320 Bolton St Ofc, Marlborough, MA 01752 | cgrisk320@aol.com
 
 
 
 
 

Multi-Faceted Sleep Disorder Testing in Marlborough, MA

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.

Multiple Sleep Latency Test (MSLT)

The MSLT is a daytime study of five short naps in sequence. This documents presence and quantifies severity of hypersomnolence and narcolepsy.

Nocturnal Oximetry

Overnight oxygen monitoring can be performed in the home. This test measures the patient's oxygen saturation during the night in the home setting.

Pulmonary Function Testing (PFT)

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.

Sleep Apnea Treatment Program

Couple Sleeping in the Bed - Sleep Disorder Testing in Marlborough, MA
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.

Oral Appliance Therapy

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.

Oxygen Therapy

When the polysomnogram demonstrates the need for supplemental oxygen, we initiate oxygen therapy and monitor it subsequently.

Insomnia Treatment Program

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.

Our Treatment Program Includes:

 
Conditioning Intervention
  • Sleep Hygiene
  • Stimulus Reduction
  • Address A Consistent Sleep Schedule
 
Behavioral Modifications
  • Progressive Muscle Relaxation
  • Deep Breathing Exercises
  • Visual Imagery
  • Meditation Techniques
 

Cognitive Techniques

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:
 
  • Anxiety & Mood Disorders
  • Chronic Pain Disorders
 
  • Severe Medical Conditions
  • Substance Abuse Disorders
 

Sleep Disorders in the Adolescent

Particular to adolescent are insomnia and delayed sleep phase disorders. These may be due to a number of daytime factors:
 
  • Hormonal Changes
  • Stress & Peer Group Pressures
  • Anxiety & Mood Disorders
 
  • Learning Disorders
  • Attention Deficit Hyperactivity Disorder
  • Asperger's & High Functioning Autism
 

Sleep Disorders in the Adolescent

  • CPAP Compliance in Sleep Apnea Correlates With Severity of Disease and Job Performance. – Invited address to the Northeast Sleep Society, 2000.
  • Zalaplol in the Treatment of Primary Insomnia and of Insomnia In Patients with Dual Diagnoses. - Abstract presented to the Northeast Sleep Society, 2001.
  • The Impact of Sleep Disorders On the Attention Deficit in the Adult: Part I: The Patient with Obstructive Sleep Apnea. - American College of Chest Physicians, 2005.
  • The Impact of Sleep Disorders on the Attention Deficit Disorder In the Adult: Part II: The Non-OSA Patient. - American College of Chest Physicians, 2005.
  • The Impact of the Attention Deficit, Mood, Learning, and Pragmatic Disorders and the Presentation of an Insomnia Disorder in the Adolescent. - American College of Chest Physicians, 2005.
  • Evaluation and Treatment of Patients with Laryngeal Dysfunction in a Pulmonary Practice. - American College of Chest Physicians, 2005.
  • Pilot Study of Anti-IgE Antibody in the Treatment of Severe Obstructive Disease - Two Year Update. - American Thoracic Society, 2006.
  • Omalizumab in the Treatment of Severe Obstructive Pulmonary Disease: Year 3. Decreasing the dose.- American Thoracic Society, 2007.
  • A Novel Technique for the Evaluation of Omalizumab Therapy in the Asthmatic with a Late Phase Response. - American Thoracic Society, 2007
Contact us in Marlborough, Massachusetts, to maximize your rest with our sleep disorder testing and treatment.