The treatment of Restless Legs Syndrome and Periodic Limb Movement Disorder

Wayne Hening, Richard Allen, Christopher Earley, Clete Kushida, Daniel Picchietti, Michael Silber

Research output: Contribution to journalArticle

Abstract

A task force consisting of six authors reviewed the published literature on the therapy of the restless legs syndrome or periodic limb movements in sleep available in indices through April, 1998. They selected the 45 articles for detailed review which presented original investigations of therapeutic impact on the restless legs syndrome (RLS) or periodic limb movements (PLM) and which met minimal standards. These articles dealt with a range of pharmacological and other treatment modalities, although most dealt with medications and almost half of those concentrated on dopaminergic agents, especially levodopa in various formulations. Almost half of the articles reviewed used controlled methodologies, most commonly cross-over methodologies with randomized allocation of subjects. Multi-center studies with large numbers of subjects and long-term controlled studies were not found. Information was extracted from the articles and study design, clinical definition, evaluative measures, side effects, and outcomes were tabulated in 6 evidence tables and summarized in the accompanying text. This literature was evaluated for the nature of the studies performed and its coverage of potential therapies. The review concludes with comments on possible future directions for therapeutic investigation based on the current state of the literature.

Original languageEnglish (US)
Pages (from-to)970-999
Number of pages30
JournalSleep
Volume22
Issue number7
StatePublished - Nov 19 1999

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

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    Hening, W., Allen, R., Earley, C., Kushida, C., Picchietti, D., & Silber, M. (1999). The treatment of Restless Legs Syndrome and Periodic Limb Movement Disorder. Sleep, 22(7), 970-999.