Lysogorskaia Elena, Ivanov Timur, Mendalieva Ainagul, Ulmasbaeva Elena, Youshko Maxim, Brylev Lev
April Rehabilitation Center, Moscow, Russia.
Yoga Practika LTD, Moscow, Russia.
Ann Neurosci. 2023 Oct;30(4):242-250. doi: 10.1177/09727531231161994. Epub 2023 Apr 12.
Yoga originated in the territory of modern India more than 3,000 years ago uses techniques for working with the musculoskeletal system, cardiorespiratory system, and attention. Currently, the effectiveness and safety of yoga in patients with various neurological disorders, including multiple sclerosis (MS), is of interest to many scientists and clinicians.
The main aim of this study is to examine the effect of yoga on symptoms and quality of life in patients with MS vs physical therapy (exercise therapy) and no exercise.
The patients were randomly assigned to three groups (yoga, physical therapy (PT), or waiting list). After 12 weeks of regular exercises (or the absence of them), the effect of yoga and PT on the functional status and quality of life of patients were evaluated. The data were collected during the patients' two visits to the study center - before the start of the study and at the end of the 12-week period. The in-person examination included a doctor's assessment of the Expanded Disability Status Scale (EDSS), the SF-36 quality of life questionnaire, the fatigue scale, the Berg balance scale, and the 6-min walking test.
A total of 36 patients finished the clinical study: thirty women and six men. There was no statistically significant difference between the groups in terms of improvement in MS symptoms as measured by the balance, walking test, and fatigue scales. However, in the analysis of eight criteria of SF-36 quality-of-life questionnaire by the covariation analysis, statistically significant differences were found in favor of the yoga group in terms of physical functioning (PF) ( = .003), life activity (VT) ( < .001), mental health (MH) ( = 013), and social functioning (SF) ( = .028).
Thus, regular yoga classes under the guidance of qualified staff are a promising method of non-drug rehabilitation of patients with MS with motor disorders.
瑜伽起源于3000多年前的现代印度领土，运用了针对肌肉骨骼系统、心肺系统及注意力的技巧。目前，瑜伽对包括多发性硬化症（MS）在内的各种神经系统疾病患者的有效性和安全性，受到众多科学家和临床医生的关注。
本研究的主要目的是检验瑜伽对MS患者症状及生活质量的影响，并与物理治疗（运动疗法）和不运动进行对比。
患者被随机分为三组（瑜伽组、物理治疗组或等待名单组）。在进行12周的常规锻炼（或不锻炼）后，评估瑜伽和物理治疗对患者功能状态及生活质量的影响。数据在患者两次前往研究中心时收集——研究开始前和12周周期结束时。现场检查包括医生对扩展残疾状态量表（EDSS）、SF - 36生活质量问卷、疲劳量表、伯格平衡量表和6分钟步行试验的评估。
共有36名患者完成了临床研究：30名女性和6名男性。在通过平衡、步行试验和疲劳量表衡量的MS症状改善方面，各组之间没有统计学上的显著差异。然而，在通过协方差分析对SF - 36生活质量问卷的八项标准进行分析时，发现瑜伽组在身体功能（PF）（ = 0.003）、生活活动（VT）（ < 0.001）、心理健康（MH）（ = 0.013）和社会功能（SF）（ = 0.028）方面有统计学上的显著差异，有利于瑜伽组。
因此，在合格人员的指导下定期参加瑜伽课程，是MS运动障碍患者非药物康复的一种有前景的方法。
