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A hypnic jerk, hypnagogic jerk, sleep start, sleep twitch, myoclonic jerk, or night start is a brief and sudden involuntary contraction of the muscles of the body which occurs when a person is beginning to fall asleep, often causing the person to jump and awaken suddenly for a moment.
Techniques for extending hypnagogia range from informal (e.g. the subject holds up one of their arms as they go to sleep, to be awakened when it falls), [48] to the use of biofeedback devices to induce a "theta" state – produced naturally the most when we are dreaming – characterized by relaxation and theta EEG activity.
The muscle jerks consist of symmetric, mostly generalized jerks, localized in the arms and in the shoulders and also simultaneously with a head nod; both the arms may fling out together and simultaneously a head nod may occur. Symptoms have some variability amongst subjects. Sometimes the entire body may jerk, just like a startle response.
“Fatigue can occur at all times of the day. Sundowning is truly confusion,” Dr. Kobylarz says. “If you have fatigue, you can take a catnap and feel refreshed.
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