Ebnezar John, Nagarathna Raghuram, Yogitha Bali, Nagendra Hongasandra Ramarao
Department of Orthopedics, Ebnezar Orthopaedic Centre, Parimala Speciality Hospital, Bangalore, India.
Int J Yoga. 2012 Jan;5(1):28-36. doi: 10.4103/0973-6131.91708.
To study the effect of integrated yoga on pain, morning stiffness and anxiety in osteoarthritis of knees.
Two hundred and fifty participants with OA knees (35-80 years) were randomly assigned to yoga or control group. Both groups had transcutaneous electrical stimulation and ultrasound treatment followed by intervention (40 min) for two weeks with follow up for three months. The integrated yoga consisted of yogic loosening and strengthening practices, asanas, relaxation, pranayama and meditation. The control group had physiotherapy exercises. Assessments were done on 15(th) (post 1) and 90(th) day (post 2).
Resting pain (numerical rating scale) reduced better (P<0.001, Mann-Whitney U test) in yoga group (post 1=33.6% and post 2=71.8%) than control group (post 1=13.4% and post 2=37.5%). Morning stiffness decreased more (P<0.001) in yoga (post 1=68.6% and post 2=98.1%) than control group (post 1=38.6% and post 2=71.6%). State anxiety (STAI-1) reduced (P<0.001) by 35.5% (post 1) and 58.4% (post 2) in the yoga group and 15.6% (post 1) and 38.8% (post 2) in the control group; trait anxiety (STAI 2) reduced (P<0.001) better (post 1=34.6% and post 2=57.10%) in yoga than control group (post 1=14.12% and post 2=34.73%). Systolic blood pressure reduced (P<0.001) better in yoga group (post 1=-7.93% and post 2=-15.7%) than the control group (post 1=-1.8% and post 2=-3.8%). Diastolic blood pressure reduced (P<0.001) better in yoga group (post 1=-7.6% and post 2=-16.4%) than the control group (post 1=-2.1% and post 2=-5.0%). Pulse rate reduced (P<0.001) better in yoga group (post 1=-8.41% and post 2=-12.4%) than the control group (post 1=-5.1% and post 2=-7.1%).
Integrated approach of yoga therapy is better than physiotherapy exercises as an adjunct to transcutaneous electrical stimulation and ultrasound treatment in reducing pain, morning stiffness, state and trait anxiety, blood pressure and pulse rate in patients with OA knees.
研究综合瑜伽对膝关节骨关节炎患者疼痛、晨僵及焦虑的影响。
250名膝关节骨关节炎患者（年龄35 - 80岁）被随机分为瑜伽组或对照组。两组均接受经皮电刺激和超声治疗，随后进行为期两周的干预（40分钟），并随访三个月。综合瑜伽包括瑜伽放松与强化练习、体式、放松、呼吸控制法和冥想。对照组进行物理治疗锻炼。在第15天（第1次随访）和第90天（第2次随访）进行评估。
瑜伽组静息疼痛（数字评定量表）改善情况（P<0.001，曼-惠特尼U检验）优于对照组，瑜伽组第1次随访时改善33.6%，第2次随访时改善71.8%；对照组第1次随访时改善13.4%，第2次随访时改善37.5%。瑜伽组晨僵改善程度更大（P<0.001），第1次随访时改善68.6%，第2次随访时改善98.1%；对照组第1次随访时改善38.6%，第2次随访时改善71.6%。瑜伽组状态焦虑（STAI - 1）第1次随访时降低35.5%，第2次随访时降低58.4%（P<0.001）；对照组第1次随访时降低15.6%，第2次随访时降低38.8%。特质焦虑（STAI - 2）瑜伽组改善情况（P<0.001）优于对照组，瑜伽组第1次随访时改善34.6%，第2次随访时改善57.10%；对照组第1次随访时改善14.12%，第2次随访时改善34.73%。瑜伽组收缩压降低情况（P<0.001）优于对照组，瑜伽组第1次随访时降低7.93%，第2次随访时降低15.7%；对照组第1次随访时降低1.8%，第2次随访时降低3.8%。瑜伽组舒张压降低情况（P<0.001）优于对照组，瑜伽组第1次随访时降低7.6%，第2次随访时降低16.4%；对照组第1次随访时降低2.1%，第2次随访时降低5.0%。瑜伽组脉搏率降低情况（P<0.001）优于对照组，瑜伽组第1次随访时降低8.41%，第2次随访时降低12.4%；对照组第1次随访时降低5.1%，第2次随访时降低7.1%。
在经皮电刺激和超声治疗基础上，作为辅助治疗手段，瑜伽疗法的综合方案在减轻膝关节骨关节炎患者的疼痛、晨僵、状态和特质焦虑、血压及脉搏率方面优于物理治疗锻炼。
