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The impact of modified Hatha yoga on chronic low back pain: a pilot study.
Altern Ther Health Med. 2004 Mar-Apr; 10(2):56-9.AT

Abstract

PURPOSE

The purpose of this randomized pilot study was to evaluate a possible design for a 6-week modified hatha yoga protocol to study the effects on participants with chronic low back pain.

PARTICIPANTS

Twenty-two participants (M = 4; F = 17), between the ages of 30 and 65, with chronic low back pain (CLBP) were randomized to either an immediate yoga based intervention, or to a control group with no treatment during the observation period but received later yoga training.

METHODS

A specific CLBP yoga protocol designed and modified for this population by a certified yoga instructor was administered for one hour, twice a week for 6 weeks. Primary functional outcome measures included the forward reach (FR) and sit and reach (SR) tests. All participants completed Oswestry Disability Index (ODI) and Beck Depression Inventory (BDI) questionnaires. Guiding questions were used for qualitative data analysis to ascertain how yoga participants perceived the instructor, group dynamics, and the impact of yoga on their life.

ANALYSIS

To account for drop outs, the data were divided into better or not categories, and analyzed using chi-square to examine differences between the groups. Qualitative data were analyzed through frequency of positive responses.

RESULTS

Potentially important trends in the functional measurement scores showed improved balance and flexibility and decreased disability and depression for the yoga group but this pilot was not powered to reach statistical significance. Significant limitations included a high dropout rate in the control group and large baseline differences in the secondary measures. In addition, analysis of the qualitative data revealed the following frequency of responses (1) group intervention motivated the participants and (2) yoga fostered relaxation and new awareness/learning.

CONCLUSION

A modified yoga-based intervention may benefit individuals with CLB, but a larger study is necessary to provide definitive evidence. Also, the impact on depression and disability could be considered as important outcomes for further study. Additional functional outcome measures should be explored. This pilot study supports the need for more research investigating the effect of yoga for this population.

Authors+Show Affiliations

Program in Physical Therapy, Richard Stockton College of New Jersey, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15055095

Citation

Galantino, Mary Lou, et al. "The Impact of Modified Hatha Yoga On Chronic Low Back Pain: a Pilot Study." Alternative Therapies in Health and Medicine, vol. 10, no. 2, 2004, pp. 56-9.
Galantino ML, Bzdewka TM, Eissler-Russo JL, et al. The impact of modified Hatha yoga on chronic low back pain: a pilot study. Altern Ther Health Med. 2004;10(2):56-9.
Galantino, M. L., Bzdewka, T. M., Eissler-Russo, J. L., Holbrook, M. L., Mogck, E. P., Geigle, P., & Farrar, J. T. (2004). The impact of modified Hatha yoga on chronic low back pain: a pilot study. Alternative Therapies in Health and Medicine, 10(2), 56-9.
Galantino ML, et al. The Impact of Modified Hatha Yoga On Chronic Low Back Pain: a Pilot Study. Altern Ther Health Med. 2004 Mar-Apr;10(2):56-9. PubMed PMID: 15055095.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of modified Hatha yoga on chronic low back pain: a pilot study. AU - Galantino,Mary Lou, AU - Bzdewka,Todd M, AU - Eissler-Russo,Jamie L, AU - Holbrook,Matthew L, AU - Mogck,Eric P, AU - Geigle,Paula, AU - Farrar,John T, PY - 2004/4/2/pubmed PY - 2004/5/1/medline PY - 2004/4/2/entrez SP - 56 EP - 9 JF - Alternative therapies in health and medicine JO - Altern Ther Health Med VL - 10 IS - 2 N2 - PURPOSE: The purpose of this randomized pilot study was to evaluate a possible design for a 6-week modified hatha yoga protocol to study the effects on participants with chronic low back pain. PARTICIPANTS: Twenty-two participants (M = 4; F = 17), between the ages of 30 and 65, with chronic low back pain (CLBP) were randomized to either an immediate yoga based intervention, or to a control group with no treatment during the observation period but received later yoga training. METHODS: A specific CLBP yoga protocol designed and modified for this population by a certified yoga instructor was administered for one hour, twice a week for 6 weeks. Primary functional outcome measures included the forward reach (FR) and sit and reach (SR) tests. All participants completed Oswestry Disability Index (ODI) and Beck Depression Inventory (BDI) questionnaires. Guiding questions were used for qualitative data analysis to ascertain how yoga participants perceived the instructor, group dynamics, and the impact of yoga on their life. ANALYSIS: To account for drop outs, the data were divided into better or not categories, and analyzed using chi-square to examine differences between the groups. Qualitative data were analyzed through frequency of positive responses. RESULTS: Potentially important trends in the functional measurement scores showed improved balance and flexibility and decreased disability and depression for the yoga group but this pilot was not powered to reach statistical significance. Significant limitations included a high dropout rate in the control group and large baseline differences in the secondary measures. In addition, analysis of the qualitative data revealed the following frequency of responses (1) group intervention motivated the participants and (2) yoga fostered relaxation and new awareness/learning. CONCLUSION: A modified yoga-based intervention may benefit individuals with CLB, but a larger study is necessary to provide definitive evidence. Also, the impact on depression and disability could be considered as important outcomes for further study. Additional functional outcome measures should be explored. This pilot study supports the need for more research investigating the effect of yoga for this population. SN - 1078-6791 UR - https://www.unboundmedicine.com/medline/citation/15055095/The_impact_of_modified_Hatha_yoga_on_chronic_low_back_pain:_a_pilot_study_ L2 - https://ClinicalTrials.gov/search/term=15055095 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -