Qigong or Yoga Versus No Intervention in Older Adults With Chronic Low Back Pain—A Randomized Controlled Trial

Teut, Michael; Knilli, Judith; Daus, Dorothea; Roll, Stephanie; Witt, Claudia M.

doi:10.1016/j.jpain.2016.03.003

Cited by 59 publications

(142 citation statements)

References 30 publications

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“…High heterogeneity in the type of PA was reported in all the studies. We included all types of PA (walking [32,35], back school and hydrotherapy [39], isotonic resistance exercises [40] yoga and qijong [31], TOTXR [33] and LEXTR). The authors divided the description of intervention per outcome (pain and disability) in three subgroups (randomized controlled trials, non-randomized controlled trials, and other studies, including pre-post intervention and case series).…”

Section: Results Of Individual Studiesmentioning

confidence: 99%

“…We used the GRADE approach (Tables 3 and 4) to rate the overall quality of evidence. However, only six articles [31][32][33][34][35][36] showed full post-treatment data, therefore it was not possible to assess all the studies included using GRADE approach. The GRADE approach classifies the quality of evidence for each outcome grading the following domains: study design, risk of bias, inconsistency, indirectness, imprecision, publication bias, magnitude of the effect (not assessed in this study), dose-response gradient (not assessed in this study), and influence of all plausible residual confounding (not assessed in this study).…”

Section: Quality Of Evidencementioning

confidence: 99%

“…We included 7 RCT of I level of evidence (LOE), 3 NRCT (3 OS of II LOE), 1 PPS of III LOE, and 1 CS of IV LOE. Studies were published between 1992 [37] and 2016 [31]. Based on the data of the included studies, a total of 1581 patients were treated for CLBP.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Seven RCTs were included. They were divided per outcome: 2 studies [36,40] examined the improvement in pain (measured by NRS and VRS); 5 studies [31][32][33]35,39] assessed the disability outcome (measured by ODI, RMDQ, PPQ, FRI, FFBH-R, and SF-36). Single studies were assessed for risk of bias using Rob2 tool.…”

Section: Randomized Controlled Trials (Rcts)mentioning

confidence: 99%

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Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review

Vadalà

Russo

Salvatore

et al. 2020

JCM

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Chronic low back pain (CLBP) affects nearly 20–25% of the population older than 65 years, and it is currently the main cause of disability both in the developed and developing countries. It is crucial to reach an optimal management of this condition in older patients to improve their quality of life. This review evaluates the effectiveness of physical activity (PA) to improve disability and pain in older people with non-specific CLBP. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to improve the reporting of the review. Individual risk of bias of single studies was assessed using Rob 2 tool and ROBINS-I tool. The quality of evidence assessment was performed using GRADE analysis only in articles that presents full data. The articles were searched in different web portals (Medline, Scopus, CINAHL, EMBASE, and CENTRAL). All the articles reported respect the following inclusion criteria: patients > 65 years old who underwent physical activities for the treatment of CLBP. A total of 12 studies were included: 7 randomized controlled trials (RCT), 3 non-randomized controlled trials (NRCT), 1 pre and post intervention study (PPIS), and 1 case series (CS). The studies showed high heterogeneity in terms of study design, interventions, and outcome variables. In general, post-treatment data showed a trend in the improvement for disability and pain. However, considering the low quality of evidence of the studies, the high risk of bias, the languages limitations, the lack of significant results of some studies, and the lack of literature on this argument, further studies are necessary to improve the evidences on the topic.

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Section: Results Of Individual Studiesmentioning

confidence: 99%

Section: Quality Of Evidencementioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Randomized Controlled Trials (Rcts)mentioning

confidence: 99%

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Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review

Vadalà

Russo

Salvatore

et al. 2020

JCM

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“…89 (1.67 to 2.11) for no intervention with no significant difference between groups. 157 Thus, tai chi/qigong may be more effective in younger patients with back pain. Neither tai chi nor qigong have been related to relevant adverse events in studies so far.…”

Section: Dietary Interventions and Fastingmentioning

confidence: 99%

Management of chronic pain using complementary and integrative medicine

Chen

Michalsen

2017

BMJ

155

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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.

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