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Yoga and Physical Rehabilitation Medicine: A Research Partnership in Integrative Care

机译:瑜伽与物理康复医学:综合护理研究合作伙伴

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摘要

Mind-body interventions, such as yoga, that teach stress management with physical activity may be well suited for investigation in both osteoarthritis and rheumatoid arthritis. In order to be considered as viable care options integrative studies need to offer a comprehensive design and include clinicians familiar with the disease process of the study populations. A review of the literature reveals a dearth of information related to the collaboration between yoga and physical rehabilitation medicine. This article discusses the collaboration with physical rehabilitation medicine to collect relevant pre- and post-intervention measures for an on-going pilot acceptability/feasibility yoga study for minority patients with osteoarthritis or rheumatoid arthritis.An interdisciplinary clinical research team selected psychosocial and physical measures for a community sample of bilingual minority patients, not typically identified as practicing yoga. Sixteen female adults aged 40–63 years (mean =51) completed baseline physical assessments using single leg stance, functional reach test, time up and go test, timed up from the floor test and the Disabilities of the Arm, Shoulder and Hand measures. Baseline values show an average level of functional ability prior to beginning the intervention. Preliminary results indicate some improvement; however, selected measures may not have the sensitivity and specificity needed to identify significant change. In this study, combining interdisciplinary perspectives enhanced the quality of the research study design. The experience of this interdisciplinary clinical research team opens the discussion for future collaborations.
机译:通过身体活动来指导压力管理的身心干预(例如瑜伽)可能非常适合于骨关节炎和类风湿关节炎的研究。为了被视为可行的治疗选择,综合研究需要提供全面的设计,并包括熟悉研究人群疾病过程的临床医生。文献回顾显示,缺乏与瑜伽和物理康复医学之间的合作有关的信息。本文讨论了与物理康复医学的合作,以收集相关的干预前后措施,以进行正在进行的针对患有骨关节炎或类风湿性关节炎的少数患者的飞行员可接受性/可行性瑜伽研究。跨学科的临床研究团队选择了心理和物理措施双语少数民族患者的社区样本,通常不被认为是练习瑜伽。 16位年龄在40-63岁(平均= 51)的女性成年人使用单腿姿势,功能触及测验,起身和起跑测试,从地板测试到时限以及手臂,肩膀和手部的残障测验的时间完成了基线身体评估。基线值显示开始干预之前的平均功能水平。初步结果表明有所改善。但是,选定的措施可能没有识别重大变化所需的敏感性和特异性。在这项研究中,结合跨学科的观点提高了研究研究设计的质量。这个跨学科临床研究团队的经验为未来的合作打开了讨论的大门。

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