Extreme Positional Therapy

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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roster
Posts: 8159
Joined: Wed Jan 18, 2006 8:02 pm
Location: Chapel Hill, NC

Re: Extreme Positional Therapy

Post by roster » Fri May 14, 2010 8:19 pm

The hole in my logic is that I am beginning to build a budget for a hole - a skin-lined tracheotomy - and then drop out of this forum.

What sleeping face down would gain is the force of gravity pulling the tongue in a direction directly away from the airway.

As far as the above charts go, if one were to sleep face down on a massage table, the head would be in a position like B and not like C. This is the position you lie in when getting a massage.

I believe with your head in position C, any body position you could take would still leave you uncomfortable after a few minutes.

There is something fishy about those charts that I hope someone can explain. In 'A' the lips are closed. In 'B' they are slightly open and in 'C' the mouth is wide open. To me, the opening of the mouth is what gives an appearance of a wide airway. I believe figure C could have been drawn with the head in position A and with the mouth open you would get the same appearance of an increased airway space.

But maybe the charts aren't really so fishy. The charts were drawn to illustrate how intubation is easier if the head is tilted back. This is just saying it's a "straight shot" for pushing in the intubation tube in position C. It says nothing about less inclination for the airway to collapse during sleep in position C. Of course you just believe it is worth further investigation and despite my doubt that it has any value for apnea patients, I like that people investigate new things for our possible benefit.

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I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related

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echo
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Joined: Wed Jul 18, 2007 4:20 pm

Re: Extreme Positional Therapy

Post by echo » Fri May 14, 2010 8:25 pm

roster wrote: Image
When I was first investigating the possibility that I might have OSA (that would be me, not any of the doctors I went to see ), my partner and I used to joke (only half-jokingly too) that i needed to sleep in one of those massage beds to eliminate the OSA. We very nearly made one too, but then I got the anti-snoring device (which only delayed CPAP therapy sadly enough). Glad i'm not the only that considered this position! The only drawback I could see is as roster points out, the inability to sleep in that position the whole night.
PR System One APAP, 10cm
Activa nasal mask + mouth taping w/ 3M micropore tape + Pap-cap + PADACHEEK + Pur-sleep
Hosehead since 31 July 2007, yippie!