Advertisement

Topics

strengtH, flExibility, And baLance THerapY After Stroke

2014-08-27 03:14:13 | BioPortfolio

Summary

Approximately 795,000 people suffer a stroke annually in the United States; 200,000 are recurrent strokes. The 17,000 veterans who suffer a stroke yearly are at great risk for a second stroke and therefore should be targeted for stroke risk factor management and prevention interventions.

Blood pressure (BP) and fear of falling related inactivity are important modifiable stroke risk factors. Both can be addressed through a yoga exercise intervention. Yoga, like tai-chi, is old world alternative medicine that has the potential to greatly impact the lives of older adults.

There are over 40 studies of yoga as a mechanism to lower BP; including 24 controlled studies. Recent reviews indicate evidence to support the use of yoga for people with hypertension, cardiovascular disease, or type 2 diabetes to manage stroke risk factors, including: BP; stress; inactivity; depression; fatigue; sleep; insulin resistance; glucose tolerance; and lipids.

Description

BACKGROUND: Approximately 780,000 people suffer a stroke annually in the United States; 200,000 are recurrent strokes. The 17,000 veterans who suffer a stroke yearly are at great risk for a second stroke and therefore should be targeted for stroke risk factor management and prevention interventions.

Blood pressure (BP) and fear of falling related inactivity are important modifiable stroke risk factors. Both can be addressed through a yoga exercise intervention. Yoga, like tai-chi, is old world alternative medicine that has the potential to greatly impact the lives of older adults.

There are over 40 studies of yoga as a mechanism to lower BP; including 24 controlled studies. Recent reviews indicate evidence to support the use of yoga for people with hypertension, cardiovascular disease, or type 2 diabetes to manage stroke risk factors, including: BP; stress; inactivity; depression; fatigue; sleep; insulin resistance; glucose tolerance; and lipids.

OBJECTIVES: Our long term goal is to develop and test a yoga exercise intervention in a large VA trial for veterans who have survived a TIA to manage secondary stroke risk factors. The objective of this pilot application is to obtain necessary information to support such a trial through the following specific aims: 1) determine the feasibility (including recruitment) of an 8 week yoga based intervention for veterans with stroke; 2) establish an appropriate dosing strategy for a post-TIA 8 week yoga exercise intervention for a future VA yoga implementation trial (Yoga Group, bi-weekly in-person vs Yoga Group Plus, bi-weekly in-person paired with almost daily at home yoga); and 3) estimate the effect size of yoga on the mean change in systolic BP to determine the appropriate VA trial sample size.

METHODS: We propose a mixed methods study to address the feasibility, dosing strategy, and estimation of effect size for the current pilot study. We will recruit 75 veterans to participate in the Yoga Group or Yoga Group Plus; 20 of the veterans will be including as a wait-list control. A registered yoga therapist (RYT) will teach all classes. Qualitative data will include semi-structured interviews after completion of the intervention regarding: veterans' perceived ability to do yoga exercise; satisfaction with the yoga intervention; satisfaction with the YRT; general health benefits for the intervention; and whether they will continue yoga practice. Quantitative data will include compliance and recruitment information as well as multiple standardized assessments before and after the 8 week intervention including: blood pressure readings; fear of falling; gait and mobility assessments; and quality of life; stress assessment; change in physical activity; quality of life. We will compare those in the 2 intervention groups to those in the wait-list control group.

IMPACT: We propose a yoga exercise intervention to manage blood pressure, the primary risk factor for stroke, to help reduce the risk a future TIA or stroke. We anticipate an important impact on veterans' healthcare as there is great potential for yoga to be used as a way to self-manage blood pressure and inactivity; thereby reducing the risk of a future TIA or stroke.

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment

Conditions

Stroke

Intervention

Yoga intervention focused on strength, flexibility, and balance therapy

Location

Richard Roudebush VA Medical Center, Indianapolis
Indianapolis
Indiana
United States
46202-2884

Status

Not yet recruiting

Source

Department of Veterans Affairs

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:14:13-0400

Clinical Trials [3871 Associated Clinical Trials listed on BioPortfolio]

Effects of Yoga Training on Postural Stability

Postural stability can be affected by multiple factors. Such as; body mass, inactivity, age and etc. This study was planned with the aim of investigating the effects of Yoga training on po...

Merging Yoga and Group OT (MY-OT) to Improve Balance and Decrease Fall Risk After Stroke

The long-term goal of this project is to advance best practices in occupational therapy (OT) to manage fall risk factors and reduce fall rates in older adults with stroke. To address this ...

Yoga for Chronic Low Back Pain and Its Mechanism of Action: Impact of Strength and Stretch (YoMA II)

This study is a pilot, randomized controlled trial to provide feasibility and conduct preliminary analyses on physical (strength and stretch) mechanisms associated with a yoga intervention...

Yoga and Occupational Therapy to Improve Pain

This was a randomized control trial of a yoga and self-management intervention for individuals with chronic pain. Participants were assigned to either a wait-list control group (self-manag...

Effects of Yoga, Strength Training and Aerobic Exercise on Cognition in Adult Cancer Survivors

The investigators propose to compare the effects of a 12-week, supervised, site-based group yoga intervention on cognitive function, functional fitness, and well-being in middle-aged cance...

PubMed Articles [20673 Associated PubMed Articles listed on BioPortfolio]

Predictors of Improvement in Physical Function in Older Adults in an Evidence-Based Physical Activity Program (EnhanceFitness).

Declines in strength, flexibility, and balance in older adults can lead to injuries and loss of independence and are particularly common in those of greater age and in worse health. EnhanceFitness (EF...

A randomized experimental evaluation of a yoga-based body image intervention.

Recent literature argues that body image interventions need to become more embodied. This paper evaluates a brief yoga-based body image intervention which incorporates themes specifically tailored to ...

Emotionally Focused Couples Therapy: A Systematic Review of Its Effectiveness over the past 19 Years.

A meta-analysis is the review of several qualifying studies where the findings of each study is analyzed and is then pooled as to determine if an intervention is effective or not. The aim of this meta...

Yoga therapy for military personnel and veterans: Qualitative perspectives of yoga students and instructors.

Millions of military personnel and veterans live with chronic mental and physical health conditions that often do not respond well to pharmacological treatments. Serious side effects and lack of treat...

Practice Variability Combined with Task-Oriented Electromyographic Biofeedback Enhances Strength and Balance in People with Chronic Stroke.

To investigate the effects of practice variability combined with task-oriented electromyographic biofeedback (EMGBFB) on strength and balance in people with chronic stroke.

Medical and Biotech [MESH] Definitions

Intervention that relies on free expression of emotions with coaching to enhance awareness of emotional experiences.

Contextually focused form of cognitive behavioral psychotherapy that uses MINDFULNESS and behavioral activation to increase patients' psychological flexibility in areas such as ability to engage in values-based, positive behaviors while experiencing difficult thoughts, emotions, or sensations.

A major orthodox system of Hindu philosophy based on Sankhya (metaphysical dualism) but differing from it in being theistic and characterized by the teaching of raja-yoga as a practical method of liberating the self. It includes a system of exercises for attaining bodily or mental control and well-being with liberation of the self and union with the universal spirit. (From Webster, 3d ed)

A device that measures MUSCLE STRENGTH during muscle contraction, such as gripping, pushing, and pulling. It is used to evaluate the health status of muscle in sports medicine or physical therapy.

The enhancement of physical, cognitive, emotional and social skills so an individual may participate in chosen activities. Recreational modalities are used in designed intervention strategies, incorporating individual's interests to make the therapy process meaningful and relevant.

More From BioPortfolio on "strengtH, flExibility, And baLance THerapY After Stroke"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topics

Stroke - Cerebrovascular Disease (CVA)
A stroke is a serious medical condition that occurs when the blood supply to part of the brain is cut off. Strokes are a medical emergency and prompt treatment is essential because the sooner a person receives treatment for a stroke, the less damage is ...

Neurology - Central Nervous System (CNS)
Alzheimer's Disease Anesthesia Anxiety Disorders Autism Bipolar Disorders Dementia Epilepsy Multiple Sclerosis (MS) Neurology Pain Parkinson's Disease Sleep Disorders Neurology is the branch of me...

Women's Health
Women's Health - key topics include breast cancer, pregnancy, menopause, stroke Follow and track Women's Health News on BioPortfolio: Women's Health News RSS Women'...


Searches Linking to this Trial