Effects of Restorative Yoga in Patients Post-Stroke

1. Baseline Week 1 Week 2 Week 3 Week 4 Final Ankle Dorsiflexion PROM Knee Flexion -11 -15 No Data -30 No Data 0 Knee Extension -24 -30 No Data -30 No Data -31 Knee PROM Knee Extension -31 -10 No Data -6 No Data -12 Knee Flexion 90 92 No Data 103 No Data 99 Elbow PROM Extension -21 -30 No Data -27 No Data -29  Effects of Restorative Yoga in Patients Post-Stroke Maureen McKenna, PT, PhD, LPC; Peter Bowman, SPT; Carrie Croasmun, SPT; Melissa Kerr, SPT; and Amy Lilley, SPT Department of Physical Therapy, Wheeling Jesuit University, Wheeling, West Virginia Graphs Functional Test Results • Modified Romberg (with hemi walker) Pre-Test Trial 1: Feet apart with no excessive sway, loss of balance, or stepping for 20 seconds with the subject’s eyes closed during the test. Trial 2: Feet together tandem with no excessive sway, loss of balance, or stepping for 20 seconds with subject’s eyes closed during the test. Subject opened eyes twice during test. Post-Test Trial 1: Feet apart with no excessive sway, loss of balance, or stepping for 20 seconds with the subject’s eyes open during the test. Trial 2: Feet together tandem with no excessive sway, loss of balance, or stepping for 20 seconds with subject’s eyes open during the test. • Timed Up and Go (with hemi walker) Pre-TestPost-Test 1.10.25 minutes 1.00.00 minute • Barthel Index Pre-TestPost-Test Score: 70 Score: 70 Results of Posture Lateral View Frontal View Ankle PROM Plantarflexion Purpose: To determine if restorative yoga techniques can improve overall function, mobility, posture, or safety in patients post-stroke who no longer demonstrate improvements in rehabilitation. Hypothesis: It is hypothesized that restorative yoga techniques will increase range of motion (ROM) in the elbow, knee, and ankle, thereby improving overall function, mobility, posture, and safety in patients post-stroke who no longer demonstrate improvements in rehabilitation. Subject: Exclusion Criteria: • Cognitive impairments that would limit participant’s ability to comprehend instructions • A grade of 3+ on the Ashworth Tone Scale • Presentation of spasticity • Participation in any other kind of rehabilitation treatment program Methods: • IRB approval from Wheeling Jesuit University • Informed Consent form • A case study • 1 female volunteer, < 60 years of age ~ 1 year post-stroke • Program consisted of daily restorative yoga positioning for a 30- minute session per day for 6 weeks filled out by participant • Data were collected prior to initiation of program, at mid-program, and at completion of program Materials: • Goniometer • Timed up and go • Romberg Test • Digital Camera • Meter stick • Light reflectors • Barthel Index • Hemi walker Pre-Test • Lateral View • Left Elbow • 41.25” • Left Acromion • 52.0” • Left Knee • 15.50” • Anterior View • Right Elbow • 39.5” • Right Ant. Acromion • 53.5” Knee AROM and PROM Post-Test • Lateral View • Left Elbow • 41.00” • Left Acromion • 51.50” • Left Knee • 16.50” • Anterior View • Unable to obtain secondary to patient dizziness PROM RESULTS • CONCLUSIONS • The results of this case study found that the restorative yoga techniques indicated a slight increase in range of motion, but no change was found in the subject’s function during activities of daily living. • There were no significant changes in the subject’s posture from pre-test to post-test. • Due to the many limiting factors such as hospitalization for respiratory complications, cancellations, and enrollment in another physical therapy intervention, the results from this study are not conclusive. Elbow PROM Extension