title: Effects of proprioceptive vibratory stimulation on body movement at 24 and 36h of sleep deprivation.
abstract: OBJECTIVE
  To investigate whether postural stability and adaptation differed after a normal night of sleep, after 24h (24 SDep) and 36h (36 SDep) of sleep deprivation while subjected to repeated balance perturbations. Also, to determine whether there was any correlation between subjective alertness scores and objective posturographic measurements. Lastly, to investigate the effects of vision on the stability during sleep deprivation.
  
  
  METHODS
  Body movements at five locations were recorded in 18 subjects (mean age 23.8years) using a 3D movement measurement system while subjected with eyes open and closed to vibratory proprioceptive calf stimulation after a normal night of sleep, 24 and 36 SDep.
  
  
  RESULTS
  The clearest sleep deprivation effect was reduced ability to adapt head, shoulder and hip movements, both with eyes open and eyes closed. Additionally, several near falls occurred after being subjected to balance perturbations for 2-3min while sleep deprived. Unexpectedly, postural performance did not continue to deteriorate between 24 and 36h of sleep deprivation, but showed some signs of improvement. Subjective scores of sleepiness correlated poorly with actual changes in postural control performance.
  
  
  CONCLUSIONS
  Sleep deprivation might affect postural stability through reduced adaptation ability and lapses in attention. Subjective alertness might not be an accurate indicator of the physiological effects of sleep deprivation.
  
  
  CONCLUSIONS
  Sleep deprivation could increase the risk of accidents in attention demanding tasks. There is a need for objective evaluation methods to determine actual performance capacity during sleep deprivation.
authors.affiliation: Faculty of Applied Sciences, University of the West of England, Bristol BS16 1QY, Great Britain, UK.
authors.forename: S
authors.initials: S
authors.lastname: Gomez
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Clinical Sciences, Lund, Lund University, S-221 85 Lund, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Patel
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Clinical Sciences, Lund, Lund University, S-221 85 Lund, Sweden.
authors.forename: S
authors.initials: S
authors.lastname: Berg
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Clinical Sciences, Lund, Lund University, S-221 85 Lund, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Magnusson
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Clinical Sciences, Lund, Lund University, S-221 85 Lund, Sweden.
authors.forename: R
authors.initials: R
authors.lastname: Johansson
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Clinical Sciences, Lund, Lund University, S-221 85 Lund, Sweden. Electronic address: Per-Anders.Fransson@med.lu.se.
authors.forename: P A
authors.initials: PA
authors.lastname: Fransson
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009068:Movement / Q000502:physiology*; D010812:Physical Stimulation / Q000379:methods; D004856:Postural Balance / Q000502:physiology*; D011187:Posture / Q000502:physiology; D011434:Proprioception / Q000502:physiology*; D012892:Sleep Deprivation / Q000503:physiopathology*; D018709:Statistics, Nonparametric; D013997:Time Factors; D014724:Vestibular Function Tests; D014732:Vibration