Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome

Ulrike H MitchellDepartment of Exercise Sciences, Brigham Young University, Provo, UT, USAAbstract: Ekbom disease (EKD), formerly known as restless legs syndrome (RLS) has affected and bothered many people over the centuries. It is one of the most prevalent neurological disorders in Europe and North...

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Autor principal:	Mitchell UH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/a01ea9961521496b9a27087d3a2a4016
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spelling	oai:doaj.org-article:a01ea9961521496b9a27087d3a2a40162021-12-02T08:12:03ZNondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome1176-63281178-2021https://doaj.org/article/a01ea9961521496b9a27087d3a2a40162011-05-01T00:00:00Zhttp://www.dovepress.com/nondrug-related-aspect-of-treating-ekbom-disease-formerly-known-as-res-a7359https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Ulrike H MitchellDepartment of Exercise Sciences, Brigham Young University, Provo, UT, USAAbstract: Ekbom disease (EKD), formerly known as restless legs syndrome (RLS) has affected and bothered many people over the centuries. It is one of the most prevalent neurological disorders in Europe and North-America, affecting about 10% of the population. The main characteristics are the strong urge to move, accompanied or caused by uncomfortable, sometimes even distressing, paresthesia of the legs, described as a &quot;creeping, tugging, pulling&quot; feeling. The symptoms often become worse as the day progresses, leading to sleep disturbances or sleep deprivation, which leads to decreased alertness and daytime functions. Numerous studies have been conducted assessing the efficacy of dopaminergic drugs, opioids, and other pharmacologic agents in alleviating EKD symptoms. However, there is also a growing body of evidence demonstrating the effectiveness of nonpharmacologic treatments including life style changes, physical activity programs, pneumatic compression, massage, near-infrared light therapy, and complementary therapies. The working mechanisms behind these alternatives are diverse. Some increase blood flow to the legs, therefore reducing tissue hypoxia; some introduce an afferent counter stimulus to the cortex and with that &quot;close the gate&quot; for aberrant nerve stimulations; some increase dopamine and nitric oxide and therefore augment bio-available neurotransmitters; and some generate endorphins producing an analgesic effect. The advantages of these treatments compared with pharmacologic agents include less or no side effects, no danger of augmentation, and less cost.Keywords: RLS, modalities, massage, intermittent compression, NIRMitchell UHDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2011, Iss Issue 1, Pp 251-257 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Mitchell UH Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome
description	Ulrike H MitchellDepartment of Exercise Sciences, Brigham Young University, Provo, UT, USAAbstract: Ekbom disease (EKD), formerly known as restless legs syndrome (RLS) has affected and bothered many people over the centuries. It is one of the most prevalent neurological disorders in Europe and North-America, affecting about 10% of the population. The main characteristics are the strong urge to move, accompanied or caused by uncomfortable, sometimes even distressing, paresthesia of the legs, described as a &quot;creeping, tugging, pulling&quot; feeling. The symptoms often become worse as the day progresses, leading to sleep disturbances or sleep deprivation, which leads to decreased alertness and daytime functions. Numerous studies have been conducted assessing the efficacy of dopaminergic drugs, opioids, and other pharmacologic agents in alleviating EKD symptoms. However, there is also a growing body of evidence demonstrating the effectiveness of nonpharmacologic treatments including life style changes, physical activity programs, pneumatic compression, massage, near-infrared light therapy, and complementary therapies. The working mechanisms behind these alternatives are diverse. Some increase blood flow to the legs, therefore reducing tissue hypoxia; some introduce an afferent counter stimulus to the cortex and with that &quot;close the gate&quot; for aberrant nerve stimulations; some increase dopamine and nitric oxide and therefore augment bio-available neurotransmitters; and some generate endorphins producing an analgesic effect. The advantages of these treatments compared with pharmacologic agents include less or no side effects, no danger of augmentation, and less cost.Keywords: RLS, modalities, massage, intermittent compression, NIR
format	article
author	Mitchell UH
author_facet	Mitchell UH
author_sort	Mitchell UH
title	Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome
title_short	Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome
title_full	Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome
title_fullStr	Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome
title_full_unstemmed	Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome
title_sort	nondrug-related aspect of treating ekbom disease, formerly known as restless legs syndrome
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/a01ea9961521496b9a27087d3a2a4016
work_keys_str_mv	AT mitchelluh nondrugrelatedaspectoftreatingekbomdiseaseformerlyknownasrestlesslegssyndrome
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Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome

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