肥満と治療学ジャーナル

Obesity Fitness Expo 2017: Modern musculoskeletal problems: Is yoga based wholistic approach the answer?- John Ebnezar- Orthopedic Surgeon, India

John Ebnezar

Modern musculoskeletal problems (MMSP’s), that includes Life Style Orthopedic Problems (<50 years age group) and Geriatric Orthopedic Problems (>50 year age group), is steadily on the rise globally and encompasses a wide spectrum of conditions like neck pain, low back pain, RSI, arthritis, fibromyalgia, rheumatic diseases, osteoporosis etc. MMS problems are not only known to cause varying degrees of physical pain but causes mental and emotional disturbances leading to stress, anxiety and depression. This could adversely affect the quality of life and can be a great source of socio-economic burden to the society. Conventional treatment methods like drugs, physiotherapy and surgery cannot provide an effective answer as it fails to address the associated peculiar challenges of MMSP’s. Yoga, an ancient Indian art, is known for its holistic healing. Unlike other exercises which most of the times is one-dimensional, yoga provides a multidimensional approach which improves the physical, mental, emotional and spiritual well-being of a person. It also helps in controlling the accompanying co-morbidities, co-musculoskeletal and co-mental conditions and reduces stress which enhances healing. 3 research publications of my clinical trial on the role of add-on yoga therapy, in osteoarthritis knees was chosen by AAOS in framing the 2013 Non-arthroplasty guidelines with a strong recommendation. Similarly my research has proved that yoga is a great value addition in the treatment of low back pain, common neck pain and osteoporosis. A first time path breaking research on fractures also showed that advanced yoga therapy accelerates fracture healing and reduces the rehabilitation time. So the need for a paradigm shift from the uni-dimensional conventional approach to a multidimensional evidence based wholistic approach, is certainly need of the hour in treating the MMSP’s and needs to be embraced globally.

この研究の目的は、ヨガの治療効果に関する特定の記事の結果を評価し、定期的なヨガの実践の利点に関する包括的なレビューを提供することです。ヨガなどの心身の健康プログラムへの参加率が引き続き上昇するにつれて、医療専門家がヨガの性質と多くの治療効果の証拠を認識することが重要です。治療ヨガは、健康状態の治療にヨガの姿勢と実践を応用することと定義され、痛み、苦しみ、構造的制限、生理的、感情的、精神的制限を軽減または緩和することを避けるためにヨガの実践と教えを指導することが含まれます。この研究の結果は、ヨガの実践が体の筋力と柔軟性を改善し、呼吸器と心血管機能を促進および改善し、薬物中毒の回復と治療を促進し、ストレス、不安、うつ病、慢性的な痛みを軽減し、睡眠習慣を改善し、全体的な健康と生活の質を向上させることを示しています。

ヨガは、心と体を統合し調和させる訓練として西洋世界で急速に普及しており、ライフスタイルとして取り入れることで、身体的、精神的、知的、精神的な健康を改善します。ヨガは、ストレス、不安、うつ病を管理および軽減する効果的な方法であり、多くの研究で気分障害に対するヨガの有効性が実証されています。