Merging yoga and occupational therapy for Parkinson's disease improves fatigue management and activity and participation measures
Date
2019
Authors
Hill, Heather M., author
Schmid, Arlene A., advisor
Atler, Karen E., committee member
Fling, Brett W., committee member
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Abstract
Introduction: The purpose of this pilot study was to explore the influence of a fall-risk management intervention, Merging Yoga and Occupational Therapy for Parkinson's Disease (MY-OT-PD), on fatigue and activity and participation measures, as well as examine the relationship between fatigue and activity and participation measures in Parkinson's disease (PD). Methods: This mixed methods study included 17 participants with PD. Participants took the Modified Fatigue Impact Scale (MFIS) and the International Classification of Functioning, Disability, and Health Measure of Participation and Activities Screener (IMPACT-S) at three separate eight-week intervals: baseline (followed by an eight-week control period), pre-intervention, and post-intervention. Focus groups were completed at the conclusion of the study to qualitatively explore participants' perception of the intervention related to their fatigue and activity and participation levels. Results: Fatigue and activity and participation measures were significantly correlated (r = 0.76). Activity and participation measures (IMPACT-S) significantly improved after the intervention (p = 0.012). Four themes related to fatigue and/or activity and participation emerged following qualitative analysis including: 1) managing fatigue: paying attention and acting accordingly; 2) creating mindfulness in daily activities; 3) giving and receiving within a community; and 4) strengthening relationship to self and others. Conclusion: Participants experienced improvement in activity and participation measures as well as perceived fatigue management after engagement in a community-based, fall-risk management program, MY-OT-PD.
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Subject
fall-risk management
Parkinson's disease
occupational therapy
yoga
fatigue
activity and participation