Mediators of yoga and stretching for chronic low back pain.
Mediators of yoga and stretching for chronic low back pain.
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DOI：
10.1155/2013/130818
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Ceballos RM
中科院分区：
文献类型：
--
作者：
Sherman KJ;Wellman RD;Cook AJ;Cherkin DC;Ceballos RM
尽管瑜伽是一种治疗慢性下腰痛的有效方法，但人们对瑜伽的益处机制知之甚少。在一项将瑜伽与高强度拉伸和自我护理进行比较的试验中，我们探索了身体(每周背部锻炼的小时数)、认知(恐惧回避、身体意识和自我效能)、情感(心理困扰、感知到的压力、积极的心态和睡眠)以及生理因素(皮质醇、DHEA)是否介导了瑜伽或拉伸对背部相关功能障碍的影响(罗兰-莫里斯残疾评分(RDQ))。对于瑜伽，在12周的RDQ中，36%的影响是由增加的自我效能感调节的，18%是由睡眠障碍调节的，9%是由背部锻炼时间调节的，61%是由所有可能的调节因素(6个调节器)的最佳组合调节的。对于伸展运动，23%的效果是由增强的自我效能感介导的，14%是通过背部锻炼，50%是由所有可能的中介因素(7个中介因素)的最佳组合。在开放式问题中，≥20%的参与者注意到以下治疗益处：学习新运动(两组)、放松、提高意识、呼吸的益处(瑜伽)、定期练习的益处(伸展)。尽管自我效能感和背部锻炼时间都是每次干预的最强中介因素，但与自我护理相比，定性数据表明，它们可能通过部分不同的机制发挥其好处。
Although yoga is an effective treatment for chronic low back pain, little is known about the mechanisms responsible for its benefits. In a trial comparing yoga to intensive stretching and self-care, we explored whether physical (hours of back exercise/week), cognitive (fear avoidance, body awareness, and self-efficacy), affective (psychological distress, perceived stress, positive states of mind, and sleep), and physiological factors (cortisol, DHEA) mediated the effects of yoga or stretching on back-related dysfunction (Roland-Morris Disability Scale (RDQ)). For yoga, 36% of the effect on 12-week RDQ was mediated by increased self-efficacy, 18% by sleep disturbance, 9% by hours of back exercise, and 61% by the best combination of all possible mediators (6 mediators). For stretching, 23% of the effect was mediated by increased self-efficacy, 14% by days of back exercise, and 50% by the best combination of all possible mediators (7 mediators). In open-ended questions, ≥20% of participants noted the following treatment benefits: learning new exercises (both groups), relaxation, increased awareness, and the benefits of breathing (yoga), benefits of regular practice (stretching). Although both self-efficacy and hours of back exercise were the strongest mediators for each intervention, compared to self-care, qualitative data suggest that they may exert their benefits through partially distinct mechanisms.
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影响因子：
3.7
作者：
Mehling WE;Gopisetty V;Daubenmier J;Price CJ;Hecht FM;Stewart A
通讯作者：
Stewart A
DOI：
10.1186/1747-5341-6-6
发表时间：
2011-04-07
期刊：
Philosophy, ethics, and humanities in medicine : PEHM
影响因子：
--
作者：
Mehling, Wolf E;Wrubel, Judith;Stewart, Anita L
通讯作者：
Stewart, Anita L
影响因子：
3
作者：
ROLAND, M;MORRIS, R
通讯作者：
MORRIS, R
影响因子：
3.3
作者：
Adler, NE;Horowitz, M;Moyer, A
通讯作者：
Moyer, A
DOI：
10.1016/0021-9681(86)90038-x
发表时间：
1986-01-01
期刊：
JOURNAL OF CHRONIC DISEASES
影响因子：
--
作者：
DEYO, RA;CENTOR, RM
通讯作者：
CENTOR, RM