An evidence map of yoga for low back pain

A.P. Goode, R.R. Coeytaux, J. McDuffie, W. Duan-Porter, P. Sharma, H. Mennella, A. Nagi, Jr. Williams J.W.

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: Yoga is being increasingly studied as a treatment strategy for a variety of different clinical conditions, including low back pain (LBP). We set out to conduct an evidence map of yoga for the treatment, prevention and recurrence of acute or chronic low back pain (cLBP). Methods: We searched Medline, Cochrane Database of Systematic Reviews, EMBASE, Allied and Complementary Medicine Database and ClinicalTrials.gov for randomized controlled trials (RCT), systematic reviews or planned studies on the treatment or prevention of acute back pain or cLBP. Two independent reviewers screened papers for inclusion, extracted data and assessed the quality of included studies. Results: Three eligible systematic reviews were identified that included 10 RCTs (n = 956) that evaluated yoga for non-specific cLBP. We did not identify additional RCTs beyond those included in the systematic reviews. Our search of ClinicalTrials.gov identified one small (n = 10) unpublished trial and one large (n = 320) planned clinical trial. The most recent good quality systematic review indicated significant effects for short- and long-term pain reduction (n = 6 trials; standardized mean difference [SMD] -0.48; 95% CI, -0.65 to -0.31; I2 = 0% and n = 5; SMD -0.33; 95% CI, -0.59 to -0.07; I2 = 48%, respectively). Long-term effects for back specific disability were also identified (n = 5; SMD -0.35; 95% CI, -0.55 to -0.15; I2 = 20%). No studies were identified evaluating yoga for prevention or treatment of acute LBP. Conclusion: Evidence suggests benefit of yoga in midlife adults with non-specific cLBP for short- and long-term pain and back-specific disability, but the effects of yoga for health-related quality of life, well- being and acute LBP are uncertain. Without additional studies, further systematic reviews are unlikely to be informative. © 2016 Elsevier Ltd.
Original languageEnglish
Pages (from-to)170-177
Number of pages8
JournalComplementary Therapies in Medicine
Volume25
DOIs
StatePublished - 2016

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Yoga
Low Back Pain
Back Pain
Databases
Acute Pain
Therapeutics
Complementary Therapies
Randomized Controlled Trials
Quality of Life
Clinical Trials
Recurrence
Pain

Bibliographical note

Cited By :6

Export Date: 26 December 2018

CODEN: CTHME

Correspondence Address: Goode, A.P.; Department of Orthopedic Surgery, Duke University Medical Center, 2200 West Main Street, United States; email: adam.goode@dm.duke.edu

Funding details: U.S. Department of Veterans Affairs, VA

Funding details: Office of Research and Development, ORD

Funding text 1: This report is based on research conducted by the Evidence-based Synthesis Program (ESP) Center located at the Durham VA Medical Center, Durham, NC, funded by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Quality Enhancement Research Initiative. The findings and conclusions in this document are those of the author(s) who are responsible for its contents; the findings and conclusions do not necessarily represent the views of the Department of Veterans Affairs or the United States government. Therefore, no statement in this article should be construed as an official position of the Department of Veterans Affairs. No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in the report. Appendix A

Keywords

  • Evidence mapping
  • Low back pain
  • Yoga
  • Cochrane Library
  • data analysis
  • data extraction
  • disability
  • Embase
  • human
  • information retrieval
  • low back pain
  • Medline
  • quality of life
  • recurrent disease
  • Review
  • systematic review
  • yoga
  • evidence based practice
  • female
  • male
  • meta analysis
  • middle aged
  • Evidence-Based Practice
  • Female
  • Humans
  • Low Back Pain
  • Male
  • Middle Aged

Cite this

Goode, A. P., Coeytaux, R. R., McDuffie, J., Duan-Porter, W., Sharma, P., Mennella, H., ... Williams J.W., J. (2016). An evidence map of yoga for low back pain. Complementary Therapies in Medicine, 25, 170-177. https://doi.org/10.1016/j.ctim.2016.02.016

An evidence map of yoga for low back pain. / Goode, A.P.; Coeytaux, R.R.; McDuffie, J.; Duan-Porter, W.; Sharma, P.; Mennella, H.; Nagi, A.; Williams J.W., Jr.

In: Complementary Therapies in Medicine, Vol. 25, 2016, p. 170-177.

Research output: Contribution to journalArticle

Goode, AP, Coeytaux, RR, McDuffie, J, Duan-Porter, W, Sharma, P, Mennella, H, Nagi, A & Williams J.W., J 2016, 'An evidence map of yoga for low back pain' Complementary Therapies in Medicine, vol. 25, pp. 170-177. https://doi.org/10.1016/j.ctim.2016.02.016
Goode, A.P. ; Coeytaux, R.R. ; McDuffie, J. ; Duan-Porter, W. ; Sharma, P. ; Mennella, H. ; Nagi, A. ; Williams J.W., Jr. / An evidence map of yoga for low back pain. In: Complementary Therapies in Medicine. 2016 ; Vol. 25. pp. 170-177.
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T1 - An evidence map of yoga for low back pain

AU - Goode, A.P.

AU - Coeytaux, R.R.

AU - McDuffie, J.

AU - Duan-Porter, W.

AU - Sharma, P.

AU - Mennella, H.

AU - Nagi, A.

AU - Williams J.W., Jr.

N1 - Cited By :6 Export Date: 26 December 2018 CODEN: CTHME Correspondence Address: Goode, A.P.; Department of Orthopedic Surgery, Duke University Medical Center, 2200 West Main Street, United States; email: adam.goode@dm.duke.edu Funding details: U.S. Department of Veterans Affairs, VA Funding details: Office of Research and Development, ORD Funding text 1: This report is based on research conducted by the Evidence-based Synthesis Program (ESP) Center located at the Durham VA Medical Center, Durham, NC, funded by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Quality Enhancement Research Initiative. The findings and conclusions in this document are those of the author(s) who are responsible for its contents; the findings and conclusions do not necessarily represent the views of the Department of Veterans Affairs or the United States government. Therefore, no statement in this article should be construed as an official position of the Department of Veterans Affairs. No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in the report. Appendix A

PY - 2016

Y1 - 2016

N2 - Objective: Yoga is being increasingly studied as a treatment strategy for a variety of different clinical conditions, including low back pain (LBP). We set out to conduct an evidence map of yoga for the treatment, prevention and recurrence of acute or chronic low back pain (cLBP). Methods: We searched Medline, Cochrane Database of Systematic Reviews, EMBASE, Allied and Complementary Medicine Database and ClinicalTrials.gov for randomized controlled trials (RCT), systematic reviews or planned studies on the treatment or prevention of acute back pain or cLBP. Two independent reviewers screened papers for inclusion, extracted data and assessed the quality of included studies. Results: Three eligible systematic reviews were identified that included 10 RCTs (n = 956) that evaluated yoga for non-specific cLBP. We did not identify additional RCTs beyond those included in the systematic reviews. Our search of ClinicalTrials.gov identified one small (n = 10) unpublished trial and one large (n = 320) planned clinical trial. The most recent good quality systematic review indicated significant effects for short- and long-term pain reduction (n = 6 trials; standardized mean difference [SMD] -0.48; 95% CI, -0.65 to -0.31; I2 = 0% and n = 5; SMD -0.33; 95% CI, -0.59 to -0.07; I2 = 48%, respectively). Long-term effects for back specific disability were also identified (n = 5; SMD -0.35; 95% CI, -0.55 to -0.15; I2 = 20%). No studies were identified evaluating yoga for prevention or treatment of acute LBP. Conclusion: Evidence suggests benefit of yoga in midlife adults with non-specific cLBP for short- and long-term pain and back-specific disability, but the effects of yoga for health-related quality of life, well- being and acute LBP are uncertain. Without additional studies, further systematic reviews are unlikely to be informative. © 2016 Elsevier Ltd.

AB - Objective: Yoga is being increasingly studied as a treatment strategy for a variety of different clinical conditions, including low back pain (LBP). We set out to conduct an evidence map of yoga for the treatment, prevention and recurrence of acute or chronic low back pain (cLBP). Methods: We searched Medline, Cochrane Database of Systematic Reviews, EMBASE, Allied and Complementary Medicine Database and ClinicalTrials.gov for randomized controlled trials (RCT), systematic reviews or planned studies on the treatment or prevention of acute back pain or cLBP. Two independent reviewers screened papers for inclusion, extracted data and assessed the quality of included studies. Results: Three eligible systematic reviews were identified that included 10 RCTs (n = 956) that evaluated yoga for non-specific cLBP. We did not identify additional RCTs beyond those included in the systematic reviews. Our search of ClinicalTrials.gov identified one small (n = 10) unpublished trial and one large (n = 320) planned clinical trial. The most recent good quality systematic review indicated significant effects for short- and long-term pain reduction (n = 6 trials; standardized mean difference [SMD] -0.48; 95% CI, -0.65 to -0.31; I2 = 0% and n = 5; SMD -0.33; 95% CI, -0.59 to -0.07; I2 = 48%, respectively). Long-term effects for back specific disability were also identified (n = 5; SMD -0.35; 95% CI, -0.55 to -0.15; I2 = 20%). No studies were identified evaluating yoga for prevention or treatment of acute LBP. Conclusion: Evidence suggests benefit of yoga in midlife adults with non-specific cLBP for short- and long-term pain and back-specific disability, but the effects of yoga for health-related quality of life, well- being and acute LBP are uncertain. Without additional studies, further systematic reviews are unlikely to be informative. © 2016 Elsevier Ltd.

KW - Evidence mapping

KW - Low back pain

KW - Yoga

KW - Cochrane Library

KW - data analysis

KW - data extraction

KW - disability

KW - Embase

KW - human

KW - information retrieval

KW - low back pain

KW - Medline

KW - quality of life

KW - recurrent disease

KW - Review

KW - systematic review

KW - yoga

KW - evidence based practice

KW - female

KW - male

KW - meta analysis

KW - middle aged

KW - Evidence-Based Practice

KW - Female

KW - Humans

KW - Low Back Pain

KW - Male

KW - Middle Aged

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DO - 10.1016/j.ctim.2016.02.016

M3 - Article

VL - 25

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EP - 177

JO - Complementary Therapies in Medicine

JF - Complementary Therapies in Medicine

SN - 0965-2299

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