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 validates the application of actigraphy to either diagnose or direct the management of individuals with sleep disorders.
SOURCES
BlueCross BlueShield Association. Medical Policy Reference Manual. (5:2007). Actigraphy (2.01.73). Retrieved June 13, 2009 from BlueWeb.
Dilaz, E., Gallego, E., Ruiz, A., Bernal, C., Armengol, A., Benhamou, G., et al. (2007). Respiratory polygraphy with actigraphy in the diagnosis of sleep apnea-hypopnea syndrome. Chest, 131 (3), 725 - 732. (Level 2 Evidence)
Hayes. Medical Technology Directory. (2008, April). Actigraphy for diagnosis of obstructive sleep apnea syndrome in adults. Retrieved July 1, 2009 from www.Hayesinc.com/subscribers. (66 articles and/or guidelines reviewed)
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. (Level 5 Evidence)
National Guideline Clearinghouse. National Center for Primary Care. (2007 April). Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007. Retrieved July 1, 2009 from http://www.guideline.gov/summary/summary.aspx?doc_id=10779&nbr=005607&string=actigraphy.
National Guideline Clearinghouse. National Center for Primary Care. (2005 April). Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Retrieved July 1, 2009 from http://www.guideline.gov/summary/summary.aspx?doc_id=8156&nbr=004545&string=practice+AND+parameters+AND+polysomnography.
U. S. Food and Drug Administration. (1986, June). Center for Devices and Radiological Health. Premarket notification database. Retrieved July 1, 2009 from. http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMN/pmn.cfm?ID=59752.
U.S. Food and Drug Administration. (2007, October). Center for Devices and Radiological Health. 510(k) Premarket Notification Database. K071230. Retrieved July 1, 2009 from http://www.accessdata.fda.gov/cdrh_docs/pdf7/K071230.pdf.
ORIGINAL EFFECTIVE DATE: 1/14/2006
MOST RECENT REVIEW DATE: 8/13/2009
ID_BT
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