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OBJECTIVES: The aim of this study was to explore the views of patients with rheumatoid arthritis (RA) regarding the suitability of yoga as a potential therapeutic intervention in the management of RA. METHODS: Twenty-two participants with RA were recruited from outpatient clinics at a regional hospital in New Zealand and divided into four focus groups. Heterogeneity between groups in terms of age, gender, duration of RA and functional ability provided opinions from a cross-section of RA patients. Transcripts were analysed using thematic analysis, with four themes predominating. RESULTS: Firstly, participants described their experience of symptoms related to their RA in three independent but linked categories of physical, mental and social well-being. Secondly, participants perceived the management of their RA to be prescriptive, medicalized and failing to address their wider health concerns. Thirdly, participants perceived yoga as a safe, adaptable therapy that may allow self-management of their RA. However, there was some concern that functional limitations may inhibit ability to practise the physical aspects of yoga. Fourthly, requirements for a yoga intervention that would be feasible for people with RA were presented by participants. CONCLUSIONS: Patients with RA perceive a disparity between their personal experience of living with RA and their current medical management. Yoga is perceived as a potential therapy to address this disparity. Based on opinions expressed by participants, future research regarding a yoga intervention as an adjunctive therapy for managing RA should meet patients' views on feasibility and test outcome measures reflecting the domains of physical, mental and social well-being.

Original publication

DOI

10.1002/msc.217

Type

Journal article

Journal

Musculoskeletal care

Publication Date

12/2011

Volume

9

Pages

211 - 221

Addresses

School of Physiotherapy, University of Otago, Dunedin, NZ. lesley@psy.otago.ac.nz

Keywords

Humans, Arthritis, Rheumatoid, Yoga, Focus Groups, Quality of Life, Adult, Aged, Middle Aged, Outpatients, Patient Acceptance of Health Care, Female, Male, Patient Preference