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Rhythmic movement disorder (RMD) is a neurological disorder characterized by repetitive movements of large muscle groups immediately before and during sleep often involving the head and neck. It was independently described first in 1905 by Zappert as jactatio capitis nocturna and by Cruchet as rhythmie du sommeil . [ 1 ]
Symptoms can also worsen while the patient is walking or during periods of increased stress. Other symptoms include muscle hypertrophy, neck pain, dysarthria and tremor. [2] Studies have shown that over 75% of patients report neck pain, [1] and 33% to 40% experience tremor of the head. [3]
Common tasks such as standing upright for an extended duration or picking up heavy objects may become increasingly difficult to perform. [6] [13] In addition, patients with severe NC may experience difficulties sleeping as lying down on their back causes discomfort and pain. [8] [13] In very extreme cases, bowel or bladder dysfunction can occur.
Lie on your back with your knees bent and feet flat on the floor. Keep your arms out to the sides for support. Slowly rotate your lower body to one side while keeping your shoulders on the ground.
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The technique is done by tightening the skeletal muscles for about 15 seconds when the exposure occurs and then slowing releasing them. [21] This is then repeated every 30 seconds for a few minutes. [21] Because vasovagal syncope causes a decrease in blood pressure, relaxing the entire body as a mode of avoidance is not favorable. [19]
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