Evidence map›Paper›PMID 36650329›Full record

Trial reportJournal of general internal medicine2023

Yoga Versus Education for Veterans with Chronic Low Back Pain: a Randomized Controlled Trial.

Eric J Roseen, Adlin Pinheiro, Chelsey M Lemaster, Dorothy Plumb, Shihwe Wang, A Rani Elwy, Chris C Streeter, Susan Lynch, Erik Groessl, Karen J Sherman and 2 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02224183 (Veterans Back to Health), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT02224183 nacompletednot on this map

Veterans Back to Health: A Study Comparing Yoga and Education for Veterans With Chronic Low Back Pain

TypeinterventionalSponsorBoston Medical CenterRan2015 to 2016Enrolled120ConditionsRecurrent Low Back PainArmsEducation, Yoga
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. 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
  8. Yoga Versus Education for Veterans with Chronic Low Back Pain.Journal of general internal medicine · 2024
    Article
  9. Article
  10. Article
  11. Article
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

12 authors at 6 institutions in 1 country.

Eric J RoseenSection of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, Boston University Medical Campus, 801 Massachusetts Ave, Second Floor, Boston, MA, 02131, USA. eric.roseen@bmc.org.ORCID 0000-0002-3240-6756
Adlin PinheiroDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Chelsey M LemasterDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA.
Dorothy PlumbDepartment of Family Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA, USA.
Shihwe WangCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
A Rani ElwyCenter for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
Chris C StreeterDepartment of Psychiatry and Neurology, Boston University School of Medicine, Boston, MA, USA.
Susan LynchThere & Back Again, Inc., Wakefield, MA, USA.
Erik GroesslHerbert Wertheim School of Public Health, University of California San Diego and VA San Diego Health Care System, San Diego, CA, USA.
Karen J ShermanKaiser Permanente Washington Health Research Institute, Seattle WA and Department of Epidemiology, University of Washington, Seattle, WA, USA.
Janice WeinbergDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA.
Robert B SaperDepartment of Wellness and Preventive Medicine, Cleveland Clinic, Cleveland, OH, USA.
Boston University · USBrown University · USCleveland Clinic · USEdith Nourse Rogers Memorial Veterans Hospital · USKaiser Permanente Washington Health Research Institute · USUC San Diego Health System · US

Funding

Yoga vs. Physical Therapy for Chronic Low Back Pain in Minority PopulationsR01AT005956 · NCCIH · BOSTON MEDICAL CENTER · PI SAPER, ROBERT BRUCE · 2010 to 2015
$3.9M
Improving Access to Chiropractic Care for Low Back Pain in Underserved Primary Care Settings: Development and Evaluation of a Multi-level Implementation StrategyK23AT010487 · NCCIH · BOSTON MEDICAL CENTER · PI ROSEEN, ERIC J · 2019 to 2023
$839k
Improving Care for Chronic Low Back Pain in Primary Care: Development of a Novel Yoga Clinical Prediction RuleF32AT009272 · NCCIH · BOSTON MEDICAL CENTER · PI ROSEEN, ERIC J · 2016 to 2018
$245k
NCCIH NIH HHS F32 AT009272NCCIH NIH HHS K23 AT010487NCCIH NIH HHS L30 AT010079NCCIH NIH HHS R01 AT005956
6 · The paper itself

Abstract

backgroundYoga is effective for chronic low back pain (cLBP) in civilians but understudied among Veterans.

objectiveDetermine whether yoga is more effective than an educational book for improving disability and pain among Veterans with cLBP. DESIGN, SETTING, AND

participantsVeterans diagnosed with cLBP at a VA medical center enrolled in a randomized controlled trial from March to December of 2015.

interventionsTwelve weekly hatha yoga classes or education using The Back Pain Helpbook. MEASURES: Co-primary outcomes were changes from baseline at 12 weeks in back-related disability on the modified Roland Morris Disability Questionnaire and pain on the Defense & Veterans Pain Rating Scale. Secondary outcomes were global improvement, patient satisfaction, pain medication use, and post-traumatic stress symptoms. An intention-to-treat approach was used in primary analyses.

resultsOne hundred twenty Veterans (mean age, 55.5 [SD = 16.9]; 11 [9%] women; mean number of chronic conditions, 5.5) were randomized to yoga (n = 62) and education (n = 58). At 12 weeks, reductions in back-related disability in yoga (mean difference [MD] = - 3.50, 95% CI: - 5.03, - 1.97) were not significantly different than education (MD = - 2.55, 95% CI: - 4.10, - 0.99; between-group difference: - 0.95 [95% CI: - 3.14, 1.23], p = 0.39). For pain, there was no significant difference between yoga (MD = - 1.01, 95% CI: - 1.67, - 0.35) and education (MD = - 0.81, 95% CI: - 1.36, - 0.27; between-group difference: - 0.20, 95% CI: - 1.06, 0.66, p = 0.65). More yoga than education participants reported being very much or extremely improved (39% vs 19%, OR = 3.71, 95% CI: 1.37, 10.02, p = 0.01) and very satisfied with treatment (60% vs 31%, OR = 4.28, 95% CI: 1.70, 10.77, p = 0.002). No differences in pain medication use or post-traumatic stress symptoms were observed at 12 weeks. No serious adverse events were reported in either group.

conclusionTwelve weekly yoga classes were not more effective than an education intervention for improving pain or disability outcomes among mostly older male Veterans with cLBP and multiple comorbid health conditions. CLINICALTRIALS: GOV IDENTIFIER: NCT02224183.

Indexed as

Chronic PainLow Back PainVeteransYogaFemaleHumansMaleMiddle AgedTreatment Outcomeback painchronic painVeteranyoga

Identifiers

PMID36650329
PMCPMC10361953
OpenAlexW4316925805

What OpenQuestion holds

Textmetadata
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.