#Home sleep monitor manual
#Home sleep monitor portable

Longitudinal home monitoring avoids certain limitations of the laboratory PSG, such as the atypical sleeping environment and the single-night snapshot. The wellness and clinical markets share an interest for improved metrics of “real-world” sleep patterns. The utility of such devices in a medically unregulated fashion remains uncertain. Nevertheless, commercially available movement-based sleep monitors are growing increasingly common in the consumer wellness market. Despite the extensive published experience with wrist movement-based monitors in research settings, actigraphy does not enjoy wide clinical use because of limited utility outside of circadian rhythm disorders, which are often evident by clinical history alone.

#Home sleep monitor manual

However, the diagnostic classifications of insomnia provided by the American Academy of Sleep Medicine and by the psychiatric Diagnostic and Statistical Manual do not include any objective criteria. For example, recent practice parameters suggest actigraphy as an option for circadian rhythm disorders and potentially for adjunctive assessment of insomnia. Wrist actigraphy, which measures limb movement, has been used for several decades in various contexts, including in patients with insomnia however, actigraphy is not widely used clinically. Although, to date, home-based sleep measurements have focused on sleep apnea diagnostics, patients with insomnia may also benefit from advances in home-sleep-monitoring devices. Clinical home testing is currently targeting sleep disordered breathing, and the data supporting the use of home sleep apnea devices has been reviewed recently.

#Home sleep monitor portable

Second, the lack of objective data constrains the capacity to phenotype insomnia patients, a limitation that has implications ranging from epidemiology studies to the development of therapeutic strategies.ĭespite the clear utility of PSG in clinical sleep medicine, issues of cost and inconvenience have motivated the development of portable devices capable of evaluating sleep in the home. First, it is not uncommon to observe a mismatch between the subjective report of sleep-wake durations and the objective findings of the PSG. For insomnia in particular, exclusive reliance on self-reported complaints presents two important challenges in understanding this common disorder. The diagnostic criteria for certain sleep disorders, such as restless legs syndrome and insomnia, are purely clinical. The PSG has proven most useful for the diagnosis and treatment of obstructive sleep apnea (OSA), although less common disorders are also readily identified by laboratory PSG, including narcolepsy, rapid-eye-movement (REM) sleep behavior disorder, non-REM parasomnias, and periodic limb movements of sleep. The laboratory polysomnogram (PSG) has long been the gold standard for assessing sleep physiology in health and disease. From a wellness standpoint, commercially available devices may allow individuals to track their own sleep with the goal of finding patterns and correlations with modifiable behaviors such as exercise, diet, and sleep aids.

From a clinical and research standpoint, the capacity to obtain longitudinal sleep-wake data may improve disease phenotyping, individualized treatment decisions, and individualized health optimization. As the body of supporting validation data grows, these devices hold promise for a variety of health and wellness goals. We review recent developments in devices designed to monitor sleep-wake activity, as well as monitors designed for other purposes that could in principle be applied in the field of sleep (such as cardiac or respiratory sensing). Portable devices allow repeated measurements, evaluation of temporal patterns, and self-experimentation. Although the gold standard for assessing sleep remains the laboratory polysomnogram, there is an increasing interest in portable monitoring devices that provide the opportunity for assessing sleep in real-world environments such as the home. Improving our understanding of sleep physiology and pathophysiology is an important goal for both medical and general wellness reasons.