Sleep Jerks: Causes of Involuntary Body Movements - Neurology

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Involuntary muscle contractions?


Experiencing twitching or jerking movements just before falling asleep, accompanied by nasal sounds similar to sneezing, may be indicative of a phenomenon known as hypnic jerks or sleep starts.
These involuntary muscle contractions can occur as one transitions from wakefulness to sleep and are often harmless.
However, if these episodes are frequent and disrupt your ability to fall asleep, it may be beneficial to consult a healthcare professional to rule out any underlying sleep disorders or other medical conditions.

Shui Wu Ping, 30~39 year old female. Ask Date: 2022/09/04

Dr. Jiang Junyi reply Neurology


Hello Mr.
Shui Wun Ping,
You mentioned that "every time you are about to fall asleep, you start to make nasal sounds and have twitching." Your symptoms may suggest the possibility of obstructive sleep apnea (OSA).
OSA is the most common type, accounting for about 90% of cases.
It occurs when the soft tissues around the throat block the airway, causing the upper airway to become narrower, which leads to snoring and breathing interruptions.
Abnormalities in the upper airway structures (such as a deviated septum, enlarged turbinates, nasal polyps, elongated uvula, enlarged tonsils, and enlarged base of the tongue), as well as excessive relaxation of the airway muscles and obesity, are also common contributing factors.

I recommend that you consult a sleep medicine specialist to discuss potential examinations and treatments.
Diagnosis can be assisted through various polysomnography tests.
During the sleep study, you will be asked to sleep as normally as possible in a sleep lab, where the machine will record brain waves, eye movements, muscle activity, heart rate, breathing, and blood oxygen levels.
This examination is painless and non-invasive.
Thank you for your inquiry.
Feel free to discuss further.
Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital

Reply Date: 2022/09/04

More Info


Sleep jerks, also known as hypnic jerks or sleep starts, are involuntary muscle contractions that occur as a person is transitioning from wakefulness to sleep. These jerks can be accompanied by a sensation of falling or a sudden jolt, and they often happen during the early stages of sleep, particularly when the body is relaxing and the brain is beginning to enter a sleep state. The phenomenon you are experiencing, where you have involuntary movements and even produce nasal sounds similar to sneezing, can be quite distressing and may interfere with your ability to fall asleep.

The exact cause of hypnic jerks is not fully understood, but several factors are believed to contribute to their occurrence. One common explanation is that as the body relaxes and the muscles begin to lose tension, the brain may misinterpret this relaxation as a sign of falling. In response, it sends signals to the muscles to contract, resulting in the jerking motion. This can be exacerbated by stress, anxiety, fatigue, or irregular sleep patterns.
In your case, the nasal sounds you describe could be a result of the muscle contractions affecting the throat or nasal passages, which may produce sounds similar to sneezing or snorting. This is not uncommon, as the body can exhibit various involuntary responses during these jerks.
To address your concerns and improve your sleep quality, consider the following strategies:
1. Sleep Hygiene: Establish a consistent sleep schedule by going to bed and waking up at the same time every day. Create a relaxing bedtime routine to signal to your body that it’s time to wind down.

2. Stress Management: Engage in relaxation techniques such as deep breathing, meditation, or yoga before bedtime to help reduce anxiety and stress levels.

3. Limit Stimulants: Avoid caffeine, nicotine, and heavy meals close to bedtime, as these can interfere with your ability to fall asleep.

4. Create a Comfortable Sleep Environment: Ensure your sleeping area is conducive to rest—dark, quiet, and cool. Consider using earplugs or a white noise machine if noise is an issue.

5. Physical Activity: Regular exercise can help improve sleep quality, but try to avoid vigorous workouts close to bedtime.

6. Consult a Specialist: If these strategies do not alleviate your symptoms, or if the jerks are frequent and disruptive, it may be beneficial to consult a sleep specialist. They can conduct a sleep study to rule out other sleep disorders, such as sleep apnea or restless leg syndrome, which may be contributing to your symptoms.

In summary, hypnic jerks are generally considered a benign phenomenon, but they can be bothersome and disrupt sleep. By implementing good sleep hygiene practices and managing stress, you may find relief from these involuntary movements. If the problem persists, seeking professional advice can provide further insights and potential treatment options.

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