Effectiveness of Neurofunctional Physical Therapy on the Quality of Sleep of Individuals with Parkinson's Disease: Case Series.

Autor: Souza RJ; Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil., Shigaki IAA; Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil., Terra MB; Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil., Barboza NM; Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil., Bueno MEB; Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil., Mesas AE; Centro de Estudios Sociosanitario, Universidad de Castilla-La Mancha, Cuenca, Cuenca, Spain., Smaili SM; Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil.
Jazyk: angličtina
Zdroj: Sleep science (Sao Paulo, Brazil) [Sleep Sci] 2023 Jul 06; Vol. 16 (2), pp. 206-215. Date of Electronic Publication: 2023 Jul 06 (Print Publication: 2023).
DOI: 10.1055/s-0043-1770801
Abstrakt: Objective  Sleep disorders are disabling and highly prevalent comorbidities in Parkinson's disease (PD). This study's objective was to verify the effectiveness of neurofunctional physiotherapy in sleep quality, objectively and subjectively assessing it among individuals with PD. Methods  A sample of individuals with PD was assessed before and after 32 physiotherapy sessions and three months later (follow-up). The following instruments were used: Pittsburgh Sleep Quality Index (PSQI); Epworth Sleepiness Scale (ESS); Parkinson's Disease Sleep Scale (PDSS), and actigraphy. Results  Nineteen individuals aged 67.37 years old ( ±  8.03) on average were included. No differences were found in any of the variables measured by the actigraphy or the ESS. Improvement was found from pre- to post-intervention in terms of nocturnal movements (p = 0.04; d = 0.46) and total score (p = 0.03; d = 0.53) obtained on the PDSS. Improvement was also found in the PDSS sleep onset/maintenance domain (p = 0.001; d = 0.75) between pre-intervention and follow-up. The participants' total score obtained in the PSQI improved from pre- to post-intervention (p = 0.03; d = 0.44). Significant differences were found in nighttime sleep (p = 0.02; d = 0.51) and nocturnal movements (p = 0.02; d = 0.55), and in the PDSS total score (p = 0.04; d = 0.63) between pre- and post-intervention when only the poor sleepers subgroup (n = 13) was considered, while improvements were found in sleep onset/maintenance (p = 0.003; d = 0.91) between pre-intervention and follow-up. Discussion  Neurofunctional physiotherapy was ineffective in improving objective parameters of sleep but was effective in improving the perception of sleep quality subjectively assessed among individuals with PD, especially those who perceived themselves to be poor sleepers.
Competing Interests: Conflict of Interest None declared.
(Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
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