Stroke
Conditions
Keywords
yoga, occupational therapy, stroke
Brief summary
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 long-term goal, this team previously developed and pilot-tested a therapeutic yoga intervention to improve balance, balance self-efficacy, and fear of falling and a group OT intervention to improve the management of fall risk factors and fear of falling. The success of both prior studies supports Merging Yoga and group OT to improve balance, balance self-efficacy, and fall risk factor management. The objectives of this feasibility study are to 1) further develop, standardize, and manualize the MY-OT intervention and 2) assess change in balance, balance self-efficacy, and fall risk factor management.
Detailed description
8 week intervention of yoga plus occupational therapy. The objectives of this feasibility study are to 1) further develop, standardize, and manualize the MY-OT intervention and 2) assess change in balance, balance self-efficacy, and fall risk factor management.
Interventions
OTHERyoga and occupational therapy
group OT addressed fall risk factors, such as risk factors inside and outside and how to best manage them. yoga was delivered in sitting, standing, and floor postures
Sponsors
American Occupational Therapy Foundation
Colorado State University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
59 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* stroke \>6 months prior * 59 years or older * prior fall or Fear of Falling (FoF) * completed all stroke rehabilitation * able to stand with or without an assistive device * impaired balance with a score of \<46 on the Berg Balance Scale * able to speak English * score \>4 out of 6 on the short Mini Mental Status Exam (Callahan, Unverzagt et al., 2002) * able and willing to attend twice weekly sessions for 8 weeks.
Exclusion criteria
* people with life expectancy \<9 months; * inability to attend sessions due to unresolved transportation issues; * inability or refusal to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in balance using Berg Balance Scale | 8 weeks | 14 items to assess balance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in balance confidence using Activities Balance Confidence Scale | 8 weeks | assess balance self-efficacy or confidence to maintain balance while doing different actions |
| Change in falls management behaviors using the Falls Management Behavior Questionnaire | 8 weeks | assess the knowledge of how to manage and change behaviors associated with falls |
Outcome results
None listed