AUTHOR=Kwon Hyun Bin , Jeong Jonghyeok , Choi Byunghun , Park Kwang Suk , Joo Eun Yeon , Yoon Heenam TITLE=Effect of closed-loop vibration stimulation on sleep quality for poor sleepers JOURNAL=Frontiers in Neuroscience VOLUME=Volume 18 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/neuroscience/articles/10.3389/fnins.2024.1456237 DOI=10.3389/fnins.2024.1456237 ISSN=1662-453X ABSTRACT=IntroductionRecent studies have investigated the autonomic modulation method using closed-loop vibration stimulation (CLVS) as a novel strategy for enhancing sleep quality. This study aimed to explore the effects of CLVS on sleep quality, autonomic regulation, and brain activity in individuals with poor sleep quality.MethodsTwenty-seven participants with poor sleep quality (Pittsburgh sleep quality index >5) underwent two experimental sessions using polysomnography and a questionnaire, one with CLVS (STIM) and the other without (SHAM).ResultsSleep macrostructure analysis first showed that CLVS significantly reduced the total time, proportion, and average duration of waking after sleep onset. These beneficial effects were paralleled by significantly increased self-reported sleep quality. Moreover, there was a significant increase in the normalized high-frequency (nHF) and electroencephalography relative powers of delta activity during N3 sleep under STIM. Additionally, coherence analysis between nHF and delta activity revealed strengthened coupling between cortical and cardiac oscillations.DiscussionThis study demonstrated that CLVS significantly improves sleep quality in individuals with poor sleep quality by enhancing both subjective and objective measures. These findings suggest that CLVS has the potential to be a practical, noninvasive tool for enhancing sleep quality in individuals with sleep disturbances, offering an effective alternative to pharmacological treatments.