PMID- 32089894 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 2090-3545 (Print) IS - 2090-3553 (Electronic) IS - 2090-3553 (Linking) VI - 2020 DP - 2020 TI - An fMRI Study of the Effects of Vibroacoustic Stimulation on Functional Connectivity in Patients with Insomnia. PG - 7846914 LID - 10.1155/2020/7846914 [doi] LID - 7846914 AB - BACKGROUND: It is well known that vibratory and auditory stimuli from vehicles such as cars and trains can help induce sleep. More recent literature suggests that specific types of vibratory and acoustic stimulation might help promote sleep, but this has not been tested with neuroimaging. Thus, the purpose of this study was to observe the effects of vibroacoustic stimulation (providing both vibratory and auditory stimuli) on functional connectivity changes in the brain using resting state functional magnetic resonance imaging (rs-fMRI), and compare these changes to improvements in sleep in patients with insomnia. METHODS: For this study, 30 patients with insomnia were randomly assigned to receive one month of a vibroacoustic stimulation or be placed in a waitlist control. Patients were evaluated pre- and postprogram with qualitative sleep questionnaires and measurement of sleep duration with an actigraphy watch. In addition, patients underwent rs-fMRI to assess functional connectivity. RESULTS: The results demonstrated that those patients receiving the vibroacoustic stimulation had significant improvements in measured sleep minutes as well as in scores on the Insomnia Severity Index questionnaire. In addition, significant changes were noted in functional connectivity in association with the vermis, cerebellar hemispheres, thalamus, sensorimotor area, nucleus accumbens, and prefrontal cortex. CONCLUSIONS: The results of this study show that vibroacoustic stimulation alters the brain's functional connectivity as well as improves sleep in patients with insomnia. CI - Copyright (c) 2020 George Zabrecky et al. FAU - Zabrecky, George AU - Zabrecky G AD - Department of Integrative Medicine and Nutritional Sciences, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Shahrampour, Shiva AU - Shahrampour S AD - Department of Radiology, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Whitely, Cutler AU - Whitely C AD - Department of Integrative Medicine and Nutritional Sciences, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Alizadeh, Mahdi AU - Alizadeh M AD - Department of Radiology, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Conklin, Chris AU - Conklin C AD - Department of Radiology, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Wintering, Nancy AU - Wintering N AD - Department of Integrative Medicine and Nutritional Sciences, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Doghramji, Karl AU - Doghramji K AD - Sleep Disorders Center, Department of Psychiatry and Human Behavior, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Zhan, Tingting AU - Zhan T AUID- ORCID: 0000-0001-9971-4844 AD - Department of Biostatistics, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Mohamed, Feroze AU - Mohamed F AD - Department of Radiology, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Newberg, Andrew AU - Newberg A AUID- ORCID: 0000-0001-8230-1752 AD - Department of Integrative Medicine and Nutritional Sciences, Thomas Jefferson University, Philadelphia, PA 19107, USA. AD - Department of Radiology, Thomas Jefferson University, Philadelphia, PA 19107, USA. FAU - Monti, Daniel AU - Monti D AD - Department of Integrative Medicine and Nutritional Sciences, Thomas Jefferson University, Philadelphia, PA 19107, USA. LA - eng PT - Journal Article DEP - 20200204 PL - United States TA - Sleep Disord JT - Sleep disorders JID - 101600304 PMC - PMC7024098 COIS- No authors have any financial conflict of interest related to the study. EDAT- 2020/02/25 06:00 MHDA- 2020/02/25 06:01 PMCR- 2020/02/04 CRDT- 2020/02/25 06:00 PHST- 2019/12/12 00:00 [received] PHST- 2020/01/23 00:00 [accepted] PHST- 2020/02/25 06:00 [entrez] PHST- 2020/02/25 06:00 [pubmed] PHST- 2020/02/25 06:01 [medline] PHST- 2020/02/04 00:00 [pmc-release] AID - 10.1155/2020/7846914 [doi] PST - epublish SO - Sleep Disord. 2020 Feb 4;2020:7846914. doi: 10.1155/2020/7846914. eCollection 2020.