Transcript PowerPoint Poster Presentation Sample

Effects of Restorative Yoga in Patients Post-Stroke
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
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:
Functional Test Results
Modified Romberg (with hemi walker)
35
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.
– Data were collected prior to initiation of program, at mid-program,
and at completion of program
Materials:
Pre-Test
1.10.25 minutes
Post-Test
1.00.00 minute
Flexed
15
10
5
Baseline Week 1 Week 2 Week 3 Week 4
Final
Post-Test
Score: 70
Week 2
Week 3
Extension
-11
-24
20
-15
No Data
-30
No Data
0
-30
No Data
-30
No Data
CONCLUSIONS
-31
Extension
120
-10
No Data
-6
No Data
-12
100
92
No Data
103
No Data
99
60
 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.
40
20
Elbow PROM
0
Extension
-21
-30
No Data
-27
No Data
-29
 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.
80
90
•Unable to obtain secondary to
patient dizziness
•16.50”
Knee PROM
Knee Flexion
View
•Left Knee
BaselineWeek 1 Week 2 Week 3 Week 4 Final
160
-31
Anterior
•51.50”
140
Knee Extension
View
•Left Acromion
Elbow PROM Extension
Knee Extension
Post-Test
•41.00”
0
Knee Flexion
•Right Ant. Acromion
•15.50”
•Left Elbow
40
Ankle Dorsiflexion PROM
•39.5”
•Left Knee
Lateral
60
Final
•Right Elbow
•53.5”
Flexion
80
Week 4
Anterior View
•41.25”
100
PROM RESULTS
Week 1
View
•52.0”
120
Pre-Test
Score: 70
Lateral
•Left Acromion
140
Barthel Index
Baseline
Pre-Test
0
160
– Barthel Index
– Hemi walker
20
180
– Meter stick
– Light reflectors
Extended
Knee AROM and PROM
– Romberg Test
– Digital Camera
25
•Left Elbow
– Goniometer
– Timed up and go
30
Timed Up and Go (with hemi walker)
– A case study
Frontal View
Ankle PROM Plantarflexion
Pre-Test
– Informed Consent form
– Program consisted of daily restorative yoga positioning for a 30minute session per day for 6 weeks filled out by participant
Results of Posture
Lateral View
– IRB approval from Wheeling Jesuit University
– 1 female volunteer, < 60 years of age ~ 1 year post-stroke
Graphs
Baseline Week 1 Week 2 Week 3 Week 4
Final