Sleep Apnea Studies

The Utility of the Elbow Sign in the Diagnosis of OSA

Is this the future of triaging patients for potential OSA? This has been a long-standing process by partners of people who snore or in some cases stop breathing. Who knew we were helping to lead a medical advancement? All I was trying to do was get a good night’s sleep.
A small clinical observation reported by co-author Mark Fenton, MD, of the University of Saskatchewan reported that among patients with partners a repeated statement made by partners was the need to poke or elbow patients who snore loudly or stop breathing to help restore regular breathing. This led to Fenton’s team developing a questionnaire that consists of just two questions: 1) Do you get elbowed for snoring too loudly? and/or 2) Do you get poked/elbowed because you stop breathing?
Fenton states that “The questionnaire would be easy to incorporate into a clinical history and use in the diagnosis of OSA.” Since this study was only done in one center a more thorough case study would need to be completed to form a true result validating practical use of the questions in diagnosing OSA.

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“Dr. Bogrow and his staff helped me deal with sleep apnea in a painless, non-invasive way without a C-PAP machine. Prior to using the dental appliance, my sleep study measured nine interruptions an hour. After getting used to, and wearing the appliance for over a year, my follow-up sleep study measured just TWO interruptions per hour. I don’t notice these interruptions at all and I am waking up feeling wonderfully well-rested! Dr. Bogrow’s been so kind and very patient with me, because getting the best results requires fine-tuning and patience as the appliance is adjusted. Dr. Bogrow takes time to listen to answer any questions I have. I truly appreciate the service he provides and would recommend this option to anyone with mild sleep apnea, before starting on a CPAP machine. As they say, “There’s nothing like a great night’s sleep!”

Lisa W.
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