Yoga Improves Balance and Low-Back Pain, but Not Anxiety, in People with Parkinson's Disease.


Author: Myers PS1, Harrison EC1, Rawson KS2, Horin AP2, Sutter EN3, McNeely ME4, Earhart GM5

Affiliation: <sup>1</sup>1. Department of Neurology, Washington University School of Medicine; formerly, Program in Physical Therapy, Washington University School of Medicine, St. Louis.

<sup>2</sup>2. Program in Physical Therapy, Washington University School of Medicine, St. Louis.

<sup>3</sup>3. Department of Rehabilitation Medicine, University of Minnesota, Minneapolis; formerly, Program in Physical Therapy, Washington University School of Medicine, St. Louis.

<sup>4</sup>4. Unfold Productions, LLC, St. Louis; formerly, Program in Physical Therapy, Washington University School of Medicine, and Department of Neurology, Washington University School of Medicine, St. Louis.

<sup>5</sup>5. Program in Physical Therapy; Department of Neurology; and Department of Neuroscience, Washington University School of Medicine, St. Louis.
Conference/Journal: Int J Yoga Therap.
Date published: 2019 Oct 4
Other:
  Special Notes: doi: 10.17761/2020-D-18-00028. [Epub ahead of print]   ,  Word Count: 262  
    Individuals with Parkinson's disease (PD) experience postural instability, low-back pain (LBP), and anxiety. These symptoms increase the risk of falls and decrease quality of life. Research shows yoga improves balance and decreases LBP and anxiety in healthy adults, but its effects in PD are poorly understood. All participants were part of a larger intervention study. Participants received pretest and posttest evaluations, including the Balance Evaluation Systems Test (BESTest), Beck Anxiety Inventory (BAI), and Revised Oswestry Disability Index (ROSW). Total scores for each measure, as well as individual balance system section scores from the BESTest (biomechanical constraints, stability limits/verticality, transitions/anticipatory, reactive, sensory orientation, and stability in gait) were compared within groups pre- to posttest. Participants in the yoga group (n = 13) completed a twice-weekly 12-week yoga intervention, whereas controls (n = 13) continued their usual routines for 12 weeks. Both the yoga (Z = -3.20, p = 0.001) and control (Z = -2.10, p = 0.040) groups improved on the BESTest total score. The control group showed no changes in individual balance systems, whereas the yoga group improved in stability limits/verticality (Z = -2.3, p = 0.020), transitions/anticipatory (Z = -2.50, p = 0.010), reactive (Z = -2.70, p = 0.008), and sensory orientation (Z = -2.30, p = 0.020). ROSW decreased in the yoga group only (Z = -2.10, p = 0.030). BAI did not change in either group. Yoga is a nonpharmacological intervention that can improve balance and LBP in people with PD. This study demonstrated that yoga is feasible for people with PD, and participants reported high levels of enjoyment and intent to practice yoga after the study.



KEYWORDS: Parkinson's disease; anxiety; low-back pain; postural instability; yoga



PMID: 31584838  DOI: 10.17761/2020-D-18-00028