Medical Therapeutic Yoga Community Projects
Yoga as an Intervention for Patients withCardiovascular and Pulmonary Disease
Kimberley Smith
MA, RCEP, PYT
2011
Traditionally, Cardiopulmonary Rehabilitation programs utilize group and one-on-one education as well as structured, monitored cardiovascular exercise to improve strength and function as well as reduce hospitalization and associated healthcare costs. The goal was to investigate if yoga was an effective adjunctive intervention to improve health outcomes for patients in maintenance cardiovascular and pulmonary rehabilitation. Five adult patients, (M = 71, SD = 9.1) participated in classes once per week 10 weeks for 1.5 hours each session. Sessions consisted of instruction in yoga philosophy in addition to practical physical application of these ideas through yoga postures and breathing exercises. Outcomes were collected at the first and last sessions, for a total of 12 sessions and therefore 12 weeks total interaction. Due to small sample size and lack of a control group, very little data reached statistical significance. However observed trends and very positive satisfaction scores indicate larger scale research is warranted. In general, this small pilot study found functional ability, as demonstrated by the Get Up & Go test, improved slightly (p=0.06), although 6 minute walk test remained unchanged. Of the 3 mental health aspects subjectively evaluated through the SF36, Social Function (SF), Role Emotional (RE), and Mental Health (MH), quality of life as it relates to RE generally improved (Mean pre= 44.78; Mean post=51.94; p=0.25). The Hospital Anxiety and Depression Scale (HADS) revealed anxiety was largely unaffected (p=0.63) while depression scores trended toward improvement (p=0.13). Resting systolic and diastolic blood pressure improved considerably pre to post intervention, with p=0.38 and 0.06, systolic to diastolic respectively. No untoward events or injuries occurred and no one was offended or quit for religious or theological reasons. The goal of this study was accomplished, and that was to introduce the concept of therapeutic yoga in the medical environment in a rural area of eastern North Carolina in hopes of de-mystifying yoga and encouraging people to consider it as a safe, effective therapy.
