帕金森病中的调息法（瑜伽呼吸练习）：文献综述方案

Pranayama (yogic breathing practices) in Parkinson's disease: protocol for a scoping review of literature.

作者信息

Rao Prajwal, Agarwal Dhiraj, Rohatgi Shalesh, Chaturvedi Sarika

机构信息

Neurology, Dr D Y Patil Vidyapeeth, Dr D Y Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India

Vadu Rural Health Program, KEM Hospital Research Centre, Pune, Maharashtra, India.

出版信息

BMJ Open. 2024 Dec 20;14(12):e092315. doi: 10.1136/bmjopen-2024-092315.

DOI:10.1136/bmjopen-2024-092315

PMID:39806643

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11667350/

Abstract

INTRODUCTION

Parkinson's disease is a neurodegenerative disorder that presents with motor symptoms such as tremors, slowness and gait difficulties, in addition to various non-motor symptoms such as anxiety, depression and autonomic and sleep disturbances. Pranayama (yogic breathing practices) has been studied as a part of yoga interventions in Parkinson's disease. Previous systematic reviews and meta-analyses have not detailed the pranayama practices used in clinical studies, and there is no clarity on the pranayama practices that would be most beneficial for Parkinson's disease. This scoping review aims to map the available scientific evidence on the effect of pranayama interventions for Parkinson's disease and identify the potential gaps in the literature.

METHODS AND ANALYSIS

A literature search will be conducted in major databases (JBI evidence synthesis, MEDLINE, Cochrane Library, including Cochrane Complimentary Medicine, and Scopus) from 1990 to date. Relevant grey literature will be searched. Two independent reviewers will initially review the extracted articles and will be further adjudicated by two independent reviewers. Data management will be done using Rayyan software throughout the review. Data extracted will include specific details of the population, concept, context and study methods specific to the scoping review objectives. The extracted data will be presented in tabular/diagrammatic form, reporting on items aligning with the review objectives, such as details of the pranayama intervention and its clinical outcomes. A narrative summary will accompany the tabulated results, identifying the gaps in evidence and areas for future research.

ETHICS AND DISSEMINATION

Ethics approval is not required for this scoping review. The findings will be disseminated through publications in peer-reviewed journals and conference presentations.

TRIAL REGISTRATION NUMBER

Protocol Registration in Open Science Framework - https://osf.io/jdwga/?view_only=82aa5afd46974416a402fa1a0ac39fce.

摘要

引言

帕金森病是一种神经退行性疾病，除了震颤、动作迟缓及步态障碍等运动症状外，还伴有焦虑、抑郁以及自主神经功能和睡眠障碍等各种非运动症状。调息法（瑜伽呼吸练习）已作为帕金森病瑜伽干预的一部分进行了研究。以往的系统评价和荟萃分析并未详细说明临床研究中使用的调息法练习，对于帕金森病最有益的调息法练习也尚无定论。本综述旨在梳理关于调息法干预对帕金森病影响的现有科学证据，并找出文献中的潜在空白。

方法与分析

将在1990年至今的主要数据库（JBI循证综合数据库、MEDLINE、Cochrane图书馆，包括Cochrane补充医学数据库以及Scopus）中进行文献检索。将检索相关灰色文献。两名独立评审员将首先对提取的文章进行评审，然后由另外两名独立评审员进行进一步裁决。在整个综述过程中，将使用Rayyan软件进行数据管理。提取的数据将包括特定于综述目标的人群、概念、背景和研究方法的具体细节。提取的数据将以表格/图表形式呈现，报告与综述目标相符的项目，如调息法干预的细节及其临床结果。表格结果将附带叙述性总结，指出证据空白和未来研究领域。