Bedekar Nilima, Prabhu Archana, Shyam Ashok, Sancheti Kantilal, Sancheti Parag
Department of Musculoskeletal Sciences, Sancheti Institute, College of Physiotherapy, Shivaji Nagar, Pune, India.
Int J Yoga. 2012 Jul;5(2):118-22. doi: 10.4103/0973-6131.98226.
Amongst various modalities of post operative rehabilitation in a total knee replacement (TKR) surgery, this study focuses on evaluating the effect of additional yoga therapy on functional outcome of TKR patients.
A comparative study was done to compare the effects of conventional physiotherapy and additional yoga asanas, on 56 patients undergoing total knee arthroplasty due to osteoarthritis. After obtaining written informed consent, the patients were alternately assigned to two groups: Conventional and experimental. Baseline WOMAC scores for pain and stiffness were taken on third post operative day. The subjects in conventional group received physiotherapy rehabilitation program of Sancheti Institute where the study was conducted, the experimental group received additional modified yoga asanas once daily by the therapist. After discharge from the hospital, patients were provided with written instructions and photographs of the asanas, two sets of WOMAC questionnaire with stamped and addressed envelopes and were instructed to perform yoga asanas 3 days/week. Subjects filled the questionnaire after 6 weeks and 3 months from the day of surgery and mailed back. The primary outcome measure was WOMAC questionnaire which consists of 24 questions, each corresponding to a visual analog scale, designed to measure patient's perception of pain, stiffness and function.
The results suggest that there was a significant change (P<0.05) for all the groups for pain, stiffness and function subscales of WOMAC scale. The pain and stiffness was found to be less in experimental group receiving additional yoga therapy than in conventional group on 3(rd) post operative day, 6 weeks and 3 months after the surgery.
A combination of physiotherapy and yoga asana protocol works better than only physiotherapy protocol. Larger and blinded study is needed.
在全膝关节置换术（TKR）的各种术后康复方式中，本研究着重评估额外的瑜伽疗法对TKR患者功能结局的影响。
进行了一项对比研究，比较传统物理治疗与额外的瑜伽体式对56例因骨关节炎接受全膝关节置换术患者的效果。在获得书面知情同意后，患者被交替分配到两组：传统组和实验组。在术后第三天记录疼痛和僵硬的基线WOMAC评分。传统组的受试者接受了开展本研究的桑切蒂研究所的物理治疗康复计划，实验组由治疗师每天额外进行一次改良的瑜伽体式练习。出院后，为患者提供了体式的书面说明和照片、两套带有邮戳和地址信封的WOMAC问卷，并指示他们每周进行3天的瑜伽体式练习。受试者在手术后6周和3个月填写问卷并寄回。主要结局指标是WOMAC问卷，该问卷由24个问题组成，每个问题对应一个视觉模拟量表，旨在衡量患者对疼痛、僵硬和功能的感知。
结果表明，WOMAC量表的疼痛、僵硬和功能子量表在所有组中均有显著变化（P<0.05）。在术后第3天、术后6周和3个月时，接受额外瑜伽疗法的实验组的疼痛和僵硬程度低于传统组。
物理治疗和瑜伽体式方案相结合的效果优于单纯的物理治疗方案。需要进行更大规模的双盲研究。
