Development and validation of a yoga program for patients with hirayama disease, and feasibility testing through a case series

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-08-23 DOI:10.1016/j.aimed.2025.100563

Vinod Kumar , Nishitha Jasti , Nupur Pruthi , Pooja More , Karthik Mallina , Kankan Gulati , Hemant Bhargav , Shivarama Varambally , Atchayaram Nalini

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引用次数: 0

Abstract

Background

Hirayama Disease (HD), a rare flexion-induced myelopathy, is typically managed with cervical collar therapy, surgery, and lifestyle modifications. Yoga-based interventions have shown promise in managing neurological disorders such as multiple sclerosis and cervical radiculopathy. Given the pathophysiology of HD, we hypothesized yoga could benefit HD patients, especially those awaiting surgery or contraindicated for it. However, literature search revealed that no standardized yoga protocol for HD currently exists.

Objectives

This study aimed to develop and validate a yoga module for HD and test its feasibility in patients.

Methods

A tailored yoga program was developed by two yoga therapy experts and a neurosurgery consultant. The module was validated by 10 yoga experts and 5 neurologists/neurosurgeons. It was implemented in 20 HD patients to evaluate safety and feasibility. Outcomes included the Visual Analog Scale (VAS) for pain, Client Satisfaction Questionnaire (CSQ-8), hand grip strength (via dynamometer), and a Yoga Performance Assessment (YPA) scale, measured at baseline and after 3 months of practice.

Results

A specific yoga module was finalized for HD patients, designed for those awaiting surgery, unwilling to undergo it, or in the static phase of the disease. The program was found safe and feasible in both online and offline formats. Participants learned and independently practiced the module after 20 supervised sessions and reported a high level of satisfaction. Significant improvements were observed at 3 months in hand grip strength, tremors, and hand fatigue.

Conclusion

The validated yoga module offers a complementary approach to HD management, benefiting patients awaiting or unable to undergo surgery. The findings suggest yoga can address both functional and symptomatic aspects of the disease, providing a safe and effective intervention.

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针对平山病患者的瑜伽项目的开发和验证，以及通过一系列病例的可行性测试

hirayama病（HD）是一种罕见的屈曲性脊髓病，通常通过颈套治疗、手术和生活方式改变来治疗。瑜伽为基础的干预已显示出在管理神经系统疾病，如多发性硬化症和颈椎病的希望。考虑到HD的病理生理学，我们假设瑜伽可以使HD患者受益，特别是那些等待手术或有手术禁忌的患者。然而，文献检索显示，目前尚无针对HD的标准化瑜伽方案。本研究旨在开发和验证针对HD的瑜伽模块，并测试其在患者中的可行性。方法由两名瑜伽治疗专家和一名神经外科顾问制定了量身定制的瑜伽课程。该模块由10名瑜伽专家和5名神经学家/神经外科医生验证。该方法在20例HD患者中实施，以评估其安全性和可行性。结果包括疼痛的视觉模拟量表（VAS）、客户满意度问卷（CSQ-8）、手部握力（通过测力仪）和瑜伽表现评估（YPA）量表，分别在基线和练习3个月后测量。结果为HD患者设计了一个特定的瑜伽模块，该模块专为等待手术、不愿接受手术或处于疾病静态阶段的患者设计。该方案被认为是安全可行的在线和离线格式。参与者在20次有监督的课程后学习并独立练习了该模块，并报告了很高的满意度。3个月时观察到手部握力、震颤和手部疲劳的显著改善。经过验证的瑜伽模块为HD治疗提供了一种补充方法，使等待或无法接受手术的患者受益。研究结果表明，瑜伽可以解决这种疾病的功能和症状方面，提供了一种安全有效的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

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.