Overview
REM sleep behavior disorder (RBD) is a parasomnia in which the normal muscle paralysis (atonia) of rapid eye movement (REM) sleep is lost, allowing affected individuals to physically act out the content of their dreams. During healthy REM sleep, vivid dreaming occurs while skeletal muscles are actively inhibited, preventing movement; in RBD this protective atonia fails, so dream enactment produces movements that may include talking, shouting, grabbing, punching, kicking, or leaping from bed. These behaviors often correspond to action-filled dreams and can injure the sleeper or a bed partner and disrupt sleep. RBD becomes more common with advancing age. Its particular clinical importance lies in its strong association with neurodegenerative disease: idiopathic RBD is recognized as an early marker that can precede the onset of alpha-synuclein-related disorders such as Parkinson's disease, sometimes by many years. The disorder is distinguished from other parasomnias and nocturnal events through clinical history and video-polysomnography, which documents REM sleep without the expected atonia. Management focuses on protecting against injury through a safe sleep environment and on pharmacological measures to reduce dream-enactment behaviors, alongside evaluation for associated neurological conditions. Research in sleep medicine examines the mechanisms underlying loss of REM atonia, the link between RBD and neurodegeneration, and approaches to diagnosis and treatment, making RBD a significant focus within sleep and neurological science.
Research published in this journal
10 peer-reviewed articles, ranked by relevance. Each links to its DOI.
The Role of Non-Pharmacological Interventions for Disrupted Sleep in the Moderate-Severe Dementia Population: A Systematic Review
The Effects of Physical Activity on Sleep among Adolescents and Adults: A Narrative Review
Ehlers-Danlos Syndrome and Narcolepsy: An Incidental Relationship?
Intervention Study to Improve Meal Habit, Sleep Habit, Circadian Typology And School Marks in Japanese Elementary School Students
Intravascular Laser Irradiation of Blood (ILIB) on Sleep Quality Improvement: A Randomized Placebo-Controlled Clinical Trial
Efficacy and Safety of Pulsed Magnetic Therapy in Sleep related Disorders: A Remote, Randomized, Double-Blind, Placebo-Controlled Trial
Narcolepsy With or Without Cataplexy In The Pediatric Population: A Systematic Review
How to Objectively Measure The Quality of Sleep
Obstructive Sleep Apneas, Cervical Osteophytosis and Sudden Death: A Paradigmatic Case and a Brief Overview of the Literature
How this research is being cited
The 10 articles above have been cited 48 times in the scholarly literature. Citation data via OpenAlex and Crossref, updated Jun 2026.
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2026 · BMC Geriatrics
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2026 · BMC Public Health
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2026 · Journal of Affective Disorders
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2025 · Elsevier eBooks
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Mohd Azry et al. · 2024 · Journal of Mathematics and Computing Science
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Zachary S. Farley et al. · 2024 · Journal of Activity, Sedentary and Sleep Behaviors
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S. Kuu et al. · 2024 · Advances in Physical Education
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2024 · Lecture notes in networks and systems
A sample of recent works citing this journal's research on Rem Sleep Behavior, linking to each citing work.