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Effect of yoga therapy on patients with chronic musculoskeletal pain: a prospective randomised wait list-controlled trial

Neha Sharma, PJ John, Naveen Meghwal, Amanda Owen and Vandana Mishra
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DOI: https://doi.org/10.7861/clinmedicine.19-3s-s87
Clin Med June 2019
Neha Sharma
AYog-Kulam, UK
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PJ John
BUniversity of Rajasthan, India
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Naveen Meghwal
CAnanda Yoga, Hong Kong
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Amanda Owen
DBespoke Yoga, Australia
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Vandana Mishra
ENMP Medical Research Institute, India
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Background

Musculoskeletal conditions are one of the most common causes of chronic non-malignant pain in adults.1 Continuous pain significantly impacts patients physiologically and psychologically, lowering their quality of life as well as imposing a financial burden.2

We examined the efficacy of yoga therapy on patients with mild to moderate chronic musculoskeletal pain.3,4

Methods

This was a randomised wait list-controlled trial conducted between between June 2013 and April 2015 at multiple centres. Eligible patients were aged 18–60 years; clinically diagnosed with musculoskeletal conditions including osteoarthritis, rheumatoid arthritis, low back pain, joint/muscle pain, or chronic non-malignant pain with mild to moderate intensity. The primary efficacy endpoint was the change in box scale-11 pain scores. Secondary outcome included sleep quality and quality of life. Patients’ satisfaction was reported through a scale of 0–10 at the end of the intervention.

Results

A total of 98 patients completed the analysis. The mean box scale-11 had statistically significant improvement from baseline to 8 weeks, which was maintained until the end of the study week 16 (p<0.0001). Sleep quality improved to ‘good’ in 67% of patients. By week 8, the mean levels of functioning for all quality of life domains improved (p<0.001), which continued to improve by the end of week 16 (p<0.0001).

Conclusions

Yoga therapy provides effective pain relief as a 16-week treatment for patients with chronic musculoskeletal pain. More studies are needed to examine the long-term efficacy of yoga therapy.

  • © Royal College of Physicians 2019. All rights reserved.

References

  1. ↵
    1. Croft P
    , Blyth FM, van der Windt D. Chronic pain as a topic for ­epidemiology and public health. In: Croft P, Blyth FM, van der Windt D (eds), Chronic pain epidemiology: from aetiology to public health. Oxford: Oxford University Press, 2010:3–8.
  2. ↵
    1. Zhang W
    , Moskowitz RW, Nuki G et al. OARSI recommendations for the management of hip and knee osteoarthritis, part II: OARSI evidence-based, expert consensus guidelines. Osteoarthr Cartilage 2008;16:137–62.
    OpenUrlCrossRef
  3. ↵
    1. Morone NE
    , Greco CM. Mind-body interventions for chronic pain in older adults: a structured review. Pain Med 2007;8:359–75.
    OpenUrl
  4. ↵
    1. Kolasinski SL
    , Garfinkel M, Tsai AG et al. Iyengar yoga for treating symptoms of osteoarthritis of the knees: a pilot study. J Altern Complement Med 2005;11:689–93.
    OpenUrlCrossRefPubMed
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Effect of yoga therapy on patients with chronic musculoskeletal pain: a prospective randomised wait list-controlled trial
Neha Sharma, PJ John, Naveen Meghwal, Amanda Owen, Vandana Mishra
Clinical Medicine Jun 2019, 19 (Suppl 3) s87; DOI: 10.7861/clinmedicine.19-3s-s87

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Effect of yoga therapy on patients with chronic musculoskeletal pain: a prospective randomised wait list-controlled trial
Neha Sharma, PJ John, Naveen Meghwal, Amanda Owen, Vandana Mishra
Clinical Medicine Jun 2019, 19 (Suppl 3) s87; DOI: 10.7861/clinmedicine.19-3s-s87
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