What is Periodic Limb Movement Disorder?
It is characterized by periodic, repetitive, highly stereotypical limb movements during sleep. The above activities are common in the lower extremities and are mainly dominated by paroxysmal contractions of the tibialis anterior muscle. It shows a large toe rhythmic extension, dorsiflexion from the calf joint, and occasional partial flexion of the knee and hip joints.
Periodic limb movement disorder
- The symptoms of active neuron damage are quite similar to those of active neuron disease. The symptoms of active neuron damage are also divided into a variety of types. The neurological medical experts provide specific symptoms and treatment methods. The symptoms of damage to active neurons are classified into the following conditions. Active neuron disease is screening for invasion of spinal cord anterior horn cells and brain stem cell nuclei and brain cortical pyramidal cells
Signs and symptoms of periodic limb movement disorders
- It is characterized by periodic, repetitive, highly stereotypical limb movements during sleep. The above activities are common in the lower extremities and are mainly dominated by paroxysmal contractions of the tibialis anterior muscle. It shows a large toe rhythmic extension, dorsiflexion from the calf joint, and occasional partial flexion of the knee and hip joints.
- In the elderly, the incidence of periodic limb dyskinesia is as high as 20% to 60%. It is common that the calf tibialis anterior muscles contract, the big toe stretches rhythmically, and knee and hip joints occasionally flex. These actions can occur every 20 to 40 seconds, each lasting 0.5 to 5 seconds, at least 3 consecutive movements. Severe movement disorders often cause patients to wake up.
Periodic limb movement disorders medication
- The treatment of periodic leg movement disorder and restless leg syndrome can be divided into two categories: drug treatment and non-drug treatment. Drug treatment includes sedatives, dopamine drugs, antiepileptic drugs, opioid drugs, sympathetic nerve stimulants, etc. Non-drug treatment includes adjustment of sleep habits, avoiding irritating foods such as caffeine or theophylline, cognitive behavioral therapy, electrical stimulation, hot water, massage, injection of vascular sclerosing agents, etc.
Periodic limb movement disorders diet health care
- It should be light, eat more fruits and vegetables, match the diet reasonably, and pay sufficient nutrition.
- Avoid alcohol and tobacco and spicy. Avoid greasy alcohol and tobacco. Avoid eating cold food.
Pathological causes of periodic limb movement disorders
- The cause of the disease is unknown. It may be caused by a disease in the central nervous system of the brain or autonomic dysfunction. It shares common pathophysiology with restless legs syndrome.
Diagnosis of periodic limb movement disorders
- Sitting insomnia is mostly an adverse reaction that occurs in people who have used antipsychotic drugs and tranquilizers for a long time. Sometimes it can occur even in small amounts. Patients often complain that they are anxious, their legs and feet cannot land, and severe patients often stand repeatedly Walking around, the symptoms are more obvious at night than during the day. Effective with anti-anxiety treatment.
- Restless legs syndrome, foreign surveys show that the prevalence rate is 1% to 10% of the total population. The prevalence rate in China is estimated to be about 1.2% to 5%, which is more common in the elderly. The main manifestation of this disease is an unexplained abnormal sensation in the lower limbs. Patients often report stinging, burning or itching from the bone marrow of both legs, and they often feel comfortable after walking down or lame. . Severe cases can only be relieved by getting up and walking without stopping, resulting in poor rest at night.
- Painful legs and moving toes Painful legs and moving toes, with discomfort, characteristic involuntary movement of the toes, can occur on one or both limbs Abnormal pain can occur and often persists. The involuntary movement of the lower limbs mainly manifests as toe flexion, internal and external rotation, and flexion and extension of the foot joints, which are different from the nature and characteristics of the restless leg syndrome pain. It is common in iliac spinal cord and nerve ending diseases such as heel pain, low back pain, and sciatica.
- Acroparesthesia numbness and acupuncture-like pain in fingers and toes during nighttime sleep, often waking up due to pain. Adult women are more common. Occurs at the lower extremities.
Examination method of periodic limb movement disorder
- Due to advances in sleep research, medical personnel have made considerable progress in understanding the pathology and etiology of sleep disorders. Records of brain waves and the electrophysiological records of other body parts can help physicians understand the physiological dynamics of a patient's sleep to supplement the deficiencies in clinical evaluation. A number of sleep electrograms, in addition to recording the brainwave changes of a patient's sleep at night, also include the synchronization of records such as heartbeat, breathing, blood gas concentration, physical activity, and sometimes the peristalsis of the digestive tract and the pH of the esophagus Is a sexual performance test at night. However, how many tests need to be included depends on their clinical diagnosis.