Table 3.
Simplified overview of the American Academy of Sleep Medicine (AASM) (Berry et al., 2018) and World Association of Sleep Medicine (WASM) (Ferri et al., 2016) criteria for the identification of leg movements (LMs) and the definition of periodic leg movements (PLMs).
AASM (Berry et al., 2018) | WASM (Ferri et al., 2016) | |
---|---|---|
LM | ||
Minimum duration | 0.5 s | 0.5 s |
Maximum duration | 10 s | None (but candidate LMs are those with a duration 0.5–10 s) |
Timing of the onset | Point at which there is an 8 µV increase in EMG voltage above resting EMG | Point at which there is an 8 µV increase in EMG voltage above resting EMG |
Timing of the ending | Start of a period lasting at least 0.5 s during which the EMG does not exceed 2 µV above resting EMG 8 µV above resting EMG for at least 0.5 s | Start of a period lasting at least 0.5 s during which the EMG does not exceed 2 µV above resting EMG |
Minimum amplitude | NA | NA |
Morphology threshold | The event contains a period ≥ 0.5 s with the median EMG amplitude ≥ 2 µV above resting baseline | |
PLM | At least 4 consecutive LMs | At least 4 candidate LM |
Intermovement interval | 5–90 s | 10–90 s |
End of PLM sequence | NA | Candidate LM intermovement interval < 10 s or > 90 s OR LM that are not CLM |
Association with arousal | If they occur simultaneously, overlap, or when there is < 0.5 s between the end of one event and the onset of the other event | If they are overlapping or when there is < 0.5 s between the end of one event and the onset of the other event |
Association with respiratory events | An LM should not be scored if it occurs 0.5 s preceding or following a respiratory event | Candidate LM that have some part overlapping with an interval of 2 s before to 10.25 s after the end of a respiratory event |
CLM, candidate leg movement; EMG, electromyography.