Moonaz Steffany
Department of Clinical and Health Services Research, Southern California University of Health Sciences, Whittier, CA, USA.
Glob Adv Integr Med Health. 2024 May 17;13:27536130241255696. doi: 10.1177/27536130241255696. eCollection 2024 Jan-Dec.
Childhood arthritis has a prevalence of around 300 000 US children. It has no cure, and is just one of many juvenile conditions associated with pain, fatigue, and a lifetime of medical care. Yoga has demonstrated effectiveness in improving symptoms and quality of life for adults with arthritis. Yoga can be easily adapted according to affected joints, movement limitations, and changes in disease status. It combines movement that is necessary for arthritis management and maintaining physical function, along with mental practices that help to address common psychosocial comorbidities such as depressive symptoms and affect. No research has been published on the effects of yoga in minors with arthritis and chronic pain. In-person yoga may not be feasible for this population because many patients live hours from their specialist healthcare. As telehealth becomes more acceptable, online yoga may offer an additional tool for symptom management and improved quality of life in juvenile chronic pain conditions. Clinical trials are necessary to evaluate the safety, feasibility, acceptability and effectiveness of teleyoga in the whole-person management of juvenile arthritis and chronic pain conditions.
儿童关节炎在美国约有30万名患儿患病。该病无法治愈，只是众多与疼痛、疲劳及终身医疗护理相关的青少年疾病之一。瑜伽已被证明对改善患有关节炎的成年人的症状和生活质量有效。瑜伽可根据受影响的关节、运动限制及疾病状态的变化轻松调整。它将关节炎管理和维持身体功能所需的运动与有助于应对常见心理社会合并症（如抑郁症状和情感问题）的心理练习相结合。尚未有关于瑜伽对患有关节炎和慢性疼痛的未成年人影响的研究发表。亲自参加瑜伽课程对这一人群可能不可行，因为许多患者居住的地方距离专科医疗保健机构有数小时路程。随着远程医疗越来越被接受，在线瑜伽可能为青少年慢性疼痛疾病的症状管理和生活质量改善提供一种额外的工具。有必要进行临床试验，以评估远程瑜伽在青少年关节炎和慢性疼痛疾病的全人管理中的安全性、可行性、可接受性和有效性。
