Chalageri Ekta, Vishwakarma Gayatri, Ranjan Randhir Lal, Govindaraj Ramajayam, Chhabra Harvinder Singh
Spiritual Applications Research Centre of Rajyoga Education and Research Foundation of Brahma Kumaris, New Delhi, India.
Indian Spinal Injuries Centre, New Delhi, India.
Int J Yoga. 2021 Jan-Apr;14(1):36-42. doi: 10.4103/ijoy.IJOY_68_20. Epub 2021 Feb 5.
Spinal cord injury (SCI) is a debilitating disorder with dysfunction in daily activities and psychological consequences like anxiety as well as depression impacting the quality of life substantially. Existing treatments focus mainly on rehabilitation, symptom reduction, and secondary complications. However, psychological, social, and existential issues are least addressed in the prevailing models.
To study the role of meditation in addressing psychological impairment and any resultant improvement in functional outcomes in SCI patients.
Nonrandomized controlled study was conducted in a tertiary care center for SCI patients. Hospital inpatients were recruited into either experimental intervention group (add on easy with conventional rehabilitation-ER = 50) or control intervention group (conventional rehabilitation alone-CR = 50). Patients in the ER group received easy for 1 month, along with conventional rehabilitation and the CR group patients received only conventional rehabilitation. All the subjects were assessed for psychological (perceived stress scale [PSS], Hospital Anxiety and Depression Scale [HADS]) and functional impairment (spinal cord independence measure (SCIM), numeric pain rating (NPR) and WHO quality of life-BRIEF (WHOQOLBREF)] at baseline and after 1 month.
After 1 month of add-on easy , there was significant decrease in the scores of HADS (F[1,88] = 272.92, < 0.001), PSS (F[1,88] = 274.41, < 0.001) and NPR (F[1,88] = 60.60, < 0.001) and significant increase in the scores of WHOQOLBREF (F[1,88] = 349.94, < 0.001) and SCIM (F[1,88] = 29.09, < 0.001) in the ER group compared to CR group in analysis of covariance.
One-month add-on easy improves psychological and functional outcomes (HADS, PSS, NPR, WHOQOLBREF and SCIM) in patients with SCI. Future studies with robust designs are needed to validate the results.
脊髓损伤（SCI）是一种使人衰弱的疾病，会导致日常活动功能障碍以及焦虑和抑郁等心理后果，严重影响生活质量。现有治疗主要集中在康复、症状减轻和继发性并发症上。然而，在当前的治疗模式中，心理、社会和生存问题很少得到关注。
研究冥想在解决脊髓损伤患者心理障碍以及功能结局改善方面的作用。
在一家三级护理中心对脊髓损伤患者进行了非随机对照研究。将住院患者招募到实验干预组（在常规康复基础上加简易冥想，ER组 = 50例）或对照干预组（仅接受常规康复，CR组 = 50例）。ER组患者在接受常规康复的同时进行为期1个月的简易冥想，CR组患者仅接受常规康复。在基线和1个月后，对所有受试者进行心理评估（感知压力量表[PSS]、医院焦虑抑郁量表[HADS]）和功能障碍评估（脊髓独立性测量[SCIM]、数字疼痛评分[NPR]和世界卫生组织生活质量简表[WHOQOLBREF]）。
在协方差分析中，与CR组相比，ER组在进行为期1个月的简易冥想附加治疗后，HADS评分（F[1,88] = 272.92，P < 0.001）、PSS评分（F[1,88] = 274.41，P < 0.001）和NPR评分（F[,88] = 60.60，P < 0.001）显著降低，WHOQOLBREF评分（F[1,88] = 349.94，P < 0.001）和SCIM评分（F[1,88] = 29.09，P < 0.001）显著升高。
为期1个月的简易冥想附加治疗可改善脊髓损伤患者的心理和功能结局（HADS、PSS、NPR、WHOQOLBREF和SCIM）。需要进行设计更严谨的未来研究来验证这些结果。
