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瑜伽疗法对慢性椎间盘源性下腰痛的影响。

Effect of Yoga Therapy in Chronic Discogenic Low Back Pain.

作者信息

Sahu Shivam, Dhanasekaran Rajarajan, Chakravarthi M, Bhavanani Anand B

机构信息

Department of Orthopaedics, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India.

Director, Cyter, Department of Orthopaedic, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pondicherry, India.

出版信息

J Pharm Bioallied Sci. 2025 Jun;17(Suppl 2):S1377-S1379. doi: 10.4103/jpbs.jpbs_126_25. Epub 2025 Jun 18.

DOI:10.4103/jpbs.jpbs_126_25
PMID:40655754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12244673/
Abstract

BACKGROUND

Chronic low back pain (CLBP) is a persistent pain condition affecting the lower back, lumbosacral region, and sacroiliac area for over three months. Discogenic pain closely resembles lumbosacral radicular pain, often presenting with radiating pain in lumbar or sacral dermatomes, with or without neurological deficits. Yoga, a mind-body practice, is increasingly explored as a therapeutic approach for non-specific low back pain.

MATERIALS AND METHODS

A prospective study included 35 patients meeting the inclusion criteria, who underwent yoga therapy between August 2022 and July 2024. Participants were assessed every four weeks for twelve weeks using the Visual Analog Scale (VAS), Face Pain Rating Scale (FPRS), and Oswestry Disability Index (ODI).

RESULTS

The study population had a mean age of 39.57 ± 11.62 years, with 51.4% females and 48.6% males. At the twelve-week follow-up, significant improvements were observed: VAS scores decreased from 7.2 ± 1.1 to 2.5 ± 0.9 ( < 0.05), FPRS scores reduced from 6.8 ± 1.2 to 2.3 ± 0.8 ( < 0.05), and ODI scores improved from 52.4 ± 8.3 to 21.6 ± 5.4 ( < 0.05). These findings indicate a marked reduction in pain intensity and back-related disability following yoga therapy.

CONCLUSION

Yoga therapy is an effective non-invasive intervention for managing chronic discogenic low back pain, leading to significant reductions in pain and disability across all age groups.

摘要

背景

慢性下腰痛(CLBP)是一种持续的疼痛病症,影响下背部、腰骶部和骶髂区域超过三个月。椎间盘源性疼痛与腰骶部神经根性疼痛非常相似,常表现为腰部或骶部皮节的放射痛,伴有或不伴有神经功能缺损。瑜伽作为一种身心练习方式,越来越多地被探索用于治疗非特异性下腰痛。

材料与方法

一项前瞻性研究纳入了35名符合纳入标准的患者,他们于2022年8月至2024年7月接受了瑜伽治疗。使用视觉模拟量表(VAS)、面部疼痛评分量表(FPRS)和奥斯威斯利功能障碍指数(ODI),每四周对参与者进行一次为期十二周的评估。

结果

研究人群的平均年龄为39.57±11.62岁,女性占51.4%,男性占48.6%。在十二周的随访中,观察到显著改善:VAS评分从7.2±1.1降至2.5±0.9(<0.05),FPRS评分从6.8±1.2降至2.3±0.8(<0.05),ODI评分从52.4±8.3提高到21.6±5.4(<0.05)。这些结果表明,瑜伽治疗后疼痛强度和与背部相关的功能障碍明显降低。

结论

瑜伽治疗是一种有效的非侵入性干预措施,可用于管理慢性椎间盘源性下腰痛,能使所有年龄组的疼痛和功能障碍显著减轻。