Health and Exercise Science, Appalachian State University, Boone, NC, USA.
Physical Therapy, Winston-Salem State University, Winston-Salem, NC, USA.
Disabil Rehabil. 2022 Jan;44(1):106-113. doi: 10.1080/09638288.2020.1760364. Epub 2020 May 12.
Multiple Sclerosis (MS) is an incurable neurodegenerative disease that results in deficits in physical and cognitive function, and often fosters low levels of self-efficacy for physical activity, motivation for physical activity, and quality of life [1]. Drug therapies, physical therapy rehabilitation, and lifestyle modifications such as increased physical activity are standard protocol for symptom management, yet persons with MS tend to be physically inactive [2,3]. Additionally, single-modality interventions do not inherently address the challenges faced concurrently by individuals with MS [4,5].
This project examined the effects of a 5-week holistic biopsychosocial Medical Therapeutic Yoga program on physical activity behavior outcomes in individuals diagnosed with MS. A mixed-methods approach was used to examine self-efficacy for physical activity, motivation for physical activity, and quality of life outcomes in 15 participants.
Quantitative measures demonstrated increased self-efficacy ((14) = -2.23, = 0.042), and emotional quality of life ((14) = -2.66, = 0.019). Responses to an open-ended written questionnaire and follow-up interviews indicated overall positive response to the program including increases in self-efficacy for physical activity, motivation for physical activity, and quality of life. These results may help future holistic programming for individuals with MS incorporate behavioral interventions with therapeutic rehabilitation to increase physical activity adherence.IMPLICATIONS FOR REHABILITATIONMultiple sclerosis is a neurological disease impacting physical and cognitive functioning that may be managed with a combination of drug therapies, rehabilitation, and physical activity.Individuals diagnosed with multiple sclerosis tend to be physically inactive and physical inactivity is a challenge for optimal disease management.Medical Therapeutic Yoga offers an interdisciplinary biopsychosocial framework to simultaneously address the behavioral challenges and physical impairments facing individuals diagnosed with multiple sclerosis.Health care providers should consider developing programs that use a biopsychosocial framework to aid in developing long-term adherence in health behaviors such as physical activity participation.
多发性硬化症（MS）是一种无法治愈的神经退行性疾病，会导致身体和认知功能受损，通常会降低身体活动的自我效能感、身体活动的动机和生活质量[1]。药物治疗、物理治疗康复以及增加身体活动等生活方式改变是症状管理的标准方案，但多发性硬化症患者往往身体活动不足[2,3]。此外，单一模式干预并不能从根本上解决多发性硬化症患者同时面临的挑战[4,5]。
本项目研究了为期 5 周的整体身心医学治疗瑜伽方案对多发性硬化症患者身体活动行为结果的影响。采用混合方法研究了 15 名参与者的身体活动自我效能感、身体活动动机和生活质量结果。
定量测量结果表明，身体活动自我效能感（(14)=-2.23，=0.042）和情绪生活质量（(14)=-2.66，=0.019）均有所提高。对开放式书面问卷和后续访谈的回应表明，该方案总体上得到了积极回应，包括身体活动自我效能感、身体活动动机和生活质量的提高。这些结果可能有助于未来为多发性硬化症患者制定整体计划，将行为干预与治疗康复相结合，以增加身体活动的坚持度。
多发性硬化症是一种影响身体和认知功能的神经系统疾病，可通过药物治疗、康复和身体活动相结合来管理。被诊断患有多发性硬化症的人往往身体活动不足，身体活动不足是最佳疾病管理的挑战。医学治疗瑜伽提供了一个跨学科的身心社会框架，可同时解决面临多发性硬化症诊断的个体的行为挑战和身体损伤。医疗保健提供者应考虑制定使用身心社会框架的方案，以帮助发展身体活动等健康行为的长期坚持度。
