Sleep Kicking: Is It a Sleep Disorder? - Neurology

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Kicking during sleep?


Hello doctor, I am currently in the second year of high school.
Since elementary school, I have been kicking my legs randomly whenever I fall asleep.
My family and friends who have slept over have mentioned that I kick them awake.
I read online that this might be a type of sleep disorder, but I'm not sure if I really need to see a doctor, so I came here to ask.

w, 10~19 year old female. Ask Date: 2023/03/25

Dr. Wu Mukhan reply Neurology


Hello, your symptoms may indicate Periodic Limb Movement Disorder (PLMD), which is a sleep disorder characterized by involuntary, repetitive movements of the limbs during sleep.
This condition can affect the quality of sleep for both you and those around you.
If you find that it has been a long-term issue, it is advisable to visit a hospital for a sleep study to confirm the diagnosis, which will allow for further treatment.

Reply Date: 2023/03/25

More Info


Understanding sleep kicking, often referred to as "sleep-related leg movements," can indeed be indicative of a sleep disorder. The phenomenon you describe, where your legs kick or move involuntarily during sleep, is commonly associated with a condition known as Periodic Limb Movement Disorder (PLMD). This disorder is characterized by repetitive movements of the limbs, particularly the legs, during sleep, which can lead to disrupted sleep for both the individual and their bed partner.

PLMD is distinct from other sleep disorders, such as Restless Legs Syndrome (RLS), which involves an uncontrollable urge to move the legs, often accompanied by uncomfortable sensations. While PLMD occurs during sleep, RLS typically manifests while a person is awake and at rest. Both conditions can significantly impact sleep quality and overall well-being.

The involuntary movements associated with PLMD can lead to frequent awakenings throughout the night, resulting in fragmented sleep. This can cause excessive daytime sleepiness, fatigue, and difficulty concentrating during the day. If your kicking is frequent enough to disturb your sleep or the sleep of others, it may be worth seeking medical advice.

In terms of treatment, it is essential to first confirm the diagnosis through a sleep study, which can help differentiate PLMD from other potential sleep disorders. A sleep study, or polysomnography, records brain waves, oxygen levels, heart rate, and breathing, as well as eye and leg movements during sleep. This comprehensive assessment can provide valuable insights into your sleep patterns and help guide appropriate treatment options.

Treatment for PLMD may include lifestyle modifications, such as improving sleep hygiene, reducing caffeine and alcohol intake, and establishing a regular sleep schedule. In some cases, medications may be prescribed to help manage symptoms. Dopaminergic agents, such as pramipexole or ropinirole, are often effective in treating PLMD, as they can help regulate the dopamine pathways involved in limb movement control.

It's also important to consider any underlying factors that may contribute to your symptoms. Conditions such as iron deficiency, certain neurological disorders, or even stress and anxiety can exacerbate sleep disturbances. Addressing these underlying issues may also alleviate symptoms of PLMD.

Given your age and the onset of these symptoms, it is advisable to consult a healthcare professional, preferably a sleep specialist or a neurologist, who can evaluate your condition in detail. They can provide personalized recommendations based on your specific situation and help you navigate the potential treatment options.

In summary, while sleep kicking can be a common occurrence, it may also indicate a sleep disorder like PLMD. If your symptoms are affecting your sleep quality or daily functioning, seeking medical advice is a prudent step. A thorough evaluation and appropriate treatment can significantly improve your sleep and overall quality of life. Remember, prioritizing your sleep health is essential, especially during your high school years, as it plays a crucial role in your academic performance and emotional well-being.

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