Effects of Restorative Yoga in Patients Post-Stroke

1
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

• 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
  participants 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, lt 60 years of age 1 year
  post-stroke

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
  subjects eyes closed during the test.
• Trial 2 Feet together tandem with no excessive
  sway, loss of balance, or stepping for 20
  seconds with subjects 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
  subjects eyes open during the test.
• Trial 2 Feet together tandem with no excessive
  sway, loss of balance, or stepping for 20
  seconds with subjects eyes open during the test.
• Timed Up and Go (with hemi walker)
• Pre-Test Post-Test
• 1.10.25 minutes 1.00.00 minute
• Barthel Index
• Pre-Test Post-Test
• Score 70 Score 70

Results of Posture
Lateral View
Frontal View
Ankle PROM Plantarflexion
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 subjects function during activities
  of daily living.
• There were no significant changes in the
  subjects 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