Effect of intensive integrated approach of yoga therapy on osteoarthritis of knee

Abstract

Background: Osteoarthritis (OA) is the most prevalent of the chronic disease and is a leading cause of pain and disability in most countries worldwide(Ort, 2002). Objective: To see the effect of IIAYT program on pain, sleep, physical activities, ROM, and 50 fit walk test in patients of osteoarthritis of knee. Design: single group longitudinal pre-post study Setting: study was conducted on thirty patients with KOA in residential health care centre, Bengaluru, India, between the period of march to june2014. Intervention: IIAYT combines the practices intended to act physical, emotional, intellectual, and spiritual level and includes yoga postures, breathing exercise, internal cleansing techniques, meditation, national correction, counselling and devotional sessions along with Naturopathy, Physiotherapy, and Ayurveda for one weak. Outcome measures: WOMAC, flexion angle, 50 fit walk test, VAS, and PIRS. Result: showed significant change in WOMAC (p<0.001) from 0.48±0.14 to 0.38±0.14 with 17.52% change, in Wong-baker face scale (p<0.001) from 6±1.39 to 3.40±1.40 with 43.33% change, in Visual analog scale both side right and left (p<0.001) from 6.07±1.8 to 4.00±1.34 &4.87±1.89 to 3.00±1.49 with 34.06% &38.35% respectively change, 50 fit walk test is showed significant change (p<0.001) from 14.32±3.72 to 12.24±2.76 with 14.48% change, and insomnia index is also showed significant (p=0.027) from 0.39±0.12 to 0.36±0.13 with 8.87% change. Other parameters like: flexion angle, quadriceps strength, and quadriceps weight are shown trend of improvement but not significant. Conclusion: IIAYT improved WOMAC (pain, stiffness, and physical functions), Insomnia index, 50 fit walk test, and VAS within the one week. Further RCT is needed to conform these results.