Kashyap Amit, Chopra Sakshi, Ranjan Piyush, Sarkar Siddharth, Poorna Anna, Baitha Upendra
Adv Mind Body Med. 2020;34(1):17-21.
Medically unexplained physical symptoms (MUPS) is a common, yet neglected disease with a prevalence of around 25% in primary care setting. These patients present with multiple physical and psychological symptoms, without an underlying diagnosis, hampering their functional and mental wellbeing. The management of these undiagnosed symptoms through conventional treatment has not been encouraging. Patients shuttle between different specialities, seeking a diagnosis for their symptoms, making them dissatisfied and increasing healthcare burden. Yoga, as an adjunct therapy has shown to be effective in the management of MUPS related disorders such as somatoform disorder, irritable bowel syndrome (IBS) and depression and anxiety. Thus, we suggest an integrated yoga module which might help in improving both physical and psychological variable in MUPS patients and improving their overall quality of life. Furthermore, the gap in the literature on the efficacy of yoga in improving MUPS, can be addressed by planning a randomised controlled trial based on the suggested yoga module.
医学上无法解释的身体症状(MUPS)是一种常见但被忽视的疾病,在初级保健环境中的患病率约为25%。这些患者表现出多种身体和心理症状,却没有潜在的诊断结果,这妨碍了他们的功能和心理健康。通过传统治疗来管理这些未确诊的症状效果并不理想。患者在不同专科之间辗转,寻求对其症状的诊断,这使他们感到不满,并增加了医疗负担。瑜伽作为一种辅助疗法,已被证明在管理与MUPS相关的疾病(如躯体形式障碍、肠易激综合征(IBS)以及抑郁和焦虑)方面有效。因此,我们建议采用一个综合瑜伽模块,这可能有助于改善MUPS患者的身体和心理变量,并提高他们的整体生活质量。此外,通过基于建议的瑜伽模块开展一项随机对照试验,可以填补关于瑜伽改善MUPS功效的文献空白。