Inclined Bed Therapy (IBT)

A forum to discuss Chronic Cerebrospinal Venous Insufficiency and its relationship to Multiple Sclerosis.

Re: Inclined Bed Therapy (IBT) How is everyone?

Postby dlynn » Sat Jun 08, 2013 3:09 pm

Hi Andrew,
I just raised the bed another inch, now it's finally at 6. It's too soon to tell any difference, but I will let you know.
When could I notice a difference? I was dx 20 yrs. ago, does it matter how many years one has ms?
Thank you for asking how we're all doing.
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Re: Inclined Bed Therapy (IBT) How is everyone?

Postby AndrewKFletcher » Sat Jun 15, 2013 5:04 pm

Great, thanks for deciding to raise bed higher. No it does not matter how long a person has ms, or indeed which category of ms they fall in. What appears to matter is the level of humidity in the home / area. So if someone is drying washing out on radiators or you have lots of house plants that require watering, or your bedroom is on a lower level to your shower/ bathroom you may need to correct the humidity in your home. Living in a river valley area or coastal area may influence the humidity too. You should see a difference within a month or so.
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Re: Inclined Bed Therapy (IBT) How is everyone?

Postby AndrewKFletcher » Tue Jun 25, 2013 10:56 pm

No comments from these videos?
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Re: Inclined Bed Therapy (IBT) How is everyone?

Postby dlynn » Wed Jun 26, 2013 5:58 am

Andrew,
It's been 18 nights that I'm at a 6in. incline, previously at 5in. incline. The first morning, I noticed I didn't wake up to a headache.
Every morning, as soon as I opened my eyes, my head would start pounding. I thought it's just a coincidence, but it's been
2-1/2 weeks and I've not had that headache. I still get headaches but they are usually early evening. I watched two of the videos, very informative, thank you for the links. I still have much pain when I wake up, but I am hopeful that the incline will lessen it over time.
thank you
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Re: Inclined Bed Therapy (IBT) How is everyone?

Postby AndrewKFletcher » Fri Jun 28, 2013 1:06 pm

Thanks for the update Lynn. This is very interesting how incline increments can make a huge difference. Time and time again people say I have been using IBT and when asked, it turns out that they have either not raised the bed high enough, or have only raised the upper half with a mechanical bed. Others have asked if two pillows would suffice. Clearly from your post we need to find the correct angle for each person and I suspect this will be around 5 degrees, given 18 years of research experience and many interesting reports from people helping with my research.
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IBT lowers central venous pressure and pulmonary artery pres

Postby AndrewKFletcher » Fri Jul 05, 2013 2:29 am

The Lancet, Volume 319, Issue 8285, Pages 1325 - 1327, 12 June 1982
doi:10.1016/S0140-6736(82)92399-6
TREATMENT OF NOCTURNAL ANGINA WITH 10 deg; REVERSE TRENDELENBURG BED POSITION
Rephael Mohr a b, Aram Smolinsky a b, DanielA. Goor a b
Abstract
The effect of 10° reverse Trendelenburg tilt of the bed was studied in ten patients with refractory nocturnal angina on 2 consecutive nights before aortocoronary bypass surgery. For the control night the bed was placed in the semi-orthopnoeic position, and for the test night it was put in the reverse Trendelenburg position. This position significantly reduced central venous pressure, diastolic pulmonary artery pressure, the number of isosorbide dinitrate tablets taken sublingually, and the number of angina episodes per night. Reverse Trendelenburg tilt of the bed therefore seems effective for relief of nocturnal anginal pain.
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Re: Inclined Bed Therapy (IBT)

Postby pmouse » Tue Dec 17, 2013 1:02 am

Hello to everybody

IBT saved me. Thank you Mr. Fletcher.
I have been using IBT everywhere I go (seaside, hotels, ...).

Yesterday I tried on my bed at hode to put some things bellow matress to lie flat. I could not sleep. I had to go to toilet but something happend. My legs were like concrete and for a minute I could not move them. I immediatly removed and again slepp IBT and everything becomed notmal.

I have PPMS and using IBT for 3 years. I am walking and working for 4 hours.

IBT rules.

Robert
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Re: Inclined Bed Therapy (IBT)

Postby pmouse » Tue Dec 17, 2013 1:15 am

Sorry for my english - I am from Slovenia.

I would be in wheelchair if I didnt use IBT.

Robert
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Re: Inclined Bed Therapy (IBT)

Postby AndrewKFletcher » Tue Dec 17, 2013 1:28 am

Thank you so much for your update Robert. There are many more people with ms out there who know what IBT is doing for them and yet we seldom receive replies? As you have discovered, the only real test is to sleep flat for comparison :) My Birthday today, thanks for cheering me up with your posts. Kind regards Andrew
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Re: Inclined Bed Therapy (IBT)

Postby NHE » Tue Dec 17, 2013 2:18 am

Hi Andrew,
I was wondering what you think of inclined mattress toppers such as these?
http://www.hammacher.com/Product/83235

They're 6" thick at the head of the bed and might be easier to use for some people instead of putting their bed up on jacks. They're a bit pricey though.
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Re: Inclined Bed Therapy (IBT)

Postby AndrewKFletcher » Tue Dec 17, 2013 7:13 am

Not much use I am afraid, expensive too. The clue lies in the foam contours to the body, meaning the heavy parts of the body sink into the foam so rendering the angle ineffective, though marginally better than a flat bed.
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Re: Inclined Bed Therapy (IBT)

Postby NHE » Wed Dec 18, 2013 12:40 am

AndrewKFletcher wrote:Not much use I am afraid, expensive too. The clue lies in the foam contours to the body, meaning the heavy parts of the body sink into the foam so rendering the angle ineffective, though marginally better than a flat bed.

I don't know how compressible the foam is. You could always contact the website customer support and ask. I do know that for many people raising the bed up on blocks is not an option. For example, I have my box spring directly on the floor and do not use a bed frame. If I blocked up one end of it without support in the middle, I imagine that it would soon sag and eventually break. There are also people with large, heavy beds for which blocks might be impractical. A sloped mattress pad, while expensive, could be a viable option. Lastly, one could search for other retailers of that pad. Many things on that site are over priced.
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Re: Inclined Bed Therapy (IBT)

Postby AndrewKFletcher » Wed Dec 18, 2013 1:57 am

The foam advert states it contours to your body, coupled with the comprehensibility of the mattress it will serve little to no advantage. Better to make a wooden plywood wedge to place under the mattress.
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Re: Inclined Bed Therapy (IBT)

Postby dlynn » Wed Dec 18, 2013 1:48 pm

Hi Andrew,
Since I raised my bed one more inch, I still have no morning headaches and that was June 9th. Six months without waking up to
a headache is a blessing. It didn't help with leg pain but I'm still thankful


p.s. Happy belated Birthday
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