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Sleep Study Overview

 

Test Overview

Sleep studies are tests that watch what happens to your body during sleep. The studies are done to find out what is causing your sleep problems. Sleep problems include:

  • Sleep apnea, when an adult regularly stops breathing during sleep for 10 seconds or longer. This may be caused by blocked airflow during sleep, such as from narrowed airways. Or it may be caused by a problem with how the brain signals the breathing muscles to work.

  • Problems   staying awake, such as narcolepsy.

  • Problems with nighttime behaviors, such as sleepwalking, night terrors, or bed-wetting.

  • Problems sleeping at night (insomnia). This may be caused by conditions such as periodic limb movement disorder, which is an intense urge to move the legs.

Sleep studies can also determine whether you have a problem with your stages of sleep. The two stages of sleep are non-rapid eye movement (NREM) and rapid eye movement (REM). Normally, NREM and REM alternate 4 to 5 times during a night's sleep. A change in this cycle may make it hard for you to sleep soundly.

 

The most common sleep studies are:

  • Polysomnogram. This test records several body functions during sleep, including brain activity, eye movement, oxygen and carbon dioxide blood levels, heart rate and rhythm, breathing rate and rhythm, the flow of air through your mouth and nose, snoring, body muscle movements, and chest and belly movement.

  • Multiple sleep latency test (MSLT). This test measures how long it takes you to fall asleep. A video camera is used to record movements during sleep.

  • Multiple wake test (MWT). This test measures whether you can stay awake during a time when you are normally awake.

Sleep studies usually are done in a sleep lab.

 

The EEG or electroencephalogram, is a major part of a sleep study. It measures and records four forms of brain wave activity - alpha, beta, delta and theta waves. Alpha waves are usually found during relaxed wakefulness, particularly when your eyes are closed. Theta waves are seen during the lighter sleep stages 1 and 2, while delta waves occur chiefly in deep sleep, the so-called "slow wave sleep" found in sleep stages 3 and 4.

The EMG or electromyogram, records muscle activity such as face twitches, teeth grinding, and leg movements. It also helps in determining the presence of REM stage sleep. The amount and duration of these activities provides the doctor important information about your sleep.

The EOG or electro-oculogram, records eye movements. These movements are important in determining the different sleep stages, particularly REM stage sleep. The electrodes are usually placed on the outer aspect of your right eyebrow and along the outer aspect below or beneath your left eye.

EKG or electrocardiogram, records heart activities, such as rate and rhythm. Electrodes are placed on your chest.

Nasal Airflow Sensor: Records breath temperature, airflow, apnea and hypopnea events. A sensor is placed near your nose and mouth.

Chest/Abdomen Belts: Records breathing depth, apnea and hypopnea events. Elastic belts are placed around your chest and abdomen.

Oximeter: Records blood oxygen saturation. A band-aid like clip is placed on a finger.

Video: Records body positioning and movements.

Snore Microphone: Records snoring. An electrode is placed over your trachea, on your lower neck.

Sleeping is a complex activity that must occur for a successful polysomnographic study. During sleep, our brain and body cycle between NREM and REM sleep approximately every 90 minutes.

During these transitions, major changes occur in our EEG, EOG, EMG, heartrate and respiration that are necessary for healthy sleep. If abnormal changes are observed during a particular sleep stage, then we are able to define this problem as it occurs during the night.

Some sleep disorders are generally worse in a particular sleep stage, such as sleep apnea during REM sleep and PLMD in NREM sleep. Your PSG technician and sleep specialist are well aware of these facts and want you to get as good a night's sleep as possible in order to make your test experience as fruitful as possible.

 

 

If you think you or a loved one may have symptoms of a sleep disorder, please contact us today. Help is available!

What would you do for a good nights sleep?

 

 

 
 

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