Efficacy of Yoga as an Add-on to Physiotherapy in the Management of Patients with Paraplegia: Randomised Controlled Trial

Madhusmita, Monali; Ebnezar, John; Srinivasan, T. M.; Mohanty, Patita Pabana; Deepeshwar, Singh; Pradhan, Balaram

doi:10.7860/jcdr/2019/40429.12724

Cited by 5 publications

(7 citation statements)

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“…The results are concurrent with previous studies with mind-body interventions like yogasana, pranayama, and meditation. [ 7 8 ] The results also confirm our primary and secondary hypotheses.…”

Section: Discussionsupporting

confidence: 85%

“…Reduction in anxiety, depression, and stress-related symptoms with mind-body intervention has been reported in SCI patients in few recent studies. [ 7 8 ] It is worth exploring further the possible mechanisms to guide clinicians for these techniques to be applied in bedside practice along with conventional treatment strategies. It would help in avoiding/reducing the prescription of psychotropics for anxiety and depression, which are obviously secondary to the mental trauma following SCI.…”

Section: Discussionmentioning

confidence: 99%

“…In recent times, besides conventional care, mind-body practices like yogasana, pranayama and meditation are found to be helpful in managing the physical, psychological, and social distress in people with SCI. [ 6 7 ] Among people with SCI, complementary and integrative health interventions usage is reported to be 14% to 73%, and 3% of SCI patients use them in the first few weeks of inpatient rehabilitation. [ 8 ] Patients receiving complementary therapies had shown greater reductions in pain severity and improvement in the quality of life and measures related to activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Rāja yoga Meditation on Psychological and Functional Outcomes in Spinal Cord Injury Patients

Chalageri

Vishwakarma²,

Ranjan

et al. 2021

International Journal of Yoga

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Background: Spinal cord injury (SCI) is a debilitating disorder with dysfunction in daily activities and psychological consequences like anxiety as well as depression impacting the quality of life substantially. Existing treatments focus mainly on rehabilitation, symptom reduction, and secondary complications. However, psychological, social, and existential issues are least addressed in the prevailing models. Aims: To study the role of meditation in addressing psychological impairment and any resultant improvement in functional outcomes in SCI patients. Methods: Nonrandomized controlled study was conducted in a tertiary care center for SCI patients. Hospital inpatients were recruited into either experimental intervention group (add on easy rāja yoga with conventional rehabilitation-ER n = 50) or control intervention group (conventional rehabilitation alone-CR n = 50). Patients in the ER group received easy rāja yoga for 1 month, along with conventional rehabilitation and the CR group patients received only conventional rehabilitation. All the subjects were assessed for psychological (perceived stress scale [PSS], Hospital Anxiety and Depression Scale [HADS]) and functional impairment (spinal cord independence measure (SCIM), numeric pain rating (NPR) and WHO quality of life-BRIEF (WHOQOLBREF)] at baseline and after 1 month. Results: After 1 month of add-on easy rāja yoga , there was significant decrease in the scores of HADS (F[1,88] = 272.92, P < 0.001), PSS (F[1,88] = 274.41, P < 0.001) and NPR (F[1,88] = 60.60, P < 0.001) and significant increase in the scores of WHOQOLBREF (F[1,88] = 349.94, P < 0.001) and SCIM (F[1,88] = 29.09, P < 0.001) in the ER group compared to CR group in analysis of covariance. Conclusion: One-month add-on easy rāja yoga improves psychological and functional outcomes (HADS, PSS, NPR, WHOQOLBREF and SCIM) in patients with SCI. Future studies with robust designs are needed to validate the results.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of Rāja yoga Meditation on Psychological and Functional Outcomes in Spinal Cord Injury Patients

Chalageri

Vishwakarma²,

Ranjan

et al. 2021

International Journal of Yoga

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“…[32][33][34][35][36][37] However, research demonstrating the effectiveness of mind and body approaches for reducing pain in SCI is limited to seven studies among which only three (Yoga and Tai Chi) [38][39][40] looked at reducing pain but without mentioning which type of pain they were investigating. [38][39][40][41][42][43][44] Mind and body research in SCI is fairly recent, and often movement modifications are needed to allow participation by adults with SCI. Chalageri et al (2021) showed significant pain reduction after Yoga meditation with conventional rehabilitation, with the most benefit for those with acute SCI and paraplegia.…”

Section: Introductionmentioning

confidence: 99%

“…32–37 However, research demonstrating the effectiveness of mind and body approaches for reducing pain in SCI is limited to seven studies among which only three (Yoga and Tai Chi) 38–40 looked at reducing pain but without mentioning which type of pain they were investigating. 38–44 Mind and body research in SCI is fairly recent, and often movement modifications are needed to allow participation by adults with SCI. Chalageri et al .…”

Section: Introductionmentioning

confidence: 99%

Using remotely delivered Spring Forest Qigong™ to reduce neuropathic pain in adults with spinal cord injury: A non-randomized controlled trial

Winckel

Carpentier

Deng

et al. 2023

Preprint

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Importance: The manuscript proposes the feasibility and potential of a remote Qigong intervention to reduce neuropathic pain in adults with spinal cord injury (SCI)-related neuropathic pain. Objective: We determined the feasibility and estimates of efficacy of a remotely delivered Qigong intervention in adults with SCI-related neuropathic pain. Design: This is a non-randomized controlled trial with outcomes assessed at baseline-, 6- and 12-weeks of Qigong practice, and at 6-weeks and 1-year follow-up. Setting: Completely remote clinical trial. Participants: Adults with SCI-related neuropathic pain, with SCI of at least 3 months, with complete or incomplete SCI, and highest neuropathic pain level of >3 on the Numeric Pain Rating Scale (NPRS). We used nationwide volunteer sampling. We recruited 23 adults with chronic SCI (7/2021-2/2022). Eighteen participants started the study and completed all study components, including the 6-week follow-up. Twelve participants completed the 1-year follow-up assessment. Intervention: Participants practiced the Spring Forest Qigong Five Element Healing Movements with an online video by combining movement with kinesthetic imagery, at least 3x/week for 12 weeks. Main Outcome(s) and Measure(s): To address the feasibility outcome and track adherence, the website automatically monitored the days and duration that the Qigong video was played. Self-report neuropathic pain intensity and SCI-related symptoms such as spasms, functional performance, mood, and body appreciation were also collected. Results: Eighteen participants, 60+/-12 years of age, 15+/-11 years post-SCI had a highest baseline neuropathic pain of 7.94+/-2.33 on the NPRS, which was reduced to 4.17+/-3.07 after 12 weeks of Qigong practice (Cohen d=1.75). This pain relief remained at 6-week and 1-year follow-ups. Participants reported reduced spasm frequency (change score 1.17+/-1.20, d=0.98) and severity (0.72+/-1.02, d=0.71), and reduced interference of neuropathic pain on mood (3.44+/-2.53, d=1.36), sleep (3.39+/-2.40, d=1.41), and daily activities (3.17+/-2.77, d=1.14). They had a greater ability to perform functional activities (Patient Specific Functional Scale, 6.68+/-3.07, d=2.18) and had improved mood (Patient Health Questionnaire-9, 2.33+/-3.31, d=0.70). Conclusions and Relevance: Our preliminary data demonstrate the feasibility of Qigong practice in adults with SCI-related neuropathic pain and promising results of neuropathic pain relief and improvement in SCI-related symptoms after Qigong practice.

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Yoga Clinical Trials for Major Neurological Disorders Including Headache: Trends and Advances

Mallina,

Jasti,

Bhargav

2024

Neuroscience of Yoga

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Efficacy of Yoga as an Add-on to Physiotherapy in the Management of Patients with Paraplegia: Randomised Controlled Trial

Cited by 5 publications

References 0 publications

Effect of Rāja yoga Meditation on Psychological and Functional Outcomes in Spinal Cord Injury Patients

Effect of Rāja yoga Meditation on Psychological and Functional Outcomes in Spinal Cord Injury Patients

Using remotely delivered Spring Forest Qigong™ to reduce neuropathic pain in adults with spinal cord injury: A non-randomized controlled trial

Yoga Clinical Trials for Major Neurological Disorders Including Headache: Trends and Advances

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