School of Communication Sciences and Disorders, University of Central Florida, Orlando.
Department of Communication Sciences and Disorders, Georgia State University, Atlanta.
Am J Speech Lang Pathol. 2022 Jan 18;31(1):133-147. doi: 10.1044/2021_AJSLP-20-00330. Epub 2021 Nov 19.
Recently, the literature has witnessed a surging interest regarding the use of mind-body approaches with people who have aphasia, generating a plethora of possible outcome measures. During this same time, a core outcome set for aphasia has been recommended. The purpose of this clinical focus article is to give our survivor, co-survivor, and clinician stakeholder coauthors a platform to share their personal narrative regarding their yoga journey, with the goal of identifying primary outcome domains central to capturing the impact of yoga on the recovery process for people with poststroke aphasia. Ultimately, we hope this clinical focus article helps clinicians understand how yoga might benefit their patients and draws attention to potential outcome measures, while also highlighting the important fact that traditional aphasia assessments do not capture the improvements stakeholders pinpoint as crucial to the essence of mind-body interventions.
This clinical focus article summarizes the case reports of Terri's and Chase's poststroke yoga journeys using the power of personal narrative and an adapted photovoice method. Additional stakeholders share in this storytelling process, using a variety of narrative tools. As this story is unveiled, several patient-identified outcome domains are highlighted as essential to document the impact of yoga on survivors.
Terri's and Chase's yoga journeys revealed the multifaceted impact of yoga on five domains: (a) feelings of wholeness and "zen," (b) increased attentional capacity for language tasks, (c) increased verbal fluency, (d) decreased pain, and (e) relationship mutuality.
Team Yoga realized that the practice of yoga-whether as a stand-alone practice or integrated into therapy sessions-fosters feelings of wholeness or "zen," which likely correlates with decreased pain with a simultaneous increase in resilience and flexibility of coping strategies to manage the host of chronic poststroke challenges. Supplemental Material https://doi.org/10.23641/asha.17003464.
最近，文献中出现了人们对身心方法在失语症患者中的应用的浓厚兴趣，产生了大量可能的结果测量方法。与此同时，也推荐了一个失语症核心结局集。本文的临床重点是为我们的幸存者、共同幸存者和临床利益相关者合著者提供一个平台，分享他们的瑜伽之旅的个人叙述，目的是确定与中风后失语症患者的瑜伽恢复过程相关的核心结果领域。最终，我们希望这篇临床重点文章能帮助临床医生了解瑜伽如何使他们的患者受益，并引起人们对潜在结果测量的关注，同时也强调了一个重要事实，即传统的失语症评估并不能捕捉到利益相关者指出的对身心干预本质至关重要的改善。
本文通过个人叙述和改编后的照片声音法，总结了 Terri 和 Chase 的中风后瑜伽之旅的案例报告。其他利益相关者也使用各种叙述工具参与到这个讲故事的过程中。随着这个故事的展开，突出了几个患者确定的结果领域，这些领域对于记录瑜伽对幸存者的影响至关重要。
Terri 和 Chase 的瑜伽之旅揭示了瑜伽对五个领域的多方面影响：（a）整体感和“禅意”；（b）对语言任务的注意力增加；（c）语言流畅性增加；（d）疼痛减轻；（e）关系互惠。
“瑜伽团队”意识到，瑜伽的实践——无论是作为一种独立的练习还是整合到治疗课程中——都能培养出整体感或“禅意”，这可能与疼痛减轻有关，同时也增加了韧性和应对策略的灵活性，以应对中风后一系列的慢性挑战。补充材料：https://doi.org/10.23641/asha.17003464。
