Yogitha Bali, Nagarathna R, John Ebnezar, Nagendra Hr
Department of Orthopaedics, Ebnezar Orthopedic Centre, Parimala Hospital, Bengaluru, India.
Int J Yoga. 2010 Jan;3(1):18-25. doi: 10.4103/0973-6131.66774.
Studies have shown that conventional treatment methods with drugs, physiotherapy and exercises for common neck pain (CNP) may be inadequate. Yoga techniques have been found to be effective complimentary therapies in chronic low back pain and also for stress reduction in other diseases.
The aim of the study was to examine the complimentary role of a yogic relaxation called mind sound resonance technique (MSRT) in non-surgical management of CNP.
In this randomized controlled study, 60 patients with CNP were assigned to two groups (yoga, n=30) and (control, n=30). The yoga group received yogic MSRT for 20 minutes in supine position after the conventional physiotherapy program for 30 minutes using pre-recorded audio CD and the control group had non-guided supine rest for 20 minutes (after physiotherapy), for 10 days. MSRT provides deep relaxation for both mind and body by introspective experience of the sound resonance in the whole body while repeating the syllables A, U, M and Om and a long chant (Mahamrityunjaya mantra) several times in a meaningful sequence. Both the groups had pre and post assessments using visual pain analog scale, tenderness scoring key, neck disability score (NDS) questionnaire, goniometric measurement of cervical spinal flexibility, and state and trait anxiety inventory-Y1 (STAI-Y1).
Mann-Whitney U test showed significant difference between groups in pain (P<0.01), tenderness (P<0.01), neck movements (P<0.01). NDS (P<0.01) and state anxiety (STAI-Y1) showed higher reduction in yoga (P<0.01) than that in the control group. Wilcoxon's test showed a significant improvement in both groups on all variables (P<0.01).
Yoga relaxation through MSRT adds significant complimentary benefits to conventional physiotherapy for CNP by reducing pain, tenderness, disability and state anxiety and providing improved flexibility.
研究表明，对于常见颈部疼痛（CNP），采用药物、物理治疗和运动的传统治疗方法可能并不充分。瑜伽技术已被发现是慢性下背痛的有效辅助疗法，并且在其他疾病的减压方面也有作用。
本研究旨在探讨一种名为心灵声音共振技术（MSRT）的瑜伽放松法在CNP非手术治疗中的辅助作用。
在这项随机对照研究中，60例CNP患者被分为两组（瑜伽组，n = 30）和（对照组，n = 30）。瑜伽组在使用预先录制的音频CD进行30分钟常规物理治疗后，仰卧位接受20分钟的瑜伽MSRT，对照组在（物理治疗后）进行20分钟无指导的仰卧休息，持续10天。MSRT通过在全身重复音节A、U、M和嗡以及一段长诵（大解脱咒）并按有意义的顺序多次进行时，对声音共振的内省体验，为身心提供深度放松。两组均使用视觉疼痛模拟量表、压痛评分标准、颈部功能障碍评分（NDS）问卷、颈椎活动度的角度测量以及状态和特质焦虑量表-Y1（STAI-Y1）进行治疗前和治疗后的评估。
曼-惠特尼U检验显示，两组在疼痛（P<0.01）、压痛（P<0.01）、颈部活动（P<0.01）方面存在显著差异。NDS（P<0.01）和状态焦虑（STAI-Y1）在瑜伽组的降低幅度（P<0.01）高于对照组。威尔科克森检验显示两组在所有变量上均有显著改善（P<0.01）。
通过MSRT进行的瑜伽放松为CNP的传统物理治疗增添了显著的辅助益处，可减轻疼痛、压痛、功能障碍和状态焦虑，并提高灵活性。
