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复发缓解型多发性硬化症患者缓解期综合瑜伽练习模块的内容效度

Content Validity of an Integrated Yoga Module for Practice During Remission in Relapsing-Remitting Multiple Sclerosis Patients.

作者信息

Palukuru Sreedhar, Patil Suchitra S, Nagarathna R, Singh Amit, Nibedita K S

机构信息

Department of Yoga and Life Sciences, S-VYASA Yoga University, Bengaluru, Karnataka, India.

出版信息

Ann Neurosci. 2021 Jan;28(1-2):29-38. doi: 10.1177/09727531211023754. Epub 2021 Sep 14.

DOI:10.1177/09727531211023754
PMID:34733052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8558981/
Abstract

BACKGROUND

Some investigations point to the beneficial effects of yoga in alleviating the motor and cognitive dysfunctions in multiple sclerosis (MS) patients by using varying combinations of physical, breathing, and meditative practices of yoga. There is a need for a validated yoga module with a holistic approach that can be used as a standardized protocol by researchers and therapists.

PURPOSE

To develop and validate an integrated yoga module for practice in relapsing-remitting MS patients to improve their quality of life.

METHODS

We did a thorough review of the literature for the development of the yoga module. We formed an expert group with 24 experts and a neurologist and used two rounds of interactive Delphi method to combine their opinion to obtain content validity of the module through online structured questionnaire prepared for the purpose on a Google Form. We incorporated all suggestions obtained by the experts. The final module (60 min per session, twice a day, five days per week) included warm-up exercises, customized asanas, relaxation techniques, and OM meditation. Advice on yogic diet and discussion using yogic concepts for stress management also form a part of the holistic approach to yoga lifestyle modification.

RESULTS

Analysis divulged that 30 out of 39 practices exhibited a content validity ratio value greater than or equal to 0.42.

CONCLUSION

The study has shown good content validity of the integrated yoga module. Future clinical studies are being planned to rule the feasibility and reliability of this module.

摘要

背景

一些调查指出,通过运用瑜伽的身体、呼吸和冥想练习的不同组合,瑜伽对缓解多发性硬化症(MS)患者的运动和认知功能障碍具有有益效果。需要一个经过验证的、采用整体方法的瑜伽模块,可供研究人员和治疗师用作标准化方案。

目的

开发并验证一个综合瑜伽模块,用于复发缓解型MS患者的练习,以提高他们的生活质量。

方法

我们对有关瑜伽模块开发的文献进行了全面回顾。我们组建了一个由24名专家和一名神经科医生组成的专家组,并使用两轮交互式德尔菲法,通过在谷歌表单上为此目的准备的在线结构化问卷,结合他们的意见以获得该模块的内容效度。我们纳入了专家提出的所有建议。最终模块(每次课程60分钟,每天两次,每周五天)包括热身运动、定制体式、放松技巧和唵音冥想。关于瑜伽饮食的建议以及使用瑜伽概念进行压力管理的讨论也构成了瑜伽生活方式改变整体方法的一部分。

结果

分析显示,39项练习中有30项的内容效度比值大于或等于0.42。

结论

该研究表明综合瑜伽模块具有良好的内容效度。正在计划未来的临床研究以确定该模块的可行性和可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8558981/d73132138df6/10.1177_09727531211023754-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8558981/a87f0cd11c32/10.1177_09727531211023754-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8558981/e46ebe1e8442/10.1177_09727531211023754-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8558981/d73132138df6/10.1177_09727531211023754-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8558981/a87f0cd11c32/10.1177_09727531211023754-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8558981/e46ebe1e8442/10.1177_09727531211023754-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/311e/8558981/d73132138df6/10.1177_09727531211023754-fig3.jpg

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本文引用的文献

1
Pain in People with Multiple Sclerosis: Associations with Modifiable Lifestyle Factors, Fatigue, Depression, Anxiety, and Mental Health Quality of Life.多发性硬化症患者的疼痛:与可改变的生活方式因素、疲劳、抑郁、焦虑及心理健康生活质量的关联
Front Neurol. 2017 Sep 5;8:461. doi: 10.3389/fneur.2017.00461. eCollection 2017.
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Rehabilitation of multiple sclerosis patients in India.印度多发性硬化症患者的康复治疗
Ann Indian Acad Neurol. 2015 Sep;18(Suppl 1):S43-7. doi: 10.4103/0972-2327.164828.
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Therapeutic Yoga: Symptom Management for Multiple Sclerosis.
治疗性瑜伽:多发性硬化症的症状管理
J Altern Complement Med. 2015 Nov;21(11):655-9. doi: 10.1089/acm.2015.0015. Epub 2015 Aug 13.
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A systematic review of the incidence and prevalence of comorbidity in multiple sclerosis: overview.对多发性硬化症合并症发病率和患病率的系统评价:概述。
Mult Scler. 2015 Mar;21(3):263-81. doi: 10.1177/1352458514564491. Epub 2015 Jan 26.
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Yoga for multiple sclerosis: a systematic review and meta-analysis.瑜伽治疗多发性硬化症:一项系统评价与荟萃分析
PLoS One. 2014 Nov 12;9(11):e112414. doi: 10.1371/journal.pone.0112414. eCollection 2014.
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Physical disability, anxiety and depression in people with MS: an internet-based survey via the UK MS Register.多发性硬化症患者的身体残疾、焦虑和抑郁:通过英国多发性硬化症登记处进行的一项基于互联网的调查。
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Cognitive and brain reserve for mind-body therapeutic approaches in multiple sclerosis: a review.多发性硬化症中身心治疗方法的认知和脑储备:综述
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Mindfulness based interventions in multiple sclerosis--a systematic review.基于正念的多发性硬化症干预措施——系统评价。
BMC Neurol. 2014 Jan 17;14:15. doi: 10.1186/1471-2377-14-15.
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Effects of a 4-month Ananda Yoga program on physical and mental health outcomes for persons with multiple sclerosis.一项为期4个月的阿南达瑜伽项目对多发性硬化症患者身心健康状况的影响。
Int J Yoga Therap. 2013(23):27-38.
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Indian J Psychiatry. 2013 Jul;55(Suppl 3):S390-3. doi: 10.4103/0019-5545.116306.