Healthy Older AdultsYESSNCT01411059
Yoga Empowers Seniors Study
A study testing yoga in people with Healthy Older Adults, run by University of Southern California at 1 site in United States.
Trial summary
This is an Intervention Development Study (IDS) to quantify the physical demands (using biomechanical investigation) of a 2-phase (beginning \& intermediate), 32-week yoga program designed for community-dwelling older adults. Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Healthy Older Adults
- What is being tested?
- yoga
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 27 participants
- Where
- 1 siteUnited States
- Study dates
- Jul 2009to Apr 2011
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Community dwelling men and women volunteers, aged 65 years or older.
Who cannot join
- Safety exclusions:
- --the following safety exclusions are adopted in order to decrease potential cardiovascular
- musculoskeletal
- neurological risks to the participants:
- active angina
- uncontrolled hypertension (SBP greater than 160 or DBP greater than 90)
Show all 20Show fewer
- high resting pulse or respiratory rate (HR >90 or RR>24 after 5 minutes seated)
- unstable asthma or exacerbated COPD
- cervical spine instability or other significant neck injury
- rheumatoid arthritis
- unstable ankle, knee, hip, shoulder, elbow, or wrist joints
- hemiparesis or paraparesis
- movement disorders (e.g. Parkinson's disease), peripheral neuropathies, stroke with residual deficits, severe vision or hearing problems
- walker or wheelchair use
- insufficient hearing to permit safety in a yoga group setting
- not able to attend in-person classes
- has not had check-up by regular provider within 12 months (if not taking any prescription medications) or in the past 6 months (if any regular medicines taken); cannot pass specific movement safety tests (tests described in section on screening visits, below)
- Feasibility/adherence exclusions:
- unable to understand their commitment to the project, (laboratory visits \& regular program participation)
- cognitive limitations significant enough to preclude informed consent or to raise concerns about participation safety
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Safe and Effective Yoga Prescription of Seniors: Biomechanical Considerations
This is an Intervention Development Study (IDS) to quantify the physical demands (using biomechanical investigation) of a 2-phase (beginning \& intermediate), 32-week yoga program designed for community-dwelling older adults. Additionally, the IDS will explore the adherence and adverse events of participation in the program. Data from the IDS will be used to develop evidenced-based yoga programs, which the investigators postulate will be associated with fewer musculoskeletal side effects compared to non-evidence based yoga programs. The investigators also postulate that evidenced-based tailoring of yoga for seniors will enhance adherence and efficacy. The programs developed during this IDS will be tested in an expanded, Phase II, Randomized Controlled Trial.
Read the detailed description
Yoga is currently being recommended to restore and preserve strength, flexibility, balance, \& physical capacity in older adults; however, our clinical trial experiences suggest that without proper evidenced-based prescription, Yoga participation can be ineffective or even injurious for seniors. To address this lack of evidence-based knowledge, the proposed IDS will: 1) quantify the physical demands of a 32-wk Yoga program designed for independent ambulatory seniors; 2) characterize the relations between these demands and participant physical characteristics; 3) examine the adherence, efficacy, \& safety of the program; and 4) characterize the relations among reported adverse events, baseline participant characteristics, and Yoga physical demands.
- Conditions
- Healthy Older Adults
- Being tested
- yoga
- Keywords
- yoga biomechanics seniors
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
yogaBehavioural
Also called activity intervention
yoga classes 2 times per week for 32 weeks
| Study group | Role | What they receive |
|---|---|---|
| yoga | Experimental | 32 weeks of yoga training Receives: Behavioral: yoga |
What is being measured
The primary outcome is the main question the study is designed to answer.
peak joint moments
These are the torques produced by the muscles during performance of the yoga poses
Measured: difference from baseline to 16 wk
peak joint moments
These are the torques produced by the muscles during performance of the yoga poses
Measured: difference from 16 wk to 32 wk
Secondary outcomes (14)
time to stand and sit from a chair 5 times
In the 5-Repetition Chair Stand Test, we record the time it takes for a participant to repeatedly stand and sit on a chair 5 times.
Measured: baseline, 16 and 32 weeks
number of heel-rise repetitions
The Heel-Rise Test is a measure of plantar-flexion endurance. Here, we record the number of full range-of-motion, heel-rise repetitions the participants can complete before fatigue.
Measured: baseline, 16 and 32 weeks
Time to complete Up & Go test
In the Up \& Go Test, a measure of mobility, we record the number of seconds it takes to rise from a chair, walk 8 feet, return and sit in the chair.
Measured: baseline, 16 and 32 weeks
Number of marching steps completed within 2 minutes
In the 2-Minute Step Test, a measure stepping endurance, we record the number of complete marching steps the participant can perform within a 2-minute period
Measured: baseline, 16 and 32 weeks
Distance participant can reach forward from a sitting position
The sit and reach test measures overall sagittal-plane flexibility. The participant is asked to reach as far as possible toward their dominant limb while remaining seated.
Measured: baseline, 16 and 32 weeks
Distance between fingers of opposing hands as participant attempts to touch fingers while reaching posteriorly.
The Back Scratch Test measures upper extremity flexibility. Here the distance between finger-tips is recorded as the participant reaches posteriorly and attempts to touch opposing hands.
Measured: baseline, 16 and 32 weeks
Maximum passive wrist flexion, extension, radial-deviation, and ulnar-deviation, range of motion (in degrees).
These tests measure the range of motion of the wrist in the sagittal and frontal planes.
Measured: baseline, 16 and 32 weeks
Maximum height participant can reach while standing
Here we quantify the maximum vertical height participants can reach while standing.
Measured: baseline, 16 and 32 weeks
Maximum distance participant can reach forward while standing
THe Maximum Forward Reach test is a measure of strength and flexibility. Here we record the maximum distance the participant can reach forward while standing.
Measured: baseline, 16 and 32 weeks
stride length during walking
Here we quantify the stride length of participants during walking at a self-selected pace.
Measured: baseline, 16 and 32 weeks
Maximum joint angle
Here we quantify the maximum joint angles of the ankle, knee, hip, trunk, shoulder, elbow, and wrist during performance of the yoga poses.
Measured: baseline, 16 and 32 weeks
Sway distance of the center of pressure
Here we quantify the movement of the center of pressure as participants stand as still as possible
Measured: baseline, 16 and 32 weeks
Electromyographic activity of muscles
Here we record the electromyographic activity of the Anterior Deltoid, Triceps surae, Obliques, Rectus Abdominus, Erector Spinae, Gluteus Maximus, Lateral Hamstrings, Vastus Lateralis, Gastrocnemius, and Gluteus Medius, muscles during performance of the yoga poses.
Measured: baseline, 16 and 32 weeks
SF-36 score
Health related quality of life and mood will be assessed with the RAND Short Form-36 (Hays, 1993). The SF-36 includes sub-scales that measure: 1) health-related limitations in physical function; 2) health-related limitations in role and in social function; 3) emotional function (including positive and negative mood states); 4) pain.
Measured: baseline and 36 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Aug 2011 (estimated)
- Study startJul 2009
- Primary completionApr 2011
- Study completionApr 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Healthy Older AdultsStudies of the same condition, open and under way.
- More trials run by University of Southern CaliforniaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 27 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Southern California
- Sponsor type
- University, hospital or other
- Collaborators
- University of California, Los Angeles
- Responsible party
- Principal investigator, George Salem, University of Southern California
- Investigators
- george salem, phd, Principal investigator, University of Southern California
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01411059
- Sponsor's protocol ID
- 1R01AT004869-01
- Acronym
- YESS
- Status last verified
- Nov 2016
- First submitted
- 20 Jul 2011
- Last updated
- 16 Nov 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Wang MY, Yu SS, Hashish R, Samarawickrame SD, Kazadi L, Greendale GA, Salem G. The biomechanical demands of standing yoga poses in seniors: The Yoga empowers seniors study (YESS). BMC Complement Altern Med. 2013 Jan 9;13:8. doi: 10.1186/1472-6882-13-8.
PubMed 23302513
Study at a glance
From the registry record, last updated by the sponsor on 16 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safe and Effective Yoga Prescription of Seniors: Biomechanical Considerations
- ClinicalTrials.gov ID
- NCT01411059
- Acronym / sponsor ID
- YESS / 1R01AT004869-01
- Conditions
- Healthy Older Adults
- Keywords
- yoga biomechanics seniors
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 27 participants (actual)
- Lead sponsor
- University of Southern CaliforniaUniversity, hospital or other
- Collaborators
- University of California, Los Angeles
- Study start
- Jul 2009
- Primary completion
- Apr 2011 (actual)
- Study completion
- Apr 2011 (actual)
- First posted
- 5 Aug 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an Intervention Development Study (IDS) to quantify the physical demands (using biomechanical investigation) of a 2-phase (beginning \& intermediate), 32-week yoga program designed for community-dwelling older adults. Additionally, the IDS will explore the adherence and adverse events of participation in the program. Data from the IDS will be used to develop evidenced-based yoga programs, which the investigators postulate will be associated with fewer musculoskeletal side effects compared to non-evidence based yoga programs. The investigators also postulate that evidenced-based tailoring of yoga for seniors will enhance adherence and efficacy. The programs developed during this IDS will be tested in an expanded, Phase II, Randomized Controlled Trial.
Detailed description
Yoga is currently being recommended to restore and preserve strength, flexibility, balance, \& physical capacity in older adults; however, our clinical trial experiences suggest that without proper evidenced-based prescription, Yoga participation can be ineffective or even injurious for seniors. To address this lack of evidence-based knowledge, the proposed IDS will: 1) quantify the physical demands of a 32-wk Yoga program designed for independent ambulatory seniors; 2) characterize the relations between these demands and participant physical characteristics; 3) examine the adherence, efficacy, \& safety of the program; and 4) characterize the relations among reported adverse events, baseline participant characteristics, and Yoga physical demands.
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| yoga | Experimental | Behavioral: yoga32 weeks of yoga training |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (1 listed)
- Community dwelling men and women volunteers, aged 65 years or older.
Key exclusion criteria (20 listed)
- Safety exclusions:
- --the following safety exclusions are adopted in order to decrease potential cardiovascular
- active angina
- uncontrolled hypertension (SBP greater than 160 or DBP greater than 90)
- high resting pulse or respiratory rate (HR >90 or RR>24 after 5 minutes seated)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| yogaAlso: activity interventionyoga classes 2 times per week for 32 weeks | Behavioural | yoga |
Primary outcome
peak joint moments
Time frame: difference from baseline to 16 wk
These are the torques produced by the muscles during performance of the yoga poses
peak joint moments
Time frame: difference from 16 wk to 32 wk
These are the torques produced by the muscles during performance of the yoga poses
14 secondary outcomes
time to stand and sit from a chair 5 times
Time frame: baseline, 16 and 32 weeks
number of heel-rise repetitions
Time frame: baseline, 16 and 32 weeks
Time to complete Up & Go test
Time frame: baseline, 16 and 32 weeks
Number of marching steps completed within 2 minutes
Time frame: baseline, 16 and 32 weeks
Distance participant can reach forward from a sitting position
Time frame: baseline, 16 and 32 weeks
Distance between fingers of opposing hands as participant attempts to touch fingers while reaching posteriorly.
Time frame: baseline, 16 and 32 weeks
Maximum passive wrist flexion, extension, radial-deviation, and ulnar-deviation, range of motion (in degrees).
Time frame: baseline, 16 and 32 weeks
Maximum height participant can reach while standing
Time frame: baseline, 16 and 32 weeks
Maximum distance participant can reach forward while standing
Time frame: baseline, 16 and 32 weeks
stride length during walking
Time frame: baseline, 16 and 32 weeks
Maximum joint angle
Time frame: baseline, 16 and 32 weeks
Sway distance of the center of pressure
Time frame: baseline, 16 and 32 weeks
Electromyographic activity of muscles
Time frame: baseline, 16 and 32 weeks
SF-36 score
Time frame: baseline and 36 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Nov 2016.
- Derived from this study: PubMed 23302513Wang MY, Yu SS, Hashish R, Samarawickrame SD, Kazadi L, Greendale GA, Salem G. The biomechanical demands of standing yoga poses in seniors: The Yoga empowers seniors study (YESS). BMC Complement Altern Med. 2013 Jan 9;13:8. doi: 10.1186/1472-6882-13-8.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
george salem, phd principal investigator
University of Southern California
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing yoga in people with Healthy Older Adults, run by University of Southern California at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
peak joint moments (time frame: difference from baseline to 16 wk). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01411059, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Nov 2016.