Research: SCHMID and COLLEAGUES,

Listed in Issue 256

Abstract

SCHMID and COLLEAGUES, 1. Colorado State University, College of Health and Human Sciences, Department of Occupational Therapy, Fort Collins, CO, United States. arlene.schmid@colostate.edu ; 2. Indiana University School of Health and Rehabilitation Sciences, Department of Physical Therapy, Indianapolis, IN, United States; Roudebush Veterans Administration (VA) Medical Center; Health Services Research and Development (HSR&D) Center of Innovation, Indianapolis, IN, United States; 3. Clemson University, College of Health and Human Development, Department of Parks, Recreation and Tourism Management, Clemson, SC, United States; 4. Indiana University School of Health and Rehabilitation Sciences, Department of Occupational Therapy, Indianapolis, IN, United States assess change in physical functioning (pain, range of motion (ROM), strength, and endurance) after 8 weeks of therapeutic-yoga following a stroke.

Background

To assess change in physical functioning (pain, range of motion (ROM), strength, and endurance) after 8 weeks of therapeutic-yoga.

Methodology

Design: Planned analyses of data from a randomized pilot study of yoga after stroke; Setting: University-based research laboratory. Participants: People with chronic stroke (N=47) randomized to therapeutic-yoga (n=37) or wait-list control (n=10). Interventions: 16 sessions of therapeutic yoga (twice a week/8 weeks). Yoga was delivered in a standardized and progressive format with postures, breathing, and meditation, and relaxation in sitting, standing, and supine. Main Measures: Pain was assessed with the PEG, a 3-item functional measure of the interference of pain. ROM included neck and hip active and passive ROM measurements). Upper and lower extremity strength were assessed with the arm curl test and chair-to-stand test, respectively. Endurance was assessed with the 6-minute walk and modified 2-min step test.

Results

After a Bonferroni Correction, pain, neck ROM, hip passive ROM, upper extremity strength, and the 6-min walk scores all significantly improved after 8 weeks of engaging in yoga. No changes occurred in the wait-list control group.

Conclusion

A group therapeutic-yoga intervention may improve multiple aspects of physical functioning after stroke. Such an intervention may be complementary to traditional rehabilitation.

References

Schmid AA1, Miller KK2, Van Puymbroeck M3, DeBaun-Sprague E4. Yoga leads to multiple physical improvements after stroke, a pilot study. Complement Ther Med. 22(6):994-1000. doi: 10.1016/j.ctim.2014.09.005. Epub 2014 Oct 7. Dec 2014.

Comment

The above randomized pilot study of yoga after stroke demonstrated significant improvements compared with the control group in measures including pain, neck range of motion (ROM), upper extremity strength, and endurance.

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