Actigraphy for Sleep Disorders
DESCRIPTION
Actigraphy refers to small devices typically worn on the wrist, ankle, or trunk to record movement. These devices have been investigated in the evaluation of sleep disorders including insomnia, sleep related breathing disorders such as obstructive sleep apnea, restless leg syndrome, and periodic limb movement disorder.
POLICY
Actigraphy for sleep disorders is considered investigational.
See also: General Policy on Sleep Apnea and Sleep Disorder Studies
ADDITIONAL INFORMATION
No controlled studies were found in the published literature that validate the application of actigraphy to either diagnose or direct the management of individuals with sleep disorders.
SOURCES
BlueCross BlueShield Association. Medical Policy Reference Manual. (3:2006). Actigraphy (2.01.73). Retrieved July 6, 2007 from BlueWeb.
Kushida, C. A., Littner, M. R., Morgenthaler, T., Alessi, C. A., Bailey, D., Coleman, J. Jr., et al. (2005). Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Agency for Healthcare Research and Quality. Retrieved July 9, 2007 from http://www.guidelines.gov.
Littner, M., Kushida, C. A., Anderson, W. M., Bailey, D., Berry, R. B., et al. (2003). Practice parameters for the role of actigraphy in the study of sleep and circadian rhythms: An update for 2002. Sleep, 26 (3), 337-341.
Lux, L., Boehlecke, B., & Lohr, K. N. (2004). Effectiveness of portable monitoring devices for diagnosing obstructive sleep apnea: Update of a systematic review. Agency for Healthcare Research and Quality. Retrieved July 9, 2007 from http://www.cms.hhs.gov/determinationprocess/downloads/id110e.pdf
Morgenthaler, T., Alessi, C., Friedman, L., Owens, J., Kapur, V., Boehlecke, B., et al. (2007). Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders. Sleep, 30 (40, 519-529. Retrieved July 6, 2007 from PubMed database.
U. S. Food and Drug Administration. (1986, June). Center for Devices and Radiological Health. Premarket notification database. Retrieved August 8, 2005 from http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm?ID=48066.
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EFFECTIVE DATE |
8/9/2007 |
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