Characteristics and predictors of short-term outcomes in individuals self-selecting yoga or physical therapy for treatment of chronic low back pain
Language: 
English
Abstract: 

OBJECTIVE: To compare clinical and demographic characteristics of individuals self-selecting yoga or physical therapy (PT) for treatment of chronic low back pain (cLBP) and to examine predictors of short-term pain and functional outcomes. DESIGN: Descriptive, longitudinal study. SETTINGS: A hospital-based clinic that offers modified integral yoga classes for cLBP and 2 outpatient PT clinics that offer exercise-based PT. PARTICIPANTS: Adults (n=53) with cLBP?12 weeks: yoga (n=27), PT (n=26). METHODS: Yoga participants attended a 6-week, once weekly, 2-hour yoga class. PT participants underwent twice weekly, 1-hour individualized PT. Data were collected at baseline and at 6 weeks. Groups were compared by using ?2 and independent samples t-tests. Hierarchical linear regression was used to predict treatment outcomes. MAIN OUTCOME MEASURES: Disability (Roland Morris Disability Questionnaire), health status (Rand Short Form 36 Health Survey 1.0), pain bothersomeness (numerical rating scale), back pain self-efficacy (Back Pain Self-Efficacy Scale), and treatment satisfaction. RESULTS: At baseline, yoga participants were significantly less disabled (P=.013), had higher health status (P=.023), greater pain self-efficacy (P=.012), and less average pain bothersomeness (P=.001) compared with PT participants. At 6 weeks, when controlling for baseline group differences, greater pain self-efficacy was the strongest predictor for reduced pain and higher function for the entire sample. A significant group interaction by baseline pain self-efficacy predicted disability at 6 weeks. PT participants with low pain self-efficacy reported significantly greater disability than those with high pain self-efficacy. Yoga participants with low and high pain self-efficacy had similar disability outcomes. CONCLUSION: These findings strengthen evidence that self-efficacy is associated with cLBP outcomes, especially in individuals self-selecting PT. Further research to evaluate outcomes after yoga and PT in participants with low pain self-efficacy is needed.

Author(s): 
Evans, Dian Dowling
Carter, Michael
Panico, Richard
Kimble, Laura
Morlock, Jennifer T.
Spears, Manjula Judith
Item Type: 
Journal Article
Publication Title: 
PM & R: the journal of injury, function, and rehabilitation
Journal Abbreviation: 
PM R
Publication Date: 
2010-11
Publication Year: 
2010
Pages: 
1006-1015
Volume: 
2
Issue: 
11
ISSN: 
1934-1482
DOI: 
10.1016/j.pmrj.2010.07.006
Library Catalog: 
PubMed
Extra: 
PMID: 21093836

Turabian/Chicago Citation

Dian Dowling Evans, Michael Carter, Richard Panico, Laura Kimble, Jennifer T. Morlock and Manjula Judith Spears. 2010-11. "Characteristics and predictors of short-term outcomes in individuals self-selecting yoga or physical therapy for treatment of chronic low back pain." PM & R: the journal of injury, function, and rehabilitation 2: 11: 1006-1015. 10.1016/j.pmrj.2010.07.006.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1016/j.pmrj.2010.07.006 | issn = 1934-1482 | volume = 2 | pages = 1006-1015 | last = Evans | first = Dian Dowling | coauthors = Carter, Michael, Panico, Richard, Kimble, Laura, Morlock, Jennifer T., Spears, Manjula Judith | title = Characteristics and predictors of short-term outcomes in individuals self-selecting yoga or physical therapy for treatment of chronic low back pain | journal = PM & R: the journal of injury, function, and rehabilitation | date = 2010-11 | pmid = | pmc = }} </ref>