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Updated: Jul 13, 2026

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Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Validation of the BiteStrip screener for sleep bruxism
Tamar Shochat1, Anat Gavish, Elena Arons
1Sleep Disorders Unit, Loewenstein Hospital, Rehabilitation Center, Raanana, Israel.
Summary
The BiteStrip device effectively screens for masseter electromyographic events indicating sleep bruxism (SB), showing strong correlations with traditional methods. This electronic device is a viable tool for SB identification.
Area of Science:
- Neurology
- Sleep Medicine
- Biomedical Engineering
Background:
- Sleep bruxism (SB) is a common sleep-related movement disorder.
- Accurate screening for SB is crucial for timely diagnosis and treatment.
- Traditional polysomnography with masseter electromyography (MEMG) is effective but resource-intensive.
Purpose of the Study:
- To validate a novel, portable electronic device, the BiteStrip, for screening sleep bruxism.
- To compare the diagnostic performance of BiteStrip against standard MEMG during polysomnography.
Main Methods:
- Overnight polysomnography was conducted on 18 participants (6 SB patients, 4 OSA patients, 8 controls).
- Simultaneous MEMG and BiteStrip recordings were obtained.
- Data analysis included accuracy measures, correlation analyses (Spearman's rho), and Bland-Altman plots.
Main Results:
- BiteStrip demonstrated acceptable average sensitivity (0.72) and positive predictive value (0.75).
- Strong correlations were found between BiteStrip and MEMG scores (r = 0.79-0.81).
- Bland-Altman analysis indicated good agreement between the two measurement methods.
Conclusions:
- The BiteStrip device shows a strong relationship with MEMG in identifying masseter electromyographic events related to sleep bruxism.
- The BiteStrip is a viable and potentially more accessible screening tool for sleep bruxism.

