A study protocol for a randomised controlled trial on the efficacy of yoga as an adjuvant therapy for patients with Ankylosing spondylitis amidst COVID-19 pandemic

IF 1.7 Q2 Medicine
Jyoti Singh , Monika Jha , Kashinath Metri , Sriloy Mohanty , Amit Singh , Padmini Tekur
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引用次数: 3

Abstract

Background

Amidst the adversities of the COVID-19 pandemic, the health care system has seen a new paradigm shift towards e-health or telehealth services. In the advent of catering to the geometrically increasing health care needs of the patients suffering from various chronic health conditions when in social isolation, the need for such shifts is paramount. Patients with Ankylosing spondylitis using immunosuppressants with variable degrees of disabilities are at higher risk from this isolated status. This study aims to assess the efficacy of e-Yoga as a treatment option for these patients.

Methods

The proposed study is a single-center, parallel-group prospective randomized, open-blinded end-point trial. Patients aged between 30 and 50 years will be recruited from the members of Antardhwani: A society of ankylosing spondylitis based in Ahmedabad, Gujarat. Yoga experts will administer a scientifically developed and validated Yoga module via e-Yoga modalities. A total of 135 patients will be recruited and randomly allocated to Yoga and control groups. Data will be recorded at baseline and three months on disease activity, degree of functional limitations in patients, quality of life, inflammatory biomarkers, depression, and anxiety using Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), AS Quality of Life index (ASQOL), C reactive protein (CRP), Erythrocyte sedimentation rate (ESR), Physical health questionnaire-4 (PHQ-4), respectively.

Discussion

The study will report the efficacy of e-Yoga in catering to the physical and mental insufficiencies of inpatients with Ankylosing spondylitis amidst COVID-19 pandemic. The study is prospectively registered in the Clinical Trial Registry of India (CTRI/2020/08/027215)

Abstract Image

一项随机对照试验的研究方案,研究瑜伽作为COVID-19大流行期间强直性脊柱炎患者辅助治疗的疗效
背景在2019冠状病毒病大流行的不利情况下,卫生保健系统出现了向电子卫生或远程卫生服务的新范式转变。在社会隔离中患有各种慢性疾病的患者的医疗保健需求呈几何级数增长的情况下,这种转变的必要性至关重要。使用不同残疾程度的免疫抑制剂的强直性脊柱炎患者在这种孤立状态下的风险更高。本研究旨在评估电子瑜伽作为一种治疗选择对这些患者的疗效。方法本研究为单中心、平行组、前瞻性、随机、开放盲法终点试验。年龄在30至50岁之间的患者将从位于古吉拉特邦艾哈迈达巴德的强直性脊柱炎协会Antardhwani的成员中招募。瑜伽专家将通过电子瑜伽模式管理科学开发和验证的瑜伽模块。共有135名患者将被招募并随机分配到瑜伽组和对照组。数据将分别在基线和三个月记录疾病活动性、患者功能限制程度、生活质量、炎症生物标志物、抑郁和焦虑,使用Bath AS疾病活动性指数(BASDAI)、Bath AS功能指数(BASFI)、AS生活质量指数(ASQOL)、C反应蛋白(CRP)、红细胞沉降率(ESR)、身体健康问卷-4 (PHQ-4)。本研究将报告电子瑜伽在COVID-19大流行期间对强直性脊柱炎住院患者身心不足的疗效。该研究已在印度临床试验注册中心(CTRI/2020/08/027215)前瞻性注册。
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来源期刊
Advances in integrative medicine
Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
3.20
自引率
11.80%
发文量
0
审稿时长
15 weeks
期刊介绍: Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.
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