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Awakening efficacy of a vibrotactile device in patients on home nocturnal ventilatory assistance and healthy subjects as family caregiver proxies
The objective of this study was to test the capacity of vibrotactile stimulation transmitted to the wrist bones by a vibrating wristband to awaken healthy individuals and patients requiring home mechanical ventilation during sleep. Healthy subjects (n = 20) and patients with central hypoventilation...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783873/ https://www.ncbi.nlm.nih.gov/pubmed/33371725 http://dx.doi.org/10.1177/1479973120983331 |
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author | Attali, Valerie Lavault, Sophie Guerder, Antoine Al-Youssef, Saba Dudoignon, Benjamin Taytard, Jessica Arnulf, Isabelle Faure, Morgane Straus, Christian Similowski, Thomas |
author_facet | Attali, Valerie Lavault, Sophie Guerder, Antoine Al-Youssef, Saba Dudoignon, Benjamin Taytard, Jessica Arnulf, Isabelle Faure, Morgane Straus, Christian Similowski, Thomas |
author_sort | Attali, Valerie |
collection | PubMed |
description | The objective of this study was to test the capacity of vibrotactile stimulation transmitted to the wrist bones by a vibrating wristband to awaken healthy individuals and patients requiring home mechanical ventilation during sleep. Healthy subjects (n = 20) and patients with central hypoventilation (CH) (Congenital Central Hypoventilation syndrome n = 7; non-genetic form of CH n = 1) or chronic obstructive pulmonary disease (COPD) (n = 9), underwent a full-night polysomnography while wearing the wristband. Vibrotactile alarms were triggered five times during the night at random intervals. Electroencephalographic (EEG), clinical (trunk lift) and cognitive (record the time on a sheet of paper) arousals were recorded. Cognitive arousals were observed for 94% of the alarms in the healthy group and for 66% and 63% of subjects in the CH and COPD groups, respectively (p < 0.01). The percentage of participants experiencing cognitive arousals for all alarms, was 72% for healthy subjects, 37.5% for CH patients and 33% for COPD patients (ns) (94%, 50% and 44% for clinical arousals (p < 0.01) and 100%, 63% and 44% for EEG arousals (p < 0.01)). Device acceptance was good in the majority of cases, with the exception of one CH patient and eight healthy participants. In summary this study shows that a vibrotactile stimulus is effective to induce awakenings in healthy subjects, but is less effective in patients, supporting the notion that a vibrotactile stimulus could be an effective backup to a home mechanical ventilator audio alarm for healthy family caregivers. |
format | Online Article Text |
id | pubmed-7783873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-77838732021-01-14 Awakening efficacy of a vibrotactile device in patients on home nocturnal ventilatory assistance and healthy subjects as family caregiver proxies Attali, Valerie Lavault, Sophie Guerder, Antoine Al-Youssef, Saba Dudoignon, Benjamin Taytard, Jessica Arnulf, Isabelle Faure, Morgane Straus, Christian Similowski, Thomas Chron Respir Dis Original Paper The objective of this study was to test the capacity of vibrotactile stimulation transmitted to the wrist bones by a vibrating wristband to awaken healthy individuals and patients requiring home mechanical ventilation during sleep. Healthy subjects (n = 20) and patients with central hypoventilation (CH) (Congenital Central Hypoventilation syndrome n = 7; non-genetic form of CH n = 1) or chronic obstructive pulmonary disease (COPD) (n = 9), underwent a full-night polysomnography while wearing the wristband. Vibrotactile alarms were triggered five times during the night at random intervals. Electroencephalographic (EEG), clinical (trunk lift) and cognitive (record the time on a sheet of paper) arousals were recorded. Cognitive arousals were observed for 94% of the alarms in the healthy group and for 66% and 63% of subjects in the CH and COPD groups, respectively (p < 0.01). The percentage of participants experiencing cognitive arousals for all alarms, was 72% for healthy subjects, 37.5% for CH patients and 33% for COPD patients (ns) (94%, 50% and 44% for clinical arousals (p < 0.01) and 100%, 63% and 44% for EEG arousals (p < 0.01)). Device acceptance was good in the majority of cases, with the exception of one CH patient and eight healthy participants. In summary this study shows that a vibrotactile stimulus is effective to induce awakenings in healthy subjects, but is less effective in patients, supporting the notion that a vibrotactile stimulus could be an effective backup to a home mechanical ventilator audio alarm for healthy family caregivers. SAGE Publications 2020-12-29 /pmc/articles/PMC7783873/ /pubmed/33371725 http://dx.doi.org/10.1177/1479973120983331 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Paper Attali, Valerie Lavault, Sophie Guerder, Antoine Al-Youssef, Saba Dudoignon, Benjamin Taytard, Jessica Arnulf, Isabelle Faure, Morgane Straus, Christian Similowski, Thomas Awakening efficacy of a vibrotactile device in patients on home nocturnal ventilatory assistance and healthy subjects as family caregiver proxies |
title | Awakening efficacy of a vibrotactile device in patients on home
nocturnal ventilatory assistance and healthy subjects as family caregiver
proxies |
title_full | Awakening efficacy of a vibrotactile device in patients on home
nocturnal ventilatory assistance and healthy subjects as family caregiver
proxies |
title_fullStr | Awakening efficacy of a vibrotactile device in patients on home
nocturnal ventilatory assistance and healthy subjects as family caregiver
proxies |
title_full_unstemmed | Awakening efficacy of a vibrotactile device in patients on home
nocturnal ventilatory assistance and healthy subjects as family caregiver
proxies |
title_short | Awakening efficacy of a vibrotactile device in patients on home
nocturnal ventilatory assistance and healthy subjects as family caregiver
proxies |
title_sort | awakening efficacy of a vibrotactile device in patients on home
nocturnal ventilatory assistance and healthy subjects as family caregiver
proxies |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783873/ https://www.ncbi.nlm.nih.gov/pubmed/33371725 http://dx.doi.org/10.1177/1479973120983331 |
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