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. 2022 Oct 6;7:285–316. doi: 10.1016/j.cnp.2022.09.003

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.