Not surprisingly, sleep-related symptoms are reported by more than 75% of people with PD.ĭisrupted sleep can affect your health, mood and overall quality of life. Others make people sleepy during the day. The brain changes that are part of PD can also cause sleep difficulties and some people have problems sleeping even before movement symptoms develop and PD is diagnosed. However, for people with Parkinson’s disease (PD), sleep becomes even more important as the body needs more time to restore and repair itself. All rights reserved.A good night’s sleep is critical to our health and well-being. Published by Oxford University Press on behalf of the Sleep Research Society. These v-PSG guidelines will allow collection of homogeneous data, providing objective v-PSG measures and making future harmonized multicentric studies and clinical trials possible. Classification and quantification of motor events, RBD episodes, and vocalizations are however intended for research purposes only. These v-PSG recommendations are intended for both practicing clinicians and researchers. Finally, future directions are presented. Each section follows a common template: The current recommendations and methods are presented, their limitations are outlined, and new recommendations are described. These include: (1) standardized v-PSG technical settings (2) specific considerations for REM sleep scoring (3) harmonized methods for scoring REM sleep without atonia (4) consistent methods to analyze video and audio recorded during v-PSGs and to classify movements and vocalizations (5) clear v-PSG guidelines to diagnose RBD and identify prodromal RBD. As a common effort of the Neurophysiology Working Group of the International RBD Study Group, this manuscript addresses the need for comprehensive and unambiguous v-PSG recommendations to diagnose RBD and identify prodromal RBD. However, the boundary between prodromal and definite RBD is still unclear. Prodromal RBD is a stage in which symptoms and signs of evolving RBD are present, but do not yet meet established diagnostic criteria for RBD. Although there are current American Academy of Sleep Medicine standards to diagnose RBD, several aspects need to be addressed to achieve harmonization across sleep centers. Video-polysomnography (v-PSG) is essential for diagnosing rapid eye movement (REM) sleep behavior disorder (RBD). 19 Department of Health Technology, Technical University of Denmark, Lyngby, Denmark.18 Danish Center for Sleep Medicine, Department of Clinical Neurophysiology, Rigshospitalet Glostrup, Denmark.17 Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.16 Department of Neurosurgery, Seoul National University Hospital, Seoul, South Korea.15 IRCCS, Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.14 Department of Neurology, Brigham and Women's Hospital Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.13 Department of Neurology and Center of Clinical Neuroscience, First Faculty of Medicine, Charles University, General University Hospital, Prague, Czech Republic.12 Department of Neurology, Hephata Klinik, Schwalmstadt, Germany.11 Norwegian Center of Expertise for Neurodevelopmental Disorders and Hypersomnias (NevSom), Department of Rare disorders, Oslo University Hospital, Oslo, Norway.10 Sleep Disorders Center, Neurology Service, Hospital Clínic Barcelona, Universitat de Barcelona, IDIBAPS, Barcelona, Spain.9 NPsy-Sydo, Clermont-Ferrand University Hospital, Neurology Department, Université Clermont Auvergne, Clermont-Ferrand, France. 8 Clinic for Sleep- and Chronomedicine, St.7 Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.6 Sleep Center, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.5 Department of Neurology, Philipps-University, Marburg, Germany.
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