Yoga versus home exercise program in children with enthesitis related arthritis: A pilot study

What are we learning with Yoga? Mapping the scientific literature on Yoga using a vector-text-mining approach

The techniques used in yoga have roots in traditions that precede modern science. Research shows that yoga enhances quality of life and well-being, positively impacting physical and mental health. As yoga gains acceptance in Western countries, scientific studies on the subject increase exponentially. However, many of these studies are considered inconsistent due to the diverse methodologies and focuses in the field, which creates challenges for researchers and hampers progress. This study aims to develop a comprehensive framework for existing literature on yoga, facilitating multidisciplinary collaboration and bringing new light to relevant aspects. Given the complexity of the subject, advanced modeling techniques are necessary. Contemporary artificial intelligence methods have advanced Bioinformatics, including text mining (TM), allowing us to employ vector representations of texts to derive semantic insights and organize literature effectively. Based on TM resources, we provided a better general understanding of yoga and highlighted the relationships between yoga practice and various domains, including biochemical parameters and neuroscience. It also reveals that practitioners can learn to engage with their bodies and environments actively, enhancing their quality of life. However, there is a lack of research exploring the mechanisms behind this learning and its potential for further enhancement. Vector TM has made it possible to bolster and improve human analysis. The set of resources developed allowed us to determine the mapping of the literature, the analysis of which revealed 4 dimensions (exercise, physiology, theory and therapeutic) divided into 9 cohesive groups, representing the trends in the literature. The resulting platforms are available to Yoga researchers to evaluate our findings and make their forays into the existing literature.

Effects of a home-based exercise combined yoga and resistance training in enthesitis-related arthritis in China: study protocol for a randomised controlled trial

INTRODUCTION

Enthesitis-related arthritis (ERA) is a category of juvenile idiopathic arthritis (JIA). The complications of JIA include pain, muscle weakness, limited movement and worsening quality of life. Yoga is an effective exercise therapy for rheumatoid arthritis and may have similar benefits for JIA. Considering the limitation of yoga for strengthening muscles, combined yoga and resistance training (CYRT) may compensate for the shortcomings and provide more benefits for JIA patients. Despite this, there is currently a lack of studies investigating the effectiveness of CYRT for JIA patients. Due to the inaccessibility of traditional exercise therapy, home-based exercise is needed. The study aims to assess the effectiveness of home-based CYRT on JIA.

METHODS AND ANALYSIS

This is a 12-week randomised single-blind controlled trial study. 60 patients with ERA will be randomised into two groups: the home-based exercise group (HBE) and the health education (HE) group. The HBE group (n=30) will perform the CYRT programme 3 times a week at home for 12 weeks and receive HE. The HE group (n=30) will only receive HE. The outcomes include primary outcome (pain levels) and secondary outcomes (lower limb muscle strength, motion range of joint, aerobic fitness, function ability, fatigue levels, mental health, quality of life and blood biomarkers). The assessments will be conducted at baseline, postintervention (12 weeks) and follow-up (24 weeks). Data will be analysed by intention to treat.

ETHICS AND DISSEMINATION

This study has been approved by the Ethics Committee of Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine in December 2023 (approval no. XHEC-C-2023-059-3). This study will require informed consent from all subjects and guardians of children under 18 years of age. The findings will be published in a peer-reviewed journal and international conferences.

TRIAL REGISTRATION NUMBER

ChiCTR2300073446.