Effectiveness of Integrated Approach of Yoga Therapy (IAYT) Versus Usual Care in Management on Chronic Low Back Pain Patients: a Randomized Controlled Pilot Study (original) (raw)
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Complementary Therapies in Clinical Practice, 2010
Objective: To conduct a pilot trial of yoga for the treatment of chronic low back pain (LBP) to inform the feasibility and practicality of conducting a full-scale trial in the UK; and to assess the efficacy of yoga for the treatment of chronic low back pain. Design: A pragmatic randomised controlled trial was undertaken comparing yoga to usual care. Participants: Twenty participants who had presented to their GP with chronic low back pain in the previous 18 months were recruited via GP records from one practice in York, UK. Interventions: Twenty patients were randomised to either 12 weekly 75-min sessions of specialised yoga plus written advice, or usual care plus written advice. Allocation was 50/50. Main outcome measures: Recruitment rate, levels of intervention attendance, and loss to follow-up were the main non-clinical outcomes. Change as measured by the Roland and Morris disability questionnaire was the primary clinical outcome. Changes in the Aberdeen back pain scale, SF-12, EQ-5D, and pain selfefficacy were secondary clinical outcomes. Data were collected via postal questionnaire at baseline, 4 weeks, and 12 weeks follow-up. Results: Of the 286 patients identified from the GP database, 52 (18%) consented and returned the eligibility questionnaire, out of these 20 (6.9%) were eligible and randomised. The total percentage of patients randomised from the GP practice population was 0.28%. Ten patients were randomised to yoga, receiving an average of 1.7 sessions (range 0e5), and 10 were randomised to usual care. At 12 weeks follow-up data was received from 60% of patients in the yoga group and 90% of patients in the usual care group (75% overall). No significant differences were seen between groups in clinical outcomes apart from on the Aberdeen back pain scale at four weeks follow-up where the yoga group reported significantly less pain. Conclusion: This pilot study provided useful data and information to inform the design and development of a full-scale trial of yoga for CLBP in the UK. A key finding is the calculation of GP practice total list size required for patient recruitment in a full-scale trial, and the need to implement methods to increase class attendance.
Development of generic yoga therapy protocol for nonspecific chronic low back pain
Yoga Mimamsa, 2024
Objective: To develop a generic yoga therapy protocol for nonspecific chronic low back pain (NCLBP) on the basis of previous research studies. Methods: A comprehensive PubMed search was done using keywords of "yoga" and "back pain" for English-language articles published till November 2022. PubMed showed 332 results for the keywords from 1977 to 2022. Twenty-nine studies were found eligible and the consolidation of yogic techniques were used in the studies. The study compiled 72 yogic techniques, including Asana and Pranayama, from 332 articles on yoga and back pain. Out of these, 151 were not relevant to yoga or back pain. After analyzing 181 articles, 33 were selected for review for a yoga therapy protocol, with four excluded due to inability to access full-text articles. The protocol was later validated by 14 eminent yoga therapy experts across the globe from countries including Australia,
Chronic low back pain: Can Yoga as an integrative approach be the best way forward?
Integrative Medicine Case Reports
Chronic Low Back pain (CLBP) is common public health problem, and globally one of the leading cause of disability. Several research studies advocate Yoga may add on as an effective therapy for CLBP patients. The present case study is an attempt to elucidate the outcome of Integrated Approach of Yoga Therapy (IAYT) intervention (which included loosening practices, asanas with breathing, relaxation, pranayama and meditation techniques) as an adjunct and integrative therapy to reduce pain symptoms, pain-associated disability and their overall quality of life in CLBP adult patients. The manuscript illustrates the two CLBP patients, refractory to conservative management, visiting pain clinic at Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Both the patients received a series of 60 minutes IAYT class conducted for a span of 15 days along with the institutional usual care regime as their treatment protocol. Patients were evaluated at baseline, 1 mon...
Yoga for chronic low back pain: Analysis of randomized controlled trials
Objectives: To evaluate the efficacy of yoga as an intervention for chronic low back pain (CLBP) using a meta-analytical approach. Randomized controlled trials (RCTs) that examined pain and⁄or functional disability as treatment outcomes were included. Post-treatment and follow-up outcomes were assessed. Methods: A comprehensive search of relevant electronic databases, from the time of their inception until November 2011, was conducted. Cohen's d effect sizes were calculated and entered in a random-effects model. Results: Eight RCTs met the criteria for inclusion (eight assessing functional disability and five assessing pain) and involved a total of 743 patients. At post-treatment, yoga had a medium to large effect on functional disability (d=0.645) and pain (d=0.623). Despite a wide range of yoga styles and treatment durations, heterogeneity in post-treatment effect sizes was low. Follow-up effect sizes for functional disability and pain were smaller, but remained significant (d...
International Research Journal of Ayurveda & Yoga
Introduction: Patients of Chronic Low Back Pain (CLBP) have high percentage among total low back pain cases. In Majority of cases medicinal management are in trend and in some conditions surgical care may require, but majority of CLBP can be managed through a combination of non-pharmacologic interventions such as Yoga, exercise, weight management and psychological therapies. Clinical practice guidelines for CLBP recommend physical activity (PA) as one of the most used non pharmacological interventions based on its easily applicable and low cost. Aims: Present study was undertaken to develop a Yoga Module for the management of Chronic Low Back Pain (CLBP). Materials and Methods: The study was single arm clinical study of 30 Chronic Low Back Pain patients selected randomly. Patients were administered with specific Yoga module as Non-pharmacological intervention for 2 months. Assessments of signs and symptoms before and after intervention were carried out by using Visual Analogue Scale (VAS), Stiffness Intensity Numeric Scale (SINS) and appropriately designed grading pattern (0-4) for Difficulty in Movement (DiM). Result: Statistically highly significant (p<0.0001) result in all three main symptoms; Pain (VAS), Stiffness (SINS) and Difficulty in Movement (DiM grade) were noted. Conclusion: Prepared Yoga module as non-pharmacological intervention for CLBP (Chronic low back pain) was effective up to very extent.
American Journal of Lifestyle Medicine, 2013
Chronic low back pain (cLBP) is common and has a tremendous economic impact. With the prevalence and incidence of low back pain (LBP) on the rise, individuals often seek alternative treatments. Yoga is a widely used complementary and alternative medicine treatment for LBP. However, its efficacy as an intervention for LBP has not been thoroughly investigated. Therefore the purpose of this study was to systematically review the current literature for randomized controlled trials that assess the outcomes of Yoga as an intervention for individuals with cLBP. An electronic database search was performed for studies related to the efficacy of yoga in treatment for cLBP. Studies included were randomized control trials, published in English, from a peer-reviewed journal that identified yoga as the primary treatment focus for LBP in at least one group and included participants with at least a 12-week (3-month) history of symptoms. Our search revealed 185 articles. Of these, 10 met the inclusi...
Complementary Therapies in Clinical Practice, 2010
A systematic review revealed three small randomised controlled trials of yoga for low back pain, all of which showed effects on back pain that favoured the yoga group. To build on these studies a larger trial, with longer term follow-up, and a number of different yoga teachers delivering the intervention is required. This study protocol describes the details of a randomised controlled trial (RCT) to determine the effectiveness and cost-effectiveness of Yoga for chronic Low Back Pain, which is funded by Arthritis Research Campaign (arc) and is being conducted by the University of York. 262 patients will be recruited from GP practices in 5 centres in England. Patients will be randomised to receive usual care or 12 weekly classes of yoga. A yoga programme will be devised that can be delivered by yoga teachers of the two main national yoga organisations in the UK (British Wheel of Yoga and Iyengar Yoga Association (UK)).Trial registration: Current controlled trials registry ISRCTN81079604 (date registered 30/03/2007).
Trials, 2010
Background: Back pain, one of the most prevalent conditions afflicting American adults, is the leading reason for using complementary and alternative medicine (CAM) therapies. Yoga is an increasingly popular "mind-body" CAM therapy often used for relieving back pain and several small studies have found yoga effective for this condition. This study will assess whether yoga is effective for treating chronic low back pain compared with self care and exercise and will explore the mechanisms responsible for any observed benefits.
Yoga for Chronic Low Back Pain
Annals of Internal Medicine, 2011
Previous studies indicate that yoga may be an effective treatment for chronic or recurrent low back pain. To compare the effectiveness of yoga and usual care for chronic or recurrent low back pain. Parallel-group, randomized, controlled trial using computer-generated randomization conducted from April 2007 to March 2010. Outcomes were assessed by postal questionnaire. (International Standard Randomised Controlled Trial Number Register: ISRCTN 81079604) 13 non-National Health Service premises in the United Kingdom. 313 adults with chronic or recurrent low back pain. Yoga (n = 156) or usual care (n = 157). All participants received a back pain education booklet. The intervention group was offered a 12-class, gradually progressing yoga program delivered by 12 teachers over 3 months. Scores on the Roland-Morris Disability Questionnaire (RMDQ) at 3 (primary outcome), 6, and 12 (secondary outcomes) months; pain, pain self-efficacy, and general health measures at 3, 6, and 12 months (secondary outcomes). 93 (60%) patients offered yoga attended at least 3 of the first 6 sessions and at least 3 other sessions. The yoga group had better back function at 3, 6, and 12 months than the usual care group. The adjusted mean RMDQ score was 2.17 points (95% CI, 1.03 to 3.31 points) lower in the yoga group at 3 months, 1.48 points (CI, 0.33 to 2.62 points) lower at 6 months, and 1.57 points (CI, 0.42 to 2.71 points) lower at 12 months. The yoga and usual care groups had similar back pain and general health scores at 3, 6, and 12 months, and the yoga group had higher pain self-efficacy scores at 3 and 6 months but not at 12 months. Two of the 157 usual care participants and 12 of the 156 yoga participants reported adverse events, mostly increased pain. There were missing data for the primary outcome (yoga group, n = 21; usual care group, n = 18) and differential missing data (more in the yoga group) for secondary outcomes. Offering a 12-week yoga program to adults with chronic or recurrent low back pain led to greater improvements in back function than did usual care. Arthritis Research UK.
Journal of Holistic Nursing, 2018
Purpose: To evaluate the effectiveness of implementing yoga into the treatment of patients with chronic low back pain. Design: Quantitative analysis with opportunity for qualitative feedback. Method: Effectiveness of this complementary treatment was assessed using a pretest/posttest design of patients who volunteered to participate in yoga classes as part of their back pain management. Measurements included low back pain rating, perception of back pain interference with daily activities, and self-efficacy in dealing with chronic low back pain. Findings: Although no statistically significant findings were found due to the small sample size, most participants demonstrated improved individual scores on all measurement surveys including qualitative comments. Conclusion: Based on the findings of this pilot study, further studies on implementing yoga into the treatment of chronic low back pain are encouraged.