Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials

Zhu, Feilong; Zhang, Ming; Wang, Dan; Hong, Qianqin; Zeng, Cheng; Chen, Wei

doi:10.1371/journal.pone.0238544

Cited by 62 publications

(63 citation statements)

References 42 publications

(163 reference statements)

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“…This study also confirmed that yoga may also be an important non-drug intervention to decrease nurse NSCLBP (SUCRA:75.1%), similar to the results of Feilong Zhu et al [52]. There may be two reasons for this.…”

Section: U N C O R R E C T E D P R O O F V E R S I O Nsupporting

confidence: 89%

Comparative efficacy of 12 non-drug interventions on non-specific chronic low back pain in nurses: A systematic review and network meta-analysis

Sun¹,

Zhang²,

Lv³

et al. 2021

BMR

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BACKGROUND: Many non-drug interventions for decreasing non-specific chronic low back pain (NSCLBP) in nurses have been extensively studied, but the most effective approach is still unclear. OBJECTIVE: This systematic review and network meta-analysis evaluated the efficacies of 12 non-drug interventions in reducing NSCLBP in nurses. METHODS: PubMed, ScienceDirect, Web of Science, Cochrane, EMBASE, CINAHL, Medline, WANFANG, VIP, China Knowledge Integrated, and SinoMed were searched from their establishment to July 2019. Randomized controlled trials (RCTs) comparing non-drug interventions for NSCLBP in nurses were included and analyzed using Stata v15 statistical software. RESULTS: A total of 31 RCTs (n= 7116) and 12 non-drug interventions were included. The first three results with the highest surface areas under the curve ranking area (SUCRAs) were low back exercise plus healthy education, single low back exercise, and yoga (SUCRAs: 79.4%, 76.2%, and 75.1%, respectively). In addition, single yoga was inferior to protective equipment (standardized mean difference [SMD] = 3.88, 95% confidence interval [CI]: 0.92 to 6.84) and multidisciplinary intervention (SMD =-4.06, 95% CI: -7.33 to -0.78). CONCLUSIONS: Low back exercise plus health education may be the best approach to reduce NSCLBP in nurses. Considering the heterogeneity, our findings need to be confirmed in future multicenter large sample RCTs in different countries.

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Section: U N C O R R E C T E D P R O O F V E R S I O Nsupporting

confidence: 89%

Comparative efficacy of 12 non-drug interventions on non-specific chronic low back pain in nurses: A systematic review and network meta-analysis

Sun¹,

Zhang²,

Lv³

et al. 2021

BMR

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“…In the case of RMDQ, both the range of improvement (from 0 to 20 points) [42] and the percentage of improvement (30%) were met [37]. Other authors who analyzed interventions in chronic LBP, i.e., yoga [43], obtained a lower SMD value (SMD = −0.30, 95% CI = −0.51 to −0.10, p = 0.003, I 2 = 0%) than that found in the present study with the RMDQ.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis

González-Medina

Pérez-Cabezas

Ruiz-Molinero

et al. 2021

JCM

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Background: The aim of this systematic review and meta-analysis was to evaluate the global postural re-education (GPR) program’s effectiveness compared to other exercise programs in subjects with persistent chronic low back pain. Methods: A systematic review and meta-analysis were carried out using PRISMA2020. An electronic search of scientific databases was performed from their inception to January 2021. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. Four meta-analyses were performed. The outcomes analyzed were disability due to back pain and pain. The risk of bias and quality of evidence were evaluated. The final search was conducted in March. Results: Seven trials were included, totaling 334 patients. The results showed improvement in pain measured by Visual Analogue Scale (VAS) (Standardised Mean Difference (SMD) = −0.69; 95% Confidence Interval (CI), −1.01 to −0.37; p < 0.0001), Numerical Pain Scale (NRS) (SMD = −0.40; 95% CI, −0.87 to 0.06); p = 0.022), VAS + NRS (SMD = −1.32; 95% CI, −1.87 to −0.77; p < 0.0001) and function (Roland Morris Disability Questionnaire (RMDQ)) (SMD = −0.55; 95% CI, −0.83 to −0.27; p < 0.0001) after GPR treatment. Conclusion: This meta-analysis provides reliable evidence that GPR may be an effective method for treating LBP by decreasing pain and improving function, with strong evidence.

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“…However, the improvement in the functional disability status is long-term. Zhu et al also added that Yoga and other exercise or physical therapy had a very similar effect on pain and disability 15 .…”

Section: Discussionmentioning

confidence: 99%

Effects of Sphinx Pose (Salamba Bhujangasana) Yoga on chronic low back pain

Saleem

Noushad

Ahmed

et al. 2021

Int. j. endorsing health sci. res.

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Background: Chronic Low back pain (LBP) is among the most prevalent conditions distressing the adult population worldwide. The use of complementary and alternative medicinal (CAM) therapies for the management of LBP have rapidly gained popularity, where Yoga is being widely used as mind-body CAM therapy for relieving back pain. The aim is to assess the effectiveness of Sphinx Yoga Pose (Salamba Bhujangasana), in managing CLBP and to measure the variations in the disability index, quality of life, and stress scores. Methodology: A randomized controlled clinical trial will be conducted including the Nurses and midwives. Numerical Pain Rating (NPR) Scale, Roland Morris Disability Questionnaire, Fear Avoidance Beliefs Questionnaire (FABQ) will be used for initial screening. Subjects meeting inclusion criteria will be randomly assigned to either of the study group i.e. Group A (Experimental) and Group B (Control). The Group A subjects will be assigned with Sphinx Yoga therapy for 12 weeks while group B subjects will be assigned to usual care. Pre and post samples will be collected for Substance P (SP), Beta Endorphins (β-Endorphin), and Cortisol. Moreover, Oswestry Low Back Pain Disability index, World Health Organization Quality of Life (WHOQOL) and Sadaf Stress Scale (SSS), will be used at baseline and after 12 weeks follow-up (post-intervention). Discussion: Offering a 12-week Yoga therapy to the subjects with CLBP might give an insight into its application and efficacy. To be precise, the findings of this research will support the wider implementation of Sphinx Yoga as a lifestyle intervention. Trial registration: The trial was registered with ClinicalTrials.gov (NCT04721639).

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Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials

Cited by 62 publications

References 42 publications

Comparative efficacy of 12 non-drug interventions on non-specific chronic low back pain in nurses: A systematic review and network meta-analysis

Comparative efficacy of 12 non-drug interventions on non-specific chronic low back pain in nurses: A systematic review and network meta-analysis

Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis

Effects of Sphinx Pose (Salamba Bhujangasana) Yoga on chronic low back pain

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