Safe & Effective Yoga Prescription for Older Adults: Biomechanical Considerations
安全的
基本信息
- 批准号:7881380
- 负责人:
- 金额:$ 67.41万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2009
- 资助国家:美国
- 起止时间:2009-07-01 至 2011-06-30
- 项目状态:已结题
- 来源:
- 关键词:Activities of Daily LivingAddressAdherenceAdverse effectsAdverse eventAge-YearsArthralgiaArthritisArticular Range of MotionBiomechanicsCardiovascular systemCharacteristicsClinical TrialsCommunitiesDataDegenerative polyarthritisDiabetes MellitusEatingElderlyEmotionalEquilibriumExerciseFunctional disorderGaitHyperkyphosisIndividualInjuryInstitutesInterventionInvestigationJointsKidney DiseasesKneeKnowledgeLateralLearningLengthLongevityLower ExtremityMeasuresMechanicsMedialModelingModificationMuscleMusculoskeletalMusculoskeletal DiseasesNeurologicOutcome MeasurePainParticipantPatient Self-ReportPerformancePhasePhysical CapacityPhysical activityPhysiologicalPosturePrevalencePublicationsPublishingQuality of lifeQuality-of-Life AssessmentRandomizedRandomized Controlled TrialsReactionRecording of previous eventsRecreationRelaxationReportingRiskSafetySolutionsSpeedSpinal CanalSprains and StrainsStenosisStructureStudentsSystemTechniquesTestingUnited States Dept. of Health and Human ServicesUpper ExtremityWalkingWorkYogaagedbone healthcollateral ligamentdesigndosageevidence baseexperiencefitnessflexibilityfollow-upimprovedimproved functioningindexinginstructorinstrumentjoint loadingmuscle strengthperformance testsphysical conditioningprogramspsychologicpsychosocialpublic health relevancequadriceps muscleresponsesocialstrength trainingtherapy designtherapy developmentweb siteyoung adult
项目摘要
DESCRIPTION (provided by applicant): The U.S. Department of Health & Human Services and the National Recreation & Park Association both recommend Yoga as a form of total-solution exercise for older adults, capable of providing cardiovascular fitness, resistance training for muscle strength & bone health, and flexibility for functional range of motion as well as relaxation... Despite these dramatic claims of improved function across a variety of physiological & psychological systems/little is understood regarding the physical demands, program efficacy, and overall safety of Yoga for older adults. Our clinical trial experiences suggest that without proper evidenced-based prescription, Yoga participation can be ineffective or even injurious for elders. Thus, this application proposes an intervention development study (IDS) that will use biomechanical investigation (high-speed cameras, force platforms and musculoskeletal modeling) to quantify the physical demands of Yoga performance by older adults. In addition, the IDS will use physical-performance testing, muscle-performance testing, flexibility & balance assessments, and self-reports/to quantify the efficacy and safety of a 32-week Yoga program for ambulatory seniors. The Yoga program is divided into introductory and advanced phases/each lasting 16 weeks. The participants (N=24; 65-90 years of age) will learn the associated Yoga poses (asanas) from Yoga instructors with expertise working with seniors. In order to quantify the dosage (physical demands) of the program, the participants will perform the asanas at the beginning and termination of each phase/while instrumented for biomechanical analysis. Follow-up physical performance, balance, and quality of life, assessments will be conducted at the end of each phase in order to determine the efficacy of the program. Outcome measures will include biomechanical indices of the physical demands associated with Yoga (joint range-of-motion, reaction forces, & moments), measures of muscular & functional performance (stair climb, chair stand, gait, strength, static & dynamic balance), adherence, and safety. Data from the IDS will be used to develop evidenced-based Yoga prescriptions, which we postulate will be associated with fewer musculoskeletal side effects compared to non-evidence based Yoga programs. We also postulate that evidenced-based tailoring of Yoga for seniors will enhance adherence and efficacy. The programs developed from this IDS will be tested in an expanded, Phase II, Randomized Controlled Trial. PUBLIC HEALTH RELEVANCE. Yoga is currently being recommended to restore and preserve strength, flexibility, balance, & physical capacity in older adults; however, our clinical trial experiences suggest that without proper evidenced-based prescription, Yoga participation can be ineffective or even injurious for seniors. To address this lack of evidence-based knowledge, the proposed IDS will: 1) quantify the physical demands of a 32-wk Yoga program designed for independent ambulatory seniors; 2) characterize the relations between these demands and participant physical characteristics; 3) examine the adherence, efficacy, & safety of the program; and 4) characterize the relations among reported adverse events, baseline participant characteristics, and Yoga physical demands.
描述(由申请人提供):美国卫生与公众服务部和国家娱乐与公园协会都推荐瑜伽作为老年人的一种全面解决方案的锻炼形式,能够提供心血管健康,肌肉力量和骨骼健康的阻力训练,以及功能运动范围的灵活性和放松…尽管这些戏剧性的说法改善了各种生理和心理系统的功能,但对于老年人瑜伽的身体需求、项目功效和整体安全性,人们知之甚少。我们的临床试验经验表明,如果没有适当的循证处方,瑜伽的参与可能是无效的,甚至对老年人有害。因此,该应用程序提出了一项干预发展研究(IDS),该研究将使用生物力学研究(高速摄像机,力平台和肌肉骨骼模型)来量化老年人瑜伽表演的身体需求。此外,IDS将使用身体性能测试,肌肉性能测试,灵活性和平衡评估,以及自我报告来量化32周瑜伽课程的有效性和安全性。瑜伽课程分为初级阶段和高级阶段,每个阶段持续16周。参与者(N=24; 65-90岁)将从与老年人一起工作的专业瑜伽教练那里学习相关的瑜伽姿势(体式)。为了量化项目的剂量(身体需求),参与者将在每个阶段的开始和结束时执行体式/同时进行生物力学分析。在每个阶段结束时,将对身体表现、平衡和生活质量进行随访评估,以确定该计划的有效性。结果测量将包括与瑜伽相关的身体需求的生物力学指标(关节活动范围、反作用力和力矩)、肌肉和功能表现的测量(爬楼梯、椅子站立、步态、力量、静态和动态平衡)、依从性和安全性。来自IDS的数据将用于开发循证瑜伽处方,我们假设与非循证瑜伽项目相比,这将与更少的肌肉骨骼副作用相关。我们还假设,基于证据的定制瑜伽为老年人将提高依从性和疗效。从该IDS开发的程序将在扩大的II期随机对照试验中进行测试。公共卫生相关性。瑜伽目前被推荐用于恢复和保持老年人的力量、灵活性、平衡和身体能力;然而,我们的临床试验经验表明,如果没有适当的循证处方,参加瑜伽对老年人来说可能是无效的,甚至是有害的。为了解决这一缺乏循证知识的问题,拟议的IDS将:1)量化为独立流动老年人设计的32周瑜伽课程的身体需求;2)描述这些需求与参与者身体特征之间的关系;3)检查项目的依从性、有效性和安全性;4)描述不良事件报告、基线参与者特征和瑜伽体能需求之间的关系。
项目成果
期刊论文数量(0)
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GAIL A GREENDALE其他文献
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{{ truncateString('GAIL A GREENDALE', 18)}}的其他基金
A Biopsychosocial Investigation of Women's Health at Midlife
女性中年健康的生物心理社会调查
- 批准号:
8185565 - 财政年份:2011
- 资助金额:
$ 67.41万 - 项目类别:
Safe & Effective Yoga Prescription for Older Adults: Biomechanical Considerations
安全的
- 批准号:
7436994 - 财政年份:2009
- 资助金额:
$ 67.41万 - 项目类别:
Safe & Effective Yoga Prescription for Older Adults: Biomechanical Considerations
安全的
- 批准号:
8200726 - 财政年份:2009
- 资助金额:
$ 67.41万 - 项目类别:
Dietary and serum phytoestrogens and women's health conditions in midlife
膳食和血清植物雌激素与中年妇女的健康状况
- 批准号:
8052766 - 财政年份:2008
- 资助金额:
$ 67.41万 - 项目类别:
Dietary and serum phytoestrogens and women's health conditions in midlife
膳食和血清植物雌激素与中年妇女的健康状况
- 批准号:
7796712 - 财政年份:2008
- 资助金额:
$ 67.41万 - 项目类别:
Dietary and serum phytoestrogens and women's health conditions in midlife
膳食和血清植物雌激素与中年妇女的健康状况
- 批准号:
7612085 - 财政年份:2008
- 资助金额:
$ 67.41万 - 项目类别:
Dietary and serum phytoestrogens and women's health conditions in midlife
膳食和血清植物雌激素与中年妇女的健康状况
- 批准号:
8245041 - 财政年份:2008
- 资助金额:
$ 67.41万 - 项目类别:
Dietary and serum phytoestrogens and women's health conditions in midlife
膳食和血清植物雌激素与中年妇女的健康状况
- 批准号:
7449128 - 财政年份:2008
- 资助金额:
$ 67.41万 - 项目类别:
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