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Yoga for low back pain: a systematic review of randomized clinical trials

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Abstract

It has been suggested that yoga has a positive effect on low back pain and function. The objective of this systematic review was to assess the effectiveness of yoga as a treatment option for low back pain. Seven databases were searched from their inception to March 2011. Randomized clinical trials were considered if they investigated yoga in patients with low back pain and if they assessed pain as an outcome measure. The selection of studies, data extraction and validation were performed independently by two reviewers. Seven randomized controlled clinical trials (RCTs) met the inclusion criteria. Their methodological quality ranged between 2 and 4 on the Jadad scale. Five RCTs suggested that yoga leads to a significantly greater reduction in low back pain than usual care, education or conventional therapeutic exercises. Two RCTs showed no between-group differences. It is concluded that yoga has the potential to alleviate low back pain. However, any definitive claims should be treated with caution.

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References

  1. Shannahoff-Khalsa DS (2004) An introduction to Kundalini yoga meditation techniques that are specific for the treatment of psychiatric disorders. J Altern Complement Med 10:91–101

    Article  PubMed  Google Scholar 

  2. Williams K, Abildso C, Steinberg L et al (2009) Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine 34(19):2066–2076

    Article  PubMed  Google Scholar 

  3. Posadzki P, Parekh S (2009) Yoga and physiotherapy: a speculative review and conceptual synthesis. Chin J Integr Med 15(1):66–72

    Article  PubMed  Google Scholar 

  4. Pilkington K, Kirkwood G, Rampes H, Richardson J (2005) Yoga for depression: the research evidence. J Affect Disord 89(1–3):13–24

    Article  PubMed  Google Scholar 

  5. Nespor K (1989) Psychosomatics of back pain and the use of yoga. Int J Psychosom 36:72–78

    PubMed  CAS  Google Scholar 

  6. Furlan AD, Clarke J, Esmail R, Sinclair S, Irvin E, Bombardier C (2001) A critical review of reviews on the treatment of chronic low back pain. Spine 26:E155–E162

    Article  PubMed  CAS  Google Scholar 

  7. Pradhan BB (2008) Evidence-informed management of chronic low back pain with watchful waiting. Spine J 8(1):253–257

    Article  PubMed  Google Scholar 

  8. Furlan AD, Brosseau L, Imamura M, Irvin E (2002) Massage for low-back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine 27:1896–1910

    Article  PubMed  Google Scholar 

  9. Seidler A, Liebers F, Latza U (2008) Prevention of low back pain at work. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 51(3):322–333

    Article  PubMed  CAS  Google Scholar 

  10. Hammill RR, Beazell JR, Hart JM (2008) Neuromuscular consequences of low back pain and core dysfunction. Clin Sports Med 27(3):449–462

    Article  PubMed  Google Scholar 

  11. Jadad AR, Moore A, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ (1996) Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17(1):1–12

    Article  PubMed  CAS  Google Scholar 

  12. Saper RB, Sherman KJ, Cullum-Dugan D, Davis RB, Phillips RS, Culpepper L (2009) Yoga for chronic low back pain in a predominantly minority population: a pilot randomized controlled trial. Altern Ther Health Med 15(6):18–27

    PubMed  Google Scholar 

  13. Tekur P, Singphow C, Nagendra HR, Raghuram N (2008) Effect of short-term intensive yoga program on pain, functional disability, and spinal flexibility in chronic low back pain: a randomized control study. J Altern Complement Med 14(6):637–644

    Article  PubMed  Google Scholar 

  14. Sherman KJ, Cherkin DC, Erro J, Miglioretti DL, Deyo RA (2005) Comparing yoga, exercise, and a self-care book for chronic low back pain—a randomized, controlled trial. Ann Intern Med 143(12):849–856

    PubMed  Google Scholar 

  15. Williams KA, Petronis J, Smith D et al (2005) Effect of Iyengar yoga therapy for chronic low back pain. Pain 115(1–2):107–117

    Article  PubMed  Google Scholar 

  16. Galantino ML, Bzdewka TM, Eissler-Russo JL et al (2004) The impact of modified Hatha yoga on chronic low back pain: a pilot study. Altern Ther Health Med 10:56–59

    PubMed  Google Scholar 

  17. Cox H, Tilbrook H, Aplin J et al (2010) A randomised controlled trial of yoga for the treatment of chronic low back pain: results of a pilot study. Complementar Ther Clin Pract 16:187–193

    Article  Google Scholar 

  18. Kelly Z (2011) Treatment for low back pain: a research review. Int J Yoga Therap 19:103–112

    Google Scholar 

  19. Chou R, Huffman LH (2007) Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 147(7):492–504

    PubMed  Google Scholar 

  20. Slade SC, Keating JL (2007) Unloaded movement facilitation exercise compared to no exercise or alternative therapy on outcomes for people with nonspecific chronic low back pain: a systematic review. J Manipulative Physiol Ther 30(4):301–311

    Article  PubMed  Google Scholar 

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PP has a fellowship from The Pilkington Family Trusts.

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Correspondence to Paul Posadzki.

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Posadzki, P., Ernst, E. Yoga for low back pain: a systematic review of randomized clinical trials. Clin Rheumatol 30, 1257–1262 (2011). https://doi.org/10.1007/s10067-011-1764-8

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  • DOI: https://doi.org/10.1007/s10067-011-1764-8

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