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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.
A hypnic jerk is the feeling triggered by a sudden muscle twitch, causing the feeling of falling while sleeping or dreaming. Hypnic jerks typically occur moments before the first stage of sleep. [2] About 70% of people have experienced hypnic jerk. [3] Hypnic jerks are most common in children, when dreams are considered the most simple. [4]
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.
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The word hypnagogia is sometimes used in a restricted sense to refer to the onset of sleep, and contrasted with hypnopompia, Frederic Myers's term for waking up. [2] However, hypnagogia is also regularly employed in a more general sense that covers both falling asleep and waking up.
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Most RMD symptoms are relatively passive and do not cause any pain. Many patients are often unaware that an episode is occurring or has occurred. The rhythmic movements may produce some bodily injury via falls or muscle strains, but this is not reported in all patients [4]. In unique cases of RMD, they hum or moan while asleep during an episode.