Smith Paul D, Mross Paul, Christopher Nate
Department of Family Medicine and Community Health, University of Wisconsin-Madison, 1100 Delaplaine Ct., Madison, WI 53715, United States.
Upland Hills Health, 800 Compassion Way, Dodgeville, WI 53533, United States.
Complement Ther Med. 2017 Apr;31:118-126. doi: 10.1016/j.ctim.2017.01.007. Epub 2017 Feb 20.
Work with local rural organizations to develop an evidence-based hatha yoga program intended to improve core strength and balance to reduce falls risk. Feasibility determined by successful recruiting, intervention and evaluation of participants and acceptable frequency of adverse events.
Single-arm pilot study.
Rural Wisconsin town of 4200 people.
Eight week yoga program with weekly group classes and home yoga practice three times per week.
The primary outcomes were (1) ability to enroll at least 20 participants, (2) participant completion of intervention and post-intervention evaluation, and (3) adverse event description and frequency.
A convenience sample of 20 adults over age 59 was enrolled and started the program with one drop out. Participants attended a mean of 7.1 (SD 1.47) of the 8 classes and a total of 141 out of 160 (88.1%) classes. Nineteen (95%) completed follow up evaluation. Participants reported 4 falls in the month before the intervention and 1 fall the month before the post-intervention evaluation (p=0.34). No other serious adverse events occurred.
This project suggests an evidence-based yoga program designed to improve core strength and balance is feasible and acceptable to participants. Future research will include a randomized trial to assess impact on falls risk.
与当地农村组织合作，制定一项基于证据的哈他瑜伽计划，旨在增强核心力量和平衡能力，以降低跌倒风险。通过成功招募、干预和评估参与者以及不良事件的可接受频率来确定可行性。
单臂试点研究。
威斯康星州一个有4200人的农村小镇。
为期八周的瑜伽计划，每周进行团体课程，并每周进行三次家庭瑜伽练习。
主要结果包括（1）招募至少20名参与者的能力，（2）参与者完成干预和干预后评估，以及（3）不良事件的描述和频率。
招募了一个由20名59岁以上成年人组成的便利样本，开始该计划时有一人退出。参与者平均参加了8节课中的7.1节（标准差1.47），共参加了160节课中的141节（88.1%）。19人（95%）完成了随访评估。参与者报告在干预前一个月有4次跌倒，在干预后评估前一个月有1次跌倒（p = 0.34）。没有发生其他严重不良事件。
该项目表明，一项旨在增强核心力量和平衡能力的基于证据的瑜伽计划对参与者来说是可行且可接受的。未来的研究将包括一项随机试验，以评估对跌倒风险的影响。
