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Periodic Limb Movement

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61. Periodic Limb Movement Disorder (Overview)

Periodic Limb Movement Disorder (Overview) Periodic Limb Movement Disorder: Background, Etiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTE4ODU1OC1vdmVydmlldw== processing > Periodic Limb (...) Movement Disorder Updated: Nov 10, 2017 Author: Wayne E Anderson, DO, FAHS, FAAN; Chief Editor: Selim R Benbadis, MD Share Email Print Feedback Close Sections Sections Periodic Limb Movement Disorder Overview Background Periodic limb movement disorder (PLMD) is unique in that the movements occur during sleep. Most other movement disorders manifest during wakefulness. The condition is remarkably periodic, and the movements may cause poor sleep and subsequent daytime somnolence. PLMD may occur with other

2014 eMedicine.com

62. Clinical Practice Guideline for the Care of Women with Decreased Fetal Movements

and care pathway 2.1 Recommendations for fetal movement monitoring Recommendations Evidence level and references* Recommendation grade* Recommendation 1 a. All pregnant women should be routinely provided with verbal and written information regarding normal fetal movements during the antenatal period. This information should include a description of the changing patterns of movement as the fetus develops and normal wake/sleep cycles. b. Clinicians should emphasise the importance of maternal awareness (...) of fetal movements reflects neurobehavioural development and maturation of the fetus, and follows a general pattern with advancing gestation 23, 24 . Maternal perception of fetal movement tends to commence from 16 to 20 weeks gestation 25 , with these first movements described as a “flutter”, “butterflies” or “bubbles” 24 . As pregnancy progresses, description of movements changes to reflect increasing strength, more complex limb and trunk movements and greater frequency 24 . In a qualitative study

2017 Clinical Practice Guidelines Portal

63. Knee stability and movement coordination impairments: knee ligament sprain revision 2017.

of Recommendation: B ) Physical Impairment Measures When evaluating a patient with ligament sprain over an episode of care, clinicians should use assessments of impairment of body structure and function, including measures of knee laxity/stability, lower-limb movement coordination, thigh muscle strength, knee effusion, and knee joint range of motion. ( Grade of Recommendation: B ) Interventions Continuous Passive Motion Clinicians may use continuous passive motion in the immediate postoperative period (...) for distance, 6-meter timed hop) Examination using physical impairment measures (i.e., knee laxity/stability, lower-limb movement coordination, thigh muscle strength, knee effusion, and knee joint range of motion) Management/Treatment Interventions following anterior cruciate ligament (ACL) reconstruction Continuous passive motion Early weight bearing Functional knee bracing Immediate versus delayed mobilization Cryotherapy Supervised rehabilitation Therapeutic exercises (weight-bearing and non-weight

2017 National Guideline Clearinghouse (partial archive)

64. Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain Full Text available with Trip Pro

changes in the patient's status throughout the course of treatment. Examination – Physical Impairment Measures When evaluating a patient with ligament sprain over an episode of care, clinicians should use assessments of impairment of body structure and function, including measures of knee laxity/stability, lower-limb movement coordination, thigh muscle strength, knee effusion, and knee joint range of motion. Interventions – Continuous Passive Motion Clinicians may use continuous passive motion (...) to 12 hours following injury History of giving way Positive Lachman test with “soft” end feel or increased anterior tibial translation (sensitivity, 85%; 95% CI: 83%, 87% and specificity, 94%; 95% CI: 92%, 95%) Positive pivot shift test (sensitivity, 24%; 95% CI: 21%, 27% and specificity, 98%; 95% CI: 96%, 99%) Anterior cruciate ligament sprain–associated ICF diagnosis of knee stability and movement coordination impairments: 6-meter single-limb timed hop test result that is less than 80

2017 American Physical Therapy Association

65. Rehabilitation of Lower Limb Amputation

, the Prevention of Amputation for Veterans Everywhere program was designed to help prevent or delay limb loss. 3 b. Department of Defense The Extremity Trauma and Amputation Center of Excellence database provided data on all conflict-related amputations (excluding fingers, thumbs, or toes) sustained by U.S. Service Members between January 1, 2001 and December 31, 2016. During this period, 1,710 patients (including 28 women) sustained at least one amputation. The majority of these amputations (73%) were (...) Guideline. Once a near-final draft of the guideline was agreed upon by the Champions and Work Group members, the draft was sent out for peer review and comment. The draft was posted on a wiki website for a period of 14 business days. The peer reviewers comprised individuals working within the VA and DoD health systems as VA/DoD Clinical Practice Guideline for Rehabilitation of Individuals with Lower Limb Amputation September 2017 Page 15 of 123 well as experts from relevant outside organizations

2017 VA/DoD Clinical Practice Guidelines

66. The influence of the tricyclic antidepressant amitriptyline on periodic limb movements during sleep. (Abstract)

The influence of the tricyclic antidepressant amitriptyline on periodic limb movements during sleep. Many antidepressants are associated with periodic limb movements (PLM) during sleep. Although some tricyclic antidepressants, such as amitriptyline, promote sleep and are thus often prescribed as a treatment for sleep disturbances that can accompany depression, it remains unclear whether amitriptyline is associated with PLM.32 healthy males (18-39 years) spent 2 consecutive nights in the sleep (...) lab for polysomnographic recording. During the second night, they received either 75 mg amitriptyline or placebo in a randomized, double-blind, placebo-controlled manner.In subjects receiving amitriptyline but not in subjects receiving placebo, the number of periodic leg movements per h was significantly increased from baseline to intervention night. However, objective polysomnographic sleep parameters (such as the number of awakenings, wake after sleep onset, and sleep efficiency) and subjective

2013 Pharmacopsychiatry Controlled trial quality: uncertain

67. The effects of periodic limb movements in sleep (PLMS) on cardiovascular disease. (Abstract)

The effects of periodic limb movements in sleep (PLMS) on cardiovascular disease. Periodic limb movements in sleep (PLMS) are uncontrollable nocturnal movements that occur during sleep and increase with age. Research has implicated PLMS as a contributing factor to the development of cardiovascular disease (CVD). The purpose of this manuscript is to 1) explain the sleep disorder of PLMS and implications on CVD; 2) identify the impact of PLMS on CVD; 3) discuss treatment options for PLMS; 4

2013 Heart & Lung

68. Upper Limb Mirror Therapy With TENS to Improve Upper Limb Functions in Patients With Sub-acute Stroke

exercise Gripping exercises Fingers opposition exercises bilaterally during the 30 minutes period. Behavioral: Conventional Rehabilitation Program All subjects attended 1 hour multi-disciplinary conventional rehabilitation program offered by the Rehabilitation Clinic of The Hong Kong Polytechnic University. The conventional rehabilitation program involves the training of upper and lower limbs in order to improve the muscle strength, balance and functional mobility. Outcome Measures Go to Primary (...) movement, reflex activity, grasp, and coordination of the upper extremity, and has a high inter-rater reliability (r=0.99) in patients with stroke. A higher scale score indicates a less severe motor impairment. Wolf Motor Function Test (WMFT) - baseline [ Time Frame: Baseline (0 week) ] Upper limb function will be assessed by the WMFT, which comprises two items of strength-based tasks, and 15 items of function-based tasks. The two strength-based tasks will be measured by weight lift and grip strength

2018 Clinical Trials

69. Effect of Self-empowered Upper Limb Repetitive Engagement (SURE) Program on Upper Limb Recovery After Stroke

upper limb. The performance of the exercises and functional motor tasks will be reviewed three times per week for the first 2 weeks, two times for the third week and one time for the fourth week of intervention period. Control Group- Education The control group will receive an education booklet with 10 modules. The education booklet will contain information on stroke, recovery and management strategies after stroke. Participants are to complete 2-3 modules per week and answer 1-2 simple questions (...) Effect of Self-empowered Upper Limb Repetitive Engagement (SURE) Program on Upper Limb Recovery After Stroke Effect of Self-empowered Upper Limb Repetitive Engagement (SURE) Program on Upper Limb Recovery After Stroke - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2018 Clinical Trials

70. Efficacy of Armeo® Robotic Therapy Versus Conventional Therapy on Upper Limb Function in Children With Hemiplegic Cerebral Palsy. (Abstract)

Ashworth Scale scores for the study and control groups were 1.6 (0.3) and 2 (0.5), respectively. Postinterventional Quality of Upper Extremity Skills Test total scores for the study and control groups were 84.6 (2.7) and 79.1 (2), respectively.Armeo robotic therapy is significantly more effective than conventional therapy in improving the upper limb quality of movement in children with hemiplegic cerebral palsy. (...) Efficacy of Armeo® Robotic Therapy Versus Conventional Therapy on Upper Limb Function in Children With Hemiplegic Cerebral Palsy. The aim of this study was to examine the efficacy of Armeo robotic therapy, compared with conventional therapy, on upper limb function in children with hemiplegic cerebral palsy.Thirty children with hemiplegic cerebral palsy, with ages ranging from 6 to 8 yrs, were selected for this randomized controlled study and randomly assigned to two groups. The study group (n

2019 American journal of physical medicine & rehabilitation Controlled trial quality: uncertain

71. Periodic Limb Movement

Periodic Limb Movement Periodic Limb Movement Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Periodic Limb Movement Periodic Limb (...) Movement Aka: Periodic Limb Movement , Periodic Limb Movement Sleep Disorder , Nocturnal Myoclonus Syndrome From Related Chapters II. Signs Periodic, repetitive and stereotypic limb movements (especially legs) during sleep Diagnosed as a disorder if the lib movements interfere with sleep to cause daytime or III. Diagnosis Diagnosis of exclusion once other sleep disorders are excluded (e.g. ) Adult: Periodic Limb Movement index >15/hour Child: Periodic Limb Movement index >5/hour IV. Associated

2015 FP Notebook

72. Update to the AASM Clinical Practice Guideline: "The treatment of restless legs syndrome and periodic limb movement disorder in adults-an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses". Full Text available with Trip Pro

Update to the AASM Clinical Practice Guideline: "The treatment of restless legs syndrome and periodic limb movement disorder in adults-an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses". 22851800 2014 05 08 2018 12 01 1550-9109 35 8 2012 Aug 01 Sleep Sleep Update to the AASM Clinical Practice Guideline: "The treatment of restless legs syndrome and periodic limb movement disorder in adults-an update for 2012: practice parameters with an evidence

2012 Sleep

73. The treatment of restless legs syndrome and periodic limb movement disorder in adults--an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses: an American Academy of Sleep Medicine Clinical Practice Guideline. Full Text available with Trip Pro

The treatment of restless legs syndrome and periodic limb movement disorder in adults--an update for 2012: practice parameters with an evidence-based systematic review and meta-analyses: an American Academy of Sleep Medicine Clinical Practice Guideline. A systematic literature review and meta-analyses (where appropriate) were performed to update the previous AASM practice parameters on the treatments, both dopaminergic and other, of RLS and PLMD. A considerable amount of literature has been

2012 Sleep

74. Characterization of periodic upper limb movement disorder in a patient with restless arms syndrome. (Abstract)

Characterization of periodic upper limb movement disorder in a patient with restless arms syndrome. Restless legs syndrome (RLS) and the frequently associated periodic limb movements (PLM) are common neurological disorders whose pathophysiology remains elusive. We report on the case of a 40-year-old patient presenting with severe restlessness in the upper limbs, a poorly known variant of RLS.Video-polysomnography was performed because of the associated poor sleep quality and daytime sleepiness (...) evocative of PLM. An electromyogram of the extensor carpi radialis muscle was added. Remarkably, our patient had movements of repeated extension of the small finger that contrasted with the extension of the hallux, characteristic for PLM. Pramipexol was an effective treatment relieving the patient's upper limbs of discomfort and ameliorating her restless sleep.Involvement of the upper limbs in RLS is relatively common, but restlessness may be located on the upper limbs solely. One should be aware

2012 Movement Disorders

75. Clinical Inquiry: What drugs are effective for periodic limb movement disorder? (Abstract)

Clinical Inquiry: What drugs are effective for periodic limb movement disorder? 22577635 2012 07 24 2013 11 21 1533-7294 61 5 2012 May The Journal of family practice J Fam Pract Clinical Inquiry. What drugs are effective for periodic limb movement disorder? 296-8 Lee Yuri A YA Valley Family Medicine, Renton, WA, USA. Huynh Philip P Neher Jon O JO Safranek Sarah S eng Journal Article Review United States J Fam Pract 7502590 0094-3509 0 Analgesics, Opioid 0 Anticonvulsants 0 Dopamine Agents 0

2012 Journal of Family Practice

76. Restless leg syndrome, periodic limb movements, febrile seizures and Attention deficit hyperactivity disorder in an Indian family Full Text available with Trip Pro

Restless leg syndrome, periodic limb movements, febrile seizures and Attention deficit hyperactivity disorder in an Indian family Restless leg syndrome (RLS) is a common neurological disorder which can affect individuals of all age groups and incidence increasing with age. It can cause severe sleep disruption and negatively impact quality of life of an individual. Its diagnosis is clinical, based on essential criteria of International RLS Study Group. It can be idiopathic or associated (...) with various medical and other neurological disorders. Idiopathic RLS can be sporadic or may have a familial inheritance, with several genetic loci been reported till date. RLS has a strong association with periodic limb movements, both sleep and awake. Very few studies of familial RLS/Periodic limb movements in sleep and their associations have been reported. We report an Indian family with autosomal dominant RLS/PLMS, with RLS and PLMS as well as psychiatric disorders, febrile seizures and Attention

2012 Annals of Indian Academy of Neurology

77. Using motor behavior during an early critical period to restore skilled limb movement after damage to the corticospinal motor system during development Full Text available with Trip Pro

Using motor behavior during an early critical period to restore skilled limb movement after damage to the corticospinal motor system during development This study investigated the requirements for restoring motor function after corticospinal (CS) system damage during early postnatal development. Activity-dependent competition between the CS tracts (CSTs) of the two hemispheres is imperative for normal development. Blocking primary motor cortex (M1) activity unilaterally during a critical period (...) [postnatal week 5 (PW5) to PW7] produces permanent contralateral motor skill impairments, loss of M1 motor map, aberrant CS terminations, and decreases in CST presynaptic sites and spinal cholinergic interneuron numbers. To repair these motor systems impairments and restore function, we manipulated motor experience in three groups of cats after this CST injury produced by inactivation. One group wore a jacket restraining the limb ipsilateral to inactivation, forcing use of the contralateral, impaired

2012 The Journal of neuroscience : the official journal of the Society for Neuroscience

78. Difference in Activity in the Supplementary Motor Area Depending on Limb Combination of Hand–Foot Coordinated Movements Full Text available with Trip Pro

Difference in Activity in the Supplementary Motor Area Depending on Limb Combination of Hand–Foot Coordinated Movements Periodic interlimb coordination shows lower performance when the ipsilateral hand and foot (e.g., right hand and right foot) are simultaneously moved than when the contralateral hand and foot (e.g., right hand and left foot) are simultaneously moved. The present study aimed to investigate how brain activity that is related to the dependence of hand-foot coordination on limb (...) combination, using functional magnetic imaging. Twenty-one right-handed subjects performed periodic coordinated movements of the ipsilateral or contralateral hand and foot in the same or opposite direction in the sagittal plane. Kinematic data showed that performance was lower for the ipsilateral hand-foot coordination than for the contralateral one. A comparison of brain activity between the same and opposite directions showed that there was a greater activation of supplementary motor area

2016 Frontiers in human neuroscience

79. Neuromodulation and Synaptic Plasticity for the Control of Fast Periodic Movement: Energy Efficiency in Coupled Compliant Joints via PCA Full Text available with Trip Pro

Neuromodulation and Synaptic Plasticity for the Control of Fast Periodic Movement: Energy Efficiency in Coupled Compliant Joints via PCA There are multiple indications that the nervous system of animals tunes muscle output to exploit natural dynamics of the elastic locomotor system and the environment. This is an advantageous strategy especially in fast periodic movements, since the elastic elements store energy and increase energy efficiency and movement speed. Experimental evidence suggests (...) that coordination among joints involves proprioceptive input and neuromodulatory influence originating in the brain stem. However, the neural strategies underlying the coordination of fast periodic movements remain poorly understood. Based on robotics control theory, we suggest that the nervous system implements a mechanism to accomplish coordination between joints by a linear coordinate transformation from the multi-dimensional space representing proprioceptive input at the joint level into a one-dimensional

2016 Frontiers in neurorobotics

80. Daily Repetitive Transcranial Magnetic Stimulation for Poststroke Upper Limb Paresis in the Subacute Period. Full Text available with Trip Pro

Daily Repetitive Transcranial Magnetic Stimulation for Poststroke Upper Limb Paresis in the Subacute Period. We conducted a randomized, double-blind, sham-controlled study to assess the efficacy in motor recovery and safety of daily repetitive transcranial magnetic stimulation (rTMS) in subacute stroke patients.Forty-one patients were randomly assigned to a real or sham stimulation group. Each patient underwent regular rehabilitation accompanied by a series of 10 daily 5-Hz rTMS (...) of the ipsilesional primary motor cortex (M1) or sham stimulation. The primary outcome was motor recovery evaluated by the Brunnstrom stages (BS). The secondary outcomes were improvement in the Fugl-Meyer Assessment (FMA), grip power, National Institutes of Health Stroke Scale (NIHSS), Functional Independence Measure (FIM), a quantitative measurement of finger tapping movement, and the incidence of adverse events.Thirty-nine patients completed the study and were included in the analyses. The real rTMS group

2016 Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association Controlled trial quality: predicted high

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