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1.
Adv Exp Med Biol ; 1191: 415-449, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32002940

RESUMO

Complementary and alternative medicine (CAM) encompasses a wide range of different nonmainstream therapies that have been increasingly used for treatment or adjunctive treatment of various ailments with anxiety/anxiety disorders being one of the commonly CAM (self)-medicated conditions. Thousands of published papers refer to use of CAM in various psychiatric disorders or in healthy or medically ill patients with mood or anxiety difficulties. In this chapter we focus specifically on clinically diagnosed (in line with the standard criteria) anxiety disorders and overview evidence of efficacy/safety of a range of CAM modalities: biologically based therapies (typically herbal preparations and less so nutraceuticals); manipulative and body-based therapies (acupuncture, aerobic exercise, massage, therapeutic touch, repetitive transcranial magnetic stimulation, balneotherapy, and others); mind-body therapies (yoga, Morita therapy, Tai Chi, reiki, Chinese cognitive therapy, religious and spiritual interventions, relaxation, mediation, and mindfulness-based interventions); and alternative medical systems (Ayurveda, homeopathy). We focus exclusively on randomized controlled trials and attempt to evaluate the existing body of evidence in the same manner that is applied to mainstream treatments.


Assuntos
Transtornos de Ansiedade/terapia , Terapias Complementares , Prática Clínica Baseada em Evidências , Terapia por Acupuntura , Exercício , Humanos , Massagem , Ensaios Clínicos Controlados Aleatórios como Assunto , Tai Ji , Ioga
4.
Altern Ther Health Med ; 26(S1): 18-31, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29428928

RESUMO

Context: The mechanisms of chronic pain involve complex neuroplastic changes at all 3 orders of neurons involved in the transmission of pain as well as changes in the descending inhibitory pathway. Although traditional pharmaceutical therapies have some efficacy, substantial scope exists for a new model of individualized therapy, tailored to the specific response of each patient. Because changes occur at all levels of the pain pathway, successful treatment may require a combination of therapies with different mechanisms of action. Objective: The research team intended to examine the potential changes within the peripheral nervous system (PNS) and central nervous system (CNS) of patients with chronic pain and to propose a model of chronic pain treatment involving multimodal, complementary therapies for individualized treatment targeting multiple sites along the pain pathway. Design: The research team performed a review of the literature in the field. Setting: The study took place in the School of Health and Human Sciences at Southern Cross University (Lismore, New South Wales, Australia). Interventions: A growing body of evidence supports the use of a variety of complementary therapies to treat chronic pain, including curcumin, capsaicin, vitamin D, omega-3 fatty acids, lipoic acid, acupuncture, yoga, meditation, and mindfulness meditation. These therapies vary with respect to the mechanisms by which they act and the potential areas of effect along the pain pathway. Results: The literature review showed a number of complementary therapies may be efficacious in reducing chronic pain and/or the need for analgesics, which may offer a reduced adverse effect profile. These therapies include curcumin, capsaicin, vitamin D, omega-3 fatty acids, lipoic acid, acupuncture, yoga, meditation, and mindfulness meditation. Response rates to treatment are likely to vary between people and within therapies. Conclusions: The available evidence suggests that efficacious complementary therapies exist that target all 3 orders of neurons and, therefore, the authors recommend multimodal individualized treatment for each patient. There is high interindividual variability between patients in responses to treatments.


Assuntos
Dor Crônica/terapia , Terapias Complementares/métodos , Meditação , Ioga , Austrália , Humanos
5.
Spec Care Dentist ; 39(6): 551-556, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31664728

RESUMO

AIM: To evaluate if yoga could be an adjunct to regular training methods in training brushing skill to children with autism spectrum disorder (ASD). METHODS: Seventy-two children with ASD aged 7-15 years were selected and divided into two groups (N = 36). Children in Group I received visual pedagogy and video modeling and children in Group II received visual pedagogy and video modeling with yoga. Plaque and gingival indices (PI and GI) were recorded at baseline and at the end of first, second, third, and sixth month. The scores were summarized as mean and standard deviation and inter-group comparison was done using independent t-test. RESULTS: Inter-group comparison of mean plaque and gingival indices scores were statistically significant at second month (P = .039 for PI and P = .009 for GI). The scores were statistically significant even at third month (P = .001 for PI and P = .002 for GI) and sixth month (P = .001 PI and GI), with children in Group II demonstrating better oral hygiene. CONCLUSION: Yoga training can be used as an adjunct to enhance tooth brushing learning capabilities of children with ASD in addition to visual modeling and pedagogy.


Assuntos
Transtorno do Espectro Autista , Placa Dentária , Ioga , Adolescente , Criança , Índice de Placa Dentária , Humanos , Escovação Dentária
6.
Artigo em Inglês | MEDLINE | ID: mdl-31581690

RESUMO

Besides strength and balance, flexibility is an important indicator of health-related physical fitness. Thus, the aim of this two-armed randomized controlled pilot trial was to investigate whether sauna yoga at a moderate temperature (50 °C) beneficially affects flexibility, strength, balance, and quality of life (QOL) in healthy elderly community dwellers. Participants were randomly assigned to an intervention group (INT, n = 11, age: 68.7 ± 5.9) or control group (CON, n = 12, age: 69.3 ± 4.9), using the minimization method. Age, physical activity, gender, and the primary outcome flexibility were used as strata for group allocation. Both groups completed similar exercises in the sauna over eight weeks. Only the INT group was exposed to moderate temperatures of 50 °C. Large and statistically significant improvement in favor of the sauna group (INT) was observed for the chair sit-and-reach test (INT: +83%, CON +3%, p = 0.028, nр² = 0.24). The shoulder and lateral spine flexibility were not relevantly affected. Strength in the lower extremities merely showed a tendency to significant changes (INT: 16%, CON: 3%, p = 0.061, nр² = 0.181). Additionally, balance abilities, with eyes closed, improved (INT: 187%, CON +58%, p = 0.056, nр² = 0.189) in favor of the INT group. QOL only improved in favor of the INT for environmental dimension (INT: +7%, CON: 0%, p = 0.034, nр² = 0.227). These first but preliminary findings indicate that sauna yoga may serve as a promising and feasible means to improve flexibility in elderly people. Strength and balance do not meaningfully benefit from a sauna environment, although strength improved to a slightly higher extent in the sauna group. Future large-scale research is needed to elucidate underlying mechanisms and corroborate these findings.


Assuntos
Exercício/fisiologia , Nível de Saúde , Aptidão Física/fisiologia , Equilíbrio Postural/fisiologia , Amplitude de Movimento Articular/fisiologia , Banho a Vapor , Ioga , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia
7.
Neurol Res ; 41(11): 1001-1007, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31588880

RESUMO

Objectives: Increased attention is being paid to Asian medicine in balanced total health care. We investigated the effects of mixed exercise including yoga ('Yoga-plus') among elderly individuals. Methods: A total of 385 subjects (72 males and 313 females, 75.5 ± 8.7 years old) participated in a 12-month (M) exercise program at a health and welfare center, a day service center, and a nursing home. Cognitive, affective, and physical functions, and activities of daily living (ADL), were compared at baseline (0M), 6M and 12M of exercise intervention. Results: Mean scores on the frontal assessment battery, clock drawing test, cube copying test, letter fluency, and category fluency significantly improved after the Yoga-plus intervention, while mini-mental state examination, Hasegawa dementia score-revised, and trail-making test performance were relatively stable. Affective scores on the geriatric depression scale (GDS), apathy scale (AS) and Abe's behavioral and psychological symptoms of dementia were not significantly affected by exercise therapy, but subgroups with higher baseline GDS (GDS ≥ 5) and AS (AS ≥ 16) scores showed a significant improvement after intervention. One-leg standing time and 3-m timed up and go test performance significantly improved after 12M intervention. Discussion: Yoga-plus improved cognitive, affective, ADL, and physical functions in a local elderly population, particularly among below-baseline individuals, indicating the benefits of dementia prevention among elderly individuals.


Assuntos
Atividades Cotidianas , Cognição/fisiologia , Estudos de Tempo e Movimento , Ioga , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/terapia , Exercício/fisiologia , Feminino , Humanos , Masculino , Equilíbrio Postural/fisiologia , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Estudos Retrospectivos
8.
Medicine (Baltimore) ; 98(43): e17399, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31651843

RESUMO

INTRODUCTION: Schizophrenia is one of the most severe mental disorders with a prevalence of about 1% and a leading cause of disability among young adults. Pharmacotherapy is the mainstay in the management of schizophrenia. However, even with the best of medication, several problems like refractoriness, negative symptoms, frequent relapses, and cognitive impairments persist. METHODS: This is a randomized-controlled clinical study including patients from an urban tertiary hospital and a semi-urban community center, with a between-group, repeated-measures, longitudinal design. This study will recruit 160 patients with DSM 5 diagnosis of schizophrenia who are on stable medication for a minimum of 6 weeks; they will be randomly assigned into 2 arms viz., yoga therapy (YT), and treatment-as-usual (TAU) with 80 patients in each arm. Participants will undergo Clinical, Laboratory, and Radiological assessments at baseline and at intervals of 1 month, 3 months, and 6 months from the baseline. It is hypothesized that yoga will improve psychopathology and emotion processing, increase serum brain derived neurotrophic factor (BDNF) and plasma oxytocin levels and effect changes in cerebral activation in areas of the brain associated with schizophrenia. DISCUSSION: This study aims to measure the efficacy of a Yoga-based intervention as an adjunct in patients with schizophrenia as well as the mechanisms of these effects. TRIAL REGISTRATION: Registered retrospectively with Clinical Trial Registry - India (CTRI) with registration number CTRI/2017/08/009219.


Assuntos
Plasticidade Neuronal , Esquizofrenia/fisiopatologia , Esquizofrenia/terapia , Psicologia do Esquizofrênico , Ioga/psicologia , Adolescente , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto , Método Simples-Cego , Resultado do Tratamento , População Urbana , Adulto Jovem
9.
Invest. educ. enferm ; 37(3): [E06], 15 Octubre 2019. Tab 1, Fig 1
Artigo em Inglês | LILACS, COLNAL | ID: biblio-1023485

RESUMO

Objective. The work, herein, sought to determine the effect of yoga on the quality of life of nurses working in intensive care units (ICU). Methods. This was a randomized controlled clinical trial of a preventive intervention of three weekly sessions of yoga exercises, which included aspects of meditation, breathing control, and slow body movements. The study selected 70 nurses working in ICU and assigned them to two groups: experimental (n = 35) and control (n = 35). The World Health Organization Quality of Life brief questionnaire (WHOQoL-Bref) was used to evaluate on four moments (baseline, one, two, six months after the start of the study); this scale has 26 items with Likert-type response options ranging from 1 to 5; higher total score indicates better quality of life. Results. The baseline score of quality of life in the experimental group was 62.3, which increased to 70.7 on the first month and continued improving in the evaluations on the second month (72.8) and sixth month (74.1), with this change being statistically significant. Instead, the control group showed no differences in scores of the different moments of evaluation (baseline = 62, first month = 61.9, second month = 62.4, and sixth month = 60.4). In the four domains of the WHOQoL-Bref (physical, psychological, social relationships, and environment), it was also noted that the experimental group obtained better scores over time compared with the control group. Conclusion. The intervention of yoga exercises was effective in improving the quality of life of nurses working in ICU.


Objetivo. Determinar el efecto del yoga en la calidad de vida de las enfermeras que trabajan en Unidades de Cuidados Intensivos (UCI). Métodos. Ensayo clínico controlado aleatorizado de una intervención preventiva de 3 sesiones semanales de ejercicios de yoga que incluyeron aspectos de meditación, control de la respiración, y movimientos corporales lentos. Se seleccionaron 70 enfermeras que trabajan en UCI y se asignaron aleatoriamente a dos grupos: experimental (n=35) y de control (n=35). El cuestionario de Calidad de Vida de la Organización Mundial de la Salud -WhoQol-Bref- se utilizó para la evaluación en cuatro momentos (basal, uno, dos y seis meses posinicio del estudio), esta escala tiene 26 items con opciones de respuesta tipo Likert de 1 a 5, a mayor puntaje total se considera que es mejor la calidad de vida. Resultados. La puntuación basal de calidad de vida en el grupo experimental fue de 62.3, la cual se incrementó a 70.7 en el primer mes y continuó mejorando en las evaluaciones del 2º mes (72.8) y 6º mes (74.1), cambio estadísticamente significativo. Por el contrario, en el grupo control no se encontraron diferencias en el puntaje en los diferentes momentos de evaluación (basal =62, primer mes =61.9, segundo mes =62.4 y sexto mes =60.4). En los cuatro dominios de WhoQol-Bref (físico, psicológico, relaciones sociales y ambiente), también se apreció que el grupo experimental obtuvo mejores puntajes en el tiempo comparado con el grupo control. Conclusión. La intervención con ejercicios de yoga mejoró la calidad de vida de las enfermeras que trabajan en UCI.


Objetivo. Determinar o efeito da yoga na qualidade de vida das enfermeiras que trabalham em Unidades de Tratamentos Intensivos (UTI). Métodos. Ensaio clínico controlado aleatorizado de uma intervenção preventiva de 3 sessões semanais de exercícios de yoga, que incluíam aspectos de meditação, controle da respiração, e movimentos corporais lentos. Se selecionaram 70 enfermeiras que trabalham em UTI e se designaram aleatoriamente a dois grupos experimentais (n=35) e de controle (n=35). O questionário de Qualidade de Vida da Organização Mundial da Saúde -WhoQol-Bref- se utilizou para a avaliação em quatro momentos (basal, um, dois e seis meses pós início do estudo), esta escala tem 26 itens com opções de resposta tipo Likert de 1 a 5, a maior pontuação total se considera que é melhor a qualidade de vida. Resultados. A pontuação basal de qualidade de vida no grupo experimental foi de 62.3, a qual se incrementou a 70.7 no primeiro mês e continuou melhorando nas avaliações do 2º mês (72.8) e 6º mês (74.1), sendo este câmbio estatisticamente significativo. Em câmbio, no grupo controle não se encontraram diferenças na pontuação nos diferentes momentos de avaliação (basal =62, primeiro mês =61.9, segundo mês =62.4 e sexto mês =60.4). Nos quatro domínios de WhoQol-Bref (físico, psicológico, relações sociais e ambiente), também se apreciou que o grupo experimental obteve melhores pontuações no tempo comparado com o grupo de controle. Conclusão. A intervenção de exercícios de yoga foi efetiva no melhoramento da qualidade de vida das enfermeiras que trabalham nas UTIs.


Assuntos
Humanos , Qualidade de Vida , Ioga , Exercício , Inquéritos e Questionários , Ensaio Clínico Controlado Aleatório , Meditação , Unidades de Terapia Intensiva , Enfermeiras e Enfermeiros
10.
Complement Ther Med ; 46: 153-157, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31519272

RESUMO

Yoga-based practices, derived from ancient Eastern mind-body practices, have grown in popularity in the West over the past several decades. Increasing evidence supports the antidepressant effects of yoga-based interventions (YBIs). However, despite yoga's promise as a potential treatment for depression, the literature to date is marked by substantial methodological limitations, which remain a barrier to the integration of YBIs into conventional clinical care. We highlight five key areas of study that need further investigation to fill crucial gaps in the literature-base to advance yoga research and yoga's potential as an effective evidence-based treatment for depression.


Assuntos
Depressão/psicologia , Depressão/terapia , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Ioga/psicologia , Medicina Baseada em Evidências/métodos , Humanos , Meditação/psicologia
11.
Complement Ther Med ; 46: 73-80, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31519291

RESUMO

BACKGROUND: The question of whether yoga practice ameliorates or even aggravates eating disorders is currently under debate. The aim of this review was to systematically assess and the effectiveness and safety of yoga in patients with eating disorders. METHODS: Medline/PubMed, PsycINFO, and the Psychological and Behavioral Science Collection were screened through July 2018 for randomized controlled trials, non-randomized controlled trials and longitudinal observational studies on yoga for patients with eating disorders and other individuals with disordered eating and/or body dissatisfaction. Risk of bias was assessed using the Cochrane risk of bias tool and the Newcastle-Ottawa Quality Assessment Scale. RESULTS: Eight randomized trials and four uncontrolled trials involving a total of 495 participants were included. Risk of bias was mixed. Comparing yoga to untreated control groups, effect sizes ranged from negligible effects of d = 0.02 to very large effects of d = 2.15. However, most effects were small to moderately sized and in most cases not significant. No safety-related data were reported. CONCLUSIONS: There is limited evidence on the effectiveness and safety of yoga in patients with eating disorders. Yoga can be preliminarily considered as an additional treatment option in multimodal psychiatric treatment programs.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Ioga/psicologia , Humanos , Meditação/psicologia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto
12.
Complement Ther Med ; 46: 9-18, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31519294

RESUMO

AIM: To analyze the effects of yoga on the quality of life of patients with rheumatic diseases through a systematic review with meta-analysis. METHODS: This systematic review with meta-analysis was conducted following the recommendations of the Declaration of PRISMA. The searches were carried out on the databases PubMed, Web of Science, EBSCO, Scopus, and Cochrane until August 2018. Experimental studies evaluating the effect of yoga on the quality of life in patients with rheumatic diseases were included. RESULTS: After data searches, 483 studies were found, 23 of which were included in our analysis. We found that yoga improves the overall quality of life (d= -0.64; 95% CI: -0.91 to 0.038) of patients with rheumatic diseases, as well as the following domains: functional capacity (d = 16.43; 95% CI: 13.37-19.49), physical aspects (d = 27.11; 95% CI: 19.40-34.83), emotional aspects (d = 26.00; 95% CI: 18.87-33.13), general health (d = 16.61; 95% CI: 12.66-20.55), and social aspects (d = 7.01 ; 95% CI: 5.57-9.45). CONCLUSION: Evidence suggests weak recommendations can be made for the use of yoga in the management of RD patients.


Assuntos
Qualidade de Vida/psicologia , Doenças Reumáticas/psicologia , Ioga/psicologia , Humanos , Meditação/psicologia
13.
BMC Psychol ; 7(1): 64, 2019 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-31533823

RESUMO

BACKGROUND: Almost 90% of cancer patients suffer from symptoms of fatigue during treatment. Supporting treatments are increasingly used to alleviate the burden of fatigue. This study examines the short-term and long-term effects of yoga on fatigue and the effect of weekly reminder e-mails on exercise frequency and fatigue symptoms. METHODS: The aim of the first part of the study will evaluate the effectiveness of yoga for cancer patients with mixed diagnoses reporting fatigue. We will randomly allocate 128 patients to an intervention group (N = 64) receiving yoga and a wait-list control group (N = 64) receiving yoga 9 weeks later. The yoga therapy will be performed in weekly sessions of 60 min each for 8 weeks. The primary outcome will be self-reported fatigue symptoms. In the second part of the study, the effectiveness of reminder e-mails with regard to the exercise frequency and self-reported fatigue symptoms will be evaluated. A randomized allocated group of the participants ("email") receives weekly reminder e-mails, the other group does not. Data will be assessed using questionnaires the beginning and after yoga therapy as well as after 6 months. DISCUSSION: Support of patients suffering from fatigue is an important goal in cancer patients care. If yoga therapy will reduce fatigue, this type of therapy may be introduced into routine practice. If the reminder e-mails prove to be helpful, new offers for patients may also develop from this. TRIAL REGISTRATION: German Clincial Trials Register ( DRKS00016034 , 12/2018), retrospectively registered.


Assuntos
Correio Eletrônico , Fadiga/terapia , Neoplasias/complicações , Ioga , Adulto , Protocolos Clínicos , Fadiga/etiologia , Humanos , Meditação , Qualidade de Vida , Estudos Retrospectivos , Autorrelato , Inquéritos e Questionários
14.
Adv Mind Body Med ; 33(2): 4-11, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31476135

RESUMO

Background: Graves' disease is known as a chronic and incurable disease. The typical treatment is symptom-based and consists of medications, radioiodine, or surgery. These last two treatments are routinely offered to the 50% of patients that do not respond to drug therapy. Here we report the case of a patient who was able to normalize her thyroid hormones as well as her autoimmune markers in 6 months with the exclusive implementation of lifestyle interventions. Summary: A 34-year-old Dutch, Caucasian female diagnosed with Graves' disease since 2014 implemented lifestyle modifications, which included dietary change to an ancestral type of diet, oral health interventions, practice of kundalini yoga, avoidance of environmental toxicants (by only eating organic food, drinking filtered water, and using natural products to clean her house or for her personal hygiene) and supportive supplements when necessary. The patient did not take any antithyroid drugs or beta-blockers during this period nor any other type of medication that could have had immunosuppressant effects. After 6 months of engaging in these lifestyle interventions, her thyroid analysis normalized and no anti-thyrotropin receptor antibodies were negative. Conclusion: This case report demonstrates that Graves' disease can effectively be put into lasting remission without conventional medical interventions. It also emphasizes the importance of a healthy lifestyle as a first line intervention for all patients but especially in the particular case of patients suffering from Graves' disease.


Assuntos
Doença de Graves , Estilo de Vida , Adulto , Antitireóideos/uso terapêutico , Dieta , Suplementos Nutricionais , Feminino , Doença de Graves/terapia , Humanos , Radioisótopos do Iodo/uso terapêutico , Ioga
15.
Int J Soc Psychiatry ; 65(7-8): 656-667, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31478452

RESUMO

BACKGROUND: Apart from its evident impact on physical health, physical activity also has a role to play in mental health. Individuals engaged in physical inactivity have been found to have higher morbidity and health care expenditure. In order to combat these issues and preserve mental health, interventions of exercise are typically advocated. This review aimed to assess the benefits of physical activity on common and severe mental disorders in the Indian context. MATERIALS AND METHODS: A Boolean search was carried out using both relevant keywords and MeSH terms. Articles were sourced from online databases including PubMed, ScienceDirect, Cochrane Database, PsycINFO and Google Scholar. All studies included in the review were peer-reviewed articles exclusively from India with Indian subjects reporting the relationship between physical activity and at least one mental health outcome including depression, anxiety, psychosis, stress, self-esteem and cognitive functioning. RESULTS: Nineteen articles were found eligible for the narrative review. Out of these, 7 were cross-sectional studies and 12 were intervention studies. CONCLUSION: Existing literature from India has shown promising results towards the impact of physical activity in mental health disorders. However, more research is needed in the assessment of physical activity and physical activity interventions suitable to the Indian context. This review found that exercise and yoga are effective in reducing mean scores for both severe and common mental disorders. Yoga had a more significant impact on patients with schizophrenia than exercise or no intervention. To confirm that exercise is an effective add-on treatment, further research is required.


Assuntos
Exercício , Transtornos Mentais/terapia , Saúde Mental , Ioga , Humanos , Índia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto
16.
Eur J Oncol Nurs ; 42: 103-109, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31479846

RESUMO

PURPOSE: This pilot study aimed to evaluate the effect of an 8-weeks-yoga intervention on quality of life and upper extremity edema volume in women with breast cancer related lymphedema. METHODS: This was a controlled trial with pre-post design. A total of 40 women with breast cancer related lymphedema were randomly assigned into an intervention or control groups. The intervention group participated in a yoga exercise class for 8 weeks, in a twice a week instructor-led practice and once a week home practice. Outcomes were EORTC QLQ_C30 to measure quality of life, and water displacement volume-meter to measure upper extremity edema volume. The outcomes were evaluated at baseline, 4th and 8th week. Data were analyzed using SPSS. RESULTS: Four weeks after the intervention, a significant difference was observed between the groups with respect to role functioning of quality of life (P = 0.03). Eight weeks after the intervention, a significant difference was observed between groups concerning physical and emotional functioning of quality of life (P < 0.05). The changing trend in physical, role, emotional, and cognitive functioning had increased, and in some scales such as fatigue, pain, insomnia, and financial difficulties the scores were reduced in the intervention group. Regarding edema volume, no significant difference was found between both groups on the 4th and 8th week after the intervention (P > 0.05). CONCLUSION: As yoga exercise might improve physical, role, and emotional functioning of quality of life as well as reduce fatigue, pain, and insomnia, using this intervention can be suggested amongst women with breast cancer related lymphedema.


Assuntos
Neoplasias da Mama/psicologia , Neoplasias da Mama/terapia , Linfedema/terapia , Qualidade de Vida , Extremidade Superior , Ioga , Adulto , Neoplasias da Mama/patologia , Fadiga/diagnóstico , Fadiga/etiologia , Fadiga/prevenção & controle , Feminino , Humanos , Linfedema/etiologia , Linfedema/patologia , Pessoa de Meia-Idade , Projetos Piloto , Distúrbios do Início e da Manutenção do Sono/diagnóstico , Distúrbios do Início e da Manutenção do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/prevenção & controle
17.
Am J Occup Ther ; 73(5): 7305345030p1-7305345030p6, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31484035

RESUMO

IMPORTANCE: Pregnancy loss and infant death are unexpected, traumatic, life-changing events. The role of occupational therapy practitioners in treating this population is not well defined. OBJECTIVE: To describe the outcomes of an occupation-based residential retreat for women who have experienced pregnancy or infant loss. DESIGN: Program evaluation. SETTING: Seven residential retreats for bereaved mothers. PARTICIPANTS: One hundred forty-one women who experienced perinatal loss. INTERVENTION: Residential retreats that were held in natural settings and included occupation-based activities such as group discussions, yoga, meditation, crafts, and rituals to facilitate grieving and healing processes after perinatal loss. OUTCOMES AND MEASURES: The Beck Depression Inventory, PTSD Checklist-Civilian Version, Self-Compassion Scale, and Multidimensional Scale of Perceived Social Support were collected pre- and postretreat. RESULTS: Statistically significant improvements were seen in women's depression, trauma, self-compassion, and perceived social support from pre- to postretreat. CONCLUSIONS AND RELEVANCE: At present, occupational therapy practitioners support this population primarily by providing referrals and information about local resources. However, as occupational therapy practice in primary care settings grows, so too do possibilities for the development of occupational therapy-related interventions to support maternal mental health. WHAT THIS ARTICLE ADDS: This article provides preliminary support for occupation-based retreats as a treatment for improving maternal mental health after perinatal loss.


Assuntos
Depressão , Ioga , Feminino , Humanos , Lactente , Saúde Mental , Mães , Ocupações , Gravidez
19.
Am J Public Health ; 109(9): e5-e6, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31390243

Assuntos
Qigong , Tai Ji , Ioga , Adulto , Humanos
20.
J Orthop Surg Res ; 14(1): 250, 2019 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-31387629

RESUMO

PURPOSES: Hip fracture leads to decreased activity and an increased risk of pulmonary complications. The main purpose of this study was to observe the lung capacity, cough capacity of the elderly patient with acute hip fracture, and assess the effects and the feasibility of using a special-designed "upper-body yoga" training to treat elderly patients with hip fracture. METHODS: This was a prospective, randomized, and single-blind study. Eighty-four subjects aged over 65 years were randomly divided into either a control group or a yoga group to undergo an abdominal breathing program or an "upper-body yoga" program until 4 weeks after surgery. The primary outcomes were forced vital capacity/predicted value (FVC%), peak cough flow (PCF), Barthel Index (BI), and the incidence of pneumonia. The secondary outcomes were the rates of right skills and inclination. RESULTS: Thirty-nine subjects in the yoga group and 40 subjects in the control group completed this study. At the end of the first training week, FVC% (74.14% ± 13.11% vs. 70.87% ± 10.46%, P = 0.231) showed no significant difference between the two groups, while the value of PCF (204.80 ± 33.45 L/min vs. 189.06 ± 34.80 L/min, P = 0.048) and BI (38.59 ± 8.66 vs. 33.00 ± 9.32, P = 0.009) in the yoga group was higher. After 4 weeks of treatment, FVC%, PCF, and BI were higher in the yoga group (78.83% ± 13.31 % vs. 72.20% ± 10.53%, P = 0.016; 216.16 ± 39.29 L/min vs. 194.95 ± 31.14 L/min, P = 0.008; 70.77 ± 10.23 vs. 65.75 ± 11.30, P = 0.019). One in the control group and nobody in the yoga group was diagnosed with pneumonia. There was no significant difference between the two groups in terms of the rates of right skills, whereas more elderly people preferred the training program of the "upper-body yoga." CONCLUSION: Elderly patients with acute hip fractures are at risk of impaired lung capacity and inadequate cough. "Upper-body yoga" training may improve the quality of daily life, vital capacity, and cough flow in elderly patients, making it a better choice for bedridden patients with hip fracture.


Assuntos
Fraturas do Quadril/fisiopatologia , Fraturas do Quadril/terapia , Capacidade Vital/fisiologia , Ioga , Idoso , Idoso de 80 Anos ou mais , Terapia por Exercício/métodos , Feminino , Humanos , Masculino , Estudos Prospectivos , Método Simples-Cego , Extremidade Superior/fisiologia
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