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单纯物理治疗与物理治疗联合瑜伽在运动损伤康复中作用的对比研究。初级医生能提供什么?

Comparative study of role of physiotherapy alone versus physiotherapy combined with yoga in rehabilitation after a sports injury. What can a primary physician offer?

作者信息

Rai Sanjay K, Gupta Tej P, Gupta Gayatri K, Kale Amit B, Arora Rakesh, Kumar Dinesh

机构信息

Department of Orthopedics, Base Hospital, Guwahati, Assam, India.

Consultant Dermatologist, Skin Diseases Centre, Nashik, Maharashtra, India.

出版信息

J Family Med Prim Care. 2022 Dec;11(12):7691-7699. doi: 10.4103/jfmpc.jfmpc_1215_22. Epub 2023 Jan 17.

Abstract

BACKGROUND

Posttraumatic rehabilitation of sports injuries involves physiotherapy. Additionally, nonsurgical treatment of sports injuries involves regular physiotherapy as a major treatment therapy. This study aimed to evaluate the effects of yoga in addition to regular physiotherapy on these patients.

MATERIALS AND METHODS

In the present comparative study, we evaluated the effects of regular physiotherapy alone versus physiotherapy combined with yoga on 212 patients following various knee injuries treated nonsurgically. The study was conducted after obtaining hospital ethical, committee clearance, and written informed consent from patients. The patients were assigned into two groups: group C (Conventional) and group Y (Yoga group). The patients in the regular group received physiotherapy rehabilitation program, whereas the yoga group received additional yoga once every day by a yoga expert during their hospital stay. We provided written guidelines and photographs of the yoga asanas and instructed to perform them 3 days/week once they were home. The data on WOMAC score were collected at 6 weeks, 3 months, and at 6 months from the day of discharge from the hospital.

RESULTS

We noted that the yoga group patients showed a significant improvement ( < 0.05) in all modalities like pain, stiffness, and function subscales of the WOMAC scale. They experienced significant reduction in pain and stiffness compared with the regular or conventional group on the seventh postinjury day, 6 weeks, 3 months, and 6 months after the initial injury.

CONCLUSION

In this study, a combination of regular physiotherapy and yoga provided better functional outcomes than physiotherapy alone.

摘要

背景

运动损伤的创伤后康复包括物理治疗。此外,运动损伤的非手术治疗将常规物理治疗作为主要治疗方法。本研究旨在评估在常规物理治疗基础上加用瑜伽对这些患者的影响。

材料与方法

在本比较研究中,我们评估了单纯常规物理治疗与物理治疗联合瑜伽对212例非手术治疗的各种膝关节损伤患者的影响。该研究在获得医院伦理委员会批准以及患者的书面知情同意后进行。患者被分为两组:C组(常规组)和Y组(瑜伽组)。常规组患者接受物理治疗康复计划,而瑜伽组患者在住院期间每天由一名瑜伽专家额外指导进行一次瑜伽练习。我们提供了瑜伽体式的书面指南和图片,并指导他们回家后每周进行3天练习。从出院日起6周、3个月和6个月收集WOMAC评分数据。

结果

我们注意到,瑜伽组患者在WOMAC量表的疼痛、僵硬和功能子量表等所有方面均有显著改善(<0.05)。与常规组相比,在受伤后第7天、伤后6周、3个月和6个月时,他们的疼痛和僵硬程度明显减轻。

结论

在本研究中,常规物理治疗与瑜伽相结合比单纯物理治疗能提供更好的功能结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f8/10040995/3c9b9b1860ea/JFMPC-11-7691-g001.jpg

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