Paniccia Melissa, Knafo Ruby, Thomas Scott, Taha Tim, Ladha Alysha, Thompson Laura, Reed Nick
Melissa Paniccia, PhD, MScOT, OT Reg. (Ont.), is Postdoctoral Fellow, Concussion Centre, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Postdoctoral Fellow, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada;
Ruby Knafo, MScOT, OT Reg. (Ont.), is Occupational Therapist and Yoga Instructor, Concussion Centre, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
Am J Occup Ther. 2019 Jan/Feb;73(1):7301205040p1-7301205040p11. doi: 10.5014/ajot.2019.027672.
We explored the potential impact of mindfulness-based yoga (MBY) for youth with persistent concussion by examining occupation-based and neurophysiological outcomes.
In this case series design study, 6 youths ages 13-17 yr with concussion symptoms for >4 wk participated in an 8-wk MBY intervention, 1×/wk for 45 min. Participation, self-efficacy, and heart rate variability (24 hr) were collected before, after, and 3 mo after the intervention. Heart rate variability was also measured during each session.
Trends of increased self-efficacy in academic, social, and emotional domains were found after MBY and maintained at 3-mo follow-up. Trends of increasing heart rate variability were also found pre- to postintervention and within the eight MBY sessions.
Preliminary results reveal positive trends after a novel, safe intervention for youth with persistent concussion symptoms and the value of exploring both occupation-based and neurophysiological measures. Future research with a larger sample and control group is warranted.
通过研究基于职业和神经生理学的结果，探讨基于正念的瑜伽（MBY）对患有持续性脑震荡的青少年的潜在影响。
在这项病例系列设计研究中，6名年龄在13 - 17岁、脑震荡症状持续超过4周的青少年参加了为期8周的MBY干预，每周1次，每次45分钟。在干预前、干预后和干预后3个月收集参与情况、自我效能感和心率变异性（24小时）。在每次课程期间也测量心率变异性。
在MBY干预后，在学术、社交和情感领域发现了自我效能感增加的趋势，并在3个月随访时保持。在干预前到干预后以及在八次MBY课程期间也发现了心率变异性增加的趋势。
初步结果显示，对患有持续性脑震荡症状的青少年进行一种新颖、安全的干预后出现了积极趋势，以及探索基于职业和神经生理学测量方法的价值。有必要进行更大样本和对照组的未来研究。
