瑜伽和自然疗法为基础的生活方式干预管理类风湿性关节炎在中年妇女。病例报告

IF 1.7 Q2 Medicine Advances in integrative medicine Pub Date : 2022-05-01 DOI:10.1016/j.aimed.2022.03.003
Sucheta Kriplani , Gulab Rai Tewani , Pradeep MK Nair
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引用次数: 3

摘要

类风湿性关节炎(RA)是一种慢性衰弱性疾病,最常见于中年妇女,其管理具有独特的挑战。一名30岁女性,诊断为类风湿性关节炎4年,表现为严重的晨僵,疼痛,手部、手腕和肘部偶尔麻木和刺痛,步态异常。她还表现出尺骨偏差和天鹅颈畸形,并报告无法完成日常家务。当她被送进另类医疗机构时,她没有服用任何药物,在那里她接受了特定的瑜伽治疗。以自然疗法为基础的生活方式干预(YNBL),包括瑜伽疗法、水疗疗法、手法疗法、物理疗法、西针疗法、治疗性禁食和饮食调整,为期3个月。患者出院后随访3个月。数据显示,RA相关生活质量评分(28 - 4)、疼痛视觉模拟评分(8 - 2)、体重(30-35 kg)、血红蛋白(9-9.8 gm/dl)、红细胞沉降率(80-28 mm/hr)、RA因子(81.5-65 IU/mL)、抗瓜氨酸化蛋白抗体(410-198 EU/mL)均有显著改善。患者对YNBL方案具有良好的耐受性,并显示出炎症的显著减少,生活质量的改善以及结构畸形的逆转。这些结果值得进行大规模的随机对照试验,以探索YNBL在RA治疗中的可能性。
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Yoga & naturopathy based lifestyle interventions in the management of rheumatoid arthritis in a middle aged woman. A case report

Rheumatoid arthritis (RA) is a chronic debilitating disease most commonly seen in middle-aged women and that has unique challenge in its management. A 30 year old woman diagnosed with RA for 4 years presented with severe morning stiffness, pain, occasional numbness and tingling in her hands, wrists, as well as elbows with gait aberration. She also presented with ulnar deviation and swan neck deformity and reported an inability to perform her daily chores. She was not on any medication when she was admitted in an alternative health care setting where she was intervened with a specified protocol of yoga & naturopathy based lifestyle intervention (YNBL) which included yoga therapy, hydrotherapy, manipulative therapies, physiotherapy, western acupuncture, therapeutic fasting and dietary modifications for 3 months. The patient was followed-up for a period of 3 months from discharge. The data reveals significant improvement in the RA related Quality of Life scores (28−4), Visual analog score for pain (8−2), weight (30–35 kg), hemoglobin (9–9.8 gm/dl), erythrocyte sedimentation rate (80–28 mm/hr), RA factor (81.5–65 IU/mL), Anti- Citrullinated Protein Antibody (410–198 EU/mL). YNBL protocol was well tolerated by the patient and has shown significant reduction in inflammation, improvement in quality of life as well reversal of structural deformity. The results are encouraging to conduct large scale randomized control trials to explore the possibility of utilizing YNBL in the management of RA.

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来源期刊
Advances in integrative medicine
Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
3.20
自引率
11.80%
发文量
0
审稿时长
15 weeks
期刊介绍: Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.
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