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Optimizing therapy

1,247 bytes added, 23:43, 1 January 2019
Positional Apnea
=== Positional Apnea ===
Only doctors and therapist think "positional" apnea means supine. We know it is really a chin tuck in any position. It happens a lot on your back because we like to rest our heads on pillows that facilitate chin-tuck, but we have seen positional apnea in any position and even while using so-called "ergonomic" or cervical support pillows. So the professionals erroneously attribute to gravity, what is really just a body position many people naturally have. The simple way to prove this is to sit comfortably in a chair and relax. As you relax further let your chin drop towards your chest. People prone to this obstruction will sense more airway restriction, a snore or even complete apnea. This happens naturally during sleep, even sleeping on your side in a "fetal" position.
 
If it had not been a factor in at least 1/3 of the members of the [http://www.apneaboard.com/forums/index.php Apnea Board Forum], we would quickly dismiss it, but the results are amazing. We have seen some members go from AHI over 30 to less than one without changing any CPAP settings, but adding a soft collar. Someday, even the medical community is going to capitalize on this and start measuring patients for collars, but for now you can DIY for less than $20.
 
Positional Apnea is caused by misalignment of the airway typically tucking the chin down.
It is normally detected by clusters of Obstructive and Hypopnea events usually associated with an uneven and smaller/narrower flow chart
[[File:Normal w C Collar closeup.png|500px]]
 
=== Palatal Prolapse ===
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