A Systematic Review of Closed-Loop Feedback Techniques in Sleep Studies—Related Issues and Future Directions
Open accessAbstract
Advances in computer processing technology have enabled researchers to analyze real-time brain activity and build real-time closed-loop paradigms. In many fields, the effectiveness of these closed-loop protocols has proven to be better than that of the simple open-loop paradigms. Recently, sleep studies have attracted much attention as one possible application of closed-loop paradigms. To date, several studies that used closed-loop paradigms have been reported in the sleep-related literature and recommend a closed-loop feedback system to enhance specific brain activity during sleep, which leads to improvements in sleep’s effects, such as memory consolidation. However, to the best of our knowledge, no report has reviewed and discussed the detailed technical issues that arise in designing sleep closed-loop paradigms. In this paper, we reviewed the most recent reports on sleep closed-loop paradigms and offered an in-depth discussion of some of their technical issues. We found 148 journal articles strongly related with ‘sleep and stimulation’ and reviewed 20 articles on closed-loop feedback sleep studies. We focused on human sleep studies conducting any modality of feedback stimulation. Then we introduced the main component of the closed-loop system and summarized several open-source libraries, which are widely used in closed-loop systems, with step-by-step guidelines for closed-loop system implementation for sleep. Further, we proposed future directions for sleep research with closed-loop feedback systems, which provide some insight into closed-loop feedback systems.
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Sleep-dependent memory benefits may vary as a result of closed-loop stimulation.
“However, sleep-dependent memory benefits are reduced in older adults [19,20] and may vary for procedural versus declarative memory in children [22], and as a result of transcranial electric stimulation [12] or closed-loop stimulation [16].”
From Sleep and memory consolidation in healthy, neurotypical children, and adults: a summary of systematic reviews and meta-analyses. (2023) · cites this paper as [16]
Closed-loop feedback systems improve memory consolidation by modulating slow oscillations and sleep spindle activities.
“Closed-loop systems shown to improve memory consolidation by modulating SO and sleep spindle activities.”
From Sleep and memory consolidation in healthy, neurotypical children, and adults: a summary of systematic reviews and meta-analyses. (2023) · cites this paper as [16]
There are limitations in modulating all sleep-dependent brain activities.
“Limitations in modulating all sleep-dependent brain activities.”
From Sleep and memory consolidation in healthy, neurotypical children, and adults: a summary of systematic reviews and meta-analyses. (2023) · cites this paper as [16]
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Transcranial magnetic stimulation and the human brain
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“Because electromagnetic stimuli may promptly induce direct neurophysiological activity on the cortex [47,48], tES can be utilized to induce sleep-related brain signals so that one can control the”
BackgroundClosed-loop brain training: the science of neurofeedback
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Transcranial direct current stimulation during sleep improves declarative memory
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Slow oscillations orchestrating fast oscillations and memory consolidation
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“As addressed in the previous sections, studies attempting to target SO for feedback assessed declarative memory consolidation effects through the memory tasks [36–41], and they observed that memory improvements were correlated with SO enhancement via closed-loop feedback [36,37,39,40]; however, in some cases, there we…”
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Local targeted memory reactivation in human sleep
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Cited by
Sorted by citations
Belkacem, A. N., Jamil, N., Khalid, S., & Alnajjar, F. (2023) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2023.1085173 · Cited by 80 · see citing works
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- Authors
- Choi, J., Kwon, M., & Jun, S. C.
- Affiliations
- Gwangju Institute of Science and Technology (KR)
- Corresponding author
- Jun, Sung Chan
- Venue
- Sensors
- Publisher
- MDPI AG
- Published
- 2020-05-13
- Volume
- 20
- Issue
- 10
- Pages
- 2770
- ISSN
- 1424-8220 (ISSN-L)
- PMC
- PMC7285770
- OpenAlex
- W3024577541
- Cited by
- 35
- References
- 9
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 3 · 2023: 7 · 2022: 8 · 2021: 3
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Sensors (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Research Foundation of Korea (No. 2016R1A2B4010897)
- Institute of Information & Communications Technology Planning & Evaluation (IITP) (No. 2017-0-00451)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- closed-loop feedback, sleep, neurofeedback, brain stimulation, open-source library, memory consolidation, sleep research
- MeSH terms
- Brain, Feedback, Humans, Sleep, Polysomnography
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