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Background: Nonspecific chronic low back (nCLBP) pain is prevalent among adult population and often leads to functional limitations, psychological symptoms, lower quality of life (QOL), and higher healthcare costs. The purpose of this study was to determine the efficacy of Iyengar yoga therapy on pain intensity and health related quality of life (H...
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Souvenir of the International Day of Yoga 2015 Celebration at SBVU, Pondicherry.
Organised from 21st to 26th June 2015 by the Centre for Yoga Therapy, Education and Research (CYTER) at Mahatma Gandhi Medical College & Research Institute under the auspices of Sri Balaji Vidyapeeth University, Pondicherry.
To celebrate the INTERNATIONAL DAY OF YOGA...
Background: Bronchial asthma afflicts many millions of people worldwide, with multinational studies finding over 4% of young adults on asthma medication. Prescribed medication may alleviate symptoms but does not cure. The complementary system of yoga therapy has developed yoga practice modules that improve symptoms, but are cumbersome, and lead to...
The objective of this study is to determine the effect of Yoga Nidra in ameliorating pain intensity and fear in people with Lower Back Pain. The study is a part of a corporate Yoga camp conducted in Bangalore, in which employees were encouraged to register for the yoga therapy workshop for four weeks. Two employees with an average age of 34 volunte...
The stressful lifestyles that accompany modern living generate levels of anxiety that become a major concern in society. Psychopharmacological medication and psychotherapy for anxiety is expensive for government health departments as well as for individual consumers. Although the value of yoga as a beneficial and cost effective therapy for anxiety...
ARTICLE INFO ABSTRACT Objective: The aim of our study was to determine the effect of yoga in management of IBS. Material & Methods: The study was conducted in medicine department of Major S D Singh medical college and hospital, farrukhabad between November 2011-january 2012 .A Total 75 OPD patients of IBS b/w age 20-50 years of both sexes were sele...
Citations
... These results are consistent with the results of Gopal Nambi's study [40]. In this study, which was conducted on changes in pain intensity and QoL with yoga and exercise in NCLBP patients, it was concluded that there was a reduction in pain intensity and improvement in the QoL in both yoga and exercise groups. ...
Introduction: This study compares the effect of postural restoration (PR) exercises with and without core stability exercises on the pain, intensity, function, quality of life (QoL), and passive range of motion (PROM) at lumbo pelvic-femoral complex in patients with nonspecific chronic low back pain. Materials and Methods: This was an interventional type of randomized clinical trial study. The participants were 45 female patients (48.1±6.11 years, 161.4±5.06 cm height, 65.08±6.9 kg weight, and 24.9±2.8 body mass index). They were randomly divided into three equal groups: Group 1=PR exercises and core exercises, group 2=PR exercises, and group 3=control group. Pain intensity, function, QoL, and PROM were measured with the visual analog scale, Oswestry disability index, short form-36 questionnaire, and goniometer. The analysis of covariance was used to compare the means in the study groups before and after the intervention. The intervention groups performed the exercises for six weeks. Results: The results showed a significant difference between the QoL, pain intensity, function, and PROM of left hip adduction in the group with PR exercises with and without core exercises and control (P=0.000). In the PR group with core exercises (P=0.001) and without core exercises (P=0.001), a significant increase was observed in the adduction of the left hip. There was no significant difference between the function (P=0.850), pain (P=0.120), QoL (P=0.328), and PROM (P=0.094) in the intervention groups. Conclusion: PR exercises with and without core stability are equally effective in reducing pain and improving function, QoL, and hip adduction range of motion in women with left anterior interior chain patterns.
... В исследовании S. Gopal и соавт. было показано, что 4-недельный курс йога-терапии привел к значительному снижению интенсивности боли, сокращению времени нетрудоспособности, уменьшению проявлений депрессии, улучшению качества жизни по сравнению с применением лечебной физкультуры, физиотерапевтического лечения и когнитивно-поведенческой терапии [17]. По данным исследования P. Tekur, показана более значимая эффективность недельного курса йоги по сравнению с физическими упражнениями [18]. ...
Lower back pain is an urgent global problem. Often it is combined with metabolic disorders, which leads to mutual aggravation of both pathological conditions. The aim of the study was a comparative assessment of the complex therapy of patients with exacerbation of chronic vertebrogenic dorsalgia using various methods.
Materials and methods. We examined 60 patients with concomitant metabolic disorders in the form of obesity.
Results. The effectiveness of the use of non-drug methods, namely therapeutic exercises with elements of yoga practice and reflexology in the complex therapy of patients with chronic pain in the lower back in combination with metabolic disorders, has been proven.
Conclusion. The use of these methods allows to achieve a positive effect, which manifests itself in reducing the intensity of the pain syndrome and improving the functionality of patients, as well as correction of concomitant metabolic disorders.
... Furthermore, three studies Patti et al., 2016;Mazloum et al., 2018) did not present information on gender distribution. Thus, researchers carried out various MBE treatments, which included yoga (Williams et al., 2005(Williams et al., , 2009Cox et al., 2010;Sherman et al., 2011;Tekur et al., 2012;Kim et al., 2014;Lee et al., 2014;Nambi et al., 2014;Teut et al., 2016;Saper et al., 2017;Kuvačić et al., 2018;Demirel et al., 2019;Neyaz et al., 2019;Bai et al., 2020;Michalsen et al., 2021) (studies: n = 15, subjects, n = 652), TC (Hall et al., 2011;He, 2013;Tong, 2017;Liu et al., 2018Liu et al., , 2019Wang, 2020) (studies: n = 6, subjects, n = 183), qigong (Ding and Wang, 2014;Blödt et al., 2015;Ning et al., 2015;Teut et al., 2016;Wu, 2016;Wang, 2018;Phattharasupharerk et al., 2019;Chen, 2020;Yao et al., 2020) (studies: n = 9, subjects, n = 348), and Pilates (Wajswelner et al., 2012;Natour et al., 2015;Kofotolis et al., 2016;Patti et al., 2016;Valenza et al., 2017;Cruz-Díaz et al., 2018;Mazloum et al., 2018) (studies: n = 7, subjects, n = 205). There were three control comparators including no treatment, usual care, and conventional therapeutic exercises. ...
Background
There were limited studies that directly compare the outcomes of various mind-body exercise (MBE) therapies on chronic non-specific low back pain (CNLBP).
Objectives
To compare the efficacy of the four most popular MBE modes [Pilates, Yoga, Tai Chi (TC), and Qigong] in clinically CNLBP patients, we conducted a systematic review and network meta-analysis (NMA).
Methods
We searched databases for eligible randomized controlled trials (RCTs) (from origin to July 2022). RCTs were eligible if they included adults with CNLBP, and implemented one or more MBE intervention arms using Pilates, yoga, TC, and qigong. In addition, pain intensity and physical function were evaluated using validated questionnaires.
Results
NMA was carried out on 36 eligible RCTs involving 3,050 participants. The effect of exercise therapy on pain was in the following rankings: Pilates [Surface under cumulative ranking (SUCRA) = 86.6%], TC (SUCRA = 77.2%), yoga (SUCRA = 67.6%), and qigong (SUCRA = 64.6%). The effect of exercise therapy on function: Pilates (SUCRA = 98.4%), qigong (SUCRA = 61.6%,), TC (SUCRA = 59.5%) and yoga (SUCRA = 59.0%).
Conclusion
Our NMA shows that Pilates might be the best MBE therapy for CNLBP in pain intensity and physical function. TC is second only to Pilates in improving pain in patients with CNLBP and has the value of promotion. In the future, we need more high-quality, long-term follow-up RCTs to confirm our findings.
Systematic review registration
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=306905, identifier: CRD42022306905.
... • Mild depression (8)(9)(10)(11)(12)(13) • Moderate depression (14)(15)(16)(17)(18) The test procedure had been explained to all of the participants, and it was recommended that they maintain their lifestyle during the intervention program. The group that underwent yoga intervention was asked to practice a set of yogic exercises (Asana), Pranayama, and Dhyana one hour daily, for atleast five days per week under the supervision of a trained yoga instructor. ...
Introduction: Depression is the over-riding reason for disability
and its global prevalence has been increasing in recent decades.
Depression is a substantial contributor to the global disease
burden and a crucial determinant of quality of life and survival.
Aim: To determine the quality of life of patients with depression
who received yoga intervention and compare it to patients who
received conventional antidepressant medication (without yoga
intervention) in terms of various domains.
Materials and Methods: This randomised controlled trial was
conducted in Department of Physiology with the collaboration of
the Department of Psychiatry at Sawai Man Singh Medical College,
Jaipur, Rajasthan, India, from November 2018 to February 2020.
The study involved clinically diagnosed 60 patients with mild to
moderate depression between the age groups of 18 to 45 years.
The participants were split into two groups. The participants
were split into two groups: interventional and control. The
interventional group received a set of yoga exercises for three
months in addition to conventional antidepressant treatment,
while the control group received only conventional antidepressant
treatment for the same duration. The World Health Organisation
Quality of Life-BREF (WHOQOL-BREF) scale was used to assess
the quality of life in both study groups at baseline, and after one
month and three months. The unpaired Student’s t-test and
repeated measures Analysis of Variance (ANOVA) were applied
for two and more groups, respectively. A p-value
... The results of the subgroup analysis showed that yoga intervention may not improve the level of function for middle-aged and old patients with chronic pain, which may relate to its complexity compared with the other two MBE modes. Yoga usually requires professional guidance from a certified instructor, and self-practice at home may contribute to wrong movement patterns, which is an important factor affecting function (Sherman et al., 2011;Nambi et al., 2014;Saper et al., 2017). Only three of all included studies involved yoga intervention (Cheung et al., 2014(Cheung et al., , 2017Teut et al., 2016), wherein the insufficient power of sample size may have affected the power of detecting significant differences in the level of function. ...
Background
Aging is a significant risk factor in chronic pain development with extensive disability and greater health care costs. Mind-body exercise (MBE) has been scientifically proven to affect the pain intensity and physical health.
Objectives
To assess the effects of MBE modes (Tai Chi, yoga, and qigong) for treating chronic pain among middle-aged and old people, compared with nonactive and active treatment, as well as function, quality of life, and adverse events.
Methods
We searched PubMed, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, and Chinese Scientific Journals Full-Text Database (VIP) till March 2022. No restrictions were chartered within the year and language of publication. We included randomized controlled trials of MBE treatment in middle-aged and elderly people with chronic pain. The overall certainty of evidence was evaluated by using the GRADE approach.
Results
A total of 17 studies ( n = 1,332) were included in this review. There was low-certainty evidence indicating that MBE had a moderate effect on reducing pain compared with the nonactive and active control group (standard mean difference (SMD): −0.64, 95% confidence interval (CI): −0.86 to −0.42, P < 0.001). Very-low-certainty evidence showed that the pooled SMD for the functional improvement was −0.75 (95% CI: −1.13 to −0.37, P < 0.001). Low-certainty evidence presented that no influence was observed in physical component summary (SMD: 0.23, 95% CI: −0.16 to 0.62, P = 0.24) and mental component summary (SMD: −0.01, 95% CI −0.39 to 0.36, P = 0.95).
Conclusion
Our results indicated that MBE was an effective treatment for reducing symptoms of middle-aged and elderly people with chronic pain compared with nonactive and active control groups. TC and qigong had obvious benefits for knee osteoarthritis in self-reported function, but the efficacy of chronic low back pain was uncertain. No significant benefit of MBE on quality of life in older adults with chronic pain was found. More high-quality RCTs should be conducted to explore the efficacy and mechanism of MBE on chronic pain in middle-aged and elderly people from various dimensions, such as affective and cognitive dimensions.
Systematic Review Registration
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=316591 , identifier CRD42022316591.
... Ten of the RCTs were conducted in the United States, 21,24,25,29,32,48,49,54,55,68,69 8 in India, [40][41][42][43][44]56,58,59,66 1 in Sweden, 1,5 2 in Germany, 38,61 2 in the United Kingdom, 8 1 in South Korea, 33 1 in Russia, 65 and 1 in Turkey. 17 One RCT did not report about its origin36. ...
... 21,24,25,38,42,44,48,49 Seven RCTs reported that they had used an Iyengar yoga style. 8,32,41,62,66,68,69 Kundalini yoga style was used by one of the included RCTs, 1,5 and 2 studies used the Vini yoga style. 54,55 In 6 RCTs, the yoga style was described as a therapeutic approach 29,40,56,58,59,65 or an integrated approach. ...
... A passive control intervention was used by 14 of the included RCTs, 8,21,24,25,29,32,36,40,44,59,62,65,68,69 whereas 8 RCTs used an active control intervention. 17,33,38,[41][42][43]56,58,66 Five RCTs were conducted as three-arm studies and used both an active and a passive intervention as a control condition. 1,5,48,54,55,61 For passive control, 11 studies gave written advice additionally to treatment as usual, 1,5,8,32,36,44,48,49,54,55,62,69 whereas 5 studies used a wait list control. ...
... Back pain is one of the most common health problems among the population. Specifically, non-specific chronic low back pain (NSCLBP) is the most prevalent among adults, and it often leads to functional limitations, psychological problems, low quality of life and low productivity in the workplace [1,2]. NSCLBP is defined as persistent back and sacrum pain that lasts more than 12 weeks, occurring in 85% of cases due to unknown reasons [3]. ...
... NSCLBP is defined as persistent back and sacrum pain that lasts more than 12 weeks, occurring in 85% of cases due to unknown reasons [3]. Over the last few years, the incidence of NSCLBP in young adults has increased steadily, partly due to the peak incidence in the working-age population [1][2][3][4]. ...
Interferential current therapy (ICT) is an electrotherapeutic intervention that combines the advantages of high permeability from middle frequency currents and efficient tissue stimulation from low frequency currents, delivering the maximum current with high tissue permeability. The aim was to evaluate the effects of ICT on heart rate variability (HRV) and on pain perception in patients with non-specific chronic low back pain (NSCLBP). In the study, 49 patients with NSCLBP were randomly divided into an experimental (EG) and a sham group (SG). All participants received a single intervention, ICT, or simulated intervention. Outcome measures including baseline (sit-down position) and postintervention (prone position) pain, heart rate (HR), time domain parameter (rMSSD), diameters of the Poincaré plot (SD1, SD2), stress score (SS), and sympathetic/parasympathetic (S/PS) ratio were investigated. In both groups, significant statistical differences were found in perceived pain and in all HRV parameters except in HRmax. Between-group comparisons showed statistically significant differences in all variables except for HRmin and HRmean in favor of the experimental group. These changes reported an increase in parasympathetic activity (rMSSD) (p < 0.05) and a decrease in sympathetic activity (increase in SD2 and decrease in SS) (p < 0.001) and perceived pain (p < 0.001), with a greater size effect (η2 = 0.44) in favor of the experimental group. In conclusion, a single session of ICT can shift the autonomic balance towards increase parasympathetic dominance and decrease the sympathetic dominance and intensity of pain perceived by patients with NSCLBP.
... Regarding the improvement of physical function, a meta-analysis by Cramer et al. [315] also showed that yoga was significantly effective over the short term, and was moderately to significantly effective over the long term. An RCT by Nambi et al. [317] showed the same results. Two RCTs [318,319] showed improved QOL in patients with chronic LBP. ...
Background
The latest clinical guidelines are mandatory for physicians to follow when practicing evidence-based medicine in the treatment of low back pain. Those guidelines should target not only Japanese board-certified orthopaedic surgeons, but also primary physicians, and they should be prepared based entirely on evidence-based medicine. The Japanese Orthopaedic Association Low Back Pain guideline committee decided to update the guideline and launched the formulation committee. The purpose of this study was to describe the formulation we implemented for the revision of the guideline with the latest data of evidence-based medicine.
Methods
The Japanese Orthopaedic Association Low Back Pain guideline formulation committee revised the previous guideline based on a method for preparing clinical guidelines in Japan proposed by Medical Information Network Distribution Service Handbook for Clinical Practice Guideline Development 2014. Two key phrases, “body of evidence” and “benefit and harm balance” were focused on in the revised version. Background and clinical questions were determined, followed by literature search related to each question. Appropriate articles were selected from all the searched literature. Structured abstracts were prepared, and then meta-analyses were performed. The strength of both the body of evidence and the recommendation was decided by the committee members.
Results
Nine background and nine clinical qvuestions were determined. For each clinical question, outcomes from the literature were collected and meta-analysis was performed. Answers and explanations were described for each clinical question, and the strength of the recommendation was decided. For background questions, the recommendations were described based on previous literature.
Conclusions
The 2019 clinical practice guideline for the management of low back pain was completed according to the latest evidence-based medicine. We strongly hope that this guideline serves as a benchmark for all physicians, as well as patients, in the management of low back pain.
... Kronik bel ağrısı üzerine yapılan bir RKÇ'de, Iyengar yoga ile egzersiz grupları karşılaştırılmıştır. Her iki grubun ağrı düzeylerinde önemli azalmalar görülse de yoga grubunun yaşam ka-litesi ölçümlerinde iyileşmenin şaşırtıcı bir şekilde arttığı ve ağrının neredeyse iki kat azaldığı bildirilmiştir 29 . ...
GIRIŞ Yoga, Hindistan'da ortaya çıkan fiziksel ve zihinsel uygulamaların bir bütünü olup, nihai amacı zihin ve ruhta huzur elde etmektir. Yoga kelimesi "birlik" anla-mına gelir ve kozmik bilincin kişinin kendi kişisel bilinciyle birleşmesine yani, bir kişinin "Ben"den "Biz"e, ben-merkezli olmaktan küresel bir insana dönüşmesine yardımcı olur 1. Bu birlik hali aynı zamanda düşünce ve eylemin birleşmesi olduğu kadar, hastalık ve sağlık alanlarında terapötik değere sahip olabilecek bütünsel bir zihin ve bedene doğru ilerlemektir 2. Yogadaki bütünsel yönelimin yararları zihinsel ve ruhsal varlığa kadar uzanmakta, sağlıklı yaşamın devamı, hastalıkların önlenmesi, hastalıkların tedavisi ve yaşam kalitesinin artmasına katkı sağlayarak popülerliği artmaktadır 3. Son yıllarda bazı hastalıklarda yoganın tamamlayıcı bir tedavi olarak kullanıl-dığı ve bu yönde bilimsel çalışmaların yapıldığı görülmektedir 4. Yoga terapinin kardiyovasküler hastalıklar, hipertansiyon, artrit, ağrı sendromları, astım, tip II diyabet, multipl skleroz, HIV, meme kanseri, parkinson, doğum öncesi ve doğum sonrası depresyon, stres, TSSB, anksiyete ve obezite gibi hastalıklarda pek çok fay-dası tanımlanmıştır 4,5. Yoga kolay uygulanabilen, invaziv olmayan, rekabet içer-meyen, maliyeti düşük, bilimsel kanıtları olan bir uygulama olması ve getirdiği bütünsel iyilik hali ile hem fiziksel hem de ruhsal hastalıklar için umut vadetmek-tedir 2. Bu nedenle bu bölümde yoga terapinin iyileştirici boyutuna yönelik bilgi sunulmuş, yoganın felsefesi, faydaları, bedensel ve ruhsal hastalıklarda kullanımı ve yapılan bilimsel çalışmalar detaylı bir şekilde paylaşılmıştır.
... 12,28 Duration and frequency of treatment and length of follow-up differ dramatically between studies. [11][12][13][14][18][19][20]23,[27][28][29][30][31][32][33][34][35][36][37][38][39][40] This variability belies the fact that there is no agreed on duration of treatment that provides a clinically meaningful result, as well as raises questions about the durability of the intervention. ...
... While the evidence is of variable certainty, given differences in interventions and inherent biases, one can conservatively posit that yoga is noninferior, at worst, and possibly more effective than nonyoga exercise interventions in relieving LBP and improving functional status. 3,11,13,19,23,29,31,37,39,40 Interestingly, while studies demonstrate a positive correlation between yoga practice compliance and treatment effect, yoga as an intervention appears to be relatively dose independent. 28,32,34 Additionally, it is important to note that yoga is not associated with any serious adverse events, and the risk of adverse events is not increased in comparison with nonyoga exercise. ...
