Texas A&M AgriLife Research, 600 John Kimborough Boulevard, Suite 512, College Station, TX, USA.
Texas A&M University System, 600 John Kimborough Boulevard, Suite 512, College Station, TX, USA.
BMC Geriatr. 2020 Oct 12;20(1):400. doi: 10.1186/s12877-020-01818-y.
A significant proportion of older women suffer from chronic pain, which can decrease quality of life. The objective of this pilot randomized study was to evaluate the feasibility of a flow-restorative yoga intervention designed to decrease pain and related outcomes among women aged 60 or older.
Flow-restorative yoga classes were held twice weekly for 1 hour and led by a certified yoga instructor. Participants randomized to the intervention group attended the yoga classes for 12 weeks and received supplemental materials for at-home practice. Those randomized to the control group were asked to maintain their normal daily routine. Feasibility was evaluated using recruitment and retention rates, class and home practice adherence rates, and participant satisfaction surveys. Outcome measures (self-reported pain, inflammatory markers, functional fitness, quality of life, resilience, and self-reported physical activity) were assessed at baseline and post-intervention. Paired t-tests or Wilcoxon signed-rank tests were used to examine changes in outcome measures within treatment groups.
Thirty-eight participants were recruited and randomized. Participants were primarily white, college-educated, and higher functioning, despite experiencing various forms of chronic pain. Attendance and retention rates were high (91 and 97%, respectively) and the majority of participants were satisfied with the yoga program (89%) and would recommend it to others (87%). Intervention participants also experienced reductions in pain interference and improvements in energy and social functioning.
This pilot study provides essential data to inform a full scale randomized trial of flow-restorative yoga for older women with chronic pain. Future studies should emphasize strategies to recruit a more diverse study population, particularly older women at higher risk of disability and functional decline.
Clinicaltrials.gov , NCT03790098 . Registered 31 December 2018 - Retrospectively registered.
相当一部分老年女性患有慢性疼痛，这会降低她们的生活质量。本研究旨在评估专为 60 岁及以上女性设计的流动修复瑜伽干预措施减少疼痛及其相关结果的可行性。
流动修复瑜伽课程每周两次，每次 1 小时，由认证瑜伽教练授课。参加者随机分为干预组，参加 12 周瑜伽课程，并获得在家练习的补充材料。对照组参加者则被要求保持日常习惯。采用招募和保留率、课堂和家庭练习依从率以及参与者满意度调查来评估可行性。基线和干预后评估了疼痛、炎症标志物、功能健康、生活质量、韧性和自我报告的身体活动等指标。采用配对 t 检验或 Wilcoxon 符号秩检验来检验治疗组内各指标的变化。
共招募了 38 名参与者并进行了随机分组。参与者主要是白人、受过大学教育、功能较高，尽管他们经历了各种形式的慢性疼痛。出勤率和保留率均较高（分别为 91%和 97%），大多数参与者对瑜伽课程非常满意（89%），并愿意推荐给他人（87%）。干预组参与者的疼痛干扰和能量及社会功能也有所改善。
本研究为流动修复瑜伽治疗老年慢性疼痛女性的更大规模随机试验提供了重要数据。未来的研究应强调招募更多样化研究人群的策略，特别是那些有残疾和功能下降风险较高的老年女性。
Clinicaltrials.gov，NCT03790098。注册日期：2018 年 12 月 31 日-回顾性注册。
