Wims Mary E, McIntyre Shayla M, York Ann, Covill Laura G
Des Moines University, Iowa.
Int J Yoga Therap. 2017 Nov;27(1):69-79. doi: 10.17761/1531-2054-27.1.69.
How physical therapists (PTs) in the United States currently use yoga in their clinical practices is unknown. The purpose of this study was to determine how PTs in the United States view yoga as a physical therapy (PT) tool and how PTs use yoga therapeutically. The authors conducted a 24-item survey via electronic communications of the Geriatric, Orthopedic, Pediatric, and Women's Health Sections of the American Physical Therapy Association. Participants (n = 333) from 47 states and the District of Columbia replied. Reported use of therapeutic yoga among participants was high (70.6%). Of those participants, nearly a third use asana and pranayama only. Most participants using therapeutic yoga also include additional mindfulness-related elements such as sensory awareness, concentration/focus, and/or meditation. Most participants learned about yoga through personal experiences, with many participants citing lack of familiarity in using yoga in PT practice. Safety is the primary concern of participants when recommending yoga to patients as an independent health and wellness activity. Interdisciplinary communication between PTs, yoga therapists, and yoga teachers is warranted to address the post-discharge needs of clients. Healthcare changes have required PTs to adapt to a biopsychosocial-spiritual model (BPSS) for improved patient outcomes. Therapeutic yoga may provide an opportunity for PTs to expand their role in health and wellness and chronic disease management. There is opportunity for continuing education in therapeutic yoga for PTs.
目前尚不清楚美国的物理治疗师(PTs)在其临床实践中如何使用瑜伽。本研究的目的是确定美国的物理治疗师如何看待瑜伽作为一种物理治疗(PT)工具,以及他们如何将瑜伽用于治疗。作者通过美国物理治疗协会老年病科、骨科、儿科和女性健康科的电子通讯进行了一项包含24个项目的调查。来自47个州和哥伦比亚特区的333名参与者进行了回复。参与者中报告使用治疗性瑜伽的比例很高(70.6%)。在这些参与者中,近三分之一仅使用体式和调息法。大多数使用治疗性瑜伽的参与者还包括其他与正念相关的元素,如感官意识、专注/注意力和/或冥想。大多数参与者通过个人经历了解瑜伽,许多参与者表示在物理治疗实践中对使用瑜伽缺乏熟悉度。当向患者推荐瑜伽作为一项独立的健康和保健活动时,安全性是参与者的主要关注点。物理治疗师、瑜伽治疗师和瑜伽教师之间的跨学科沟通对于满足患者出院后的需求是必要的。医疗保健的变化要求物理治疗师适应生物心理社会-精神模型(BPSS)以改善患者的治疗效果。治疗性瑜伽可能为物理治疗师提供一个机会,以扩大他们在健康和保健以及慢性病管理方面的作用。物理治疗师有机会接受治疗性瑜伽方面的继续教育。