Good practice in the assessment and management of nocturnal Parkinson’s disease symptoms

Medcalf, Pippa

doi:10.1093/ageing/afi157

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…A deeper understanding of sleep disturbances and the genesis of VHs may be achieved by a longitudinal investigation to assess if sleep disturbances precede VHs or whether VHs lead to sleep disruption. In the light of what is known about behavioral methods to alleviate sleep problems and foster better sleep behavior (Askenasy, 2003;Friedman & Chou, 2004;Medcalf, 2005), patients may clinically benefit from help in structuring their day in such a way that may help alleviate some of the sleep problems associated with PD. Whether sleep-related behavioral techniques could also help control VHs is questionable, but such information could potentially help patients control their hallucinations and increase the quality of life.…”

Section: Discussionmentioning

confidence: 99%

Sleep Patterns in Parkinson's Disease Patients with Visual Hallucinations

Barnes

Connelly

Wiggs

et al. 2010

International Journal of Neuroscience

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Visual hallucinations (VHs) in Parkinson's disease (PD) can be a frequent and disturbing complication of the disease with 33% of PD patients undergoing long-term treatment experiencing VHs during the course of their illness. One line of evidence that is emerging as a possible risk factor in the occurrence of VHs is the sleep-wake cycle and sleep behavior in patients with PD. This study compared sleep patterns in a group of visually hallucinating Parkinson's patients with a group of nonhallucinating PD patients and an age-matched control group. Nocturnal sleep was assessed by actigraphy and diaries, while daytime sleepiness and function were assessed by a battery of self-rating sleep questionnaires. Compared with the control group both patient groups had more sleep-related problems and significantly altered sleep patterns, as measured by both actigraphy and sleep questionnaires. Patients who hallucinated however slept less than nonhallucinating patients and also had increased awakenings after sleep onset, reduced sleep efficiency, and increased daytime sleepiness. We propose that VHs in some PD patients may be a symptom of poor sleep and prolonged daytime sleepiness, suggesting that arousal may play a role in the genesis of the hallucination phenomenon.

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Section: Discussionmentioning

confidence: 99%

Sleep Patterns in Parkinson's Disease Patients with Visual Hallucinations

Barnes

Connelly

Wiggs

et al. 2010

International Journal of Neuroscience

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“…It is also difficult for physicians to recognize specific nocturnal symptoms in individual patients and focus the treatment regimen accordingly [14,16]. It is considered good practice for physicians to take the initiative and raise the issue of nocturnal problems with their patients if they are suspected during routine consultations [17]. For these reasons, there is a need to develop instruments that are clinically applicable and can assist the treating physicians in developing treatment regimens and rehabilitation programs based on an accurate diagnosis of nocturnal symptoms.…”

Section: Introductionmentioning

confidence: 99%

Capturing nighttime symptoms in Parkinson disease: Technical development and experimental verification of inertial sensors for nocturnal hypokinesia

et al. 2016

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Abstract-Although nocturnal hypokinesia represents one of the most common nocturnal disabilities in Parkinson disease (PD), it is often a neglected problem in daily clinical practice. We have developed a portable ambulatory motion recorder (the NIGHT-Recorder), which consists of 16-bit triaxial integrated microelectromechanical system inertial sensors that are specifically designed to measure movements, register the position of the body with respect to gravity, and provide information on rotations on the longitudinal axis while lying in bed. The signal processing uses the forward derivative method to identify rolling over and getting out of bed as primary indicators. The prototype was tested on six PD pairs to measure their movements for one night. Using predetermined definitions, 134 movements were captured consisting of rolling over 115 times and getting out of bed 19 times. Patients with PD rolled over significantly fewer times than their spouses (p = 0.03), and the position change was significantly smaller in patients with PD (p = 0.03). Patients with PD rolled over at a significantly slower speed (p = 0.03) and acceleration (p = 0.03) than their spouses. In contrast, patients with PD got out of bed significantly more often than their spouses (p = 0.02). It is technically feasible to develop an easy-to-use, portable, and accurate device that can assist physicians in the assessment of nocturnal movements of patients with PD.

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“…4 Furthermore, poor nocturnal sleep quality can lead to poor daytime functioning and excessive daytime somnolence (EDS), which may, in turn, be associated with increased cardiovascular risk and cognitive impairment. 9,10 Sleep disturbance is reported by around 25% of spouses of patients with PD. 11 Sleep disturbances in both patients with PD and their sleep partners contribute to caregiver burden and correlate with levels of depression in carers.…”

Section: Introductionmentioning

confidence: 99%

Sleep disturbance in Parkinson disease

Roychowdhury

Forsyth

2012

Journal of Clinical Gerontology and Geriatrics

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a b s t r a c tSleep disturbance is common in patients with Parkinson disease (PD), but it is often undetected due to inadequate history taking and poor self-reporting. Impaired sleep can have a severe impact on health, general well being, and quality of life. Sleep problems in PD have many potential causes, including the direct effect of PD itself, adverse events of anti-Parkinsonian medications, daytime sleep disturbance, age related causes, and other comorbidities. Patients with PD and their sleep partners should be asked about sleep disturbances and other night-time symptoms. Treatment strategies rely on identifying causal factors and need to be tailored to the individual and reviewed regularly.

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Good practice in the assessment and management of nocturnal Parkinson’s disease symptoms

Cited by 10 publications

References 14 publications

Sleep Patterns in Parkinson's Disease Patients with Visual Hallucinations

Sleep Patterns in Parkinson's Disease Patients with Visual Hallucinations

Capturing nighttime symptoms in Parkinson disease: Technical development and experimental verification of inertial sensors for nocturnal hypokinesia

Sleep disturbance in Parkinson disease

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