A Pilot Randomized Controlled Trial of the Effects of Chair Yoga on Pain and Physical Function Among Community-Dwelling Older Adults With Lower Extremity Osteoarthritis.
Author: Park J1, McCaffrey R2, Newman D3, Liehr P3, Ouslander JG4
Affiliation:
1School of Social Work, Florida Atlantic University, Boca Raton, Florida.
2Georgia Baptist College of Nursing, Mercer University, Atlanta, Georgia.
3Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida.
4Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida.
Conference/Journal: J Am Geriatr Soc.
Date published: 2016 Dec 23
Other:
Special Notes: doi: 10.1111/jgs.14717. [Epub ahead of print] , Word Count: 270
OBJECTIVES: To determine effects of Sit 'N' Fit Chair Yoga, compared to a Health Education program (HEP), on pain and physical function in older adults with lower extremity osteoarthritis (OA) who could not participate in standing exercise.
DESIGN: Two-arm randomized controlled trial.
SETTING: One HUD senior housing facility and one day senior center in south Florida.
PARTICIPANTS: Community-dwelling older adults (N = 131) were randomly assigned to chair yoga (n = 66) or HEP (n = 65). Thirteen dropped after assignment but prior to the intervention; six dropped during the intervention; 106 of 112 completed at least 12 of 16 sessions (95% retention rate).
INTERVENTIONS: Participants attended either chair yoga or HEP. Both interventions consisted of twice-weekly 45-minute sessions for 8 weeks.
MEASUREMENTS: Primary: pain, pain interference; secondary: balance, gait speed, fatigue, functional ability measured at baseline, after 4 weeks of intervention, at the end of the 8-week intervention, and post-intervention (1 and 3 months).
RESULTS: The chair yoga group showed greater reduction in pain interference during the intervention (P = .01), sustained through 3 months (P = .022). WOMAC pain (P = .048), gait speed (P = .024), and fatigue (P = .037) were improved in the yoga group during the intervention (P = .048) but improvements were not sustained post intervention. Chair yoga had no effect on balance.
CONCLUSION: An 8-week chair yoga program was associated with reduction in pain, pain interference, and fatigue, and improvement in gait speed, but only the effects on pain interference were sustained 3 months post intervention. Chair yoga should be further explored as a nonpharmacologic intervention for older people with OA in the lower extremities.
TRIAL REGISTRATION: ClinicalTrials.gov: NCT02113410.
© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.
KEYWORDS: chair yoga; osteoarthritis; pain management; randomized controlled trial
PMID: 28008603 DOI: 10.1111/jgs.14717
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