Abstract：
OBJECTIVE:The aim of this study was to analyze statistically the number of single leg movements (LMs) forming bilateral LMs during sleep, along with their combined duration, to eventually provide evidence-based data for the adjustment of the current scoring rules defining bilateral LMs. METHODS:Polysomnographic recordings of 111 untreated patients with RLS with a median age of 56.0 years, along with 42 normal controls with a mean age of 60.0 years, were included. In each recording, we identified all LMs that were considered as bilateral when two or more LMs were overlapping or the onset of the following movement was <0.5 second after the offset of the preceding LM. The remaining LMs were classified as monolateral. A series of parameters were computed for both bilateral and monolateral LMs. RESULTS:The duration of monolateral LMs in RLS patients was significantly longer than that of normal controls. For bilateral LMs, the maximum number of single LMs forming a bilateral movement and the maximum duration were slightly higher in RLS patients; however, the distribution of the number of individual LMs forming a single bilateral LM was similar. Only 0.12% and 0.27% of bilateral LMs consisted of >4 individual movements, and only 0.16% and 1.90% of bilateral LMs were >15 seconds in RLS patients and healthy controls, respectively. CONCLUSION:Our results strongly suggest that bilateral LMs during sleep should be constituted by no more than four individual LMs and should have a maximum duration of 15 seconds.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Ferri R,Manconi M,Rundo F,Zucconi M,Aricò D,Bruni O,Cosentino FII,Ferini-Strambi L,Fulda Sdoi
10.1016/j.sleep.2016.03.018subject
Has Abstractpub_date
2017-04-01 00:00:00pages
10-15eissn
1389-9457issn
1878-5506pii
S1389-9457(16)30032-6journal_volume
32pub_type
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