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Feasibility and patient tolerability of transcutaneous electrical stimulation in obstructive sleep apnoea

Kate Reed, Martino Pengo, Xiao Sichang, Culadeeban Ratneswaran, Nimish Shah, Tao Chen, Abdel Douiri, Nicholas Hart, Yuanming Luo, Gerrard Rafferty, Gian Paolo Rossi, Adrian Williams, Michael Polkey, John Moxham, Joerg Steier
European Respiratory Journal 2016 48: PA3420; DOI: 10.1183/13993003.congress-2016.PA3420
Kate Reed
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Martino Pengo
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Xiao Sichang
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Culadeeban Ratneswaran
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Nimish Shah
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Tao Chen
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Abdel Douiri
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Nicholas Hart
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Yuanming Luo
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Gerrard Rafferty
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Gian Paolo Rossi
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Adrian Williams
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Michael Polkey
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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John Moxham
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Joerg Steier
1Nuffield House Sleep Centre, King's College London School of Medicine, London, United Kingdom
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Abstract

Introduction: Transcutaneous electrical stimulation (TES) provides neuromuscular tone to the pharyngeal dilator muscles of the upper airway (UA) while asleep, but feasibility of this method to treat obstructive sleep apnoea (OSA) throughout the whole night has not been tested.

Patients&Methods: We conducted a sham-controlled, randomised and controlled cross-over trial using TES of the UA muscles in 36 patients with confirmed OSA to assess patients' acceptance of the method and the potential side effect profile. Patients were studied using polysomnography during randomly assigned nights of sham-stimulation and active treatment following titration of the stimulation while awake. Assessment of patients' acceptance and experience of side effects was measured using a visual analogue scale (0-10 points). Data were compared using the Wilcoxon test.

Results: None of the patients reported skin discomfort, unpleasant tongue sensations or morning headache (p=n.s.). There was no difference in patients' perceived sleep quality (p=n.s.), but patients reported a 30% reduction in mouth dryness following the night of active treatment (p=0.007). The total sleep time was not different between the treatment arms (p=n.s.). During the trial, there were no severe adverse events.

Conclusion: TES of the UA dilator muscles in OSA can be delivered throughout the night with few side effects and does not lead to arousal from sleep, if appropriately titrated.

  • Sleep studies
  • Sleep disorders
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Feasibility and patient tolerability of transcutaneous electrical stimulation in obstructive sleep apnoea
Kate Reed, Martino Pengo, Xiao Sichang, Culadeeban Ratneswaran, Nimish Shah, Tao Chen, Abdel Douiri, Nicholas Hart, Yuanming Luo, Gerrard Rafferty, Gian Paolo Rossi, Adrian Williams, Michael Polkey, John Moxham, Joerg Steier
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3420; DOI: 10.1183/13993003.congress-2016.PA3420

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Feasibility and patient tolerability of transcutaneous electrical stimulation in obstructive sleep apnoea
Kate Reed, Martino Pengo, Xiao Sichang, Culadeeban Ratneswaran, Nimish Shah, Tao Chen, Abdel Douiri, Nicholas Hart, Yuanming Luo, Gerrard Rafferty, Gian Paolo Rossi, Adrian Williams, Michael Polkey, John Moxham, Joerg Steier
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3420; DOI: 10.1183/13993003.congress-2016.PA3420
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More in this TOC Section

  • Telehealthcare interventions in the management of obstructive sleep apnoea hypopnoea syndrome (OSAHS) in continuous positive airway pressure (CPAP) users - A systematic review
  • Comparison of peri-pharyngeal muscle recruitment during upper airway obstruction in patients with OSA and healthy subjects during wakefulness and sleep
  • Persistent daytime hypercapnia predicts poor prognosis in OSAS undergoing CPAP therapy
Show more 4.2 Sleep and Control of Breathing

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