Effects of Using Yoga in Neurological Diseases

Öz

Yoga is an ancient method based on Indian philosophy that combines physical exercises, breathing techniques, meditation and a healthy lifestyle. Yoga is a spiritual practice that uses the mind (meditation) and body (exercises) to balance our systems. It explores the mind's ability to influence emotions and the body. That's why the National Center for Complementary Alternative Medicine classifies yoga as mind-body medicine. Mindbody therapies focus on the relationships between the brain, mind, body, and behavior and their effects on health and illness. The practice of yoga also integrates the physical, mental and spiritual components of the individual to improve health and well-being. Therefore, yoga is not only a science but also an art of healthy living. It is widely used for health promotion, disease prevention, and as a possible treatment for neurological disorders. Studies investigating its effects on various neurological diseases such as multiple sclerosis, Parkinson's, dementia, epilepsy, Alzheimer's disease, headaches and stroke have reported that yoga practice is effective on disease symptoms, balance, strength, flexibility, cognitive status, depression, anxiety and quality of life. Considering the positive effects of yoga on health in neurological diseases; It can be said that it is a reasonably safe, cost-effective, feasible and promising method for patients. It is very important that nurses, as health professionals who play the most important role in the education of patients, are informed about the available complementary and integrative methods that can manage and control the symptoms in neurological diseases. In addition, nurses should show the necessary information and care to ensure that patients avoid undesirable effects, especially while performing advanced yoga practices. The aim of this review is to examine the results of yoga practice used in neurological diseases

Anahtar Kelimeler

• Nursing
• neurology
• yoga.

Nörolojik Hastalıklarda Yoga Kullanımının Etkileri

Öz

Yoga, fiziksel egzersizleri, nefes alma tekniklerini, meditasyonu ve sağlıklı bir yaşam tarzını birleştiren ve Hint felsefesine dayanan eski bir yöntemdir. Yoga, sistemlerimizi dengelemek için zihni (meditasyon) ve bedeni (egzersizler) kullanan manevi bir uygulamadır. Zihnin duyguları ve bedeni etkileme yeteneklerini araştırır. Bu nedenle Ulusal Tamamlayıcı Alternatif Tıp Merkezi (The National Center for Complementary Alternative Medicine) yogayı zihin-beden tıbbı olarak sınıflandırır. Zihin-beden terapileri beyin, zihin, beden ve davranış arasındaki ilişkilere ve bunların sağlık ve hastalık üzerindeki etkilerine odaklanır. Yoga uygulaması da sağlık ve esenliği iyileştirmek için bireyin fiziksel, zihinsel ve ruhsal bileşenlerini bütünleştirir. Bu nedenle yoga bir bilim olduğu kadar ayrıca sağlıklı yaşam sanatıdır. Sağlığın geliştirilmesi, hastalıkların önlenmesi ve nörolojik bozukluklar için olası bir tedavi yöntemi olarak yaygın bir şekilde kullanılmaktadır. Multiple skleroz, parkinson, demans, epilepsi, alzheimer hastalığı, baş ağrıları ve inme gibi çeşitli nörolojik hastalıklardaki etkilerini araştıran çalışmalarda yoga pratiğinin hastalık semptomları, denge, güç, esneklik, bilişsel durum, depresyon, anksiyete ve yaşam kalitesi üzerinde etkili olduğu bildirilmiştir. Yoganın nörolojik hastalıklardaki sağlık üzerine olumlu etkileri göz önünde bulundurulduğunda; hastalar için makul derecede güvenli, uygun maliyetli, uygulanabilir ve umut verici bir yöntem olduğu söylenebilir. Hastaların eğitiminde en önemli rolü oynayan sağlık profesyonelleri olarak hemşirelerin, nörolojik hastalıklardaki semptomları yönetebilecek ve kontrol edebilecek mevcut tamamlayıcı ve bütünleştirici yöntemler hakkında bilgilendirilmeleri çok önemlidir. Ayrıca hemşireler, hastalara özellikle ileri düzey yoga uygulamaları yapılırken hastaların istenmeyen etkilerden kaçınmalarını sağlamak için gereken bilgilendirmeyi ve özeni göstermeleri gereklidir. Bu derlemenin amacı nörolojik hastalıklarda kullanılan yoga uygulamasının sonuçlarının incelenmesidir.

Anahtar Kelimeler

• Hemşirelik
• nöroloji
• yoga

Kaynakça

1. Meyer HB, Katsman A, Sones AC, Auerbach DE, Ames D, Rubin RT. Yoga as an ancillary treatment for neurological and psychiatric disorders: a review. J Neuropsychiatry Clin Neurosci. 2012 Spring;24(2):152-64.
2. Nourollahimoghadam E, Gorji S, Gorji A, Khaleghi Ghadiri M. Therapeutic role of yoga in neuropsychological disorders. World J Psychiatry. 2021 Oct 19;11(10):754-73.
3. Yardımcı GT. Yaygın görülen nörolojik hastalıklarda tamamlayıcı ve alternatif tıp kullanımı. İçinde: Evereklioğlu C, Ünlü M, editörler. Sağlık bilimlerinde teori ve araştırmalar. Ankara: Gece Kitaplığı; 2020. s.267-82.
4. Mishra SK, Singh P, Bunch SJ, Zhang R. The therapeutic value of yoga in neurological disorders. Ann Indian Acad Neurol. 2012 Oct;15(4):247-54.
5. Mooventhan A, Nivethitha L. Evidence based effects of yoga in neurological disorders. J Clin Neurosci. 2017 Sep; 43:61-67.
6. Naisby J, Wilson-Menzfeld G, Baker K, Morris R, Robinson J, Barry G. Yoga and Multiple Sclerosis: Maintaining engagement in physical activity. PloS one. 2023 July 19;18(7): 1-13.
7. Shohani M, Kazemi F, Rahmati S, Azami M. The effect of yoga on the quality of life and fatigue in patients with multiple sclerosis: A systematic review and meta-analysis of randomized clinical trials. Complement Ther Clin Pract. 2020 May; 39:101087.
8. Thakur P, Mohammad A, Rastogi YR, Saini RV, Saini AK. Yoga as an intervention to manage multiple sclerosis symptoms. J Ayurveda Integr Med. 2020 Apr-Jun;11(2):114-7.

9. Guner S, Inanici F. Yoga therapy and ambulatory multiple sclerosis Assessment of gait analysis parameters, fatigue and balance. J Bodyw Mov Ther. 2015 Jan;19(1):72-81.
10. Bhargav P, Bhargav H, Raghuram N, Garner C. Immediate effect of two yoga-based relaxation techniques on cognitive functions in patients suffering from relapsing remitting multiple sclerosis: A comparative study. Int Rev Psychiatry. 2016 Jun;28(3):299-308.
11. Nejati S, Rajezi Esfahani S, Rahmani S, Afrookhteh G, Hoveida S. The Effect of Group Mindfulness-based Stress Reduction and Consciousness Yoga Program on Quality of Life and Fatigue Severity in Patients with MS. J Caring Sci. 2016 Dec 1;5(4):325-35.
12. Maşa DC, Ceylan B. Destekleyici ve tamamlayıcı bir bakım türü olan yoganın hemşirelik araştırmalarındaki yeri: bir sistematik derleme. J Tradit Complem Med. 2020 March; 3(3):331-44.
13. Najafidoulatabad S, Mohebbi Z, Nooryan K. Yoga effects on physical activity and sexual satisfaction among the Iranian women with multiple sclerosis: a randomized controlled trial. Afr J Tradit Complement Altern Med. 2014 Aug 23;11(5):78-82.
14. Ahadi F, Tabatabaee SM, Rajabpour M, Ghadamgahi A, Pouryosef KM. Effect of 8-week aerobic exercise and yoga training on depression, anxiety, and quality of life among multiple sclerosis patients. Iranian Rehabilitation Journal. 2013 April; 11(17), 75-80
15. Kahraman T, Ozdogar AT, Yigit P, Hosgel I, Mehdiyev Z, Ertekin O, et al. Feasibility of a 6-Month Yoga Program to Improve the Physical and Psychosocial Status of Persons with Multiple Sclerosis and their Family Members. Explore (NY). 2018 Jan-Feb;14(1):36-43.
16. Alphonsus KB, Su Y, D’Arcy C. The effect of exercise, yoga and physiotherapy on the quality of life of people with multiple sclerosis: Systematic review and meta-analysis. Complement Ther Med. 2019; 43:188-95.
17. Myers PS, Harrison EC, Rawson KS, Horin AP, Sutter EN, McNeely ME, et al. Yoga Improves Balance and Low-Back Pain, but Not Anxiety, in People with Parkinson's Disease. Int J Yoga Therap. 2020 Jan 1;30(1):41-8.
18. Ni M, Mooney K, Signorile JF. Controlled pilot study of the effects of power yoga in Parkinson's disease. Complement Ther Med. 2016 Apr; 25:126-31.
19. Van Puymbroeck M, Walter AA, Hawkins BL, Sharp JL, Woschkolup K, Urrea-Mendoza E, et al. Functional Improvements in Parkinson's Disease Following a Randomized Trial of Yoga. Evid Based Complement Alternat Med. 2018; 2018:8516351.
20. Walter AA, Adams EV, Van Puymbroeck M, Crowe BM, Urrea-Mendoza E, Hawkins BL, et al. Changes in Nonmotor Symptoms Following an 8-Week Yoga Intervention for People with Parkinson's Disease. Int J Yoga Therap. 2019 Nov;29(1):91-9.
21. Slomski A. Yoga for Anxiety and Depression Associated With Parkinson Disease. JAMA. 2019 Jul 23;322(4):296.
22. Kwok JYY, Kwan JCY, Auyeung M, Mok VCT, Lau CKY, Choi KC, et al. Effects of Mindfulness Yoga vs Stretching and Resistance Training Exercises on Anxiety and Depression for People With Parkinson Disease: A Randomized Clinical Trial. JAMA Neurol. 2019 Jul 1;76(7):755-63.
23. Deuel LM, Seeberger LC. Complementary Therapies in Parkinson Disease: a Review of Acupuncture, Tai Chi, Qi Gong, Yoga, and Cannabis. Neurotherapeutics 2020; 17: 1434-55.
24. Kwok JYY, Kwan JCY, Auyeung M, Mok VCT, Chan HYL. The effects of yoga versus stretching and resistance training exercises on psychological distress for people with mild-to-moderate Parkinson's disease: study prxotocol for a randomized controlled trial. Trials. 2017 Nov 2;18(1):509.
25. Park J, Heilman KJ, Sullivan M, Surage J, Levine H, Hung L, et al. Remotely supervised home-based online chair yoga intervention for older adults with dementia: Feasibility study. Complement Ther Clin Pract. 2022 Aug; 48:101617.
26. Brenes GA, Sohl S, Wells RE, Befus D, Campos CL, Danhauer SC. The Effects of Yoga on Patients with Mild Cognitive Impairment and Dementia: A Scoping Review. Am J Geriatr Psychiatry. 2019 Feb;27(2):188-97.
27. Park J, Tolea MI, Sherman D, Rosenfeld A, Arcay V, Lopes Y, et al. Feasibility of Conducting Nonpharmacological Interventions to Manage Dementia Symptoms in Community-Dwelling Older Adults: A Cluster Randomized Controlled Trial. Am J Alzheimers Dis Other Demen. 2020 Jan-Dec; 35:1533317519872635.
28. Hüttenrauch M, Lopez-Noguerola JS, Castro-Obregón S. Connecting Mind-Body Therapy-Mediated Effects to Pathological Features of Alzheimer's Disease. J Alzheimers Dis. 2021;82(s1): S65-S90.
29. Farhang M, Miranda-Castillo C, Rubio M, Furtado G. Impact of mind-body interventions in older adults with mild cognitive impairment: a systematic review. Int Psychogeriatr. 2019 May;31(5):643-66.
30. Hassan A, Robinson M, Willerth SM. Determining the mechanism behind yoga's effects on preventing the symptoms of Alzheimer's disease. Neural Regen Res. 2020 Feb;15(2):261-2.
31. Wells RE, Yeh GY, Kerr CE, Wolkin J, Davis RB, Tan Y, et al. Meditation's impact on default mode network and hippocampus in mild cognitive impairment: a pilot study. Neurosci Lett. 2013 Nov 27; 556:15-9.
32. Krause-Sorio B, Siddarth P, Kilpatrick L, Milillo MM, Aguilar-Faustino Y, Ercoli L, et al. Yoga Prevents Gray Matter Atrophy in Women at Risk for Alzheimer's Disease: A Randomized Controlled Trial. J Alzheimers Dis. 2022;87(2):569-81.
33. Ashford JW, Mahoney L, Burkett T. A Role for Complementary and Integrative Medicine in Alzheimer's Disease Prevention. J Alzheimers Dis. 2015;48(1):13-4.
34. Balasubramanian S, Mintzer JE, Wahlquist AE. Induction of salivary nerve growth factor by Yogic breathing: a randomized controlled trial. Int Psychogeriatr. 2015 Jan;27(1):168-70.
35. Lawrence M, Celestino Junior FT, Matozinho HH, Govan L, Booth J, Beecher J. Yoga for stroke rehabilitation. Cochrane Database Syst Rev. 2017 Dec 8;12(12):CD011483.
36. Immink MA, Hillier S, Petkov J. Randomized controlled trial of yoga for chronic poststroke hemiparesis: motor function, mental health, and quality of life outcomes. Top Stroke Rehabil. 2014 May-Jun;21(3):256-71.
37. Harris A, Austin M, Blake TM, Bird ML. Perceived benefits and barriers to yoga participation after stroke: A focus group approach. Complement Ther Clin Pract. 2019 Feb; 34:153-6.
38. Haider T, Sharma M, Branscum P. Yoga as an Alternative and Complimentary Therapy for Cardiovascular Disease: A Systematic Review. J Evid Based Complementary Altern Med. 2017 Apr;22(2):310-6.
39. Desveaux L, Lee A, Goldstein R, Brooks D. Yoga in the Management of Chronic Disease: A Systematic Review and Meta-analysis. Med Care. 2015 Jul;53(7):653-61.
40. Thayabaranathan T, Andrew NE, Immink MA, Hillier S, Stevens P, Stolwyk R, et al. Determining the potential benefits of yoga in chronic stroke care: a systematic review and meta-analysis. Top Stroke Rehabil. 2017 May;24(4):279-87.
41. Schmid AA, Puymbroeck MV, Portz JD, Atler KE, Fruhauf CA. "Merging Yoga and Occupational Therapy (MY-OT): A feasibility and pilot study". Complement Ther Med. 2016 Oct; 28:44-9.
42. Santesso N. A Summary of a Cochrane Review: Yoga for epilepsy. Eur J Integr Med. 2015 Dec 2;7(6):593-4.
43. Kanhere SV, Bagadia DR, Phadke VD, Mukherjee PS. Yoga in Children with Epilepsy: A Randomized Controlled Trial. J Pediatr Neurosci. 2018 Oct-Dec;13(4):410-5.
44. Roddis JK, Tanner M. Yoga for epilepsy: A Cochrane review summary. Int J Nurs Stud. 2019 Dec; 100:103236.
45. Shawahna R, Abdelhaq I. Exploring perceived benefits, motives, barriers, and recommendations for prescribing yoga exercises as a nonpharmacological intervention for patients with epilepsy: A qualitative study from Palestine. Epilepsy Behav. 2020 May; 106:107041.
46. Kumar A, Bhatia R, Sharma G, Dhanlika D, Vishnubhatla S, Singh RK, et al. Effect of yoga as add-on therapy in migraine (CONTAIN): A randomized clinical trial. Neurology. 2020 May 26;94(21): e2203-e2212.
47. Wells RE, Smitherman TA, Seng EK, Houle TT, Loder EW. Behavioral and mind/body interventions in headache: unanswered questions and future research directions. Headache. 2014 Jun;54(6):1107-13.
48. Anheyer D, Leach MJ, Klose P, Dobos G, Cramer H. Mindfulness-based stress reduction for treating chronic headache: A systematic review and meta-analysis. Cephalalgia. 2019 Apr;39(4):544-55.
49. Wu Q, Liu P, Liao C, Tan L. Effectiveness of yoga therapy for migraine: A meta-analysis of randomized controlled studies. J Clin Neurosci. 2022 May; 99:147-51.
50. Long C, Ye J, Chen M, Gao D, Huang Q. Effectiveness of yoga therapy for migraine treatment: A meta-analysis of randomized controlled studies. Am J Emerg Med. 2022 Aug; 58:95-9.
51. Mehta JN, Parikh S, Desai SD, Solanki RC, G Pathak A. Study of Additive Effect of Yoga and Physical Therapies to Standard Pharmacologic Treatment in Migraine. J Neurosci Rural Pract. 2021 Jan;12(1):60-6.
52. Sharma VM, Manjunath NK, Nagendra HR, Ertsey C. Combination of Ayurveda and Yoga therapy reduces pain intensity and improves quality of life in patients with migraine headache. Complement Ther Clin Pract. 2018 Aug; 32:85-91.
53. De Barros DS, Bazzaz S, Gheith ME, Siam GA, Moster MR. Progressive optic neuropathy in congenital glaucoma associated with the Sirsasana yoga posture. Ophthalmic Surg Lasers Imaging. 2008 Jul- Aug;39(4):339-40.
54. Lauche R, Schumann D, Sibbritt D, Adams J, Cramer H. Associations between yoga practice and joint problems: a cross-sectional survey among 9151 Australian women. Rheumatol Int. 2017 Jul;37(7):1145-8.
55. Cramer H, Quinker D, Schumann D, Wardle J, Dobos G, Lauche R. Adverse effects of yoga: a national cross-sectional survey. BMC Complement Altern Med. 2019 Jul 29;19(1):190.
56. Pal R, Adhikari D, Heyat MBB, Ullah I, You Z. Yoga meets intelligent ınternet of things: recent challenges and future directions. Bioengineering (Basel). 2023 Apr 9;10(4):459.
57. Öz HS. Geleneksel ve tamamlayıcı tıp tedavileri içinde yoga ve hemşirelik. J Tradit Complem Med.2020 Aralık 11;3(3), 399-405.
58. his.gov [Internet]. Türkiye Herkes İçin Spor Federasyonu: Yoga; 2023 [cited 2023 Jul 23]. Available from: https://his.gov.tr/yoga.
59. Clark CS. A radical RN-BS nursing class: outcomes from an integrative yoga elective. Int J Nurs Educ Scholarsh. 2018 June 13;15(1), 20170073.
60. Erkin Ö, Şenuzun AF. The effect of the yoga course on mindfulness and self‐compassion among nursing students. Perspect Psychiatr Care. 2021 July 28; 57(2), 875-882.
61. Karakurum Göksel B, Coşkun Ö, Ucler S, Karatas M, Ozge A, et al. Use of complementary and alternative medicine by a sample of Turkish primary headache patients. Agri. 2014;26(1):1-7.
62. Halappa NG. Prevention of Chronic Migraine Attacks with Acupuncture and Vamana Dhauti (Yogic Therapeutic Self-Induced Emesis) Interventions. Int J Yoga. 2019 Jan-Apr;12(1):84-8.