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Mediators of Yoga and Stretching for Chronic Low Back Pain
Joint Authors
Cherkin, Daniel C.
Sherman, Karen J.
Wellman, Robert D.
Ceballos, Rachel M.
Cook, Andrea J.
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-17
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Although yoga is an effective treatment for chronic low back pain, little is known about the mechanisms responsible for its benefits.
In a trial comparing yoga to intensive stretching and self-care, we explored whether physical (hours of back exercise/week), cognitive (fear avoidance, body awareness, and self-efficacy), affective (psychological distress, perceived stress, positive states of mind, and sleep), and physiological factors (cortisol, DHEA) mediated the effects of yoga or stretching on back-related dysfunction (Roland-Morris Disability Scale (RDQ)).
For yoga, 36% of the effect on 12-week RDQ was mediated by increased self-efficacy, 18% by sleep disturbance, 9% by hours of back exercise, and 61% by the best combination of all possible mediators (6 mediators).
For stretching, 23% of the effect was mediated by increased self-efficacy, 14% by days of back exercise, and 50% by the best combination of all possible mediators (7 mediators).
In open-ended questions, ≥20% of participants noted the following treatment benefits: learning new exercises (both groups), relaxation, increased awareness, and the benefits of breathing (yoga), benefits of regular practice (stretching).
Although both self-efficacy and hours of back exercise were the strongest mediators for each intervention, compared to self-care, qualitative data suggest that they may exert their benefits through partially distinct mechanisms.
American Psychological Association (APA)
Sherman, Karen J.& Wellman, Robert D.& Cook, Andrea J.& Cherkin, Daniel C.& Ceballos, Rachel M.. 2013. Mediators of Yoga and Stretching for Chronic Low Back Pain. Evidence-Based Complementary and Alternative Medicine،Vol. 2013, no. 2013, pp.1-11.
https://search.emarefa.net/detail/BIM-448129
Modern Language Association (MLA)
Sherman, Karen J.…[et al.]. Mediators of Yoga and Stretching for Chronic Low Back Pain. Evidence-Based Complementary and Alternative Medicine No. 2013 (2013), pp.1-11.
https://search.emarefa.net/detail/BIM-448129
American Medical Association (AMA)
Sherman, Karen J.& Wellman, Robert D.& Cook, Andrea J.& Cherkin, Daniel C.& Ceballos, Rachel M.. Mediators of Yoga and Stretching for Chronic Low Back Pain. Evidence-Based Complementary and Alternative Medicine. 2013. Vol. 2013, no. 2013, pp.1-11.
https://search.emarefa.net/detail/BIM-448129
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-448129