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February 6, 2012
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Periodic Limb Movement Disorder

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Periodic Limb Movement Disorder Overview

Periodic limb movement disorder (PLMD) is repetitive cramping or jerking of the legs during sleep. It is the only movement disorder that occurs only during sleep, and it is sometimes called periodic leg (or limb) movements during sleep. "Periodic" refers to the fact that the movements are repetitive and rhythmic, occurring about every 20-40 seconds. PLMD is also considered a sleep disorder, because the movements often disrupt sleep and lead to daytime sleepiness.

PLMD may occur with other sleep disorders. Itis often linked with restless legs syndrome, but they are not the same thing. Restless legs syndrome is a condition involving strange sensations in the legs (and sometimes arms) while awake and an irresistible urge to move the limbs to relieve the sensations. At least 80% of people with restless legs syndrome have PLMD, but the reverse is not true.

When PLMD was first described in the 1950s, it was called nocturnal myoclonus. Nocturnal means night, and myoclonus is a rapid, rhythmic contraction of a group of muscles similar to that seen in seizures. PLMD movements are not myoclonus, however, and the original name is not used today.

PLMD can occur at any age. Like many sleep disorders, PLMD is more common in middle-aged and older people.


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Periodic Limb Movement Disorder - Diagnosis

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Periodic Limb Movement Disorder

What Is Insomnia?

Insomnia is the most common sleep complaint among people. Insomnia is defined as difficultly falling asleep, staying asleep, or both, resulting in inadequate length of sleep and/or poor quality of sleep, which may affect a person's ability to function during the day. Insomnia also may affect quality of life, work performance, and overall health. Insomnia is not a disease, but a symptom associated with a variety of medical, psychiatric, or sleep disorders.

What Causes Insomnia?

Insomnia is usually a transient or short-term condition (lasting less than 3 months). In some cases insomnia can become chronic (more than 6 months).

Transient insomnia specifically lasts up to 1 week and is associated with acute situational stress factors such as a job interview or exam. It usually resolves once the person has adjusted to stress factor, or it is no longer a concern. It can however reemerge when new or similar stres...

Read the Insomnia Medications article »


Read What Your Physician is Reading on Medscape

Periodic Limb Movement Disorder »

Periodic limb movement (PLM) disorder is unique in that the movements occur during sleep.

Read More on Medscape Reference »

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