Summary
Actigraphy is a non-invasive method of monitoring human rest/activity cycles. A small actigraph unit, also called an actimetry sensor, is worn for a week or more to measure gross motor activity. The unit is usually in a wristwatch-like package worn on the wrist. The movements the actigraph unit undergoes are continually recorded and some units also measure light exposure. The data can be later read to a computer and analysed offline; in some brands of sensors the data are transmitted and analysed in real time. Sleep actigraphs are generally watch-shaped and worn on the wrist of the non-dominant arm for adults and usually on the ankle for children. They are useful for determining sleep patterns and circadian rhythms and may be worn for several weeks at a time. In the medical setting, traditional polysomnography has long been cited as "the 'gold standard' for sleep assessment." Since the 1990s, however, actigraphy has increasingly been used to assess sleep/wake behavior; especially for young children. Studies have found actigraphy to be helpful for sleep research because it tends to be less expensive and cumbersome than polysomnography. Unlike polysomnography, actigraphy allows the patient to be movable and to continue her or his normal routines while the required data are being recorded in his or her natural sleep environment; this may render the measured data more generally applicable. As sleep actigraphs are more affordable than polysomnographs, their use has advantages, particularly in the case of large field studies. However, actigraphy cannot be considered as a substitute to polysomnography. A full night sleep measured with polysomnography may be required for some sleep disorders. Indeed, actigraphy may be efficient in measuring sleep parameters and sleep quality, however it is not provided with measures for brain activity (EEG), eye movements (EOG), muscle activity (EMG) or heart rhythm (ECG). Actigraphy is useful for assessing daytime sleepiness in place of a laboratory sleep latency test.
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