IJPR.2019.144
Type of Article: Original Research
Volume 7; Issue 4 (August 2019)
Page No.: 3145-3149
DOI: https://dx.doi.org/10.16965/ijpr.2019.144
IDENTIFICATION OF IMPORTANT CONSTITUENT ELEMENTS OF YOGA INTERVENTIONS FOR ADULT PATIENTS WITH NEUROLOGICAL CONDITIONS: A PRELIMINARY DELPHI STUDY
Sukanya P Dandekar *1, Suvarna Ganvir 2.
*1 Postgraduate, Department of Neuro Sciences, PDVVPF’s, College of Physiotherapy,Vilad, Ahmednagar, Maharashtra, India.
2 HOD and Professor, Department of Neuro Sciences, Department of Neuro Sciences, PDVVPF’s, College of Physiotherapy,Vilad, Ahmednagar, Maharashtra, India.
Address for Correspondence: Dr. Sukanya P Dandekar, Postgraduate, Department of Neuro Sciences, PDVVPF’s, College of Physiotherapy,Vilad, Ahmednagar, Maharashtra, India. E-Mail: sukanya.dandekar@gmail.com
ABSTRACT
Background: Evidence suggests yoga is a safe and effective intervention for the management of physical and psychosocial symptoms associated with neurological conditions. However, heterogeneity in the components and reporting of clinical yoga trials impedes both the generalization of study results and the replication of study protocols. The aim of this Delphi survey was to address these issues of heterogeneity, by developing a list of recommendations of key components for the design and reporting of yoga interventions for neurological conditions.
Methods: Recognized experts involved in the design, conduct, and teaching of yoga for neurological conditions were identified, and invited to contribute to the Delphi survey. 12 of the 38 experts contacted agreed to participate. Round 1 presented an open-ended question, allowing panelists to individually identify components they considered key to the design and reporting of yoga interventions for neurological conditions.
Results: Twelve panelists completed the one round of the Delphi survey. Panelists provided 35 comments to the Round 1 question. These comments were then reduced to 13 items such as breathing exercises, posture, cognition, meditation, balance, etc.
Conclusions: Expert have provided a non-prescriptive reference list for the design and reporting of yoga interventions for neurological conditions. It is anticipated that future research incorporating the Delphi guidelines will facilitate high quality international research in this field, increase homogeneity of intervention components and parameters, and enhance the comparison and reproducibility of research into the use of yoga for the management of neurological conditions.
Key words: Yoga, neurological conditions, Delphi.
REFERENCES
- Bower JE, Greendalee G, Crosswell AD, Garet D, Sternlie B, Ganz PA, et al.Yoga reduces inflammatory signaling in fatigued breast cancer survivors: a randomized controlled trial. Psychoneuroendocrinology 2014;43:20-9. [PUBMED: 24703167]
- Oken BS. Randomized, controlled, six-month trial of yoga in healthy seniors: effects on cognition and quality of life. Alternative Therapies in Health and Medicine 2006;12(1): 40–7.
- Wahbeh H, Elsas SM, Oken BS. Mind-body interventions: applications in neurology. Neurology 2008;70(24):2321–8. [PUBMED: 18541886]
- DiBenedetto M, Innes KE, Taylor AG, Rodeheaver PF, Boxer JA, Wright HJ, et al.Effect of a gentle Iyengar yoga program on gait in the elderly: an exploratory study.Archives of Physical Medicine and Rehabilitation 2005;86(9): 1830-7. [PUBMED: 16181950]
- Tran MD, Holly RG, Lashbrook J, Amsterdam EA. Effects of hatha yoga practice on the health-related aspects of physical fitness. Preventive Cardiology 2001;4(4):165-70. [PUBMED: 11832673]
- Garrett R, ImminkMA,Hillier S. Becoming connected: the lived experience of yoga participation after stroke. Disability and Rehabilitation 2011;33(25-26):2404-15. [PUBMED: 19623830]
- Taylor MJ. Yoga therapeutics: an ancient dynamic systems theory. Techniques in Orthopedics 2003;18(1):115-25.
- Ross A, Thomas S. The health benefits of yoga and exercise: a review of comparison studies. Journal of Alternative and Complementary Medicine 2010;16(1):3-12. [PUBMED: 20105062]
- Yoga for stroke rehabilitation Maggie Lawrence Lawrence M, Junior FT, Matozinho HH, Govan L, Booth J, Beecher J. Yoga for stroke rehabilitation. Cochrane Database of Systematic Reviews. 2017(12).
- Yoga and Mindfulness as Therapeutic Interventions for Stroke Rehabilitation: A Systematic Review Lazaridou A, Philbrook P, Tzika AA. Yoga and mindfulness as therapeutic interventions for stroke rehabilitation: a systematic review. Evidence-Based Complementary and Alternative Medicine. 2013.
- WHO 2002 World Health Organization. WHO Traditional Medicine Strategy 2002-2005. Geneva: World Health Organization, 2002.
- Cramer 2014 Cramer H, Lauche R, Haller H, Steckhan N, Michalsen A, Dobos G. Effects of yoga on cardiovascular disease risk factors: a systematic review and meta-analysis. International Journal of Cardiology 2014;173(2):170–83. [PUBMED: 24636547]
- O’Connor D, Marshall SC, Massy-Westropp N, Pitt V.Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database of Systematic Reviews 2003, Issue 1. [DOI: 10.1002/ 14651858.CD003219]
- Uebelacker LA, Epstein-Lubow G, Gaudiano BA, Tremont G, Battle CL, Miller IW. Hatha yoga for depression: a critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research. Journal of Psychiatric Practice
- Bosch PR, Traustadottir T, Howard P, Matt KS. Functional and physiological effects of yoga in women with rheumatoid arthritis: a pilot study. Alternative Therapies in Health and Medicine 2009;15(4):24-31. [PUBMED: 19623830]
- Bower JE,Woolery A, Sternlieb B, Garet D. Yoga for cancer patients and survivors. Cancer Control Journal 2005;12(3): 165-71. [PUBMED: 16062164]
- Mishra SK, Singh P, Bunch SJ, Zhang R. The therapeutic value of yoga in neurological disorders. Annals of Indian Academy of Neurology. 2012 Oct;15(4):247.
- Altenburger PA, Schmid A, Van Puymbroeck M, Miller KK. Impact of yoga on postural stability in stroke. International Journal of Neurorehabilitation. 2016;3(1):195.
- Schmid AA, Van Puymbroeck M, Altenburger PA, Schalk NL, Dierks TA, Miller KK, Damush TM, Bravata DM, Williams LS. Poststroke balance improves with yoga: a pilot study. Stroke. 2012 Sep;43(9):2402-7.
- Colgrove YS, Sharma N, Kluding P, Potter D, Imming K, VandeHoef J. Effect of yoga on motor function in people with Parkinson’s disease: a randomized, controlled pilot study. J Yoga Phys Ther. 2012;2(2):112.
- C. Streeter, P. L. Gerbarg, R. B. Saper, D. A. Ciraulo, and R. P.Brown. Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical Hypotheses, 2012;78(5):571–579.
- Nidhi, V. Padmalatha, R. Nagarathna, and R. Amritanshu. Effects of a holistic yoga program on endocrine parameters in adolescents with polycystic ovarian syndrome: a randomized controlled trial. Journal of Alternative and Complementary Medicine, 2013;19(2):153–160.
- E. Papp, P. Lindfors, N. Storck, and P. E.Wandell. Increased heart rate variability but no effect on blood pressure from 8 weeks of hatha yoga—a pilot study. BMC Research Notes, 2013;6,:article 59.
- F. Santaella, C. R. Devesa,M. R. Rojo et al., Yoga respiratory training improves respiratory function and cardiac sympathovagal balance in elderly subjects: a randomised controlled trial. BMJ Open 2011;1(1) Article ID e000085.
- Arora and J. Bhattacharjee, “Modulation of immune responses in stress by Yoga,” International Journal of Yoga 2008;1(2):45–55.
- Schmid AA, Van Puymbroeck M, Altenburger PA, Schalk NL, Dierks TA, Miller KK, Damush TM, Bravata DM, Williams LS. Poststroke balance improves with yoga: a pilot study. Stroke. 2012 Sep;43(9):2402-7.