Kliniken Essen-Mitte, Klinik für Naturheilkunde und Integrative Medizin, Knappschafts-Krankenhaus, Am Deimelsberg 34a, 45276 Essen, Germany.
Rheumatology (Oxford). 2013 Nov;52(11):2025-30. doi: 10.1093/rheumatology/ket264. Epub 2013 Aug 9.
To evaluate the quality of evidence and the strength of recommendation for yoga as an ancillary intervention in rheumatic diseases.
Medline/PubMed, Scopus, the Cochrane Library and IndMED were searched through February 2013. Randomized controlled trials (RCTs) comparing yoga with control interventions in patients with rheumatic diseases were included. Two authors independently assessed the risk of bias using the Cochrane Back Review Group risk of bias tool. The quality of evidence and the strength of the recommendation for or against yoga were graded according to the GRADE recommendations.
Eight RCTs with a total of 559 subjects were included; two RCTs had a low risk of bias. In two RCTs on FM syndrome, there was very low evidence for effects on pain and low evidence for effects on disability. In three RCTs on OA, there was very low evidence for effects on pain and disability. Based on two RCTs, very low evidence was found for effects on pain in RA. No evidence for effects on pain was found in one RCT on CTS. No RCT explicitly reported safety data.
Based on the results of this review, only weak recommendations can be made for the ancillary use of yoga in the management of FM syndrome, OA and RA at this point.
评估瑜伽作为辅助干预手段应用于风湿性疾病的证据质量和推荐强度。
检索 Medline/PubMed、Scopus、Cochrane 图书馆和 IndMED 数据库，检索时间截至 2013 年 2 月。纳入比较瑜伽与风湿性疾病患者对照干预措施的随机对照试验（RCT）。两位作者独立使用 Cochrane Back Review Group 风险偏倚评估工具评估偏倚风险。根据 GRADE 建议，对瑜伽的推荐或反对进行证据质量和推荐强度分级。
纳入 8 项 RCT，共 559 例患者；其中 2 项 RCT 低风险偏倚。2 项 FM 综合征 RCT 有非常低质量的疼痛和残疾结局证据，3 项骨关节炎 RCT 有非常低质量的疼痛和残疾结局证据，2 项类风湿关节炎 RCT 有非常低质量的疼痛结局证据。1 项腕管综合征 RCT 无疼痛结局证据。没有 RCT 明确报告安全性数据。
基于本综述结果，目前仅能对瑜伽辅助治疗纤维肌痛综合征、骨关节炎和类风湿关节炎提供弱推荐。
