title: Mattress and pillow for prone positioning for treatment of obstructive sleep apnoea.
abstract: CONCLUSIONS
  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.
authors: Department of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital , Gothenburg , Sweden.
authors: Armin
authors: A
authors: Bidarian-Moniri
authors: Michael
authors: M
authors: Nilsson
authors: John
authors: J
authors: Attia
authors: Hasse
authors: H
authors: Ejnell
mesh_terms: D000328:Adult; D000368:Aged; D001513:Beds; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017286:Polysomnography; D016684:Prone Position; D012890:Sleep; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D016896:Treatment Outcome
keywords: Positional treatment; conservative; lateral sleep position; non-invasive; non-surgical treatment; polysomnography; prone sleep position; supine sleep position
references: J Clin Sleep Med. 2010 Jun 15;6(3):238-43
references: 20572416
references: Intensive Care Med. 2010 Apr;36(4):585-99
references: 20130832
references: Sleep. 1991 Dec;14(6):540-5
references: 1798888
references: Respirology. 2008 Sep;13(5):708-15
references: 18713092
references: Sleep Med. 2012 Apr;13(4):425-8
references: 22261242
references: Eur Arch Otorhinolaryngol. 2007 Sep;264(9):1081-6
references: 17443336
references: N Engl J Med. 2013 Jun 6;368(23):2159-68
references: 23688302
references: Sleep Breath. 2013 Mar;17(1):173-9
references: 22382651
references: Am J Respir Crit Care Med. 2002 Aug 1;166(3):274-8
references: 12153957
references: Sleep. 1984;7(2):110-4
references: 6740055
references: ISRN Otolaryngol. 2013 Oct 08;2013:670381
references: 24223313
references: J Sleep Res. 2014 Apr;23(2):204-10
references: 24118690
references: Sleep. 2011 Aug;34(8):1075-81
references: 21804669
references: Intensive Care Med. 2008 Jun;34(6):1002-11
references: 18350271
references: Am Rev Respir Dis. 1993 Apr;147(4):887-95
references: 8466125
references: Eur Arch Otorhinolaryngol. 2006 Oct;263(10):946-50
references: 16802139
references: Acta Otolaryngol. 2015 Jan;135(1):79-84
references: 25384381
references: Sleep Breath. 2013 May;17(2):771-9
references: 22927107
references: Sleep. 2014 Jul;37(7):1209-15
references: 25061249