Abstract

Study ObjectivesGentle rocking movements provided by a moving bed have been proposed as a promising non-pharmacological way to promote sleep. In rodents the sleep promoting effect of rocking movements depended on the peak acceleration (named “stimulation intensity”) perceived by the vestibular system. We set out to verify previous reports on the sleep promoting effect of rocking movements and to investigate the importance of stimulation intensity in this process.MethodsSide-to-side rocking movements along a pendulum trajectory with different peak accelerations (control: 0 m/s2, low intensity: 0.15 m/s2, medium intensity: 0.25 m/s2, high intensity: 0.35 m/s2) were provided for 45 min during an afternoon nap opportunity. Participants were assigned to a low intensity group (n = 10) experiencing control, low and medium intensity stimulation or a high intensity group (n = 12) experiencing control, medium and high intensity stimulation. Sleep and sleep-related memory performance were assessed using polysomnography and a word-pair memory task, respectively.ResultsParticipants transitioned faster into deep sleep under the influence of medium intensity rocking as was evident by a faster buildup of delta power compared to the control condition (n = 22). The faster buildup did not affect sleep architecture, since e.g., the proportion of the nap spent in deep sleep or latencies did not change. Previously reported effects like a shorter latency to stage N2 and a higher density of sleep spindles were not observed. Sleep quality during control naps of the low intensity group was worse than in the high intensity group. In the low intensity group, we also observed a significant increase in delta power throughout the nap, as well as a higher density of slow oscillations both under the influence of low and medium intensity vestibular stimulation. No such effects were observed in the high intensity group.ConclusionRocking movements may promote nap sleep in young adults. Due to a difference in sleep quality during control naps between the low and high intensity group no conclusion regarding the influence of stimulation intensity were possible. Thus, optimal stimulation settings in humans need further investigation.

Highlights

  • Problems with sleep may severely impact our cognitive functioning (Alhola and Polo-Kantola, 2007) and health (Garbarino et al, 2016; Kecklund and Axelsson, 2016)

  • Another way of looking at the progressive deepening of sleep is to investigate the buildup of delta power (0.75–4.5 Hz) starting at sleep onset

  • We report a faster transition from wake to deep sleep

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Summary

Introduction

Problems with sleep may severely impact our cognitive functioning (Alhola and Polo-Kantola, 2007) and health (Garbarino et al, 2016; Kecklund and Axelsson, 2016). More than one third of the adult population suffers from insufficient sleep or impaired sleep quality (Liu, 2016; Madrid-Valero et al, 2017), with significant consequences for our economy (Hafner et al, 2017). Current therapies for sleep problems include pharmacological (Wilson and Nutt, 2010) and psychological or behavioral therapies, including relaxation strategies (Edinger et al, 2017; Morin et al, 2017). The success of psychological/behavioral highly depends on compliance (Matthews et al, 2013) which restricts their application to a subset of the population. Vestibular stimulation in the form of gentle rocking movements has been proposed as a promising non-pharmacological alternative

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