這是美國維吉尼亞大學身體醫學復健系的研究
英文原文點此
目 標︰
為了確定一訂做的瑜珈計畫是否能改進在年齡相關的胯關節伸展,步伐長度內的變化,和聯繫步伐功能在健康的長輩內的指標如果,
用於在老年醫學的人口方面的下降,從屬性和死亡率與增加的危險有關係的變化。
設 計︰ 單群預崗位的試驗探索的研究。 一3
維定量步伐評估,包括動態和動力尺寸,執行預和postintervention。
在主要和次要結果變量裡的超時變化(對postintervention的基線)被評價重複的使用測量變化的分析。
環 境︰
瑜珈練習在和在學科的家鄉(瑜珈房屋慣例任務)內的一個學術醫療中心(組種類)內執行。
預和postassessments 執行在內一步伐實驗室。
參加者︰
未曾學過瑜珈的23個健康的成年人被招募(年齡範圍,62-83 y);
19個參加者完成計畫。
干 涉︰
給老人明確訂做並且用於提升低身體的強度和靈活性的一個8 周的Iyengar
Hatha瑜珈計畫。 參加者參加每周兩種90
分鐘瑜珈種類,並且被要求隔天完成至少20 分鐘被指導的練習。
主要結果測量︰
山峰胯關節的伸展,平均前面的骨盆的傾斜和在舒適的走的速度的步伐長度。
結果︰ 胯關節的山峰伸展和步伐長度相當增加(F1,18 P,=
15.44<。 001 ; F1,18 = 5.57,P =。
分別,03)。 我們也對於降低的平均骨盆的傾斜觀察一個趨勢(F1,18
= 4.10,P =。 06);
調整以求修改的家瑜珈實踐的頻率的影響加強這協會的意義(調整F1,17 =
14.30,P =。 001).
那些頻率和持續時間的瑜珈家實踐顯示一堅固,線,劑量回應與胯關節伸展和平均骨盆傾斜變化的關係。
結論︰
這項探索的研究的結論表明瑜珈練習可以改進胯關節的伸展, 增加步伐長度,
並且在健康的長輩裡減少前方骨盆的傾斜,
並且適合老成年人的瑜珈計畫可能提供防止或者降低在步伐功能的這些指標方面的有關年齡的變化的節省成本的方法。
原文
DiBenedetto M, Innes KE, Taylor AG,
Rodeheaver PF, Boxer JA, Wright HJ,
Kerrigan DC.Arch Phys Med Rehabil.
2005 Sep;86(9):1830-7.
Department of Physical Medicine and
Rehabilitation, University of
Virginia, Charlottesville, 22908,
USA.
OBJECTIVE: To determine if a
tailored yoga program could improve
age-related changes in hip
extension, stride length, and
associated indices of gait function
in healthy elders, changes that have
been linked to increased risk for
falls, dependency, and mortality in
geriatric populations.
DESIGN: Single group pre-post test
exploratory study. A 3-dimensional
quantitative gait evaluation,
including kinematic and kinetic
measurements, was performed pre- and
postintervention. Changes over time
(baseline to postintervention) in
primary and secondary outcome
variables were assessed using
repeated-measures analysis of
variance.
SETTING: Yoga exercises were
performed in an academic medical
center (group classes) and in the
subjects' homes (yoga home-practice
assignments). Pre- and
postassessments were performed in a
gait laboratory.
PARTICIPANTS: Twenty-three healthy
adults (age range, 62-83 y) who were
naive to yoga were recruited; 19
participants completed the program.
INTERVENTION: An 8-week Iyengar
Hatha yoga program specifically
tailored to elderly persons and
designed to improve lower-body
strength and flexibility.
Participants attended two 90-minute
yoga classes per week, and were
asked to complete at least 20
minutes of directed home practice on
alternate days.
MAIN OUTCOME MEASURES: Peak hip
extension, average anterior pelvic
tilt, and stride length at
comfortable walking speed. RESULTS:
Peak hip extension and stride length
significantly increased
(F1,18=15.44, P<.001; F1,18=5.57,
P=.03, respectively). We also
observed a trend toward reduced
average pelvic tilt (F1,18=4.10,
P=.06); adjusting for the modifying
influence of frequency of home yoga
practice strengthened the
significance of this association
(adjusted F1,17=14.30, P=.001). Both
the frequency and duration of yoga
home practice showed a strong,
linear, dose-response relationship
to changes in hip extension and
average pelvic tilt.
CONCLUSIONS: Findings of this
exploratory study suggest that yoga
practice may improve hip extension,
increase stride length, and decrease
anterior pelvic tilt in healthy
elders, and that yoga programs
tailored to elderly adults may offer
a cost-effective means of preventing
or reducing age-related changes in
these indices of gait function.