Experimental Brain Research

, Volume 185, Issue 2, pp 165–173 | Cite as

Effects of 24-h and 36-h sleep deprivation on human postural control and adaptation

  • M. Patel
  • S. Gomez
  • S. Berg
  • P. Almbladh
  • J. Lindblad
  • H. Petersen
  • M. Magnusson
  • R. Johansson
  • P. A. Fransson
Research Article
First Online:
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Accepted:

Abstract

This study investigated whether human postural stability and adaptation were affected by sleep deprivation and the relationship between motor performance and subjective scores of sleepiness (visuo-anlogue sleepiness scores, VAS). Postural stability and subjective sleepiness were examined in 18 healthy subjects (mean age 23.8 years) following 24 and 36 h of continued wakefulness, ensured by portable EEG recordings, and compared to a control test where the assessments were made after a normal night of sleep. The responses were assessed using posturography with eyes open and closed, and vibratory proprioceptive stimulations were used to challenge postural control. Postural control was significantly affected after 24 h of sleep deprivation both in anteroposterior and in lateral directions, but less so after 36 h. Subjective VAS scores showed poor correlation with indicators of postural control performance. The clearest evidence that sleep deprivation decreased postural control was the reduction of adaptation. Also several near falls after 2–3 min during the posturographic tests showed that sleep deprivation might affect stability through momentary lapses of attention. Access to vision, somewhat, but not entirely reduced the effect of sleep deprivation. In conclusion, sleep deprivation can be a contributing factor to decreased postural control and falls.

Keywords

Postural control Sleep deprivation Adaptation Subjective scores Attention 
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References

  1. Altman D (1991) Practical statistics for medical research. Chapman & Hall, New YorkGoogle Scholar
  2. Avni N, Avni I, Barenboim E, Azaria B, Zadok D, Kohen-Raz R, Morad Y (2006) Brief posturographic test as an indicator of fatigue. Psychiatry Clin Neurosci 60:340–346PubMedCrossRefGoogle Scholar
  3. Balkin TJ, Bliese PD, Belenky G, Sing H, Thorne DR, Thomas M, Redmond DP, Russo M, Wesensten NJ (2004) Comparative utility of instruments for monitoring sleepiness-related performance decrements in the operational environment. J Sleep Res 13:219–227PubMedCrossRefGoogle Scholar
  4. Broadbent DE (1958) Perception and communication. Pergamon Press, LondonGoogle Scholar
  5. Dinges DF, Kribbs BN (1991) Performing while sleepy: effects of experimentally-induced sleepiness. Wiley, ChichesterGoogle Scholar
  6. Eccles JC (1986) Learning in the motor system. In: Prog Brain Res, vol 64. Elsevier Science, Amsterdam, pp 3–18Google Scholar
  7. Edwards AS (1946) Body sway and vision. J Exp Psychol 36:526–536CrossRefGoogle Scholar
  8. Eklund G (1973) Further studies of vibration-induced effects on balance. Ups J Med Sci 78:65–72PubMedGoogle Scholar
  9. Fabbri M, Martoni M, Esposito MJ, Brighetti G, Natale V (2006) Postural control after a night without sleep. Neuropsychologia 44:2520–2525PubMedCrossRefGoogle Scholar
  10. Fransson PA, Johansson R, Hafstrom A, Magnusson M (2000) Methods for evaluation of postural control adaptation. Gait Posture 12:14–24PubMedCrossRefGoogle Scholar
  11. Fransson PA, Tjernström F, Hafström A, Magnusson M, Johansson R (2002) Analysis of short- and long-term effects of adaptation in human postural control. Biol Cybern 86:355–365PubMedCrossRefGoogle Scholar
  12. Fransson PA, Hafstrom A, Karlberg M, Magnusson M, Tjader A, Johansson R (2003) Postural control adaptation during galvanic vestibular and vibratory proprioceptive stimulation. IEEE Trans Biomed Eng 50:1310–1319PubMedCrossRefGoogle Scholar
  13. Frey DJ, Badia P, Wright KP Jr (2004) Inter- and intra-individual variability in performance near the circadian nadir during sleep deprivation. J Sleep Res 13:305–315PubMedCrossRefGoogle Scholar
  14. Goodwin GM, McCloskey DI, Matthews PB (1972) Proprioceptive illusions induced by muscle vibration: contribution by muscle spindles to perception? Science 175:1382–1384PubMedCrossRefGoogle Scholar
  15. Gribble PA, Hertel J (2004) Changes in postural control during a 48-hr sleep deprivation period. Percept Mot Skills 99:1035–1045PubMedCrossRefGoogle Scholar
  16. Haslam DR (1984) The military performance of soldiers in sustained operations. Aviat Space Environ Med 55:216–221PubMedGoogle Scholar
  17. Horak FB, Nashner LM (1986) Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol 55:1369–1381PubMedGoogle Scholar
  18. Horne J (2000) Neuroscience: images of lost sleep. Nature 403:605–606PubMedCrossRefGoogle Scholar
  19. Horne JA, Reyner LA (1995) Sleep related vehicle accidents. BMJ 310:565–567PubMedGoogle Scholar
  20. Ivanenko YP, Talis VL, Kazennikov OV (1999) Support stability influences postural responses to muscle vibration in humans. Eur J Neurosci 11:647–654PubMedCrossRefGoogle Scholar
  21. Johansson R (1993) System modeling and identification. Prentice-Hall, Englewood CliffsGoogle Scholar
  22. Johansson R, Magnusson M, Akesson M (1988) Identification of human postural dynamics. IEEE Trans Biomed Eng 35:858–869PubMedCrossRefGoogle Scholar
  23. Karita K, Nakao M, Nishikitani M, Iwata T, Murata K, Yano E (2006) Effect of overtime work and insufficient sleep on postural sway in information-technology workers. J Occup Health 48:65–68PubMedCrossRefGoogle Scholar
  24. Keshner EA, Allum JH, Pfaltz CR (1987) Postural coactivation and adaptation in the sway stabilizing responses of normals and patients with bilateral vestibular deficit. Exp Brain Res 69:77–92PubMedCrossRefGoogle Scholar
  25. Ledin T, Fransson PA, Magnusson M (2004) Effects of postural disturbances with fatigued triceps surae muscles or with 20% additional body weight. Gait Posture 19:184–193PubMedCrossRefGoogle Scholar
  26. Liu Y, Higuchi S, Motohashi Y (2001) Changes in postural sway during a period of sustained wakefulness in male adults. Occup Med Lond 51:490–495PubMedCrossRefGoogle Scholar
  27. Magnusson M (1986) Effect of alertness on the vestibulo-ocular reflex and on the slow rise in optokinetic nystagmus in rabbits. Am J Otolaryngol 7:353–359PubMedCrossRefGoogle Scholar
  28. Magnusson M, Johansson R, Wiklund J (1990) Galvanically induced body sway in the anterior-posterior plane. Acta Otolaryngol 110:11–17PubMedCrossRefGoogle Scholar
  29. Maki B, Mcllroy W (1996) Influence of arousal and attention on the control of postural sway. J Vest Res 6:53–59CrossRefGoogle Scholar
  30. Matthews PB (1986) What are the afferents of origin of the human stretch reflex, and is it a purely spinal reaction? In: Freund HJ, Büttner U, Cohen B, Noth J (eds) Prog Brain Res, vol 64. Elsevier, Amsterdam, pp 55–66Google Scholar
  31. Nakano T, Araki K, Michimori A, Inbe H, Hagiwara H, Koyama E (2001) Nineteen-hour variation of postural sway, alertness and rectal temperature during sleep deprivation. Psychiatry Clin Neurosci 55:277–278PubMedCrossRefGoogle Scholar
  32. National_Sleep_Foundation (2005) Sleep in America poll 2005. http://www.sleepfoundation.org
  33. Patrick GTW, Gilbert JA (1896) On the effects of loss of sleep. Psychol Rev 3:469–483Google Scholar
  34. Rechtschaffen A, Kales A (1968) Manual of standardized terminology, techniques and scoring system for sleep of human subjects. US Department of Health, Education and Welfare, Neurological Information Network, BethesdaGoogle Scholar
  35. Redfern M, Jennings J, Martin C, Furman J (2001) Attention influences sensory integration for postural control in older adults. Gait Posture 14(3):211–216PubMedCrossRefGoogle Scholar
  36. Schlesinger A, Redfern MS, Dahl RE, Jennings JR (1998) Postural control, attention and sleep deprivation. Neuroreport 9:49–52PubMedCrossRefGoogle Scholar
  37. Souissi N, Sesboue B, Gauthier A, Larue J, Davenne D (2003) Effects of one night’s sleep deprivation on anaerobic performance the following day. Eur J Appl Physiol 89:359–366PubMedCrossRefGoogle Scholar
  38. Teasdale N, Simoneau M (2001) Attentional demands for postural control: the effects of aging and sensory reintegration. Gait Posture 14:203–210PubMedCrossRefGoogle Scholar
  39. Thomas M, Sing H, Belenky G, Holcomb H, Mayberg H, Dannals R, Wagner H, Thorne D, Popp K, Rowland L, Welsh A, Balwinski S, Redmond D (2000) Neural basis of alertness and cognitive performance impairments during sleepiness. I. Effects of 24 h of sleep deprivation on waking human regional brain activity. J Sleep Res 9:335–352PubMedCrossRefGoogle Scholar
  40. Thomas M, Sing H, Belenky G, Holcomb H, Mayberg H, Dannals R, Wagner H, Henry N, Thorne D, Popp K (2003) Neural basis of alertness and cognitive performance impairments during sleepiness: II. Effects of 24 and 72 h of sleep deprivation on waking human regional brain activity. Thalamus Relat Syst 2:199–229Google Scholar
  41. Tjernstrom F, Fransson PA, Hafstrom A, Magnusson M (2002) Adaptation of postural control to perturbations: a process that initiates long-term motor memory. Gait Posture 15:75–82PubMedCrossRefGoogle Scholar
  42. Tjernstrom F, Fransson PA, Magnusson M (2005) Improved postural control through repetition and consolidation. J Vestib Res 15:31–39PubMedGoogle Scholar
  43. Uimonen S, Laitakari K, Bloigu R, Sorri M (1994) The repeatability of posturographic measurements and the effects of sleep deprivation. J Vestib Res 4:29–36PubMedGoogle Scholar
  44. Wilkinson RT (1965) Sleep deprivation. Academic, LondonGoogle Scholar
  45. Williams RL, Karacan I, Hursch CJ (1974) Electroencephalography (EEG) of human sleep: Clinical applications. Wiley, New YorkGoogle Scholar
  46. Williamson AM, Feyer AM (2000) Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication. Occup Environ Med 57:649–655PubMedCrossRefGoogle Scholar
  47. Wilson RJ, Fang M, Cooper PJ, Beirness DJ (2006) Sleepiness among night-time drivers: relationship to blood alcohol concentration and other factors. Traffic Inj Prev 7:15–22PubMedCrossRefGoogle Scholar
  48. Vuillerme N, Danion F, Forestier N, Nougier V (2002) Postural sway under muscle vibration and muscle fatigue in humans. Neurosci Lett 333:131–135PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • M. Patel
    • 1
  • S. Gomez
    • 2
  • S. Berg
    • 1
  • P. Almbladh
    • 1
  • J. Lindblad
    • 1
  • H. Petersen
    • 3
  • M. Magnusson
    • 1
  • R. Johansson
    • 1
  • P. A. Fransson
    • 1
  1. 1.Department of Otorhinolaryngology Head and Neck surgery, Clinical Sciences, LundLund UniversityLundSweden
  2. 2.Faculty of Applied SciencesUniversity of the West of EnglandBristolGreat Britain
  3. 3.Department of Otorhinolaryngology Head and Neck surgeryUniversity of Iceland, Landspitali University HospitalReykjavikIceland

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