Abstract
Objectives
Electrical stimulation of the vestibular system (VeNS) has been shown to improve Insomnia Severity Index (ISI) when delivered during sleep. We hypothesize that repeated electrical vestibular stimulation, when delivered prior to sleep onset, will improve ISI scores. The primary aim of this study was to assess the effect that VeNS had on ISI scores when delivered prior to sleep onset. A secondary aim was to provide initial data indicating “length of time to effect” that will allow more appropriate design of a larger randomized control trial (RCT).
Methods
The present study was an experimental study (pre and post without control). The participants acted as self-controls. After recording the baseline values, electrical vestibular nerve stimulation was administered as intervention once in a day for 30 min, 1 h prior to sleep onset using ML1000 device (Neurovalens, UK) for 14 days.
Results
There was significant decrease in the ISI scores followed by the electrical vestibular nerve stimulation. Further, participants reported a significant increase in well-rested sleep post the intervention period.
Conclusions
This study supports our hypothesis that VeNS has a positive impact on ISI scores when delivered on a regular basis prior to sleep onset.
Research funding: None declared.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: The VeNS devices (ML1000) were provided to this study by Neurovalens Limited, Belfast, UK. Dr Jason McKeown is a co-founder & CEO of Neurovalens Limited. These data were originally presented via poster presentation at the British Sleep Society Annual Conference. Birmingham, 2019.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: Appropriate ethical consideration was taken following assessment based on guidance by the Central Office for Research Ethics Committees (COREC) and amended by the National Research Ethics Service (NRES) of the Health Research Association (UK). Confidentiality of data was maintained as per the regulations.
References
1. NHLBI (National Heart, Lung, and Blood Institute). National sleep disorders research plan. Bethesda, MD: National Institutes of Health; 2003. 2003.Search in Google Scholar
2. Dinges, D, Rogers, N, Baynard, MD. Chronic sleep deprivation. In: Kryger, MH, Roth, T, Dement, WC, editors Principles and practice of sleep medicine, 4th ed. Philadelphia: Elsevier/Saunders; 2005:67–76.10.1016/B0-72-160797-7/50013-6Search in Google Scholar
3. Spiegel, K, Leproult, R, Van Cauter, E. Impact of sleep debt on metabolic and endocrine function. Oct. Lancet 1999;354:1435–9. https://doi.org/10.1016/s0140-6736(99)01376-8.Search in Google Scholar
4. Roth, AJ, Mccall, WV, Liguori, A. Cognitive, psychomotor and polysomnographic effects of trazodone in primary insomniacs. J Sleep Res 2011;20:552–8. https://doi.org/10.1111/j.1365-2869.2011.00928.x.Search in Google Scholar
5. Poceta, JS. Zolpidem ingestion, automatisms, and sleep driving: a clinical and legal case series. J Clini Sleep Med 2011;7:632–8. https://doi.org/10.5664/jcsm.1468.Search in Google Scholar
6. Fitzgerald, T, Vietri, J. Residual effects of sleep medications are commonly reported and associated with impaired patient-reported outcomes among insomnia patients in the United States. Sleep Disord 2015;2015:607148. https://doi.org/10.1155/2015/607148.Search in Google Scholar
7. Iber, C, Davies, SF, Mahowald, MW. Nocturnal rocking bed therapy: improvement in sleep fragmentation in patients with respiratory muscle weakness. Sleep 1989;12:405–12. https://doi.org/10.1093/sleep/12.5.405.Search in Google Scholar
8. Goldberg, JM. The vestibular system: a sixth sense. Oxford; New York: Oxford University Press; 2012.10.1093/acprof:oso/9780195167085.001.0001Search in Google Scholar
9. Horowitz, SS, Blanchard, J, Morin, LP. Medial vestibular connections with the hypocretin (orexin) system. J Comp Neurol 2005;487:127–46. https://doi.org/10.1002/cne.20521.Search in Google Scholar
10. Horner, RL, Sanford, LD, Pack, AI, Morrison, AR. Activation of a distinct arousal state immediately after spontaneous awakening from sleep. Brain Res 1997;778:127–34. https://doi.org/10.1016/s0006-8993(97)01045-7.Search in Google Scholar
11. Bayer, L, Constantinescu, I, Perrig, S, Vienne, J, Vidal, PP, Mühlethaler, M, et al. Rocking synchronizes brain waves during a short nap. Curr Biol 2011;21:R461–462. https://doi.org/10.1016/j.cub.2011.05.012.Search in Google Scholar
12. Zhang, H. Therapeutic effectiveness and patient acceptance of a vestibular nerve activation intervention in chronic insomnia. Medicamundi 2010;54:89–93.Search in Google Scholar
13. Sailesh Kumar Goothy, S, Goothy, S, Mckeown, J. Electrical vestibular nerve stimulation for the management of tension headache. Asian J Pharmaceut Clin Res 2020;13:1–3. https://doi.org/10.22159/ajpcr.2020.v13i1.35975.Search in Google Scholar
14. Bastien, CH, Vallières, A, Morin, CM. Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med 2001;2:297–307. https://doi.org/10.1016/s1389-9457(00)00065-4.Search in Google Scholar
15. Abdulghani, HM, Alrowais, NA, Bin-Saad, NS, Al-Subaie, NM, Haji, AMA, Alhaqwi, AI. Sleep disorder among medical students: relationship to their academic performance. Med Teach 2012;34:37–41. https://doi.org/10.3109/0142159x.2012.656749.Search in Google Scholar
16. Giese, M, Unternaehrer, E, Brand, S, Calabrese, P, Holsboer-Trachsler, E, Eckert, A. The interplay of stress and sleep impacts BDNF level. PloS One 2013;8:e76050. https://doi.org/10.1371/journal.pone.0076050.Search in Google Scholar
17. Giri, P, Baviskar, M, Phalke, D. Study of sleep habits and sleep problems among medical students of pravara institute of medical sciences loni, Western Maharashtra, India. Ann Med Health Sci Res 2013;3:51–4. https://doi.org/10.4103/2141-9248.109488.Search in Google Scholar
18. Lieberman, JA. Update on the safety considerations in the management of insomnia with hypnotics: incorporating modified-release formulations into primary care. Prim Care Companion J Clin Psychiatry 2007;9:25–31. https://doi.org/10.4088/pcc.v09n0105.Search in Google Scholar
19. Iber, C, Davies, SF, Mahowald, MW. Nocturnal rocking bed therapy: improvement in sleep fragmentation in patients with respiratory muscle weakness. Sleep 1989;12:405–12. https://doi.org/10.1093/sleep/12.5.405.Search in Google Scholar
20. Woodward, S, Tauber, ES, Spielmann, AJ, Thorpy, MJ. Effects of otolithic vestibular stimulation on sleep. Sleep 1990;13:533–7. https://doi.org/10.1093/sleep/13.6.533.Search in Google Scholar
21. Tauber, ES, Handelman, G, Handelman, R, Weitzman, ED. Vestibular stimulation during sleep in young adults. Arch Neurol 1972;27:221–8. https://doi.org/10.1001/archneur.1972.00490150029006.Search in Google Scholar
22. Bayer, L, Constantinescu, I, Perrig, S, Vienne, J, Vidal, PP, Mühlethaler, M, et al. Rocking synchronizes brain waves during a short nap. Curr Biol 2011;21:R461–2. https://doi.org/10.1016/j.cub.2011.05.012.Search in Google Scholar
23. De Gennaro, L, Ferrara, M. Sleep spindles: an overview. Sleep Med Rev 2003;7:423–40. https://doi.org/10.1053/smrv.2002.0252.Search in Google Scholar
24. Omlin, X, Crivelli, F, Näf, M, Heinicke, L, Skorucak, J, Malafeev, A, et al. The effect of a slowly rocking bed on sleep. Sci Rep 2018;8:2156. https://doi.org/10.1038/s41598-018-19880-3.Search in Google Scholar
25. Jacob, N, Vuillez, P, Lakdhar-Ghazai, N, Paul, P. Does the intergeniculate leaflet play a role in the integration of the photo period by the suprachiasmatic nucleus?. Brain Res 1999;828:83–90. https://doi.org/10.1016/s0006-8993(99)01324-4.Search in Google Scholar
26. Snowball, RK, Dampney, RA, Lumb, BM. Responses of neurons in the medullary raphe nuclei to inputs from visceral nociceptors and the ventrolateral periaqueductal gray in the rat. Exp Physiol 1997;82:485–500. https://doi.org/10.1113/expphysiol.1997.sp004041.Search in Google Scholar
27. Sugiyama, Y, Suzuki, T, DeStefino, VJ, Yates, BJ. Integrative responses of neurons in nucleus tractus solitaries to visceral afferent stimulation and vestibular stimulation in vertical planes. Am J Physiol Regul Integr Comp Physiol 2011;301:1380–90. https://doi.org/10.1152/ajpregu.00361.2011.Search in Google Scholar
28. Cuthbert, P, Gilchrist, DP, Hicks, SL, MacDougall, HG, Curthoys, IS. Electro physiological evidence for vestibular activation of the Guinea pig hippocampus. Neuroreport 2000;11:1443–7. https://doi.org/10.1097/00001756-200005150-00018.Search in Google Scholar
29. Graf, MV, J Kastin, A. Delta sleep inducing peptide (DSIP): a review. Neurosci Biobehav Rev 1984;8:83–93. https://doi.org/10.1016/0149-7634(84)90022-8.Search in Google Scholar
30. van Sluijs, R, Wilhelm, E, Rondei, Q, Omlin, X, Crivelli, F, Straumann, D, et al. Gentle rocking movements during sleep in the elderly. J Sleep Res 2020:e12989. https://doi.org/10.1111/jsr.12989.Search in Google Scholar
31. Kompotis, K, Hubbard, J, Emmenegger, Y, Schwartz, S, Bayer, L, Paul, F. Rocking promotes sleep in mice through rhythmic stimulation of the vestibular. Sys Current Biology 2019;29:392–401. https://doi.org/10.1016/j.cub.2018.12.007.Search in Google Scholar
© 2020 Walter de Gruyter GmbH, Berlin/Boston
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- Mitigative effect of Momordica cymbalaria fruit extract against sodium fluoride induced hepatotoxicity in Wistar male albino rats
- Amine-modified kaolinite clay preserved thyroid function and renal oxidative balance after sub-acute exposure in rats
- Aqueous extract of dry powder blend of seeds and leaves of Picralima nitida (Stapf) T. & H. Durand reduce pain and inflammation in animal models
- Methanol extract of Caesalpinia benthamiana normalizes blood pressure and attenuates oxidative stress in uninephrectomized hypertensive rats
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Articles in the same Issue
- Frontmatter
- Review
- Update of hypothyroidism and its management in Unani medicine
- Original Articles
- 6-OHDA mediated neurotoxicity in SH-SY5Y cellular model of Parkinson disease suppressed by pretreatment with hesperidin through activating L-type calcium channels
- Modulation of sleep using electrical vestibular nerve stimulation prior to sleep onset: a pilot study
- Nitric oxide mediates the antidepressant-like effect of modafinil in mouse forced swimming and tail suspension tests
- Effect of mobile phone usage on cognitive functions, sleep pattern, visuospatial ability in Parkinsons patients; a possible correlation with onset of clinical symptoms
- Food-added azodicarbonamide alters haematogical parameters, antioxidant status and biochemical/histomorphological indices of liver and kidney injury in rats
- Conditioned medium from the human umbilical cord-mesenchymal stem cells stimulate the proliferation of human keratinocytes
- p53 upregulated mediator of apoptosis (Puma) deficiency increases survival of adult neural stem cells generated physiologically in the hippocampus, but does not protect stem cells generated in surplus after an excitotoxic lesion
- In vitro antioxidants and hepatoprotective effects of Pleurotus tuber-regium on carbon tetrachloride–treated rats
- Mitigative effect of Momordica cymbalaria fruit extract against sodium fluoride induced hepatotoxicity in Wistar male albino rats
- Amine-modified kaolinite clay preserved thyroid function and renal oxidative balance after sub-acute exposure in rats
- Aqueous extract of dry powder blend of seeds and leaves of Picralima nitida (Stapf) T. & H. Durand reduce pain and inflammation in animal models
- Methanol extract of Caesalpinia benthamiana normalizes blood pressure and attenuates oxidative stress in uninephrectomized hypertensive rats
- Evaluation of antidiabetic effect of Cistus salviifolius L. (Cistaceae) in streptozotocin-nicotinamide induced diabetic mice
- Correlation between biofilm formation and antimicrobial susceptibility pattern toward extended spectrum β-lactamase (ESBL)- and non-ESBL-producing uropathogenic bacteria