Swami Vivekananda Yoga University [SVYASA], Bangalore-560 019, No. 4, 1st Main 1st D Cross Manuvana, Bangalore 560040, India.
Division of Yoga and Life Sciences, Swami Vivekananda Yoga University [SVYASA], Bangalore-560 019, India.
Complement Ther Med. 2019 Feb;42:170-177. doi: 10.1016/j.ctim.2018.11.006. Epub 2018 Nov 10.
Yoga is known to contribute towards cardiovascular health. This paper describes the development of a need-based yoga program which is suitable to be integrated into the cardiac rehabilitation of post-myocardial infarction patients with left ventricular dysfunction.
Based on the assessment of the need of the patients, literature review, and expert opinion, a yoga module was developed using the qualitative method of inquiry. The program included warm-up exercises, yogic asanas, pranayama, meditation and counseling sessions. A structured questionnaire eliciting comments on the contents was given independently to ten experts working in the field of health and yoga for validation. The final module was derived after incorporating the suggestions of the experts.
Using the raters' expertise in cardiology and yoga practice, the practices which constitute the module were optimized. Majority of the experts (raters) agreed with the duration of 1 h training for 1month under supervision as adequate for subsequent practice at home. There was a 0.786 inter-rater reliability estimated using the interclass coefficient (ICC) and 0.789 internal consistency of the questions, measured using Cronbach's alpha. Both values indicate "good" reliability and consistency of the yoga module.
The developed yoga module was found to be acceptable. Future randomized control trials will be necessary to validate the effectiveness of this module and if the module demonstrates to be effective by clinical studies, it may add a therapeutic option in the rehabilitation of patients with heart failure following myocardial infarction, which can be applied in the hospitals and community level.
瑜伽有助于促进心血管健康。本文描述了一种基于需求的瑜伽方案的制定，该方案适合整合到有左心室功能障碍的心肌梗死后患者的心脏康复中。
基于患者需求评估、文献回顾和专家意见，使用探究的定性方法开发了瑜伽模块。该方案包括热身练习、瑜伽体式、呼吸法、冥想和咨询课程。一个包含对内容评论的结构化问卷被独立地提供给十位在健康和瑜伽领域工作的专家进行验证。在纳入专家建议后，得出了最终的模块。
利用评分者在心脏病学和瑜伽实践方面的专业知识，对构成模块的练习进行了优化。大多数专家（评分者）认为，在监督下进行 1 个月、每次 1 小时的训练对于随后在家中进行练习是足够的。使用组内相关系数（ICC）估计的 0.786 名评分者间可靠性和使用 Cronbach's alpha 测量的 0.789 个问题内部一致性表明，瑜伽模块具有“良好”的可靠性和一致性。
所开发的瑜伽模块被认为是可接受的。未来的随机对照试验将有必要验证该模块的有效性，如果该模块通过临床研究证明有效，它可以为心肌梗死后心力衰竭患者的康复提供一种治疗选择，可应用于医院和社区层面。
