Symptoms include frequent falling, difficulty in climbing, and a waddling gait.
Early symptoms, which usually occur between the ages of two and six, include a waddling gait, frequent falling, difficulty in getting up from a lying or sitting position, enlargement of the calf muscles, inability to raise the knees, and disappearance of a normal knee or ankle jerk; symptoms become more obvious as the child ages.
Patients with PSP [ 91] have voluntary vertical gaze impairment, axial rigidity, early falls, difficulty swallowing, speech impairment.
Our results suggest sleep difficulties are pervasive among the FM population, as over 88% of patients reported some level of sleep difficulties, as defined by experiencing either difficulty falling asleep, difficulty staying asleep, or waking up too early.
The study, published last week in The European Heart Journal, used questionnaires to gather data on difficulty falling asleep, difficulty staying asleep, and waking unrefreshed among more than 54,000 Norwegian adults in a population-wide health survey.
Insomnia symptoms were reported using three items: "difficulty falling asleep"; "difficulty staying asleep"; and "problem waking up too early".
In another study, Vgontzas et al. [13] found that adults with migraine had more complaints of inadequate sleep, difficulty falling asleep, difficulty staying asleep, and other sleep problems than those without migraine after adjustment for current anxiety and depressive disorders.
Difficulty falling asleep Difficulty staying asleep throughout the night Waking very early in the morning Experiencing un-refreshing and non-restorative sleep.
Second, poor sleep was defined as a moderate to severe complaint (based on a mild to severe scale) of difficulty falling asleep, difficulty staying asleep, early final awakening, or unrefreshing sleep.
Although no sleep scale was included in the NHWS, all respondents were asked whether they experienced difficulty falling asleep, difficulty staying asleep, or waking up too early (the response options for each item were either yes or no).
The three items covered difficulty in falling asleep, difficulty in staying asleep, and the problem of waking up too early, with one item each.
