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Additionally, there can be some evidence to support the usage of actigraphy in the evaluation of individuals suspected of aircraft lag disorder and non-24 hour rest/wake syndrome. Further, when polysomnography is not available, actigraphy is indicated to estimate total sleep time in patients with obstructive rest apnea. In patients with insomnia and hypersomnia, there is evidence to support the use of actigraphy in the characterization of circadian rhythms and sleep patterns and disturbances. In assessing response to therapy, actigraphy has verified useful as an outcome measure in patients with circadian rhythms and insomnia. In older adults, actigraphy characterizes rest and circadian patterns and files treatment responses.