Objective evidence for chronic back pain relief by Medical Yoga therapy
Chronic low back pain (CLBP) is a musculoskeletal ailment that affects millions globally. The pain is disturbing associated with impaired motor activity, reduced flexibility, decreased productivity and strained interpersonal relationships leading to poor quality of life. Inflammatory mediators in vi...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-12-01
|
| Series: | Frontiers in Pain Research |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpain.2022.1060685/full |
| _version_ | 1828088410009501696 |
|---|---|
| author | Suvercha Arya Raj Kumar Yadav Srikumar Venkataraman Kishore Kumar Deepak Renu Bhatia |
| author_facet | Suvercha Arya Raj Kumar Yadav Srikumar Venkataraman Kishore Kumar Deepak Renu Bhatia |
| author_sort | Suvercha Arya |
| collection | DOAJ |
| description | Chronic low back pain (CLBP) is a musculoskeletal ailment that affects millions globally. The pain is disturbing associated with impaired motor activity, reduced flexibility, decreased productivity and strained interpersonal relationships leading to poor quality of life. Inflammatory mediators in vicinity of nociceptors and amplification of neural signals cause peripheral and central sensitization presented as hyperalgesia and/or allodynia. It could be attributed to either diminished descending pain inhibition or exaggerated ascending pain facilitation. Objective measurement of pain is crucial for diagnosis and management. Nociceptive flexion reflex is a reliable and objective tool for measurement of a subject's pain experience. Medical Yoga Therapy (MYT) has proven to relieve chronic pain, but objective evidence-based assessment of its effects is still lacking. We objectively assessed effect of MYT on pain and quality of life in CLBP patients. We recorded VAS (Visual analogue scale), McGill Pain questionnaire and WHOQOL BREF questionnaire scores, NFR response and Diffuse noxious inhibitory control tests. Medical yoga therapy consisted of an 8-week program (4 weeks supervised and 4 weeks at home practice). CLBP patients (42.5 ± 12.6 years) were randomly allocated to MYT (n = 58) and SCT groups (n = 50), and comparisons between the groups and within the groups were done at baseline and at end of 4 and 8 weeks of both interventions. (VAS) scores for patients in both the groups were comparable at baseline, subjective pain rating decreased significantly more after MYT compared to SCT (p = < 0.0001*, p = 0.005*). McGill Pain questionnaire scores revealed significant reduction in pain experience in MYT group compared to SCT. Nociceptive Flexion Reflex threshold increased significantly in MYT group at end of 4 weeks and 8 weeks, p < 0.0001#, p = < 0.0001∞ respectively) whereas for SCT we did not find any significant change in NFR thresholds. DNIC assessed by CPT also showed significant improvement in descending pain modulation after MYT compared to SCT both at end of 4 and 8 weeks. Quality of life also improved significantly more after MYT. Thus, we conclude with objective evidence that Medical Yoga Therapy relieves chronic low back pain, stress and improves quality of life better than standard care. |
| first_indexed | 2024-04-11T05:26:30Z |
| format | Article |
| id | doaj.art-d2c223eef5b447acb9e4d383a8beb217 |
| institution | Directory Open Access Journal |
| issn | 2673-561X |
| language | English |
| last_indexed | 2024-04-11T05:26:30Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pain Research |
| spelling | doaj.art-d2c223eef5b447acb9e4d383a8beb2172022-12-23T07:28:15ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2022-12-01310.3389/fpain.2022.10606851060685Objective evidence for chronic back pain relief by Medical Yoga therapySuvercha Arya0Raj Kumar Yadav1Srikumar Venkataraman2Kishore Kumar Deepak3Renu Bhatia4Pain Research and Transcranial Magnetic Stimulation, Laboratory, Department of Physiology, All India Institute of Medical Sciences, New Delhi, IndiaIntegral Health Clinic, Department of Physiology, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, IndiaAutonomic and Vascular Function Testing Laboratory, Department of Physiology, All India Institute of Medical Sciences, New Delhi, IndiaPain Research and Transcranial Magnetic Stimulation, Laboratory, Department of Physiology, All India Institute of Medical Sciences, New Delhi, IndiaChronic low back pain (CLBP) is a musculoskeletal ailment that affects millions globally. The pain is disturbing associated with impaired motor activity, reduced flexibility, decreased productivity and strained interpersonal relationships leading to poor quality of life. Inflammatory mediators in vicinity of nociceptors and amplification of neural signals cause peripheral and central sensitization presented as hyperalgesia and/or allodynia. It could be attributed to either diminished descending pain inhibition or exaggerated ascending pain facilitation. Objective measurement of pain is crucial for diagnosis and management. Nociceptive flexion reflex is a reliable and objective tool for measurement of a subject's pain experience. Medical Yoga Therapy (MYT) has proven to relieve chronic pain, but objective evidence-based assessment of its effects is still lacking. We objectively assessed effect of MYT on pain and quality of life in CLBP patients. We recorded VAS (Visual analogue scale), McGill Pain questionnaire and WHOQOL BREF questionnaire scores, NFR response and Diffuse noxious inhibitory control tests. Medical yoga therapy consisted of an 8-week program (4 weeks supervised and 4 weeks at home practice). CLBP patients (42.5 ± 12.6 years) were randomly allocated to MYT (n = 58) and SCT groups (n = 50), and comparisons between the groups and within the groups were done at baseline and at end of 4 and 8 weeks of both interventions. (VAS) scores for patients in both the groups were comparable at baseline, subjective pain rating decreased significantly more after MYT compared to SCT (p = < 0.0001*, p = 0.005*). McGill Pain questionnaire scores revealed significant reduction in pain experience in MYT group compared to SCT. Nociceptive Flexion Reflex threshold increased significantly in MYT group at end of 4 weeks and 8 weeks, p < 0.0001#, p = < 0.0001∞ respectively) whereas for SCT we did not find any significant change in NFR thresholds. DNIC assessed by CPT also showed significant improvement in descending pain modulation after MYT compared to SCT both at end of 4 and 8 weeks. Quality of life also improved significantly more after MYT. Thus, we conclude with objective evidence that Medical Yoga Therapy relieves chronic low back pain, stress and improves quality of life better than standard care.https://www.frontiersin.org/articles/10.3389/fpain.2022.1060685/fullchronic low back painMedical Yoga therapynociceptive flection reflexcentral sensitisation paindiffuse noxious inhibitory control (DNIC)conditioned pain modulation (CPM) |
| spellingShingle | Suvercha Arya Raj Kumar Yadav Srikumar Venkataraman Kishore Kumar Deepak Renu Bhatia Objective evidence for chronic back pain relief by Medical Yoga therapy Frontiers in Pain Research chronic low back pain Medical Yoga therapy nociceptive flection reflex central sensitisation pain diffuse noxious inhibitory control (DNIC) conditioned pain modulation (CPM) |
| title | Objective evidence for chronic back pain relief by Medical Yoga therapy |
| title_full | Objective evidence for chronic back pain relief by Medical Yoga therapy |
| title_fullStr | Objective evidence for chronic back pain relief by Medical Yoga therapy |
| title_full_unstemmed | Objective evidence for chronic back pain relief by Medical Yoga therapy |
| title_short | Objective evidence for chronic back pain relief by Medical Yoga therapy |
| title_sort | objective evidence for chronic back pain relief by medical yoga therapy |
| topic | chronic low back pain Medical Yoga therapy nociceptive flection reflex central sensitisation pain diffuse noxious inhibitory control (DNIC) conditioned pain modulation (CPM) |
| url | https://www.frontiersin.org/articles/10.3389/fpain.2022.1060685/full |
| work_keys_str_mv | AT suverchaarya objectiveevidenceforchronicbackpainreliefbymedicalyogatherapy AT rajkumaryadav objectiveevidenceforchronicbackpainreliefbymedicalyogatherapy AT srikumarvenkataraman objectiveevidenceforchronicbackpainreliefbymedicalyogatherapy AT kishorekumardeepak objectiveevidenceforchronicbackpainreliefbymedicalyogatherapy AT renubhatia objectiveevidenceforchronicbackpainreliefbymedicalyogatherapy |