Veneri Diana, Gannotti Mary, Bertucco Matteo, Fournier Hillman Sarah E
1 Department of Physical Therapy, Sacred Heart University , Fairfield, CT.
2 Department of Rehabilitation Sciences, University of Hartford , West Hartford, CT.
J Altern Complement Med. 2018 May;24(5):439-457. doi: 10.1089/acm.2017.0030. Epub 2018 Feb 6.
Research pertaining to yoga and children with cerebral palsy (CP) is negligible. The primary purpose of this study was to determine the domains of the International Classification of Functioning, Disability, and Health (ICF) model and levels of evidence for yoga and adults with stroke and multiple sclerosis (MS), and children. A secondary purpose was to decide whether any inferences could be made for children with CP.
This study included a meta-analysis.
A systematic review was performed of yoga and said populations. Outcome measures were categorized according to the ICF model domains of body structures and function, activity, and quality of life. Effect sizes (ESs) were calculated by using Cohen's d. Since there were few commonalities among outcome measures and reporting of outcomes within and among diagnostic groups, direct comparisons of ESs were difficult. Hence, we chose to evaluate the impact of yoga as compared with the control group or other physical exercise by using a General Linear Mixed Model.
There were 5 yoga studies with stroke, 15 with MS, and 12 with children. Studies with children used outcomes related to body structure and function, whereas those with stroke and MS used outcomes across all three domains of the ICF. ESs varied from negligible to medium for stroke, from negligible to large for MS and children.
The findings of this meta-analysis indicate that yoga is no better or worse than other exercise modalities as a treatment intervention for adults with stroke and MS, and children. Group yoga classes are typically social environments that can contribute to increased physical progress and feelings that contribute to quality of life, which may benefit individuals with CP. More research on yoga and particularly in children and adults with CP would yield valuable information for creating effective and safe yoga programs with a rich array of benefits.
与瑜伽和脑瘫（CP）儿童相关的研究极少。本研究的主要目的是确定国际功能、残疾和健康分类（ICF）模型的领域以及瑜伽对中风和多发性硬化症（MS）成人及儿童的证据水平。次要目的是确定是否能对CP儿童做出任何推断。
本研究包括一项荟萃分析。
对瑜伽与上述人群进行了系统评价。根据ICF模型的身体结构与功能、活动及生活质量领域对结果指标进行分类。使用科恩d值计算效应量（ESs）。由于诊断组内和组间的结果指标及结果报告之间几乎没有共性，因此难以直接比较ESs。因此，我们选择使用广义线性混合模型来评估瑜伽与对照组或其他体育锻炼相比的影响。
有5项关于中风的瑜伽研究，15项关于MS的研究，12项关于儿童的研究。关于儿童的研究使用了与身体结构和功能相关的结果，而关于中风和MS的研究使用了ICF所有三个领域的结果。中风的ESs从可忽略不计到中等，MS和儿童的ESs从可忽略不计到较大。
这项荟萃分析的结果表明，作为中风和MS成人及儿童的治疗干预措施，瑜伽并不比其他运动方式好或差。团体瑜伽课程通常是社交环境，可促进身体进步并提升有助于生活质量的感受，这可能对CP患者有益。对瑜伽尤其是对CP儿童和成人的更多研究将为创建具有丰富益处的有效且安全的瑜伽项目提供有价值的信息。
