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Compliance of Various Forms of Obstructive Sleep Apnea Treatment

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Positional Therapy in Obstructive Sleep Apnea

Abstract

The therapeutic armamentarium for obstructive sleep apnoea (OSA) comprises several treatment options. Continuous positive airway pressure (CPAP) has the firmest evidence base in the treatment of OSA. A growing body of evidence is becoming available supporting the practice of other treatment modalities, especially mandibular advancement devices (MADs), weight loss, positional therapy (PT) and sleep surgery. Evidently even the most effective medical devices are only effective when they are used.

CPAP and MAD treatment is regarded as successful if the AHI drops below 5 whilst the devices are used; an AHI below 5 is the bar for CPAP adjustment. It is however common knowledge that a majority of patients are not adherent to the treatment during 100 % of the total sleep time under everyday non-laboratory conditions. Ineffectiveness, backache, discomfort and no improvement in sleep quality or daytime alertness have been responsible for poor compliance and subsequent disappointing long-term results of PT of various tennis ball techniques.

The effectiveness of conservative treatment regarding the reduction of AHI depends both on its impact on airway obstruction and compliance. Current evidence demonstrates that clinical outcome is dependent on compliance to treatment in a dose-dependent manner.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Sint Lucas Andreas Ziekenhuis, Jan Tooropstraat 164, Amsterdam, 1061 AE, The Netherlands

    Madeline Ravesloot

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  1. Madeline Ravesloot
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Correspondence to Madeline Ravesloot .

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Editors and Affiliations

  1. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Nico de Vries

  2. Department of Otorhinolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    Madeline Ravesloot

  3. Department of Otolaryngology, Sint Lucas Andreas Ziekenhuis, Amsterdam, The Netherlands

    J. Peter van Maanen

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Ravesloot, M. (2015). Compliance of Various Forms of Obstructive Sleep Apnea Treatment. In: de Vries, N., Ravesloot, M., van Maanen, J. (eds) Positional Therapy in Obstructive Sleep Apnea. Springer, Cham. https://doi.org/10.1007/978-3-319-09626-1_3

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  • DOI: https://doi.org/10.1007/978-3-319-09626-1_3

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