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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Efficacy of Yoga as an Add-on to Physiotherapy in the Management of Patients with Paraplegia: Randomised Controlled Trial
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Efficacy of Yoga as an Add-on to Physiotherapy in the Management of Patients with Paraplegia: Randomised Controlled Trial

机译：瑜伽作为物理疗法在截瘫患者管理中的附加功效：随机对照试验

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Traumatic Spinal Cord Injury (SCI) is a leading cause of disability. Varying injury level and severity generate a spectrum of neurological dysfunction and a reduction in long-term Quality of Life (QoL) with a decrease in mobility.Aim: To evaluate the add-on effect of a Yoga program along with physiotherapy on individuals with paraplegia.Materials and Methods: A total of 124 SCI patients of both genders with age range 18-60 years, having incomplete SCI (AIS)-C and (AIS)-D, and admitted to the rehabilitation centre, India, were randomly allocated into two groups i.e.,: (i) Study group-Integrated Yoga and Physiotherapy (IYP) (n=62; age means and SD: 33.97±10.0 years); and (ii) control group-Physiotherapy (PT) (n=62; age mean and SD:32.84±9.5 years). These participants were assessed on primary outcome measures: (i) American Spinal Injury Association (ASIA) Impairment scale; (ii) c-Reactive Protein (CRP); (iii) Spinal Cord Injury Independence Measure (SCIM); and (iv) Medically Based Emotional Distress Scale (MEDS). The secondary outcome measures were: (i) Body Mass Index (BMI); and (ii) Quality of Life Index Spinal Cord Injury - Version III (SCI-QOL index), were measured before and after one-month interventions.Results: The IYP group showed a significant reduction in scores of CRP (p<0.001), SCIM (p<0.001), MEDS (p<0.001), and improvement in SCI-QoL Index (p<0.001) compared to the control group. There was no significant change observed in the ASIA impairment scale between the two groups.Conclusion: One-month Integrated Yoga and Physiotherapy program is more effective than physiotherapy intervention alone, in the management of paraplegia patients.
机译：脊髓外伤（SCI）是导致残疾的主要原因。不同的损伤程度和严重程度会产生一系列神经功能障碍，并会降低长期生活质量（QoL），并导致行动不便。目标：评估瑜伽计划和物理疗法对瑜伽的附加作用材料和方法：共有124名SCI患者，年龄在18-60岁之间，性别不完整（AIS）-C和（AIS）-D，并入康复中心，印度被随机分为两组，即：（i）综合瑜伽与物理治疗研究组（n = 62;年龄均值和标准差：33.97±10.0岁）; （ii）对照组-物理疗法（PT）（n = 62;平均年龄和SD：32.84±9.5岁）。对这些参与者的主要结局指标进行了评估：（i）美国脊髓损伤协会（ASIA）损伤量表; （ii）c反应蛋白（CRP）; （iii）脊髓损伤独立性措施（SCIM）; （iv）基于医学的情绪困扰量表（MEDS）。次要结果指标是：（i）体重指数（BMI）; （ii）在进行1个月的干预之前和之后，测量了生活质量指数脊髓损伤-III版（SCI-QOL指数）。结果：IYP组的CRP得分显着降低（p < 0.001），SCIM（p <0.001），MEDS（p <0.001）和SCI-QoL指数改善（p <0.001）。两组之间的ASIA损伤量表均未观察到明显变化。结论：在截瘫患者的管理中，为期一个月的综合瑜伽和物理疗法计划比单独的物理疗法更有效。

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