The scoring of movements in sleep

Arthur S. Walters, Gilles Lavigne, Wayne Hening, Daniel L. Picchietti, Richard P. Allen, Sudhansu Chokroverty, Clete A. Kushida, Donald L. Bliwise, Mark W. Mahowald, Carlos H. Schenck, Sonia Ancoli-Israel

Research output: Contribution to journalReview article

Abstract

The International Classification of Sleep Disorders (ICSD-2) has separated sleep-related movement disorders into simple, repetitive movement disorders (such as periodic limb movements in sleep [PLMS], sleep bruxism, and rhythmic movement disorder) and parasomnias (such as REM sleep behavior disorder and disorders of partial arousal, e.g., sleep walking, confusional arousals, night terrors). Many of the parasomnias are characterized by complex behaviors in sleep that appear purposeful, goal directed and voluntary but are outside the conscious awareness of the individual and therefore inappropriate. All of the sleep-related movement disorders described here have specific polysomnographic findings. For the purposes of developing and/or revising specifications and polysomnographic scoring rules, the AASM Scoring Manual Task Force on Movements in Sleep reviewed background literature and executed evidence grading of 81 relevant articles obtained by a literature search of published articles between 1966 and 2004. Subsequent evidence grading identified limited evidence for reliability and/or validity for polysomnographic scoring criteria for periodic limb movements in sleep, REM sleep behavior disorder, and sleep bruxism. Published scoring criteria for rhythmic movement disorder, excessive fragmentary myoclonus, and hypnagogic foot tremor/alternating leg muscle activation were empirical and based on descriptive studies. The literature review disclosed no published evidence defining clinical consequences of excessive fragmentary myoclonus or hypnagogic foot tremor/alternating leg muscle activation. Because of limited or absent evidence for reliability and/or validity, a standardized RAND/UCLA consensus process was employed for recommendation of specific rules for the scoring of sleep-associated movements.

Original languageEnglish (US)
Pages (from-to)155-167
Number of pages13
JournalJournal of Clinical Sleep Medicine
Volume3
Issue number2
StatePublished - Mar 15 2007

Fingerprint

Sleep
Movement Disorders
Sleep Bruxism
Parasomnias
REM Sleep Behavior Disorder
Myoclonus
Tremor
Reproducibility of Results
Sleep Arousal Disorders
Foot
Leg
Night Terrors
Extremities
Somnambulism
Muscles
Advisory Committees
Arousal
Consensus

Keywords

  • Alternating leg muscle activation
  • Excessive fragmentary myoclonus
  • Hypnagogic foot tremor
  • Periodic limb movements in sleep
  • REM sleep behavior disorder
  • Sleep bruxism
  • Sleep related rhythmic movement disorder

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Neurology
  • Clinical Neurology

Cite this

Walters, A. S., Lavigne, G., Hening, W., Picchietti, D. L., Allen, R. P., Chokroverty, S., ... Ancoli-Israel, S. (2007). The scoring of movements in sleep. Journal of Clinical Sleep Medicine, 3(2), 155-167.

The scoring of movements in sleep. / Walters, Arthur S.; Lavigne, Gilles; Hening, Wayne; Picchietti, Daniel L.; Allen, Richard P.; Chokroverty, Sudhansu; Kushida, Clete A.; Bliwise, Donald L.; Mahowald, Mark W.; Schenck, Carlos H.; Ancoli-Israel, Sonia.

In: Journal of Clinical Sleep Medicine, Vol. 3, No. 2, 15.03.2007, p. 155-167.

Research output: Contribution to journalReview article

Walters, AS, Lavigne, G, Hening, W, Picchietti, DL, Allen, RP, Chokroverty, S, Kushida, CA, Bliwise, DL, Mahowald, MW, Schenck, CH & Ancoli-Israel, S 2007, 'The scoring of movements in sleep', Journal of Clinical Sleep Medicine, vol. 3, no. 2, pp. 155-167.
Walters AS, Lavigne G, Hening W, Picchietti DL, Allen RP, Chokroverty S et al. The scoring of movements in sleep. Journal of Clinical Sleep Medicine. 2007 Mar 15;3(2):155-167.
Walters, Arthur S. ; Lavigne, Gilles ; Hening, Wayne ; Picchietti, Daniel L. ; Allen, Richard P. ; Chokroverty, Sudhansu ; Kushida, Clete A. ; Bliwise, Donald L. ; Mahowald, Mark W. ; Schenck, Carlos H. ; Ancoli-Israel, Sonia. / The scoring of movements in sleep. In: Journal of Clinical Sleep Medicine. 2007 ; Vol. 3, No. 2. pp. 155-167.
@article{0270df808a644685b67d6e2460165b5d,
title = "The scoring of movements in sleep",
abstract = "The International Classification of Sleep Disorders (ICSD-2) has separated sleep-related movement disorders into simple, repetitive movement disorders (such as periodic limb movements in sleep [PLMS], sleep bruxism, and rhythmic movement disorder) and parasomnias (such as REM sleep behavior disorder and disorders of partial arousal, e.g., sleep walking, confusional arousals, night terrors). Many of the parasomnias are characterized by complex behaviors in sleep that appear purposeful, goal directed and voluntary but are outside the conscious awareness of the individual and therefore inappropriate. All of the sleep-related movement disorders described here have specific polysomnographic findings. For the purposes of developing and/or revising specifications and polysomnographic scoring rules, the AASM Scoring Manual Task Force on Movements in Sleep reviewed background literature and executed evidence grading of 81 relevant articles obtained by a literature search of published articles between 1966 and 2004. Subsequent evidence grading identified limited evidence for reliability and/or validity for polysomnographic scoring criteria for periodic limb movements in sleep, REM sleep behavior disorder, and sleep bruxism. Published scoring criteria for rhythmic movement disorder, excessive fragmentary myoclonus, and hypnagogic foot tremor/alternating leg muscle activation were empirical and based on descriptive studies. The literature review disclosed no published evidence defining clinical consequences of excessive fragmentary myoclonus or hypnagogic foot tremor/alternating leg muscle activation. Because of limited or absent evidence for reliability and/or validity, a standardized RAND/UCLA consensus process was employed for recommendation of specific rules for the scoring of sleep-associated movements.",
keywords = "Alternating leg muscle activation, Excessive fragmentary myoclonus, Hypnagogic foot tremor, Periodic limb movements in sleep, REM sleep behavior disorder, Sleep bruxism, Sleep related rhythmic movement disorder",
author = "Walters, {Arthur S.} and Gilles Lavigne and Wayne Hening and Picchietti, {Daniel L.} and Allen, {Richard P.} and Sudhansu Chokroverty and Kushida, {Clete A.} and Bliwise, {Donald L.} and Mahowald, {Mark W.} and Schenck, {Carlos H.} and Sonia Ancoli-Israel",
year = "2007",
month = "3",
day = "15",
language = "English (US)",
volume = "3",
pages = "155--167",
journal = "Journal of Clinical Sleep Medicine",
issn = "1550-9389",
publisher = "American Academy of Sleep Medicine",
number = "2",

}

TY - JOUR

T1 - The scoring of movements in sleep

AU - Walters, Arthur S.

AU - Lavigne, Gilles

AU - Hening, Wayne

AU - Picchietti, Daniel L.

AU - Allen, Richard P.

AU - Chokroverty, Sudhansu

AU - Kushida, Clete A.

AU - Bliwise, Donald L.

AU - Mahowald, Mark W.

AU - Schenck, Carlos H.

AU - Ancoli-Israel, Sonia

PY - 2007/3/15

Y1 - 2007/3/15

N2 - The International Classification of Sleep Disorders (ICSD-2) has separated sleep-related movement disorders into simple, repetitive movement disorders (such as periodic limb movements in sleep [PLMS], sleep bruxism, and rhythmic movement disorder) and parasomnias (such as REM sleep behavior disorder and disorders of partial arousal, e.g., sleep walking, confusional arousals, night terrors). Many of the parasomnias are characterized by complex behaviors in sleep that appear purposeful, goal directed and voluntary but are outside the conscious awareness of the individual and therefore inappropriate. All of the sleep-related movement disorders described here have specific polysomnographic findings. For the purposes of developing and/or revising specifications and polysomnographic scoring rules, the AASM Scoring Manual Task Force on Movements in Sleep reviewed background literature and executed evidence grading of 81 relevant articles obtained by a literature search of published articles between 1966 and 2004. Subsequent evidence grading identified limited evidence for reliability and/or validity for polysomnographic scoring criteria for periodic limb movements in sleep, REM sleep behavior disorder, and sleep bruxism. Published scoring criteria for rhythmic movement disorder, excessive fragmentary myoclonus, and hypnagogic foot tremor/alternating leg muscle activation were empirical and based on descriptive studies. The literature review disclosed no published evidence defining clinical consequences of excessive fragmentary myoclonus or hypnagogic foot tremor/alternating leg muscle activation. Because of limited or absent evidence for reliability and/or validity, a standardized RAND/UCLA consensus process was employed for recommendation of specific rules for the scoring of sleep-associated movements.

AB - The International Classification of Sleep Disorders (ICSD-2) has separated sleep-related movement disorders into simple, repetitive movement disorders (such as periodic limb movements in sleep [PLMS], sleep bruxism, and rhythmic movement disorder) and parasomnias (such as REM sleep behavior disorder and disorders of partial arousal, e.g., sleep walking, confusional arousals, night terrors). Many of the parasomnias are characterized by complex behaviors in sleep that appear purposeful, goal directed and voluntary but are outside the conscious awareness of the individual and therefore inappropriate. All of the sleep-related movement disorders described here have specific polysomnographic findings. For the purposes of developing and/or revising specifications and polysomnographic scoring rules, the AASM Scoring Manual Task Force on Movements in Sleep reviewed background literature and executed evidence grading of 81 relevant articles obtained by a literature search of published articles between 1966 and 2004. Subsequent evidence grading identified limited evidence for reliability and/or validity for polysomnographic scoring criteria for periodic limb movements in sleep, REM sleep behavior disorder, and sleep bruxism. Published scoring criteria for rhythmic movement disorder, excessive fragmentary myoclonus, and hypnagogic foot tremor/alternating leg muscle activation were empirical and based on descriptive studies. The literature review disclosed no published evidence defining clinical consequences of excessive fragmentary myoclonus or hypnagogic foot tremor/alternating leg muscle activation. Because of limited or absent evidence for reliability and/or validity, a standardized RAND/UCLA consensus process was employed for recommendation of specific rules for the scoring of sleep-associated movements.

KW - Alternating leg muscle activation

KW - Excessive fragmentary myoclonus

KW - Hypnagogic foot tremor

KW - Periodic limb movements in sleep

KW - REM sleep behavior disorder

KW - Sleep bruxism

KW - Sleep related rhythmic movement disorder

UR - http://www.scopus.com/inward/record.url?scp=34247530398&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34247530398&partnerID=8YFLogxK

M3 - Review article

C2 - 17557425

AN - SCOPUS:34247530398

VL - 3

SP - 155

EP - 167

JO - Journal of Clinical Sleep Medicine

JF - Journal of Clinical Sleep Medicine

SN - 1550-9389

IS - 2

ER -