Evidence map›Paper›PMID 40440290›Full record

ArticlePloS one2025

Vibrotactile auricular vagus nerve stimulation alters limbic system connectivity in humans: A pilot study.

Kara M Donovan, Joshua D Adams, Ki Yun Park, Phillip Demarest, Gansheng Tan, Jon T Willie, Peter Brunner, Jenna L Gorlewicz, Eric C Leuthardt

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Good vibrations: Sternal vibration enhances white matter density and interoceptive awareness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kara M DonovanDepartment of Biomedical Engineering, Washington University, St. Louis, Missouri, United States of America.ORCID 0000-0002-5492-2241
Joshua D AdamsDepartment of Aerospace and Mechanical Engineering, Saint Louis University, St. Louis, Missouri, United States of America.
Ki Yun ParkDivision of Neurotechnology, Washington University School of Medicine, St. Louis, Missouri, United States of America.
Phillip DemarestDepartment of Biomedical Engineering, Washington University, St. Louis, Missouri, United States of America.
Gansheng TanDepartment of Biomedical Engineering, Washington University, St. Louis, Missouri, United States of America.ORCID 0000-0001-8785-9499
Jon T WillieDepartment of Biomedical Engineering, Washington University, St. Louis, Missouri, United States of America.
Peter BrunnerDepartment of Biomedical Engineering, Washington University, St. Louis, Missouri, United States of America.
Jenna L GorlewiczDepartment of Aerospace and Mechanical Engineering, Saint Louis University, St. Louis, Missouri, United States of America.ORCID 0000-0002-0688-4201
Eric C LeuthardtDepartment of Biomedical Engineering, Washington University, St. Louis, Missouri, United States of America.

Funding

Training and DisseminationP41EB018783 · NIBIB · WADSWORTH CENTER · PI Jonathan Rickel Wolpaw · 2014 to 2026
$15.4M
BCI2000: Software Resource for Adaptive Neurotechnology ResearchU24NS109103 · NINDS · WASHINGTON UNIVERSITY · PI BRUNNER, PETER · 2019 to 2024
$2.8M
CRCNS: Processing speed in the human connectome across the lifespanR01MH122258 · NIMH · MAYO CLINIC ROCHESTER · PI HERMES, DORA · 2019 to 2023
$1.8M
BCI2000+: A Software Platform for Adaptive NeurotechnologiesR01EB026439 · NIBIB · WASHINGTON UNIVERSITY · PI BRUNNER, PETER · 2018 to 2022
$1.5M
Dynamics and Causal Functions of Large-Scale Cortical and Subcortical NetworksU01NS108916 · NINDS · WADSWORTH CENTER · PI WOLPAW, JONATHAN RICKEL · 2018 to 2019
$1.4M
Translational Neuroscience and Neurotechnology Training (TNNT)T32NS126157 · NINDS · WASHINGTON UNIVERSITY · PI Daniel William Moran · 2022 to 2026
$776k
Non-invasive vagus nerve stimulation to mitigate subarachnoid hemorrhage induced inflammationR21NS128307 · NINDS · WASHINGTON UNIVERSITY · PI BRUNNER, PETER, LEUTHARDT, ERIC CLAUDE · 2023 to 2024
$428k
NIBIB NIH HHS P41 EB018783NIBIB NIH HHS R01 EB026439NIMH NIH HHS R01 MH122258NINDS NIH HHS R21 NS128307NINDS NIH HHS T32 NS126157NINDS NIH HHS U01 NS108916NINDS NIH HHS U24 NS109103
6 · The paper itself

Abstract

Vibration offers a potential alternative modality for transcutaneous auricular vagus nerve stimulation (taVNS). However, mechanisms of action are not well-defined. The goal of this pilot study was to evaluate the potential of vibrotactile stimulation of the outer ear as a method for activating central brain regions similarly to established vagal nerve stimulation methods. Seven patients with intractable epilepsy undergoing stereotactic electroencephalography (sEEG) monitoring participated in the study. Vibrotactile taVNS was administered across five vibration frequencies (2, 6, 12, 20, and 40 Hz) following a randomized stimulation pattern with 30 trials per frequency. Spectral coherence during stimulation was analyzed across theta (4-8 Hz), alpha (8-13 Hz), beta (13-30 Hz), and broadband gamma (70-170 Hz) frequency bands. At the group level, vibrotactile taVNS significantly increased coherence in theta (effect sizes 6 Hz: r = 0.311; 20 Hz: r = 0.316; 40 Hz: r = 0.264) and alpha bands (effect sizes 20 Hz: r = 0.455; 40 Hz: r = 0.402). Anatomically, multiple limbic brain regions exhibited increased coherence during taVNS compared to baseline. The percentage of total electrode pairs demonstrating increased coherence was also quantified at the individual level. Twenty Hz vibration resulted in the highest percentage of responder pairs across low-frequency coherence measures, with a group-average of 33% of electrode pairs responding, though inter-subject variability was present. Overall, vibrotactile taVNS induced significant low-frequency coherence increases involving several limbic system structures. Further, parametric characterization revealed the presence of inter-subject variability in terms of identifying the vibration frequency with the greatest coherence response. These findings encourage continued research into vibrotactile stimulation as an alternative modality for noninvasive vagus nerve stimulation.

Indexed as

Drug Resistant EpilepsyLimbic SystemVagus NerveVagus Nerve StimulationVibrationAdultElectroencephalographyFemaleHumansMaleMiddle AgedPilot ProjectsYoung Adult

Identifiers

PMID40440290
PMCPMC12121794

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.