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Components and reporting of yoga interventions for musculoskeletal conditions: a systematic review of randomised controlled trials.
Complement Ther Med 2014; 22(5):909-19CT

Abstract

OBJECTIVES

To identify the content and reporting details of randomised controlled trials of yoga for musculoskeletal conditions through a systematic review of the literature.

DESIGN

Twenty electronic databases were searched to identify randomised controlled trials (RCTs) of yoga interventions for musculoskeletal conditions. Eligibility criteria were full-text, peer reviewed articles, of RCTs with yoga as a primary intervention, on a population aged 18 years and over, with a clinical diagnosis of a musculoskeletal condition. Data relating to study characteristics, yoga styles, yoga practices, home practice, and reporting were extracted and summarised.

RESULTS

Seventeen articles met inclusion criteria, representing five musculoskeletal conditions: low back pain, osteoarthritis, rheumatoid arthritis, kyphosis, and fibromyalgia. 15 studies were non-residential, and two were residential. Study duration ranged from 1 to 24 weeks; weekly dosage of yoga ranged from 1 to 56h. Five styles of posture-based Hatha yoga were specified. Intervention content included seven yoga practises: postures, breathing, relaxation, meditation, philosophy, chanting, and cleansing practises. Ten studies either encouraged or requested home practice. Reporting details included class plans, posture lists, and diagrams. Due to insufficient detail regarding delivery of the yoga intervention only eight of the 17 interventions were considered replicable as reported.

CONCLUSIONS

Evaluation of study characteristics and yoga components indicated several areas of homogeneity across studies, suggesting an existing degree of standardisation. However, heterogeneity related to intervention content and reporting impeded determination of intervention content and delivery. Standardisation of content, nomenclature, and reporting details is recommended to enhance protocol transparency, replication, and comparison of intervention effectiveness.

Authors+Show Affiliations

Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand; Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand. Electronic address: lesley.ward@otago.ac.nz.Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.Group Health Research Institute, Seattle, WA, USA.Centre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

25440383

Citation

Ward, Lesley, et al. "Components and Reporting of Yoga Interventions for Musculoskeletal Conditions: a Systematic Review of Randomised Controlled Trials." Complementary Therapies in Medicine, vol. 22, no. 5, 2014, pp. 909-19.
Ward L, Stebbings S, Cherkin D, et al. Components and reporting of yoga interventions for musculoskeletal conditions: a systematic review of randomised controlled trials. Complement Ther Med. 2014;22(5):909-19.
Ward, L., Stebbings, S., Cherkin, D., & Baxter, G. D. (2014). Components and reporting of yoga interventions for musculoskeletal conditions: a systematic review of randomised controlled trials. Complementary Therapies in Medicine, 22(5), pp. 909-19. doi:10.1016/j.ctim.2014.08.007.
Ward L, et al. Components and Reporting of Yoga Interventions for Musculoskeletal Conditions: a Systematic Review of Randomised Controlled Trials. Complement Ther Med. 2014;22(5):909-19. PubMed PMID: 25440383.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Components and reporting of yoga interventions for musculoskeletal conditions: a systematic review of randomised controlled trials. AU - Ward,Lesley, AU - Stebbings,Simon, AU - Cherkin,Daniel, AU - Baxter,G David, Y1 - 2014/08/18/ PY - 2014/03/21/received PY - 2014/08/08/revised PY - 2014/08/09/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/5/23/medline KW - Complementary medicine KW - Musculoskeletal conditions KW - Systematic review KW - Yoga SP - 909 EP - 19 JF - Complementary therapies in medicine JO - Complement Ther Med VL - 22 IS - 5 N2 - OBJECTIVES: To identify the content and reporting details of randomised controlled trials of yoga for musculoskeletal conditions through a systematic review of the literature. DESIGN: Twenty electronic databases were searched to identify randomised controlled trials (RCTs) of yoga interventions for musculoskeletal conditions. Eligibility criteria were full-text, peer reviewed articles, of RCTs with yoga as a primary intervention, on a population aged 18 years and over, with a clinical diagnosis of a musculoskeletal condition. Data relating to study characteristics, yoga styles, yoga practices, home practice, and reporting were extracted and summarised. RESULTS: Seventeen articles met inclusion criteria, representing five musculoskeletal conditions: low back pain, osteoarthritis, rheumatoid arthritis, kyphosis, and fibromyalgia. 15 studies were non-residential, and two were residential. Study duration ranged from 1 to 24 weeks; weekly dosage of yoga ranged from 1 to 56h. Five styles of posture-based Hatha yoga were specified. Intervention content included seven yoga practises: postures, breathing, relaxation, meditation, philosophy, chanting, and cleansing practises. Ten studies either encouraged or requested home practice. Reporting details included class plans, posture lists, and diagrams. Due to insufficient detail regarding delivery of the yoga intervention only eight of the 17 interventions were considered replicable as reported. CONCLUSIONS: Evaluation of study characteristics and yoga components indicated several areas of homogeneity across studies, suggesting an existing degree of standardisation. However, heterogeneity related to intervention content and reporting impeded determination of intervention content and delivery. Standardisation of content, nomenclature, and reporting details is recommended to enhance protocol transparency, replication, and comparison of intervention effectiveness. SN - 1873-6963 UR - https://www.unboundmedicine.com/medline/citation/25440383/Components_and_reporting_of_yoga_interventions_for_musculoskeletal_conditions:_a_systematic_review_of_randomised_controlled_trials_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0965-2299(14)00135-6 DB - PRIME DP - Unbound Medicine ER -