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Mind-body practices in chronic inflammatory arthritis.
Jean Sibilia1, Fabrice Berna2, Jean-Gérard Bloch3
1Service de Rhumatologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; UMR INSERM 1109, Fédération de Médecine Translationnelle de Strasbourg, Université de Strasbourg, Strasbourg, France.
Joint Bone Spine
|September 28, 2023
Summary
Mind-body practices like meditation and yoga may improve patient-reported outcomes for chronic rheumatic diseases. However, their effects on inflammation and disease progression require further investigation.
Area of Science:
- Integrative medicine and rheumatology.
- Exploration of mind-body interventions in chronic disease management.
Background:
- Mind-body practices, encompassing techniques like meditation, yoga, and Tai Chi, are WHO-recognized complementary approaches.
- These practices emphasize the mind-body connection and are increasingly considered for managing chronic conditions.
- Growing interest exists in applying these strategies to chronic rheumatic diseases, such as rheumatoid arthritis.
Purpose of the Study:
- To review and describe prominent mind-body practices.
- To analyze the current evidence base for their efficacy in managing chronic rheumatic diseases.
Main Methods:
- Systematic review of existing literature on mind-body practices in rheumatic diseases.
- Analysis focused on studies involving rheumatoid arthritis and spondyloarthritis.
- Evaluation of patient-reported outcomes, inflammation markers, and structural progression.
Main Results:
- In rheumatoid arthritis, Mindfulness-Based Stress Reduction (MBSR), yoga, Tai Chi, and relaxation techniques show potential for improving patient-reported outcomes.
- Evidence regarding the impact of these practices on inflammation and structural progression in rheumatoid arthritis remains inconclusive.
- Limited studies in spondyloarthritis suggest similar trends, with a need for more research.
Conclusions:
- Mind-body practices may offer benefits for symptom management in chronic rheumatic diseases.
- Further research is essential to clarify their role in disease modification and long-term outcomes.
- The favorable risk/benefit profile suggests these practices warrant continued evaluation.
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