Excessive daytime sleepiness (EDS) is described as inappropriate and undesirable sleepiness during waking hours and is a common non-motor symptom in Parkinson's disease, affecting up to 50% of patients.
Excessive daytime sleepiness (EDS): Extreme tiredness during the day, which makes it difficult to stay awake. EDS may be caused by Parkinson's disease and the medications used to treat it, especially dopamine agonists. Some people have EDS because of problems sleeping at night.
A good night's sleep is critical to our health and well-being. However, for people with Parkinson's disease (PD), sleep becomes even more important as the body needs more time to restore and repair itself.
Parkinson's disease-related fatigue is often described as the sort of exhaustion that makes it feel impossible to move, as though one has no energy at all. Patients report a deep physical weariness that's different from sleepiness.
Fatigue is common in PD
It may appear before the onset of motor symptoms, and typically does not go away. It is not correlated with the severity of other symptoms—a person with only mild motor symptoms may have significant fatigue, and a person with significant motor symptoms may experience little fatigue.
Symptoms start getting worse. Tremor, rigidity and other movement symptoms affect both sides of the body or the midline (such as the neck and the trunk). Walking problems and poor posture may be apparent. The person is able to live alone, but daily tasks are more difficult and lengthier.
How quickly they get worse varies substantially, perhaps because there may be multiple underlying causes of the disease. In most cases, symptoms change slowly, with substantive progression taking place over the space of many months or years.
The two of the biggest causes of death for people with Parkinson's are Falls and Pneumonia: Falls – Parkinson's patients are typically at an increased risk of falls due to postural instability and other symptoms of Parkinson's.
In Parkinson's disease, certain nerve cells (neurons) in the brain gradually break down or die. Many of the symptoms are due to a loss of neurons that produce a chemical messenger in your brain called dopamine.
Hypersomnia means excessive sleepiness. There are many different causes, the most common in our society being inadequate sleep. This may be due to shiftwork, family demands (such as a new baby), study or social life. Other causes include sleep disorders, medication, and medical and psychiatric illnesses.
In fact, recent research confirms that the average life expectancy for a patient with PD onset at age 60 is 23.3 years (83.3 total years of age). This is directly comparable to the latest United States Life Tables published in 2020 as part of the National Vital Statistics Reports.
Parkinson disease causes physical symptoms at first. Problems with cognitive function, including forgetfulness and trouble with concentration, may arise later. As the disease gets worse with time, many people develop dementia. This can cause profound memory loss and makes it hard to maintain relationships.
Biking, running, Tai Chi, yoga, Pilates, dance, weight training, non-contact boxing, qi gong and more are included — all have positive effects on PD symptoms.
While genetics is thought to play a role in Parkinson's, in most cases the disease does not seem to run in families. Many researchers now believe that Parkinson's results from a combination of genetic and environmental factors, such as exposure to toxins.
People with Parkinson's disease (PD) commonly report that acute stress worsens their motor symptoms, such as freezing of gait, dyskinesia and tremor. People with PD also notice that chronic stress seems to worsen non-motor symptoms, particularly anxiety and depression.
In addition to a general slowness of movement, the bradykinesia of Parkinson's disease is typically demonstrated by a reduced or mask-like expression of the face (hypomimia or facial masking), a decreased blink rate of the eyes, and problems with fine motor coordination (for example, difficulties buttoning a shirt).
Musculoskeletal pain: Because of decreased mobility, postural changes, falls and sometimes fractures, Parkinson's can cause muscle and bone achiness. Many people also have lower back pain and even associated sciatica (pain, tingling and numbness radiating down the back of one leg).
The symptoms can come and go with suddenness, prompting some to compare it to turning a light switch on and off.
It is common for Parkinson's Disease patients to feel weak. They frequently describe their legs as feeling, “like they're made out of lead,” “like they're in concrete.” But they will also feel weak all over, or describe weakness in their hands or arms.
“Movement, especially exercises that encourage balance and reciprocal patterns [movements that require coordination of both sides of your body], can actually slow progression of the disease,” she says.