Impact of Yoga Intervention in Lower Limb Amputees following Trauma in Relation to Behavior and Quality of Life: A Randomized Controlled Trial

Author:

Mir Nida1,Sen Mahadev Singh2,Mani Kalaivani3,Sagar Rajesh4,Arulselvi S.5,Kumar Subodh1,Gupta Amit1,Sagar Sushma1

Affiliation:

1. Division of Trauma Surgery and Critical Care, JPNATC, AIIMS, New Delhi, India

2. Institute of Human Behaviour and Allied Sciences, New Delhi, India

3. Department of Biostatistics, AIIMS, New Delhi, India

4. Department of Psychiatry, AIIMS, New Delhi, India

5. Department of Lab Medicine, JPNATC, AIIMS, New Delhi, India

Abstract

Background: Yoga is an emerging intervention causing improvement in physical, mental, and spiritual well-being. Its role in improving outcomes in patients with amputation was investigated. Methodology: Patients with traumatic lower limb amputation (n = 50) were enrolled and randomized to the Yoga group (n = 26) against control (n = 24). Sociodemographic details, quality of life (QOL) (World Health Organization QOL-BREF), Depression anxiety stress scale (DASS), Rosenberg self-esteem scale, and amputee body image score were applied at baseline, 6,–18 weeks of amputation. Results: Sociodemographic and clinical variables were comparable between groups. At 18 weeks, the Yoga group had better QOL (P = 0.005) than the control group. Symptoms of depression (0.02) and anxiety (<0.001) reduced, and self-image (P = 0.015) improved significantly at 6 weeks, while stress (P = 0.003) reduced at 18 weeks in the yoga group. Despite comparable body image scores, the prosthesis usage (hours/day) was more (P = 0.005) in the Yoga (6.9 ± 3.2) group against the control (12 ± 2.7). Conclusion: Yoga improves QOL and self-esteem and reduces depression, anxiety, and stress symptoms in patients with traumatic amputation.

Publisher

Medknow

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