Merging Yoga and Group OT (MY-OT) to Improve Balance and Decrease Fall Risk After Stroke
- Conditions
- Stroke
- Interventions
- Other: yoga and occupational therapy
- Registration Number
- NCT02933515
- Lead Sponsor
- Colorado State University
- 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.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 14
- 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.
- people with life expectancy <9 months;
- inability to attend sessions due to unresolved transportation issues;
- inability or refusal to provide informed consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Yoga and occupational therapy yoga and occupational therapy twice a week for 8 weeks. one hour of group occupational therapy for fall risk factor management and one hour of yoga for balance
- Primary Outcome Measures
Name Time Method Change in balance using Berg Balance Scale 8 weeks 14 items to assess balance
- Secondary Outcome Measures
Name Time Method 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