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Online Chair Yoga Viable for Isolated Older Adults with Dementia

Chair Yoga, Older Adults, Dementia, Exercise, Research, Pandemic, Isolation, Zoom, Videoconferencing, Clinical Outcomes

A noninvasive and low-impact intervention, chair yoga is practiced sitting or standing using a chair for support and combines flexibility, balance, strength, breathing, relaxation, and mindfulness training.


By gisele galoustian | 7/28/2022

Dementia doesn鈥檛 just involve cognitive decline, it also involves deteriorating physical function. This major cause of limitation in activities of daily living in older adults with dementia requires safe, effective, and evidence-based nonpharmacological approaches. One such approach is chair yoga. A noninvasive and low-impact intervention, chair yoga is practiced sitting or standing using a chair for support and combines flexibility, balance, strength, breathing, relaxation, and mindfulness training.

Unfortunately, barriers such as lack of transportation, living in rural areas, relying on caregivers and especially the COVID-19 pandemic has prevented many older adults with dementia from participating in group-based in-person chair yoga classes. These burdens call for an innovative way to deliver a chair yoga intervention for those who cannot travel to a community center.听

鈥淭he considerable time and cost associated with traveling to in-person yoga sessions over several weeks could be burdensome to many patients,鈥 said Juyoung Park, Ph.D., senior author, principal investigator and a professor in the Phyllis and Harvey Sandler School of Social Work within 91制片厂鈥檚 College of Social Work and Criminal Justice.

Researchers from 91制片厂鈥檚 College of Social Work and Criminal Justice, and and collaborators, conducted a novel interdisciplinary study to evaluate a remotely supervised online chair yoga intervention targeted at older adults with dementia and measured clinical outcomes virtually via Zoom under the remote guidance. The study assessed the feasibility of this intervention and explored the relationship between chair yoga and clinical outcomes of pain interference, mobility, risk of falling, sleep disturbance, autonomic reactivity, and loneliness.

Results of the study, published in the journal , showed that remotely supervised online chair yoga is a feasible approach for managing physical and psychological symptoms in socially isolated older adults with dementia based on retention (70 percent) and adherence (87.5 percent), with no injury or other adverse events.

鈥淭his finding is important, as older adults with dementia and their caregivers may be challenged in attempts to attend chair yoga programs at community facilities,鈥 said Park, who conducted the research with her mentee and co-author Hannah Levine, a medical student at 91制片厂. 鈥淥ur telehealth-based chair yoga intervention was found to be convenient for both participants and their caregivers because it was easily accessible from home and did not require transportation or getting dressed, which reduced caregiver burden and stress.鈥

Participants in the pilot study took part in twice weekly 60-minute sessions for eight weeks. During the chair yoga session, the yoga interventionist was spotlighted in the Zoom screen to allow participants to see only the interventionist. This spotlighting enabled participants to focus on the yoga sessions without being distracted by other participants on the screen.

鈥淥ur study participants worked with a certified yoga interventionist and their caregivers and practiced breathing techniques and intentional practice; physical postures; and guided relaxation and visualization,鈥 said Park.

Participants also interacted on Zoom with other participants or with the facilitator to maintain social bonds while maintaining physical distance. Psychosocial and physiological (i.e., cardiac) data were collected remotely at baseline, mid-intervention, and post-intervention.

鈥淩emotely collected cardiac and psychosocial data can provide a more complete assessment of the effects of an intervention,鈥 said , DNP, APRN, GNP-BC, PMHNP-BC, CDP, FAANP, FAAN, director of the 91制片厂聽, associate dean of clinical practice and professor, 91制片厂 Christine E. Lynn College of Nursing. 鈥淚mportantly, online chair yoga classes provide a means of reducing health disparities by opening access to interventions for persons who are unable to travel to a clinic or facility.鈥澛 聽聽

The primary aim of the study was to assess the feasibility (retention, adherence, and safety) of conducting a remotely supervised, home-based, online chair intervention and completing outcome measures virtually. The secondary aim was to examine the relationship between the intervention and chronic pain, physical function, or psychological symptoms. Finally, an exploratory aim was to evaluate the ease and ability of caregivers and participants to record cardiac data remotely for offline analyses of the effect of the intervention on parasympathetic regulation and overall heart rate.

鈥淎n important feature of our technology-based intervention is that it could allow socially isolated older adults with dementia who are living at home, especially those in underserved communities where people are becoming more digitally connected, to receive remotely supervised chair yoga that provides physical, social and psychological benefits,鈥 said , Ph.D., co-author and an associate professor, 91制片厂鈥檚 Christine E. Lynn College of Nursing.

Study co-authors are Keri Heilman, Ph.D., an assistant professor in the School of Medicine, University of North Carolina, Chapel Hill; Marlysa Sullivan and Jayshree Surage, both with the Maryland University of Integrative Health; Lillian Hung, Ph.D., an assistant professor and Canada Research Chair in Senior Care, University of British Columbia, School of Nursing; and Hyochol 鈥淏rian鈥 Ahn, Ph.D., a professor and associate dean for research, Florida State University, College of Nursing.

鈥淩esults from our study can inform future research and practice in implementation of online chair yoga or other exercise program for promoting health and wellness in older adults with dementia living at home,鈥 said Park.

This work was supported by 91制片厂鈥檚 Division of Research, 91制片厂鈥檚 Institute for Human Health and Disease Intervention (I-Health) and the at .听

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