Obstructive Sleep Apnea Clinical Trial
Official title:
Obstructive Sleep Apnea Management in People With Spinal Cord Injury, Treatment Options by Mandibular Advancement Device
The prevalence of obstructive sleep apnea (OSA) is a significantly higher in people after spinal cord injury (SCI) than in the general population. As a positive pressure therapy (CPAP) is often poorly tolerated, a mandibular advancement device (MAD) can be used for the treatment of OSA. The purpose of this study is to determine the efficacy of MAD in people with SCI and to verify their adherence to the therapy.
Status | Recruiting |
Enrollment | 60 |
Est. completion date | November 30, 2023 |
Est. primary completion date | June 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 70 Years |
Eligibility | Inclusion Criteria: - AHI > 5 on polygraphy - sufficient set of teeth to hold a splint - written informed consent Exclusion Criteria: - use of medication that could affect breathing or sleep - oxygen-dependent or decompensated lung disease - decompensated congestive heart failure - evidence of other sleep disorders (narcolepsy, restless legs syndrome, insomnia) - abnormalities of the upper airway - periodontal problems and untreated caries - mental disorders |
Country | Name | City | State |
---|---|---|---|
Czechia | Paraple Center - rehab center for SCI people | Prague |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Motol |
Czechia,
Dieltjens M, Vanderveken O. Oral Appliances in Obstructive Sleep Apnea. Healthcare (Basel). 2019 Nov 8;7(4):141. doi: 10.3390/healthcare7040141. — View Citation
Graco M, Schembri R, Cross S, Thiyagarajan C, Shafazand S, Ayas NT, Nash MS, Vu VH, Ruehland WR, Chai-Coetzer CL, Rochford P, Churchward T, Green SE, Berlowitz DJ. Diagnostic accuracy of a two-stage model for detecting obstructive sleep apnoea in chronic tetraplegia. Thorax. 2018 Sep;73(9):864-871. doi: 10.1136/thoraxjnl-2017-211131. Epub 2018 May 7. — View Citation
Kriz J., Kyselova A., Sever D. Sleep Apnea In Patients With Chronic Spinal Cord Injury. Abstractbook. The 4th ISCoS and ASIA Joint Scientific Meeting, May 14-16, 2015, Montreal, Canada.
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Apnea-Hypopnea index (AHI) | The obstructive Apnea-Hypopnea Index is defined as the mean number of obstructive apneas and hypopneas per hour of sleep, thus: the occurrence of 5 to 14 events per hour of sleep means presence of mild apnea, 15 to 29 moderate apnea and = 30 severe apnea. The AHI is derived from overnight polygraphy. | through study completion, an average of 6 month | |
Secondary | Daytime sleepiness | The Epworth sleepiness scale (ESS) will measure the subjective daytime sleepiness, assesses the propensity to sleep under inappropriate circumstances. The ESS questionnaire consists of 8 questions about daytime sleepiness in various situations. The minimum scale values of 0-7 indicate no likeliness of being abnormally sleepy, the maximum scale values of 16-24 indicate excessive sleepiness. | through study completion, an average of 6 month | |
Secondary | Quality of life measurement | The WHOQOL-BREF will be used to measure the quality of life. This instrument is a self-administered questionnaire comprising 26 questions on the individual's perceptions of their health and well-being over the previous two weeks. Scores range from 0 to 100 with 100 indicating a higher quality of life. | through study completion, an average of 6 month |
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