Lack of efficacy for a cervicomandibular support collar in the management of obstructive sleep apnea.

Abstract:

STUDY OBJECTIVES:The effect of therapy using a cervicomandibular support collar (CMSC) to manage obstructive sleep apnea (OSA) was compared with standard therapy, nasal continuous positive airway pressure (nCPAP). DESIGN:Subjects received treatment with CMSC or nCPAP each for 1 month in random order. The study was analyzed on an intention-to-treat basis. SETTING:Tom McKendrick Sleep Laboratory, Dunedin Hospital. PARTICIPANTS:Ten adult subjects with mild-to-moderate OSA (apnea-hypopnea index [AHI], 24 +/- 13/h slept [mean +/- SD]) completed the study. INTERVENTIONS:The CMSC was designed to prevent mandibular movement and hold the head in slight extension, thus preventing the postural changes that might contribute to OSA. Positioning of the CMSC was confirmed by an externally applied cervical range of motion (CROM) instrument and by cephalometry. Subjects were carefully instructed in the use of each device and completed a symptom diary. After 1 month, subjects underwent polysomnography with each of the allocated devices in situ, and symptom questionnaires were administered. MEASUREMENTS AND RESULTS:Treatment success (AHI 10/h to

journal_name

Chest

journal_title

Chest

authors

Skinner MA,Kingshott RN,Jones DR,Taylor DR

doi

10.1378/chest.125.1.118

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

118-26

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)31782-7

journal_volume

125

pub_type

临床试验,杂志文章,随机对照试验

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