Restless Leg Syndrome and ADHD
By Dawn M. Olsen
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For people living with Attention Deficit Hyperactivity Disorder (ADHD), life
can be more than challenging. A typical day involves constant distractions,
difficulty concentrating, trouble completing tasks, and of course, tremendous
challenge in just sitting still. As you can imagine, for the adult with ADHD,
these and other common symptoms can make maintaining a job nearly impossible.
This individual might be in a meeting but because of trouble focusing, miss
important details about a project. For the child with ADHD, the classroom can be
just as hard. Words spoken by the teacher are not heard, instructions for
homework and tests are missed, and then at home, the child is unable to sit
still to complete the work. Today, doctors are finding a number of new symptoms,
one being restless leg and ADHD.
For people struggling with Restless Leg Syndrome (RLS), they usually have
discomfort in the legs, which occurs during sleep, as well as when being awake.
Generally, the only way to relieve the discomfort is by moving about, such as
standing, walking, and sometimes stretching, along with some type of
stimulation, which might be rubbing the legs. This alone can disrupt a person’s
life, making simple things hard. Now, imagine having restless leg and ADHD, a
bad combination. With ADHD, you now have the mental aspect to include a lack of
concentration, inattentiveness, and impulsivity, which is then coupled with the
RLS, making the individual miserable.
While more research about restless leg and ADHD still needs to be done, new
studies have been done to try to determine the connection. One such study
involved 56 adults with RLS, testing them for ADHD symptoms. These people were
then compared to 77 people without RLS. The result showed that 39% of the people
in the first group met the criteria for potential ADHD, compared to just 14%
from the other group. Additionally, 21% of those showing potential ADHD met
criteria for having a “high probability” of ADHD while the second group was just
at 4%.
While this test is just one and many more are needed to understand the full
effects of restless leg and ADHD, it is the beginning of a possible link. The
other interesting thing discovered through this test was that the people with
restless legs and ADHD showed worse RLS symptoms than those without ADHD. The
latest theory is that leg discomfort coming from restless leg can actually make
people more hyperactive, create distraction, and cause insomnia.
Although there is no indication that RLS would lead to ADHD, it does show
something interesting. Just as people with RLS and ADHD have enhanced RLS
symptoms, the ADHD symptoms could also be enhanced. Another theory being tested
is that both restless legs and ADHD are caused by low dopamine in the brain,
which is a natural chemical responsible for transmitting signals. When the brain
does not produce adequate dopamine levels, movements cannot be controlled
normally. To support this particular theory, it has been shown that drugs to
promote dopamine in the brain help both restless leg and ADHD symptoms.
Therefore, experts are now suggesting that people with RLS should be tested for
ADHD and vice versa so that both can be diagnosed and treated effectively.
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