So what exactly
is a Sleep Study?
Feeling tired even though
you got a full night's sleep? It's possible you
have a sleep disorder.
A sure fire way to find out is to undergo a sleep study. But what
exactly is a sleep study? We talked to someone who
knows plenty about the subject.
Kelly Olson, RRT, is one of LifeCare's Respiratory Therapists and she's
helped all kinds of patients come to terms with loud
snoring and other kinds of sleep disorders many patients
didn't even know they had.
According to Kelly, most people with sleep disorders can sleep anywhere
and can sleep through anything. Some have been
known to fall sleep at work, at the dinner table, or
even while driving.
Unfortunately,
too many people don't realize sleep disorder may
be the cause behind their unshakable feeling of being
tired. They simply accept the fact they feel as
tired in the morning as they did when they went to bed.
But a simple sleep study at LifeCare's Respiratory Therapy department
could change all that. During a sleep study, the
patient wears EEG electrodes on the scalp that monitor
brainwaves, displaying them on a computer readout.
According to Kelly, who has conducted sleep studies at
LifeCare Medical Center since 2005, most patients who
complete the study have been diagnosed with sleep apnea,
a condition where the personal temporarily stops
breathing while sleeping. In some cases, a
persona's breathing may stop for 20 seconds or more.
This keeps the patient from experiencing deep REM sleep.
The result is a sense of feeling tired all the time.
Kelly says one sleep study a patient actually stopped
breathing for 90 second.
Diagnosis and Treatment
Obstructive sleep
apnea is caused by the closing of the upper airway.
During sleep, the tissues in the throat become so
relaxed they collapse, or the tongue may fall back and
cause a blockage preventing air from entering the lungs.
The effort of the chest, abdomen, and diaphragm then
cause the blockage to seal tighter. To breathe,
the person arouses but may not know it and is denied
deep replenishing REM sleep.
If it is determined that sleep apnea is the culprit, the patient may be
fitted with a CPAP machine and trained on how to use it.
The CPAP (which stands for Continuous Positive Airway
Pressure) is a quiet little machine that keeps the
airway open by creating a positive pressure, in other
words blowing air through a tube and mask system and
into the patient's nose and mouth. Patients who
use a CPAP are often amazed by the results: deep sleep
and feeling refreshed in the morning.
Another sleep disorder is called "restless leg syndrome" or "periodic
limb movement disorder" which involves movement of the
person's legs and arms periodically throughout the
night, thus keeping the body from getting into a deep
replenishing REM sleep.
A sleep study can detect this condition too. Because the patient
also has electrodes on each arm and leg, limb movement
can be measured and treated if necessary.
Referrals
Sleep study
referrals often come from a patient's spouse.
Usually the spouse will notice the recurring stoppage of
breathing and will wake up the person telling them they
have to breathe. So vital is the spouse's
perspective, the preregistration questionnaire includes
a section for the spouse to complete, which comes in
handy for a patient who may be in total denial.
Bottom line: You may want to think twice the next time
someone comments on your snoring.