Low Back Pain
Conditions
Keywords
chronic pain, yoga, meditation
Brief summary
The purpose of this research is to integrate the meditative components of integrative restoration (iRest) yoga nidra with simple and safe movement sequences derived from established yoga postures and physical therapy interventions for chronic nonspecific low back pain and to use telemedicine technology to facilitate the intervention in a diverse socioeconomic and racial/ethnic population. This project will first systematically adapt the iRest yoga intervention for the incorporation of movement using a consultative and iterative process followed by a pilot intervention to assess the acceptability and preliminary efficacy of this program for pain, back related function and to address body-mind regulation and biopsychosocial-spiritual well-being. Hypothesis: a yoga intervention emphasizing meditative movement and relaxation will be safe for remote delivery and effective for biopsychosocial-spiritual outcomes for people with chronic low back pain.
Interventions
OTHERYoga
Remotely delivered yoga intervention
Sponsors
University of Maryland, College Park
Maryland University of Integrative Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* Adults age 18-64 years who report chronic nonspecific low back pain, defined as low back pain of unknown etiology persisting for at least 12 weeks, * Participants must report an average pain intensity in the previous week of 4 or greater on an 11-point (0 to 10) numerical rating scale, * Demonstrate medium to high risk on the STarT back screening tool, * Understand English * Have access to technology including a computer and internet access
Exclusion criteria
* Specific causes of low back pain (e.g. spinal fractures, cancer-related pain) * Severe or progressive neurological deficits * Severe chronic medical and/or psychiatric comorbidities that may prevent safe participation in the study * Established pregnancy * Current yoga practice or regular yoga class attendance in the last three months; * Current application for a receipt of workers compensation * lack of access to technology including a computer and the internet
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Oswestry Disability Index | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | Back related function and pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Vagal Efficiency | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | A device will be used to measure Heart rate variability and vagal efficiency |
| Change in Purpose in Life | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | Six item measure of purpose in life |
| Change in Body Brain Center Sensory Scales | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | Subjective measure of sensory sensitivity |
| Change in Body Perception Questionnaire subscale on autonomic reactivity | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | Subjective measure of autonomic reactivity |
Contacts
Primary ContactMarlysa Sullivan, MPT
Outcome results
None listed