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Table 1 Rechtschaffen and Kales sleep staging criteria[10]

From: A transition-constrained discrete hidden Markov model for automatic sleep staging

Sleep Stage

Scoring Criteria

Wake

When the subject closes their eyes, >50% of the page (epoch) consists of alpha (8–13 Hz) activity or low-voltage, mixed (3–7 Hz) frequency activity.

Stage 1

50% of the page (epoch) consists of related low-voltage mixed (3–7 Hz) activity. Slow rolling eye movements lasting several seconds are often observed in early stage 1.

Stage 2

Appearance of sleep spindles and/or K complexes and <20% of the epoch may contain high-voltage (>75 μV, <2 Hz) activity. Sleep spindles and K complexes must each last >0.5 seconds.

Stage 3

20%-50% of the epoch consists of high-voltage (>75 μV), low-frequency (<2 Hz) activity.

Stage 4

>50% of the epoch consists of high-voltage (>75 μV, <2 Hz) delta activity.

Stage REM

Relatively low-voltage mixed frequency EEG with episodic rapid eye movements and absent or reduced chin EMG activity.