Abstract
Background: One of the leading causes of disability is stroke, with approximately 795,000 individuals experiencing either a first-time or recurrent stroke (Atler et al., 2016; Portz et al., 2018). An ischemic attack can cause impairments in the following physiological systems: physical, sensory, cognitive, and psychological (Atler et al., 2016). Yoga has been supported in improving multiple aspects of balance among various populations including inner peace, strength, flexibility, and mind-body control (Green et al., 2019). Purpose: The aim was to determine the effectiveness of a yoga-based intervention in individuals with a history of ischemic attack on improving balance. Methods: A review of 5 Level I evidence articles including randomized control trials (RTCs) and systematic reviews were examined comprehensively by two reviewers and with the guidance of a mentor. Results: After the use of randomized control trials (RCT) and biweekly, 1-hour long yoga sessions over the course of 8 weeks, participants demonstrated significant improvement in balance, functional ambulation, endurance, upper extremity strength, and a decrease in perceived fear of falling (Schmid et al., 2012). Following the use of weekly, 2.5-hour long yoga sessions in tandem with daily 45-minute home practice, participants demonstrated significant improvement in cognition (Thayabaranathan, 2017). After the use of weekly 90-minute yoga sessions in tandem with daily 40-minute home practice, participants demonstrated significant improvement in perceived quality of life and a decrease in anxiety and depression (Immink, Hiller, & Petkov, 2014). Discussion: Based on the findings of the Level I research studies addressed above, there are multiple positive benefits of yoga interventions for patients who have experienced a stroke. The outcomes show improvement in cognitive function, perceived quality of life, functional balance and ambulation, overall endurance, and upper extremity strength. However, the use of yoga as a treatment method for patients who have experienced a stroke is not a universal intervention plan. Further research is warranted to address the efficacy and benefits of occupational therapists utilizing yoga in post stroke rehabilitation. Conclusion: The use of a yoga intervention in occupational therapy would benefit interested patients with baseline physical abilities in improving balance and other body functions.