Merging Yoga and Occupational Therapy (MY-OT): A feasibility and pilot study

被引:22
作者
Schmid, Arlene A. [1 ]
Van Puymbroeck, Marieke [2 ]
Portz, Jennifer D. [3 ]
Atler, Karen E. [1 ]
Fruhauf, Christine A. [4 ]
机构
[1] Colorado State Univ, Coll Hlth & Human Sci, Dept Occupat Therapy, Ft Collins, CO 80523 USA
[2] Clemson Univ, Coll Hlth & Human Dev, Dept Pk Recreat & Tourism Management, Clemson, SC USA
[3] Colorado State Univ, Coll Hlth & Human Sci, Dept Social Work, Ft Collins, CO 80523 USA
[4] Colorado State Univ, Coll Hlth & Human Sci, Dept Human Dev & Family Sci, Ft Collins, CO 80523 USA
关键词
Yoga; Occupational therapy; Stroke; Falls; Balance; ACUTE STROKE; SELF-EFFICACY; BALANCE SCALE; OLDER-ADULTS; FALLS; POSTSTROKE; COMMUNITY; FEAR; INDIVIDUALS; ASSOCIATION;
D O I
10.1016/j.ctim.2016.08.003
中图分类号
R [医药、卫生];
学科分类号
10 ;
摘要
Objective: To examine the feasibility and benefits of the Merging Yoga and Occupational Therapy (MY-OT) intervention. Design: This is the primary analysis of a non-controlled pretest-posttest pilot study to understand the feasibility and impact of MY-OT on balance, balance self-efficacy, and fall risk factor management in people with chronic stroke. Setting: University'research laboratory. Participants: People with chronic stroke were included in the study if they: had sustained a fall or had fear of falling, were able to stand, and hand impaired balance and were at risk for falls (<= 46 on the Berg Balance Scale (BBS)). Interventions: Individuals completed an 8 week intervention that included 16 sessions of both yoga and group occupational therapy (OT). Yoga included physical postures, breathing exercises, and meditation. OT focused on post-stroke fall risk factor management. Main outcome measures: The BBS was used to assess balance, the Activities-specific Balance Confidence Scale (ABC) was used to measure balance self-efficacy. Five fall risk factor management scales were used. Results: Overall, the intervention was considered feasible, as individuals were able to safely complete the intervention with little attrition and high attendance. Balance improved by 30% (p = 0.002). Balance self-efficacy improved by 15% (p = 0.034). Each of the five fall risk factor management scales improved, but only two significantly improved (Fall Prevention and Management Questionnaire, 29%, p =0.004 and Fall Prevention Strategy Survey, 42%, p = 0.032). Conclusion: The results demonstrate that MY-OT is a potential intervention to improve multiple fall related outcomes for people with stroke. Therapists may consider these interventions for people with stroke, but additional research is warranted. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:44 / 49
页数:6
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