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CC BY-NC-ND 4.0 · Sleep Sci 2017; 10(03): 122-127
DOI: 10.5935/1984-0063.20170021
ORIGINAL ARTICLE

Validation of midsagittal jaw movements to measure sleep in healthy adults by comparison with actigraphy and polysomnography

Bassam Chakar
1   University Hospital of Liege, Sleep Center - Department of Neurology - Liège - Liège - Belgium
,
Frédéric Senny
2   High School HELMo-Gramme, Electronic and Informatic Unit - Liège - Liège - Belgium
,
Anne-Lise Poirrier
3   University Hospital of Liege, Rhinology and Facial Plastic Surgery - Liège - Liège - Belgium
,
Laurent Cambron
1   University Hospital of Liege, Sleep Center - Department of Neurology - Liège - Liège - Belgium
,
Julien Fanielle
1   University Hospital of Liege, Sleep Center - Department of Neurology - Liège - Liège - Belgium
,
Robert Poirrier
1   University Hospital of Liege, Sleep Center - Department of Neurology - Liège - Liège - Belgium
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ABSTRACT

OBJECTIVE: In a device based on midsagittal jaw movements analysis, we assessed a sleep-wake automatic detector as an objective method to measure sleep in healthy adults by comparison with wrist actigraphy against polysomnography (PSG).

METHODS: Simultaneous and synchronized in-lab PSG, wrist actigraphy and jaw movements were carried out in 38 healthy participants. Epoch by epoch analysis was realized to assess the ability to sleep-wake distinction. Sleep parameters as measured by the three devices were compared. This included three regularly reported parameters: total sleep time, sleep onset latency, and wake after sleep onset. Also, two supplementary parameters, wake during sleep period and latency time, were added to measure quiet wakefulness state.

RESULTS: The jaw movements showed sensitivity level equal to actigraphy 96% and higher specificity level (64% and 48% respectively). The level of agreement between the two devices was high (87%). The analysis of their disagreement by discrepant resolution analysis used PSG as resolver revealed that jaw movements was right (58.9%) more often than actigraphy (41%). In sleep parameters comparison, the coefficient correlation of jaw movements was higher than actigraphy in all parameters. Moreover, its ability to distinct sleep-wake state allowed for a more effective estimation of the parameters that measured the quiet wakefulness state.

CONCLUSIONS: Midsagittal jaw movements analysis is a reliable method to measure sleep. In healthy adults, this device proved to be superior to actigraphy in terms of estimation of all sleep parameters and distinction of sleep-wake status.

Keywords:

Actigraphy - Movement - Sleep Wake Disorders - Sleep


Publication History

Received: 07 June 2017

Accepted: 20 June 2017

Article published online:
11 October 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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