Focus of Report: This report focuses on the use of the NightBalance sleep position trainer (SPT) system for treatment of positional obstructive sleep apnea (POSA).

Technology Description: The NightBalance consists of a palm-sized device that is worn across the chest using an adjustable strap. The device continuously monitors the position of the patient during sleep and delivers vibrations when the patient is in the supine position to prompt the user to shift to a side position. The vibration intensity is automatically adjusted; vibrations cease when the patient is lying in a side position.

Controversy: Positional therapy for POSA is not widespread, as its effectiveness, compliance, and comfort have yet to be established. Several devices for positional therapy exist, including the NightBalance device, tennis ball technique (TBT), and backpacks. In addition, there are variable definitions of POSA.

Key Questions:

  • Does the NightBalance SPT improve clinical outcomes in patients with POSA?

  • How does NightBalance compare with other treatments for POSA, such as continuous positive airway pressure (CPAP) or oral appliances?

  • Is NightBalance safe?

  • Have definitive patient selection criteria been established for NightBalance?

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