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Effect of mindfulness yoga programme MiYoga on attention, behaviour, and physical outcomes in cerebral palsy: a
Catherine Mak1,2, Koa Whittingham1,2, Ross Cunnington2
1Queensland Cerebral Palsy and Rehabilitation Research Centre (QCPRRC), The University of Queensland Child Health Research Centre (UQ-CHRC), The University of Queensland, Brisbane, Queensland, Australia.
Insights
The embodied mindfulness-based movement program, MiYoga, significantly improved attention in children with cerebral palsy (CP). This intervention offers a novel approach to enhance attentional performance in children with CP.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Child Psychology
Background:
- Children with cerebral palsy (CP) often experience attention deficits, impacting their daily functioning and learning.
- Existing interventions for CP primarily focus on physical rehabilitation, with limited options addressing cognitive and attentional challenges.
Purpose of the Study:
- To evaluate the efficacy of an embodied mindfulness-based movement program, MiYoga, in improving attention in children with CP.
- To explore the effects of MiYoga on secondary outcomes including mindfulness, quality of life, executive function, and behavior in children with CP and their parents.
Main Methods:
- A randomized controlled trial involving 42 children with CP (mean age 9 years) and their parents.
- Participants were allocated to either the MiYoga intervention group (n=21) or a waitlist control group (n=21).
- Attention was assessed using the Conners' Continuous Performance Test, Second Edition (CCPT), with secondary outcomes measured via various validated scales.
Main Results:
- Children in the MiYoga group showed significantly improved attention, evidenced by lower inattention scores and fewer perseveration errors on the CCPT compared to the waitlist group.
- Intention-to-treat analysis confirmed significantly better sustained attention in the MiYoga group post-intervention.
- Parents in the MiYoga group reported a significant decrease in their own mindfulness levels.
Conclusions:
- The MiYoga program is an effective lifestyle intervention for enhancing attention in children with cerebral palsy.
- MiYoga can serve as a valuable complementary therapy to standard rehabilitation, specifically targeting attention improvement in children with CP.
- The intervention did not demonstrate significant effects on the physical functioning of the children.
Aim:
To investigate the efficacy of an embodied mindfulness-based movement programme (MiYoga), targeting attention in children with cerebral palsy (CP).
Method:
Total number of participants 42, with 24 boys (57.1%) and 18 girls (42.9%); mean age 9y 1mo, SD 3y; Gross Motor Function Classification System levels I=22, II=12, III=8) and their parents were randomized to either MiYoga (n=21) or waitlist comparison (n=21) groups. The primary outcome was attention postintervention measured by the Conners' Continuous Performance Test, Second Edition (CCPT). Secondary outcomes included parent and child mindfulness, child quality of life, parental well-being, child executive function, child behaviour, child physical measures, and the parent-child relationship.
Results:
Children in the MiYoga group demonstrated significantly better attention postintervention than the waitlist comparison group, with lower inattention scores on the hit reaction time standard error (F1,33 =4.59, p=0.04, partial eta-squared [ηp2]=0.13) variable and fewer perseveration errors (F1,33 =4.60, p=0.04, ηp2=0.13) on the CCPT. Intention-to-treat analysis also revealed that sustained attention in the MiYoga group was significantly better than in the waitlist comparison group postintervention (F1,37 =5.97, p=0.02, ηp2=0.14). Parents in the MiYoga group demonstrated significantly decreased mindfulness (Mindfulness Attention Awareness Scale; F1,33 =10.130, p=0.003, ηp2=0.246).
Interpretation:
MiYoga offers a lifestyle intervention that improves attention in children with CP. MiYoga can be considered as an additional option to standard rehabilitation to enhance attention for children with CP.
What This Paper Adds:
MiYoga, an embodied mindfulness-based movement programme, can enhance attention (more attentive and consistent performance) in children with cerebral palsy. MiYoga had no significant effect on physical functioning.
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