Determining the potential benefits of yoga in chronic stroke care: a systematic review and meta-analysis
Language: 
English
Short Title: 
Determining the potential benefits of yoga in chronic stroke care
Abstract: 

BACKGROUND: Survivors of stroke have long-term physical and psychological consequences that impact their quality of life. Few interventions are available in the community to address these problems. Yoga, a type of mindfulness-based intervention, is shown to be effective in people with other chronic illnesses and may have the potential to address many of the problems reported by survivors of stroke. OBJECTIVES: To date only narrative reviews have been published. We sought to perform, the first systematic review with meta-analyses of randomized controlled trials (RCTs) that investigated yoga for its potential benefit for chronic survivors of stroke. METHODS: Ovid Medline, CINHAL plus, AMED, PubMed, PsychINFO, PeDro, Cochrane database, Sport Discuss, and Google Scholar were searched for papers published between January 1950 and August 2016. Reference lists of included papers, review articles and OpenGrey for Grey literature were also searched. We used a modified Cochrane tool to evaluate risk of bias. The methodological quality of RCTs was assessed using the GRADE approach, results were collated, and random effects meta-analyses performed where appropriate. RESULTS: The search yielded five eligible papers from four RCTs with small sample sizes (n = 17-47). Quality of RCTs was rated as low to moderate. Yoga is beneficial in reducing state anxiety symptoms and depression in the intervention group compared to the control group (mean differences for state anxiety 6.05, 95% CI:-0.02 to 12.12; p = 0.05 and standardized mean differences for depression: 0.50, 95% CI:-0.01 to 1.02; p = 0.05). Consistent but nonsignificant improvements were demonstrated for balance, trait anxiety, and overall quality of life. CONCLUSIONS: Yoga may be effective for ameliorating some of the long-term consequences of stroke. Large well-designed RCTs are needed to confirm these findings.

Author(s): 
Thayabaranathan, Tharshanah
Andrew, Nadine E.
Immink, Maarten A.
Hillier, Susan
Stevens, Philip
Stolwyk, Rene
Kilkenny, Monique
Cadilhac, Dominique A.
Item Type: 
Journal Article
Publication Title: 
Topics in Stroke Rehabilitation
Journal Abbreviation: 
Top Stroke Rehabil
Publication Date: 
2017-05
Publication Year: 
2017
Pages: 
279-287
Volume: 
24
Issue: 
4
ISSN: 
1945-5119
DOI: 
10.1080/10749357.2016.1277481
Library Catalog: 
PubMed
Extra: 
PMID: 28100160

Turabian/Chicago Citation

Tharshanah Thayabaranathan, Nadine E. Andrew, Maarten A. Immink, Susan Hillier, Philip Stevens, Rene Stolwyk, Monique Kilkenny and Dominique A. Cadilhac. 2017-05. "Determining the potential benefits of yoga in chronic stroke care: a systematic review and meta-analysis." Topics in Stroke Rehabilitation 24: 4: 279-287. 10.1080/10749357.2016.1277481.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1080/10749357.2016.1277481 | issn = 1945-5119 | volume = 24 | pages = 279-287 | last = Thayabaranathan | first = Tharshanah | coauthors = Andrew, Nadine E., Immink, Maarten A., Hillier, Susan, Stevens, Philip, Stolwyk, Rene, Kilkenny, Monique, Cadilhac, Dominique A. | title = Determining the potential benefits of yoga in chronic stroke care: a systematic review and meta-analysis | journal = Topics in Stroke Rehabilitation | date = 2017-05 | pmid = | pmc = }} </ref>