Iyengar yoga for treating symptoms of osteoarthritis of the knees: A pilot study
Iyengar yoga for treating symptoms of osteoarthritis of the knees: A pilot study
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DOI：
10.1089/acm.2005.11.689
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发表时间：
2005-08-01
影响因子：
2.6
通讯作者：
Schumacher, HR
中科院分区：
文献类型：
--
作者：
Kolasinski, SL;Garfinkel, M;Schumacher, HR
目的：美国风湿病学会 (ACR) 骨关节炎 (OA) 医疗管理指南强调使用包括运动在内的非药物干预措施。对于患者来说，实施锻炼计划可能很困难，而且人们对瑜伽等替代疗法的好处知之甚少。这项试点研究的目的是评估按照 B.K.S. 传统使用瑜伽的可行性。艾扬格治疗膝关节骨关节炎的症状。设计：参与者在 90 分钟的课程中接受改良艾扬格瑜伽姿势的指导，每周一次，持续 8 周。受试者：参与者符合膝骨关节炎的 ACR 标准，并完成病史和体检、西安大略和麦克马斯特大学骨关节炎指数 (WOMAC)、关节炎影响测量量表 2 (AIMS2)、通过视觉模拟进行的患者总体评估 (GA)量表 (VAS)、VAS 医师 GA 以及为期 8 周的瑜伽教学课程之前和之后的 50 英尺步行时间。十一 (11) 名受试者入组，其中九名至少完成了一次疗程，七名（其中六名肥胖者）有课程前和课程后时间点的数据可供分析。 结果：当参与者的状态与课程前状态进行比较时，观察到 WOMAC 疼痛、WOMAC 身体功能和 AIMS2 影响在统计上显着减少。 WOMAC 硬度、AIMS2 症状、社会和角色、医生 GA 和患者 GA 测量了症状改善的趋势。没有治疗不良事件的报告。结论：这项试点研究表明，瑜伽可以为以前从未接触过瑜伽的年龄 > 50 岁的肥胖患者提供可行的治疗选择，并有可能减少膝关节骨关节炎引起的疼痛和残疾。未来的研究应该将瑜伽与其他治疗膝骨关节炎的非药物干预措施（例如患者教育或股四头肌强化练习）进行比较。
Objectives: The American College of Rheumatology (ACR) Guidelines for the medical management of osteoarthritis (OA) emphasize the use of nonpharmacologic interventions including exercise. Implementation of an exercise program can be difficult for patients, and little is known about the benefits of alternative therapies such as yoga. The aim of this pilot study was to assess the feasibility of using yoga in the tradition of B.K.S. Iyengar to treat the symptoms of osteoarthritis of the knee.Design: Participants were instructed in modified Iyengar yoga postures during 90-minute classes once weekly for 8 weeks.Subjects: Participants met ACR criteria for osteoarthritis of the knee and completed a medical history and physical examination, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Arthritis Impact Measurement Scale 2 (AIMS2), Patient Global Assessment (GA) by Visual Analog Scale (VAS), Physician GA by VAS, and 50-foot Walk Time before and following an 8-week course of yoga instruction. Eleven (11) subjects enrolled, nine completed at least one session and seven (six of whom were obese) had data from pre- and post-course time points available for analysis.Results: Statistically significant reductions in WOMAC Pain, WOMAC Physical Function, and AIMS2 Affect were observed when participants' status were compared to their pre-course status. WOMAC Stiffness, AIMS2 Symptoms, Social and Role, Physician GA, and Patient GA measured trends in improvement of symptoms. No adverse events from treatment were reported.Conclusions: This pilot study suggests that yoga may provide a feasible treatment option for previously yoga-naive, obese patients > 50 years of age and offers potential reductions in pain and disability caused by knee OA. Future studies should compare yoga to other nonpharmacologic interventions for knee OA, such as patient education or quadriceps-strengthening exercises.