Yoga and Physical Rehabilitation Medicine: A Research Partnership in Integrative Care.
Mind-body interventions, such as yoga, that teach stress management with physical activity may be well suited for investigation in both osteoarthritis and rheumatoid arthritis. In order to be considered as viable care options integrative studies need to offer a comprehensive design and include clinicians familiar with the disease process of the study populations. A review of the literature reveals a dearth of information related to the collaboration between yoga and physical rehabilitation medicine. This article discusses the collaboration with physical rehabilitation medicine to collect relevant pre- and post-intervention measures for an on-going pilot acceptability/feasibility yoga study for minority patients with osteoarthritis or rheumatoid arthritis. An interdisciplinary clinical research team selected psychosocial and physical measures for a community sample of bilingual minority patients, not typically identified as practicing yoga. Sixteen female adults aged 40-63 years (mean =51) completed baseline physical assessments using single leg stance, functional reach test, time up and go test, timed up from the floor test and the Disabilities of the Arm, Shoulder and Hand measures. Baseline values show an average level of functional ability prior to beginning the intervention. Preliminary results indicate some improvement; however, selected measures may not have the sensitivity and specificity needed to identify significant change. In this study, combining interdisciplinary perspectives enhanced the quality of the research study design. The experience of this interdisciplinary clinical research team opens the discussion for future collaborations.
National Institutes of Health (NIH), Clinical Center, 10 Center Drive, Room 2B02E, Bethesda, USA.
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Middleton
NIH/ Rehabilitation Medicine Department, 10 Center Drive, Bethesda, USA.
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Acevedo
NIH/ Rehabilitation Medicine Department, 10 Center Drive, Bethesda, USA.
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Dietz
NIH/ Rehabilitation Medicine Department, 10 Center Drive, Bethesda, USA.
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Brandon
National Institutes of Health (NIH), Clinical Center, 10 Center Drive, Room 2B02E, Bethesda, USA.
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Andrade
National Institutes of Health (NIH), Clinical Center, 10 Center Drive, Room 2B02E, Bethesda, USA.
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Wallen
Minority; Osteoarthritis; Physical rehabilitation medicine; Rheumatoid arthritis; Yoga