Walter Alysha A, Adams Em V, Van Puymbroeck Marieke, Crowe Brandi M, Urrea-Mendoza Enrique, Hawkins Brent L, Sharp Julia, Woschkolup Kathleen, Revilla Freddy J, Schmid Arlene A
1. Department of Recreation and Leisure Studies, East Carolina University, Greenville, N.C.
2. Department of Parks, Recreation and Tourism Management, Clemson University, Clemson, S.C.
Int J Yoga Therap. 2019 Nov;29(1):91-99. doi: 10.17761/2019-00025. Epub 2019 Mar 22.
Parkinson's disease (PD) is a neurodegenerative disorder marked by progressive degenerative motor symptoms (e.g., tremors, impaired balance and gait) and nonmotor symptoms (e.g., fatigue, sleep disturbances, pain) that can negatively influence health-related quality of life (HRQoL). Previous studies have shown that yoga for individuals with PD improves balance, strength, and mobility. However, little research has been conducted to determine the effect of yoga on nonmotor symptoms of PD. The purpose of this study was to examine changes in nonmotor symptoms among individuals with PD following an 8-week yoga intervention. Data used for analyses were part of a larger study that researched improvements in motor function for individuals with PD. Participants ( = 27) were randomly assigned to experimental ( = 15) and control (n = 12) groups and completed pre- and postintervention quantitative measures. Within-group improvements were statistically significant for fatigue measured by the Parkinson's Fatigue Scale, balance confidence measured by the Activities Balance Confidence Scale, the belief in one's ability to manage falls measured by the Falls Management Scale, activity constraints measured by the Activities Constraint Questionnaire, and PD-specific quality of life measured by the Parkinson's Disease Questionnaire-8. Across-group changes were statistically significant for activity constraints. Findings indicate yoga may be an efficacious intervention for improving nonmotor symptoms as well as HRQoL for individuals with PD.
帕金森病（PD）是一种神经退行性疾病，其特征为进行性的退行性运动症状（如震颤、平衡和步态受损）以及非运动症状（如疲劳、睡眠障碍、疼痛），这些症状会对健康相关生活质量（HRQoL）产生负面影响。先前的研究表明，针对帕金森病患者的瑜伽运动可改善平衡、力量和活动能力。然而，关于瑜伽对帕金森病非运动症状影响的研究较少。本研究的目的是考察为期8周的瑜伽干预后帕金森病患者非运动症状的变化。用于分析的数据是一项更大规模研究的一部分，该研究探讨了帕金森病患者运动功能的改善情况。参与者（n = 27）被随机分为实验组（n = 15）和对照组（n = 12），并完成干预前和干预后的定量测量。帕金森疲劳量表测量的疲劳、活动平衡信心量表测量的平衡信心、跌倒管理量表测量的对自身跌倒管理能力的信念、活动限制问卷测量的活动限制以及帕金森病问卷-8测量的帕金森病特异性生活质量，组内改善在统计学上具有显著意义。活动限制的组间变化在统计学上具有显著意义。研究结果表明，瑜伽可能是改善帕金森病患者非运动症状以及健康相关生活质量的有效干预措施。
