NightBalance is a clinically proven positional obstructive sleep apnea (OSA) therapy that’s mask free and easy for your patients to use.
Studies have demonstrated greater adherence and similar efficacy in long-term symptom improvement compared with that of PAP therapy.1,2 Built-in support tools, such as a portal and mobile app, help give you the confidence of knowing your patients are getting better sleep on their side.
Positional OSA is a specific diagnosis in which the vast majority of apneic events occur during supine sleep.3 Positional OSA is diagnosed from any sleep study in which body position is measured. 47% of OSA patients may have exclusive positional OSA.4
CPAP non-adherence ranges between 29-83%, when non-adherence is defined as a mean of less than or equal to 4 hours of use per night.6,7
Discover articles, news and information on positional OSA
Traditional sleep therapies used for OSA are also typically used to treat positional OSA, despite the availability of less invasive, validated treatments that target positional sleep apnea.
Available therapies for positional OSA lack data feedback that allow for tracking treatment progress.
The AHI during PSG on NightBalance was not importantly different from a clinical perspective to that on PAP therapy.1
The effectiveness of NightBalance and auto-adjusting positive airway pressure was similar across the categories of AHI severity.
Adherence with NightBalance was significantly higher than with PAP in patients diagnosed with positional OSA.1
Adherence and positional sleep data is accessible to you via a streaming, cloud-based system.
Berry, R. et al, NightBalance Sleep Position Trainer Device Versus Auto-Adjusting Positive Airway Pressure for treatment of Positional Obstructive Sleep Apnea
Journal of Clinical Sleep Medicine, Vol. 5, No.7, 947-956
Van Maanen et al, The sleep position trainer: a new treatment for positional obstructive sleep apnoea
Sleep and Breathing (2013) 17:771–779
Van Maanen & de Vries, Long-Term Effectiveness and Compliance of Positional Therapy with the Sleep Position Trainer
SLEEP 2014; Vol. 37, No. 7
Eijsvogel etal, Sleep Position Trainer versus Tennis Ball Technique
Journal of Clinical Sleep Medicine 2015; Vol. 11, No. 2
Dieljtens, A promising concept of combination therapy for positional obstructive sleep apnea
Sleep Breath 2015; 19:637–644
Benoist, Positional therapy in patients with residual positional obstructive sleep apnea after upper airway surgery
Sleep Breath 2016
Benoist, A randomized, controlled trial of positional therapy versus oral appliance therapy
Sleep Medicine 2017; 34:109e117
De Ruiter, Durability of treatment effects of the SPT versus oral appliance therapy in positional OSA: 12-month follow-up
Sleep Breath 2017
Laub, A Sleep Position Trainer for positional sleep apnea: a randomized, controlled trial
Journal of Sleep Research 2017
reported long-term improvement in the three most reported positional OSA symptoms
(non-refreshing sleep, fatigue, episode of breathing cessations, gasping, and/or choking during the night)
NightBalance begins by analysing sleep for the first two nights. It then gradually introduces gentle vibrations from night 3 to night 10 which are intended to acclimatise the patient to the NightBalance device. Full therapy begins on night 10.
NightBalance is supported by an our medical advisory board, comprised of distinguished world renowned scientists and clinicians.
1 Berry, R. et al, NightBalance sleep position treatment device versus auto-adjusting positive pressure airway prssure for treatment of positional obstructive sleep apnea, J Clin Sleep Medicine,2019 ,Vol. 5, No.7, 947-956
2 NightBalance OSA Symptoms survey: Reimbursement Dossier Netherlands
3 Cartwright criteria, Effect of Sleep Position on Sleep Apnea Severity, R. Cartwright, 1984.
4 Heinzer, R. et al, Prevalence and Characteristics of Positional Sleep Apnea in the HypnoLaus Population-based cohort, Sleep Medicine 2018; 48:157-162.
5 Mador, J. et al, Prevalence of Positional Sleep Apnea in Patients Undergoing Polysomnography, Chest 2005, Volume 128, Issue 4, pages 2130-2137.6. Van Maanen et al. 2013, The sleep position trainer: a new treatment for positional obstructive sleep apnoea.
6 Sawyer, AM. et al, A systemic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions, Sleep Med Review, 2011 Dec, 15(6): 343-56
7 T. et al, Adherence to Continuous Positive Airway Pressure Therapy: the Challenge to Effective Treatment, Proceedings of the American Thoracic Society, Vol5, 2008
8 van Maanen, J. et al, The sleep position trainer: a new treatment for positional obstructive sleep apnoea, Sleep and Breathing, 2013, 17:771-779
