title: Home assessment of sleep disorders by portable monitoring.
abstract: Ambulatory home monitoring has been employed for a number of applications. Portable sleep/wake recorders are useful for assessment of the hypersomnias, circadian sleep/wake disorders, parasomnias, and periodic movements in sleep. Wrist actigraphy can usefully approximate sleep versus wake state during 24 h and has been used for monitoring insomnia, circadian sleep/wake disturbances, and periodic limb movement disorder. Home monitoring of cardiopulmonary parameters can be employed for detection and follow-up of sleep-disordered breathing (sleep apnea, upper airway resistance syndrome). The techniques available for portable monitoring, although valuable, do not replace traditional in-laboratory polysomnography for full assessment of a sleep disorder.
authors.affiliation: Ottawa General Hospital, Vancouver Hospital, Vancouver, Canada.
authors.forename: R
authors.initials: R
authors.lastname: Broughton
authors.forename: J
authors.initials: J
authors.lastname: Fleming
authors.forename: J
authors.initials: J
authors.lastname: Fleetham
mesh_terms: D000553:Ambulatory Care; D002540:Cerebral Cortex / Q000503:physiopathology; D002940:Circadian Rhythm / Q000502:physiology; D004867:Equipment Design; D006801:Humans; D017286:Polysomnography / Q000295:instrumentation*; D012680:Sensitivity and Specificity; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D012891:Sleep Apnea Syndromes / Q000175:diagnosis / Q000503:physiopathology; D012894:Sleep Stages / Q000502:physiology; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000503:physiopathology