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Kumar S, Rampp T, Kessler C, Jeitler M, Dobos GJ, Lüdtke R, Meier L, Michalsen A. Effectiveness of Ayurvedic Massage (Sahacharadi Taila) in Patients with Chronic Low Back Pain: A Randomized Controlled Trial. J Altern Complement Med 2017; 23:109-115. [DOI: 10.1089/acm.2015.0272] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Syal Kumar
- Department of Integrative Medicine, University Hospital Essen, Essen, Germany
| | - Thomas Rampp
- Department of Integrative Medicine, University Hospital Essen, Essen, Germany
| | - Christian Kessler
- Institute of Social Medicine, Epidemiology and Health Economics, Charité-University Medical Centre and Immanuel Hospital Berlin, Berlin, Germany
- Department of Internal and Complementary Medicine, Immanuel Hospital Berlin, Berlin, Germany
| | - Michael Jeitler
- Institute of Social Medicine, Epidemiology and Health Economics, Charité-University Medical Centre and Immanuel Hospital Berlin, Berlin, Germany
- Department of Internal and Complementary Medicine, Immanuel Hospital Berlin, Berlin, Germany
| | - Gustav J. Dobos
- Department of Integrative Medicine, University Hospital Essen, Essen, Germany
| | - Rainer Lüdtke
- Karl and Veronica Carstens Foundation, Essen, Germany
| | - Larissa Meier
- Institute of Social Medicine, Epidemiology and Health Economics, Charité-University Medical Centre and Immanuel Hospital Berlin, Berlin, Germany
- Department of Internal and Complementary Medicine, Immanuel Hospital Berlin, Berlin, Germany
| | - Andreas Michalsen
- Institute of Social Medicine, Epidemiology and Health Economics, Charité-University Medical Centre and Immanuel Hospital Berlin, Berlin, Germany
- Department of Internal and Complementary Medicine, Immanuel Hospital Berlin, Berlin, Germany
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Goode AP, Coeytaux RR, McDuffie J, Duan-Porter W, Sharma P, Mennella H, Nagi A, Williams JW. An evidence map of yoga for low back pain. Complement Ther Med 2016; 25:170-7. [PMID: 27062965 DOI: 10.1016/j.ctim.2016.02.016] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2015] [Revised: 12/21/2015] [Accepted: 02/26/2016] [Indexed: 12/20/2022] Open
Abstract
OBJECTIVE Yoga is being increasingly studied as a treatment strategy for a variety of different clinical conditions, including low back pain (LBP). We set out to conduct an evidence map of yoga for the treatment, prevention and recurrence of acute or chronic low back pain (cLBP). METHODS We searched Medline, Cochrane Database of Systematic Reviews, EMBASE, Allied and Complementary Medicine Database and ClinicalTrials.gov for randomized controlled trials (RCT), systematic reviews or planned studies on the treatment or prevention of acute back pain or cLBP. Two independent reviewers screened papers for inclusion, extracted data and assessed the quality of included studies. RESULTS Three eligible systematic reviews were identified that included 10 RCTs (n=956) that evaluated yoga for non-specific cLBP. We did not identify additional RCTs beyond those included in the systematic reviews. Our search of ClinicalTrials.gov identified one small (n=10) unpublished trial and one large (n=320) planned clinical trial. The most recent good quality systematic review indicated significant effects for short- and long-term pain reduction (n=6 trials; standardized mean difference [SMD] -0.48; 95% CI, -0.65 to -0.31; I(2)=0% and n=5; SMD -0.33; 95% CI, -0.59 to -0.07; I(2)=48%, respectively). Long-term effects for back specific disability were also identified (n=5; SMD -0.35; 95% CI, -0.55 to -0.15; I(2)=20%). No studies were identified evaluating yoga for prevention or treatment of acute LBP. CONCLUSION Evidence suggests benefit of yoga in midlife adults with non-specific cLBP for short- and long-term pain and back-specific disability, but the effects of yoga for health-related quality of life, well- being and acute LBP are uncertain. Without additional studies, further systematic reviews are unlikely to be informative.
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Affiliation(s)
- Adam P Goode
- Department of Orthopedic Surgery, Duke University Medical Center, 2200 West Main Street, Durham, NC 27705, United States; Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Durham, NC 27705, United States.
| | - Remy R Coeytaux
- Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Durham, NC 27705, United States.
| | - Jennifer McDuffie
- Durham Center for Health Services Research in Primary Care and Evidence Synthesis Program, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, United States; Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, 411 West Chapel Hill Street, Suite 500, Durham, NC 27701, United States.
| | - Wei Duan-Porter
- Durham Center for Health Services Research in Primary Care and Evidence Synthesis Program, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, United States; Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, 411 West Chapel Hill Street, Suite 500, Durham, NC 27701, United States.
| | - Poonam Sharma
- Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, 411 West Chapel Hill Street, Suite 500, Durham, NC 27701, United States.
| | - Hillary Mennella
- Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, United States.
| | - Avishek Nagi
- Durham Center for Health Services Research in Primary Care and Evidence Synthesis Program, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, United States.
| | - John W Williams
- Durham Center for Health Services Research in Primary Care and Evidence Synthesis Program, Durham VA Medical Center, 508 Fulton Street, Durham, NC 27705, United States; Division of General Internal Medicine, Department of Medicine, Duke University Medical Center, 411 West Chapel Hill Street, Suite 500, Durham, NC 27701, United States.
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