Split-Night CPAP Therapy for OSA to Improve Joint ImmobilityProsenjit Dutta1 and Sophie West2*
- *Corresponding Author:
- Sophie West
Consultant, Newcastle Regional Sleep Service
Newcastle upon Tyne Hospitals NHS Foundation Trust
NE7 7DN, UK,
E-mail: [email protected]
Received date: July 13, 2017; Accepted date: July 16, 2017; Published date: July 24, 2017
Citation: Dutta P, West S (2017) Split-Night CPAP Therapy for OSA to Improve Joint Immobility. J Sleep Disord Ther 6:274 doi: 10.4172/2167-0277.1000274
Copyright: © 2017 Dutta P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A 47-year-old woman presented to clinic with exertional breathlessness, snoring, choking, witnessed apnoeas and daytime somnolence. Past history included Idiopathic Juvenile Arthritis, diagnosed at age 8, since when she had been taking prednisolone. Her sleep study identified severe Obstructive Sleep Apnoea (OSA).
She was commenced on Continuous Positive Airway Pressure (CPAP) therapy, which improved her sleep quality so much that she hardly moved at night and consequently woke up with early morning joint stiffness. She therefore limited her CPAP use and her symptoms persisted. Over time she developed a regime of split-night CPAP use that improved her OSA-related symptoms and joint discomfort.