Iyengar Yoga for Young Adults with Rheumatoid Arthritis: Results From a Mixed-Methods Pilot Study

Evans, Subhadra; Moieni, Mona; Taub, Rebecca; Subramanian, Saskia; Tsao, Jennie C.I.; Sternlieb, Beth; Zeltzer, Lonnie K.

doi:10.1016/j.jpainsymman.2009.09.018

Cited by 58 publications

(71 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…144 145 One small randomized study of 30 young women with confirmed rheumatoid arthritis compared a six week Iyengar yoga intervention that was positively tested in a pilot study, 146 including yoga postures and relaxation for 90 minutes twice weekly, with usual care. 144 The study found some significant beneficial effect on pain acceptance, pain disability, and selected items of quality of life but not on pain intensity.…”

Section: Clinical Evidence For Mind-body Medicinementioning

confidence: 99%

Management of chronic pain using complementary and integrative medicine

Chen

Michalsen

2017

BMJ

156

View full text Add to dashboard Cite

Complementary and integrative medicine (CIM) encompasses both Western-style medicine and complementary health approaches as a new combined approach to treat a variety of clinical conditions. Chronic pain is the leading indication for use of CIM, and about 33% of adults and 12% of children in the US have used it in this context. Although advances have been made in treatments for chronic pain, it remains inadequately controlled for many people. Adverse effects and complications of analgesic drugs, such as addiction, kidney failure, and gastrointestinal bleeding, also limit their use. CIM offers a multimodality treatment approach that can tackle the multidimensional nature of pain with fewer or no serious adverse effects. This review focuses on the use of CIM in three conditions with a high incidence of chronic pain: back pain, neck pain, and rheumatoid arthritis. It summarizes research on the mechanisms of action and clinical studies on the efficacy of commonly used CIM modalities such as acupuncture, mind-body system, dietary interventions and fasting, and herbal medicine and nutrients.

show abstract

Section: Clinical Evidence For Mind-body Medicinementioning

confidence: 99%

Management of chronic pain using complementary and integrative medicine

Chen

Michalsen

2017

BMJ

156

View full text Add to dashboard Cite

show abstract

“…Integrative modalities (sometimes referred to as complementary and alternative medicine) that have been described as effective in the management of pediatric pain include hypnosis, yoga, acupuncture, and massage [99,100,101,102,103,104,105,106,107]. Active mind-body techniques, such as guided imagery, hypnosis, biofeedback, yoga, and distraction each and all evoke pain modulation by engaging a number of mechanisms within the analgesic neuraxis.…”

Section: Interdisciplinary Rehabilitative Pediatric Pain Program: mentioning

confidence: 99%

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

et al. 2016

View full text Add to dashboard Cite

Primary pain disorders (formerly “functional pain syndromes”) are common, under-diagnosed and under-treated in children and teenagers. This manuscript reviews key aspects which support understanding the development of pediatric chronic pain, points to the current pediatric chronic pain terminology, addresses effective treatment strategies, and discusses the evidence-based use of pharmacology. Common symptoms of an underlying pain vulnerability present in the three most common chronic pain disorders in pediatrics: primary headaches, centrally mediated abdominal pain syndromes, and/or chronic/recurrent musculoskeletal and joint pain. A significant number of children with repeated acute nociceptive pain episodes develop chronic pain in addition to or as a result of their underlying medical condition “chronic-on-acute pain.” We provide description of the structure and process of our interdisciplinary, rehabilitative pain clinic in Minneapolis, Minnesota, USA with accompanying data in the treatment of chronic pain symptoms that persist beyond the expected time of healing. An interdisciplinary approach combining (1) rehabilitation; (2) integrative medicine/active mind-body techniques; (3) psychology; and (4) normalizing daily school attendance, sports, social life and sleep will be presented. As a result of restored function, pain improves and commonly resolves. Opioids are not indicated for primary pain disorders, and other medications, with few exceptions, are usually not first-line therapy.

show abstract

“…However, these participants did not have clinical levels of depression or a chronic condition, and a longer intervention is appropriate for the present patient population. Most recently, we conducted a pilot study of a 6-week biweekly (90-minute classes) IYP for young adults with RA [82] and found significant reductions in pain and symptoms. It was therefore deemed suitable to strive for the maximum benefit in the shortest time likely to achieve benefit (6 weeks).…”

Section: Methodsmentioning

confidence: 99%

“…Based on our previous pilot work using Iyengar yoga for patients with rheumatoid arthritis [82], we estimated that yoga was likely to have a medium effect size on the primary outcomes. For power calculations, a freely-available software for power calculations - G*Power 3- was used to estimate the sample size needed for the estimated effect size using a pre/post by group interaction.…”

Section: Primary Outcomesmentioning

confidence: 99%

Protocol for a randomized controlled study of Iyengar yoga for youth with irritable bowel syndrome

Evans

Cousins

Tsao

et al. 2011

Trials

Self Cite

View full text Add to dashboard Cite

IntroductionIrritable bowel syndrome affects as many as 14% of high school-aged students. Symptoms include discomfort in the abdomen, along with diarrhea and/or constipation and other gastroenterological symptoms that can significantly impact quality of life and daily functioning. Emotional stress appears to exacerbate irritable bowel syndrome symptoms suggesting that mind-body interventions reducing arousal may prove beneficial. For many sufferers, symptoms can be traced to childhood and adolescence, making the early manifestation of irritable bowel syndrome important to understand. The current study will focus on young people aged 14-26 years with irritable bowel syndrome. The study will test the potential benefits of Iyengar yoga on clinical symptoms, psychospiritual functioning and visceral sensitivity. Yoga is thought to bring physical, psychological and spiritual benefits to practitioners and has been associated with reduced stress and pain. Through its focus on restoration and use of props, Iyengar yoga is especially designed to decrease arousal and promote psychospiritual resources in physically compromised individuals. An extensive and standardized teacher-training program support Iyengar yoga's reliability and safety. It is hypothesized that yoga will be feasible with less than 20% attrition; and the yoga group will demonstrate significantly improved outcomes compared to controls, with physiological and psychospiritual mechanisms contributing to improvements.Methods/DesignSixty irritable bowel syndrome patients aged 14-26 will be randomly assigned to a standardized 6-week twice weekly Iyengar yoga group-based program or a wait-list usual care control group. The groups will be compared on the primary clinical outcomes of irritable bowel syndrome symptoms, quality of life and global improvement at post-treatment and 2-month follow-up. Secondary outcomes will include visceral pain sensitivity assessed with a standardized laboratory task (water load task), functional disability and psychospiritual variables including catastrophizing, self-efficacy, mood, acceptance and mindfulness. Mechanisms of action involved in the proposed beneficial effects of yoga upon clinical outcomes will be explored, and include the mediating effects of visceral sensitivity, increased psychospiritual resources, regulated autonomic nervous system responses and regulated hormonal stress response assessed via salivary cortisol.Trial registrationClinicalTrials.gov NCT01107977.

show abstract

Iyengar Yoga for Young Adults with Rheumatoid Arthritis: Results From a Mixed-Methods Pilot Study

Abstract: These preliminary findings indicate that IY is a feasible complementary approach for young people with RA, although larger clinical trials are needed to demonstrate safety and efficacy.

Cited by 58 publications

References 17 publications

Management of chronic pain using complementary and integrative medicine

Management of chronic pain using complementary and integrative medicine

Chronic Pain in Children and Adolescents: Diagnosis and Treatment of Primary Pain Disorders in Head, Abdomen, Muscles and Joints

Protocol for a randomized controlled study of Iyengar yoga for youth with irritable bowel syndrome

Contact Info

Product

Resources

About