Category: Complementary Integrative Rehabilitation Medicine; Lifestyle Medicine; Geriatric Rehabilitation
To determine if a) Yoga instructors (YI) perform screening prior to starting clients' Yoga programs and b) there are relationships between prescreening and clients' Yoga-related injuries.
Design : Cross-sectional design.
Setting : General community.
Participants (or Animals, Specimens, Cadavers) : YI (N = 214; Women, n = 194; Men, n = 20) practicing in the Northeastern United States.
Interventions : Not applicable.
Main Outcome Measure(s) : A 57-item customized YI questionnaire regarding performance of medical, symptoms, and performance screening, and yoga-related injuries.
The response rate of our questionnaire was 26.3%. Before starting yoga programs with their clients, only 35%of YIs performed medical screening. Of those YI who performed medical screening, only 12.2% of them modified their Yoga routines due to this assessment. Most YIs (85.2%) performed symptom prescreening with their clients' pain being the most frequently assessed (53.0%); however, only 4.4% of those practitioners that performed symptom screening modified their client's yoga routines based on client's symptoms. Only 10.1% of the YIs performed physical performance prescreening with client's flexibility being assessed most frequently (73.7%). Of the YIs who performed performance testing, only 4.35% used this information to modify a client's Yoga program. Almost 25% of the YIs reported yoga-related injuries in clients with strains/sprains being the most widely reported (78.05%). Chi-Square showed significant relationships between client injuries and medical (χ2(4)=37.4), symptoms (χ2(4)=52.7), and physical performance screening (χ2(4)=62.6) performed by YIs; all P < 0.001. Multinomial logistic regression showed that physical performance screening was the only predictor of injuries due to yoga (P < 0.001).
Conclusions : Prescreening, especially physical performance testing is important to potentially prevent yoga-related injuries in yoga clients. Thus, clinician-performed screening is important prior to their patients starting yoga programs.
Harshvardhan Singh– Assistant Professor, University of Alabama at Birmingham, Birmingham, Alabama
SoJung Kim– Assistant Professor, University of Massachusetts Lowell, Lowell, Massachusetts
Donald Lein, Jr.– Associate Professor, University of Alabama at Birmingham, Birmingham, Alabama
William Reed– Associate Professor, University of Alabama at Birmingham, Birmingham, Alabama