Apnea Hypopnea Index Severity Versus Head Position During Sleep
Sleep Disordered Breathing, Sleep Hypopnea, Sleep Apnea
About this trial
This is an interventional basic science trial for Sleep Disordered Breathing
Eligibility Criteria
Inclusion Criteria:
- Participant has provided written informed consent
- Participant is diagnosed with Positional Obstructive Sleep Apnea
- Participant age is between 21 and 60 years
- If currently on Positive Air Pressure (PAP) therapy, is able to produce compliance data within the last week before screening visit
- Is able to follow directions during the overnight sleep study
- If currently on PAP therapy participant self-report that excessive daytime sleepiness persists when PAP therapy is not in use
- Able to be of "PAP" therapy for 4 nights
Exclusion Criteria:
- Documented diagnosis of Insomnia
- Chronic ear infections
- Persistent neck "pains"
- Persistent chronic posture physical issues
- Previous C-Spine fusion
- History of Cardiac Arrythmia
- History of seizures
- Allergic to Standard Tape used in Sleep Centers
- Non-English speaking.
- Hospitalization within the previous 4 weeks
- Use of antibiotics or steroids within the previous 4 weeks
- Any major uncontrolled disease or condition, such as congestive heart failure, malignancy, end-stage heart disease, end-stage heart disease. Arterial Laterial Sclerosis (ALS), or sever stroke, or other condition as deemed appropriate by investigator as determined by review of medical history and/or participant reported medical history
- History of severe osteoporosis
- Excessive alcohol intake (> 6oz hard liquor, 48 oz beer or 20 oz wine daily), or illicit drug use by review of medical history and/or participant reported medical history
- Daily use of prescribed narcotics (greater than 30 mg morphine equivalent)
Sites / Locations
- Mass Lung and Allergy
Arms of the Study
Arm 1
Experimental
Forehead sensor recording precision head pitch and roll angle
During an overnight polysomnography, participants were coached by sleep research technologists to sleep with their head in positions hypothesized to minimize apnea severity ≤20⁰ or ≥160⁰, and those hypothesized to maximize apnea severity between 30⁰ and 150⁰. Head roll angles were measured and recorded by the participant's forehead sensor attached with adhesive and tape. Extreme head positions were attempted with the torso in both supine and non-supine positions so show insensitivity to torso position. A custom interface was developed to maintain compatibility with specific bedside polysomnography recorder auxiliary inputs. Sleep epochs were considered those where the subject slept for at least 10 minutes. Each head position epoch was analyzed for apnea hypopnea index and oxygen desaturation.