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Mattress and pillow for prone positioning for treatment of obstructive sleep apnoea.

Bidarian-Moniri A, Nilsson M, Attia J, Ejnell H - Acta Otolaryngol. (2015)

Bottom Line: Mean AHI and ODI decreased from 26 and 21 to 8 and 7, respectively (p < 0.001) with treatment.The mean time spent in the supine position was reduced from 128 to 10 min (p = 0.02) and the prone time increased from 42 to 174 min (p = 0.02) with the MPP.Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital , Gothenburg , Sweden.

ABSTRACT

Conclusion: The new mattress and pillow for prone positioning (MPP) is efficient in reducing the apnoea-hypopnoea index (AHI) and oxygen desaturation index (ODI) in most patients with obstructive sleep apnoea (OSA), with satisfactory compliance.

Objective: The aim of the present study was to evaluate the effect of the prone body and head sleep position on severity of disease in patients with OSA after 4 weeks of adaptation to a mattress and pillow facilitating prone positioning.

Methods: Fourteen patients with mild to severe OSA, 11 men and 3 women with a mean AHI of 26 (min, 6; max, 53) and mean ODI of 21 (min, 6; max, 51) were evaluated. Two polysomnographic (PSG) studies were performed. The first PSG study was without any treatment and the second was after 4 weeks of adaptation to the MPP for prone positioning of the body and the head.

Results: Mean AHI and ODI decreased from 26 and 21 to 8 and 7, respectively (p < 0.001) with treatment. The mean time spent in the supine position was reduced from 128 to 10 min (p = 0.02) and the prone time increased from 42 to 174 min (p = 0.02) with the MPP. The mean total sleep time was 390 min during the first PSG study night without treatment and 370 min during the second night with the MPP (p = 0.7). Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment. All patients managed to sleep on the MPP for > 4 h per night during the 4-week study.

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Related in: MedlinePlus

The mattress and pillow for prone positioning (MPP) of the body and the head with the nose mostly perpendicular to the underlying bed.
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Figure 1: The mattress and pillow for prone positioning (MPP) of the body and the head with the nose mostly perpendicular to the underlying bed.

Mentions: The MPP model from the previous study [14] was used to facilitate prone positioning during sleep. The MPP consisted of a combination of visco-elastic (memory) and normal foam (Figure 1).


Mattress and pillow for prone positioning for treatment of obstructive sleep apnoea.

Bidarian-Moniri A, Nilsson M, Attia J, Ejnell H - Acta Otolaryngol. (2015)

The mattress and pillow for prone positioning (MPP) of the body and the head with the nose mostly perpendicular to the underlying bed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4389730&req=5

Figure 1: The mattress and pillow for prone positioning (MPP) of the body and the head with the nose mostly perpendicular to the underlying bed.
Mentions: The MPP model from the previous study [14] was used to facilitate prone positioning during sleep. The MPP consisted of a combination of visco-elastic (memory) and normal foam (Figure 1).

Bottom Line: Mean AHI and ODI decreased from 26 and 21 to 8 and 7, respectively (p < 0.001) with treatment.The mean time spent in the supine position was reduced from 128 to 10 min (p = 0.02) and the prone time increased from 42 to 174 min (p = 0.02) with the MPP.Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital , Gothenburg , Sweden.

ABSTRACT

Conclusion: The new mattress and pillow for prone positioning (MPP) is efficient in reducing the apnoea-hypopnoea index (AHI) and oxygen desaturation index (ODI) in most patients with obstructive sleep apnoea (OSA), with satisfactory compliance.

Objective: The aim of the present study was to evaluate the effect of the prone body and head sleep position on severity of disease in patients with OSA after 4 weeks of adaptation to a mattress and pillow facilitating prone positioning.

Methods: Fourteen patients with mild to severe OSA, 11 men and 3 women with a mean AHI of 26 (min, 6; max, 53) and mean ODI of 21 (min, 6; max, 51) were evaluated. Two polysomnographic (PSG) studies were performed. The first PSG study was without any treatment and the second was after 4 weeks of adaptation to the MPP for prone positioning of the body and the head.

Results: Mean AHI and ODI decreased from 26 and 21 to 8 and 7, respectively (p < 0.001) with treatment. The mean time spent in the supine position was reduced from 128 to 10 min (p = 0.02) and the prone time increased from 42 to 174 min (p = 0.02) with the MPP. The mean total sleep time was 390 min during the first PSG study night without treatment and 370 min during the second night with the MPP (p = 0.7). Ten patients (71%) reduced their AHI by at least 50% and reached a value < 10 during treatment. All patients managed to sleep on the MPP for > 4 h per night during the 4-week study.

Show MeSH
Related in: MedlinePlus