SaveYourself.ca •Sensible advice for aches, pains & injuries
 

The Pain & Therapy Bibliography, Record ID 5676 {show all records}

Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized, controlled trial


added Mar 25, 07, updated Jan 6, 14
most detailed summaries by Paul Ingraham

summary

From the abstract: “Yoga was more effective than a self-care book for improving function and reducing chronic low back pain, and the benefits persisted for at least several months.” However, it was not more effective than a “conventional therapeutic exercise class.”

Note that the authors conducted a similar study in 2011, comparing yoga and stretching classes, with essentially identical results: see Sherman for more detail.

item type
article in a journal
authors
K J Sherman, D C Cherkin, J Erro, D L Miglioretti, and R A Deyo
pubmed
http://www.ncbi.nlm.nih.gov/pubmed/16365466
  open in this window or new window
journal
Annals of Internal Medicine
year
2005
month
Dec
volume
143
number
12
pages
849–856

abstract

BACKGROUND: Chronic low back pain is a common problem that has only modestly effective treatment options.

OBJECTIVE: To determine whether yoga is more effective than conventional therapeutic exercise or a self-care book for patients with chronic low back pain.

DESIGN: Randomized, controlled trial.

SETTING: A nonprofit, integrated health care system.

PATIENTS: 101 adults with chronic low back pain.

INTERVENTION: 12-week sessions of yoga or conventional therapeutic exercise classes or a self-care book.

MEASUREMENTS: Primary outcomes were back-related functional status (modified 24-point Roland Disability Scale) and "bothersomeness" of pain (11-point numerical scale). The primary time point was 12 weeks. Clinically significant change was considered to be 2.5 points on the functional status scale and 1.5 points on the bothersomeness scale. Secondary outcomes were days of restricted activity, general health status, and medication use.

RESULTS: After adjustment for baseline values, back-related function in the yoga group was superior to the book and exercise groups at 12 weeks (yoga vs. book: mean difference, -3.4 [95% CI, -5.1 to - 1.6] [P < 0.001]; yoga vs. exercise: mean difference, -1.8 [CI, -3.5 to - 0.1] [P = 0.034]). No significant differences in symptom bothersomeness were found between any 2 groups at 12 weeks; at 26 weeks, the yoga group was superior to the book group with respect to this measure (mean difference, -2.2 [CI, -3.2 to - 1.2]; P < 0.001). At 26 weeks, back-related function in the yoga group was superior to the book group (mean difference, -3.6 [CI, -5.4 to - 1.8]; P < 0.001).

LIMITATIONS: Participants in this study were followed for only 26 weeks after randomization. Only 1 instructor delivered each intervention.

CONCLUSIONS: Yoga was more effective than a self-care book for improving function and reducing chronic low back pain, and the benefits persisted for at least several months.

related content

These two articles on SaveYourself.ca cite this paper as a source:

  1. Save Yourself from Low Back Pain!
  2. The Tyranny of Yoga and Meditation!