Efficacy of Yoga as an Add-on to Physiotherapy in the Management of Patients with Paraplegia: Randomised Controlled Trial
Published: March 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/40429.12724
Monali Madhusmita, John Ebnezar, Thaiyar Madabusi Srinivasan, Patita Pabana Mohanty, Singh Deepeshwar, Balaram Pradhan
1. PhD Scholar, Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana, Bangaluru, Karnataka, India.
2. Head of the Department, Department of Orthopaedics, Ebnezar Orthopaedic Centre, Parimala Speciality Hospital, Bangaluru, Karnataka, India.
3. Visiting Professor, Division of Yoga and Physical Sciences, Swami Vivekananda Yoga Anusandhana Samsthana, Bangaluru, Karnataka, India.
4. Associate Professor and Head, Department of Physiotherapy, Swami Vivekananda National Institute of Rehabilitation Training and Research, Cuttack, Odisha, India.
5. Assistant Professor, Department of Yoga and Cognitive Neuroscience, Swami Vivekananda Yoga Anusandhana Samsthana, Bangaluru, Karnataka, India.
6. Assistant Professor, Division of Yoga and Humanities, Swami Vivekananda Yoga Anusandhana Samsthana, Bangaluru, Karnataka, India.
Correspondence
Monali Madhusmita,
PhD Scholar, Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana, 19, Eknath Bhavan, Gavipuram Circle, KG Nagar, Bangaluru-560019, Karnataka, India.
E-mail: monaliyoga@gmail.com
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.
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