Devore Elizabeth, Morgenlander Andrea, Krucoff Carol, Morgenlander Joel
Duke University Health System, Durham, N. C.
Candler, N. C.
Int J Yoga Therap. 2023 Jan 1;33(2023). doi: 10.17761/2023-D-21-00074.
Concussion imposes a substantial global health burden, and few evidence-based treatments that approach concussion treatment holistically are available. Moreover, early intervention is important before concussion symptoms become chronic and more refractory to treatment. In this pilot study, we evaluated the tolerability of a protocol called Mindfulness and Yoga for Treatment After Concussion (MYTAC), which was specifically designed for individuals with concussion. We also explored the possible benefit of the MYTAC protocol for concussion recovery. Participants were 15-60 years old with recent concussion and had presented to selected practices within a university health system. Participants used the video-based MYTAC protocol for 5 consecutive days and reported concussion symptoms on an abbreviated version of the Sports Concussion Assessment Tool version 3 (SCAT3). We compared the abbreviated SCAT3 scores across the intervention period, including immediately before and after each yoga session, using standard statistical methods for paired data. Of 25 participants enrolled in the study, 15 completed the MYTAC protocol and 1 completed 2 days of the protocol before withdrawing due to worsening symptoms; the remaining 9 participants did not complete the protocol. On average, total abbreviated SCAT3 scores decreased by 9.9 ± 7.6 points, or approximately 50%, over the intervention period (from an initial value of 18.8 ± 6.7 points prior to the yoga protocol). Although this pilot study had significant methodological limitations, we concluded that the MYTAC protocol had fair tolerability and possibly a beneficial effect on concussion recovery. However, future interventions should evaluate this protocol in larger, more rigorously designed studies.
脑震荡给全球带来了沉重的健康负担，而全面治疗脑震荡的循证疗法却寥寥无几。此外，在脑震荡症状变为慢性且更难治疗之前进行早期干预非常重要。在这项初步研究中，我们评估了一种名为“脑震荡后正念与瑜伽治疗方案”（MYTAC）的耐受性，该方案是专门为脑震荡患者设计的。我们还探讨了MYTAC方案对脑震荡恢复可能带来的益处。参与者年龄在15至60岁之间，近期有脑震荡病史，并在大学健康系统内的特定医疗机构就诊。参与者连续5天使用基于视频的MYTAC方案，并通过简易版的3版运动性脑震荡评估工具（SCAT3）报告脑震荡症状。我们使用配对数据的标准统计方法，比较了整个干预期内（包括每次瑜伽课程前后）的简易SCAT3评分。在该研究纳入的25名参与者中，15人完成了MYTAC方案，1人在因症状恶化退出前完成了2天的方案；其余9名参与者未完成该方案。在干预期内，简易SCAT3总分平均下降了9.9±7.6分，约为50%（瑜伽方案前初始值为18.8±6.7分）。尽管这项初步研究存在显著的方法学局限性，但我们得出结论，MYTAC方案具有一定的耐受性，可能对脑震荡恢复有有益影响。然而，未来的干预措施应在规模更大、设计更严谨的研究中评估该方案。
