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Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials

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  • Feilong Zhu
  • Ming Zhang
  • Dan Wang
  • Qianqin Hong
  • Cheng Zeng
  • Wei Chen

Abstract

Background: Chronic low back pain (CLBP) is a common and often disabling musculoskeletal condition. Yoga has been proven to be an effective therapy for chronic low back pain. However, there are still controversies about the effects of yoga at different follow-up periods and compared with other physical therapy exercises. Objective: To critically compare the effects of yoga for patients with chronic low back pain on pain, disability, quality of life with non-exercise (e.g. usual care, education), physical therapy exercise. Methods: This study was registered in PROSPERO, and the registration number was CRD42020159865. Randomized controlled trials (RCTs) of online databases included PubMed, Web of Science, Cochrane Central Register of Controlled Trials, Embase which evaluated effects of yoga for patients with chronic low back pain on pain, disability, and quality of life were searched from inception time to November 1, 2019. Studies were eligible if they assessed at least one important outcome, namely pain, back-specific disability, quality of life. The Cochrane risk of bias tool was used to assess the methodological quality of included randomized controlled trials. The continuous outcomes were analyzed by calculating the mean difference (MD) or standardized mean difference (SMD) with 95% confidence intervals (CI) according to whether combining outcomes measured on different scales or not. Results: A total of 18 randomized controlled trials were included in this meta-analysis. Yoga could significantly reduce pain at 4 to 8 weeks (MD = -0.83, 95% CI = -1.19 to -0.48, p

Suggested Citation

  • Feilong Zhu & Ming Zhang & Dan Wang & Qianqin Hong & Cheng Zeng & Wei Chen, 2020. "Yoga compared to non-exercise or physical therapy exercise on pain, disability, and quality of life for patients with chronic low back pain: A systematic review and meta-analysis of randomized control," PLOS ONE, Public Library of Science, vol. 15(9), pages 1-21, September.
    • Handle: RePEc:plo:pone00:0238544
    DOI: 10.1371/journal.pone.0238544
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Paul T E Cusack, 2020. "On Pain," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24253-24254, October.
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    1. Gabriel González-Valero & Josep Vidal-Conti & Félix Zurita-Ortega & Pere Palou-Sampol, 2021. "Active Time in Cooperative Activities, Quality of Life and Body Mass Index in Individuals with Intellectual Disabilities. A Model of Structural Equations," Sustainability, MDPI, vol. 13(4), pages 1-11, February.
    2. Javier Martinez-Calderon & Maria de-la-Casa-Almeida & Javier Matias-Soto, 2022. "The Effects of Mind–Body Exercises on Chronic Spinal Pain Outcomes: A Synthesis Based on 72 Meta-Analyses," IJERPH, MDPI, vol. 19(19), pages 1-23, September.

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