星期四, 5月 19, 2005

前幾篇文章都沒有注意到該論文是刊登在什麼樣的期刊上頭,剛才看yoga journal網站的文章,一篇談到瑜珈作為療法的議題,引用的就是這篇論文,為什麼引用呢,就是因為這篇論文所刊登的期刊是屬於權威性質的期刊,JAMA,the Journal of the American Medical Association ,也因為論文所刊登的期刊屬於比較權威性的期刊,因此,瑜珈作為療法的一種,也引發廣泛的討論與重視,甚至TIME雜誌也引用yoga作為封面文章

Yoga-based intervention for carpal tunnel syndrome: a randomized trial.
Garfinkel MS, Singhal A, Katz WA, Allan DA, Reshetar R, Schumacher HR Jr.JAMA. 1998 Nov 11;280(18):1601-3.
Comment in:
JAMA. 1999 Jun 9;281(22):2087; author reply 2088-9 PMID: 10367814.
Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, USA. mariang102@aol.com
CONTEXT: Carpal tunnel syndrome is a common complication of repetitive activities and causes significant morbidity. OBJECTIVE: To determine the effectiveness of a yoga-based regimen for relieving symptoms of carpal tunnel syndrome. DESIGN: Randomized, single-blind, controlled trial. SETTING: A geriatric center and an industrial site in 1994-1995. PATIENTS: Forty-two employed or retired individuals with carpal tunnel syndrome (median age, 52 years; range, 24-77 years). INTERVENTION: Subjects assigned to the yoga group received a yoga-based intervention consisting of 11 yoga postures designed for strengthening, stretching, and balancing each joint in the upper body along with relaxation given twice weekly for 8 weeks. Patients in the control group were offered a wrist splint to supplement their current treatment. MAIN OUTCOME MEASURES: Changes from baseline to 8 weeks in grip strength, pain intensity, sleep disturbance, Phalen sign, and Tinel sign, and in median nerve motor and sensory conduction time. RESULTS: Subjects in the yoga groups had significant improvement in grip strength (increased from 162 to 187 mm Hg; P = .009) and pain reduction (decreased from 5.0 to 2.9 mm; P = .02), but changes in grip strength and pain were not significant for control subjects. The yoga group had significantly more improvement in Phalen sign (12 improved vs 2 in control group; P = .008), but no significant differences were found in sleep disturbance, Tinel sign, and median nerve motor and sensory conduction time. CONCLUSION: In this preliminary study, a yoga-based regimen was more effective than wrist splinting or no treatment in relieving some symptoms and signs of carpal tunnel syndrome.

腕管綜合症的基於瑜珈的干涉︰ 一次隨機化排列的審訊。
加芬科爾MS,Singhal一,卡茨華盛頓,艾倫?達,Reshetar R,舒馬赫?本壘打季爾
JAMA。 1998 11月11日; 280 ( 18 ) : 1601-3 .
意見在裡︰
JAMA。 1999 6月9日; 281 ( 22 ) : 2087 ; 作者回答2088-9 PMID︰ 10367814.
醫學系,醫學,美國,費城的賓州大學學校。 mariang102@aol.com
上下文︰ 腕管綜合症是一種重複的活動的普通併發症並且引起顯著的病狀。 目標︰ 為把症狀從腕管綜合症解放出來確定一種基於瑜珈的生活制度的效力。 設計︰ 隨機化排列,盲單身,控制審訊。 確定︰ 在1994-1995年的一個老年醫學的中心和一個工業場所。 病患︰ 有腕管綜合症的42 雇用或者退休的個人(中間的年齡,52 年; 範圍,24-77 年)。 干涉︰ 主題給得到一瑜珈基於干涉由11瑜珈姿態組成對於加強來說設計的瑜珈組分發, 伸展,並且平衡每共同在上面身體跟適合8 周給兩次每周的鬆弛一起內。 在對照組裡的病患被提供一個腕夾板補充他們的當今的治療。 主要結果測量︰ 在握力裡從基線轉換成8 周,痛苦強度,睡騷動,費倫簽字,並且Tinel簽字, 並且在中間的神經電動機和感覺傳導時間裡。 結果︰ 在瑜珈組的主題有在握力方面的顯著的改進(增加從162毫米汞到187毫米汞; P = . 009)並且使削減痛苦(減少從5.0毫米到2.9毫米; P = . 02),但是在握力和痛苦方面的變化用於控制主題不重要。 瑜珈組讓相當更多的在費倫方面的改進簽字(12在對照組裡與2 改進; P = . 008),但是沒有明顯的不同被在睡眠騷動過程中發現,Tinel簽字,以及中間的神經電動機和感覺傳導時間。 結論︰ 在這項初步的研究裡,與一種基於瑜珈的生活制度在把一些症狀和跡象從腕管綜合症解放出來過程中比裂開的腕或者沒有治療更有效相比。

1 Comments:

At 星期五, 2月 16, 2007 10:16:00 上午, Anonymous 匿名 said...

Awesome blog on alternative medicine. portland yoga is great for your health and it is often overlooked by many. You are providing great information. Keep up the good work.

Thanks,
Jim

 

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