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Yoga meditation (YoMed) and its effect on proprioception and balance function in elders who have fallen: A randomized control study.

Savannah V Wooten, Joseph F Signorile, Sohil S Desai, Amelia K Paine, Kiersten Mooney

Complementary Therapies in Medicine December 29, 2017 DOI: 10.1016/j.ctim.2017.12.010 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 16
Population Older individuals who have fallen
Interventions Yoga meditation (YoMed) Proprioceptive training
Duration 6 weeks; 45 minutes per session, 3 days per week
Measures Balance Error Scoring System (BESS), Tenetti Balance and Gait Assessment, dynamic posturography, joint position sense, joint kinesthesia, leg extensor power
Topics Meditation
Keywords Humans Gait Yoga Proprioception Accidental falls Aged Postural balance Mirror neurons Imagery, psychotherapy Elderly Motor imagery Action observation
Key findings Neither the yoga meditation (YoMed) nor proprioceptive training group showed statistically significant improvements on most outcomes, except dynamic posturography overall score, which improved significantly in the YoMed group (d = 1.238; p = 0.049). The authors suggest YoMed has potential as a clinical intervention for older fallers and call for a longer trial with a larger sample and higher-risk participants.

Abstract

Objective: Yoga has been shown to improve muscle strength, flexibility, and balance. However, the impact of meditation on dynamic factors such as gait, reactive balance and proprioception has yet to be examined. The purpose of this study was to test if a novel yoga meditation program (YoMed) is as effective as a standard proprioceptive training in improving proprioception, balance and power in older individuals who have fallen.

Design: Sixteen older persons were randomly assigned to either the YoMed Group (YM) or Proprioception Training Group (PT). Each group received 45 min of training, 3 days per week, for 6 weeks. Pretest and post-test outcome measures were used to quantify the comparative effects of the interventions.

Setting: Research Laboratory.

Interventions: Yoga meditation and proprioceptive training. Main outcome measures: The Balance Error Scoring System (BESS), the Tenetti Balance and Gait Assessment, dynamic posturography, joint position sense, joint kinesthesia and leg extensor power.

Results: The primary findings of the study were that neither the YM or PT intervention groups showed statistical improvements in any variable with the exception of the dynamic posturography overall score (DMA), which showed a significant improvement by the YM group (d = 1.238; p = 0.049). Additionally changes in a number of variables that did not reach significance demonstrated effect sizes in the medium to high range.

Conclusion: These results indicate the potential for the YoMed program to be used as a clinical intervention in older individuals. Given these results a longer study using a larger sample size and individuals at higher risk of falling is warranted.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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