Efeitos de intervenções não farmacológicas na qualidade de sono em indivíduos com doença de parkinson: uma revisão narrativa

Abstract

Introduction: Worldwide, the growing aging population has been accompanied by an increase in the number of Parkinson’s disease (PD) cases. PD is characterized by motor and non-motor symptoms, and among the non-motor symptoms, sleep disorders show a high prevalence, affecting 60% to 98% of these individuals. Sleep disorders are highly disabling and can compromise sleep quality and, consequently, the quality of life of people with PD, making the search for effective management and treatment strategies essential. Objective: To conduct a narrative review on the effects of non-pharmacological interventions on sleep quality in individuals with PD. Methodology: Searches were performed in the Latin American and Caribbean Health Sciences Literature (LILACS), Physical Therapy Evidence Database (PEDro), and PubMed databases. Results: Nine studies were included. Of these, four identified positive effects of traditional Chinese medicine techniques on improving sleep quality, four demonstrated benefits of different modalities and intensities of physical exercise for the same outcome, and two studies evaluated dance-based interventions, reporting favorable impacts on sleep quality in PD. The methodological quality of the studies, assessed using the PEDro scale, ranged from 3 to 8 points. Conclusion: This literature review found benefits of non-pharmacological interventions in improving sleep quality in individuals with PD. These interventions proved to be safe; however, further studies with larger samples, higher methodological quality, and long-term follow-up are still needed to better establish their effectiveness.