Pediatric – Abnormal body movement while sleeping

1

Pediatric Abnormal Body Movement While Sleeping

2

Pediatric Head Banging

3

First Name* This field is required.

4

My child bangs their head repetitively during sleep.

YESNO

5

Does your child have a history of developmental delay, intellectual disability or autism?

YESNO

6

The head banging movement interferes with my child's sleep.

YESNO

7

The movement is associated with impaired daytime functioning.

YESNO

8

Does your child have a history of self-inflicted bodily injuries that require medical treatment?

YESNO

9

Is there a history of head banging while asleep in your family?

YESNO

10

My child has morning headaches.

YESNO

11

My child has frequent ear and sinus infections.

YESNO

12

My child has nasal speech.

YESNO

13

My child is moody during the daytime.

YESNO

14

My child is more sleepy than normal during the day

YESNO

15

My child is hyperactive during the day.

YESNO

16

My child has hard time learning in school.

YESNO

17

My child exhibits abnormal behaviors during the day such as anger, aggression, impulsivity, oppositional behavior, social withdrawal, or depression.

YESNO

18

Pediatric Head Banging - Score

19

Pediatric Head Rolling

20

My child has repetitive side-to-side movements of the head during sleep.

YESNO

21

Does your child have a history of developmental delay, intellectual disability or autism?

YESNO

22

The head rolling movement interferes with my child's sleep.

YESNO

23

Does your child have a history of self-inflicted bodily injuries that require medical treatment?

YESNO

24

The head rolling movement is associated with impaired daytime function.

YESNO

25

Is there a history of head rolling in your family?

YESNO

26

Pediatric Head Rolling - Score

27

Pediatric - Body Rocking

28

My child rocks back and forth during sleep.

YESNO

29

My child's body rocking movement interferes with their sleep.

YESNO

30

The movement is associated with impaired daytime functioning.

YESNO

31

Does your child have a history of self-inflicted bodily injuries that require medical treatment?

YESNO

32

Do you have a family history of body rocking?

YESNO

33

Pediatric Body Rocking - Score

34

Pediatric Bruxism (Teeth Grinding)

35

My child has repetitive episodes of teeth grinding or jaw clenching during sleep.

YESNO

36

My child has abnormal wear on their teeth.

YESNO

37

My child wakes up with jaw discomfort, fatigue, pain or jaw locking.

YESNO

38

My child has enlarged chewing muscles as a result of teeth grinding or clenching.

YESNO

39

My child has a history of anxiety, depression or stress.

YESNO

40

My child has a history of one of the following: cerebral palsy, intellectual disability, autism, or ADHD.

YESNO

41

My child is taking stimulants or antidepressants.

YESNO

42

Teeth grinding runs in the family.

YESNO

43

Pediatric Bruxism (Teeth Grinding) - Score

44

Pediatric Leg Cramps

45

Does your child ever experience sudden onset of cramps in a leg (typically in the calf or foot)?

YESNO

46

Does the discomfort typically occur during the time in bed?

YESNO

47

Does stretching of the involved muscles help the discomfort?

YESNO

48

Is your child on water pills(diuretics)?

YESNO

49

Pediatric Leg Cramps - Score

50

EmailEnter your email to receive a Two Week Sleep Diary with automatic sleep efficiency calculations and additional sleep information. This document can help track your child's sleep, which your doctor can use for diagnosis and treatment.

example@example.com

51

Pediatric Head Banging - Positive Result

52

Pediatric Head Rolling - Positive Result

53

Pediatric Body Rocking - Positive Result

54

Pediatric Teeth Grinding: Bruxism - Positive Result

55

Pediatric Leg Cramps - Positive Result

56

Pediatric Head Banging - Negative Result

57

Pediatric Head Rolling - Negative Result

58

Pediatric Body Rocking - Negative Result

59

Pediatric Teeth Grinding: Bruxism - Negative Result

60

Pediatric Leg Cramps - Negative Result

61

Pediatric Head Banging - Result

62

Pediatric Head Rolling - Result

63

Pediatric Body Rocking - Result

64

Pediatric Teeth Grinding: Bruxism - Result

65

Pediatric Leg Cramps - Result

66

{firstName}, you have answered questions for various conditions under the area of Pediatric Abnormal Body Movements.

The following are the results;

{pediatricHead83}

{pediatricHead84}

{pediatricBody85}

{pediatricTeeth86}

{pediatricLeg87}

This information is for educational purposes only and doesn’t replace the judgment of a sleep medicine professional. We strongly suggest that you seek the advice of a sleep medicine Doctor or professional for an accurate diagnosis.