Schmid Arlene A, Puymbroeck Marieke Van, Portz Jennifer D, Atler Karen E, Fruhauf Christine A
Colorado State University, College of Health and Human Sciences, Department of Occupational Therapy, Fort Collins, CO, United States.
Clemson University, College of Health and Human Development, Department of Parks, Recreation and Tourism Management, Clemson, SC, United States.
Complement Ther Med. 2016 Oct;28:44-9. doi: 10.1016/j.ctim.2016.08.003. Epub 2016 Aug 10.
To examine the feasibility and benefits of the Merging Yoga and Occupational Therapy (MY-OT) intervention.
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.
University research laboratory.
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)).
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.
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.
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).
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.
探讨融合瑜伽与职业治疗（MY-OT）干预措施的可行性及益处。
这是一项非对照的前测-后测试点研究的初步分析，旨在了解MY-OT对慢性中风患者平衡能力、平衡自我效能感及跌倒风险因素管理的可行性及影响。
大学研究实验室。
慢性中风患者若符合以下条件则纳入本研究：曾有过跌倒经历或有跌倒恐惧，能够站立，存在平衡功能受损且有跌倒风险（伯格平衡量表（BBS）得分≤46分）。
个体完成为期8周的干预，包括16节瑜伽课和小组职业治疗（OT）课程。瑜伽包括体式、呼吸练习和冥想。职业治疗专注于中风后跌倒风险因素的管理。
采用BBS评估平衡能力，用特定活动平衡信心量表（ABC）测量平衡自我效能感。使用五个跌倒风险因素管理量表。
总体而言，该干预措施被认为是可行的，因为个体能够安全地完成干预，损耗率低且出勤率高。平衡能力提高了30%（p=0.002）。平衡自我效能感提高了15%（p=0.034）。五个跌倒风险因素管理量表均有改善，但只有两个量表有显著改善（跌倒预防与管理问卷，提高29%，p=0.004；跌倒预防策略调查，提高42%，p=0.032）。
结果表明，MY-OT是一种有望改善中风患者多种跌倒相关结局的干预措施。治疗师可考虑将这些干预措施应用于中风患者，但仍需进一步研究。
