Lazaridou Asimina, Koulouris Alexandra, Dorado Kathleen, Chai Peter, Edwards Robert R, Schreiber Kristin L
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Department of Emergency Medicine, Division of Medical Toxicology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Int J Yoga. 2019 Sep-Dec;12(3):206-217. doi: 10.4103/ijoy.IJOY_72_18.
Fibromyalgia (FM) is characterized by widespread pain, sleep disturbance, negative affect, and stress and is notably difficult to treat. Individuals with FM have lower physical activity and endorse fears that exercise may worsen pain. Gentle daily yoga practice may allow a gradual increase in activity and positively impact many of these FM symptoms. This qualitative study investigated the impact of participation in a pilot trial of group and daily individual home yoga intervention on women with FM.
Fifteen individuals participated in telephone interviews after participating in the yoga intervention, which included semi-structured questions to elicit insights and impressions of their experience. Responses were systematically coded and themes identified.
Five themes were identified: (1) physical/body perceptual changes, (2) practices affecting pain, (3) emotional changes, (4) practice motivators and barriers, and (5) group effect. Participants not only reported reductions in FM symptoms, including pain and stress, but also a positive impact on mood, sleep, and self-confidence.
Participants enumerated both physical and psychological impact of starting yoga practice. Specific helpful poses and practices and important barriers were identified. Group practice and social connection with others with other FM patients was an important benefit to participants.
纤维肌痛(FM)的特征是广泛疼痛、睡眠障碍、消极情绪和压力,且治疗难度较大。纤维肌痛患者的身体活动水平较低,并且担心运动会加重疼痛。每天进行温和的瑜伽练习可能会使活动量逐渐增加,并对纤维肌痛的许多症状产生积极影响。这项定性研究调查了参与团体和每日个人家庭瑜伽干预试点试验对纤维肌痛女性的影响。
15名参与者在参加瑜伽干预后接受了电话访谈,访谈包括半结构化问题,以了解他们对自身经历的见解和感受。对回答进行系统编码并确定主题。
确定了五个主题:(1)身体/身体感知变化,(2)影响疼痛的练习,(3)情绪变化,(4)练习动机和障碍,以及(5)团体效应。参与者不仅报告纤维肌痛症状(包括疼痛和压力)有所减轻,而且对情绪、睡眠和自信心也有积极影响。
参与者列举了开始瑜伽练习对身体和心理的影响。确定了具体有用的姿势和练习以及重要障碍。团体练习以及与其他纤维肌痛患者的社交联系对参与者来说是一项重要益处。