PMID- 23300142 OWN - NLM STAT- MEDLINE DCOM- 20140812 LR - 20220410 IS - 1557-0681 (Electronic) IS - 1478-2189 (Linking) VI - 11 IP - 4 DP - 2013 Dec TI - Yoga for functional ability, pain and psychosocial outcomes in musculoskeletal conditions: a systematic review and meta-analysis. PG - 203-17 LID - 10.1002/msc.1042 [doi] AB - OBJECTIVES: Musculoskeletal conditions (MSCs) are the leading cause of disability and chronic pain in the developed world, impacting both functional ability and psychosocial health. The current review investigates the effectiveness of yoga on primary outcomes of functional ability, pain and psychosocial outcomes across a range of MSCs. METHODS: A comprehensive search of 20 databases was conducted for full-text, randomized controlled trials of yoga in clinically diagnosed MSCs. RESULT: Seventeen studies met the inclusion criteria, involving 1,626 participants with low back pain (LBP), osteoarthritis (OA), rheumatoid arthritis (RA), kyphosis or fibromyalgia. Studies were quality rated, and analysed for the effect of yoga on primary outcomes, immediately post-intervention. Twelve studies were rated as good quality. Yoga interventions resulted in a clinically significant improvement in functional outcomes in mild-to-moderate LBP and fibromyalgia, and showed a trend to improvement in kyphosis. Yoga significantly improved pain in OA, RA and mild-to-severe LBP. Psychosocial outcomes were significantly improved in mild-to-moderate LBP and OA. Meta-analysis of good-quality studies showed a moderate treatment effect for yoga of -0.64 (95%CI -0.89 to -0.39) for functional outcomes and -0.61 (95%CI -0.97 to -0.26) for pain outcomes. CONCLUSIONS: Evidence suggests that yoga is an acceptable and safe intervention, which may result in clinically relevant improvements in pain and functional outcomes associated with a range of MSCs. Future analysis of outcomes which take into account the amount of yoga received by participants may provide insight into any putative duration or dosage effects of yoga interventions for MSCs. CI - Copyright (c) 2013 John Wiley & Sons, Ltd. FAU - Ward, Lesley AU - Ward L AD - Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand. FAU - Stebbings, Simon AU - Stebbings S FAU - Cherkin, Daniel AU - Cherkin D FAU - Baxter, G David AU - Baxter GD LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20130109 PL - England TA - Musculoskeletal Care JT - Musculoskeletal care JID - 101181344 SB - IM MH - Humans MH - Low Back Pain/psychology/*therapy MH - Musculoskeletal Diseases/psychology/*therapy MH - Psychology MH - *Recovery of Function MH - *Yoga OTO - NOTNLM OT - musculoskeletal conditions OT - systematic review OT - yoga EDAT- 2013/01/10 06:00 MHDA- 2014/08/13 06:00 CRDT- 2013/01/10 06:00 PHST- 2013/01/10 06:00 [entrez] PHST- 2013/01/10 06:00 [pubmed] PHST- 2014/08/13 06:00 [medline] AID - 10.1002/msc.1042 [doi] PST - ppublish SO - Musculoskeletal Care. 2013 Dec;11(4):203-17. doi: 10.1002/msc.1042. Epub 2013 Jan 9.