanderveken

P Maanen Van

Paul H. Van de Heyning

R Cartwright

R Jokic

RD Cartwright

V Hoffstein

Wilfried A. De Backer

Abstract
          
            Purpose
            The objective of this randomized controlled trial was to assess the additional effect of a chest-worn sleep position trainer (SPT) in patients with residual supine-dependent obstructive sleep apnea (sdOSA) under mandibular advancement device (MAD) therapy.
          
          
            Methods
            Baseline and follow-up polysomnography with MAD were performed. Twenty patients with sdOSA under MAD therapy underwent two consecutive randomized polysomnographies: one with SPT and one with combination of SPT + MAD. Data are presented as median (quartile 1, quartile 3).
          
          
            Results
            The SPT reduced the time spent in supine sleeping position compared to baseline and MAD therapy. Both MAD and SPT were individually effective in reducing the overall apnea/hypopnea index (AHI) significantly when compared to baseline from 20.8 (15.1; 33.6)/h at baseline to 11.0 (6.7; 13.8)/h and to 11.1 (3.5; 17.7)/h with MAD or SPT, respectively. The combination of SPT + MAD further reduced the overall AHI to 5.7 (3.6; 7.4), which was significantly lower than with MAD alone (p &lt; 0.001) and SPT alone (p &lt; 0.008), respectively.
          
          
            Conclusions
            The results of this study indicate that combination of SPT + MAD leads to a higher therapeutic efficacy in patients with sdOSA under MAD therapy when compared to one of the treatment modalities alone.
          </jats:sec

Crossref

Sleep And Breathing

A promising concept of combination therapy for positional obstructive sleep apnea

https://link.springer.com/content/pdf/10.1007%2Fs11325-014-1068-8.pdf

A promising concept of combination therapy for positional obstructive sleep apnea

Abstract

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