Yoga for chronic low back pain: a randomized trial.
Background: Previous studies indicate that yoga may be an effective treatment for chronic or recurrent low back pain. Objective: To compare the effectiveness of yoga and usual care for chronic or recurrent low back pain. Design: Parallel-group, randomized, controlled trial using computer-generated r...
| Publicado en: | Annals of Internal Medicine Vol. 155; no. 9; pp. 569 - 579 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
American College of Physicians
11/1/2011
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104592964&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104592964 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00034819 AIM jtl: Annals of Internal Medicine issn: 00034819 maglogo: N pubinfo: dt: 11/1/2011 vid: 155 iid: 9 pid: 1652 pub: American College of Physicians place: Philadelphia, Pennsylvania artinfo: ui: 104592964 104592964 2011339813 NLM22041945 104592964 ppf: 569 ppct: 10 formats: tig: atl: Yoga for chronic low back pain: a randomized trial. aug: au: Tilbrook HE Cox H Hewitt CE Kang'ombe AR Chuang LH Jayakody S Aplin JD Semlyen A Trewhela A Watt I Torgerson DJ affil: the University of York, Heslington, York, United Kingdom; University of Manchester, St. Mary's Hospital, Manchester, United Kingdom; Yoga in York, York, United Kingdom; and SBRCP-Yoga Walsingham Clinic, Truro, Cornwall, United Kingdom. sug: subj: Low Back Pain Therapy Yoga Adult Female Prospective Studies Human Male Middle Age Patient Compliance Questionnaires Treatment Outcomes Clinical Trials Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: Previous studies indicate that yoga may be an effective treatment for chronic or recurrent low back pain. Objective: To compare the effectiveness of yoga and usual care for chronic or recurrent low back pain. Design: 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) Setting: 13 non-National Health Service premises in the United Kingdom. Patients: 313 adults with chronic or recurrent low back pain. Intervention: 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. Measurements: 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). Results: 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. Limitation: 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. Conclusion: 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. Primary Funding Source: Arthritis Research UK. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|