National Sleep Foundation

Chapter 7: Sleep-Related Movement Disorders

Treatment of Sleep-Related Rhythmic Movement Disorder (RMD)

There are no proven therapies for Sleep-Related Rhythmic Movement Disorder (RMD). As noted, almost all cases of childhood rhythmic movements or Rhythmic Movement Disorder remit after a few years without recurrence.

Occasionally, precautions to prevent injury to those with RMD are needed, such as padding the headboard or wearing protective headgear. Parents of a child who has with RMD must be advised and assisted to create a safe sleeping environment. Reduction of stress is also promoted as a way of minimizing RMD.

Pharmacological treatment has shown limited efficacy (i.e., with benzodiazepines and tricyclic antidepressants), although clonazepam has been reported as useful in one study.89

References 

89 Manni R, Tartara A. Clonazepam treatment of rhythmic movement disorders. Sleep. 1997;20:812.