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With rem sleep behavior disorder instead of experiencing the normal temporary paralysis of your arms and legs atonia during rem sleep you physically act out your dreams. An rem osa sleep disorder occurs when a partial hypopnea or full airway blockage apnea happens during rem sleep. Pin On Human Body By kevin asp crt. Rem sleep apnea . During rem sleep your eyes move rapidly hence the rapid eye movement name. The onset can be gradual or sudden and episodes may occur occasionally or several times a night. And it s during. Osa during rem sleep. What it is why we need it. Patients with the disorder are most often overweight with an increased size of the soft palate and tonque. Having apnea during rem sleep is typically the most severe at this time due to its distinctive architecture. Osa at risk for hypoventilation during the later part of the titration as they will encounter longer deeper rounds of rem stage sleep. Sleep apnea tends to be worse and arousals often clu...