Hatha yoga training improves standing balance but not gait in Parkinson's disease

Elangovan, Naveen; Cheung, Corjena; Mahnan, Arash; Wyman, Jean F.; Tuite, Paul; Konczak, Jürgen

doi:10.1016/j.smhs.2020.05.005

Cited by 15 publications

(20 citation statements)

References 38 publications

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“…While there is an existing body of literature supporting the use of in-person yoga for persons with PD, 22 , 23 , 28 , 29 , 70 , 83 – 89 this is one of the first studies to investigate the safety and feasibility of a synchronous tele-yoga intervention for this population. Feasibility trials are important to ensure that larger RCTs are rigorous, feasible and economically justifiable.…”

Section: Discussionmentioning

confidence: 99%

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

James-Palmer

Daneault

2022

DIGITAL HEALTH

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Objectives Despite current standard treatments, persons with Parkinson disease (PD) still experience motor and non-motor symptoms that impact daily function and quality of life, warranting the investigation of additional interventions. Holistic complementary interventions such as yoga have been shown to be beneficial for persons with PD. However, there are multiple barriers to in-person interventions such as transportation difficulties and disease-related mobility impairments which may be mitigated by digital health applications. Therefore, this study’s purpose was to assess the safety and feasibility of a synchronous tele-yoga intervention for persons with PD. Methods Sixteen participants were enrolled in a single group safety and feasibility trial. The entire study was conducted remotely and consisted of a baseline assessment followed by a six-week waiting period, then a second assessment, a six-week tele-yoga intervention period, a post-intervention assessment, a six-week follow-up period, and lastly a follow-up assessment. During the tele-yoga period, participants completed two one-on-one 30-minute tele-yoga sessions weekly for a total of 12 sessions. Primary outcomes included adverse events, adherence, technological challenges, and usability. Secondary outcomes included enjoyment and clinically relevant outcome measures assessing both motor and non-motor symptoms. Results No severe adverse events were attributed to the intervention. Retention was 87.5%, assessment session adherence was 100%, and intervention session adherence was 97%. Technological challenges did not impact feasibility. The intervention was usable and enjoyable. While this study was not powered or designed to assess the efficacy of the intervention, preliminary improvements were shown for some of the clinically relevant outcome measures. Conclusions Overall, this study showed that the implementation of a synchronous one-on-one tele-yoga intervention was safe, feasible, usable, and enjoyable for persons with PD. Randomized control trials investigating its efficacy should be initiated. The study was registered with ClinicalTrials.gov (NCT04240899, https://clinicaltrials.gov/ct2/show/NCT04240899).

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Section: Discussionmentioning

confidence: 99%

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

James-Palmer

Daneault

2022

DIGITAL HEALTH

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“…Elangovan et al. (2020) examined the effect of Hatha yoga training, which was carried out for 60 min twice a week for 12 weeks, on the improvement of the total distance of the COP trajectory in 18 patients with PD classified as HY stages 1–3. The Hatha yoga intervention included various standing poses that were approved by yoga experts who specialize in teaching people with neurological and musculoskeletal conditions.…”

Section: Discussionmentioning

confidence: 99%

“…The Hatha yoga intervention included various standing poses that were approved by yoga experts who specialize in teaching people with neurological and musculoskeletal conditions. The total distance of the COP trajectory during static standing with the eyes open significantly improved (i.e., from 69.1 to 45.7 cm) after the intervention (Elangovan et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

“…The center of pressure (COP) trajectory during static standing has been used in laboratory research and clinical practice for the quantitative assessment of standing balance ability in patients with PD (Błaszczyk et al, 2007; Elangovan et al., 2020; Minamisawa et al., 2009). Rocchi et al (2002) reported that the distance of the COP trajectory was longer in patients with PD than in age‐matched healthy controls, and they suggested that a longer distance reflects impairment of standing balance ability caused by decreased somatosensory input due to basal ganglia disorders such as PD (Rocchi et al., 2002).…”

Section: Introductionmentioning

confidence: 99%

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Effect of LSVT® BIG on standing balance in a Parkinson's patient: A case report

Iwai

Koyama

Takeda

et al. 2021

Physiotherapy Res Intl

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Background and Purpose There are no reports regarding the effect of Lee Silverman Voice Treatment® BIG (LSVT® BIG) on standing balance ability evaluated using quantitative assessment. This case report aimed to describe and evaluate the influence of LSVT® BIG on the center of pressure (COP) trajectory in a patient with Parkinson's disease (PD). Methods Although this paper focused on one case, quantitative assessment on the effect of LSVT® BIG on standing balance ability was performed. A 67‐year‐old woman patient diagnosed with PD at age 59, with a Hoehn and Yahr stage 3 disability severity, underwent a 4‐weeks supervised LSVT® BIG program. The total distances of the COP trajectory (two‐dimensional [2D] horizontal plane, anterior‐posterior [AP] direction, and medial‐lateral [ML] direction), and the mean COP velocity for each direction, postural stability, and posture subsections of the Unified Parkinson's Disease Rating Scale (UPDRS) Part 3 were assessed at pre‐ and post‐intervention. Results The total distances of the COP trajectory, mean COP velocities, and scores of postural stability and posture subsections of the UPDRS Part 3 improved after intervention (from 124.6 to 76.6 cm [2D], 89.4 to 57.7 cm [AP], 77.4 to 38.5 cm [ML]; 4.0 to 2.6 cm/s [2D], 3.0 to 1.9 cm/s [AP], 2.6 to 1.3 cm/s [ML]; and 3 to 0, and 3 to 2, respectively). Discussion LSVT® BIG may be effective in improving the total distance of the COP trajectory, mean COP velocity, and both postural stability and posture subsections of the UPDRS Part 3 in the presented PD case.

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“…Particularly dance and yoga appear to be effective at improving parkinsonian motor symptoms, physical function, and gait speed when delivered at a dose of 60 minutes, twice per week. [60][61][62] Sardinian dance training compared to usual care in early PD has been shown to improve motor symptoms, functional mobility, balance, and fatigue. 61 When expanding the list of studies to those including people with PD for 5 to 7 years, we found further support for Tango dance 63 and yoga 64 as well as for Tai Chi/Qigong.…”

Section: Multimodal Exercisementioning

confidence: 99%

Motor Dysfunction in REM Sleep Behavior Disorder: A Rehabilitation Framework for Prodromal Synucleinopathy

Summers

Rafferty

Howell

et al. 2021

Neurorehabil Neural Repair

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Parkinson disease (PD) and other related diseases with α-synuclein pathology are associated with a long prodromal or preclinical stage of disease. Predictive models based on diagnosis of idiopathic rapid eye movement (REM) sleep behavior disorder (iRBD) make it possible to identify people in the prodromal stage of synucleinopathy who have a high probability of future disease and provide an opportunity to implement neuroprotective therapies. However, rehabilitation providers may be unaware of iRBD and the motor abnormalities that indicate early motor system dysfunction related to α-synuclein pathology. Furthermore, there is no existing rehabilitation framework to guide early interventions for people with iRBD. The purpose of this work is to (1) review extrapyramidal signs of motor system dysfunction in people with iRBD and (2) propose a framework for early protective or preventive therapies in prodromal synucleinopathy using iRBD as a predictive marker. Longitudinal and cross-sectional studies indicate that the earliest emerging motor deficits in iRBD are bradykinesia, deficits performing activities of daily living, and abnormalities in speech, gait, and posture. These deficits may emerge up to 12 years before a diagnosis of synucleinopathy. The proposed rehabilitation framework for iRBD includes early exercise-based interventions of aerobic exercise, progressive resistance training, and multimodal exercise with rehabilitation consultations to address exercise prescription, progression, and monitoring. This rehabilitation framework may be used to implement neuroprotective, multidisciplinary, and proactive clinical care in people with a high likelihood of conversion to PD, dementia with Lewy bodies, or multiple systems atrophy.

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Hatha yoga training improves standing balance but not gait in Parkinson's disease

Cited by 15 publications

References 38 publications

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

Tele-yoga for the management of Parkinson disease: A safety and feasibility trial

Effect of LSVT® BIG on standing balance in a Parkinson's patient: A case report

Motor Dysfunction in REM Sleep Behavior Disorder: A Rehabilitation Framework for Prodromal Synucleinopathy

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