Tele-yoga in the management of ankylosing spondylitis amidst COVID pandemic: A prospective randomized controlled trial

Singh, Jyoti; Metri, Kashinath; Tekur, Padmini; Mohanty, Sriloy; Singh, Amit; Raghuram, Nandula

doi:10.1016/j.ctcp.2022.101672

Cited by 10 publications

(3 citation statements)

References 46 publications

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“…The possible mechanism behind large improvements in pain score is the modulation of HPA axis and reduction of pain sensitivity. Another possible mechanism is the decrease in pain perception due to the release of endorphins 34 . Findings of pain in the exercise group showed clinical significance with mean changes of 1.8 at post‐treatment with no further improvement at follow‐up (MCID = 1% or 15%; 2 = ‘much better’).…”

Section: Discussionmentioning

confidence: 98%

Comparison of Yoga with exercise in ankylosing spondylitis on mobility and functional capacity

Acharya,

Venkatesan,

Karvannan

et al. 2024

Int J of Rheum Dis

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AimTo compare the effects of Yoga with traditional exercise on the mobility and functional capacity of individuals with ankylosing spondylitis (AS).MethodsThe participants of the study were recruited at the rheumatology department, adhering to the study's inclusion and exclusion criteria. Participants were randomized into two groups (Group A – Yoga, and Group B – exercise).The candidates participated in an 8‐week intervention consisting of 3 weekly sessions of either Yoga or Exercise intervention. Outcomes were collected at pre‐treatment, at 8 weeks, and at 12 weeks.ResultsThe within‐group comparison showed an improvement in all outcome measures with p < .05 between post‐treatment and the follow‐up. In the yoga group, there was an improvement in the measures of BASMI (p = .001), BASFI (p = .005), PSQI (p = .021), CE (p = .053) and NPRS (p = .001). Similarly, in the exercise group, there was an improvement in BASMI (p = .002), BASFI (p = .003), PSQI (p = .010), CE (p = .004) and NPRS (p = .001). In the between group comparison at post‐treatment, there were no statistically significant differences in BASMI (yoga = 3.0 ± 1.50, exercise = 2.3 ± 1.38), PSQI (yoga = 5.3 ± 1.50, exercise = 4.9 ± 1.17) and NPRS (yoga = 1.3 ± 2.22, exercise = 0.4 ± 0.50) CE (yoga = 4.0 ± 1.18, exercise = 3.4 ± 0.96), BASFI (yoga = 1.8 ± 2.14, exercise = 2.1 ± 1.87).ConclusionThe results demonstrated a statistically significant improvement in within‐group scores of mobility, functional capacity, sleep quality and pain in AS patients of both intervention programs but there were no significant differences between the groups.

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Section: Discussionmentioning

confidence: 98%

Comparison of Yoga with exercise in ankylosing spondylitis on mobility and functional capacity

Acharya,

Venkatesan,

Karvannan

et al. 2024

Int J of Rheum Dis

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“…43 By targeting specific muscle groups in the back, abdomen, and pelvis, yoga asanas may enhance muscle activation, improve muscular endurance, and promote muscular relaxation during flexion movements. [44][45][46] Additionally, the focus on proper alignment and body awareness during asana practice may help individuals develop healthier movement patterns and reduce excessive stress on the lumbar spine. 46 The breathing exercises and mindfulness practices incorporated in yoga can also influence pain perception and the FRP.…”

Section: Discussionmentioning

confidence: 99%

“…The physical postures in yoga involve stretching, strengthening, and balancing the body, which can help improve muscle strength, flexibility, and coordination 43 . By targeting specific muscle groups in the back, abdomen, and pelvis, yoga asanas may enhance muscle activation, improve muscular endurance, and promote muscular relaxation during flexion movements 44–46 . Additionally, the focus on proper alignment and body awareness during asana practice may help individuals develop healthier movement patterns and reduce excessive stress on the lumbar spine 46 …”

Section: Discussionmentioning

confidence: 99%

Impact of yoga asanas on flexion and relaxation phenomenon in women with chronic low back pain: Prophet model prospective study

Marotta,

de Sire,

Lippi

et al. 2024

Journal Orthopaedic Research

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Chronic nonspecific low back pain (NSLBP) is a prevalent condition with socioeconomic and healthcare challenges. The flexion–relaxation phenomenon (FRP) evaluation is a valid clinical tool for low back pain (LBP) assessment. Yoga, a holistic mind–body practice, has been explored as an LBP intervention. This study aimed to evaluate the impact of yoga asanas on the FRP in women with NSLBP. The study included healthy and chronic NSLBP females who underwent an eight‐session yoga asanas program, with the first session conducted in‐clinic and the rest delivered with tele‐approach. Outcome measures included pain intensity, flexion–relaxation ratio (FRR), and trough surface electromyography collected during trunk maximum voluntary flexion (MVF). The study included 11 healthy and 10 NSLBP women. Repeated measures test in chronic NSLBP group showed a significant decrease in pain intensity after the 4 weeks follow‐up (visual analog scale [VAS]: 6.80 ± 1.48 vs. 3.30 ± 1.25; p < 0.001) and an FRR improvement after the intervention (5.12 ± 0.93 vs. 9.49 ± 0.92; p < 0.001). VAS and FRR effect sizes were 0.77 and 0.47, respectively. Therefore, we performed a Prophet evaluation to assess FRR trends, finding a growth rate (k) of 0.405 ± 0.448, with a forecast 1 month after the end of the intervention approaching the trend line of the control group. The findings suggested that tele‐yoga asana might have a positive impact on pain intensity and the FRP in chronic LBP. Further research is warranted to confirm the long‐term effects of yoga for managing LBP.

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Tele-Yoga and Its Implications for Digital Health-Emerging Trends in Health and Wellness

Verma,

Rain,

Singh

2024

Neuroscience of Yoga

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Tele-yoga in the management of ankylosing spondylitis amidst COVID pandemic: A prospective randomized controlled trial

Cited by 10 publications

References 46 publications

Comparison of Yoga with exercise in ankylosing spondylitis on mobility and functional capacity

Comparison of Yoga with exercise in ankylosing spondylitis on mobility and functional capacity

Impact of yoga asanas on flexion and relaxation phenomenon in women with chronic low back pain: Prophet model prospective study

Tele-Yoga and Its Implications for Digital Health-Emerging Trends in Health and Wellness

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