Adults Rocking In Their Sleep

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Restless Leg Syndrome - Sleep Medicine Centers of WNYHome >. Sleep Disorders >. Pediatric Sleep Disorders >. Restless Legs Syndrome. Restless Legs Syndrome (RLS) is a common and treatable condition.

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RLS affects 5% to 1. In the United States alone, RLS is believed to afflict more than 1. Although most research has focused on adults, RLS symptoms often begin during childhood or adolescence. About 3. 5% of patients report RLS onset prior to age 2.

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Multiple reports now document the occurrence of RLS, as well as the related problem periodic limb movement disorder (PLMD), during childhood and adolescence. INTRODUCTION TO RLS AND PLMD IN CHILDRENSymptoms of both RLS and PLMD can range from mild to severe and can negatively impact a child’s quality of life. Accurate diagnosis of RLS and PLMD in pediatric patients offers substantial benefits. First, understanding why a child is uncomfortable and irritable can be very important in engendering a supportive parental response.

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Second, there is a reason to hope that early, specific treatment may reduce or eliminate RLS symptoms in children. Third, as larger numbers of children with RLS are identified, researchers can draw on this growing patient population and explore treatment options. Fourth, and most importantly, children who experience poor intellectual or emotional function due to these sleep disorders can have their problems addressed more directly. SIGNS AND SYMPTOMS OF RLSLike their adult counterparts, children with RLS tend to seek relief from their discomfort by moving their legs – often by fidgeting, stretching, walking, running, rocking, or changing position in bed.

Parents or healthcare providers may mistakenly attribute the child’s discomfort to “growing pains”. In the classroom setting, attempts to relieve the uncomfortable feelings of RLS may be viewed as inattentiveness, hyperactivity, or disruptive behavior.

Restless legs syndrome, however, is a real medical condition that calls for proper evaluation, diagnosis, and treatment. Unlike most adults with RLS, some children with RLS complain of the RLS sensations more during the day than at night. RLS AND SLEEPSleep disturbance is common among children and adults with RLS. In children, the sleep disturbance may precede or overshadow the complaint of leg discomfort. The quality and quantity of a child’s sleep are often diminished, and this sleep deprivation can results in moodiness, irritability, inattentiveness, fatigue, or hyperactivity. Easter Craft Gift Ideas For Adults there. PERIODIC LIMB MOVEMENTS IN SLEEPPeriodic limb movements in sleep (PLMS) are characterized by brief jerks (0.

PLMS are more common in the toes, feet, and legs than in the arms. An affected individual is usually not aware of the movement or the associated transient arousals that disrupt sleep continuity. Among adults, PLMS are present in an estimated 8. RLS. In children, documentation of PLMS exceeding norms for the age supports a diagnosis of RLS.

On the other hand, PLMS are not specific to RLS; the can be induced or aggravated by certain medications, particularly SSRI- type antidepressants such as Fluoxetine (Prozac), sertaline (Zoloft), and Venlafaxine (Effexor). PERIODIC LIMB MOVEMENT DISORDERA diagnosis of periodic limb movement disorder (PLMD) is based on three criteria: (1) PLMS exceeding norms for age (> 5 per hour for children); (2) clinical sleep disturbance; and (3) the absence of another primary sleep disorder or underlying cause (including RLS). In some children, a diagnosis of PLMD will evolve over time to a diagnosis of RLS with PLMS as the classic sensations of RLS develop. Current research suggests that PLMS are possibly due to underactive dopaminergic function in specific brain pathways, and are a marker of instability in the sleep system. DIAGNOSIS OF RLS AND PLMD IN CHILDREN AND ADOLESCENTSBecause children may experience and present symptoms of RLS differently than adults, establishing a diagnosis of RLS in a pediatric patient can be challenging. At this point, few physicians have had extensive experience in the diagnosis and treatment of RLS in children, since the childhood manifestations of RLS have been defined only recently. In a pediatric patient, the presenting complaint is usually one of following: sensations of limb discomfort or disturbed sleep.

RLS SENSATIONS IN CHILDRENFor some children, the urge to move and uncomfortable leg sensations are the main concern. In years past, and even today, many children with these symptoms have been presumed to have “growing pains”- vague, idiopathic episodes of leg pain. It is important to go beyond this and determine if the child truly has RLS. Further complicating the diagnosis picture, a child may describe these sensations with age- appropriate but nonspecific terms: “oowies”, “boo- boos”, “tickle”, “bugs”, “spiders”, “ants”, “want to run”, or “a lot of energy in my legs”. Non- RLS childhood causes of lower limb extremity include joint pains, sore muscles, and cramps, as well as transient nerve compressions due to awkward position.

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