International Classification of Sleep Disorders

Thorpy, Michael J.

doi:10.1007/978-1-4939-6578-6_27

Cited by 87 publications

(68 citation statements)

References 6 publications

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“…The diagnosis of RBD was made strictly in accordance with the criteria described in the International Classification for Sleep disorders, version 3, 11 while RWA (also a requirement for the diagnosis of RBD) was diagnosed in accordance with the AASM guidelines manual version 2.3. 10 Parameters (f.) and (g.) mentioned under the previous subheading were computed for further quantification of the PSG abnormalities observed during REM sleep of included subjects, especially those not fulfilling AASM criteria for RWA.…”

Section: Diagnosis Of Rbdmentioning

confidence: 99%

Rapid Eye Movement (REM) Sleep Behavior Disorder and REM Sleep with Atonia in the Young

Shukla

Gupta

Chakravarty

et al. 2019

Can. J. Neurol. Sci.

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ABSTRACT:Background:Rapid eye movement (REM) sleep behavior disorder (RBD) and REM sleep without atonia (RWA) have assumed much clinical importance with long-term data showing progression into neurodegenerative conditions among older adults. However, much less is known about RBD and RWA in younger populations. This study aims at comparing clinical and polysomnographic (PSG) characteristics of young patients presenting with RBD, young patients with other neurological conditions, and normal age-matched subjects.Methods:A retrospective chart review was carried out for consecutive young patients (<25 years) presenting with clinical features of RBD; and data were compared to data from patients with epilepsy, attention deficit hyperactivity disorder (ADHD), and autism, as well as normal subjects who underwent PSG during a 2-year-period.Results:Twelve patients fulfilling RBD diagnostic criteria, 22 autism patients, 10 with ADHD, 30 with epilepsy, and 14 normal subjects were included. Eight patients with autism (30%), three with ADHD (30%), one with epilepsy (3.3%), and six patients who had presented with RBD like symptoms (50%) had abnormal movements and behaviors during REM sleep. Excessive transient muscle activity and/or sustained muscle activity during REM epochs was found in all patients who had presented with RBD, in 16/22 (72%) autistic patients, 6/10 (60%) ADHD patients compared to only 6/30 (20%) patients with epilepsy and in none of the normal subjects.Conclusion:We observed that a large percentage of young patients with autism and ADHD and some with epilepsy demonstrate loss of REM-associated atonia and some RBD-like behaviors on polysomnography similar to young patients presenting with RBD.

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Section: Diagnosis Of Rbdmentioning

confidence: 99%

Rapid Eye Movement (REM) Sleep Behavior Disorder and REM Sleep with Atonia in the Young

Shukla

Gupta

Chakravarty

et al. 2019

Can. J. Neurol. Sci.

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“…Assessment of SB: PSG. Since sleep monitoring, as well as sleeping in an unfamiliar laboratory environment can alter natural sleep (15), participants spent two consecutive nights in the sleep laboratory. The first night was used for acclimation.…”

Section: Methodsmentioning

confidence: 99%

Validity of self‐reported sleep bruxism among myofascial temporomandibular disorder patients and controls

Raphael

Janal

Sirois

et al. 2015

J of Oral Rehabilitation

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Sleep bruxism (SB), primarily involving rhythmic grinding of the teeth during sleep, has been advanced as a causal or maintenance factor for a variety of orofacial problems, including temporomandibular disorders (TMD). Since laboratory polysomnographic (PSG) assessment is extremely expensive and time-consuming, most research testing this belief has relied on patient self-report of SB. The current case-control study examined the accuracy of those self-reports relative to laboratory-based PSG assessment of SB in a large sample of women suffering from chronic myofascial TMD (n=124) and a demographically matched control group without TMD (n=46). A clinical research coordinator administered a structured questionnaire to assess self-reported SB. Participants then spent two consecutive nights in a sleep laboratory. Audiovisual and electromyographic data from the second night were scored to assess whether participants met criteria for presence of 2 or more (2+) rhythmic masticatory muscle activity episodes accompanied by grinding sounds, moderate SB, or severe SB, using previously validated research scoring standards. Contingency tables were constructed to assess positive and negative predictive values, sensitivity and specificity, and 95% confidence intervals surrounding the point estimates. Results showed that self-report significantly predicted 2+ grinding sounds during sleep for TMD cases. However, self-reported SB failed to significantly predict presence or absence of either moderate or severe SB as assessed by PSG, for both cases and controls. These data show that self-report of tooth grinding awareness is highly unlikely to be a valid indicator of true SB. Studies relying on self-report to assess SB must be viewed with extreme caution.

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“…The American Academy of Sleep Medicine, in 1990, defined sleep bruxism (SB) as a parasomnia because it is an undesirable physical phenomenon which occurs predominantly during sleep [1]. In 2010, another study defined sleep bruxism as the stereotyped oromandibular activity during sleep, characterized by teeth grinding and clenching [2].…”

Section: Introductionmentioning

confidence: 99%

Therapies for bruxism: a systematic review and network meta-analysis (protocol)

et al. 2017

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BackgroundBruxism is a sleep disorder characterized by grinding and clenching of the teeth that may be related to irreversible tooth injuries. It is a prevalent condition occurring in up to 31% of adults. However, there is no definitive answer as to which of the many currently available treatments (including drug therapy, intramuscular injections, physiotherapy, biofeedback, kinesiotherapy, use of intraoral devices, or psychological therapy) is the best for the clinical management of the different manifestations of bruxism. The aim of this systematic review and network meta-analysis is to answer the following question: what is the best treatment for adult bruxists?Methods/designComprehensive searches of the Cochrane Library, MEDLINE (via PubMed), Scopus, and LILACS will be completed using the following keywords: bruxism and therapies and related entry terms. Studies will be included, according to the eligibility criteria (Controlled Clinical Trials and Randomized Clinical Trials, considering specific outcome measures for bruxism). The reference lists of included studies will be hand searched. Relevant data will be extracted from included studies using a specially designed data extraction sheet. Risk of bias of the included studies will be assessed, and the overall strength of the evidence will be summarized (i.e., GRADE). A random effects model will be used for all pairwise meta-analyses (with a 95% confidence interval). A Bayesian network meta-analysis will explore the relative benefits between the various treatments. The review will be reported using the Preferred Reporting Items for Systematic Reviews incorporating Network Meta-Analyses (PRISMA-NMA) statement.DiscussionThis systematic review aims at identifying and evaluating therapies to treat bruxism. This systematic review may lead to several recommendations, for both patients and researchers, as which is the best therapy for a specific patient case and how future studies need to be designed, considering what is available now and what is the reality of the patient.Systematic review registrationPROSPERO CRD42015023308 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0397-z) contains supplementary material, which is available to authorized users.

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International Classification of Sleep Disorders

Cited by 87 publications

References 6 publications

Rapid Eye Movement (REM) Sleep Behavior Disorder and REM Sleep with Atonia in the Young

Rapid Eye Movement (REM) Sleep Behavior Disorder and REM Sleep with Atonia in the Young

Validity of self‐reported sleep bruxism among myofascial temporomandibular disorder patients and controls

Therapies for bruxism: a systematic review and network meta-analysis (protocol)

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