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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 ]
This causes the brain to lose its buoyancy, which results in pressure on pain-sensitive areas like the dura and blood vessels. The resulting pain is a headache, and because the brain is more reliant on its buoyancy in an upright position the headache can be relieved by switching to a horizontal position. [3]
Explanatory model of chronic pain. Chronic pain is defined as reoccurring or persistent pain lasting more than 3 months. [1] The International Association for the Study of Pain (IASP) defines pain as "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage". [2]
Head injuries, migraines, alcohol use, ear infections and medications can all affect your musculoskeletal system and thereby impede your ability to balance. Aging can play a major role as well ...
Stand on one leg with the other foot against the inner thigh or calf of the standing leg. Find a focal point to help with balance. Bring your hands together at chest level or raise them overhead.
But sundowning has some unique signs that make it stand out from just being tired. “Fatigue can occur at all times of the day. Sundowning is truly confusion,” Dr. Kobylarz says.
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