McNamara Christopher, Johnson Mahrya, Read Lisa, Vander Velden Heidi, Thygeson Megan, Liu Meixia, Gandrud Laura, McNamara John
Children's Respiratory and Critical Care Specialists, PA, Minneapolis, MN, USA.
Children's Hospitals and Clinics of Minnesota, Minneapolis, MN, USA.
Evid Based Complement Alternat Med. 2016;2016:9429504. doi: 10.1155/2016/9429504. Epub 2016 Dec 19.
This study was designed to determine whether yoga might alleviate symptoms of pain, sleep disturbance, anxiety, and depression in children with cystic fibrosis (CF). CF is the most common genetic, life-limiting chronic disease among Caucasian populations. It primarily affects the lungs but also many other secretory organs and consequently leads to significant morbidities. Research has shown that children with CF have significantly increased depression, anxiety, and pain compared to their healthy counterparts. Subjects participated in six one-on-one sessions over a 10-week period with a certified instructor who designed each yoga practice based on a preestablished list of 30 yoga asanas. Questionnaires evaluating pain, sleep disturbance, sustained anxiety, immediate anxiety, and depression were administered. Differences between premeasures and postmeasures were evaluated using a two-sided test. Twenty subjects were assessed (12 females/8 males), median age of 11 (7-20) years. Mean immediate anxiety scores decreased (before session to after session 29 to 23.6, respectively, < 0.001). Joint pain improved (3.25 to 3.65, = 0.028). CFQ-R emotion subscale improved from 79.2 to 85 ( = 0.073), and the respiratory subscale improved from 66.7 to 79.2 ( = 0.076). Other results were less notable. We conclude that yoga may reduce immediate anxiety and joint pain in patients with CF.
本研究旨在确定瑜伽是否可以缓解囊性纤维化(CF)患儿的疼痛、睡眠障碍、焦虑和抑郁症状。CF是白种人群中最常见的遗传性、危及生命的慢性疾病。它主要影响肺部,但也会影响许多其他分泌器官,从而导致严重的发病情况。研究表明,与健康儿童相比,CF患儿的抑郁、焦虑和疼痛显著增加。受试者在10周内与一名认证教练进行了6次一对一课程,该教练根据预先确定的30种瑜伽体式清单设计每次瑜伽练习。使用问卷评估疼痛、睡眠障碍、持续性焦虑、即时焦虑和抑郁情况。采用双侧检验评估测量前和测量后的差异。对20名受试者(12名女性/8名男性)进行了评估,中位年龄为11岁(7 - 20岁)。即时焦虑平均得分下降(课前到课后分别为29分和23.6分,<0.001)。关节疼痛有所改善(3.25分到3.65分,=0.028)。CFQ - R情绪子量表从79.2分提高到85分(=0.073),呼吸子量表从66.7分提高到79.2分(=0.076)。其他结果不太明显。我们得出结论,瑜伽可能会减轻CF患者的即时焦虑和关节疼痛。