Advertisement
Review Article| Volume 14, ISSUE 1, P119-133, March 2019

Positional Therapy for Positional Obstructive Sleep Apnea

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Sleep Medicine Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cartwright R.D.
        Effect of sleep position on sleep apnea severity.
        Sleep. 1984; 7: 110-114
        • Oulhaj A.
        • Al Dhaheri S.
        • Su B.B.
        • et al.
        Discriminating between positional and non-positional obstructive sleep apnea using some clinical characteristics.
        Sleep Breath. 2017; 21: 877-884
        • Kim K.T.
        • Cho Y.W.
        • Kim D.E.
        • et al.
        Two subtypes of positional obstructive sleep apnea: supine-predominant and supine-isolated.
        Clin Neurophysiol. 2016; 127: 565-570
        • Lee S.A.
        • Paek J.H.
        • Chung Y.S.
        • et al.
        Clinical features in patients with positional obstructive sleep apnea according to its subtypes.
        Sleep Breath. 2017; 21: 109-117
        • Mador M.J.
        • Kufel T.J.
        • Magalang U.J.
        • et al.
        Prevalence of positional sleep apnea in patients undergoing polysomnography.
        Chest. 2005; 128: 2130-2137
        • Teerapraipruk B.
        • Chirakalwasan N.
        • Simon R.
        • et al.
        Clinical and polysomnographic data of positional sleep apnea and its predictors.
        Sleep Breath. 2012; 16: 1167-1172
        • Mo J.H.
        • Lee C.H.
        • Rhee C.S.
        • et al.
        Positional dependency in Asian patients with obstructive sleep apnea and its implication for hypertension.
        Arch Otolaryngol Head Neck Surg. 2011; 137: 786-790
        • Frank M.H.
        • Ravesloot M.J.
        • van Maanen J.P.
        • et al.
        Positional OSA part 1: towards a clinical classification system for position-dependent obstructive sleep apnoea.
        Sleep Breath. 2015; 19: 473-480
        • Penzel T.
        • Moller M.
        • Becker H.F.
        • et al.
        Effect of sleep position and sleep stage on the collapsibility of the upper airways in patients with sleep apnea.
        Sleep. 2001; 24: 90-95
        • Yildirim N.
        • Fitzpatrick M.F.
        • Whyte K.F.
        • et al.
        The effect of posture on upper airway dimensions in normal subjects and in patients with the sleep apnea/hypopnea syndrome.
        Am Rev Respir Dis. 1991; 144: 845-847
        • Jan M.A.
        • Marshall I.
        • Douglas N.J.
        Effect of posture on upper airway dimensions in normal human.
        Am J Respir Crit Care Med. 1994; 149: 145-148
        • Elliott A.R.
        • Shea S.A.
        • Dijk D.J.
        • et al.
        Microgravity reduces sleep-disordered breathing in humans.
        Am J Respir Crit Care Med. 2001; 164: 478-485
        • Stanchina M.L.
        • Malhotra A.
        • Fogel R.B.
        • et al.
        The influence of lung volume on pharyngeal mechanics, collapsibility, and genioglossus muscle activation during sleep.
        Sleep. 2003; 26: 851-856
        • Kairaitis K.
        • Byth K.
        • Parikh R.
        • et al.
        Tracheal traction effects on upper airway patency in rabbits: the role of tissue pressure.
        Sleep. 2007; 30: 179-186
        • Behrakis P.K.
        • Baydur A.
        • Jaeger M.J.
        • et al.
        Lung mechanics in sitting and horizontal body positions.
        Chest. 1983; 83: 643-646
        • de Vries G.E.
        • Hoekema A.
        • Doff M.H.
        • et al.
        Usage of positional therapy in adults with obstructive sleep apnea.
        J Clin Sleep Med. 2015; 11: 131-137
        • Jackson M.
        • Collins A.
        • Berlowitz D.
        • et al.
        Efficacy of sleep position modification to treat positional obstructive sleep apnea.
        Sleep Med. 2015; 16: 545-552
        • Zuberi N.A.
        • Rekab K.
        • Nguyen H.V.
        Sleep apnea avoidance pillow effects on obstructive sleep apnea syndrome and snoring.
        Sleep Breath. 2004; 8: 201-207
        • Bidarian-Moniri A.
        • Nilsson M.
        • Attia J.
        • et al.
        Mattress and pillow for prone positioning for treatment of obstructive sleep apnoea.
        Acta Otolaryngol. 2015; 135: 271-276
        • Loord H.
        • Hultcrantz E.
        Positioner–a method for preventing sleep apnea.
        Acta Otolaryngol. 2007; 127: 861-868
        • Berger M.
        • Oksenberg A.
        • Silverberg D.S.
        • et al.
        Avoiding the supine position during sleep lowers 24 h blood pressure in obstructive sleep apnea (OSA) patients.
        J Hum Hypertens. 1997; 11: 657-664
        • Jokic R.
        • Klimaszewski A.
        • Crossley M.
        • et al.
        Positional treatment vs continuous positive airway pressure in patients with positional obstructive sleep apnea syndrome.
        Chest. 1999; 115: 771-781
        • Skinner M.A.
        • Kingshott R.N.
        • Filsell S.
        • et al.
        Efficacy of the 'tennis ball technique' versus nCPAP in the management of position-dependent obstructive sleep apnoea syndrome.
        Respirology. 2008; 13: 708-715
        • Permut I.
        • Diaz-Abad M.
        • Chatila W.
        • et al.
        Comparison of positional therapy to CPAP in patients with positional obstructive sleep apnea.
        J Clin Sleep Med. 2010; 6: 238-243
        • Oksenberg A.
        • Silverberg D.
        • Offenbach D.
        • et al.
        Positional therapy for obstructive sleep apnea patients: a 6-month follow-up study.
        Laryngoscope. 2006; 116: 1995-2000
        • Bignold J.J.
        • Deans-Costi G.
        • Goldsworthy M.R.
        • et al.
        Poor long-term patient compliance with the tennis ball technique for treating positional obstructive sleep apnea.
        J Clin Sleep Med. 2009; 5: 428-430
        • Heinzer R.C.
        • Pellaton C.
        • Rey V.
        • et al.
        Positional therapy for obstructive sleep apnea: an objective measurement of patients' usage and efficacy at home.
        Sleep Med. 2012; 13: 425-428
        • Levendowski D.J.
        • Seagraves S.
        • Popovic D.
        • et al.
        Assessment of a neck-based treatment and monitoring device for positional obstructive sleep apnea.
        J Clin Sleep Med. 2014; 10: 863-871
        • van Maanen J.P.
        • Meester K.A.
        • Dun L.N.
        • et al.
        The sleep position trainer: a new treatment for positional obstructive sleep apnoea.
        Sleep Breath. 2013; 17: 771-779
        • Bignold J.J.
        • Mercer J.D.
        • Antic N.A.
        • et al.
        Accurate position monitoring and improved supine-dependent obstructive sleep apnea with a new position recording and supine avoidance device.
        J Clin Sleep Med. 2011; 7: 376-383
        • Laub R.R.
        • Tonnesen P.
        • Jennum P.J.
        A Sleep Position Trainer for positional sleep apnea: a randomized, controlled trial.
        J Sleep Res. 2017; 26: 641-650
        • van Maanen J.P.
        • Richard W.
        • Van Kesteren E.R.
        • et al.
        Evaluation of a new simple treatment for positional sleep apnoea patients.
        J Sleep Res. 2012; 21: 322-329
        • Eijsvogel M.M.
        • Ubbink R.
        • Dekker J.
        • et al.
        Sleep position trainer versus tennis ball technique in positional obstructive sleep apnea syndrome.
        J Clin Sleep Med. 2015; 11: 139-147
      1. ClinicalTrials.gov. Bethesda (MD): National Library of Medicine (US). 2000 Feb 29-. Identifier NCT03061071, The POSAtive Study: Study for the Treatment of Positional Obstructive Sleep Apnea. 2017. Available at: https://www.clinicaltrials.gov/ct2/show/NCT03061071?cond=positional+obstructive+sleep+apnea&rank=4. Accessed July 1, 2018.

      2. Australian New Zealand Clinical Trials Registry: Sydney (NSW): NHMRC Clinical Trials Centre, University of Sydney (Australia); 2005-. Identifier. ACTRN1 2613001242718. Does a supine-avoidance device achieve a similar reduction in sleepiness as usual CPAP treatment in patients with supine-predominant obstructive sleep apnoea? 2013. Available at: http://www.anzctr.org.au/TrialSearch.aspx?searchTxt=SUPA+OSA&isBasic=True. Accessed July 1, 2018.

        • Benoist L.
        • de Ruiter M.
        • de Lange J.
        • et al.
        A randomized, controlled trial of positional therapy versus oral appliance therapy for position-dependent sleep apnea.
        Sleep Med. 2017; 34: 109-117
        • Dieltjens M.
        • Vroegop A.V.
        • Verbruggen A.E.
        • et al.
        A promising concept of combination therapy for positional obstructive sleep apnea.
        Sleep Breath. 2015; 19: 637-644
        • Benoist L.B.L.
        • Verhagen M.
        • Torensma B.
        • et al.
        Positional therapy in patients with residual positional obstructive sleep apnea after upper airway surgery.
        Sleep Breath. 2017; 21: 279-288
      3. ClinicalTrials.gov. Bethesda (MD):National Library of Medicine (US). 2000 Feb 29-. Identifier NCT02553902, Economic evaluation of treatment modalities for position dependent obstructive sleep apnea; 2015. Available at: https://www.clinicaltrials.gov/ct2/show/NCT02553902?term=NCT02553902&rank=1. Accessed July 1, 2018.

      4. ClinicalTrials.gov. Bethesda (MD): National Library of Medicine (US). 2000 Feb 29-. Identifier NCT03125512, Positional Therapy Versus CPAP for Positional OSA;2017. Available at: https://www.clinicaltrials.gov/ct2/show/NCT03125512?cond=positional+obstructive+sleep+apnea&rank=5. Accessed July 1, 2018.

        • de Ruiter M.H.T.
        • Benoist L.B.L.
        • de Vries N.
        • et al.
        Durability of treatment effects of the Sleep Position Trainer versus oral appliance therapy in positional OSA: 12-month follow-up of a randomized controlled trial.
        Sleep Breath. 2018; 22: 441-450
        • 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. 2014; 37: 1209-1215