Evidence map›Paper›PMID 22025101›Full record

Trial reportArchives of internal medicine2011

A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain.

Karen J Sherman, Daniel C Cherkin, Robert D Wellman, Andrea J Cook, Rene J Hawkes, Kristin Delaney, Richard A Deyo

3 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 117 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 18 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00447668 phase2completednot on this map

Effect of Yoga Vs. Stretching on Chronic Back Pain

TypeinterventionalSponsorKaiser PermanenteRan2007 to 2011Enrolled210ConditionsChronic Non-specific Low Back PainArmsYoga, Exercise, Self-care book recommendations
NCT04156776 nacompletednot on this mapstarted 2018, after this paper: background citation

Comparison Of Muscle Energy Technique And Active Isolated Stretching On Erector Spinae Muscle In The Management Of Mechanical Low Back Pain

TypeinterventionalSponsorRiphah International UniversityRan2018 to 2019Enrolled57ConditionsMechanical Low Back PainArmsMuscle Energy Technique, Active Isolated Stretching, Conventional Treatment
NCT05992766 nacompletednot on this mapstarted 2022, after this paper: background citation

The Effect of Traditional Mat Exercises Versus Reformer Pilates and Hammock Yoga on Pain, Endurance, Balance, Disability, and Quality of Life in Individuals Who Had Chronic Back Pain

TypeinterventionalSponsorHasan Kalyoncu UniversityRan2022 to 2023Enrolled60ConditionsLow Back PainArmsReformer Pilates, Hammock Yoga, Traditional mat exercises
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 18 syntheses or guidelines pooled it.

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  5. Yoga for chronic non-specific low back pain.The Cochrane database of systematic reviews · 2022
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  9. Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021
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  12. Yoga treatment for chronic non-specific low back pain.The Cochrane database of systematic reviews · 2017
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57 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Karen J ShermanGroup Health Research Institute, Seattle, WA 98101, USA. sherman.k@ghc.org
Daniel C Cherkin
Robert D Wellman
Andrea J Cook
Rene J Hawkes
Kristin Delaney
Richard A Deyo

Funding

Effect of Yoga Versus Stretching on Chronic Back PainU01AT003208 · NCCIH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI SHERMAN, KAREN J · 2006 to 2009
$1.9M
NCCIH NIH HHS U01 AT003208
6 · The paper itself

Abstract

backgroundChronic low back pain is a common problem lacking highly effective treatment options. Small trials suggest that yoga may have benefits for this condition. This trial was designed to determine whether yoga is more effective than conventional stretching exercises or a self-care book for primary care patients with chronic low back pain.

methodsA total of 228 adults with chronic low back pain were randomized to 12 weekly classes of yoga (92 patients) or conventional stretching exercises (91 patients) or a self-care book (45 patients). Back-related functional status (modified Roland Disability Questionnaire, a 23-point scale) and bothersomeness of pain (an 11-point numerical scale) at 12 weeks were the primary outcomes. Outcomes were assessed at baseline, 6, 12, and 26 weeks by interviewers unaware of treatment group.

resultsAfter adjustment for baseline values, 12-week outcomes for the yoga group were superior to those for the self-care group (mean difference for function, -2.5 [95% CI, -3.7 to -1.3]; P < .001; mean difference for symptoms, -1.1 [95% CI, -1.7 to -0.4]; P < .001). At 26 weeks, function for the yoga group remained superior (mean difference, -1.8 [95% CI, -3.1 to -0.5]; P < .001). Yoga was not superior to conventional stretching exercises at any time point.

conclusionYoga classes were more effective than a self-care book, but not more effective than stretching classes, in improving function and reducing symptoms due to chronic low back pain, with benefits lasting at least several months.

trial registrationclinicaltrials.gov Identifier: NCT00447668.

Indexed as

BooksMuscle Stretching ExercisesSelf CareYogaAgedChronic DiseaseChronic PainDisability EvaluationFemaleHumansLow Back PainMaleMiddle AgedPain MeasurementTreatment Outcome

Identifiers

PMID22025101
PMCPMC3279296

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.