Short-term effects of a vibrotactile neck-based treatment device for positional obstructive sleep apnea: preliminary data on tolerability and efficacy

Scarlata, Simone; Bartoli, Isaura Rossi; Santangelo, Simona; Giannunzio, Gilda; Pedone, Claudio; Incalzi, Raffaele Antonelli

doi:10.21037/jtd.2016.04.69

Cited by 9 publications

(4 citation statements)

References 16 publications

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“…22 More recently, Eijsvogel et al 23 compared compliance in patients using either a sleep position trainer or tennis ball technique, reporting their effectiveness in the short term. A vibrotactile neck-based treatment device is a valid alternative and Scarlata et al 16 and Levendowski et al 15,24 confirmed its positive impact on reducing AHI and showed a relation between OSA severity and rate of success of PT. Meoli 25 carried out a review on PT of OSA, defining this therapy as an attractive option from the standpoint of cost-effectiveness, even though it needs further investigation in terms of long-term compliance.…”

Section: Discussionmentioning

confidence: 97%

“…This system has been validated in prior studies as a diagnostic and therapeutic tool on patients with POSA. 16 It is able to give useful information about the patients' position and activity, while providing a vibrotactile biofeedback inducing patients to avoid the supine position. The biofeedback does not disrupt sleep architecture and creates minimum arousals.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and long-term follow-up of positional therapy by vibrotactile neck-based device in the management of positional OSA

Corso

Mastrapasqua

Fiorita

et al. 2020

Journal of Clinical Sleep Medicine

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Study Objectives: Different therapeutic strategies have been investigated for the treatment of positional obstructive sleep apnea, but more evidence is needed about efficacy and compliance. The objective of this study was to describe the efficacy of vibrotactile neck-based treatment in patients with positional obstructive sleep apnea with different degrees of obstructive sleep apnea severity who were followed for 6 months. Methods: This is a retrospective study including 162 patients with positional obstructive sleep apnea undergoing vibrotactile neck-based positional therapy. We compared polysomnographic data obtained at baseline and during positional therapy after 1 month. We performed a subgroup analysis based on obstructive sleep apnea severity. Furthermore, we analyzed follow-up data in 84/162 (51.8%) patients with particular focus on discontinuation and complications related to the device. Results: We observed a significant difference between mean baseline obstructive apnea-hypopnea index (OAHI; 21.9 ± 9.9 events/h) and during positional therapy (12 ± 9.2 events/h; P < .01). Moreover, 87/162 (54.9%) patients showed a reduced baseline OAHI of at least 50% and 38/162 (23.4%) achieved complete disease control (OAHI < 5 events/h). At subgroup analysis, at least 50% reduction from baseline OAHI was observed in 56.8% of patients with mild, 55% with moderate, and 47.4% with severe OAHI, whereas complete control of disease was achieved in 50% of patients with mild, 22.5% with moderate, and 7.9% with severe OAHI. At a 6-month follow-up, only 35/84 patients (41.6%) were regularly using the device, with a mean of 5.9 ± 1.2 days per week. Conclusions: Our results on the efficacy and long-term adherence to vibrotactile neck-based positional therapy showed that positional therapy can be an efficient first-line treatment option for mild positional obstructive sleep apnea and in selected cases of moderate disease. Long-term compliance is limited because of complications and low satisfaction in some patients.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Efficacy and long-term follow-up of positional therapy by vibrotactile neck-based device in the management of positional OSA

Corso

Mastrapasqua

Fiorita

et al. 2020

Journal of Clinical Sleep Medicine

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“…This will ideally result in halting of the episode. Some of the previously proposed mechanisms include vibration of a device [15] and physical stimulation of muscles [16]. We find that using our pipeline executing on a Raspberry pi, there is idle processor time available which can be used to raise alerts and actuate devices as required.…”

Section: Resultsmentioning

confidence: 99%

ECG Signal Analysis on an Embedded Device for Sleep Apnea Detection

Khincha

Krishnan

Parveen

et al. 2020

Lecture Notes in Computer Science

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Low cost embedded devices with computational power have the potential to revolutionise detection and management of many diseases. This is especially true in the case of conditions like sleep apnea, which require continuous long term monitoring. In this paper, we give details of a portable, cost-effective and customisable Electrocardiograph(ECG) Signal analyser for real time sleep apnea detection. We have developed a data analysis pipeline using which we can identify sleep apnea using a single lead ECG signal. Our method combines steps including dataset extraction, segmentation, signal cleaning, filtration and finally apnea detection using Support Vector Machines (SVM). We analysed our proposed implementation through a complete run on the MIT-Physionet dataset. Due to the low computational complexity of our proposed method, we find that it is well suited for deployment on embedded devices such as the Raspberry Pi.

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“…The vibro-tactic neck-based device (‘Night Shift’) has been shown to be effective to reduce supine sleeping and leads to a reduction in AHI. 51 The effect of the prone sleep position has also been explored recently with the development of a customized mattress and pillow, which reduced the median AHI from 23 to 7 events per hour in those patients who exhibited a positional element to their OSA. 52…”

Section: Treatment Options For Obstructive Sleep Apnoeamentioning

confidence: 99%

Narrative review of contemporary treatment options in the care of patients with obstructive sleep apnoea

Ferguson

Magill

Kotecha

2017

Ther Adv Respir Dis

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Snoring and obstructive sleep apnoea (OSA) are increasingly common conditions, and confer a significant health and socioeconomic burden. Furthermore, untreated OSA represents a significant mortality risk. Patients require careful assessment, including detailed clinical history and examination, sleep study and drug-induced sleep endoscopy (DISE). Although nasal continuous positive airway pressure (nCPAP) is the gold standard treatment for moderate and severe OSA, multidisciplinary team assessment is often required to develop the best treatment plan for an individual, especially when nasal CPAP is poorly tolerated. There is a wide range of medical and surgical treatment options, and following appropriate patient selection and assessment, a focused site-specific, often multilevel, intervention is indicated. There is an increasing body of evidence in the literature supporting these multilevel interventions and with agreement on standardized outcome measures more trials are likely to improve the robustness of these data further.

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Short-term effects of a vibrotactile neck-based treatment device for positional obstructive sleep apnea: preliminary data on tolerability and efficacy

Cited by 9 publications

References 16 publications

Efficacy and long-term follow-up of positional therapy by vibrotactile neck-based device in the management of positional OSA

Efficacy and long-term follow-up of positional therapy by vibrotactile neck-based device in the management of positional OSA

ECG Signal Analysis on an Embedded Device for Sleep Apnea Detection

Narrative review of contemporary treatment options in the care of patients with obstructive sleep apnoea

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