Iyengar Yoga for Young Adults with Rheumatoid Arthritis: Results From a Mixed-Methods Pilot Study

作者：Evans Subhadra^*; Moieni Mona; Taub Rebecca; Subramanian Saskia K; Tsao Jennie C I; Sternlieb Beth; Zeltzer Lonnie K

来源：Journal of Pain and Symptom Management, 2010, 39(5): 904-913.

DOI：10.1016/j.jpainsymman.2009.09.018

• Yoga
• arthritis
• young adults
• pain

Context. Rheumatoid arthritis (RA) is a chronic disease that often impacts patient's quality of life. For young people with RA, there is a need for rehabilitative approaches that have been shown to be safe and to lead to improved functioning.
Objectives. This pilot study investigated the feasibility of a single-arm, group-administered, six-week, biweekly Iyengar yoga (IY) program for eight young adults with RA.
Methods. IY is known for its use of props, therapeutic sequences designed for patient populations, emphasis on alignment, and a rigorous teacher training. Treatment outcomes were evaluated using a mixed-methods approach that combined quantitative results from standardized questionnaires and qualitative interviews with participants.
Results. Initial attrition was 37% (n = 3) after the first week because of scheduling conflicts and a prior non-RA related injury. However, the remaining participants (n = 5) completed between 75% and 100% of treatment sessions (mean = 95%). No adverse events were reported. The quantitative results indicated significant improvements in pain, pain disability, depression, mental health, vitality, and self-efficacy. Interviews demonstrated improvement in RA symptoms and functioning but uncertainty about whether the intervention affected pain.
Conclusion. These preliminary findings indicate that IY is a feasible complementary approach for young people with RA, although larger clinical trials are needed to demonstrate safety and efficacy. J Pain Symptom Manage 2010;39:904-913.

• 出版日期2010-5