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Is yoga an effective treatment in the management of patients with chronic low back pain compared with other care modalities – a systematic review

  • Christopher Hill EMAIL logo
Veröffentlicht/Copyright: 12. Juni 2013
Journal of Complementary and Integrative Medicine
Aus der Zeitschrift Journal of Complementary and Integrative Medicine Band 10 Heft 1

Abstract

Objective: The aim of the study was to assess randomized-control trials (RCTs) to ascertain whether yoga is an effective treatment in the management of patients with chronic low back pain (cLBP) compared with other care modalities.

Methods: A search strategy was formulated with key concepts identified using the PICO process. Four databases were searched in June 2012. Appropriate eligibility criteria were set and implemented.

Results: Four randomized control trials met the inclusion criteria. All four papers found that yoga lead to a significant improvement in back function, and three demonstrated a significant improvement in back pain when compared with certain care modalities. All papers had significant limitations identified, however.

Conclusions: Given the limitations identified within the studies, the conclusions drawn must be considered conservatively. Although early results appear promising, but further well-designed RCTs are warranted, with multiple, specified comparator care modalities before firm conclusions can be gained.

Keywords: yoga; back pain; biopsychosocial; chronic

Appendix: Literature Search Strategies

All searches performed 26 June 2012.

EMBASE

  1. yoga.mp. or exp yoga/ 3052

  2. back pain.mp. or exp backache/ 67066

  3. 1 and 2 163

  4. Limit 3 to English language 155

  5. Limit 4 to human 145

  6. Limit 5 to randomized control trial 20

  7. Limit 6 to exclude trial protocol/pilot study 14

  8. Limit 7 to remove duplication 13

  9. Limit 8 to last 5 years 7

CINAHL:

  1. Yoga 1883

  2. back pain 15692

  3. 1 and 2 129

  4. Limit 3 to English language 127

  5. Limit 4 to human 23

  6. Limit 5 to randomized control trial 4

  7. Limit 6 to exclude trial protocol/pilot study 2

  8. Limit 7 to last 5 years 1

AMED:

  1. exp Yoga/ or yoga.mp. 458

  2. exp Backache/ or exp Low back pain/ or back pain.mp. 6142

  3. 1 and 2 25

  4. Limit 3 to English language 25

  5. Limit 4 to last 5 years 11

  6. Limit 5 to randomized control trial 7

  7. Limit 6 to exclude trial protocol/pilot study 4

References

1. EhrlichGE. Low back pain. Bull World Health Organ2003;81:671–6.Suche in Google Scholar

2. Von KorffM, MooreJC. Stepped care for back pain: activating approaches for primary care. Ann Intern Med2001;134:911–7.10.7326/0003-4819-134-9_Part_2-200105011-00016Suche in Google Scholar

3. HeffernanJJ. Low back pain. In: NobleJ, GreeneHL editors. Textbook of primary care medicine. St Louis, MO: Mosby, 2001:1919Suche in Google Scholar

4. AnderssonGB. Epidemiological features of chronic low-back pain. Lancet1999;354:581–5.10.1016/S0140-6736(99)01312-4Suche in Google Scholar

5. ManiadakisN, GrayA. The economic burden of back pain in the UK. Pain2000;84:95–103.10.1016/S0304-3959(99)00187-6Suche in Google Scholar

6. FrankJW, KerrMS, BrookerAS, et al.. Disability resulting from occupational low back pain. Part I: what do we know about primary prevention? A review of the scientific evidence on prevention before disability begins. Spine (Philadelphia, PA, 1976) 1996;21:2908–17.10.1097/00007632-199612150-00024Suche in Google Scholar PubMed

7. DeyoRA, WeinsteinJN. Low back pain. N Engl J Med2001;344:363–70.10.1056/NEJM200102013440508Suche in Google Scholar PubMed

8. National Institute for Health and Clinical Excellence. Low back pain: early management of persistent non-specific low back pain. London: NICE Vol 2009;88:1–9. Online PDF available at: http://www.nice.org.uk/nicemedia/live/11887/44343/44343.pdf. Accessed: 14July2012.Suche in Google Scholar

9. WaddellG. 1987 Volvo award in clinical sciences. A new clinical model for the treatment of low-back pain. Spine (Philadelphia, PA, 1976) 1987;12:632–44.10.1097/00007632-198709000-00002Suche in Google Scholar PubMed

10. GatchelRJ, PengYB, PetersML, et al.. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull2007;133:581–624.10.1037/0033-2909.133.4.581Suche in Google Scholar PubMed

11. NielsonWR, WeirR. Biopsychosocial approaches to the treatment of chronic pain. Clin J Pain2001;17:114–27.10.1097/00002508-200112001-00020Suche in Google Scholar PubMed

12. EisenbergDM, DavisRB, EttnerSL, et al.. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey. JAMA1998;280:1569–75.10.1001/jama.280.18.1569Suche in Google Scholar PubMed

13. BarnesPM, BloomB, NahinRL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep2008;12:1–23.10.1037/e623942009-001Suche in Google Scholar

14. SaperRB, EisenbergDM, DavisRB, et al.. Prevalence and patterns of adult yoga use in the United States: results of a national survey. Altern Ther Health Med2004;10:44–9.Suche in Google Scholar

15. BirdeeGS, LegedzaAT, SaperRB, et al.. Characteristics of yoga users: results of a national survey. J Gen Intern Med2008;23:1653–8.10.1007/s11606-008-0735-5Suche in Google Scholar PubMed PubMed Central

16. RaubJA. Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review. J Altern Complement Med2002;8:797–812.10.1089/10755530260511810Suche in Google Scholar PubMed

17. CorlissR. The power of yoga. Time Magazine, 2001. New York City: Time Inc. July Edition.Suche in Google Scholar

18. EvansS, TsaoJCI, SternliebB, ZeltzerLK. Using the biopsychosocial model to understand the health benefits of yoga. J Complement Integr Med2009;6:1–22.10.2202/1553-3840.1183Suche in Google Scholar

19. FeuersteinG. The Yoga tradition: its history, literature, philosophy and practice. Prescott: Hohm Press, 2001.Suche in Google Scholar

20. PilkingtonK, KirkwoodG, RampesH, RichardsonJ. Yoga for depression: the research evidence. J Affect Disord2005;89:13–24.10.1016/j.jad.2005.08.013Suche in Google Scholar PubMed

21. KirkwoodG, RampesH, TuffreyV, et al.. Yoga for anxiety: a systematic review of the research evidence. Br J Sports Med2005;39:884–91; discussion 891.10.1136/bjsm.2005.018069Suche in Google Scholar PubMed PubMed Central

22. ShermanKJ, CherkinDC, WellmanRD, et al.. A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain. Arch Intern Med2011;171:2019–26.10.1001/archinternmed.2011.524Suche in Google Scholar PubMed PubMed Central

23. LeeSW, MancusoCA, CharlsonME. Prospective study of new participants in a community-based mind-body training program. J Gen Intern Med2004;19:760–5.10.1111/j.1525-1497.2004.30011.xSuche in Google Scholar PubMed PubMed Central

24. YangK. A review of yoga programs for four leading risk factors of chronic diseases. Evid Based Complement Altern Med2007;4:487–91.10.1093/ecam/nem154Suche in Google Scholar PubMed PubMed Central

25. MurugesanR, GovindarajuluN, BeraTK. Effect of selected yogic practices on the management of hypertension. Indian J Physiol Pharmacol2000;44:207–10.Suche in Google Scholar

26. MalhotraV, SinghS, TandonOP, SharmaSB. The beneficial effect of yoga in diabetes. Nepal Med Coll J2005;7:145–7.Suche in Google Scholar

27. TanejaI, DeepakKK, PoojaryG, et al.. Yogic versus conventional treatment in diarrhea-predominant irritable bowel syndrome: a randomized control study. Appl Psychophysiol Biofeedback2004;29:19–33.10.1023/B:APBI.0000017861.60439.95Suche in Google Scholar

28. VedanthanPK, KesavaluLN, MurthyKC, et al.. Clinical study of yoga techniques in university students with asthma: a controlled study. Allergy Asthma Proc1998;19:3–9.10.2500/108854198778557971Suche in Google Scholar PubMed

29. EvansS, SubramanianS, SternliebB. Yoga as treatment for chronic pain conditions: a literature review. Int J Disabil Hum Dev2008;7:25–32.10.1515/IJDHD.2008.7.1.25Suche in Google Scholar

30. SackettDL, RosenbergWM, GrayJA, et al.. Evidence based medicine: what it is and what it isn’t. Br Med J1996;312:71–2.10.1136/bmj.312.7023.71Suche in Google Scholar

31. OxmanAD, SackettDL, GuyattGH. Users’ guides to the medical literature. I. How to get started. The Evidence-Based Medicine Working Group. JAMA1993;270:2093–5.10.1001/jama.270.17.2093Suche in Google Scholar

32. AndersonLW, KrathwohlD. A taxonomy for learning, teaching and assessing: a revision of Bloom’s taxonomy of educational objectives. New York: Longman, 2001.Suche in Google Scholar

33. SoodA, GhoshAK. Literature search using PubMed: an essential tool for practising evidence- based medicine. J Assoc Phys India2006;54:303–8.Suche in Google Scholar

34. DawesM, DaviesP, GrayA, et al.. Evidence-based practice: a primer for health care professionals. Churchill Livingston: Elsevier, 2005.Suche in Google Scholar

35. MotschallE, Falck-YtterY. Searching the MEDLINE literature database through PubMed: a short guide. Onkologie2005;28:517–22.10.1159/000087186Suche in Google Scholar PubMed

36. DoigGS, SimpsonF. Efficient literature searching: a core skill for the practice of evidence-based medicine. Intensive Care Med2003;29:2119–27.10.1007/s00134-003-1942-5Suche in Google Scholar PubMed

37. GreenhalghT. How to read a paper. Getting your bearings (deciding what the paper is about). Br Med J1997;315:243–6.10.1136/bmj.315.7102.243Suche in Google Scholar PubMed PubMed Central

38. ShermanKJ, CherkinDC, ErroJ, et al.. Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized, controlled trial. Ann Intern Med2005;143:849–56.10.7326/0003-4819-143-12-200512200-00003Suche in Google Scholar PubMed

39. WilliamsKA, PetronisJ, SmithD, et al.. Effect of Iyengar yoga therapy for chronic low back pain. Pain2005;115:107–17.10.1016/j.pain.2005.02.016Suche in Google Scholar PubMed

40. Critical Appraisal Skills Programme (CASP). 10 questions to help you make sense of qualitative research. Oxford: Public Health Resource Unit, 2006:1–4. Available from: www.phru.nhs.uk/Doc_Links/Qualitative_ Appraisal_Tool.pdf.Accessed: 28July2012.Suche in Google Scholar

41. ManM-S., TilbrookHE, JayakodyS, et al.. Electronic reminders did not improve postal questionnaire response rates or response times: a randomized controlled trial. J Clin Epidemiol2011;64:1001–4.10.1016/j.jclinepi.2010.10.013Suche in Google Scholar PubMed

42. PosadzkiP, ErnstE, TerryR, LeeMS. Is yoga effective for pain? A systematic review of randomized clinical trials. Complement Ther Med2011;19:281–7.10.1016/j.ctim.2011.07.004Suche in Google Scholar PubMed

43. ShermanKJ, CherkinDC, IchikawaL, et al.. Treatment expectations and preferences as predictors of outcome of acupuncture for chronic back pain. Spine2010;35:1471–7.10.1097/BRS.0b013e3181c2a8d3Suche in Google Scholar PubMed PubMed Central

44. BroxJI, StorheimK, GrotleM, et al.. Systematic review of back schools, brief education, and fear-avoidance training for chronic low back pain. Spine J2008;8:948–58.10.1016/j.spinee.2007.07.389Suche in Google Scholar PubMed

45. ChouR, HuffmanLH. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med2007;147:492–504.10.7326/0003-4819-147-7-200710020-00007Suche in Google Scholar PubMed

46. FieldT, DiegoM, Hernandez-ReifM, et al.. Yoga and massage therapy reduce prenatal depression and prematurity. J Bodywork Mov Ther2012;16:204–9.10.1016/j.jbmt.2011.08.002Suche in Google Scholar PubMed PubMed Central

47. GroesslEJ, WeingartKR, AschbacherK, et al.. Yoga for veterans with chronic low-back pain. J Altern Complement Med2008;14:1123–9.10.1089/acm.2008.0020Suche in Google Scholar

48. TilbrookHE, CoxH, HewittCE, et al.. Yoga for chronic low back pain: a randomized trial. Ann Intern Med2011;155:569–78.10.7326/0003-4819-155-9-201111010-00003Suche in Google Scholar PubMed

49. WilliamsK, AbildsoC, SteinbergL, et al.. Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine2009;34:2066–76.10.1097/BRS.0b013e3181b315ccSuche in Google Scholar PubMed PubMed Central

50. TekurP, SingphowC, NagendraHR, RaghuramN. Effect of short-term intensive yoga program on pain, functional disability and spinal flexibility in chronic low back pain: a randomized control study. J Altern Complement Med2008;14:637–44.10.1089/acm.2007.0815Suche in Google Scholar PubMed

51. AjetunmobiO. Making sense of critical appraisal. London and New York: Arnold; Distributed in the USA by Oxford University Press, 2002s.Suche in Google Scholar

52. HartmanJM, ForsenJW, WallaceMS, NeelyJG. Tutorials in clinical research: part IV: recognizing and controlling bias. Laryngoscope2002;112:23–31.10.1097/00005537-200201000-00005Suche in Google Scholar PubMed

53. JohnsonB, TurnerL. Data collection strategies in mixed methods reserch. In: TashakkoriA, TeddlieC, editors. Handbook of mixed methods in social and behavioural research. Washington, DC: Sage, 2003:768.Suche in Google Scholar

54. ArmstrongJS, OvertonTS. Estimating non response bias in mail surveys. J Mark Res1977;14:396–402.10.1177/002224377701400320Suche in Google Scholar

55. RolandM, FairbankJ. The Roland-Morris disability questionnaire and the Oswestry disability questionnaire. Spine (Philadelphia, PA, 1976) 2000;25:3115–24.10.1097/00007632-200012150-00006Suche in Google Scholar PubMed

56. FrickRW. The appropriate use of null hypothesis testing. Psychol Methods1996;1:379–90.10.1037/1082-989X.1.4.379Suche in Google Scholar

57. JüniP, AltmanDG, EggerM. Systematic reviews in health care: assessing the quality of controlled clinical trials. Br Med J2001;323:42–6.10.1136/bmj.323.7303.42Suche in Google Scholar PubMed PubMed Central

58. KimaniP. What do the results mean? “Statistical thinking”. Understanding research and critical appraisal MSc module course material: The University of Warwick, 2011.Suche in Google Scholar

59. PetherickM, RheaultW, KimbleS, et al.. Concurrent validity and intertester reliability of universal and fluid-based goniometers for active elbow range of motion. Phys Ther1988;68:966–9.10.1093/ptj/68.6.966Suche in Google Scholar PubMed

60. WeisbergMB, ClavelAL. Why is chronic pain so difficult to treat? Psychological considerations from simple to complex care. Postgrad Med1999;106:141–2, 145–8, 157–60; passim.10.3810/pgm.1999.11.771Suche in Google Scholar PubMed

61. PaiciusRM, BernsteinCA, Lempert-CohenC. Peripheral nerve field stimulation for the treatment of chronic low back pain: preliminary results of long-term follow-up: a case series. Neuromodulation2007;10:279–90.10.1111/j.1525-1403.2007.00116.xSuche in Google Scholar PubMed

62. DagenaisS, TriccoAC, HaldemanS. Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines. Spine J2010;10:514–29.10.1016/j.spinee.2010.03.032Suche in Google Scholar PubMed

63. O’DowdJ. “The complex back”. Evidence based musculoskeletal care: managing back pain MSc module course material. The University of Warwick, 2012.Suche in Google Scholar

64. EvansDD. Characteristics and outcomes of individuals self-selecting yoga versus physical therapy for the treatment of chronic low back pain. Thesis for Doctor of Philosophy, the University of Tennessee, Memphis, 2009:1–117.Suche in Google Scholar

Published Online: 2013-06-12

©2013 by Walter de Gruyter Berlin / Boston

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https://doi.org/10.1515/jcim-2012-0007
Schlagwörter für diesen Artikel
yoga; back pain; biopsychosocial; chronic

Artikel in diesem Heft

  1. Masthead
  2. Masthead
  3. Phytochemistry & Product Quality
  4. Chemical and pharmacological standardization of Ashwagandhadi lehyam: an ayurvedic formulation
  5. Phytochemical screening and toxicity studies on the methanol extract of the seeds of moringa oleifera
  6. First report of fingerprinting dried herbal products using a subtractive diversity array
  7. Preclinical Studies
  8. Antidiabetic and antihypertensive effect of Virgin Argan Oil in model of neonatal streptozotocin-induced diabetic and l-nitroarginine methylester (l-NAME) hypertensive rats
  9. Hypoglycemic activity of the Anisopus mannii N. E. Br. methanolic leaf extract in normal and alloxan-induced diabetic mice
  10. Aloe vera gel protects liver from oxidative stress-induced damage in experimental rat model
  11. Hepatoprotective activity of Calotropis gigantea flowers against carbon-tetrachloride-induced liver damage in mice
  12. In vivo and in vitro estrogenic activity of extracts from Erythrina poeppigiana (Fabaceae)
  13. Liposomal-formulated curcumin [Lipocurc™] targeting HDAC (Histone Deacetylase) prevents apoptosis and improves motor deficits in Park 7 (DJ-1)-knockout rat model of Parkinson’s disease: implications for epigenetics-based nanotechnology-driven drug platform
  14. Antimalarial potential of China 30 and Chelidonium 30 in combination therapy against lethal rodent malaria parasite: Plasmodium berghei
  15. Structure elucidation and inhibitory effects on human platelet aggregation of chlorogenic acid from Wrightia tinctoria
  16. Cytotoxic effects of crocin on MOLT-4 human leukemia cells
  17. Synergistic cytotoxicity of red beetroot (Beta vulgaris L.) extract with doxorubicin in human pancreatic, breast and prostate cancer cell lines
  18. Tea toxicity and cholinesterase inhibition of Huilliche herbal medicine
  19. Iatrogenic venous thrombosis secondary to supplemental medicine toxicity
  20. Clinical Studies
  21. Decreasing cardiovascular risk factors in obese individuals using a combination of PGX® meal replacements and PGX® granules in a 12-week clinical weight modification program
  22. The use of an anti-inflammatory supplement in patients with chronic kidney disease
  23. Impact of relaxation training according to the Yoga In Daily Life® system on anxiety after breast cancer surgery
  24. Positive impact of Tai Chi Chuan participation on biopsychosocial quality of life compared to exercise and sedentary controls: a cross-sectional survey
  25. Using a standardized Viniyoga protocol for lung cancer survivors: a pilot study examining effects on breathing ease
  26. Research utilization and evidence-based practice among Saskatchewan massage therapists
  27. Laser acupuncture in treatment of childhood bronchial asthma
  28. Case Reports
  29. Developing an in-patient acupuncture treatment in a pediatric hospital
  30. Reviews & Perspectives
  31. Is yoga an effective treatment in the management of patients with chronic low back pain compared with other care modalities – a systematic review
  32. Omega-3 fatty acid for the treatment and remission of Crohn’s disease
  33. Any role for probiotics in the therapy or prevention of autoimmune diseases? Up-to-date review
  34. Hericium erinaceus: an edible mushroom with medicinal values
  35. Are conduits superconductor-like and supported by tetrahedra structure of hyaluronic matrix in living systems? New perspectives
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