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Published Research

Synopsis of published positional research

Our own compilation of various journals and published articles

Association of Body position with severity of apneic events in patients with severe non-positional OSA

Study objective: To compare the severity of sleep apneic events occurring in the supine posture vs the severity of sleep apneic events occurring in the lateral posture in patients with severe obstructive sleep apnea (OSA). Chest: 2000

Prevalence of Positional Sleep Apnea in Patients Undergoing Polysomnography

Study objectives: The primary aim of this study was to determine the prevalence of positional obstructive sleep apnea using a functional definition. Positional sleep apnea was defined as a total apnea-hypopnea index (AHI) > 5 with a > 50% reduction in the AHI between the supine and non-supine postures, and an AHI that normalizes (AHI < 5) in the non-supine posture. A secondary aim was to determine if positional sleep apnea can be diagnosed accurately during a split-night study. CHEST - 2005

Positional vs Nonpositional Obstructive Apnea Patients

Study objectives: To compare anthropomorphic, nocturnal polysomnographic (PSG), and multiple sleep latency test (MSLT) data between positional (PP) and nonpositional (NPP) obstructive sleep apnea (OSA) patients. Chest 1997

Positional therapy for OSA: A 6 month follow-up study

Background: Approximately half of obstructive sleep apnea (OSA) patients are positional (i.e., the majority of their breathing abnormalities during sleep appear in the supine posture). Little information exists as to whether avoiding the supine posture during sleep (positional therapy) is a valuable form of therapy for these patients. Aim: To assess the use of positional therapy (by the tennis ball technique [TBT]) during a 6 month period in 78 consecutive positional OSA patients The Laryngoscope: 2006

Positional and non-positional obstructive sleep apnea patients

A 42-year-old man, complained about loud snoring. The EES was 2 and BMI was 26.3. His PSG revealed an AHI = 36.2. The supine and lateral AHI were 102.1 and 3.1, respectively. He expressed interest in using the tennis ball technique to avoid the supine posture during sleep. Sleep Medicine 6 (2005)

Kingston General Sleep Study

Objectives: To examine the reliability of a diagnosis of positional obstructive sleep apnea (OSA), with an apnea hypopnea index (AHI) for lateral sleep less than half the supine AHI (S-AHI) and less than 15 per hour, in patients using positional therapy for a full night. Sleep Diagnosis and Therapy | Vol 2 No 2 April-May 2007 Helen S. Driver*, Farzad Saberi, Neela Chatha, Alison M. Urton, Peter Munt and Michael F. Fitzpatrick

OSA Management Guidelines

Background: Obstructive sleep apnea (OSA) is a common chronic disorder that often requires lifelong care. Available practice parameters provide evidence-based recommendations for addressing aspects of care. Objective: This guideline is designed to assist primary care providers as well as sleep medicine specialists, surgeons, and dentists who care for patients with OSA by providing a comprehensive strategy for the evaluation, management and long-term care of adult patients with OSA. Journal of Clinical Sleep Medicine, Vol.5, No. 3, 2009

OSA and Position

Objectives: The aim of this study was to compare the relative efficacy of continuous positive airway pressure (CPAP) and positional treatment in the management of positional obstructive sleep apnea (OSA), using objective outcome measures. Design: A prospective, randomized, single blind crossover comparison of CPAP and positional treatment for 2 weeks each. CHEST / 115 / 3 / MARCH, 1999 Ruzica Jokic, MD; Artur Klimaszewski, MD; Margaret Crossley, PhD; Guruswamy Sridhar, MD; and Michael F. Fitzpatrick, M

Doctor Testimonials

"I have a dental appliance for sleep apnea, which helps but isn't enough by itself. A Rematee cut my remaining apneas by 97%, effectively eliminating the problem. It's a bargain and the customer service has been top notch. I'm a customer for life."
Dr. C. Frische Seattle

"I found the device is very comfortable, and there have been episodes where I have been able to combine it with other therapies I've done. It's very easy to use and it works well."
Dr. Gregory T. Ackroyd, MD, Graduate of Ross University, Roseau, Dominica
Works at North Bay Sleep Medicine Institute in Santa Rosa, California, USA

"I really believe in positional therapy. My patients seem to do very well sleeping on their sides. It reduces their AHI to practically 0. Rematee is comfortable, and it works."
Dr. Thomas F. Phelps, Graduate of Meharry Medicine College (Nashville, TN, USA)
Works in a private practice in Tullahoma, Tennessee, USA

"If you increase your weight and you're a positional Sleep Apnea patient, you will become nonpositinal. If you are non-positional and you decrease your weight, then you have a great chance of becoming a positional patient, and use a device like Rematee to keep you sleeping on your side. "
Dr. Arie Oksenberg