Feasibility of teleyoga for people with post COVID-19 condition– a mixed method design

Abstract Background Evidence about rehabilitation of post COVID-19 condition is scarce. Yoga has been found beneficial in other chronic conditions and can be delivered in a digital format at home. The aim of the study was to explore the feasibility of teleyoga in persons with post COVID-19 condition...

Full description

Saved in:
Bibliographic Details
Main Authors: Marie Lundberg, Leonie Klompstra, Lotti Orwelius, Mirjam Schimanke, Cecilia Olsson, Anna Strömberg
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Complementary Medicine and Therapies
Subjects:
Online Access:https://doi.org/10.1186/s12906-024-04735-4
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841544982010265600
author Marie Lundberg
Leonie Klompstra
Lotti Orwelius
Mirjam Schimanke
Cecilia Olsson
Anna Strömberg
author_facet Marie Lundberg
Leonie Klompstra
Lotti Orwelius
Mirjam Schimanke
Cecilia Olsson
Anna Strömberg
author_sort Marie Lundberg
collection DOAJ
description Abstract Background Evidence about rehabilitation of post COVID-19 condition is scarce. Yoga has been found beneficial in other chronic conditions and can be delivered in a digital format at home. The aim of the study was to explore the feasibility of teleyoga in persons with post COVID-19 condition by assessing adherence, safety, limited efficacy and experiences. Methods Pre-post mixed-method design. Participants were recruited from a post COVID-19 rehabilitation clinic. The intervention included standardised live-streamed teleyoga sessions twice/week for 7 weeks and individual yoga using a digital application during 12 weeks. Adherence to the teleyoga intervention was measured by registration of participation and by analysing the log in the application. Safety was measured by registration of serious adverse events. Limited efficacy examined trends in the predicted direction for better outcome in patients with a post-COVID condition in the 6-minute walk test, gait speed, cognition, health-related quality-of-life, mental distress, sleep and exercise motivation. We also assessed patients’ experiences after the intervention. Results Nine women and 2 men were enrolled, aged between 27 and 61 years, and duration of post COVID-19 3–12 months. Adherence: Half of the participants participated in more than 50% of the online yoga sessions. They enjoyed the digital format and the social aspect of the online yoga sessions. Some participants experienced that the yoga sessions of 60 min were too long. People with post COVID-19 felt motivated to participate, however they felt conflicted when other commitments took time away from yoga. Adherence to the yoga application varied, 6 patients used it less than 50% of the recommended time. Safety: Persons with post COVID-19 experienced symptoms due to their disease, which could increase during the yoga sessions that made it harder to participate. There were no reported serious adverse events. Limited efficacy: Participants expressed that they breathed more consciously and experienced relaxation and reduction of stress and anxiety. After 7 weeks of teleyoga there was a significant improvement in cognitive function (p-value = 0.048). No differences were found in the physical tests, health-related quality-of-life, anxiety and depression, sleep or in exercise motivation. Conclusion Adherence to the online yoga sessions was quite low and might be improved with shorter yoga sessions. Online yoga was safe, but some participants experienced an increase in symptoms. Teleyoga was associated with improved cognition, breathing and relaxation. The results show that online yoga could be feasible for people post COVID-19, but adaptation of the yoga-program may be required, especially as many patients experience an increase of symptoms. Furthermore, the teleyoga should be more flexible with regards to the duration and the number of sessions. As few participants were adherent to the application, the relevance and usefulness of this needs to be further explored.
format Article
id doaj-art-7e5d280860af4c7092da8f8b3e4b2695
institution Kabale University
issn 2662-7671
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Complementary Medicine and Therapies
spelling doaj-art-7e5d280860af4c7092da8f8b3e4b26952025-01-12T12:08:02ZengBMCBMC Complementary Medicine and Therapies2662-76712025-01-0125111010.1186/s12906-024-04735-4Feasibility of teleyoga for people with post COVID-19 condition– a mixed method designMarie Lundberg0Leonie Klompstra1Lotti Orwelius2Mirjam Schimanke3Cecilia Olsson4Anna Strömberg5Department of Health Medicine and Caring Sciences, Linkoping UniversityDepartment of Health Medicine and Caring Sciences, Linkoping UniversityDepartment of Intensive Care, Linköping UniversityDepartment of Internal Medicine, Vrinnevi HospitalDepartment of Health Sciences, Karlstad UniversityDepartment of Health Medicine and Caring Sciences, Linkoping UniversityAbstract Background Evidence about rehabilitation of post COVID-19 condition is scarce. Yoga has been found beneficial in other chronic conditions and can be delivered in a digital format at home. The aim of the study was to explore the feasibility of teleyoga in persons with post COVID-19 condition by assessing adherence, safety, limited efficacy and experiences. Methods Pre-post mixed-method design. Participants were recruited from a post COVID-19 rehabilitation clinic. The intervention included standardised live-streamed teleyoga sessions twice/week for 7 weeks and individual yoga using a digital application during 12 weeks. Adherence to the teleyoga intervention was measured by registration of participation and by analysing the log in the application. Safety was measured by registration of serious adverse events. Limited efficacy examined trends in the predicted direction for better outcome in patients with a post-COVID condition in the 6-minute walk test, gait speed, cognition, health-related quality-of-life, mental distress, sleep and exercise motivation. We also assessed patients’ experiences after the intervention. Results Nine women and 2 men were enrolled, aged between 27 and 61 years, and duration of post COVID-19 3–12 months. Adherence: Half of the participants participated in more than 50% of the online yoga sessions. They enjoyed the digital format and the social aspect of the online yoga sessions. Some participants experienced that the yoga sessions of 60 min were too long. People with post COVID-19 felt motivated to participate, however they felt conflicted when other commitments took time away from yoga. Adherence to the yoga application varied, 6 patients used it less than 50% of the recommended time. Safety: Persons with post COVID-19 experienced symptoms due to their disease, which could increase during the yoga sessions that made it harder to participate. There were no reported serious adverse events. Limited efficacy: Participants expressed that they breathed more consciously and experienced relaxation and reduction of stress and anxiety. After 7 weeks of teleyoga there was a significant improvement in cognitive function (p-value = 0.048). No differences were found in the physical tests, health-related quality-of-life, anxiety and depression, sleep or in exercise motivation. Conclusion Adherence to the online yoga sessions was quite low and might be improved with shorter yoga sessions. Online yoga was safe, but some participants experienced an increase in symptoms. Teleyoga was associated with improved cognition, breathing and relaxation. The results show that online yoga could be feasible for people post COVID-19, but adaptation of the yoga-program may be required, especially as many patients experience an increase of symptoms. Furthermore, the teleyoga should be more flexible with regards to the duration and the number of sessions. As few participants were adherent to the application, the relevance and usefulness of this needs to be further explored.https://doi.org/10.1186/s12906-024-04735-4Post covid-19 conditionRehabilitationTeleyogaYogaFeasibility studyMixed method
spellingShingle Marie Lundberg
Leonie Klompstra
Lotti Orwelius
Mirjam Schimanke
Cecilia Olsson
Anna Strömberg
Feasibility of teleyoga for people with post COVID-19 condition– a mixed method design
BMC Complementary Medicine and Therapies
Post covid-19 condition
Rehabilitation
Teleyoga
Yoga
Feasibility study
Mixed method
title Feasibility of teleyoga for people with post COVID-19 condition– a mixed method design
title_full Feasibility of teleyoga for people with post COVID-19 condition– a mixed method design
title_fullStr Feasibility of teleyoga for people with post COVID-19 condition– a mixed method design
title_full_unstemmed Feasibility of teleyoga for people with post COVID-19 condition– a mixed method design
title_short Feasibility of teleyoga for people with post COVID-19 condition– a mixed method design
title_sort feasibility of teleyoga for people with post covid 19 condition a mixed method design
topic Post covid-19 condition
Rehabilitation
Teleyoga
Yoga
Feasibility study
Mixed method
url https://doi.org/10.1186/s12906-024-04735-4
work_keys_str_mv AT marielundberg feasibilityofteleyogaforpeoplewithpostcovid19conditionamixedmethoddesign
AT leonieklompstra feasibilityofteleyogaforpeoplewithpostcovid19conditionamixedmethoddesign
AT lottiorwelius feasibilityofteleyogaforpeoplewithpostcovid19conditionamixedmethoddesign
AT mirjamschimanke feasibilityofteleyogaforpeoplewithpostcovid19conditionamixedmethoddesign
AT ceciliaolsson feasibilityofteleyogaforpeoplewithpostcovid19conditionamixedmethoddesign
AT annastromberg feasibilityofteleyogaforpeoplewithpostcovid19conditionamixedmethoddesign