Thompson Abigail, Huberty Jennifer, Eckert Ryan, Taylor Matthew J, Ortiz Alexis
Barrett, The Honors College at Arizona State University, Tempe.
University of Texas Health Science Center at San Antonio.
Int J Yoga Therap. 2020 Jan 1;30(1):77-88. doi: 10.17761/2020-D-19-00040.
The positive health effects of yoga have led physical therapists (PTs) to integrate elements of the discipline into their treatments in some settings. Formal PT education includes limited, if any, training in yoga, and there is no system in place to provide education on safely implementing therapeutic yoga (TY) as an adjunctive treatment approach. The purposes of this study were to: (1) assess the readiness of PTs (those who do not currently prescribe TY to patients) to integrate TY into treatment, and (2) determine the feasibility of a 5-week online TY training to improve the readiness of PTs to utilize TY in their practices. Licensed PTs (n = 103) were recruited nationally through social media and email. Eligible and consented PTs registered for a 5-week online TY training course. PTs' perceptions of TY and the role of safety and confidence in prescribing TY to patients were measured at baseline and postintervention. Feasibility outcomes were measured after completion of the course. Benchmarks included: (1) > 70% of PTs would find the course acceptable; (2) > 60% would finish the course; and (3) there would be significant improvements in PTs' perceptions of TY. A total of 95 eligible PTs consented and registered for the course, with 60 (63.1%) completing the intervention. Prior to the training, most PTs felt they were not ready (n = 19/60, 31.7%) or somewhat ready (n = 25/60, 41.7%) to integrate TY. More than half thought the online training was acceptable (n = 50/60, 83.3%) and finished the course (n = 60/95, 63.1%). There were significant improvements in personal readiness and confidence to safely prescribe TY, current understanding/knowledge of TY, and feeling adequately trained to use some form of TY with patients. A 5-week online TY training course is feasible to deliver for improving PTs' readiness to prescribe TY. Future studies are proposed to test the effectiveness of TY training and education with PTs.
瑜伽对健康的积极影响促使物理治疗师（PTs）在某些情况下将该学科的元素融入到他们的治疗中。正规的物理治疗教育对瑜伽的培训即便有，也是有限的，而且目前没有一个系统来提供关于安全实施治疗性瑜伽（TY）作为辅助治疗方法的教育。本研究的目的是：（1）评估物理治疗师（那些目前未向患者开出治疗性瑜伽处方的人）将治疗性瑜伽融入治疗的意愿，以及（2）确定为期5周的在线治疗性瑜伽培训，以提高物理治疗师在其实践中使用治疗性瑜伽的意愿的可行性。通过社交媒体和电子邮件在全国范围内招募了有执照的物理治疗师（n = 103）。符合条件并同意参与的物理治疗师注册参加了为期5周的在线治疗性瑜伽培训课程。在基线和干预后测量了物理治疗师对治疗性瑜伽的看法以及在给患者开治疗性瑜伽处方时安全和信心的作用。在课程结束后测量可行性结果。基准包括：（1）超过70%的物理治疗师会认为该课程是可接受的；（2）超过60%的人会完成课程；以及（3）物理治疗师对治疗性瑜伽的看法会有显著改善。共有95名符合条件的物理治疗师同意并注册了该课程，其中60名（63.1%）完成了干预。在培训前，大多数物理治疗师觉得他们没有准备好（n = 19/60，31.7%）或有点准备好（n = 25/60，41.7%）将治疗性瑜伽融入治疗。超过一半的人认为在线培训是可接受的（n = 50/60，83.3%）并完成了课程（n = 60/95，63.1%）。在安全开出治疗性瑜伽处方的个人意愿和信心、对治疗性瑜伽的当前理解/知识以及感觉有足够的培训来与患者使用某种形式的治疗性瑜伽方面有显著改善。为期5周的在线治疗性瑜伽培训课程对于提高物理治疗师开出治疗性瑜伽处方的意愿是可行的。建议未来的研究测试治疗性瑜伽培训和教育对物理治疗师的有效性。
