About 70 million Americans suffer from sleep problems. If you suspect you may have a sleep disorder, a sleep study at an AASM-accredited sleep center is the best way to find out. Below are answers to some of the most common questions about sleep studies.
Q: How can I determine if I need a sleep study?
A: Your board-certified sleep medicine physician will decide if you need a sleep study. The first step in determining whether you have a sleep disorder might not necessarily be a sleep study, says Dr. Helene Emsellem, Medical Director for the Center for Sleep & Wake Disorders in Chevy Chase, Md. The sleep physician will first attempt to determine the nature of a sleep problem and its treatment. This includes a sleep diary to track your sleep-wake pattern, your complete medical history and a physical examination. If the sleep physician thinks you may have obstructive sleep apnea (OSA), a hypersomnia such as narcolepsy or a parasomnia such as sleep walking or nocturnal eating, then he or she will recommend a sleep study. In many cases, the physician will recommend a home sleep apnea test if he or she suspects you have sleep apnea. Other sleep disorders such as insomnia and restless legs syndrome (RLS) do not require a sleep study to diagnose, but rather history.
Q: What will a sleep study tell me?
A: A standard in-lab sleep study (polysomnogram) records information that allows the sleep physician to evaluate the sleep stages and their sequence during the night. The in-lab sleep study records EEG activity, eye movements and muscle tone. The EEG data tells us how quickly an individual falls asleep and the presence of early onset Rapid Eye Movement (REM) sleep may suggest sleepiness and a possible disorder of alertness, says Emsellem. Airflow through the nose and mouth is recorded to figure out if there are abnormalities to help us determine if sleep apnea is present. The simultaneous recording of heart rate, oxygen saturation, airflow flow and respiratory effort allows us to analyze the types of breathing abnormalities present and their impact on oxygenation, cardiac function and sleep continuity. Limb movements are recorded to detect extraneous movements, possible seizure activity and periodic limb movements of sleep. The in-lab sleep study is recorded on video so that sleep talking and unusual behaviors may be documented. Home sleep apnea tests collect data that the physician requires to diagnose sleep apnea – usually your breathing and blood oxygen level.
Q: What treatments are available for sleep disorders?
Q: What other tools do physicians use to determine if I have a sleeping disorder?
A: There are a variety of tools used, including