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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(03): 318-325
DOI: 10.5935/1984-0063.20220057
ORIGINAL ARTICLES

Validation of mandibular movements’ analysis to measure sleep in adults with sleep complaints by comparison with actigraphy and polysomnography

Bassam Chakar
1   University Hospital of Liege, Sleep Study Center - Liège - Belgium
2   Centre Hospitalier Régional de la Citadelle, Sleep Study Unit - Liège - Belgium
,
Frédéric Senny
3   High School HELMo-Gramme, Electronic and Informatic Unit - Liège - Belgium
,
Laurent Cambron
1   University Hospital of Liege, Sleep Study Center - Liège - Belgium
,
Anne-Lise Poirrier
4   University Hospital of Liege, Department of Otorhinolaryngology - Liège - Belgium
,
Annick Bruwier
5   University Hospital of Liege, Department of Orthodontics and Dentofacial Orthopedics - Liège - Belgium
,
Farhad Baharloo
2   Centre Hospitalier Régional de la Citadelle, Sleep Study Unit - Liège - Belgium
,
Robert Poirrier
1   University Hospital of Liege, Sleep Study Center - Liège - Belgium
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Objective In adults with sleep complaints, we assessed the software of automatic analysis of mandibular movements to identify sleep and wake states by confrontation with the polysomnography (PSG) and the actigraphy (ACTG).

Material and Methods Simultaneous and synchronized in-lab PSG, ACTG, and JAWAC were carried out in 100 patients with a sleep complaint. Epoch by epoch analysis was realized to assess the ability to sleep-wake distinction. Sleep parameters as measured by the three devices were compared. These included three regularly reported parameters: total sleep time (TST), sleep onset latency (SOL), and wake after sleep onset (WASO). Also, two supplementary parameters, wake during sleep period (WDSP) and latency to arising (LTA) were added to measure separately the quiet wakefulness states.

Results The epoch by epoch analysis showed that the JAWAC, as compared to ACTG, classified sleep and wake states with greater specificity, while the overall accuracy and sensitivity of the two devices were comparable. The sleep parameters analysis showed that for the JAWAC estimates, the differences in TST, SOL, and LTA values were not statistically significant. However, WDSP and subsequently WASO were slightly underestimated. In contrast, the dissimilarities between ACTG estimates and PSG measurements of all the above sleep parameters were statistically significant; TST was overestimated whilst SOL, LTA, WDSP, and WASO were underestimated.

Conclusion This study indicated that, besides its ability to reliably estimate TST, the JAWAC based on mandibular movements’ analysis was able, in adults with sleep complaints, to overcome the important problem of the recognition of the state of quiet wakefulness.

Jaw - Actigraphy - Polysomnography - Mandible


Publication History

Received: 20 June 2021

Accepted: 17 January 2022

Article published online:
01 December 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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