Updates in Parkinson's Disease Integrative Therapies: an Evidence-Based Review

Purpose of ReviewThis review summarizes recent evidence-based integrative therapies for Parkinson's disease (PD) that may improve motor and non-motor symptoms, enhance quality of life, and alter disease progression.Recent FindingsImaging studies have demonstrated that aerobic exercise changes brain structure and function, while strength training improves posture and balance. Loneliness is associated with worsening PD severity, but social prescribing and cognitive behavioral therapy may effectively foster connections. Ayurvedic and traditional Chinese medicine practices including yoga, meditation, tai chi, and acupuncture may help improve mobility, mood, sleep, and quality of life. Art therapy enhances visuospatial skills, whereas music and dance therapy can alleviate freezing of gait. Several studies demonstrate successful use of these integrative strategies virtually, thereby improving patient accessibility and participation.SummaryPD management has broadened to include integrative approaches combining conventional and complementary therapies. Potential benefits of movement, nutrition, sleep, socialization, and mind-body practices have been confirmed with several recent randomized controlled trials.

Automated summary

Recent studies have shown that aerobic exercise and strength training can improve brain structure and function in Parkinson's disease patients, social prescribing and cognitive behavioral therapy can alleviate loneliness, Ayurvedic and traditional Chinese medicine practices such as yoga, tai chi and acupuncture can improve mobility, mood, and quality of life, while art therapy, music, and dance therapy can alleviate freezing of gait. The virtual use of these integrative therapies improves patient accessibility and participation.