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Type: Journal article
Title: Poor long-term patient compliance with the Tennis Ball Technique for treating positional obstructive sleep apnea
Author: Bignold, J.
Deans-Costi, G.
Goldsworthy, M.
Robertson, C.
McEvoy, R.
Catcheside, P.
Mercer, J.
Citation: The Journal of Clinical Sleep Medicine, 2009; 5(5):428-430
Publisher: The American Academy of Sleep Medicine
Issue Date: 2009
ISSN: 1550-9389
Statement of
James J. Bignold, Georgina Deans-Costi, Mitchell R. Goldsworthy, Claire A. Robertson, Douglas McEvoy, Peter G. Catcheside and Jeremy D. Mercer
Abstract: Study Objectives: Little is known regarding long-term patient compliance with the tennis ball technique (TBT), one of the original simple methods of positional therapy (i.e., avoiding the supine posture during sleep) for posture-dependent obstructive sleep apnea patients. The purpose of this study was to investigate long-term patient compliance with TBT. Methods: A follow-up questionnaire was mailed to all patients prescribed TBT at the Adelaide Institute for Sleep Health between July 2004 and March 2008 (n = 108). Results: Sixty-seven patients replied to the questionnaire. Baseline demographic/clinical characteristics were not significantly different from non-respondents. Among the respondents, follow-up time was (mean ± SD) 2.5 ± 1.0 years. Four (6.0%) reported they were still using TBT (group A); 9 (13.4%) were no longer using TBT, claiming to have learned to avoid the supine position during sleep (group B); and 54 (80.6%) were neither using TBT nor avoiding the supine posture (group C). The main reason for ceasing TBT use in group C was that TBT was too uncomfortable (34/54 patients). Conclusions: Long-term patient compliance with TBT appears to be very poor, with less than 10% of patients reporting continued use (group A) ~30 months after prescription. With most TBT non-compliers reporting it to be too uncomfortable, alternative forms of positional therapy appear to be needed.
Keywords: Obstructive sleep apnea
tennis ball technique
positional therapy
body posture
DOI: 10.5664/jcsm.27597
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Appears in Collections:Aurora harvest 5
Molecular and Biomedical Science publications

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