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Non-Pharmacologic Management Strategies to Manage Sleep Dysfunction in Parkinson's Disease
Indu Subramanian1, G A Glass2, Aleksandar Videnovic3
1Department of Neurology, Greater Los Angeles VA, Los Angeles, CA 90095, USA; Department of Neurology, Geffen School of Medicine, UCLA, Los Angeles, CA 90095, USA.
Sleep Medicine Clinics
|September 5, 2025
Summary
Sleep disturbances are common in Parkinson's disease (PD), impacting over 80% of patients. Non-drug therapies like CBT and exercise can improve sleep and daily function for people with PD.
Area of Science:
- Neurology
- Sleep Medicine
- Movement Disorders
Background:
- Sleep disturbances are highly prevalent in Parkinson's disease (PD), affecting over 80% of individuals.
- Sleep issues significantly impact the quality of life for 33-40% of people with PD.
- Multiple sleep problems can co-occur, necessitating comprehensive management strategies.
Purpose of the Study:
- To review the impact of sleep disturbances in Parkinson's disease.
- To explore non-pharmacological interventions for improving sleep quality and daytime function in PD patients.
Main Methods:
- Literature review of non-pharmacological approaches for sleep dysfunction in Parkinson's disease.
- Synthesis of evidence on therapies including cognitive behavioral therapy, exercise, mind-body practices, acupuncture, massage, social connection, and light therapy.
Main Results:
- A wide array of non-pharmacological interventions show promise for managing sleep issues in Parkinson's disease.
- These approaches address various facets of sleep dysfunction, aiming to enhance overall well-being.
Conclusions:
- Non-pharmacological strategies are crucial components in the multidisciplinary management of sleep disturbances in Parkinson's disease.
- Personalized application of these therapies can lead to improved sleep quality and daytime functioning for people with PD.
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