Kan Laidi, Zhang Jiaqi, Yang Yonghong, Wang Pu
Rehabilitation Medicine Center, West China Hospital of Sichuan University, Chengdu, China; West China School of Medicine, Sichuan University, Chengdu, China.
Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
Evid Based Complement Alternat Med. 2016;2016:6016532. doi: 10.1155/2016/6016532. Epub 2016 Sep 29.
To systematically assess the effects of yoga on pain, mobility, and quality of life in patients with knee osteoarthritis. Pubmed, Medline, EMBASE, the Cochrane Central Register of Controlled Trials, Physiotherapy Evidence Database (PEDro), and other sources were searched systematically in this study. Two reviewers identified eligible studies and extracted data independently. Downs and Black's Quality Index were used to evaluate the methodological quality of the included studies. A total of 9 articles (6 studies) involving 372 patients with knee osteoarthritis met the inclusion criteria. The most common yoga protocol is 40~90 minutes/session, lasting for at least 8 weeks. The effect of yoga on pain relief and function improvement could be seen after two-week intervention. This systematic review showed that yoga might have positive effects in relieving pain and mobility on patients with KOA, but the effects on quality of life (QOL) are unclear. Besides, more outcome measure related to mental health of yoga effects on people with KOA should be conducted.
为系统评估瑜伽对膝关节骨关节炎患者疼痛、活动能力和生活质量的影响。本研究系统检索了PubMed、Medline、EMBASE、Cochrane对照试验中央注册库、物理治疗证据数据库（PEDro）及其他来源。两名评审员独立识别符合条件的研究并提取数据。采用唐斯和布莱克质量指数评估纳入研究的方法学质量。共有9篇文章（6项研究）涉及372例膝关节骨关节炎患者符合纳入标准。最常见的瑜伽方案是每次40~90分钟，持续至少8周。两周干预后可见瑜伽对缓解疼痛和改善功能的效果。该系统评价表明，瑜伽可能对膝关节骨关节炎患者缓解疼痛和改善活动能力有积极作用，但对生活质量的影响尚不清楚。此外，应开展更多与瑜伽对膝关节骨关节炎患者心理健康影响相关的结局测量。
