Efficacy of Yoga as an Add-on to Physiotherapy in the Management of Patients with Paraplegia: Randomised Controlled Trial
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 3
Abstract
ABSTRACT Introduction: 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.
Authors and Affiliations
Monali Madhusmita, John Ebnezar, Thaiyar Madabusi Srinivasan, Patita Pabana Mohanty, Singh Deepeshwar, Balaram Pradhan
Keywords
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- EP ID EP582019
- DOI 10.7860/JCDR/2019/40429.12724
- Views 98
- Downloads 0
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