Effect of Short-Term Intensive Yoga Program on Pain, Functional Disability and Spinal Flexibility in Chronic Low Back Pain: A Randomized Control Study
Abstract
OBJECTIVE: The aim of this study was to compare the effect of a short-term intensive residential yoga program with physical exercise (control) on pain and spinal flexibility in subjects with chronic low-back pain (CLBP). DESIGN: This was a wait-list, randomized controlled study. SETTING: The study was conducted at a residential integrative health center in Bangalore, South India. SUBJECTS: Eighty (80) subjects (females, n = 37) with CLBP, who consented were randomly assigned to receive yoga or physical exercise if they satisfied the selection criteria. INTERVENTION: The intervention consisted of a 1-week intensive residential yoga program comprised of asanas (physical postures) designed for back pain, pranayamas (breathing practices), meditation, and didactic and interactive sessions on philosophical concepts of yoga. The control group practiced physical exercises under a trained physiatrist and also had didactic and interactive sessions on lifestyle change. Both of the groups were matched for time on intervention and attention. OUTCOME MEASURES: Pain-related outcomes were assessed by the Oswestry Disability Index (ODI) and by spinal flexibility, which was assessed using goniometer at pre and post intervention. Data were analyzed using repeated measures analysis of variance (RMANOVA). RESULTS: Data conformed to a Gaussian distribution. There was a significant reduction in ODI scores in the yoga group compared to the control group (p = 0.01; effect size 1.264). Spinal flexibility measures improved significantly in both groups but the yoga group had greater improvement as compared to controls on spinal flexion (p = 0.008; effect size 0.146), spinal extension (p = 0.002; effect size 0.251), right lateral flexion (p = 0.059; effect size 0.006); and left lateral flexion (p = 0.006; effect size 0.171). CONCLUSIONS: Seven (7) days of a residential intensive yoga-based lifestyle program reduced pain-related disability and improved spinal flexibility in patients with CLBP better than a physical exercise regimen.
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Considering the 33 highest quality studies, 13 (39%) reported significantly better physical functioning among those who were more R/S (including one study at a trend level).
“Considering the 33 highest quality studies, 13 (39%) reported significantly better physical functioning among those who were more R/S (including one study at a trend level) [483–495], six (18%) found worse functioning [496–501], and five studies (15%) reported mixed results [82, 124, 502–504] (significant positive and negative associations, depending on R/S characteristic).”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [486]
Of the 37 methodologically most rigorous studies, three (8%) found the opposite (worse SRH with R/S).
“Of the 37 methodologically most rigorous studies, 21 (57%) reported significant positive relationships between R/S and SRH [503, 508–527], whereas three (8%) found the opposite [528–530].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [530]
Cites
Fairbank, J. C. T., & Pynsent, P. B. (2000) · Spine · doi:10.1097/00007632-200011150-00017 · Cited by 5,851 · see citing works
Disability Resulting From Occupational Low Back Pain
Frank, J. W., Brooker, A., DeMaio, S. E., Kerr, M. S., Maetzel, A., Shannon, H. S., Sullivan, T. J., Norman, R. W., & Wells, R. P. (1996) · Spine · doi:10.1097/00007632-199612150-00025 · Cited by 582 · see citing works
Comparing Yoga, Exercise, and a Self-Care Book for Chronic Low Back Pain
Sherman, K. J., Cherkin, D. C., Erro, J. H., Miglioretti, D. L., & Deyo, R. A. (2005) · Annals of Internal Medicine · doi:10.7326/0003-4819-143-12-200512200-00003 · Cited by 477 · see citing works
Brown, R. P., & Gerbarg, P. L. (2005) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2005.11.711 · Cited by 471 · see citing works
The epidemiology of spinal disorders
Andersson, G. (1997) · Medical Entomology and Zoology · Cited by 447 · see citing works
(2004) · PubMed · Cited by 381 · see citing works
Yoga-Based Intervention for Carpal Tunnel Syndrome
Garfinkel, M., Singhal, A., Katz, W. A., Allan, D. A., Reshetar, R., & Schumacher, H. R. (1998) · JAMA · doi:10.1001/jama.280.18.1601 · Cited by 360 · see citing works
Effect of Iyengar yoga therapy for chronic low back pain
Williams, K. A., Petronis, J. J., Smith, D. J., Goodrich, D. E., Wu, J., Ravi, N., Doyle, E. J., Juckett, G., Kolar, M. M., Gross, R. T., et al. (2005) · Pain · doi:10.1016/j.pain.2005.02.016 · Cited by 333 · see citing works
Bijlani, R. L., Vempati, R. P., Yadav, R. K., Ray, R. B., Gupta, V., Sharma, R., Mehta, N., & Mahapatra, S. C. (2005) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2005.11.267 · Cited by 301 · see citing works
YOGA-BASED GUIDED RELAXATION REDUCES SYMPATHETIC ACTIVITY JUDGED FROM BASELINE LEVELS
Vempati, R. P., & Telles, S. (2002) · Psychological Reports · doi:10.2466/pr0.2002.90.2.487 · Cited by 275 · see citing works
Disability Resulting From Occupational Low Back Pain
Frank, J. W., Kerr, M. S., Brooker, A., DeMaio, S. E., Maetzel, A., Shannon, H. S., Sullivan, T. J., Norman, R. W., & Wells, R. P. (1996) · Spine · doi:10.1097/00007632-199612150-00024 · Cited by 273 · see citing works
Yoga for bronchial asthma: a controlled study.
Nagarathna, R., & Nagendra, H. (1985) · BMJ · doi:10.1136/bmj.291.6502.1077 · Cited by 269 · see citing works
Self-citationThe impact of modified Hatha yoga on chronic low back pain: a pilot study.
Galantino, M. L., Bzdewka, T. M., Eissler-Russo, J. L., Holbrook, M. L., Mogck, E. P., Geigle, P. M., & Farrar, J. T. (2004) · PubMed · Cited by 253 · see citing works
Effect of selected yogic practices on the management of hypertension.
Murugesan, R., Govindarajulu, N., & Bera, T. K. (2000) · PubMed · Cited by 234 · see citing works
Retardation of coronary atherosclerosis with yoga lifestyle intervention.
Manchanda, S. C., Narang, R., Reddy, K. S., Sachdeva, U., Prabhakaran, D., Dharmanand, S., Rajani, M., & Bijlani, R. L. (2000) · PubMed · Cited by 225 · see citing works
Oxygen Consumption and Respiration Following Two Yoga Relaxation Techniques
Telles, S., Reddy, S. K., & Nagendra, H. (2000) · Applied Psychophysiology and Biofeedback · doi:10.1023/a:1026454804927 · Cited by 165 · see citing works
Self-citationClinical Study of Yoga Techniques in University Students with Asthma: A Controlled Study
Vedanthan, P. K., Kesavalu, L. N., Murthy, K. C., Duvall, K., Hall, M. J., Baker, S. G., & Nagarathna, S. (1998) · Allergy and Asthma Proceedings · doi:10.2500/108854198778557971 · Cited by 146 · see citing works
Autonomic changes during "OM" meditation.
Telles, S., Nagarathna, R., & Nagendra, H. R. (1995) · PubMed · Cited by 131 · see citing works
Self-citationTaneja, I., Deepak, K. K., Poojary, G., Acharya, I. N., Pandey, R. M., & Sharma, M. (2004) · Applied Psychophysiology and Biofeedback · doi:10.1023/b:apbi.0000017861.60439.95 · Cited by 129 · see citing works
Basic and Clinical Aspects of Chronic Abdominal Pain
Mayer, E. A., & Raybould, H. E. (1993) · Medical Entomology and Zoology · Cited by 128 · see citing works
Basler, H.-D., Jäkle, C., & Kröner‐Herwig, B. (1997) · Patient Education and Counseling · doi:10.1016/s0738-3991(97)00996-8 · Cited by 128 · see citing works
Paraspinal Muscles and Intervertebral Dysfunction: Part Two
Fryer, G., Morris, T., & Gibbons, P. F. (2004) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2004.04.008 · Cited by 119 · see citing works
Singh, S., Malhotra, V., Singh, K., Sharma, S. B., Madhu, S. V., & Tandon, O. P. (2001) · Indian Journal of Clinical Biochemistry · doi:10.1007/bf02864866 · Cited by 101 · see citing works
Evaluation of a cognitive behavioural programme for rehabilitating patients with chronic pain.
Williams, A. C. D. C., Nicholas, M. K., Richardson, P. H., Pither, C. E., Justins, D. M., Chamberlain, J., Harding, V. R., Ralphs, J. A., Jones, S., & Dieudonné, I. (1993) · Europe PMC (PubMed Central) · Cited by 92 · see citing works
Measuring the Effects of Yoga in Rheumatoid Arthritis
HASLOCK, I., Monro, R., NAGARATHANA, R., Nagendra, H., & RAGURAM, N. V. (1994) · Lara D. Veeken · doi:10.1093/rheumatology/33.8.787-a · Cited by 76 · see citing works
Self-citationParaspinal Muscles and Intervertebral Dysfunction: Part One
Fryer, G., Morris, T., & Gibbons, P. F. (2004) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2004.02.006 · Cited by 75 · see citing works
Lipchik, G. L., Milles, K., & Covington, E. C. (1993) · Clinical Journal of Pain · doi:10.1097/00002508-199303000-00007 · Cited by 65 · see citing works
YOGA-BASED GUIDED RELAXATION REDUCES SYMPATHETIC ACTIVITY JUDGED FROM BASELINE LEVELS
Vempati, R. P. (2002) · Psychological Reports · doi:10.2466/pr0.90.2.487-494 · Cited by 55 · see citing works
[Related factors with the failed surgery of herniated lumbar disc].
Rodríguez-García, J. A., Sánchez-Gastaldo, A., Ibáñez-Campos, T., et al. (2005) · PubMed · Cited by 20 · see citing works
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Cited by
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Religion, Spirituality, and Health: The Research and Clinical Implications
Koenig, H. G. (2012) · ISRN Psychiatry · doi:10.5402/2012/278730 · Cited by 2,423 · see citing works
“[539] P.”
Veehof, M. M., Oskam, M.-J., Schreurs, K. M. G., & Bohlmeijer, E. T. (2011) · PAIN · doi:10.1016/j.pain.2010.11.002 · Cited by 792 · see citing works
Exercise therapy for chronic nonspecific low-back pain
van Middelkoop, M., Rubinstein, S. M., Verhagen, A. P., Ostelo, R. W., Koes, B. W., & van Tulder, M. W. (2010) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2010.01.002 · Cited by 513 · see citing works
Exercise therapy for chronic low back pain
Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009790.pub2 · Cited by 589 · see citing works
A meta-analysis of core stability exercise versus general exercise for chronic low back pain
Wang, X.-Q., Zheng, J.-J., Yu, Z.-W., Bi, X., Lou, S.-J., Liu, J., Cai, B., Hua, Y.-H., Wu, M., Wei, M.-L., et al. (2012) · PLoS ONE · doi:10.1371/journal.pone.0052082 · Cited by 299 · see citing works
Cheema, B. S., Houridis, A., Busch, L., Raschke-Cheema, V., Melville, G. W., Marshall, P. W., Chang, D., Machliss, B., Lonsdale, C., Bowman, J., et al. (2013) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-13-82 · Cited by 281 · see citing works
Ho, E. K.-Y., Chen, L., Simic, M., Ashton-James, C. E., Comachio, J., Wang, D. X. M., Hayden, J. A., Ferreira, M. L., & Ferreira, P. H. (2022) · BMJ · doi:10.1136/bmj-2021-067718 · Cited by 220 · see citing works
An update of stabilisation exercises for low back pain: a systematic review with meta-analysis
Smith, B. E., Littlewood, C., & May, S. (2014) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-15-416 · Cited by 207 · see citing works
Characteristics of randomized controlled trials of yoga: A bibliometric analysis
Cramer, H., Lauche, R., & Dobos, G. (2014) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-14-328 · Cited by 176 · see citing works
Yamato, T. P., Maher, C. G., Saragiotto, B. T., Hancock, M. J., Ostelo, R. W., Cabral, C. M., Menezes Costa, L. C., & Costa, L. O. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010265.pub2 · Cited by 169 · see citing works
Prevention and management of chronic back pain
Weiner, S. S., & Nordin, M. (2010) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2009.12.001 · Cited by 119 · see citing works
Brief Mindfulness-Based Interventions for Acute and Chronic Pain: A Systematic Review
McClintock, A. S., McCarrick, S. M., Garland, E. L., Zeidan, F., & Zgierska, A. E. (2019) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2018.0351 · Cited by 107 · see citing works
Mind-Body Therapies and Osteoarthritis of the Knee
Selfe, T., & Innes, K. (2009) · Current Rheumatology Reviews · doi:10.2174/157339709790192512 · Cited by 35 · see citing works
Pain in an era of armed conflicts: prevention and treatment for warfighters and civilian casualties
George, E., Elman, I., Becerra, L., Berg, S., & Borsook, D. (2016) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2016.04.002 · Cited by 18 · see citing works
- Authors
- Tekur, P., Singphow, C., Nagendra, H. R., & Raghuram, N.
- Affiliations
- Swami Vivekananda Yoga Anusandhana Samsthana (IN)
- SYVASA, Bangalore, India.
- Division of Yoga and Life Sciences, Swami Vivekananda Yoga Research Foundation (SVYASA), Bangalore, India.
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2008-07
- Volume
- 14
- Issue
- 6
- Pages
- 637-644
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- OpenAlex
- W2014754082
- Cited by
- 296
- References
- 29
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 53 · 2022: 12 · 2021: 14 · 2020: 7 · 2019: 7 · 2018: 11 · 2017: 11 · 2016: 14 · 2015: 16 · 2014: 16 · 2013: 28 · 2012: 29
- FWCI
- 13.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- chronic low back pain, yoga, spinal flexibility, functional disability, pain, physical activity, pranayama, meditation, asanas, lifestyle intervention, integrative health
- MeSH terms
- Chronic Disease, Disability Evaluation, Female, Humans, Male, Middle Aged, Spine, Time Factors, Yoga, Range of Motion, Articular, Treatment Outcome, Low Back Pain, Pain Management
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