Panacea Index Logo

Command Palette

Search for a command to run...

Chronotherapies for Parkinson's disease.

Progress in neurobiology
March 1, 2019
Karim Fifel et al. (2 authors)
Journal ArticleResearch Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tReviewHuman Study
Study Details

Study Goal

The researchers aimed to explore the potential of bright light therapy, physical exercise, and melatonin as chronotherapeutic tools to alleviate motor and non-motor symptoms in Parkinson's disease patients.

Results Summary

The study highlights the potential of bright light therapy, along with physical exercise and melatonin, to improve motor disorders, sleep/wake alterations, anxiety, and depression in PD patients, enhancing their quality of life. Specific recommendations are provided to optimize therapeutic benefits.

Population

Parkinson's disease patients

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (15)
InterventionDirectionEndpointPopulationDosageImpactClaim #
bright light
decrease
motor disorders
PD patients
-
alleviate
#1
bright light
decrease
sleep/wake alterations
PD patients
-
alleviate
#2
bright light
decrease
anxiety
PD patients
-
alleviate
#3
bright light
decrease
depression
PD patients
-
alleviate
#4
physical exercise
decrease
motor disorders
PD patients
-
alleviate
#5
physical exercise
decrease
sleep/wake alterations
PD patients
-
alleviate
#6
physical exercise
decrease
anxiety
PD patients
-
alleviate
#7
physical exercise
decrease
depression
PD patients
-
alleviate
#8
melatonin
decrease
motor disorders
PD patients
-
alleviate
#9
melatonin
decrease
sleep/wake alterations
PD patients
-
alleviate
#10
melatonin
decrease
anxiety
PD patients
-
alleviate
#11
melatonin
decrease
depression
PD patients
-
alleviate
#12
bright light
increase
general quality of life and wellbeing
PD patients
-
improve
#13
physical exercise
increase
general quality of life and wellbeing
PD patients
-
improve
#14
melatonin
increase
general quality of life and wellbeing
PD patients
-
improve
#15
Abstract

Parkinson's disease (PD) is the second-most common progressive neurodegenerative disorder. Although the clinical diagnosis of PD is still based on its cardinal motor dysfunctions, several non-motor symptoms (NMS) have been established as integral part of the disease. Unlike motor disorders, development of therapies against NMS are still challenging and remain a critical unmet clinical need. During the last decade, several studies have characterised the molecular, physiological and behavioural alterations of the circadian system in PD patients. As a consequence, and given the ubiquitous nature of circadian rhythms in the entire organism, the biological clock has emerged as a potential therapeutic target to ease suffering from both motor and NMS in PD patients. Here we discuss the emerging field of using bright light, physical exercise and melatonin as chronotherapeutic tools to alleviate motor disorders, sleep/wake alterations, anxiety and depression in PD patients. We also highlight the potential of these readily available therapies to improve the general quality of life and wellbeing of PD patients. Finally, we provide specific data- and mechanisms-driven recommendations that might help improve the therapeutic benefit of light and physical exercise in PD patients.

Medical Subject Headings (MeSH)
ChronotherapyExercise TherapyHumansParkinson DiseasePhototherapy
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations30
Citations/Year5.0
Relative Citation Ratio1.65
NIH Percentile68.3%
Research Impact Scores
APT Score0.50
Weight Score2.34
Normalized Score0.66
Related Supplements