Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled Trial
Background: We combined yoga with standard stroke rehabilitation and compared it to the rehabilitation alone for depression and balance in patients. Methods: Forty patients aged from 30 to 80 who had suffered a stroke 90 or more days previously were divided evenly with age stratification and patient...
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MDPI AG
2022-01-01
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| Online Access: | https://www.mdpi.com/2076-3417/12/2/922 |
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| author | Yen-Ting Lai Chien-Hung Lin City C. Hsieh Jung-Cheng Yang Han-Hsing Tsou Chih-Ching Lin Szu-Yuan Li Hsiang-Lin Chan Wen-Sheng Liu |
| author_facet | Yen-Ting Lai Chien-Hung Lin City C. Hsieh Jung-Cheng Yang Han-Hsing Tsou Chih-Ching Lin Szu-Yuan Li Hsiang-Lin Chan Wen-Sheng Liu |
| author_sort | Yen-Ting Lai |
| collection | DOAJ |
| description | Background: We combined yoga with standard stroke rehabilitation and compared it to the rehabilitation alone for depression and balance in patients. Methods: Forty patients aged from 30 to 80 who had suffered a stroke 90 or more days previously were divided evenly with age stratification and patients’ will (hence not randomized). In the intervention group 16 completed 8-week stroke rehabilitation combined with 1 h of yoga twice weekly. Another 19 patients completed the standard rehabilitation as the control group. Results: The yoga group showed significant improvement in depression (Taiwanese Depression Questionnaire, <i>p</i> = 0.002) and balance (Berg Balance Scale, <i>p</i> < 0.001). However, the control group showed improvement only in balance (<i>p</i> = 0.001) but not in depression (<i>p</i> = 0.181). Further analysis showed both sexes benefitted in depression, but men had a greater improvement in balance than women. Depression in left-brain lesion patients improved more significantly than in those with right-brain lesion, whereas balance improved equally despite lesion site. For patients under or above the age of 60, depression and balance both significantly improved after rehabilitation. Older age is significantly related to poor balance but not depression. Conclusions: Combining yoga with rehabilitation has the potential to improve depression and balance. Factors related to sex, brain lesion site and age may influence the differences. |
| first_indexed | 2024-03-10T01:57:06Z |
| format | Article |
| id | doaj.art-abbc6d164cdb4340a74a7bf5492fa3a6 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-10T01:57:06Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-abbc6d164cdb4340a74a7bf5492fa3a62023-11-23T12:55:19ZengMDPI AGApplied Sciences2076-34172022-01-0112292210.3390/app12020922Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled TrialYen-Ting Lai0Chien-Hung Lin1City C. Hsieh2Jung-Cheng Yang3Han-Hsing Tsou4Chih-Ching Lin5Szu-Yuan Li6Hsiang-Lin Chan7Wen-Sheng Liu8Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine, Taipei 100, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Hsinchu 300, TaiwanDepartment of Kinesiology, National Tsing Hua University, Hsinchu 300, TaiwanDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu 300, TaiwanInstitute of Food Safety and Health Risk Assessment, National Yang Ming Chiao Tung University, Taipei 112, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Hsinchu 300, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Hsinchu 300, TaiwanDepartment of Child Psychiatry, Chang Gung Memorial Hospital and University, Taoyuan 333, TaiwanFaculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Hsinchu 300, TaiwanBackground: We combined yoga with standard stroke rehabilitation and compared it to the rehabilitation alone for depression and balance in patients. Methods: Forty patients aged from 30 to 80 who had suffered a stroke 90 or more days previously were divided evenly with age stratification and patients’ will (hence not randomized). In the intervention group 16 completed 8-week stroke rehabilitation combined with 1 h of yoga twice weekly. Another 19 patients completed the standard rehabilitation as the control group. Results: The yoga group showed significant improvement in depression (Taiwanese Depression Questionnaire, <i>p</i> = 0.002) and balance (Berg Balance Scale, <i>p</i> < 0.001). However, the control group showed improvement only in balance (<i>p</i> = 0.001) but not in depression (<i>p</i> = 0.181). Further analysis showed both sexes benefitted in depression, but men had a greater improvement in balance than women. Depression in left-brain lesion patients improved more significantly than in those with right-brain lesion, whereas balance improved equally despite lesion site. For patients under or above the age of 60, depression and balance both significantly improved after rehabilitation. Older age is significantly related to poor balance but not depression. Conclusions: Combining yoga with rehabilitation has the potential to improve depression and balance. Factors related to sex, brain lesion site and age may influence the differences.https://www.mdpi.com/2076-3417/12/2/922strokeyogabalance disabilitydepression |
| spellingShingle | Yen-Ting Lai Chien-Hung Lin City C. Hsieh Jung-Cheng Yang Han-Hsing Tsou Chih-Ching Lin Szu-Yuan Li Hsiang-Lin Chan Wen-Sheng Liu Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled Trial Applied Sciences stroke yoga balance disability depression |
| title | Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled Trial |
| title_full | Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled Trial |
| title_fullStr | Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled Trial |
| title_full_unstemmed | Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled Trial |
| title_short | Combining Yoga Exercise with Rehabilitation Improves Balance and Depression in Patients with Chronic Stroke: A Controlled Trial |
| title_sort | combining yoga exercise with rehabilitation improves balance and depression in patients with chronic stroke a controlled trial |
| topic | stroke yoga balance disability depression |
| url | https://www.mdpi.com/2076-3417/12/2/922 |
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