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Examining the safety, feasibility and efficacy of yoga for persons with arthritis.

机译：检查瑜伽对关节炎患者的安全性，可行性和功效。

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摘要

Arthritis is the leading cause of disability, affecting 21% of adults in the United States. The two most prevalent forms of arthritis are osteoarthritis (OA) or rheumatoid arthritis (RA). The costs of arthritis are enormous to the individual and society, including substantial healthcare costs and lost productivity as well as activity limitations, reduced participation in family and society. In addition to the physical symptoms that include pain, stiffness and swelling, persons with arthritis commonly experience psychosocial comorbidities such as depression, isolation and an inability to perform daily activities.Physical activity is recommended as an essential component of arthritis disease management to slow the loss of muscle, mobility and function. While many forms of exercise are safe and effective for people with arthritis, most people are not able to maintain an activity program for more than a few months.Yoga is a mind-body activity with origins in ancient India. It consists of deep breathing, centering, isometric poses that focus on strength, flexibility or balance, moving sequences, progressive relaxation, chanting and/or meditation. The combination of physical activity with stress-reduction techniques and an emphasis on individual modification has the potential to benefit persons with arthritis. Additionally, yoga can be practiced in a small space with limited resources.This dissertation is an examination of the effects of a regular program of yoga on selected health and psychosocial outcomes in examination of the feasibility and effects of yoga on selected clinical, physical and psychosocial outcomes for adults with OA and RA.The specific aims of this study were: (1) To conduct a systematic review of the literature on the use of yoga interventions for persons with OA and/or RA (2) To identify factors related to program adherence and (3) to estimate the effects of regular yoga on selected health and psychosocial outcomes.A review of the existing literature indicated that yoga appears to be safe and feasible for persons with rheumatoid and/or osteoarthritis, and may confer a variety of physical and psychological benefits. Our preliminary results suggested that yoga was associated with significant improvements in physical health, physical function, flexibility, balance, depressive symptoms, positive affect and pain for persons with arthritis, as well as a reduction in the number of tender/swollen joints for persons with rheumatoid arthritis. Adherence to our yoga program was the same or higher than traditional exercise programs (e.g., group aerobics, resistance training) and persons who began the program were likely to complete it. No related adverse events were reported during the trial, although 8 people were withdrawn from the study for health-related occurrences such as diagnosis of another inflammatory condition or unrelated surgery.Thus, results of this preliminary RCT suggest that a gentle, gradual yoga program tailored to the needs of people with arthritis was safe, feasible and potentially associated with improvements in physical health, which may be mediated by changes in physical fitness, psychological functioning and disease symptoms. There is a need for larger studies conducted in a variety of setting using standardized methodology to contribute additional evidence regarding the utility of yoga as a part of comprehensive arthritis self-management.
机译：关节炎是致残的主要原因，在美国影响了21％的成年人。关节炎的两种最普遍的形式是骨关节炎（OA）或类风湿性关节炎（RA）。关节炎的代价对个人和社会而言都是巨大的，其中包括大量的医疗费用和生产力损失，以及活动受限，对家庭和社会参与的减少。除了包括疼痛，僵硬和肿胀的身体症状外，关节炎患者还经常患有心理社会合并症，例如抑郁，孤立和无法进行日常活动，因此建议将身体活动作为关节炎疾病管理中减慢损失的基本组成部分肌肉，活动能力和功能。尽管许多形式的运动对关节炎患者都是安全有效的，但大多数人都无法维持超过几个月的运动计划。瑜伽是一种起源于古代印度的身心活动。它由深呼吸，居中，等距姿势组成，这些姿势着重于力量，柔韧性或平衡性，运动顺序，渐进式放松，诵经和/或冥想。将体育锻炼与减轻压力的技术相结合，并强调对个人的改造，有可能使关节炎患者受益。此外，瑜伽可以在资源有限的狭小空间内练习。本论文旨在研究常规瑜伽对选定健康和心理社会结局的影响，同时研究瑜伽对选定临床，身体和心理社会的可行性和影响本研究的具体目标是：（1）对OA和/或RA患者使用瑜伽干预的文献进行系统的回顾（2）识别与计划相关的因素依从性和（3）评估常规瑜伽对选定的健康和社会心理成果的影响。对现有文献的回顾表明，瑜伽对于类风湿和/或骨关节炎患者似乎是安全可行的，并且可以赋予多种体育锻炼机会和心理上的好处。我们的初步结果表明，瑜伽可以显着改善关节炎患者的身体健康，身体机能，柔韧性，平衡性，抑郁症状，积极的情感和痛苦，并减少患有关节炎的人的关节柔软/肿胀类风湿关节炎。遵守我们的瑜伽计划与传统的锻炼计划（例如团体健美操，阻力训练）相同或更高，并且开始该计划的人很可能会完成它。尽管有8人因与健康相关的事件而退出研究，例如诊断另一种炎症状况或不相关的手术，但该试验期间未报告相关的不良事件。因此，该初步RCT的结果表明，制定了一个温和的，循序渐进的瑜伽计划满足关节炎患者的需求是安全，可行的，并且可能与身体健康的改善相关，这可能是由身体健康，心理功能和疾病症状的改变所介导的。需要使用标准化方法在各种环境下进行的较大研究，以提供有关瑜伽作为综合性关节炎自我管理一部分的效用的其他证据。

著录项

  • 作者

    Haaz, Steffany.;

  • 作者单位

    The Johns Hopkins University.;

  • 授予单位 The Johns Hopkins University.;
  • 学科 Health Sciences Alternative Medicine.Health Sciences Public Health.Education Health.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 190 p.
  • 总页数 190
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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