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

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 show...

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Main Authors: Aurora M James-Palmer, Jean-Francois Daneault
Format: Article
Language:English
Published: SAGE Publishing 2022-08-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076221119327
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author Aurora M James-Palmer
Jean-Francois Daneault
author_facet Aurora M James-Palmer
Jean-Francois Daneault
author_sort Aurora M James-Palmer
collection DOAJ
description 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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spelling doaj.art-9e5565dc71e946f79d0c88762d0e46a92022-12-22T04:00:57ZengSAGE PublishingDigital Health2055-20762022-08-01810.1177/20552076221119327Tele-yoga for the management of Parkinson disease: A safety and feasibility trialAurora M James-PalmerJean-Francois DaneaultObjectives 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).https://doi.org/10.1177/20552076221119327
spellingShingle Aurora M James-Palmer
Jean-Francois Daneault
Tele-yoga for the management of Parkinson disease: A safety and feasibility trial
Digital Health
title Tele-yoga for the management of Parkinson disease: A safety and feasibility trial
title_full Tele-yoga for the management of Parkinson disease: A safety and feasibility trial
title_fullStr Tele-yoga for the management of Parkinson disease: A safety and feasibility trial
title_full_unstemmed Tele-yoga for the management of Parkinson disease: A safety and feasibility trial
title_short Tele-yoga for the management of Parkinson disease: A safety and feasibility trial
title_sort tele yoga for the management of parkinson disease a safety and feasibility trial
url https://doi.org/10.1177/20552076221119327
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