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CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(02): 206-215
DOI: 10.1055/s-0043-1770801
Original Article

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

Rogério José de Souza
1   Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
,
Isabela Andrelino de Almeida Shigaki
1   Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
,
Marcelle Brandão Terra
1   Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
,
Natália Mariano Barboza
1   Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
,
Maria Eduarda Brandão Bueno
1   Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
,
Arthur Eumann Mesas
2   Centro de Estudios Sociosanitario, Universidad de Castilla-La Mancha, Cuenca, Cuenca, Spain
,
Suhaila Mahmoud Smaili
1   Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
› Author Affiliations Funding This study was financially supported by the Coordination for the Improvement of Higher Education Personnel – Brazil (CAPES) – Finance Code 001.
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Abstract

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.

Keywords

Physical Therapy Specialty - Parkinson Disease - Sleep - Actigraphy - Rehabilitation


Publication History

Article published online:
06 July 2023

© 2023. 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/)

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