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为期8周的综合瑜伽项目对中度多发性硬化相关残疾患者的可行性及影响:一项试点研究

Feasibility and Impact of an 8-Week Integrative Yoga Program in People with Moderate Multiple Sclerosis-Related Disability: A Pilot Study.

作者信息

Cohen Evan T, Kietrys David, Fogerite Susan Gould, Silva Mariella, Logan Kristen, Barone Donald A, Parrott J Scott

出版信息

Int J MS Care. 2017 Jan-Feb;19(1):30-39. doi: 10.7224/1537-2073.2015-046.

DOI:10.7224/1537-2073.2015-046
PMID:28243184
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5315321/
Abstract

BACKGROUND

This pilot study determined the feasibility of a specifically designed 8-week yoga program for people with moderate multiple sclerosis (MS)-related disability. We explored the program's effect on quality of life (QOL) and physical and mental performance.

METHODS

We used a single-group design with repeated measurements at baseline, postintervention, and 8-week follow-up. Feasibility was examined through cost, recruitment, retention, attendance, and safety. Outcomes included the Multiple Sclerosis Quality of Life Inventory (MSQLI), 12-item Multiple Sclerosis Walking Scale (MSWS-12), Timed 25-Foot Walk test (T25FW), 6-Minute Walk Test (6MWT), Nine-Hole Peg Test (NHPT), Five-Times Sit-to-Stand Test (FTSTS), Multidirectional Reach Test (MDRT), maximum expiratory pressure, and Paced Auditory Serial Addition Test-3″ (PASAT-3″).

RESULTS

Fourteen participants completed the study. The program was feasible. There were significant main effects on the 36-item Short Form Health Status Survey Mental Component Summary (SF-36 MCS), Modified Fatigue Impact Scale (MFIS), Bladder Control Scale (BLCS), Perceived Deficits Questionnaire (PDQ), Mental Health Inventory (MHI), MSWS-12, T25FW, NHPT, PASAT-3″, 6MWT, FTSTS, and MDRT-Back. Improvements were found on the SF-36 MCS, MFIS, BLCS, PDQ, MHI, and MSWS-12 between baseline and postintervention. The effect on PDQ persisted at follow-up. Improvements were found on the T25FW, NHPT, 6MWT, FTSTS, and MDRT-Back between baseline and postintervention that persisted at follow-up. The PASAT-3″ did not change between baseline and postintervention but did between postintervention and follow-up.

CONCLUSIONS

The yoga program was safe and feasible. Improvements in certain measures of QOL and performance were seen at postintervention and follow-up.

摘要

背景

这项试点研究确定了一项专门设计的为期8周的瑜伽计划对于中度多发性硬化症(MS)相关残疾患者的可行性。我们探讨了该计划对生活质量(QOL)以及身体和心理表现的影响。

方法

我们采用单组设计,在基线、干预后和8周随访时进行重复测量。通过成本、招募、留存率、出勤率和安全性来检验可行性。结果指标包括多发性硬化症生活质量量表(MSQLI)、12项多发性硬化症步行量表(MSWS-12)、25英尺定时步行测试(T25FW)、6分钟步行测试(6MWT)、九孔插板测试(NHPT)、五次坐立测试(FTSTS)、多方向伸展测试(MDRT)、最大呼气压力以及3秒听觉连续加法测试(PASAT-3″)。

结果

14名参与者完成了研究。该计划是可行的。在36项简短健康状况调查问卷心理成分总结(SF-36 MCS)、改良疲劳影响量表(MFIS)、膀胱控制量表(BLCS)、感知缺陷问卷(PDQ)、心理健康量表(MHI)、MSWS-12、T25FW、NHPT、PASAT-3″、6MWT、FTSTS和MDRT-背部方面存在显著的主效应。在基线和干预后之间,SF-36 MCS、MFIS、BLCS、PDQ、MHI和MSWS-12有改善。对PDQ的影响在随访时持续存在。在基线和干预后之间,T25FW、NHPT、6MWT、FTSTS和MDRT-背部有改善,且在随访时持续存在。PASAT-3″在基线和干预后之间没有变化,但在干预后和随访之间有变化。

结论

该瑜伽计划是安全可行的。在干预后和随访时,生活质量和表现的某些指标有改善。

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