School of Health Sciences, University of South Australia, Adelaide, South Australia.
International Centre for Allied Health Evidence, School of Health Sciences, University of South Australia, Adelaide, South Australia.
Top Stroke Rehabil. 2014 May-Jun;21(3):256-71. doi: 10.1310/tsr2103-256.
To assess the efficacy of yoga for motor function, mental health, and quality of life outcomes in persons with chronic poststroke hemiparesis.
Twenty-two individuals participated in a randomized controlled trial involving assessment of task-orientated function, balance, mobility, depression, anxiety, and quality of life domains before and after either a 10-week yoga intervention (n = 11) or no treatment (n = 11).
The yoga intervention did not result in any significant improvements in objective motor function measures, however there was a significant improvement in quality of life associated with perceived motor function (P = .0001) and improvements in perceived recovery approached significance (P = .072). Memory-related quality of life scores significantly improved after yoga intervention (P = .022), and those participating in the intervention exhibited clinically relevant decreases in state and trait anxiety.
Preliminary results offer promise for yoga as an intervention to address mental health and quality of life in persons with stroke-related activity limitations. There is a need to more rigorously evaluate these yoga benefits with a larger randomized controlled trial, which, based on this preliminary trial, is feasible.
评估瑜伽对慢性脑卒中偏瘫患者运动功能、心理健康和生活质量结局的疗效。
22 名参与者参与了一项随机对照试验，在接受 10 周瑜伽干预（n=11）或无治疗（n=11）前后，分别评估了任务导向功能、平衡、移动能力、抑郁、焦虑和生活质量等领域。
瑜伽干预并未导致客观运动功能测量有任何显著改善，但与感知运动功能相关的生活质量显著改善（P=0.0001），感知恢复的改善也接近显著（P=0.072）。瑜伽干预后，与记忆相关的生活质量评分显著提高（P=0.022），且接受干预的患者表现出状态和特质焦虑的临床相关降低。
初步结果为瑜伽作为一种干预措施，用于解决与脑卒中相关活动受限患者的心理健康和生活质量问题提供了希望。需要更严格地评估这些瑜伽益处，开展更大规模的随机对照试验，基于这项初步试验，这是可行的。
