Cochrane · systematic review · CD010990
Positional therapy for obstructive sleep apnoea
Srijithesh, PR, Aghoram, R, Goel, A, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 14.3%Very low 1 · 7.1%Low 8 · 57.1%Moderate 3 · 21.4%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Positional therapy compared to continuous positive airway pressure (CPAP) for obstructive sleep apnoea
Population: adults with obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Epworth Sleepiness Scale (ESS) Positional therapy vs continuous positive airway pressure (CPAP) | no estimate extracted | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
Apnoea‐Hypopnoea Index (AHI) Positional therapy vs continuous positive airway pressure (CPAP) | no estimate extracted | 2 studies · 33 participants | Low Downgraded: risk of bias, imprecision |
Self‐reported adherence time Positional therapy vs continuous positive airway pressure (CPAP) | no estimate extracted | 1 study · 20 participants | Moderate Downgraded: risk of bias |
Adverse effects Positional therapy vs continuous positive airway pressure (CPAP) | no estimate extracted | 1 study · 20 participants | Ungraded |
Quality of life Assessed using SF‐36 or FOSQ Positional therapy vs continuous positive airway pressure (CPAP) | no estimate extracted | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
Sleep quality Assessed by average duration of slow‐wave and REM sleep periods Positional therapy vs continuous positive airway pressure (CPAP) | no estimate extracted | 1 study · 13 participants | Low Downgraded: risk of bias, imprecision |
Cognitive dysfunction Positional therapy vs continuous positive airway pressure (CPAP) | no estimate extracted | 1 study · 13 participants | Ungraded |
Positional therapy compared to inactive control for obstructive sleep apnoea
Population: adults with obstructive sleep apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Epworth Sleepiness Scale (ESS) Positional therapy vs inactive control | no estimate extracted | 2 studies · 187 participants | Moderate Downgraded: risk of bias |
Apnoea‐Hypopnoea Index (AHI) Positional therapy vs inactive control | no estimate extracted | 4 studies · 277 participants | Low Downgraded: risk of bias, imprecision |
Adherence Measured as number of participants who continued to use device at end of 2 months Positional therapy vs inactive control | no estimate extracted | 1 study · 101 participants | Low Downgraded: risk of bias |
Adverse effects Measured as number of participants who discontinued device at end of 2 months Positional therapy vs inactive control | no estimate extracted | 1 study · 101 participants | Low Downgraded: risk of bias |
Quality of life Assessed using SF‐36 or FOSQ Positional therapy vs inactive control | no estimate extracted | 1 study · 86 participants | Moderate Downgraded: imprecision |
Sleep quality Assessed by average duration of slow‐wave and REM sleep periods Positional therapy vs inactive control | no estimate extracted | 1 study · 30 participants | Low Downgraded: risk of bias, imprecision |
Cognitive dysfunction Positional therapy vs inactive control | no estimate extracted | 1 study · 86 participants | Very low Downgraded: risk of bias, indirectness |