Yoga for Systemic Lupus Erythematosus (SLE): Clinician Experiences and Qualitative Perspectives from Students and Yoga Instructors Living with SLE

Overview

Journal Complement Ther Med

Publisher Elsevier

Specialty Rehabilitation Medicine

Date 2018 Nov 28

PMID 30477826

Citations 4

Authors

Kimberly R Middleton

Steffany Haaz Moonaz

Sarfaraz A Hasni

Miriam Magana Lopez

Gladys Tataw-Ayuketah

Nicole Farmer

Gwenyth R Wallen

Affiliations

Soon will be listed here.

Abstract

Methods/setting: An adjunct study was undertaken to evaluate adapting the Yoga as Self Care for Arthritis in Minority Communities study for a bilingual population living with SLE in the Washington, DC area. Informants included 7 patients enrolled onto the study, and 3 yoga instructors living with SLE. Qualitative methods included journals and semi-structured interviews.

Results: Enrolling patients clarified revisions for intake questionnaires, and symptoms that may impact class participation. Participants demonstrated increased balance, body awareness, and tolerated a faster-paced yoga class when compared to those in the parent study. Yoga instructors' recommendations included modifying yoga based on energy levels and frequent changes in physical ability.

Conclusion: This paper shares perspectives from various informants and affirms the feasibility of progressing to a larger study. It summarizes our findings and recommendations towards creating a randomized controlled trial, as there are currently none in the literature.

Citing Articles

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References

Streeter C, Gerbarg P, Saper R, Ciraulo D, Brown R . Effects of yoga on the autonomic nervous system, gamma-aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Med Hypotheses. 2012; 78(5):571-9. DOI: 10.1016/j.mehy.2012.01.021. View

Haija A, Schulz S . The role and effect of complementary and alternative medicine in systemic lupus erythematosus. Rheum Dis Clin North Am. 2011; 37(1):47-62. DOI: 10.1016/j.rdc.2010.11.005. View

Daltroy L, Robb-Nicholson C, Iversen M, Wright E, Liang M . Effectiveness of minimally supervised home aerobic training in patients with systemic rheumatic disease. Br J Rheumatol. 1995; 34(11):1064-9. DOI: 10.1093/rheumatology/34.11.1064. View

Lam N, Ghetu M, Bieniek M . Systemic Lupus Erythematosus: Primary Care Approach to Diagnosis and Management. Am Fam Physician. 2016; 94(4):284-94. View

Koopman F, Stoof S, Straub R, van Maanen M, Vervoordeldonk M, Tak P . Restoring the balance of the autonomic nervous system as an innovative approach to the treatment of rheumatoid arthritis. Mol Med. 2011; 17(9-10):937-48. PMC: 3188868. DOI: 10.2119/molmed.2011.00065. View

McCarty D, Manzi S, Medsger Jr T, Ramsey-Goldman R, LaPorte R, Kwoh C . Incidence of systemic lupus erythematosus. Race and gender differences. Arthritis Rheum. 1995; 38(9):1260-70. DOI: 10.1002/art.1780380914. View

Middleton K, Ward M, Haaz Moonaz S, Lopez M, Tataw-Ayuketah G, Yang L . Feasibility and assessment of outcome measures for yoga as self-care for minorities with arthritis: a pilot study. Pilot Feasibility Stud. 2018; 4:53. PMC: 5819213. DOI: 10.1186/s40814-018-0248-x. View

Kiriakidou M, Cotton D, Taichman D, Williams S . Systemic lupus erythematosus. Ann Intern Med. 2013; 159(7):ITC4-1. DOI: 10.7326/0003-4819-159-7-201310010-01004. View

Mathis K . An impaired neuroimmune pathway promotes the development of hypertension in systemic lupus erythematosus. Am J Physiol Regul Integr Comp Physiol. 2015; 309(9):R1074-7. PMC: 4666955. DOI: 10.1152/ajpregu.00143.2015. View

10.

Toschi-Dias E, Tobaldini E, Solbiati M, Costantino G, Sanlorenzo R, Doria S . Sudarshan Kriya Yoga improves cardiac autonomic control in patients with anxiety-depression disorders. J Affect Disord. 2017; 214:74-80. DOI: 10.1016/j.jad.2017.03.017. View

11.

Sullivan M, Erb M, Schmalzl L, Moonaz S, Noggle Taylor J, Porges S . Yoga Therapy and Polyvagal Theory: The Convergence of Traditional Wisdom and Contemporary Neuroscience for Self-Regulation and Resilience. Front Hum Neurosci. 2018; 12:67. PMC: 5835127. DOI: 10.3389/fnhum.2018.00067. View

12.

Gurevitz S, Snyder J, Wessel E, Frey J, Williamson B . Systemic lupus erythematosus: a review of the disease and treatment options. Consult Pharm. 2013; 28(2):110-21. DOI: 10.4140/TCP.n.2013.110. View

13.

Sullivan M, Moonaz S, Weber K, Noggle Taylor J, Schmalzl L . Toward an Explanatory Framework for Yoga Therapy Informed by Philosophical and Ethical Perspectives. Altern Ther Health Med. 2017; 24(1):38-47. View

14.

Rinaldi S, Ghisi M, Iaccarino L, Zampieri S, Ghirardello A, Sarzi-Puttini P . Influence of coping skills on health-related quality of life in patients with systemic lupus erythematosus. Arthritis Rheum. 2006; 55(3):427-33. DOI: 10.1002/art.21993. View

15.

Nikpour M, Urowitz M, Ibanez D, Gladman D . Frequency and determinants of flare and persistently active disease in systemic lupus erythematosus. Arthritis Rheum. 2009; 61(9):1152-8. DOI: 10.1002/art.24741. View

16.

Pons-Estel G, Alarcon G, Scofield L, Reinlib L, Cooper G . Understanding the epidemiology and progression of systemic lupus erythematosus. Semin Arthritis Rheum. 2009; 39(4):257-68. PMC: 2813992. DOI: 10.1016/j.semarthrit.2008.10.007. View

17.

Tsokos G . Systemic lupus erythematosus. N Engl J Med. 2011; 365(22):2110-21. DOI: 10.1056/NEJMra1100359. View

18.

Carvalho M, Sato E, Tebexreni A, Heidecher R, Schenkman S, Barros Neto T . Effects of supervised cardiovascular training program on exercise tolerance, aerobic capacity, and quality of life in patients with systemic lupus erythematosus. Arthritis Rheum. 2005; 53(6):838-44. DOI: 10.1002/art.21605. View

19.

Tench C, McCarthy J, McCurdie I, White P, DCruz D . Fatigue in systemic lupus erythematosus: a randomized controlled trial of exercise. Rheumatology (Oxford). 2003; 42(9):1050-4. DOI: 10.1093/rheumatology/keg289. View

20.

Telles S, Sharma S, Gupta R, Bhardwaj A, Balkrishna A . Heart rate variability in chronic low back pain patients randomized to yoga or standard care. BMC Complement Altern Med. 2016; 16(1):279. PMC: 4982400. DOI: 10.1186/s12906-016-1271-1. View