No full-text available
To read the full-text of this research,
you can request a copy directly from the authors.
Effects of yogasanas on cervical spondylosis
Abstract
Background: Studies have shown that conventional treatment for common neck pain may be inadequate. Yoga techniques also have been found to be better and beneficial complimentary therapy in cervical spondylosis and also reduce the stress levels. Objective: The aim of the study Materials and Methods: In this randomized controlled study, 100 among them 50 participants in the case group were asked to attend 30 minutes yoga with medications for a period of 3 months. The control group 50 subjects did not receive any yoga intervention only medications and were asked to complete questionnaires. Each group was evaluated Visual analog scale (VAS) was used to measur Results: The present interventional study selected as cases those underwent yoga session with medicines. 50 controls with mean 41.84±11.129 were selected as control group underwent only medication. During the first visit, case group results showed mean VAS score 3.46 versus 3.86 with p group results showed mean VAS score 1.82 versus 3.06 with p value 0.000. Whereas at f VAS score of cases recorded 0.38 versus control 2.12 with p value less than 0.000. The cases who done yoga shown a very high significant change of VAS score completing the last visit i.e. at third visit.
... Two full-text articles were excluded because they were not randomized, 21,22 one because it was a duplicate publication of an already published study in another journal, 23 and one because it was unclear whether the included patients actually had chronic neck pain. 24 Three studies 25-27 with a total of 188 participants were included in both qualitative and quantitative analysis ( Figure 1). ...
... Two of the included trials had overall low risk of bias 25,26 while the other one had high to unclear risk of bias for several domains. 24,27 However, the results of the meta-analyses did not change substantially when only studies with low risk of bias were considered. Thus, the findings of this metaanalysis can be considered as externally and internally valid. ...
Objective
The aim of this review was to systematically assess and meta-analyze the effectiveness of yoga in relieving chronic neck pain.
Methods
PubMed/MEDLINE, the Cochrane Library, Scopus, and IndMED were screened through January 2017 for randomized controlled trials assessing neck pain intensity and/or neck pain-related disability in chronic neck pain patients. Secondary outcome measures included quality of life, mood, and safety. Risk of bias was assessed using the Cochrane tool.
Results
Three studies on 188 patients with chronic non-specific neck pain comparing yoga to usual care were included. Two studies had overall low risk of bias; and one had high or unclear risk of bias for several domains. Evidence for short-term effects was found for neck pain intensity (standardized mean difference (SMD) = −1.28; 95% confidence interval (CI) = −1.18, −0.75; P < 0.001), neck pain-related disability (SMD = −0.97; 95% CI = −1.44, −0.50; P < 0.001), quality of life (SMD = 0.57; 95% CI = 0.17, 0.197; P = 0.005), and mood (SMD = −1.02; 95% CI = −1.38, −0.65; P < 0.001). Effects were robust against potential methodological bias and did not differ between different intervention subgroups. In the two studies that included safety data, no serious adverse events occurred.
Conclusion
Yoga has short-term effects on chronic neck pain, its related disability, quality of life, and mood suggesting that yoga might be a good treatment option.
... [8] Satyanand et al. conducted a randomized control trial on the effect of yogasana on Cervical spondylosis. [9] In addition to the intervention, the patients were given analgesics and anti-inflammatories for the entire duration of three months. The authors concluded that combining yoga poses with traditional drugs increases their effectiveness. ...
Introduction-The effectiveness of some yoga poses, such as Makarasana (Crocodile Pose), Shalabhasana (Locust Pose), and Marjari Asana (Cat-Cow Pose), in treating back pain and stress is examined in this study. In today's society, spinal pain and stress are prevalent issues that are frequently exacerbated by stressful jobs and sedentary lives. This study looks into the therapeutic advantages of these three postures in improving overall health and symptom relief. Through a detailed review of the literature and empirical analysis, this study aims to shed light on the beneficial usage of specific yoga poses in therapeutic contexts. Material and Methods-Review of Yoga-Asana literature from Yoga Classics including relevant commentaries, Other print media, online information, journals, magazines, books, etc. Result-Finding the original textual reference for the asanas and their practical benefits in daily life was the goal of the current study, which reviewed ancient writings. Additionally, it examines how particular asanas are performed about the textual reference for spine or back diseases. As a result, we discovered that some particular asanas are more appropriate and helpful for all spinal problems. The following asanas are beneficial for disc herniation, degenerative discs, neck and back discomfort, swelling, spondylolisthesis, arm or leg pain, stiffness or rigidity, etc. Discussion-The objective of the present study is to review the ancient texts and find the original text reference for the asanas and their benefits in daily life. Also to analyze the procedure of selected asanas based on textual reference for back or spinal disorders.
... Satyanand et al. conducted a randomized control trial on the effect of yogasana on CS [27]. The patients received antiinflammatory and analgesics for a full period of three months in addition to the intervention. ...
Background
“Cervical spondylosis” (CS) is a collective term used for non-specific neck pain post 30 age group. Management of CS is mainly non-surgical, particularly in mild to moderate severity that includes the oral anti-inflammatory drugs, exercises, manipulation, mobilization, or combination of these.
Objective
The objective of the study is to assess the possible benefit of a selected group of asana in a group of patients over a short time frame and assess their functional outcome.
Materials & methods
An observational study of cohort of patients having mild to moderate CS, who visited the AYUSH department between May 2016 and November 2016 were included. “Selected group of Asana (SGOA)” was practiced for 30 min supervised and then home-based for a period of 8 weeks with usual standard treatment. Patients followed up fortnightly, and their degree of severity & disability assessed.
Results
Thirty patients with 19 males and 11 females having ages mean ± SD 45.61 ± 8.3 and 44.18 ± 9.78 having NDI score of mean ± SD 17.83 ± 4.749 at baseline (0 weeks) were included. Patients showed an improvement in NDI score to finally 7.40 ± 3.180, p-value = 0.0001. This improvement was also noted at various time intervals (p-value = 0.0001 each time), as seen in the post hoc analysis.
Conclusion
Yogic practices “Specific Group of Asana” done for eight weeks on a home-based program could be useful in reducing pain and disability in people suffering from CS of mild to a moderate degree. However, more extensive, comparative, and multi-centric trials are required for establishing this as a treatment modality.
... The causes of general SCI tend to be accident or violence related, however, the weight-bearing and flexible nature of vertebrae at the cervical level make it particularly susceptible to injury [1,2]. Some cervical-specific causes of injury include direct and indirect military-based injuries (via combat or through weaknesses in tactical armor design) [3][4][5][6][7] and lifestyle choices (such as sedentary lifestyles) leading to structural degradation of the cervical spine [8,9]. Ironically, advancements in modern healthcare have also been influential in the increasing incidence of survived cervical SCI; improvements in emergency medicine have led to better survival rates immediately following injury [10] while improvements in preventative care have led to the steady increase of an aging population and therefore age-associated injuries, degeneration, and weaknesses of the cervical spine [11][12][13]. ...
Cervical-level injuries account for the majority of presented spinal cord injuries (SCIs) to date. Despite the increase in survival rates due to emergency medicine improvements, overall quality of life remains poor, with patients facing variable deficits in respiratory and motor function. Therapies aiming to ameliorate symptoms and restore function, even partially, are urgently needed. Current therapeutic avenues in SCI seek to increase regenerative capacities through trophic and immunomodulatory factors, provide scaffolding to bridge the lesion site and promote regeneration of native axons, and to replace SCI-lost neurons and glia via intraspinal transplantation. Induced pluripotent stem cells (iPSCs) are a clinically viable means to accomplish this; they have no major ethical barriers, sources can be patient-matched and collected using non-invasive methods. In addition, the patient’s own cells can be used to establish a starter population capable of producing multiple cell types. To date, there is only a limited pool of research examining iPSC-derived transplants in SCI—even less research that is specific to cervical injury. The purpose of the review herein is to explore both preclinical and clinical recent advances in iPSC therapies with a detailed focus on cervical spinal cord injury.
Common pain conditions appear to have an adverse effect on work, but no comprehensive estimates exist on the amount of productive time lost in the US workforce due to pain.
To measure lost productive time (absence and reduced performance due to common pain conditions) during a 2-week period.
Cross-sectional study using survey data from the American Productivity Audit (a telephone survey that uses the Work and Health Interview) of working adults between August 1, 2001, and July 30, 2002.
Random sample of 28 902 working adults in the United States.
Lost productive time due to common pain conditions (arthritis, back, headache, and other musculoskeletal) expressed in hours per worker per week and calculated in US dollars.
Thirteen percent of the total workforce experienced a loss in productive time during a 2-week period due to a common pain condition. Headache was the most common (5.4%) pain condition resulting in lost productive time. It was followed by back pain (3.2%), arthritis pain (2.0%), and other musculoskeletal pain (2.0%). Workers who experienced lost productive time from a pain condition lost a mean (SE) of 4.6 (0.09) h/wk. Workers who had a headache had a mean (SE) loss in productive time of 3.5 (0.1) h/wk. Workers who reported arthritis or back pain had mean (SE) lost productive times of 5.2 (0.25) h/wk. Other common pain conditions resulted in a mean (SE) loss in productive time of 5.5 (0.22) h/wk. Lost productive time from common pain conditions among active workers costs an estimated 61.2 billion dollars per year. The majority (76.6%) of the lost productive time was explained by reduced performance while at work and not work absence.
Pain is an inordinately common and disabling condition in the US workforce. Most of the pain-related lost productive time occurs while employees are at work and is in the form of reduced performance.
Six-hundred-seven employees in 3 metal industry plants were studied for depressive and distress symptoms, musculoskeletal symptoms, and findings in the musculo-skeletal system made by a physiotherapist. Measurements were made 3 times at 5-year intervals. The mean distress and depressive symptom scores of the first 2 examinations predicted the change in several musculo-skeletal symptom measures during the second 5-year period, when the effects of age and occupational class were accounted for in multiple regression analysis. They also predicted the development in clinical musculoskeletal findings in men. The proportions of variance explained by the depressive and distress symptoms were modest in magnitude. Analogous analyses were made with reference to the reverse temporal sequence: musculoskeletal disorders were considered as predating the development in depressive and distress symptoms. The musculoskeletal symptom scores were associated with the change in the stress symptoms in men, as did the clinical findings in the neck-shoulder and low back regions. None of the musculoskeletal morbidity scores predicted the change in the depressive symptoms in either sex. We conclude that depressive symptoms predict future musculoskeletal disorders, but not vice versa, whereas the association of stress symptoms and musculoskeletal disorders is reciprocal.
Transcendental meditation is said to induce in its practitioners an altered state of consciousness resulting in relief of stress, an increased sense of awareness, and a sense of well-being. Release of catecholamines has been associated widely with stress and lends itself to quantitation. Plasma epinephrine and norephinephrine, as well as lactate, were measured in 12 volunteers before, during, and after meditation. Values were compared with those obtained from controls matched for sex and age who rested instead of meditating. Essentially the same results were obtained for the two groups, which suggests that meditation does not induce a unique metabolic state but is seen biochemically as a resting state.
The incidence of headaches in well documented cases of cervical spondylosis with neurological disability was reviewed. This was compared to that in a series of cases with a clinical diagnosis of tension headache in order to determine if there were any identifiable differences between the two types of headache. Fifty-nine cases of cervical spondylosis were reviewed. Five of these patients had headaches. Fifty patients with tension headaches were also reviewed. No differences were seen when location or other qualitative features of the headaches were compared between the two groups of patients. We conclude that the incidence of headache is low in cervical spondylosis and that the pattern of headache has no features that distinguish it from that of tension headache, suggesting that the pathogenesis is similar. We therefore suggest that the basis of headache in patients with cervical spondylosis is secondary muscle contraction.
35 male volunteers whose ages ranged from 20 to 46 years were studied in two sessions of yoga-based guided relaxation and supine rest. Assessments of autonomic variables were made for 15 subjects, before, during, and after the practices, whereas oxygen consumption and breath volume were recorded for 25 subjects before and after both types of relaxation. A significant decrease in oxygen consumption and increase in breath volume were recorded after guided relaxation (paired t test). There were comparable reductions in heart rate and skin conductance during both types of relaxation. During guided relaxation the power of the low frequency component of the heart-rate variability spectrum reduced, whereas the power of the high frequency component increased, suggesting reduced sympathetic activity. Also, subjects with a baseline ratio of LF/HF > 0.5 showed a significant decrease in the ratio after guided relaxation, while subjects with a ratio < or = 0.5 at baseline showed no such change. The results suggest that sympathetic activity decreased after guided relaxation based on yoga, depending on the baseline levels.
Clinical outcome and economic evaluation of multidisciplinary pain centers
- D C Turk
- A Okifuji
- D Kalauolalani
Turk DC, Okifuji A, Kalauolalani D.
Clinical
outcome
and
economic
evaluation of multidisciplinary pain
centers. In: Block AR, Kremer EF, and
Fernandez E, eds. Handbook of Pain
Syndromes:
Biopsychosocial
Perspectives. Mahwah, NJ: Erlbaum;
1999, p. 77-98.
Back Care Basics: A Doctor's Gentle Yoga Program for Back and Neck Pain Relief
- M P Schatz
Schatz MP. Back Care Basics: A
Doctor's Gentle Yoga Program for Back
and Neck Pain Relief. Berkeley,
California: Rodmell Press; 1992, p. 9-20.
Up dated June12, 2012. www.mayoclinic.com/health/ cervical- spondylosis/DS00697
- Cervicalspondylosis
- Mayoclinic
- Com
Cervicalspondylosis.Mayoclinic.com.Up
dated
June12,
2012.
www.mayoclinic.com/health/ cervical-
spondylosis/DS00697. Accessed on
February 19, 2013.
Yoga-The Path to Holistic Health
- B K Iyengar
Iyengar BK. Yoga-The Path to Holistic
Health. London, England: Dorling
Kindersley; 2001, p. 25.
Textbook of Orthopedics. 3 rd edition
- J Ebenezer
Ebenezer J. Textbook of Orthopedics. 3 rd
edition. New Delhi: Jaypee Brothers
Publications; 2006, p. 341–3.
You and Your Neck Pain. Bangalore: Karnataka Orthopedic Academy (R)
- J Ebenezer
Ebenezer J. You and Your Neck Pain.
Bangalore:
Karnataka
Orthopedic
Academy (R); 2007, p. 25-34.
pain conditions in the U.S. workforce
pain conditions in the U.S.
workforce. JAMA, 2003; 290: 2443-
2454.