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Effects of cervical transcutaneous Vagus Nerve Stimulation (ctVNS) on military cognitive performance during sleep deprivation.

作者信息

Bottenheft C, Fonken Y M, Hendrikse L F, Koedijk M, Landman A, Binsch O

机构信息

TNO Human Performance, Soesterberg, Netherlands.

TNO Learning and Workforce Development, Soesterberg, Netherlands.

出版信息

Front Physiol. 2025 Feb 26;16:1542791. doi: 10.3389/fphys.2025.1542791. eCollection 2025.


DOI:10.3389/fphys.2025.1542791
PMID:40078370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11897260/
Abstract

INTRODUCTION: Maintaining cognitive performance during sleep deprivation is of vital importance in many professions, especially in high-risk professions like the military. It has long been known that sleep deprivation diminishes cognitive performance. To mitigate the negative effects on cognitive performance during crucial military tasks, new interventions are necessary. Non-invasive cervical transcutaneous vagus nerve stimulation (ctVNS) has gained traction as a method to boost alertness and cognitive functioning. METHODS: We investigated the effects of a 2 × 2 minute ctVNS stimulation protocol on three cognitive tasks applied during conditions of sleep-deprivation: a psychomotor vigilance task (PVT), a multitasking task (SynWin), and an inhibitory control task (stop-signal task; SST). In addition, participants also performed a close-quarter-battle (CQB) test in virtual reality (VR) to examine if potential effects of ctVNS translate to operational military contexts. A total of 35 military operators from Special Operations Forces (SOF) and SOF support units participated. They were randomly assigned to an active stimulation group or sham group. Before stimulation at 19:00 h, participants performed baseline tests. Participants stayed awake through the night and performed the cognitive tasks every 3 h. The last round of cognitive tasks was followed by the VR test. RESULTS: Though sleep deprivation was successfully induced, as evident from a decline in performance on all three cognitive tasks (effect of session: p < 0.001 SynWin; p < 0.001 PVT; p < 0.001 SST; Linear Mixed Model), no significant effects of ctVNS were found on cognitive task performance, as well as on the military operational VR task. However, the influence of stimulation intensity on SynWin performance showed a trend, indicating that higher stimulation intensities could have a negative impact on cognitive performance. DISCUSSION: A 2 × 2 minute stimulation protocol may not be sufficient to elicit beneficial effects on cognitive-and operational military performance. Moreover, correct stimulation intensity may be critical to induce effects on cognitive performance, as stimulation effects may follow an inverted-u dose-response curve. Stimulation intensities in the current study are higher compared to a similar study that reported beneficial effects of ctVNS, which may explain this null finding. Further research is recommended to optimize stimulation protocols and investigate robustness of effects.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/0204d18b5f4f/fphys-16-1542791-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/9e6d50b0f3cb/fphys-16-1542791-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/f7630e042118/fphys-16-1542791-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/53b7e8ddaa92/fphys-16-1542791-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/0204d18b5f4f/fphys-16-1542791-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/9e6d50b0f3cb/fphys-16-1542791-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/f7630e042118/fphys-16-1542791-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/53b7e8ddaa92/fphys-16-1542791-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45ac/11897260/0204d18b5f4f/fphys-16-1542791-g004.jpg

相似文献

[1]
Effects of cervical transcutaneous Vagus Nerve Stimulation (ctVNS) on military cognitive performance during sleep deprivation.

Front Physiol. 2025-2-26

[2]
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[3]
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[4]
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[5]
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Front Hum Neurosci. 2025-3-3

[6]
Author Correction: Cervical transcutaneous vagal nerve stimulation (ctVNS) improves human cognitive performance under sleep deprivation stress.

Commun Biol. 2021-7-1

[7]
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J Sleep Res. 2017-11-20

[8]
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[10]
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本文引用的文献

[1]
Three Hundred Hertz Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) Impacts Pupil Size Non-Linearly as a Function of Intensity.

Psychophysiology. 2025-2

[2]
Transcutaneous Auricular Vagus Nerve Stimulation Modulates Performance but Not Pupil Size During Nonnative Speech Category Learning.

J Speech Lang Hear Res. 2023-10-4

[3]
Vagus nerve stimulation: mechanisms and factors involved in memory enhancement.

Front Hum Neurosci. 2023-6-29

[4]
Evidence for a modulating effect of transcutaneous auricular vagus nerve stimulation (taVNS) on salivary alpha-amylase as indirect noradrenergic marker: A pooled mega-analysis.

Brain Stimul. 2022

[5]
Effects of Stimulus Frequency, Intensity, and Sex on the Autonomic Response to Transcutaneous Vagus Nerve Stimulation.

Brain Sci. 2022-8-4

[6]
Event-related transcutaneous vagus nerve stimulation modulates behaviour and pupillary responses during an auditory oddball task.

Psychoneuroendocrinology. 2022-6

[7]
The Neurophysiology of Caffeine as a Central Nervous System Stimulant and the Resultant Effects on Cognitive Function.

Cureus. 2021-5-14

[8]
Cervical transcutaneous vagal nerve stimulation (ctVNS) improves human cognitive performance under sleep deprivation stress.

Commun Biol. 2021-6-10

[9]
The effects of transcutaneous auricular vagal nerve stimulation on cognition in healthy individuals: A meta-analysis.

Neuropsychology. 2021-5

[10]
Graded recruitment of pupil-linked neuromodulation by parametric stimulation of the vagus nerve.

Nat Commun. 2021-3-9

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