The Lived Experience of Individuals with Chronic Traumatic Brain Injury: An Adapted Group Yoga Intervention

Roney, Megan; Sample, Pat L.; Stallones, Lorann; Puymbroeck, Marieke Van; Schmid, Arlene A.

doi:10.21926/obm.icm.1804033

“…Participants described an awareness to the needs of their body and mind (e.g., taking a “stroke nap” or adjusting their performance to prevent a fall). Prior work has also noted an increased awareness to one’s body after yoga in populations with acute and chronic ABI ( Garrett et al., 2011 ; Roney et al., 2018 ; Seeney & Griffin, 2020 ). The participants provided examples in relation to their sleep, motor, and process skills and their ability to engage or re-engage in their occupations.…”

Section: Discussionmentioning

confidence: 97%

“…Yoga, a holistic intervention, appears both feasible and beneficial after brain injury ( Donnelly et al., 2017 ; Garrett et al., 2011 ; Schmid et al., 2016 ; Stephens et al., 2020 ). Yoga after brain injury is associated with improvements in multiple client factors such as balance ( Green et al., 2019 ; Roney et al., 2018 ; Stephens et al., 2020 ), strength ( Schmid et al., 2014 , 2016 ), range of motion ( Garrett et al., 2011 ; Schmid et al., 2014 ; Stephens et al., 2020 ; Zou et al., 2018 ), executive function ( Wen et al., 2022 ), and emotional regulation ( Donnelly et al., 2017 , 2020 ; Roney et al., 2018 ; Seeney & Griffin, 2020 ). Although these client factors improve with yoga, it is unknown whether improvements in these factors co-occur with changes in occupational performance.…”

mentioning

confidence: 99%

Participants With Acquired Brain Injury Realized They “Could Still Do Things” After a Yoga Intervention: A Qualitative Descriptive Study

Weaver,

Richard,

Press

et al. 2024

The American Journal of Occupational Therapy

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Importance: Occupational therapy practitioners use yoga in practice to achieve holistic care, and the American Occupational Therapy Association has provided guidance on the use of yoga in occupational therapy. For people with acquired brain injury (ABI), however, it is unknown whether yoga affects occupational performance. Objective: To explore the perceived impact of an adapted yoga intervention on occupational performance using the Occupational Therapy Practice Framework: Domain and Process (4th ed.; OTPF–4) for participants with ABI. Design: Qualitative descriptive study using virtual, semistructured interviews. An inductive, holistic, open-coding process, followed by a deductive process to map open codes to the OTPF–4. Participants: Nine individuals with ABI were recruited from a yoga intervention study. Results: The theme generated from the data—“Yoga participants with ABI realized that they could still do quite a bit”—was supported by two major categories from the OTPF–4: Occupations and Performance Skills. Participants described improvements in their functional performance (i.e., motor skills, process skills) and how these factors were synergistically connected to their occupational performance (i.e., self-care, leisure). Conclusions and Relevance: This study provides novel insight into how functional performance improved so participants could “still do things,” such as engaging in occupations. When participants described improved performance skills, they simultaneously described re-engagement with their meaningful occupations. Participants also perceived an improvement in their mind–body connection, which should be further explored in future studies. This study generated original findings about participants’ perceptions of an adapted yoga intervention as they relate to the OTPF–4. Plain-Language Summary: This study reports individuals’ perceptions of their re-engagement with occupations and changes in occupational performance skills after participating in an adaptive yoga intervention. We highlight the distinct contribution that adaptive yoga—an intervention modality that can be used by occupational therapy practitioners—may have, using the OTPF–4 to connect the participants’ perceptions about their improvements in occupational performance.

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“…In an analysis of the influence of yoga on sleep for people with TBI through sleep-wake diaries, a substantial improvement in sleep quality was found after eight weeks of yoga treatment [19]. Following an adapted yoga group intervention for individuals with TBI, participants expressed favorable improvements in comfort with approaching balance and relaxation, as well as an increased self-awareness that helped with sleep [26]. There is limited research on yoga for individuals with a TBI and yoga, thus there is need for further studies related to the influence of yoga on sleep and mood in this population.…”

mentioning

confidence: 99%

The Influence of Yoga on Traumatic Brain Injury Related to Sleep and Mood

Pering

¹

,

Puymbroeck

²

,

Crowe

³

et al. 2019

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A Traumatic Brain Injury (TBI) is defined as an acquired injury that is the result of direct damage to the brain [1]. A TBI can occur quickly and unexpectedly, but often has a long-term effect on an individual's physiological and neurological abilities [2,3]. In the United States, approximately 1.7 million people per year are admitted to the emergency room due to sustaining a TBI [4], many of whom continue to live with residual effects [5]. The residual effects of a TBI include, but are not limited to, trouble sleeping, changes in mood, and difficulty adjusting to life after injury [6,7]. Sleep disorders are defined as any consistent internal disturbance in sleep [8]. Regarding people with TBI, poor sleep quality is common [7] and has the potential to decrease emotional and physical abilities, as well as slow the recovery process [9]. In addition to the negative impacts from sustaining a TBI, individuals are also susceptible to mood disorders as a residual effect of TBI.Common behavioral impairments for people with TBI include mood disorders, which can manifest as depression, anxiety, and adjustment to injury [3,6]. Depression is a common secondary factor for clinical conditions related to TBI [10]. Depression is defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) [8] as depressed mood or loss of pleasure in life activities for more than two weeks, change from an individual's baseline mood, and compromised functioning. Generalized anxiety is defined in the DSM-5 as extreme or unrealistic worry for the majority of the days within six months [8]. Anxiety after TBI may first be seen as a normal reaction to trauma, but individuals with

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Untitled

2019

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A Traumatic Brain Injury (TBI) is defined as an acquired injury that is the result of direct damage to the brain [1]. A TBI can occur quickly and unexpectedly, but often has a long-term effect on an individual's physiological and neurological abilities [2,3]. In the United States, approximately 1.7 million people per year are admitted to the emergency room due to sustaining a TBI [4], many of whom continue to live with residual effects [5]. The residual effects of a TBI include, but are not limited to, trouble sleeping, changes in mood, and difficulty adjusting to life after injury [6,7]. Sleep disorders are defined as any consistent internal disturbance in sleep [8]. Regarding people with TBI, poor sleep quality is common [7] and has the potential to decrease emotional and physical abilities, as well as slow the recovery process [9]. In addition to the negative impacts from sustaining a TBI, individuals are also susceptible to mood disorders as a residual effect of TBI.Common behavioral impairments for people with TBI include mood disorders, which can manifest as depression, anxiety, and adjustment to injury [3,6]. Depression is a common secondary factor for clinical conditions related to TBI [10]. Depression is defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) [8] as depressed mood or loss of pleasure in life activities for more than two weeks, change from an individual's baseline mood, and compromised functioning. Generalized anxiety is defined in the DSM-5 as extreme or unrealistic worry for the majority of the days within six months [8]. Anxiety after TBI may first be seen as a normal reaction to trauma, but individuals with

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The Lived Experience of Individuals with Chronic Traumatic Brain Injury: An Adapted Group Yoga Intervention

Cited by 3 publications

References 22 publications

Participants With Acquired Brain Injury Realized They “Could Still Do Things” After a Yoga Intervention: A Qualitative Descriptive Study

Participants With Acquired Brain Injury Realized They “Could Still Do Things” After a Yoga Intervention: A Qualitative Descriptive Study

The Influence of Yoga on Traumatic Brain Injury Related to Sleep and Mood

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