Alternative Therapy Solutions for Sleep Apnea

Oral Appliances, Position Devices, and Pressure Resistance

Written by
Jason Smith RPSGT
Published on
September 5, 2023 at 7:43:10 AM PDT September 5, 2023 at 7:43:10 AM PDTth, September 5, 2023 at 7:43:10 AM PDT

Sleep apnea is a prevalent sleep disorder characterized by repeated interruptions in breathing during sleep. While continuous positive airway pressure (CPAP) therapy is the primary treatment, some individuals seek alternative solutions that are more comfortable or better suited to their needs. In this blog, we will explore three alternative therapy solutions for sleep apnea: oral appliances, positional devices, and pressure resistance techniques.


Oral Appliances

Oral appliances, also known as mandibular advancement devices (MADs) or dental appliances, are one of the most popular alternative therapies for sleep apnea. These devices resemble mouthguards or retainers and work by repositioning the lower jaw and tongue to keep the airway open during sleep.


How do oral appliances work?

By adjusting the position of the jaw, oral appliances help prevent the collapse of soft tissues at the back of the throat, reducing airway obstruction.


These devices are custom-fitted by a dentist or orthodontist to ensure comfort and effectiveness.


They are less invasive and more comfortable than CPAP machines, making them an attractive option for many patients. Oral appliances are particularly beneficial for people with mild to moderate obstructive sleep apnea or those who cannot tolerate CPAP therapy.


Positional Devices

Positional therapy devices are designed to encourage individuals to maintain specific sleep positions that reduce the severity of sleep apnea episodes. Many people experience sleep apnea primarily when sleeping on their backs (supine position).


Positional devices aim to keep the sleeper in a side or non-supine position throughout the night.


Types of positional devices:

Wedge Pillows: These contoured pillows elevate the upper body, making it uncomfortable to sleep on your back and encouraging side sleeping.


Vests or Shirts:These garments have built-in padding or structures that discourage sleeping on the back.


Tennis Balls: Sewn into the back of pajamas or a T-shirt, these can be uncomfortable when attempting to roll onto your back, promoting side sleeping.


*Positional devices may be most effective for individuals with positional obstructive sleep apnea, where the severity of apnea episodes is highest when sleeping on the back.


Pressure Resistance Techniques

Pressure resistance techniques are non-invasive methods aimed at reducing airway obstruction by increasing the pressure inside the airway during sleep.

Two commonly used pressure resistance techniques are:


1.Expiratory Positive Airway Pressure (EPAP): EPAP devices are small, adhesive patches that cover the nostrils. They contain one-way valves that create a back-pressure effect during exhalation, helping to keep the airway open during inhalation.


2.Inspiratory Muscle Training (IMT): IMT involves exercises that strengthen the muscles responsible for inhalation. Improved muscle tone can help reduce airway collapse during sleep.


While these techniques are less common than oral appliances or positional devices, they offer additional options for individuals seeking alternative therapies for sleep apnea.


Conclusion

Alternative therapy solutions for sleep apnea, including oral appliances, positional devices, and pressure resistance techniques, can provide relief for those who find traditional CPAP therapy uncomfortable or unsuitable.

However, it's crucial to consult with a healthcare professional or sleep specialist before pursuing any alternative therapy. They can help determine the most appropriate treatment based on the severity and specific characteristics of your sleep apnea.Additionally, regular follow-up and evaluation are essential to ensure the chosen alternative therapy effectively manages your sleep apnea and promotes better sleep quality and overall well-being.