vPSG results for RBD don’t actually reference REM with or without atonia or chin leads? Did it actually assess RBD?

I recently had a vPSG for suspected RBD. My referring PCP’s chart notes are clear this is the reason for vPSG. I do not have access to the actual referral text.

After nearly six weeks I received my results today. The referral reason in the report didn’t list RBD. It listed sleep apnea. Sleep apnea has been ruled out since 2021 both in-lab and at-home. Those tests did not assess for RBD.

The vPSG included chin leads, video monitoring, eeg, chest and leg leads, etc.

The results also state I was awake for 51 minutes throughout the night and encourage clinical correlation for insomnia. The sleep stage graph represents this - except the vast majority of awakenings occur during 12am - 1am. During this period I was woken at least four times by the tech who first replaced a popped off calf lead, later replaced both chest leads, came back and replaced the chest leads again and then came in once more to replace the leads and wires. The rest of the night has microawakenings sporadically but nothing sustained. Sleep onset was 20 minutes and described as “restless”.

Given no mention of REM with or without atonia was mentioned or EMG data beyond general LMs and PLMs, can I assume RBD was not actually assessed?

Should the sleep interruption due to chest lead replacement have been calculated into sleep efficiency?

History:

33F

Complex neurological symptoms including:

L > R tremor documented by multiple physicians during sitting and walking, not yet classified, described similarly by all providers

L > R fine motor loss per PT measured in June 2025 and October 2025. Both testing show moderate left loss and mild right loss

L > R moderate LLE ROM restrictions per PT

L > R stereotyped flexor hand posturing, documented by multiple providers from 1/2025-Present

L > R gait abnormalities, described as a left limp, PT describes as wide BOS with poor extension through knee. Initially documented in fall 2024 with multiple providers noting similar observations

L > R significant soft tissue restriction noted by PT over 6 months, mild cervical AROM restrictions, hiked left shoulder despite left hand dominant, increased kyphosis, hyperlordorsis noted by PT and OT.

Postural instability documented by both PT and OT but otherwise unquantified.

Loss of right arm swing, documented by multiple providers spanning 2024-Present, right arm does not swing even when left arm is restrained.

Sleep disruptions without clear insomnia - I usually fall asleep quickly and only wake up due to nightmares and can fall asleep quickly (I have to force myself awake to stop the nightmares or I immediately fall back asleep and they repeat.Highly vivid and disturbing nightmares thst are not PTSD related. Non-painful muscle spasms (left hand, left side of neck/face, left calf) and non painful muscle twitching in sleep. Non-restorative sleep prior to stimulant medication and low dose clonazepam. Now restorative with minimal daytime fatigue. Prior to treatment, fatigue was highly disruptive. With treatment it is no longer an issue.