Effectiveness of yoga exercises in the treatment of chronic non-specific low back pain – results of the study in hospitalized patients
Authors:
Kubát A.
Authors‘ workplace:
Katedra fyzioterapie, Fakulta tělesné kultury, Univerzita Palackého v Olomouci
; Neurologické oddělení, Vojenská nemocnice Olomouc
Published in:
Rehabil. fyz. Lék., 29, 2022, No. 1, pp. 27-35.
Category:
Original Papers
doi:
https://doi.org/10.48095/ccrhfl202227
Overview
Introduction: Chronic non-specific low back pain is one of the most frequent causes of disability in developed countries. Due to its multifactorial aetiology, different methods of treatment are recommended, the primary being active kinesiotherapy. Based on the numerous clinical studies, Yoga is recommended as one of the possible regimes of treatment. Most clinical studies were conducted on outpatient participants with a low to moderate intensity of pain and disability. Aim: The aim of our study was to verify the effectiveness of Yoga therapy in connection with chronic non-specific low back pain as an adjunct method for patients with more severe pain and disability admitted to the inpatient department for parenteral pharmacological therapy. Methods: A prospective clinical controlled study was chosen as the research method with two active intervention groups: Yoga and standard rehabilitation. The study started with 49 participants and finished with a total of 44 participants divided into two groups of 22. The intervention group received seven Yoga lessons during their hospitalisation, whereas the controlled group received seven rehabilitation sessions with physio and exercise therapy. The participants of both groups were advised to practice Yoga or rehabilitation exercises at home for the following 12 weeks. Results: At the end of the study, the participants of both groups experienced lower levels of pain measured by a Visual Analog Scale which showed a decrease of 14 points for the Yoga group and a decrease of 20 points for the rehabilitation group. The Oswestry disability index also showed a decrease in disability, a decrease of 5 points for the Yoga group and a decrease of 7 points for the rehabilitation group. The range of motion measured by the Thomayer’s distance showed an increase of 10 cm for the Yoga group and 7 cm for the rehabilitation group. There were no changes in the parameters of the pressure algometry, depression and coping with pain. There were no statistically significant differences in the results between the two groups in any observed parameter on the alpha level of 0.05. Conclusion: Yoga appears to be equally effective compared to the rehabilitation exercises as an adjunct method in the alleviation of low back pain and disability as well as in the improvement of the range of motion even in hospitalised patients with more severe pain and disability. The results of our study correspond with other studies conducted abroad on outpatient participants. Our Yoga program can serve as an exercising recommendation for patients with chronic non-specific low back pain.
Keywords:
back pain – yoga – rehabilitation – treatment – clinical study
Sources
1. Hoy D, Bain C, Williams G et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012; 64(6): 2028–2037.
2. Opavský J. Bolest v ambulantní praxi. Praha: Maxdorf 2011.
3. Qaseem A, Wilt TJ, McLean RM et al. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med 2017; 166(7): 514–530. doi: 10.7326/m16-2367.
4. Kubát A. Chronické nespecifické bolesti zad a jóga jako jedna z možností léčby. Rehabil Fyz Lék 2019; 26(1): 37–40.
5. Mičánková Adamová B, Voháňka S. Kvantifikace postižení u pacientů s lumbální spinální stenózou. Cesk Slov Neurol N 2013; 76/109(5): 570–574.
6. Ostelo RW, Deyo RA, Stratford P et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine (Phila Pa 1976) 2008; 33(1): 90–94. doi: 10.1097/BRS.0b013e31815e3a10.
7. ePROVIDE. Oswestry Disability Index. [online]. Available from: https://eprovide.mapi-trust.org/instruments/oswestry-disability-index.
8. Tousignant M, Poulin L, Marchand S et al. The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil 2005; 27(10): 553–559. doi: 10.1080/09638280400018411.
9. Imamura M, Chen J, Matsubayashi SR et al. Changes in pressure pain threshold in patients with chronic nonspecific low back pain. Spine (Phila Pa 1976) 2013; 38(24): 2098–107. doi: 10.1097/01.brs.0000435027.50317.d7.
10. Laňková J, Siblíková J. Deprese. Doporučený diagnostický a léčebný postup pro všeobecné praktické lékaře. 2004. [online]. Dostupné z: http://www.svl.cz/files/files/Doporucene-postupy-2003-2007/Deprese.pdf.
11. Brožek T, Knotek P. Dotazník efektivního copingu bolesti. Bolest 2015; 18(2): 74–80.
12. Sherman KJ. Guidelines for developing yoga interventions for randomized trials. Evid Based Complement Alternat Med 2012; 143271. doi: 10.1155/2012/143271.
13. Ward L, Stebbings S, Sherman KJ et al. Establishing key components of yoga interventions for musculoskeletal conditions: a Delphi survey. BMC Complement Altern Med 2014; 14: 196. doi: 10.1186/1472-6882-14-196.
14. Williams K, Abildso C, Steinberg L et al. Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine (Phila Pa 1976) 2009; 34(19): 2066–2076. doi: 10.1097/BRS.0b013e3181b315cc.
15. Knaisl J, Knaislová I. Unijóga. Praha: Beta-Dobrovský 2007.
16. Williams KA, Petronis J, Smith D et al. Effect of Iyengar yoga therapy for chronic low back pain. Pain 2005; 115(1–2): 107–117. doi: 10.1016/j.pain.2005.02.016.
17. Kim S-S, Min W-K, Kim J-H et al. The effects of VR-based Wii Fit Yoga on physical function in middle-aged female LBP patients. J Phys Ther Sci 2014; 26(4): 549–552. doi: 10.1589/jpts.26.549.
18. Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain 1987; 30(1): 115–126. doi: 10.1016/0304-3959(87)90089-3.
19. Hübscher M, Moloney N, Leaver A et al. Relationship between quantitative sensory testing and pain or disability in people with spinal pain – a systematic review and meta-analysis. Pain 2013; 154(9): 1497–1504. doi: 10.1016/j.pain.2013.05.031.
20. Kuvačić G, Fratini P, Padulo J et al. Effectiveness of yoga and educational intervention on disability, anxiety, depression, and pain in people with CLBP: a randomized controlled trial. Complement Ther Clin Pract 2018; 31: 262–267. doi: 10.1016/j.ctcp.2018.03.008.
21. Wieland LS, Skoetz N, Pilkington K et al. Yoga treatment for chronic non-specific low back pain. Cochrane Database Syst Rev 2017. CD010671. doi: 10.1002/14651858.CD010671.pub2.
22. Zhu F, Zhang M, Wang D et al. 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. PLoS ONE 2020; 15(9): e0238544. doi: 10.1371/journal.pone.0238544.
23. Boutron I, Moher D, Altman DG et al. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med 2008; 148(4): 295–309. doi: 10.7326/0003-4819-148-4-200802190-00008.
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Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2022 Issue 1
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