Yoga treatment for chronic non-specific low back pain

Wieland, L. Susan; Skoetz, Nicole; Pilkington, Karen; Vempati, Ramaprabhu; D’Adamo, Christopher R.; Berman, Brian M.

doi:10.1002/14651858.cd010671.pub2

Cited by 157 publications

(150 citation statements)

References 92 publications

Supporting

Mentioning

139

Contrasting

Unclassified

Order By: Relevance

“…Adverse effects of yoga and exercise were comparable. 151 Thus yoga may have a role in the management of back pain for people who are willing to practice it, but longer term outcomes need to be evaluated.…”

Section: Mind-body Medicinementioning

confidence: 99%

Management of chronic pain using complementary and integrative medicine

Chen

Michalsen

2017

BMJ

155

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: Mind-body Medicinementioning

confidence: 99%

Management of chronic pain using complementary and integrative medicine

Chen

Michalsen

2017

BMJ

155

View full text Add to dashboard Cite

show abstract

“…Non-pharmacological treatments have been developed, investigated, and implemented, with Cochrane Reviews and protocols evaluating the available evidence for psychological, physical, and other non-medical interventions (e.g. cognitive behavioural and behavioural therapy, Eccleston 2014; Williams 2012; TENS, Nnoaham 2008; low-impact/intensity movement/exercise therapy, Wieland 2013; dietary, Straube 2015; and patient education, Engers 2008; Gross 2009). While evidence for the effectiveness of these interventions is of variable quantity and quality, the 2013 Scottish Intercollegiate Guideline Network (SIGN) guidelines on the management of chronic pain made strong recommendations on the use of exercise, based on evidence drawn from randomised controlled trials (RCTs), stating: "exercise and exercise therapies, regardless of their form, are recommended in the management of patients with chronic pain" (SIGN 2013).…”

Section: Introductionmentioning

confidence: 99%

Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews

Geneen

Moore²,

Clarke

et al. 2017

Cochrane Database of Systematic Reviews

546

274

View full text Add to dashboard Cite

BackgroundChronic pain is defined as pain lasting beyond normal tissue healing time, generally taken to be 12 weeks. It contributes to disability, anxiety, depression, sleep disturbances, poor quality of life, and healthcare costs. Chronic pain has a weighted mean prevalence in adults of 20%.For many years, the treatment choice for chronic pain included recommendations for rest and inactivity. However, exercise may have specific benefits in reducing the severity of chronic pain, as well as more general benefits associated with improved overall physical and mental health, and physical functioning.Physical activity and exercise programmes are increasingly being promoted and offered in various healthcare systems, and for a variety of chronic pain conditions. It is therefore important at this stage to establish the efficacy and safety of these programmes, and furthermore to address the critical factors that determine their success or failure.ObjectivesTo provide an overview of Cochrane Reviews of adults with chronic pain to determine (1) the effectiveness of different physical activity and exercise interventions in reducing pain severity and its impact on function, quality of life, and healthcare use; and (2) the evidence for any adverse effects or harm associated with physical activity and exercise interventions.MethodsWe searched theCochrane Database of Systematic Reviews (CDSR) on the Cochrane Library (CDSR 2016, Issue 1) for systematic reviews of randomised controlled trials (RCTs), after which we tracked any included reviews for updates, and tracked protocols in case of full review publication until an arbitrary cut-off date of 21 March 2016 (CDSR 2016, Issue 3). We assessed the methodological quality of the reviews using the AMSTAR tool, and also planned to analyse data for each painful condition based on quality of the evidence.We extracted data for (1) self-reported pain severity, (2) physical function (objectively or subjectively measured), (3) psychological function, (4) quality of life, (5) adherence to the prescribed intervention, (6) healthcare use/attendance, (7) adverse events, and (8) death.Due to the limited data available, we were unable to directly compare and analyse interventions, and have instead reported the evidence qualitatively.Main resultsWe included 21 reviews with 381 included studies and 37,143 participants. Of these, 264 studies (19,642 participants) examined exercise versus no exercise/minimal intervention in adults with chronic pain and were used in the qualitative analysis.Pain conditions included rheumatoid arthritis, osteoarthritis, fibromyalgia, low back pain, intermittent claudication, dysmenorrhoea, mechanical neck disorder, spinal cord injury, postpolio syndrome, and patellofemoral pain. None of the reviews assessed 'chronic pain' or 'chronic widespread pain' as a general term or specific condition. Interventions included aerobic, strength, flexibility, range of motion, and core or balance training programmes, as well as yoga, Pilates, and tai chi.Reviews were well performed an...

show abstract

“…Yoga was evaluated in a systematic review and meta-analysis in 12 studies (n = 1080 cLBP patients) and it was reported with ''low to moderate certainty'' that yoga improved back function at three and 6 months compared to no exercise. Yoga may also reduce pain, but improvement is modest [55].…”

Section: Physical Therapy and Exercisementioning

confidence: 99%

Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions

Pergolizzi

LeQuang

2020

Pain Ther

View full text Add to dashboard Cite

Low back pain (LBP) is prevalent and may transition into chronic LBP (cLBP) with associated reduced quality of life, pain, and disability. Because cLBP affects a heterogenous population, rehabilitation efforts must be individualized to meet the needs of various patient populations as well as individuals. This narrative review evaluated the many approaches to LBP rehabilitation including treatment-based classifications and specific types of rehabilitation efforts from exercise and physical therapy to spinal manipulation and bracing. Clinicians caring for patients with LBP or cLBP must be aware of the various options to find the right treatment course for each patient. In many cases, with proper patient expectations and care, nonpharmacological options may suffice to manage cLBP. While there is a rightful role for analgesics in the management of LBP, nonpharmacological options should be seriously considered, as they can play an important and health-sustaining role in patient management.

show abstract

Yoga treatment for chronic non-specific low back pain

Cited by 157 publications

References 92 publications

Management of chronic pain using complementary and integrative medicine

Management of chronic pain using complementary and integrative medicine

Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews

Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions

Contact Info

Product

Resources

About