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Yoga for chronic low back pain: a randomized trial.
Helen E Tilbrook1, Helen Cox, Catherine E Hewitt
1University of York, Heslington, United Kingdom. helen.tilbrook@york.ac.uk
Annals of Internal Medicine
|November 2, 2011
Summary
Yoga significantly improved back function in adults with chronic low back pain compared to usual care. This 12-week yoga program demonstrated lasting benefits for back function over 12 months.
Area of Science:
- Clinical Medicine
- Rehabilitation Medicine
- Pain Management
Background:
- Chronic or recurrent low back pain affects many adults.
- Previous research suggests yoga may be a beneficial treatment for low back pain.
Purpose of the Study:
- To compare the effectiveness of a 12-week yoga program versus usual care for chronic or recurrent low back pain.
Main Methods:
- A parallel-group, randomized controlled trial involving 313 adults with chronic low back pain.
- Participants were assigned to either a 12-week yoga program (n=156) or usual care (n=157).
- Outcomes, including back function (Roland-Morris Disability Questionnaire), pain, and self-efficacy, were assessed via postal questionnaire at 3, 6, and 12 months.
Main Results:
- The yoga group showed significantly better back function at 3, 6, and 12 months compared to the usual care group.
- The adjusted mean Roland-Morris Disability Questionnaire score was lower in the yoga group at all time points.
- While pain and general health scores were similar, the yoga group reported higher pain self-efficacy at 3 and 6 months.
Conclusions:
- A 12-week yoga program improved back function in adults with chronic or recurrent low back pain more effectively than usual care.
- Yoga may be a valuable non-pharmacological intervention for managing chronic low back pain.
- Limitations include missing data, particularly in the yoga group for secondary outcomes.
