Night Shift Positional Therapy

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Night Shift is a positional therapy device designed by Advanced Brain Monitoring (Carlsbad, California). Worn around the neck, it gently vibrates when you sleep on your back to encourage you to roll onto your side. Clinically validated, it is one of the few non-invasive alternatives to CPAP for positional sleep apnea and snoring. VivaRespire is one of the rare European resellers.

Products by Night Shift Positional Therapy

Night Shift, clinical positional therapy

Night Shift is a small medical device worn around the neck, designed to treat positional sleep apnea and positional snoring. The principle is simple: it detects when you sleep on your back and delivers a soft, gradually increasing vibration until you change position, most often without waking you up.

The device is made by Advanced Brain Monitoring, a US company based in Carlsbad (California), specialized for over 25 years in innovative medical devices for sleep and the brain (Sleep Profiler, NightOwl, etc.).

Why positional therapy can change everything

Many patients don't realize this: up to 70% of people diagnosed with obstructive sleep apnea see their apnea events worsen significantly when sleeping on their back. And about 20% of them would have little to no apnea if they simply avoided back-sleeping.

This is called positional sleep apnea. For these patients, sleeping only on their side may be enough to reduce or eliminate the need for CPAP. For others, Night Shift is used alongside CPAP to optimize therapy or reduce the pressure required.

How Night Shift works

  • Automatic detection: a position sensor and accelerometer identify when you roll onto your back
  • Gradual vibration: intensity slowly increases until you change position, without waking you up
  • Start delay: 15 or 30 minutes after falling asleep before vibration starts, to leave you alone until deep sleep
  • Built-in nightly tracking: time spent on your back, sleep quality, snoring, response time — data downloadable for you and your physician
  • Compact format: worn around the neck with a soft strap, rechargeable battery

The Night Shift selection at VivaRespire

When to choose Night Shift

  • Mild to moderate sleep apnea with a positional component confirmed by sleep study
  • Severe back-sleep snorer, with no significant apnea on the side
  • Patient who refuses or cannot tolerate CPAP and has positional apnea
  • Complement to existing CPAP therapy, to reduce pressure required or improve comfort
  • Travel: a discreet CPAP alternative for short trips

Clinical evidence

Night Shift has published clinical studies (notably Levendowski DJ et al.: Assessment of a neck-based treatment and monitoring device for positional obstructive sleep apnea). The device is used by sleep centers in the US and Europe for patients where positional therapy is indicated.

Why buy Night Shift at VivaRespire

  • VivaRespire is one of the very few European resellers of Night Shift
  • Fast delivery across Europe
  • Personal advice on indication (positional apnea, CPAP complement, etc.)
  • Direct purchase, with no mandatory prescription in most EU countries for this type of device

Your questions about Night Shift

Positional sleep apnea is a form of sleep apnea where apnea events occur almost exclusively when you sleep on your back, due to gravity acting on the airway. When you sleep on your side, the tongue and soft tissues do not collapse backwards, and apnea disappears or strongly decreases. Up to 70% of OSA patients have a positional component, and 20% are almost exclusively positional.

It depends on your profile. If your apnea is purely positional (few events on the side), Night Shift may be enough on its own. If your apnea persists on the side, CPAP remains necessary and Night Shift can be added as a complement. The best approach is to discuss with your sleep physician based on your latest sleep study.

No, in the vast majority of cases. Vibration starts very gently and gradually increases until you change position. Most users roll over in light sleep without realizing they were prompted. Clinical studies show very low impact on overall sleep quality.

The device is worn around the neck with a soft adjustable strap, like a soft collar. It is compact, light, and the battery lasts a full night. You take it off in the morning to recharge it. No wires, no mask, no air pressure.

Yes. Night Shift records each night: total sleep time, time spent on your back, number of vibration triggers, average response time, snoring level. Data can be downloaded to a computer via USB and shared with your sleep physician.

Not strictly required in most European countries, unlike CPAP which is class IIa and needs a prescription. It is still strongly recommended to have a confirmed diagnosis of positional apnea by sleep study before buying, to verify that this treatment is suited to your case.

The effect is immediate from the first night since the device actively prevents you from staying on your back. Studies show that after 2 to 4 weeks, many users naturally adopt side-sleeping, and vibration triggers less and less. It is a behavioral conditioning effect.

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