Department of Occupational Therapy, Northern Arizona University, 435 N 5th St, Phoenix, AZ 85004, USA.
Department of Physical Therapy, Northern Arizona University, 435 N 5th St, Phoenix, AZ 85004, USA.
J Clin Neurosci. 2021 Apr;86:223-229. doi: 10.1016/j.jocn.2021.01.042. Epub 2021 Feb 11.
While high intensity exercise is associated with improvement of both motor and non-motor symptoms in Parkinson's disease (PD), there is limited evidence on its impact on sleep disturbances in PD. This scoping review aims to provide a preliminary statement of the potential size and scope of available evidence for the interaction between exercise and sleep in people with PD. Research to date on non-motor symptoms of PD is broad, with scarce information regarding specific effects of exercise on sleep. A systematic literature search was conducted through three phases. Fifteen articles met the inclusion criteria for this study. Resistive exercise and multimodal exercise programs were frequently studied and found to improve sleep and decrease sleep-related disorders. These findings suggest that exercise programs may improve sleep and other non-motor symptoms of PD. The research was inconclusive when comparing the effects of high and low intensity exercises. Further research on the interaction between exercise and sleep in PD may have implications for rehabilitative therapy interventions.
虽然高强度运动与帕金森病（PD）的运动和非运动症状的改善有关，但关于其对 PD 睡眠障碍影响的证据有限。本范围综述旨在初步说明运动与 PD 患者睡眠之间相互作用的现有证据的大小和范围。迄今为止，针对 PD 的非运动症状的研究范围广泛，但关于运动对睡眠的具体影响的信息很少。通过三个阶段进行了系统的文献检索。有 15 篇文章符合本研究的纳入标准。抗阻运动和多模式运动方案经常被研究，并发现可以改善睡眠和减少与睡眠相关的障碍。这些发现表明，运动方案可能改善 PD 的睡眠和其他非运动症状。当比较高强度和低强度运动的效果时，研究结果尚无定论。进一步研究 PD 中运动与睡眠的相互作用可能对康复治疗干预有意义。
