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[Treatment] POSAS (Position dependant OSAS)
#1
Idea 
POSAS (Position dependant OSAS)
Here and there I see some threads related to tennis balls as a remedy against sleeping on the back. Indeed the tongue falling back can slowly cut off the airflow, thus causing an obstructive apnea. A (much) higher pressure could solve this, but gives rise to other problems, like leakage.

Since about two years a very nice solution is available: the SPT (Sleep Position Trainer) by NightBalance. Just Google that! It is extensively tested and just last week gained reimbursement in the Netherlands. I'm not connected to this company in any manner, just very proud that our Dutch ApneuVereniging was involved in this milestone.

No tennis balls on your back, but just a tiny piece of electronics in a pocket on your chest!
Arie KLERK: Member of the Dutch Apnea Association staff (https://apneuvereniging.nl) and proud to be the OSCAR Translations Team Coordinator. 
***Please help us: We’re always looking for more translators and language editors***

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients, but just dedication to AB. 
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#2
RE: POSAS (Position dependant OSAS)
We have a lot of members that come here and show a pattern of dense obstructive apnea followed by periods of no events, then another cluster. That pattern has come to be recognized as related to positional apnea. It is interesting to note that some people actually have higher AHI on their side than supine, based on posted sleep studies. As a result, a device to prevent back-sleeping may or may not be effective. In recent years, forum members have often been recommended to try a soft cervical collar when that pattern is present, and the results have been nothing short of phenomenal. No studies, but I would put the success rate of a soft cervical collar at about 80% in resolving positional obstructive apnea with lower pressure, and it works in both supine and side-sleepers who tend to tuck their chin or end up in other positions that obstruct the airway.

I looked up the SPT and it has some studies backing up its efficacy, but I could not find what the cost of the item is. I'm sure it would be a good solution for someone with increased apnea in the supine position, and may be an alternative to the inexpensive cervical collar, or even cheaper tennis balls.

A. Klerk, the moderators looked at the original post, and the link you had seems to fall under the "manufacturer's clause" like Resmed and Respironics. The site doesn't apparently provide any link to actual sales, and is okay to post.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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#3
RE: POSAS (Position dependant OSAS)
No hassle, Walla Walla! Thank you, SleepRider for the thoughts. It's rather cheap, but on the contrary, we in Holland don't know about the collar  Dont-know 
I'll bring that into our ApneuVereniging!
Have a nice X-Mas!
Arie KLERK: Member of the Dutch Apnea Association staff (https://apneuvereniging.nl) and proud to be the OSCAR Translations Team Coordinator. 
***Please help us: We’re always looking for more translators and language editors***

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients, but just dedication to AB. 
Post Reply Post Reply
#4
RE: POSAS (Position dependant OSAS)
The cost is never mentioned - which immediately raised a flag with me.
So I went a-searching.
I finally found a report where a patient was referred to the product by a specialist so it would seem to have credibility.
The cost was 400 Euros to buy and 30 Euros a month to rent.
Now I have no doubt that a supine position increases apnea events particularly obstructive events.
Forget the science and consider gravity alone and you can see the sense in that.
But 400 Euros is an awful lot of tennis balls - and arguably no more effective.
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