The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind study
Abstract Purposes Hip fracture leads to decreased activity and an increased risk of pulmonary complications. The main purpose of this study was to observe the lung capacity, cough capacity of the elderly patient with acute hip fracture, and assess the effects and the feasibility of using a special-d...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2019-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1295-6 |
| _version_ | 1798042097034461184 |
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| author | Jinli Guo Chaona Gao Haifeng Xin Jiahui Li Bing Li Zhuan Wei Yiting Yue |
| author_facet | Jinli Guo Chaona Gao Haifeng Xin Jiahui Li Bing Li Zhuan Wei Yiting Yue |
| author_sort | Jinli Guo |
| collection | DOAJ |
| description | Abstract Purposes Hip fracture leads to decreased activity and an increased risk of pulmonary complications. The main purpose of this study was to observe the lung capacity, cough capacity of the elderly patient with acute hip fracture, and assess the effects and the feasibility of using a special-designed “upper-body yoga” training to treat elderly patients with hip fracture. Methods This was a prospective, randomized, and single-blind study. Eighty-four subjects aged over 65 years were randomly divided into either a control group or a yoga group to undergo an abdominal breathing program or an “upper-body yoga” program until 4 weeks after surgery. The primary outcomes were forced vital capacity/predicted value (FVC%), peak cough flow (PCF), Barthel Index (BI), and the incidence of pneumonia. The secondary outcomes were the rates of right skills and inclination. Results Thirty-nine subjects in the yoga group and 40 subjects in the control group completed this study. At the end of the first training week, FVC% (74.14% ± 13.11% vs. 70.87% ± 10.46%, P = 0.231) showed no significant difference between the two groups, while the value of PCF (204.80 ± 33.45 L/min vs. 189.06 ± 34.80 L/min, P = 0.048) and BI (38.59 ± 8.66 vs. 33.00 ± 9.32, P = 0.009) in the yoga group was higher. After 4 weeks of treatment, FVC%, PCF, and BI were higher in the yoga group (78.83% ± 13.31 % vs. 72.20% ± 10.53%, P = 0.016; 216.16 ± 39.29 L/min vs. 194.95 ± 31.14 L/min, P = 0.008; 70.77 ± 10.23 vs. 65.75 ± 11.30, P = 0.019). One in the control group and nobody in the yoga group was diagnosed with pneumonia. There was no significant difference between the two groups in terms of the rates of right skills, whereas more elderly people preferred the training program of the “upper-body yoga.” Conclusion Elderly patients with acute hip fractures are at risk of impaired lung capacity and inadequate cough. “Upper-body yoga” training may improve the quality of daily life, vital capacity, and cough flow in elderly patients, making it a better choice for bedridden patients with hip fracture. |
| first_indexed | 2024-04-11T22:30:44Z |
| format | Article |
| id | doaj.art-01c5c5882f944042973e1b4d81eff534 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T22:30:44Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-01c5c5882f944042973e1b4d81eff5342022-12-22T03:59:23ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-08-011411810.1186/s13018-019-1295-6The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind studyJinli Guo0Chaona Gao1Haifeng Xin2Jiahui Li3Bing Li4Zhuan Wei5Yiting Yue6Department of Orthopedic, the Second Hospital of Shanxi Medical UniversityDepartment of Orthopedic, the Second Hospital of Shanxi Medical UniversityDepartment of Operating Room, the Second Hospital of Shanxi Medical UniversityDepartment of Orthopedic, the Second Hospital of Shanxi Medical UniversityDepartment of Orthopedic, the Second Hospital of Shanxi Medical UniversityNursing College of Shanxi Medical UniversityNursing College of Shanxi Medical UniversityAbstract Purposes Hip fracture leads to decreased activity and an increased risk of pulmonary complications. The main purpose of this study was to observe the lung capacity, cough capacity of the elderly patient with acute hip fracture, and assess the effects and the feasibility of using a special-designed “upper-body yoga” training to treat elderly patients with hip fracture. Methods This was a prospective, randomized, and single-blind study. Eighty-four subjects aged over 65 years were randomly divided into either a control group or a yoga group to undergo an abdominal breathing program or an “upper-body yoga” program until 4 weeks after surgery. The primary outcomes were forced vital capacity/predicted value (FVC%), peak cough flow (PCF), Barthel Index (BI), and the incidence of pneumonia. The secondary outcomes were the rates of right skills and inclination. Results Thirty-nine subjects in the yoga group and 40 subjects in the control group completed this study. At the end of the first training week, FVC% (74.14% ± 13.11% vs. 70.87% ± 10.46%, P = 0.231) showed no significant difference between the two groups, while the value of PCF (204.80 ± 33.45 L/min vs. 189.06 ± 34.80 L/min, P = 0.048) and BI (38.59 ± 8.66 vs. 33.00 ± 9.32, P = 0.009) in the yoga group was higher. After 4 weeks of treatment, FVC%, PCF, and BI were higher in the yoga group (78.83% ± 13.31 % vs. 72.20% ± 10.53%, P = 0.016; 216.16 ± 39.29 L/min vs. 194.95 ± 31.14 L/min, P = 0.008; 70.77 ± 10.23 vs. 65.75 ± 11.30, P = 0.019). One in the control group and nobody in the yoga group was diagnosed with pneumonia. There was no significant difference between the two groups in terms of the rates of right skills, whereas more elderly people preferred the training program of the “upper-body yoga.” Conclusion Elderly patients with acute hip fractures are at risk of impaired lung capacity and inadequate cough. “Upper-body yoga” training may improve the quality of daily life, vital capacity, and cough flow in elderly patients, making it a better choice for bedridden patients with hip fracture.http://link.springer.com/article/10.1186/s13018-019-1295-6YogaAbdominal breathing trainingHip fractureForced vital capacityPeak cough flowBarthel Index |
| spellingShingle | Jinli Guo Chaona Gao Haifeng Xin Jiahui Li Bing Li Zhuan Wei Yiting Yue The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind study Journal of Orthopaedic Surgery and Research Yoga Abdominal breathing training Hip fracture Forced vital capacity Peak cough flow Barthel Index |
| title | The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind study |
| title_full | The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind study |
| title_fullStr | The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind study |
| title_full_unstemmed | The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind study |
| title_short | The application of “upper-body yoga” in elderly patients with acute hip fracture: a prospective, randomized, and single-blind study |
| title_sort | application of upper body yoga in elderly patients with acute hip fracture a prospective randomized and single blind study |
| topic | Yoga Abdominal breathing training Hip fracture Forced vital capacity Peak cough flow Barthel Index |
| url | http://link.springer.com/article/10.1186/s13018-019-1295-6 |
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