Yoga for chronic non-specific low back pain

Wieland, L. Susan; Skoetz, Nicole; Pilkington, Karen; Harbin, Shireen; Vempati, Ramaprabhu; Berman, Brian M.

doi:10.1002/14651858.cd010671.pub3

Cited by 18 publications

(33 citation statements)

References 141 publications

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“…These findings were in line with previous studies where the patients chose to use CIHA because CIHA approaches are more consistent with their beliefs, values, and philosophical orientations and not because of their dissatisfaction with the outcomes of conventional medicine treatments (Astin, 1998; Tan et al, 2013). It should be noted that although the literature suggests CIHA are relatively effective in pain management (Astin, 2004; Garland et al, 2019), the results remain inconclusive (Arienti, 2021; Wieland et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…), and others (e.g., Ayurvedic medicine, traditional Chinese medicine) (Chen & Michalsen, 2017; Garland et al, 2019). It should be noted that there is a lack of strong evidence supporting CIHA efficacy (Arienti, 2021; Boyd et al, 2019; Wieland et al, 2022) and many studies on CIHA have relatively low quality, producing inconclusive findings (Wieland et al, 2022). One point of view on the efficacy of CIHA is that its impact on pain relief might be due to placebo mechanisms (Kaptchuk, 2002), which are improvements in symptoms that are triggered by psychosocial contexts rather than an active component.…”

Section: Introductionmentioning

confidence: 99%

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Yoga and massage are associated with small experimental placebo effects in chronic orofacial pain

Yin

Muhammed

Wang

et al. 2023

European Journal of Pain

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Background Complementary and Integrative Health Approaches (CIHA), including but not limited to, natural products and Mind and Body Practices (MBPs), are promising non‐pharmacological adjuvants to the arsenal of pain management therapeutics. We aim to establish possible relationships between use of CIHA and the capacity of descending pain modulatory system in the form of occurrence and magnitude of placebo effects in a laboratory setting. Methods This cross‐sectional study investigated the relationship between self‐reported use of CIHA, pain disability, and experimentally induced placebo hypoalgesia in chronic pain participants suffering from Temporomandibular Disorders (TMD). In the 361 enrolled TMD participants, placebo hypoalgesia was measured using a well‐established paradigm with verbal suggestions and conditioning cues paired with distinct heat painful stimulations. Pain disability was measured with the Graded Chronic Pain Scale, and use of CIHA were recorded with a checklist as part of the medical history. Results Use of physically oriented MBPs (e.g., yoga and massage) was associated with reduced placebo effects (F1,2110.44 = 23.15, p < 0.001, Cohen's d = 0.171). Further, linear regressions indicated that greater number of physically oriented MBPs predicted smaller placebo effects (β = −0.17, p = 0.002), and less likelihood of being a placebo responder (OR = 0.70, p = 0.004). Use of psychologically oriented MBPs and natural product were not associated with placebo effects magnitude and responsiveness. Conclusions Our findings suggest that use of physically oriented CIHA was associated with experimental placebo effects possibly through an optimized capability to recognize distinct somatosensorial stimulations. Future research is needed to understand the mechanisms underlying placebo‐induced pain modulation in CIHA users. Significance Chronic pain participants who use physically oriented mind–body practices, such as yoga and massage, demonstrated attenuated experimentally induced placebo hypoalgesia in comparison with those who do not use them. This finding disentangled the relationship between use of complementary and integrative approaches and placebo effects, providing the potential therapeutic perspective of endogenous pain modulation in chronic pain management.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Yoga and massage are associated with small experimental placebo effects in chronic orofacial pain

Yin

Muhammed

Wang

et al. 2023

European Journal of Pain

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“…Yoga gehört zu den weitverbreiteten und populären Eigenmaßnahmen von Patienten mit Rückenschmerzen. Ein Cochrane Review von 2022 untersuchte 21 randomisierte klinische Studien, die Yoga mit unterschiedlichen weiteren aktiven und passiven Behandlungsmaßnahmen sowie keiner Therapie verglichen [27]. Es besteht schwache bis moderate Evidenz das Yoga im Vergleich zu keiner Therapie einen geringen und klinisch nichtsignifikanten positiven Effekt bei Schmerzreduktion und Funktion hat.…”

Section: Yogaunclassified

“…Die Literatur ließ keine klare Aussage zu Änderungen von Schmerz und Lebensqualität zwischen Yoga und anderen aktiven Übungen zu. Unerwünschte Wirkungen waren beim Yoga häufiger als bei keiner Therapie aber auch nicht häufiger als bei anderen aktiven Behandlungen [27].…”

Section: Yogaunclassified

Evidenzen in der konservativen Wirbelsäulentherapie

Wiechert

2024

Die Wirbelsäule

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ZusammenfassungKonservative Therapiemaßnahmen stellen die bevorzugte Behandlungsform für die überwiegende Zahl von Wirbelsäulenerkrankungen dar. Diese Übersichtarbeit fasst die Evidenzen unterschiedlicher Behandlungen von Rückenschmerzen zusammen. Berücksichtigung finden Nationale und internationale Leitlinien sowie Metanalysen zu den einzelnen Verfahren. Untersuchte Behandlungskategorien sind Medikamentöse Behandlungen, Physiotherapie und Trainingstherapie, physikalische Maßnahmen und Rehabilitation, Korsettbehandlungen, Infiltrationsbehandlungen, psychologische Interventionen sowie verschiedene Eigenübungsprogramme.Die Evidenz bei der Mehrzahl der untersuchten Therapieformen ist gering bis moderat mit einzelnen Ausnahmen. Das Forschungspotenzial bei nichtoperativen Behandlungskonzepten ist groß.

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“…Yoga is an integrated model of mind–body practice that includes physical postures, movement, breath control and techniques, relaxation, mindfulness, and meditation ( 11 ), which is effective in improving exercise adherence and compliance and is readily accepted by most people ( 12 ). In clinical studies, yoga has been applied to Parkinson’s disease ( 13 ), chronic pain ( 14 ), cancer ( 15 ), psychiatric disorders such as anxiety and depression ( 16 , 17 ), and chronic diseases ( 18 ) as an adjunctive therapy. Notable that yoga is well tolerated by patients with MDD while having a high-safety profile ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of yoga for major depressive disorder: A systematic review and meta-analysis

Yan

Yang

2023

Front. Psychiatry

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ObjectiveMajor depressive disorder (MDD) has a relapse rate that cannot be ignored and places a tremendous burden on the patient in the prevention and treatment process. Yoga, a combination of physical and mental exercises, is effective and acceptable for the adjunctive treatment of MDD. This study aimed to explore further the evidence of yoga’s efficacy for patients with MDD.MethodsPubMed, Embase, Cochrane library, PsycINFO, SinoMed, CNKI, Wanfang, and VIP databases from their inception to 13 October 2022 were searched by a pre-defined search strategy. RCTs of patients with MDD who met diagnostic criteria for yoga treatment were included. RoB2.0 was used to evaluate the quality of the literature. Improvement in depressive symptoms was assessed by the Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HAMD), or other scales were used as primary outcome indicators, and improvement in anxiety was assessed by the Hamilton Anxiety Scale (HAMA) and State–Trait Anxiety Inventory (STAI) scale as secondary outcome indicators. RR and Cohen’s d at 95% CI were used as effect size estimates, and Q and I2 were used to evaluate the size of heterogeneity, with a p-value less than 0.05 indicating statistical significance.ResultsThirty-four RCT studies, including 1,269 patients in the treatment group and 1,072 patients in the control group, 48.4% of whom were women, were included in the study. Compared to the control group, the BDI-II results yielded a moderate effect of yoga on the improvement of depressive symptoms (Cohen’s d = −0.60; 95% CI: −1.00 to −0.21; p < 0.01), the HAMD results yielded a moderate improvement of yoga on the severity of depressive symptoms (Cohen’s d = −0.64; 95% CI: −0.98 to −0.30; p < 0.01), and the STAI results can be concluded that yoga had a negligible effect on the improvement of the level of anxiety (Cohen’s d = −0.26; 95% CI: −0.48 to −0.04; p = 0.02). No adverse events occurred in the yoga group during the treatment.ConclusionYoga can improve depressive symptoms and anxiety in patients with MDD and has a safe and wide patient acceptance.Systematic review registration[https://www.crd.york.ac.uk/prospero/], identifier [PROSPERO, CRD42022373282].

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Yoga for chronic non-specific low back pain

Cited by 18 publications

References 141 publications

Yoga and massage are associated with small experimental placebo effects in chronic orofacial pain

Yoga and massage are associated with small experimental placebo effects in chronic orofacial pain

Evidenzen in der konservativen Wirbelsäulentherapie

Effectiveness of yoga for major depressive disorder: A systematic review and meta-analysis

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