Find out more about your health with sleep disorder testing
from The Marlborough Center For Sleep Disorders in Massachusetts
. You can trust in the testing and treatment we provide.
The MSLT is a daytime study of five short naps in sequence. This documents presence and quantifies severity of hypersomnolence and narcolepsy.
Overnight oxygen monitoring can be performed in the home. This test measures the patient's oxygen saturation during the night in the home setting.
The PFT is important in assessing the presence and severity of comorbid pulmonary disorders. PFT may contribute to, as well as aggravate severity of, nocturnal respiratory events.
The first line of treatment for sleep apnea is continuous positive airway pressure (CPAP). A positive flow of air is applied to the nose, or to the nose and mouth together, to prevent collapse of the soft palate and physical structures at the oral pharynx, which are the cause of obstructive sleep apnea. In some cases, a bi-level pressure system (BIPAP) is applied. In this system, the applied pressure during inspiration is greater than the pressure applied during expiration.
A monthly CPAP Clinic is held to monitor the patient's use of the equipment and the clinical response. Any problems that interfere with optimal use and effectiveness of the CPAP device are identified and corrected at this time, and appropriate interventions are made. The Clinic allows for education and support of the patient, and this is continued on a long term basis. We have a record of over ninety percent compliance with CPAP usage in our patient population.
A licensed respiratory therapist makes home visits to monitor patient's treatment in the home setting. The successful treatment of sleep apnea decreases the risk of serious conditions that include systemic and pulmonary hypertension, stroke, cardiac arrhythmias, myocardial infarction, and attention deficit.
An oral appliance is a device similar to a football mouth guard. It is designed to move the lower jaw forward, thus opening up the oral pharyngeal airway. It is indicated for the treatment of mild to moderate sleep apnea and of snoring, as an alternative for patients who do not tolerate CPAP. A dentist who has specialized experience in this area works with our team to provide an integrated care plan.
When the polysomnogram demonstrates the need for supplemental oxygen, we initiate oxygen therapy and monitor it subsequently.
Find out more about your insomnia with our help. Primary insomnia may result from poor sleep hygiene, sleep scheduling disorders, conditioned insomnia, or idiopathic insomnia.
Behavior therapy has been found to be at least as effective as hypnotic medications in the treatment of chronic insomnia, and long term prescribing of hypnotic medications should be avoided.
Insomnia may also be secondary to an underlying psychological or medical condition, including the following:
Particular to adolescent are insomnia and delayed sleep phase disorders. These may be due to a number of daytime factors:
Contact us in Marlborough, Massachusetts, to maximize your rest with our sleep disorder testing and treatment.