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Research Evidence. Steffany Moonaz, PhD, RYT-500. CLINICAL TRIALS. The emerging evidence since 2011…. Middleton, et al . (2013). Uses protocol from Hopkins study Focuses on underserved urban minorities with arthritis Bilingual classes with African American and Hispanic teachers

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research evidence

Research Evidence

Steffany Moonaz, PhD, RYT-500

clinical trials
CLINICAL TRIALS
  • The emerging evidence since 2011…
middleton et al 2013
Middleton, et al. (2013)
  • Uses protocol from Hopkins study
  • Focuses on underserved urban minorities with arthritis
  • Bilingual classes with African American and Hispanic teachers
  • Study underway
  • Qualitative and quantitative data analysis
  • Pilot
ebnezar et al 2012
Ebnezar, et al. (2012)
  • Large sample (n=250)
  • Active control (daily yoga therapy vs. therapeutic exercise)
  • Knee OA
  • Improvements in both groups for:
    • Waking pain
    • Knee disability
    • Knee flexion
    • Joint tenderness
    • Swelling
    • Crepitis
    • Walk time
park et al 2011
Park, et al. (2011)
  • Small pilot
  • OA
  • Chair yoga and reiki
  • Outcomes: pain, depressive mood, physical function
  • Only finding was association between yoga and physical function
singh et al 2011
Singh, et al. (2011)
  • Indian publication- abstract only
  • RA
  • Pranayama, cleansing, meditation
  • pain intensity, inflammation, stiffness, pulse rate, blood pressure, lymphocyte count, C-reactive protein and serum uric acid
  • Claims RA severity improved with yoga, but does not indicate which measures
taibi and vitiello 2011
Taibi and Vitiello (2011)
  • Pilot: 13 completed
  • Gentle yoga for sleep disturbance in OA
  • 8 weeks- weekly classes and daily home practice
  • Sig: The Insomnia Severity Index, diary-reported sleep onset latency, sleep efficiency, nights with insomnia
  • NS but Imp: Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, diary-reported total sleep time, wake after sleep onset,
  • No change: Actigraphic sleep outcomes
  • Supports feasibility and acceptability
evans et al 2011
Evans, et al. (2011)
  • 70 RA patients
  • 6 weeks
  • Waitlist control
  • Quantitative and qualitative measures
  • Function, pain, mood, HRQL, qualitative interviews, BP, heart rate, medical exam, pro-inflammatory cytokines
  • Study in progress
reviews
REVIEWS
  • Scoping Review
  • Systematic Review
  • Meta-Analysis
ward et al 2013
Ward et al. (2013)
  • Meta-analysis of 17 studies
  • RA, OA, LBP, FM, kyphosis
  • 12 reported to have good quality
  • Improvement in functional outcomes for m/m LBP, FM (trend in kyphosis)
  • Pain improved in RA, OA, m/s LBP
  • Psychosocial imp in m/m LBP, OA
  • Good quality studies showedmoderate treatment effect for functional outcomes, pain
b ssing et al 2012
Büssing et al (2012)
  • Meta-analysis of 16 controlled studies
  • Back pain, headache, RA, other indications
  • All positive outcomes
  • Moderate effect size for pain and pain-related disability
haaz and bartlett 2011
Haaz and Bartlett (2011)
  • Scoping Review
  • Reviewed 9 clinical trials (1994-2010)
  • Yoga in RA and/or OA
  • Study quality 2-6 (out of 8)
    • Design
    • Sample size
    • Intervention
    • Data analysis
  • Evidence strongest for symptoms, disability, self-efficacy, mental health