Periodic limb movement disorder — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 19 of 2023

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting periodic limb movement disorder or death from periodic limb movement disorder with the circumstances of a person's relevant service:

1. (1)
   having chronic renal failure at the time of the clinical onset of periodic limb movement disorder;

   Note: chronic renal failure is defined in the Schedule 1 - Dictionary.

2. (2)
   having a spinal cord lesion at the time of the clinical onset of periodic limb movement disorder;

   Note: Examples of spinal cord lesions include transverse myelitis, trauma or compression of the spine and spondylotic myelopathy.

3. (3)
   taking a drug from the specified list of drugs: (a) as prescribed for ongoing use; and (b) within the 30 days before the clinical onset of periodic limb movement disorder;

   Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

4. (4)
   having iron deficiency at the time of the clinical onset of periodic limb movement disorder;

   Note: iron deficiency is defined in the Schedule 1 - Dictionary.

5. (5)
   having a cerebrovascular accident within the 3 months before the clinical onset of periodic limb movement disorder;
6. (6)
   having moderate to severe traumatic brain injury within the 3 months before the clinical onset of periodic limb movement disorder, and in the case of sustained unconsciousness following injury to the head, the clinical onset of periodic limb movement disorder occurred within 3 months of regaining consciousness;
7. (7)
   having Parkinson's disease at the time of the clinical onset of periodic limb movement disorder;
8. (8)
   having multiple sclerosis at the time of the clinical onset of periodic limb movement disorder;
9. (9)
   having a clinically significant depressive disorder or posttraumatic stress disorder at the time of the clinical onset of periodic limb movement disorder;

   Note: clinically significant is defined in the Schedule 1 - Dictionary.

10. (10)
    having chronic renal failure at the time of the clinical worsening of periodic limb movement disorder;

    Note: chronic renal failure is defined in the Schedule 1 - Dictionary.

11. (11)
    having a spinal cord lesion at the time of the clinical worsening of periodic limb movement disorder;

    Note: Examples of spinal cord lesions include transverse myelitis, trauma or compression of the spine and spondylotic myelopathy.

12. (12)
    taking a drug from the specified list of drugs: (a) as prescribed for ongoing use; and (b) within the 30 days before the clinical worsening of periodic limb movement disorder;

    Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

13. (13)
    having iron deficiency at the time of the clinical worsening of periodic limb movement disorder;

    Note: iron deficiency is defined in the Schedule 1 - Dictionary.

14. (14)
    having a cerebrovascular accident within the 3 months before the clinical worsening of periodic limb movement disorder;
15. (15)
    having moderate to severe traumatic brain injury within the 3 months before the clinical worsening of periodic limb movement disorder, and in the case of sustained unconsciousness following injury to the head, the clinical worsening of periodic limb movement disorder occurred within 3 months of regaining consciousness;
16. (16)
    having Parkinson's disease at the time of the clinical worsening of periodic limb movement disorder;
17. (17)
    having multiple sclerosis at the time of the clinical worsening of periodic limb movement disorder;
18. (18)
    having a clinically significant depressive disorder or posttraumatic stress disorder at the time of the clinical worsening of periodic limb movement disorder;

    Note: clinically significant is defined in the Schedule 1 - Dictionary.

19. (19)
    inability to obtain appropriate clinical management for periodic limb movement disorder;

Aggravation-only factors: the factors in subsections 9(10) to 9(19) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.