Middleton Kr, Acevedo At, Dietz L, Brandon Z, Andrade R, Wallen Gr
National Institutes of Health (NIH), Clinical Center, 10 Center Drive, Room 2B02E, Bethesda, USA.
NIH/ Rehabilitation Medicine Department, 10 Center Drive, Bethesda, USA.
J Yoga Phys Ther. 2013 Dec 7;3(4). doi: 10.4172/2157-7595.1000149.
Mind-body interventions, such as yoga, that teach stress management with physical activity may be well suited for investigation in both osteoarthritis and rheumatoid arthritis. In order to be considered as viable care options integrative studies need to offer a comprehensive design and include clinicians familiar with the disease process of the study populations. A review of the literature reveals a dearth of information related to the collaboration between yoga and physical rehabilitation medicine. This article discusses the collaboration with physical rehabilitation medicine to collect relevant pre- and post-intervention measures for an on-going pilot acceptability/feasibility yoga study for minority patients with osteoarthritis or rheumatoid arthritis. An interdisciplinary clinical research team selected psychosocial and physical measures for a community sample of bilingual minority patients, not typically identified as practicing yoga. Sixteen female adults aged 40-63 years (mean =51) completed baseline physical assessments using single leg stance, functional reach test, time up and go test, timed up from the floor test and the Disabilities of the Arm, Shoulder and Hand measures. Baseline values show an average level of functional ability prior to beginning the intervention. Preliminary results indicate some improvement; however, selected measures may not have the sensitivity and specificity needed to identify significant change. In this study, combining interdisciplinary perspectives enhanced the quality of the research study design. The experience of this interdisciplinary clinical research team opens the discussion for future collaborations.
身心干预措施,如瑜伽,通过身体活动来教授压力管理,可能非常适合在骨关节炎和类风湿关节炎中进行研究。为了被视为可行的护理选择,综合研究需要提供全面的设计,并包括熟悉研究人群疾病过程的临床医生。对文献的回顾发现,与瑜伽和物理康复医学之间合作相关的信息匮乏。本文讨论了与物理康复医学的合作,以收集针对正在进行的针对骨关节炎或类风湿关节炎少数族裔患者的瑜伽试点可接受性/可行性研究的干预前后相关措施。一个跨学科临床研究团队为一个通常不被认为练习瑜伽的双语少数族裔患者社区样本选择了心理社会和身体测量方法。16名年龄在40 - 63岁(平均 = 51岁)的成年女性完成了使用单腿站立、功能性伸展测试、起身行走测试、从地面起身计时测试以及手臂、肩部和手部残疾测量的基线身体评估。基线值显示了干预开始前的平均功能能力水平。初步结果表明有一些改善;然而,所选测量方法可能没有识别显著变化所需的敏感性和特异性。在本研究中,结合跨学科观点提高了研究设计的质量。这个跨学科临床研究团队的经验开启了关于未来合作的讨论。