Controlled Sleep Restriction for Rhythmic Movement Disorder

Etzioni, Tamar; Katz, Neri; Hering, Eli; Ravid, Sarit; Pillar, Giora

doi:10.1016/j.jpeds.2005.06.045

Cited by 35 publications

(5 citation statements)

References 12 publications

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“…13 Other proposed treatments include hypnosis 19 and other behavioral modification techniques. 13,20,21 Drug treatment of RMD has not been systematically studied in children, but there are anecdotal reports of successful treatment with benzodiazepines (specifically clonazepam), tricyclic agents, and atypical antipsychotics. 13,[22][23][24][25][26][27] Serious injury to the eyes, soft tissues, or bone has been reported in extreme cases.…”

Section: Sleep-related Rhythmic Movement Disordermentioning

confidence: 99%

A Review of Pediatric Nonrespiratory Sleep Disorders

Moore

Allison

Rosen

2006

Chest

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Section: Sleep-related Rhythmic Movement Disordermentioning

confidence: 99%

A Review of Pediatric Nonrespiratory Sleep Disorders

Moore

Allison

Rosen

2006

Chest

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“…SRRMD is a rare disorder that affects children and their families; therefore, there are currently no clinical guidelines for SRRMD treatment due to a lack of randomized controlled trials which focus on pharmacological and behavioral treatment. There are clinical reports in the literature on hypnosis ( 43 ), benzodiazepines ( 44 ), melatonin ( 45 ), sleep restriction ( 46 ), and cognitive behavioral therapy ( 47 ). Clonazepam was the first reported successful treatment in adults with RMD ( 48 ).…”

Section: Treatmentmentioning

confidence: 99%

“…Alves et al, on the other hand, report no clinical improvement with the use of clonazepam and midazolam but reported good clinical outcomes using imipramine ( 49 ). Metin et al reported improvement in head banging in an 8-year-old girl with melatonin doses up to 9 mg, but complete remission was not achieved ( 45 ). Behavioral approaches including immediate feedback, reward system, and aversion therapy described in a small number of case studies showed some improvement ( 47 ).…”

Section: Treatmentmentioning

confidence: 99%

Sleep-related rhythmic movement disorder in children: a mini-review

Lam

Veeravigrom

2023

Front. Neurol.

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Sleep-related rhythmic movement disorder (SRRMD) occurs in both infants and children. This disorder rarely occurs or persists in adolescence or adulthood. Rhythmic movement during sleep in children is often asymptomatic and considered a benign condition. It is classified as SRRMD when movement significantly disrupts sleep, results in daytime functional impairment, or causes self-inflicted body injury. Several studies have demonstrated that SRRMD occurs in all sleep stages. Few studies have investigated rhythmic movement disorder (RMD) in children. SRRMD is a clinical diagnosis supported by home video recordings. When the clinical history is insufficient to provide a definitive diagnosis of SRRMD, and other sleep-related conditions or seizure disorders are suspected, video-polysomnography is indicated. There are currently no clinical guidelines for treating SRRMD.

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“…This results in children being able to physically enact their dreams with jumping, punching and running behaviours observed during dreams 31. REM behaviour disorder is very rare in childhood and narcolepsy and various neurological conditions, including brain stem tumours, need to be excluded before concluding there is an idiopathic origin.…”

Section: Unusual Behaviours That Occur During the Nightmentioning

confidence: 99%

When to use drugs to help sleep

Gringras

2008

Archives of Disease in Childhood

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Paediatric sleep medicine is a relatively new but important and rapidly growing field. It is increasingly recognised that many "adult" sleep disorders begin in childhood where the consequences of missed diagnoses can be devastating. Adequate training of all health care professionals and careful eliciting of symptoms remains the first step in ensuring accurate and timely diagnoses. Although behavioural approaches play a huge role in paediatric sleep medicine, at times severe sleep disorders also require pharmacological treatments. However, the evidence base for these is weak, and currently treatments of conditions including insomnia, narcolepsy and restless legs syndrome in childhood still rely on hopeful extrapolation from adult data. A growth in randomised controlled trials over the last 5 years is encouraging; trial methodologies are also improving. International working groups and multicentre trials will increasingly be needed to evaluate the new technologies and pharmacological treatments that are emerging.

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Controlled Sleep Restriction for Rhythmic Movement Disorder

Cited by 35 publications

References 12 publications

A Review of Pediatric Nonrespiratory Sleep Disorders

A Review of Pediatric Nonrespiratory Sleep Disorders

Sleep-related rhythmic movement disorder in children: a mini-review

When to use drugs to help sleep

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