Chapter Forty-One Complementary and Alternative Medicine and Exercise in Nonmotor Symptoms of Parkinson's Disease

Publication date: 2017 Source:International Review of Neurobiology, Volume 134 Author(s): Indu Subramanian The use of complementary and alternative medicine (CAM) therapy in nonmotor symptoms (NMS) for Parkinson disease (PD) is growing worldwide. Well-performed, systematic evidence-based research is largely lacking in this area and many studies include various forms of CAM with small patient numbers and a lack of standardization of the approaches studied. Taichi, Qigong, dance, yoga, mindfulness, acupuncture, and other CAM therapies are reviewed and there is some evidence for the following: Taichi in sleep and PDQ39; dance in cognition, apathy, and a mild trend to improved fatigue; yoga in PDQ39; and acupuncture in depression, PDQ39, and sleep. Exercise including occupational therapy (OT) and physical therapy (PT) has been studied in motor symptoms of PD and balance but only with small studies with a mounting evidence base for use of exercise in NMS of PD including PDQ39, sleep, fatigue, depression, and some subsets of cognition. Studies of OT and PT largely show some benefit to depression, apathy, and anxiety. Sustainability of an improvement has not been shown given short duration of follow up. Finding optimal control groups and blind for these interventions is also an issue. This is a very important area of study since patients want to be self-empowered and they want guidance on which form of exercise is the best. Additionally, evidence for PT and OT in NMS would give add...
Source: International Review of Neurobiology - Category: Neuroscience Source Type: research

Related Links:

To an impressive degree, irritable bowel syndrome, IBS, vividly illustrates what consuming wheat and grains do to the human body, as well as the myriad effects of factors such as GMOs containing glyphosate and Bt toxin, veggies and fruits with herbicides and pesticides, water “purified” with awful chemicals such as chloramine (MUCH longer lasting than chlorine in the body and environment), and commonly prescribed drugs like Protonix, Prilosec, and other stomach acid-suppressing drugs. You may already know that many people obtain relief from IBS symptoms just by banishing wheat and grains from their diet. But so...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: News & Updates autoimmune bowel flora dysbiosis gluten-free grain-free grains IBS Inflammation prebiotic probiotic small intestinal wheat belly Source Type: blogs
ConclusionsMMBCEP, a complex exercise program-based on mindfulness meditation, is associated with increased motor symptoms, decreased emotional disturbances (anxiety and depression) and sleep disturbance, and improved cognitive functions, quality of life, and activities of daily living. Future research should test the effects of MMBCEP with more representative PD patients.
Source: Asian Nursing Research - Category: Nursing Source Type: research
Conclusions: Among the non-motor symptoms, fatigue, depression, anxiety, and quality of life were significantly affected by WMLs in PD. Confirmation of the possible role of WMLs in non-motor symptoms associated with PD in a prospective manner may be crucial not only for understanding non-motor symptoms but also for the development of treatment strategies.Neurodegener Dis 2018;18:127 –132
Source: Neurodegenerative Diseases - Category: Neurology Source Type: research
CONCLUSIONS: Among the non-motor symptoms, fatigue, depression, anxiety, and quality of life were significantly affected by WMLs in PD. Confirmation of the possible role of WMLs in non-motor symptoms associated with PD in a prospective manner may be crucial not only for understanding non-motor symptoms but also for the development of treatment strategies. PMID: 29870975 [PubMed - as supplied by publisher]
Source: Neuro-Degenerative Diseases - Category: Neurology Authors: Tags: Neurodegener Dis Source Type: research
Conclusions:CPAP treatment of OSA in PD is associated with improved overall non-motor symptoms, sleep quality, anxiety, and global cognitive function over a 12-month period.Citation:Kaminska M, Mery VP, Lafontaine AL, Robinson A, Benedetti A, Gros P, Kimoff RJ. Change in cognition and other non-motor symptoms with obstructive sleep apnea treatment in Parkinson disease.J Clin Sleep Med. 2018;14(5):819–828.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
The objective of the present study is to explore the relationship between sleep quality in PD to pain and other NMS that affect quality of life. METHODS: The study included 100 PD patients and 100 age and gender-matched controls assessed for pain severity and pain interference using the Brief Pain Inventory and sleep quality using the Pittsburgh Sleep Quality Index. Participants were also evaluated for their subjective levels of anxiety and depression using the Hospital Anxiety and Depression Scale. RESULTS: PD patients with poor sleep quality had greater pain severity and pain interference than controls and PD pat...
Source: Neurological Research - Category: Neurology Tags: Neurol Res Source Type: research
According to the Alzheimer’s Association, “Today, someone in the United States develops Alzheimer’s every 65 seconds. By mid-century, someone in the United States will develop the disease every 33 seconds.” To date, there is no cure regarding this most common form of dementia, which affects nearly all individuals worldwide regardless of race, or socioeconomic status, a trend that continues to grow at a disturbingly alarming rate. Scientists however are close to identifying contributing factors that may hinder or help the progression of this illness in the long run. Listed below are the top 5 f...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Aging Alzheimer's Health-related Memory and Perception Stress Alzheimer's disease Memory Loss Source Type: blogs
If you regularly turn to music intuitively to relieve stress, you certainly aren’t alone. You can definitely tap into the power of music to bring healing to yourself. Read along to discover the hidden psychological benefits of music that will make you feel better in times of stress. If you are not a music lover, the treasure trove of hidden benefits below just might convert you to begin singing a new tune as your go-to stress reliever. Music can help relieve stress. In one 2013 study, participants took part in one of three conditions before being exposed to a stressor, and subsequently took a psychosocial stress t...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Creativity Memory and Perception Research Self-Help Stress Music Self Care stress management stress reduction Source Type: blogs
ConclusionsAdvertising pharmaceuticals in the BMJ and World Medicine in 1950‐80 was poorly regulated and often lacked rigour. However, advertisements were gradually modified in the light of increasing clinical pharmacological knowledge, and they reflect an exciting period for the introduction of many drugs that continue to be of benefit today.
Source: British Journal of Clinical Pharmacology - Category: Drugs & Pharmacology Authors: Tags: REVIEW ‐THEMED ISSUE Source Type: research
We describe their treatment and review the current literature on the use of ECT among patients with PD. CASE SERIES All six patients in our retrospective chart review received bitemporal modified brief pulse ECT. Prior to ECT, the patients underwent pre-ECT evaluation, which involved hemogram analysis, renal and liver function tests, fasting blood glucose analysis, chest X-ray (posteroanterior view), and serum electrolyte analysis, all of which were within the normal range for all six patients, and none of the patients showed evidence of raised intracranial pressure on fundoscopy examination. All patients provided written ...
Source: Innovations in Clinical Neuroscience - Category: Neuroscience Authors: Tags: Case Review Current Issue Depression Devices ECT Mental Disorders Mood Disorders Movement Disorders Neurology Parkinson's disease Psychiatry Technology Electroconvulsive therapy parkinson’s disease Source Type: research
More News: Acupuncture | Alternative and Complementary Therapies | Anxiety | Brain | Complementary Medicine | Depression | Eyes | Insurance | Neurology | Occupational Health | Occupational Therapy | Parkinson's Disease | Physical Therapy | Sleep Disorders | Sleep Medicine | Sports Medicine | Study