Effect of Modified Yoga on Pulmonary Function and Quality of Life in Spinal Cord Injury Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 29
- 试验地点
- 1
- 主要终点
- Peak Expiratory Flow Rate (PEFR)
研究概览
简要总结
This pilot interventional study evaluated whether adding wheelchair-adapted Modified Yoga Therapy to conventional physical rehabilitation could improve pulmonary function, respiratory muscle strength, and quality of life in adults with traumatic thoracic spinal cord injury.
Participants with operated traumatic thoracic spinal cord injury were assigned to either an experimental group or a control group. The control group received Conventional Physical Rehabilitation Therapy (CPRT), while the experimental group received CPRT together with a 20-minute Modified Yoga Therapy program, five days per week for four weeks. The yoga program included wheelchair-adapted postures, breathing exercises (Pranayama), and relaxation.
Outcomes were assessed at baseline and after four weeks and included Peak Expiratory Flow Rate (PEFR), Maximum Inspiratory Pressure (MIP), and quality of life measured using the WHOQOL-BREF questionnaire.
The study evaluated whether Modified Yoga Therapy could serve as an adjunct to conventional rehabilitation for individuals with thoracic spinal cord injury.
详细描述
This pilot interventional study was conducted in the Physiotherapy Department of the General Hospital, Ahmedabad, and evaluated the addition of Modified Yoga Therapy (MYT) to Conventional Physical Rehabilitation Therapy (CPRT) in adults with operated traumatic thoracic spinal cord injury.
Participants were assigned to either an experimental group or a control group. The control group received CPRT, which included respiratory exercises and conventional physical and occupational rehabilitation. The experimental group received the same conventional rehabilitation together with MYT.
MYT was specifically adapted for participants using wheelchairs and was administered for 20 minutes per session, five days per week for four weeks. The program included Sukshmakriya as a warm-up; wheelchair-adapted Yogasana including Hastauttanasana, Padahastasana, Ardhmatsyendrasana, Garudasana, and Ardhachandrasana; Anulom Vilom Pranayama; and relaxation with Savasana.
Assessments were performed at baseline and after four weeks to evaluate pulmonary function, respiratory muscle strength, and quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants with operated traumatic thoracic spinal cord injury at levels T1-T
- •Participants who had completed Tilt Table Mobilization with weight-bearing permission from the orthopedic surgeon.
- •Participants classified as American Spinal Injury Association (ASIA) Impairment Scale Grade A or Grade B.
排除标准
- •Participants with associated chest, rib, or abdominal trauma. Participants who had undergone recent secondary surgeries. Participants with cardiopulmonary diseases. Participants with autonomic dysreflexia.
研究组 & 干预措施
Modified Yoga Plus Conventional Rehabilitation
Participants received Conventional Physical Rehabilitation Therapy (CPRT) combined with Modified Yoga Therapy (MYT). Modified Yoga Therapy was administered for 20 minutes per session, 5 days per week for 4 weeks and included Sukshmakriya, wheelchair-adapted Yogasana, Anulom Vilom Pranayama, and Savasana relaxation.
干预措施: Conventional Physical Rehabilitation Therapy (Behavioral)
Modified Yoga Plus Conventional Rehabilitation
Participants received Conventional Physical Rehabilitation Therapy (CPRT) combined with Modified Yoga Therapy (MYT). Modified Yoga Therapy was administered for 20 minutes per session, 5 days per week for 4 weeks and included Sukshmakriya, wheelchair-adapted Yogasana, Anulom Vilom Pranayama, and Savasana relaxation.
干预措施: Modified Yoga Therapy (Behavioral)
Conventional Physical Rehabilitation Therapy
Participants received Conventional Physical Rehabilitation Therapy (CPRT), including diaphragmatic and pursed-lip breathing exercises, upper-limb strengthening, passive and active lower-limb movements, pelvic bridging, abdominal curl-ups, balance training, mat activities, and standard occupational therapy.
干预措施: Conventional Physical Rehabilitation Therapy (Behavioral)
结局指标
主要结局
Peak Expiratory Flow Rate (PEFR)
时间窗: Baseline and 4 weeks
Peak Expiratory Flow Rate (PEFR) was assessed using a Helios 401 computerized spirometer to evaluate expiratory pulmonary function. PEFR was recorded in liters per second (L/m).
Maximum Inspiratory Pressure (MIP)
时间窗: Baseline and 4 weeks
Maximum Inspiratory Pressure (MIP) was measured using a MicroRPM respiratory pressure meter to assess inspiratory respiratory muscle strength. MIP was recorded in cmH2O.
次要结局
- Quality of Life (WHOQOL-BREF)(Baseline and 4 weeks)
研究者
Dr. Fagun J. Jain (PT)
Principal Investigator
Government (CL&SC) Spine Institute and Hospital, Ahmedabad