Singh Jyoti, Metri Kashinath, Tekur Padmini, Mohanty Sriloy, Jha Monika, Singh Amit, Raghuram Nagaratna
Division of Yoga & Life Sciences Swami Vivekananda Yoga Anusandhan Samsthan, #19 Eknath Bhavan, Gavipuram Circle, K G Nagar, Bengaluru, 560019, India.
Department of Yoga, Central University of Rajasthan, India.
J Ayurveda Integr Med. 2022 Jan-Mar;13(1):100479. doi: 10.1016/j.jaim.2021.06.019. Epub 2021 Dec 23.
Ankylosing spondylitis (AS) is a chronic inflammatory disease that causes significant disability and reduced quality of life. Scientific studies on yoga have revealed its various health benefits in chronic conditions, including autoimmune diseases. However, whether yoga is feasible for AS patients or not is not studied. Further, no validated yoga module is available for AS patients.
OBJECTIVE(S): This study intended to develop a yoga module for AS patients and investigated its feasibility of use.
The study was completed in three stages. In Stage I, six yoga experts prepared a list of 64 yoga practices based on the classical and contemporary yogic literature review. Of these practices, 41 were included in the designed yoga module. In Stage II, 41 experts with a minimum of five years of experience in yoga therapy were invited for yoga module validation. The usefulness of the practices was rated by experts on a 3-point scale (1: not at all useful, 2: moderately useful, and 3: very much useful). The Lawshe content validity ratio (CVR) method was used for the content validity of the yoga module. Practices with a CVR score of > 0.3 were retained in the final yoga module. In Stage III, a certified yoga instructor administered the validated yoga module to 19 AS patients (average age: 35.5 ± 10.7 years) thrice weekly for a month. Feasibility was assessed on the basis of the attrition rate, retention rate, attendance of the participants, and the subjective response on practical sessions using a structured checklist.
Of the 41 practices in the module, 31 had a CVR score of > 0.3 and were included in the final yoga module. Of the 25 participants, 19 (76%) completed the study while six dropped out (24%). Nineteen patients reported greater improvement in pain and flexibility. They found yoga relaxing and easy to practice. Most participants (65%) were able to practice a minimum of 30 min/day.
The present study offers a validated yoga module consisting of 31 practices for AS patients. The results of the pilot suggested that the module is feasible, acceptable, and easy to practice for AS patients. We recommend that AS patients should practice this yoga module for a minimum of 30 min every day under the supervision of a yoga expert.
强直性脊柱炎（AS）是一种慢性炎症性疾病，会导致严重残疾并降低生活质量。关于瑜伽的科学研究揭示了其在慢性疾病（包括自身免疫性疾病）中的各种健康益处。然而，瑜伽对AS患者是否可行尚未得到研究。此外，目前还没有经过验证的针对AS患者的瑜伽模块。
本研究旨在为AS患者开发一个瑜伽模块，并调查其使用的可行性。
该研究分三个阶段完成。在第一阶段，六位瑜伽专家根据经典和当代瑜伽文献综述编制了一份包含64种瑜伽练习的清单。在这些练习中，41种被纳入设计的瑜伽模块。在第二阶段，邀请了41位至少有五年瑜伽治疗经验的专家对瑜伽模块进行验证。专家们根据3分制（1：完全无用，2：中等有用，3：非常有用）对这些练习的有用性进行评分。采用劳斯（Lawshe）内容效度比（CVR）方法来评估瑜伽模块的内容效度。CVR得分>0.3的练习被保留在最终的瑜伽模块中。在第三阶段，一位认证的瑜伽教练每周三次为19名AS患者（平均年龄：35.5±10.7岁）实施经过验证的瑜伽模块，为期一个月。根据损耗率、保留率、参与者的出勤率以及使用结构化检查表对实践课程的主观反应来评估可行性。
模块中的41种练习中，31种CVR得分>0.3并被纳入最终的瑜伽模块。25名参与者中，19名（76%）完成了研究，6名退出（24%）。19名患者报告疼痛和灵活性有了更大改善。他们发现瑜伽令人放松且易于练习。大多数参与者（65%）能够每天至少练习30分钟。
本研究为AS患者提供了一个经过验证的由31种练习组成的瑜伽模块。试点结果表明，该模块对AS患者来说是可行的、可接受的且易于练习的。我们建议AS患者应在瑜伽专家的监督下，每天至少练习这个瑜伽模块30分钟。
