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医学治疗性瑜伽团体干预能否改善多发性硬化症患者常见的功能障碍?一项初步研究。

Does a Medical Therapeutic Yoga Group Intervention Remediate Impairments Commonly Found in People with Multiple Sclerosis? A Pilot Study.

作者信息

Garner LaVerene M, Fasczewski Kimberly S, Migliarese Sara J

机构信息

Dep. of Health and Exercise Science, Appalachian State University, 1179 State Farm Road, Leon Levine Hall 433, Boone, NC 28608, USA. Tel 828-262-7987.

出版信息

J Allied Health. 2020 Winter;49(4):246-251.

Abstract

BACKGROUND

Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system resulting in varied physical and cognitive deficits that often contribute to changes in postural control as well as decreased self-efficacy and lower perceived quality of life. One intervention often recommended for the control of MS symptoms is rehabilitation. While rehabilitation is often effective, it is traditionally delivered in a unidisciplinary manner in private-session format. This pilot study presents the use of a biopsychosocial interdisciplinary group yoga intervention to improve postural control, self-efficacy, and quality of life in individuals living with MS.

METHODS

This pilot study examined 15 subjects who participated in a 5-week prospective Medical Therapeutic Yoga (MTY) program designed for individuals diagnosed with MS. Pre and post-testing was completed.

RESULTS

The participants demonstrated improvements in overall balance (t(14)=3.42, p=0.004), dual-tasking (t(13)=2.30, p=0.034), dynamic gait (T(14)=-2.311, p=0.021), reactive balance (T(114)=-2.157, p=0.031), and self-efficacy (t(12)=3.40, p=0.006).

CONCLUSIONS

MTY offers a biopsychosocial framework to provide integrative interdisciplinary care across disciplines. In this pilot investigation, postural control and feelings of self-efficacy improved. This modality of rehabilitation warrants further investigation.

摘要

背景

多发性硬化症(MS)是一种中枢神经系统的慢性炎症性疾病,会导致多种身体和认知缺陷,这些缺陷常常会导致姿势控制的改变,以及自我效能感降低和生活质量下降。一种经常被推荐用于控制MS症状的干预措施是康复治疗。虽然康复治疗通常是有效的,但传统上是以单学科方式以私人治疗形式进行的。这项试点研究展示了使用生物心理社会跨学科团体瑜伽干预来改善MS患者的姿势控制、自我效能感和生活质量。

方法

这项试点研究对15名参与者进行了检查,他们参加了一个为期5周的针对被诊断为MS的个体设计的医学治疗瑜伽(MTY)项目。完成了前后测试。

结果

参与者在整体平衡(t(14)=3.42,p=0.004)、双重任务(t(13)=2.30,p=0.034)、动态步态(T(14)=-2.311,p=0.021)、反应性平衡(T(114)=-2.157,p=0.031)和自我效能感(t(12)=3.40,p=0.006)方面都有改善。

结论

MTY提供了一个生物心理社会框架,以跨学科提供综合的跨学科护理。在这项试点调查中,姿势控制和自我效能感得到了改善。这种康复方式值得进一步研究。

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