Evidence map›Paper›PMID 37593850›Full record

Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2023

Acoustic stimulation as a promising technique to enhance slow-wave sleep in Alzheimer's disease: results of a pilot study.

Laura Van den Bulcke, Anne-Marie Peeters, Elisabeth Heremans, Hannah Davidoff, Pascal Borzée, Maarten De Vos, Louise Emsell, Jan Van den Stock, Maaike De Roo, Jos Tournoy and 5 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Perivascular brain clearance as a therapeutic target in cerebral amyloid angiopathy and Alzheimer's disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Unraveling the potential of acoustic stimulation to enhance slow-wave sleep in Alzheimer's disease: implications and pathways forward.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  12. Slow-wave sleep and subsequent risk of dementia.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  13. Acoustic stimulation as a promising technique to improve glymphatic clearance in the human brain?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  14. Could immersive sound improve glymphatic function in the awake brain?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  15. Review
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Laura Van den BulckeGeriatric Psychiatry, University Psychiatric Center KU Leuven, Leuven, Belgium.
Anne-Marie PeetersGeriatric Psychiatry, University Psychiatric Center KU Leuven, Leuven, Belgium.
Elisabeth HeremansDepartment of Electrical Engineering (ESAT), KU Leuven, Leuven, Belgium.
Hannah DavidoffDepartment of Electrical Engineering (ESAT), KU Leuven, Leuven, Belgium.
Pascal BorzéeDepartment of Pneumology, University Hospitals Leuven, Leuven, Belgium.
Maarten De VosDepartment of Electrical Engineering (ESAT), KU Leuven, Leuven, Belgium.
Louise EmsellGeriatric Psychiatry, University Psychiatric Center KU Leuven, Leuven, Belgium.
Jan Van den StockGeriatric Psychiatry, University Psychiatric Center KU Leuven, Leuven, Belgium.
Maaike De RooDepartment of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium.
Jos TournoyDepartment of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium.
Bertien BuyseDepartment of Pneumology, University Hospitals Leuven, Leuven, Belgium.
Mathieu VandenbulckeGeriatric Psychiatry, University Psychiatric Center KU Leuven, Leuven, Belgium.
Chantal Van AudenhoveDepartment of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
Dries TestelmansDepartment of Pneumology, University Hospitals Leuven, Leuven, Belgium.
Maarten Van Den BosscheGeriatric Psychiatry, University Psychiatric Center KU Leuven, Leuven, Belgium.
KU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesSleep disturbances are common in people with Alzheimer's disease (AD), and a reduction in slow-wave activity is the most striking underlying change. Acoustic stimulation has emerged as a promising approach to enhance slow-wave activity in healthy adults and people with amnestic mild cognitive impairment. In this phase 1 study we investigated, for the first time, the feasibility of acoustic stimulation in AD and piloted the effect on slow-wave sleep (SWS).

methodsEleven adults with mild to moderate AD first wore the DREEM 2 headband for 2 nights to establish a baseline registration. Using machine learning, the DREEM 2 headband automatically scores sleep stages in real time. Subsequently, the participants wore the headband for 14 consecutive "stimulation nights" at home. During these nights, the device applied phase-locked acoustic stimulation of 40-dB pink noise delivered over 2 bone-conductance transducers targeted to the up-phase of the delta wave or SHAM, if it detected SWS in sufficiently high-quality data.

resultsResults of the DREEM 2 headband algorithm show a significant average increase in SWS (minutes) [

conclusionsOur phase 1 study provided the first evidence that targeted acoustic stimuli is feasible and could increase SWS in AD significantly. Future studies should further test and optimize the effect of stimulation on SWS in AD in a large randomized controlled trial. CITATION: Van den Bulcke L, Peeters A-M, Heremans E, et al. Acoustic stimulation as a promising technique to enhance slow-wave sleep in Alzheimer's disease: results of a pilot study.

Indexed as

Alzheimer DiseaseSleep, Slow-WaveAcoustic StimulationAdultElectroencephalographyHumansPilot ProjectsSleepacoustic stimulationAlzheimer’s diseasesleepslow-wave sleepwearable device

Identifiers

PMID37593850
PMCPMC10692948
OpenAlexW4385969369

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.