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Effects of Restorative Yoga in Patients Post-Stroke
Purpose:To determine if restorative yoga techniques can improve overall function, mobility, posture, or safety in patients post-stroke who no longer demonstrate improvements in rehabilitation.
Hypothesis: It is hypothesized that restorative yoga techniques will increase range of motion (ROM) in the elbow, knee, and ankle, thereby improving overall function, mobility, posture, and safety in patients post-stroke who no longer demonstrate improvements in rehabilitation.
Subject:Exclusion Criteria:
– Cognitive impairments that would limit participant’s ability to comprehend instructions
– A grade of 3+ on the Ashworth Tone Scale
– Presentation of spasticity
– Participation in any other kind of rehabilitation treatment program
Methods:– IRB approval from Wheeling Jesuit University
– Informed Consent form
– A case study
– 1 female volunteer, < 60 years of age ~ 1 year post-stroke
– Program consisted of daily restorative yoga positioning for a 30- minute session per day for 6 weeks filled out by participant
– Data were collected prior to initiation of program, at mid-program, and at completion of program
Materials:– Goniometer
– Timed up and go
– Romberg Test
– Digital Camera
– Meter stick
– Light reflectors
– Barthel Index
– Hemi walker
Maureen McKenna, PT, PhD, LPC; Peter Bowman, SPT; Carrie Croasmun, SPT; Melissa Kerr, SPT; and Amy Lilley, SPT
Department of Physical Therapy, Wheeling Jesuit University, Wheeling, West Virginia
Functional Test Results
Modified Romberg (with hemi walker)Pre-Test
Trial 1: Feet apart with no excessive sway, loss of balance, or stepping
for 20 seconds with the subject’s eyes closed during the test.
Trial 2: Feet together tandem with no excessive sway, loss of balance, or stepping for 20 seconds with subject’s eyes closed during the test.
Subject opened eyes twice during test.
Post-Test
Trial 1: Feet apart with no excessive sway, loss of balance, or stepping
for 20 seconds with the subject’s eyes open during the test.
Trial 2: Feet together tandem with no excessive sway, loss of balance, or stepping for 20 seconds with subject’s eyes open during the test.
Timed Up and Go (with hemi walker) Pre-Test Post-Test
1.10.25 minutes 1.00.00 minute
Barthel Index Pre-Test Post-Test
Score: 70 Score: 70
PROM RESULTS
CONCLUSIONS The results of this case study found that the restorative
yoga techniques indicated a slight increase in range of motion, but no change was found in the subject’s function during activities of daily living.
There were no significant changes in the subject’s posture from pre-test to post-test.
Due to the many limiting factors such as hospitalization for respiratory complications, cancellations, and enrollment in another physical therapy intervention, the results from this study are not conclusive.
Lateral View
Results of PostureFrontal View
Ankle PROM Plantarflexion

0
5
10
15
20
25
30
35
Baseline Week 1 Week 2 Week 3 Week 4 Final
Extended
Flexed
0
20
40
60
80
100
120
140
160
180
BaselineWeek 1 Week 2 Week 3 Week 4 Final
Extension
Flexion
0
20
40
60
80
100
120
140
160
Baseline Week 1 Week 2 Week 3 Week 4 Final
Extension
Knee AROM and PROM
Elbow PROM Extension
Baseline Week 1 Week 2 Week 3 Week 4 Final
Ankle Dorsiflexion PROM
Knee Flexion -11 -15 No Data -30 No Data 0
Knee Extension -24 -30 No Data -30 No Data -31
Knee PROM
Knee Extension -31 -10 No Data -6 No Data -12
Knee Flexion 90 92 No Data 103 No Data 99
Elbow PROM
Extension -21 -30 No Data -27 No Data -29
Graphs
Anterior View
•Right Elbow
•39.5”
•Right Ant. Acromion
•53.5”
Lateral View
•Left Elbow
•41.25”
•Left Acromion
•52.0”
•Left Knee
•15.50”
Pre-Test
Post-Test
Lateral View
•Left Elbow
•41.00”
•Left Acromion
•51.50”
•Left Knee
•16.50”
Anterior View
•Unable to obtain secondary to patient dizziness
