PDF(Pubmed)
Abstract：
OBJECTIVE: Yoga is effective for adults with arthritis but unstudied in adolescents with juvenile idiopathic arthritis (JIA).
METHODS: A pilot study assessed the feasibility and acceptability of an 8-week group yoga intervention for adolescents ages 14-18 with JIA. Each 75-min session included breathing techniques, relaxation, mindfulness, and modified yoga postures, using yoga props and a rope wall. An online video was available for home practice. The outcome measures administered at the baseline and at 8 weeks were physician global assessment with joint count, visual assessment with a joint damage assessment index, the Pediatric Quality of Life Arthritis Module 3.0 (Peds QL), and the visual analog scale for pain.
RESULTS: Thirteen out of 25 participants attended ≥1 class with a mean of 5.7 ± 2.2 classes. Common reasons for non-enrollment included distance, schedule, and lack of interest. The average distance to classes was 29.0 ± 41.7 miles. There was a trend toward improvement for joint count (p = 0.07), global assessment (p = 0.10), and the Pain and Hurt domain of the Peds QL (p = 0.13), but no other outcomes approached significance. Satisfaction data from an anonymous survey (n = 8) were high in all areas.
CONCLUSIONS: Adolescents with JIA who attended yoga reported enjoyment, pain reduction, and interest in continued practice with no adverse events. Future studies should consider stakeholder engagement to reduce barriers and larger sample sizes to test the effectiveness.
METHODS: A pilot study assessed the feasibility and acceptability of an 8-week group yoga intervention for adolescents ages 14-18 with JIA. Each 75-min session included breathing techniques, relaxation, mindfulness, and modified yoga postures, using yoga props and a rope wall. An online video was available for home practice. The outcome measures administered at the baseline and at 8 weeks were physician global assessment with joint count, visual assessment with a joint damage assessment index, the Pediatric Quality of Life Arthritis Module 3.0 (Peds QL), and the visual analog scale for pain.
RESULTS: Thirteen out of 25 participants attended ≥1 class with a mean of 5.7 ± 2.2 classes. Common reasons for non-enrollment included distance, schedule, and lack of interest. The average distance to classes was 29.0 ± 41.7 miles. There was a trend toward improvement for joint count (p = 0.07), global assessment (p = 0.10), and the Pain and Hurt domain of the Peds QL (p = 0.13), but no other outcomes approached significance. Satisfaction data from an anonymous survey (n = 8) were high in all areas.
CONCLUSIONS: Adolescents with JIA who attended yoga reported enjoyment, pain reduction, and interest in continued practice with no adverse events. Future studies should consider stakeholder engagement to reduce barriers and larger sample sizes to test the effectiveness.
摘要：
目的：瑜伽对成人关节炎有效，但未在青少年特发性关节炎（JIA）中研究。
方法：一项试点研究评估了JIA对14-18岁青少年进行8周集体瑜伽干预的可行性和可接受性。每75分钟的疗程包括呼吸技术，放松,正念,和修改瑜伽姿势，使用瑜伽道具和绳索墙。在线视频可用于家庭练习。在基线和8周时给予的结果测量是医生用关节计数进行整体评估，用关节损伤评估指数进行视觉评估，儿科生活质量关节炎模块3.0（儿科QL），和疼痛的视觉模拟量表。
结果：25名参与者中有13名参加了≥1个班级，平均为5.7±2.2个班级。不入学的常见原因包括距离，时间表,缺乏兴趣。到班级的平均距离为29.0±41.7英里。关节计数有改善的趋势(p=0.07)，全球评估(p=0.10)，以及PedsQL的疼痛和伤害域（p=0.13），但没有其他结果接近意义。来自匿名调查(n=8)的满意度数据在所有地区都很高。
结论：参加瑜伽的JIA青少年表示享受，减轻疼痛,并对无不良事件的持续实践感兴趣。未来的研究应该考虑利益相关者的参与，以减少障碍和更大的样本量来测试有效性。
方法：一项试点研究评估了JIA对14-18岁青少年进行8周集体瑜伽干预的可行性和可接受性。每75分钟的疗程包括呼吸技术，放松,正念,和修改瑜伽姿势，使用瑜伽道具和绳索墙。在线视频可用于家庭练习。在基线和8周时给予的结果测量是医生用关节计数进行整体评估，用关节损伤评估指数进行视觉评估，儿科生活质量关节炎模块3.0（儿科QL），和疼痛的视觉模拟量表。
结果：25名参与者中有13名参加了≥1个班级，平均为5.7±2.2个班级。不入学的常见原因包括距离，时间表,缺乏兴趣。到班级的平均距离为29.0±41.7英里。关节计数有改善的趋势(p=0.07)，全球评估(p=0.10)，以及PedsQL的疼痛和伤害域（p=0.13），但没有其他结果接近意义。来自匿名调查(n=8)的满意度数据在所有地区都很高。
结论：参加瑜伽的JIA青少年表示享受，减轻疼痛,并对无不良事件的持续实践感兴趣。未来的研究应该考虑利益相关者的参与，以减少障碍和更大的样本量来测试有效性。
