Sleep Position Therapy

Position your POSA patients to succeed with NightBalance Lunoa

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.

NightBalance Lunoa screen
side sleeping

Side sleeping

Breathing is clear

supine sleeping

Supine sleeping

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

Cartwright* criteria uses the following to define and diagnose POSA:
 

AHIsupine ≥ 2 x AHInon-supine

How can NightBalance Lunoa help?

 

NightBalance Lunoa is a new, simple sleep therapy option designed specifically for your POSA patients. It quietly monitors the patient’s sleep positions and uses vibrations to prompt patients to move off their back without disturbing sleep 3,4

How it works

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 Lunoa 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.

Watch it in action

Nightbalance Lunoa
Play video

NightBalance Lunoa is proven to make a difference

 

The NightBalance Lunoa algorithm is effective at reducing the long-term AHI in patients with positional OSA.5

 

A survey following 75 NightBalance Lunoa users for an average of 2.2 years reported impressive results. 6

NightBalance Lunoa
73%
Reported a long-term improvement in the three most reported POSA symptoms7
70%
Reported feeling less sleepy during the day6
72%
Reported feeling less fatigue during the day6
73%
Reported that they felt more refreshed during the day6

Features and benefits

couple with NightBalance Lunoa
Individualized therapy
By continuously monitoring patients’ sleep patterns, the NightBalance Lunoa 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 Lunoa 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 Lunoa 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 Lunoa is small, light, and portable. Equipped with a travel case, it’s easy to store and transport device components.

See the clinical support

de Ruiter et al., 20188

Benoist et al., 20179

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1 Cartright criteria, Effect of Sleep Position on Sleep Apnea Severity, R. Cartwright, 1984.

2 36% of patients met the criteria of POSA and had a non-supine AHI of less than 5, 47% of patients met the criteria of POSA and had a non-supine AHI of less than 10.

Van Maanen et al. 2013, The sleep position trainer: a new treatment for positional obstructive sleep apnea.

4 Eijsvogel et al. 2015, Sleep Position Trainer versus Tennis Ball Technique in Positional Obstructive Sleep Apnea Syndrome.

5 Improvements maintained at 12 months. 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, de Ruiter et al., 2017.

6 Dutch Apnea Society (Apneuvereniging) survey with 75 NightBalance Lunoa users for an average of 2.2 years.

7 Most reported symptoms were: 1. Nonrefreshing sleep (95%), Fatigue (93.3%), and Episodes of breathing cessations, gasping and/or choking during the night (92%). Consistent with OSA symptoms as defined by AASM and Dutch guidelines. Dutch Apnea Society (Apneuvereniging) survey with 75 NightBalance Lunoa users for an average of 2.2 years.

8. de Ruiter MHT, Benoist LBL, de Vries N, de lange J. 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. 2018 May;22(2):441-450.

9. Benoist L, de Ruiter M, de Lange J, de Vries N. A randomized, controlled trial of positional therapy versus oral appliance therapy for position-dependent sleep apnea. Sleep Med. 2017 Jun;34:109-117.