Evidence map›Paper›PMID 28735778›Full record

Trial reportAmerican journal of preventive medicine2017

Yoga for Military Veterans with Chronic Low Back Pain: A Randomized Clinical Trial.

Erik J Groessl, Lin Liu, Douglas G Chang, Julie L Wetherell, Jill E Bormann, J Hamp Atkinson, Sunita Baxi, Laura Schmalzl

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02524158 (Yoga Therapy to Improve Function Among Veterans With Chronic Low Back Pain), which is not on this map. Cited by 42 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 10 pooled it
5.4field-weighted citation impact, top 4% of its field
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.

NCT02524158 nacompletednot on this map

Yoga Therapy to Improve Function Among Veterans With Chronic Low Back Pain

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2013 to 2016Enrolled152ConditionsChronic Low Back PainArmsYoga Therapy for CLBP
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 10 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Yoga for chronic non-specific low back pain.The Cochrane database of systematic reviews · 2022
    Pooled it
  5. Exercise therapy for chronic low back pain.The Cochrane database of systematic reviews · 2021
    Pooled it
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  18. Review
  19. The Impact of Nonpharmacological Interventions on Opioid Use for Chronic Noncancer Pain: A Scoping Review.International journal of environmental research and public health · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Erik J GroesslVA San Diego Healthcare System, San Diego, California; Department of Family Medicine and Public Health, University of California San Diego, San Diego, California. Electronic address: egroessl@ucsd.edu.
Lin LiuVA San Diego Healthcare System, San Diego, California; Department of Family Medicine and Public Health, University of California San Diego, San Diego, California.
Douglas G ChangVA San Diego Healthcare System, San Diego, California; Department of Orthopaedic Surgery, University of California San Diego, San Diego, California.
Julie L WetherellVA San Diego Healthcare System, San Diego, California; Department of Psychiatry, University of California San Diego, San Diego, California.
Jill E BormannVA San Diego Healthcare System, San Diego, California; Hahn School of Nursing and Health Sciences, University of San Diego, San Diego, California; VA Center of Excellence in Stress and Mental Health, San Diego, California.
J Hamp AtkinsonVA San Diego Healthcare System, San Diego, California; Department of Psychiatry, University of California San Diego, San Diego, California.
Sunita BaxiVA San Diego Healthcare System, San Diego, California; Department of Medicine, University of California San Diego, San Diego, California.
Laura SchmalzlDepartment of Family Medicine and Public Health, University of California San Diego, San Diego, California; College of Science and Integrative Health, Southern California University of Health Sciences, Whittier, California.
VA San Diego Healthcare System · USUniversity of California, San Diego · USSouthern California University of Health Sciences · US

Funding

Yoga Therapy to Improve Function among Veterans with Chronic Low Back PainI01RX000474 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI GROESSL, ERIK J · 2012 to 2016
–
RRD VA I01 RX000474
6 · The paper itself

Abstract

introductionChronic low back pain (cLBP) is prevalent, especially among military veterans. Many cLBP treatment options have limited benefits and are accompanied by side effects. Major efforts to reduce opioid use and embrace nonpharmacological pain treatments have resulted. Research with community cLBP patients indicates that yoga can improve health outcomes and has few side effects. The benefits of yoga among military veterans were examined.

designParticipants were randomized to either yoga or delayed yoga treatment in 2013-2015. Outcomes were assessed at baseline, 6 weeks, 12 weeks, and 6 months. Intention-to-treat analyses occurred in 2016. SETTING/

participantsOne hundred and fifty military veterans with cLBP were recruited from a major Veterans Affairs Medical Center in California.

interventionYoga classes (with home practice) were led by a certified instructor twice weekly for 12 weeks, and consisted primarily of physical postures, movement, and breathing techniques.

main outcome measuresThe primary outcome was Roland-Morris Disability Questionnaire scores after 12 weeks. Pain intensity was identified as an important secondary outcome.

resultsParticipant characteristics were mean age 53 years, 26% were female, 35% were unemployed or disabled, and mean back pain duration was 15 years. Improvements in Roland-Morris Disability Questionnaire scores did not differ between the two groups at 12 weeks, but yoga participants had greater reductions in Roland-Morris Disability Questionnaire scores than delayed treatment participants at 6 months -2.48 (95% CI= -4.08, -0.87). Yoga participants improved more on pain intensity at 12 weeks and at 6 months. Opioid medication use declined among all participants, but group differences were not found.

conclusionsYoga improved health outcomes among veterans despite evidence they had fewer resources, worse health, and more challenges attending yoga sessions than community samples studied previously. The magnitude of pain intensity decline was small, but occurred in the context of reduced opioid use. The findings support wider implementation of yoga programs for veterans.

trial registrationThis study is registered at www.clinicaltrials.gov NCT02524158.

Indexed as

CaliforniaChronic PainFemaleHumansLow Back PainMaleMiddle AgedTreatment OutcomeVeteransYoga

Identifiers

PMID28735778
PMCPMC6399016
OpenAlexW2736854447

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.