Yoga decreases kyphosis in senior women and men with adult-onset hyperkyphosis: results of a randomized controlled trial.
Yoga decreases kyphosis in senior women and men with adult-onset hyperkyphosis: results of a randomized controlled trial.
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DOI：
10.1111/j.1532-5415.2009.02391.x
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发表时间：
2009-09
影响因子：
6.3
通讯作者：
Crawford S
中科院分区：
文献类型：
--
作者：
Greendale GA;Huang MH;Karlamangla AS;Seeger L;Crawford S
评估专门设计的瑜伽干预是否可以减少过度脊柱后凸。一项为期6个月、2组、随机、对照、单盲试验。社区研究小组。118名年龄>60岁且脊柱后凸角>40度的女性和男性。主要的排除是：严重的医学并发症;使用辅助器具;不能充分听到或看到参与;或不能通过物理安全检查。积极治疗组参加一小时的瑜伽课程，每周3天，持续24周。对照组参加每月一次的午餐会/研讨会，并收到邮件。主要结局是Debrunner脊柱后凸测量仪评估的脊柱后凸角度、站立高度、定时椅子站立、功能伸展和步行速度的变化（基线至6个月）。次要结局是：脊柱后凸指数、屈曲脊柱后凸角度、Rancho Bernardo Blocks姿势评估和健康相关生活质量（HRQOL）的变化。与对照组受试者相比，随机分配至瑜伽组的受试者的屈曲后凸角度改善了4.4%（p=0.006），后凸指数改善了5%（p=0.004）。干预并没有导致Debrunner后凸角、测量的身体表现或自我评估的HRQOL的统计学显著改善（均p>0.1）。瑜伽治疗组的屈曲后凸角减少表明过度后凸是可以治疗的，这是治疗或预防这种疾病的关键第一步。应考虑对瑜伽或其他过度后凸干预进行更大规模、更明确的研究。针对脊柱可塑性更强的个体，并使用纵向精确的脊柱后凸测量可以加强治疗效果。
To assess whether a specifically designed Yoga intervention can reduce hyperkyphosis. A 6-month, 2 group, randomized, controlled, single masked trial. Community research unit. 118 women and men aged >60 years with kyphosis angle >40 degrees. Major exclusions were: serious medical comorbidity; use of assistive device; unable to hear or see adequately for participation; or unable to pass a physical safety screen. The active treatment group attended hour-long Yoga classes, 3 days per week, for 24 weeks. The control group attended a monthly luncheon/seminar and received mailings. Primary outcomes were change (baseline to 6 months) in Debrunner kyphometer-assessed kyphosis angle, standing height, timed chair stands, functional reach and walking speed. Secondary outcomes were change in: kyphosis index, flexicurve kyphosis angle, the Rancho Bernardo Blocks posture assessment and health-related quality of life (HRQOL). Compared to control participants, those randomized to Yoga experienced a 4.4% improvement in flexicurve kyphosis angle (p=0.006) and a 5% improvement in kyphosis index (p=0.004). The intervention did not result in statistically significant improvement in Debrunner kyphometer angle, measured physical performance or in self-assessed HRQOL (each p>0.1). The decrease in flexicurve kyphosis angle in the Yoga treatment group shows that hyperkyphosis is remediable, a critical first step in the pathway to treating or preventing this condition. Larger, more definitive studies of Yoga or other interventions for hyperkyphosis should be considered. Targeting individuals with more malleable spines and using longitudinally precise measures of kyphosis could strengthen the treatment effect.
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影响因子：
3
作者：
Lundon, KMA;Li, AMWY;Bibershtein, S
通讯作者：
Bibershtein, S
DOI：
10.1093/geronj/47.3.m93
发表时间：
1992-05-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
DUNCAN, PW;STUDENSKI, S;PRESCOTT, B
通讯作者：
PRESCOTT, B
DOI：
10.1093/gerona/60.5.633
发表时间：
2005-05-01
影响因子：
5.1
作者：
Kado, DM;Huang, MH;Greendale, GA
通讯作者：
Greendale, GA
影响因子：
4
作者：
McGrother, CW;Donaldson, MMK;Clarke, M
通讯作者：
Clarke, M
DOI：
10.1111/j.1532-5415.1997.tb01470.x
发表时间：
1997-06-01
影响因子：
6.3
作者：
Ensrud, KE;Black, DM;Cummings, SR
通讯作者：
Cummings, SR