Sleep Position Therapy

Position your POSA patients
to succeed with
Philips NightBalance

What is POSA?

 

Positional obstructive sleep apnea (POSA) is a specific diagnosis, distinct from OSA. It is a condition in which the vast majority of apneic events occur during supine sleep.

 

POSA is defined as a 50% reduction in the AHI during non-supine sleep. A recent study by Heinzer, et al., (2018), demonstrates that exclusive POSA was present in 36–47% of OSA subjects.2

NightBalance Lunoa screen
side sleeping

Side sleeping

Airway is clear
supine sleeping

Supine sleeping

Airway is obstructed

Positional Obstructive Sleep Apnea Prevalence  


Published criteria allow people with positional OSA to be identified from a sleep study.1 But its prevalence may be underestimated, perhaps because the same sleep therapy treatment has traditionally been used for all kinds of OSA. It’s time to start looking at POSA more closely.
percentages of patients suffering from positional sleep apnea

49.5% Mild1

19.4% Moderate1

6.5% severe1

A recent study by Heinzer, et al. (2018) demonstrates that exclusive POSA was present in 36–47% of OSA subjects.2

Your patients deserve NightBalance, a therapy that’s on their side

 

Exceptional comfort

  • Patients with positional OSA felt that mask-free NightBalance was more comfortable than CPAP.1
  • Patients are prompted to change their sleeping position without disturbing their sleep.

 

Easier adjustment

  • A built-in adaptation program helps gradually adjust patients to wearing and being treated by the device.
  • Patients with positional OSA felt that NightBalance was easier to adjust to than PAP therapy.4

 

More motivation

  • The NightBalance mobile app is designed to make treatment progress easy to see.

How it works

Analysis and build-up phases

 

NightBalance begins by analayzing sleep for the frst two nights. It then gradually introduces gentle vibrations from night three through night ten which are intended to acclimate the patient to the NightBalance device.

illustration showing NightBalance analysis and build-up phases

Ongoing treatment

illustration showing sitting with NightBalance Lunoa
Patient can fall asleep in any position. After 15 minutes, the device activates and begins monitoring.
Illustration showing patient on their back.
NightBalance detects when the patient is on their back. It prompts the patient to move off their back without disturbing their sleep. 3, 4
Vibrations will stop when patient is on their side.

NightBalance is proven to make a difference

 

The NightBalance algorithm is effective at reducing the long-term AHI in patients with positional OSA.1

 

A survey following 75 NightBalance users for an average of 2.2 years reported impressive results. 3

NightBalance Lunoa

A survey following 75 NightBalance users for an average of 2.2 years reported impressive results.3

73%
Reported a long-term improvement in the three most reported POSA symptoms3
70%
Reported feeling less sleepy during the day3
72%
Reported feeling less fatigue during the day3
73%
Reported that they felt more refreshed during the day3

Features and benefits

couple with NightBalance Lunoa
Individualized therapy
By continuously monitoring patients’ sleep patterns, the NightBalance device can adjust the intensity of its vibrations to meet the needs of each patient.
woman sleeping on side with NightBalance Lunoa
Adaptive programming
During the 9-night adaptation program, the NightBalance helps patients to gradually adjust to the sensor device’s vibrations while they sleep. The device prompts patients to move off their back without disturbing their sleep.3.4
woman with computer
Intuitive interface
The Patient Portal interface is user-friendly and accessible, making it easy for patients to keep track of their sleep position, movement, and treatment duration and share their data with care providers.
NightBalance Lunoa
Connected data
NightBalance seamlessly monitors patients’ sleep position, and the docking station wirelessly transfers the data to a secure online portal to eliminate the hassle of connecting and uploading.
NightBalance Lunoa in travel case
Compact and travel-ready
NightBalance is small, light, and portable. Equipped with a travel case, it’s easy to store and transport device components.
NightBalance device on grey
Clinical studies
Nightbalance has performed well in numerous studies and has been clinically proven to improve apneic episodes in POSA patients.

See the clinical support

Van Maanen et al, The sleep position trainer: a new treatment for positional obstructive sleep apnoea

 

Sleep and Breathing (2013) 17:771–779

Benoist et al, A randomized, controlled trial of positional therapy versus oral appliance therapy for position-dependent sleep apnea

 

Sleep Medicine 34 (2017) 109-117

De Ruiter MHT et al, Durability of treatment effects of the Sleep Position Trainer versus oral appliance therapy in positional OSA: 12-month follow-up of a randomized controlled trial

 

Sleep Breath 22 (2018) 441-450

Berry, R. et al, NightBalance Sleep Position Trainer Device Versus Auto-Adjusting Positive Airway Pressure for treatment of Positional Obstructive Sleep Apnea

 

Journal of Clinical Sleep Medicine, 2019, Vol. 5, No.7, 947-956

Medical advisory board

 

NightBalance is supported by an our medical advisory board, comprised of distinguished world renowned scientists and clinicians.

Eve Van Cauter PhD

Prof. Dr. Nico de Vries

 

  • Head of ENT department, Sint Lucas Andreas Hospital Amsterdam
  • Guest professor at the University of Antwerp
  • Author of more than 200 publications
  • Cooperates with Inspire Medical Systems, Philips Healthcare, Olympus and ReVent Medical
Eve Van Cauter PhD

David P. White, MD

 

  • Professor of sleep medicine at Harvard Medical School
  • Senior physician, Division of Sleep Medicine, Department of Medicine, at Brigham and Women’s Hospital
  • Author of more than 180 publications and numerous book chapters, previous editor-in-chief of SLEEP
  • Chief Scientific Officer at Philips Healthcare
Eve Van Cauter PhD

Dr. Heinzer

 

  • Senior physician and co-director, University Hospital of Lausanne
  • Medical Director of the Centre for Investigation and Research in Sleep
  • Author of more than 50 publications
  • Member of the Board of theSwiss Society for Sleep Research
Eve Van Cauter PhD

Jean-Louis Pepin, MD, PhD

 

  • Pulmonologist at University Hospital of Grenoble
  • Author of more than 250 publications
  • Former President of the French Sleep Research and Medicine Society
  • Involved in several European and American Thoracic Society task forces
Eve Van Cauter PhD

Prof. Dr. Winfried Randerath, MD

 

  • Head Physician Clinic of Clinic of Pneumology and Allergology Center for Sleep Medicine and Respiratory Care, Bethanien Hospital, Solingen, Germany
  • Director Institute of Pneumology at the University of Cologne
  • Author of more than 180 publications
  • Secretary General of the German Respiratory Society (DGP)

Ready to learn more?

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Citations

 

1 Mador. MJ. et al. Prevalence of positional sleep apnea in patients undergoing polysomnography. Chest 2005 Oct. 128(4) 2130-7
2 Heinzer, R. et al, Prevalence and Characteristics of Positional Sleep Apnea in the HypnoLaus Population-based cohort, Sleep Medicine 2018; 48:157-162
3 Dutch Apnea Society (Apneuvereniging) survey based on 75 NightBalance users for an average of 2.2 years; 2017
4 Berry, R. et al, NightBalance Sleep Position Trainer Device Versus Auto-Adjusting Positive Airway Pressure for treatment of Positional Obstructive Sleep Apnea, Journal of Clinical Sleep Medicine, 2019, Vol. 5, No.7, 947-956