Copyright (c) 2020 Sailee Wakade
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Added Effect of Yoga-Based Exercise Program on Balance and Fear of Fall in Chronic Post-Stroke Hemiparetics
Corresponding Author(s) : Sailee Wakade
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 6 No. 1 (2018): 2018 Volume 6- Issue -1
Abstract
Background and aims
The purpose of the study was to find out the added effect of Yoga-based exercise program alongwith conventional balance exercises on balance and fear of fall in chronic post-stroke hemiparetics. Balance in stroke patients is affected due to decrease in muscle strength, myotonus changes, sensory defect, abnormal posture reaction, and cognitive problems, and lack of central integration of somtosensory, vestibular and visual sensory inputs. Yoga has been known to improve strength in voluntary muscles and has an effect of somatosensory system.
Methods
An experimental study was carried out On 10 stroke patients picked through purposive random sampling in Talegoan Dabhade, 5 in the control group were given conventional balance exercises and 5 were given added Yoga exercises including asanas and pranayama(breathing exercises) for 4 weeks, 4 sessions per week. Pre and post outcome measures: POMA for balance and FES for fear of fall were taken.
Results
There was more improvement in POMA scores with a p-value of 0.01039 and FES scores with p-value 0.01739 in the experimental group which is statistically significant and hence favours the study.
Keywords
Yoga
Balance
Asanas
Conventional exercises
References
-
Umphred‘s Neurological Rehabilitation by Darcy A. Umphred, Roland T. Lazaro, Margaret T. Roller, Gordon U. Borton. Movement Dysfunctions associated with Hemiplegia by Susan D. Ryerson 6(23).
[2]. Stroke Epidemiology and Stroke Care Services in India. Jeyaraj Durai Pandian and Paulin Sudhan [3]. [Bonan I. V., Colle F. M., Guichard J. P., Vicaut E., Eisenfisz M.. et al. Reliance on visual information after stroke. Part I: balance on dynamic posturography. Arch Phys Med Rehabil. 85, 2004, 268–273. [4]. S. F., Hanley M., Chillala J., Selley A., Tallis R. C. Balance Disability after Stroke. Phys Ther. 86, 2006, 30–38. [5]. 12. Smania N., Picelli A., Gandolfi M., Fiaschi A., Tinazzi M. Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: a before/after pilot study. Neurol Sci. 5, 2008, 313–319.
[6]. Vahia NS, Vinekar SL, Doongaji DR. Some ancient Indian concepts in the treatment of psychiatric disorders. Br J Psychiatry 112(492), 1966, 1089–1096.
[7]. Yoga and Rehabilitation by Nilima Patel.
[8]. Poststroke Balance Improves With Yoga: A Pilot Study. Arlene A. Schmid, PhD, OTR; Marieke Van Puymbroeck, PhD, CTRS; Peter A. Altenburger, PhD, PT;Nancy L. Schalk, RYT; Tracy A. Dierks, PhD; Kristine K. Miller, PT; Teresa M. Damush, PhD, Dawn M. Bravata, MD; Linda S. Williams, MD. 2012
[9]. Measures of Adult GeneralPerformance Tests. The Berg Balance Scale, Dynamic Gait Index (DGI), Gait. Velocity, Physical. Performance Test (PPT), Timed Chair Stand Test, Timed Up and Go, and Tinetti. Performance-Oriented Mobility Assessment (POMA). Karen W. Hayes and Marjorie E. Johnson. [10]. Falls Efficacy as a Measure of Fear of Falling: Mary E. Tinetti Donna Richman Lynda Powell. [11]. 1st Place: The Effectiveness of Yoga Therapy on an Adult, Post-Stroke Population: A Systematic Review (Final Research Paper): Baylor E. Hogan
[12]. Core muscle function during specific yoga poses Meng Ni a , Kiersten Mooney b, Kysha Harriell a , Anoop Balachandrana , Joseph Signorilea
[13]. A review on assessment and treatment of the trunk in stroke: A need or luxury: Suruliraj Karthikbabu,1 Mahabala Chakrapani,2 Sailakshmi Ganeshan,3 Kedambadi C Rakshith,4 Syed Nafeez,1 and Venkatesan Prem. [14]. Queiroz BC, Cagliari MF, Amorim CF, Sacco IC. Muscle activation during four pilates core stability exercises in quadruped position. Arch Phys Med Rehabil 2.
[15]. Winter D, Eng J, Ishac M, Craik R, Oatis C. A review of kinetic parameters in human walking. Gait analysis: theory and application. St Louis, MO: Mosby; 1995, 252—270 [16]. Medical Yoga TherapyIna Stephens:Department of Pediatrics, University of Virginia Medical Center, Charlottesville, VA 22903, USA,Academic Editor: Hilary McClafferty Received: 2017 / Published: 10 2017 [17]. Cramer, H. The Efficacy and Safety of Yoga in Managing Hypertension. Exp. Clin. Endocrinol. Diabetes 124, 2016, 65–70 [18]. Guglietti, C.L.; Daskalakis, Z.J.; Radhu, N.; Fitzgerald, P.B.; Ritvo, P. Meditation-related increases in GABAB modulated cortical inhibition. Brain Stimul. 6, 2013, 397–402 [19]. Streeter, C.C.; Jensen, J.E.; Perlmutter, R.M.; Cabral, H.J.; Tian, H.; Terhune, D.B.; Ciraulo, D.A.; Renshaw, P.F. Yoga Asana Sessions Increase Brain GABA Levels. J. Altern. Complement. Med. 13, 2007, 419–426. [20]. The effects of ankle strategy exercises on unstable surfaces on dynamic balance and changes in the COP: Ki-Hyeon Park, MS, PT,1 Jin-Yong Lim, PhD, PT,1 and Tae-Ho Kim, PhD, PT1,* [21]. Christovão TC, Neto HP, Grecco LA, et al: Effect of different insoles on postural balance: a systematic review. J Phys Ther Sci, 25, 2013, 1353–1356 [22]. Bisson EJ, Remaud A, Boyas S, et al: Effects of fatiguing isometric and isokinetic ankle exercises on postural control while standing on firm and compliant surfaces. J Neuroeng Rehabil, 9, 39 [23]. Yuk GC: The acute effects of 15 minutes plantarflexor static stretch in quite stance. J Korean Soc Phys Med, 7, 2012, 191–197.
References
Umphred‘s Neurological Rehabilitation by Darcy A. Umphred, Roland T. Lazaro, Margaret T. Roller, Gordon U. Borton. Movement Dysfunctions associated with Hemiplegia by Susan D. Ryerson 6(23).
[2]. Stroke Epidemiology and Stroke Care Services in India. Jeyaraj Durai Pandian and Paulin Sudhan [3]. [Bonan I. V., Colle F. M., Guichard J. P., Vicaut E., Eisenfisz M.. et al. Reliance on visual information after stroke. Part I: balance on dynamic posturography. Arch Phys Med Rehabil. 85, 2004, 268–273. [4]. S. F., Hanley M., Chillala J., Selley A., Tallis R. C. Balance Disability after Stroke. Phys Ther. 86, 2006, 30–38. [5]. 12. Smania N., Picelli A., Gandolfi M., Fiaschi A., Tinazzi M. Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: a before/after pilot study. Neurol Sci. 5, 2008, 313–319.
[6]. Vahia NS, Vinekar SL, Doongaji DR. Some ancient Indian concepts in the treatment of psychiatric disorders. Br J Psychiatry 112(492), 1966, 1089–1096.
[7]. Yoga and Rehabilitation by Nilima Patel.
[8]. Poststroke Balance Improves With Yoga: A Pilot Study. Arlene A. Schmid, PhD, OTR; Marieke Van Puymbroeck, PhD, CTRS; Peter A. Altenburger, PhD, PT;Nancy L. Schalk, RYT; Tracy A. Dierks, PhD; Kristine K. Miller, PT; Teresa M. Damush, PhD, Dawn M. Bravata, MD; Linda S. Williams, MD. 2012
[9]. Measures of Adult GeneralPerformance Tests. The Berg Balance Scale, Dynamic Gait Index (DGI), Gait. Velocity, Physical. Performance Test (PPT), Timed Chair Stand Test, Timed Up and Go, and Tinetti. Performance-Oriented Mobility Assessment (POMA). Karen W. Hayes and Marjorie E. Johnson. [10]. Falls Efficacy as a Measure of Fear of Falling: Mary E. Tinetti Donna Richman Lynda Powell. [11]. 1st Place: The Effectiveness of Yoga Therapy on an Adult, Post-Stroke Population: A Systematic Review (Final Research Paper): Baylor E. Hogan
[12]. Core muscle function during specific yoga poses Meng Ni a , Kiersten Mooney b, Kysha Harriell a , Anoop Balachandrana , Joseph Signorilea
[13]. A review on assessment and treatment of the trunk in stroke: A need or luxury: Suruliraj Karthikbabu,1 Mahabala Chakrapani,2 Sailakshmi Ganeshan,3 Kedambadi C Rakshith,4 Syed Nafeez,1 and Venkatesan Prem. [14]. Queiroz BC, Cagliari MF, Amorim CF, Sacco IC. Muscle activation during four pilates core stability exercises in quadruped position. Arch Phys Med Rehabil 2.
[15]. Winter D, Eng J, Ishac M, Craik R, Oatis C. A review of kinetic parameters in human walking. Gait analysis: theory and application. St Louis, MO: Mosby; 1995, 252—270 [16]. Medical Yoga TherapyIna Stephens:Department of Pediatrics, University of Virginia Medical Center, Charlottesville, VA 22903, USA,Academic Editor: Hilary McClafferty Received: 2017 / Published: 10 2017 [17]. Cramer, H. The Efficacy and Safety of Yoga in Managing Hypertension. Exp. Clin. Endocrinol. Diabetes 124, 2016, 65–70 [18]. Guglietti, C.L.; Daskalakis, Z.J.; Radhu, N.; Fitzgerald, P.B.; Ritvo, P. Meditation-related increases in GABAB modulated cortical inhibition. Brain Stimul. 6, 2013, 397–402 [19]. Streeter, C.C.; Jensen, J.E.; Perlmutter, R.M.; Cabral, H.J.; Tian, H.; Terhune, D.B.; Ciraulo, D.A.; Renshaw, P.F. Yoga Asana Sessions Increase Brain GABA Levels. J. Altern. Complement. Med. 13, 2007, 419–426. [20]. The effects of ankle strategy exercises on unstable surfaces on dynamic balance and changes in the COP: Ki-Hyeon Park, MS, PT,1 Jin-Yong Lim, PhD, PT,1 and Tae-Ho Kim, PhD, PT1,* [21]. Christovão TC, Neto HP, Grecco LA, et al: Effect of different insoles on postural balance: a systematic review. J Phys Ther Sci, 25, 2013, 1353–1356 [22]. Bisson EJ, Remaud A, Boyas S, et al: Effects of fatiguing isometric and isokinetic ankle exercises on postural control while standing on firm and compliant surfaces. J Neuroeng Rehabil, 9, 39 [23]. Yuk GC: The acute effects of 15 minutes plantarflexor static stretch in quite stance. J Korean Soc Phys Med, 7, 2012, 191–197.
[2]. Stroke Epidemiology and Stroke Care Services in India. Jeyaraj Durai Pandian and Paulin Sudhan [3]. [Bonan I. V., Colle F. M., Guichard J. P., Vicaut E., Eisenfisz M.. et al. Reliance on visual information after stroke. Part I: balance on dynamic posturography. Arch Phys Med Rehabil. 85, 2004, 268–273. [4]. S. F., Hanley M., Chillala J., Selley A., Tallis R. C. Balance Disability after Stroke. Phys Ther. 86, 2006, 30–38. [5]. 12. Smania N., Picelli A., Gandolfi M., Fiaschi A., Tinazzi M. Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: a before/after pilot study. Neurol Sci. 5, 2008, 313–319.
[6]. Vahia NS, Vinekar SL, Doongaji DR. Some ancient Indian concepts in the treatment of psychiatric disorders. Br J Psychiatry 112(492), 1966, 1089–1096.
[7]. Yoga and Rehabilitation by Nilima Patel.
[8]. Poststroke Balance Improves With Yoga: A Pilot Study. Arlene A. Schmid, PhD, OTR; Marieke Van Puymbroeck, PhD, CTRS; Peter A. Altenburger, PhD, PT;Nancy L. Schalk, RYT; Tracy A. Dierks, PhD; Kristine K. Miller, PT; Teresa M. Damush, PhD, Dawn M. Bravata, MD; Linda S. Williams, MD. 2012
[9]. Measures of Adult GeneralPerformance Tests. The Berg Balance Scale, Dynamic Gait Index (DGI), Gait. Velocity, Physical. Performance Test (PPT), Timed Chair Stand Test, Timed Up and Go, and Tinetti. Performance-Oriented Mobility Assessment (POMA). Karen W. Hayes and Marjorie E. Johnson. [10]. Falls Efficacy as a Measure of Fear of Falling: Mary E. Tinetti Donna Richman Lynda Powell. [11]. 1st Place: The Effectiveness of Yoga Therapy on an Adult, Post-Stroke Population: A Systematic Review (Final Research Paper): Baylor E. Hogan
[12]. Core muscle function during specific yoga poses Meng Ni a , Kiersten Mooney b, Kysha Harriell a , Anoop Balachandrana , Joseph Signorilea
[13]. A review on assessment and treatment of the trunk in stroke: A need or luxury: Suruliraj Karthikbabu,1 Mahabala Chakrapani,2 Sailakshmi Ganeshan,3 Kedambadi C Rakshith,4 Syed Nafeez,1 and Venkatesan Prem. [14]. Queiroz BC, Cagliari MF, Amorim CF, Sacco IC. Muscle activation during four pilates core stability exercises in quadruped position. Arch Phys Med Rehabil 2.
[15]. Winter D, Eng J, Ishac M, Craik R, Oatis C. A review of kinetic parameters in human walking. Gait analysis: theory and application. St Louis, MO: Mosby; 1995, 252—270 [16]. Medical Yoga TherapyIna Stephens:Department of Pediatrics, University of Virginia Medical Center, Charlottesville, VA 22903, USA,Academic Editor: Hilary McClafferty Received: 2017 / Published: 10 2017 [17]. Cramer, H. The Efficacy and Safety of Yoga in Managing Hypertension. Exp. Clin. Endocrinol. Diabetes 124, 2016, 65–70 [18]. Guglietti, C.L.; Daskalakis, Z.J.; Radhu, N.; Fitzgerald, P.B.; Ritvo, P. Meditation-related increases in GABAB modulated cortical inhibition. Brain Stimul. 6, 2013, 397–402 [19]. Streeter, C.C.; Jensen, J.E.; Perlmutter, R.M.; Cabral, H.J.; Tian, H.; Terhune, D.B.; Ciraulo, D.A.; Renshaw, P.F. Yoga Asana Sessions Increase Brain GABA Levels. J. Altern. Complement. Med. 13, 2007, 419–426. [20]. The effects of ankle strategy exercises on unstable surfaces on dynamic balance and changes in the COP: Ki-Hyeon Park, MS, PT,1 Jin-Yong Lim, PhD, PT,1 and Tae-Ho Kim, PhD, PT1,* [21]. Christovão TC, Neto HP, Grecco LA, et al: Effect of different insoles on postural balance: a systematic review. J Phys Ther Sci, 25, 2013, 1353–1356 [22]. Bisson EJ, Remaud A, Boyas S, et al: Effects of fatiguing isometric and isokinetic ankle exercises on postural control while standing on firm and compliant surfaces. J Neuroeng Rehabil, 9, 39 [23]. Yuk GC: The acute effects of 15 minutes plantarflexor static stretch in quite stance. J Korean Soc Phys Med, 7, 2012, 191–197.