Japanese Occupational Therapy Research
Online ISSN : 2434-4419
Print ISSN : 0289-4920
PRACTICAL REPORTS
An exploratory multicomponent intervention to restructure the rhythm of life in excessive daytime sleepiness in patients with Parkinson’s disease:
A case study
Ayuto MineKoichi NagakiNobuhiro Masuo
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2022 Volume 41 Issue 6 Pages 733-740

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Abstract
Purpose:We investigated non-pharmacological interventions such as sleep management and dietary adjustment for a patient with Parkinson’s disease (PD) who experienced excessive daytime sleepiness (EDS), which limited his ADL. Case:A 60-year-old male patient with H&Y severity class 3 PD developed EDS during daytime rehabilitation, which limited his ADL. Methods:The patient and his family were instructed on nighttime and daytime sleep management, dietary adjustment, and step-by-step exercise therapy. Results:The UPDRS Part 3 score improved from 50 to 41, and the PDSS 2 score improved from 43 to 21. Conclusion:The patient’s lifestyle was corrected with the cooperation of her family, and exercise therapy was conducted at a daytime rehabilitation center, which reduced EDS and improved activities of daily living.
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© 2022 Japanese Association of Occupational Therapists
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