Yoga vs Physical Therapy in Multiple Sclerosis: Results of Randomized Controlled Trial and the Training Protocol.

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-10-01 Epub Date: 2023-04-12 DOI:10.1177/09727531231161994

Elena Lysogorskaia, Timur Ivanov, Ainagul Mendalieva, Elena Ulmasbaeva, Maxim Youshko, Lev Brylev

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引用次数: 1

Abstract

Background: Yoga originated in the territory of modern India more than 3,000 years ago uses techniques for working with the musculoskeletal system, cardiorespiratory system, and attention. Currently, the effectiveness and safety of yoga in patients with various neurological disorders, including multiple sclerosis (MS), is of interest to many scientists and clinicians.

Purpose: The main aim of this study is to examine the effect of yoga on symptoms and quality of life in patients with MS vs physical therapy (exercise therapy) and no exercise.

Methods: The patients were randomly assigned to three groups (yoga, physical therapy (PT), or waiting list). After 12 weeks of regular exercises (or the absence of them), the effect of yoga and PT on the functional status and quality of life of patients were evaluated. The data were collected during the patients' two visits to the study center - before the start of the study and at the end of the 12-week period. The in-person examination included a doctor's assessment of the Expanded Disability Status Scale (EDSS), the SF-36 quality of life questionnaire, the fatigue scale, the Berg balance scale, and the 6-min walking test.

Results: A total of 36 patients finished the clinical study: thirty women and six men. There was no statistically significant difference between the groups in terms of improvement in MS symptoms as measured by the balance, walking test, and fatigue scales. However, in the analysis of eight criteria of SF-36 quality-of-life questionnaire by the covariation analysis, statistically significant differences were found in favor of the yoga group in terms of physical functioning (PF) (p = .003), life activity (VT) (p < .001), mental health (MH) (p = 013), and social functioning (SF) (p = .028).

Conclusion: Thus, regular yoga classes under the guidance of qualified staff are a promising method of non-drug rehabilitation of patients with MS with motor disorders.

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瑜伽与物理治疗多发性硬化症:随机对照试验和训练方案的结果

瑜伽起源于3000多年前的现代印度领土，使用的是与肌肉骨骼系统、心肺系统和注意力有关的技术。目前，瑜伽对包括多发性硬化症(MS)在内的各种神经系统疾病患者的有效性和安全性是许多科学家和临床医生感兴趣的问题。本研究的主要目的是研究瑜伽对多发性硬化症患者的症状和生活质量的影响，对比物理治疗(运动治疗)和不运动。患者被随机分为三组(瑜伽组、物理治疗组或等候组)。经过12周的定期运动(或不运动)后，评估瑜伽和PT对患者功能状态和生活质量的影响。这些数据是在患者两次访问研究中心期间收集的——在研究开始前和12周结束时。亲自检查包括医生对扩展残疾状态量表(EDSS)、SF-36生活质量问卷、疲劳量表、Berg平衡量表和6分钟步行测试的评估。共有36名患者完成了临床研究:30名女性和6名男性。通过平衡、行走测试和疲劳量表测量，两组之间在MS症状改善方面没有统计学上的显著差异。然而，在对SF-36生活质量问卷的8项指标进行共变分析时，瑜伽组在身体功能(PF) (p = 0.003)、生活活动(VT) (p < 0.001)、心理健康(MH) (p = 013)和社会功能(SF) (p = 0.028)方面差异有统计学意义。因此，在有资质的工作人员的指导下，定期上瑜伽课是一种很有希望的MS伴运动障碍患者非药物康复的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.