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Abnormal movements in sleep as a post-polio sequelae

R L Bruno1

  • 1The Post-Polio Institute at Englewood Hospital and Medical Center, New Jersey 07631, USA.

American Journal of Physical Medicine & Rehabilitation
|August 26, 1998
PubMed
Summary
This summary is machine-generated.

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Polio survivors frequently experience abnormal sleep movements, impacting sleep quality. Poliovirus may cause these movements, which can be managed with medication.

Area of Science:

  • Neurology
  • Sleep Medicine
  • Infectious Diseases

Background:

  • Nearly two-thirds of polio survivors report abnormal movements during sleep.
  • Over half of these individuals experience sleep disturbances due to these movements.

Purpose of the Study:

  • To objectively document abnormal movements in sleep among polio survivors.
  • To explore the potential causes and management strategies for these sleep abnormalities.

Main Methods:

  • Polysomnography (sleep studies) were conducted on seven polio survivors.
  • Clinical evaluation included assessment for post-polio fatigue and abnormal movements.

Main Results:

  • Abnormal movements, including generalized random myoclonus and periodic movements in sleep, were observed in all participants.

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  • These movements occurred in Stage I and Stage II sleep and could disrupt sleep architecture.
  • Polio survivors were often unaware of the muscle contractions during sleep.

    • Conclusions:

    • Poliovirus-induced damage to the central nervous system is a potential cause of abnormal sleep movements.
    • Diagnosis and management of these movements, potentially involving benzodiazepines or dopamimetic agents, are crucial for improving sleep quality in polio survivors.