Cost Effectiveness of Kundalini Yoga Therapy on Low Back Pain (RYS)
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Purpose
This randomized controlled study will evaluate the cost effectiveness of a yoga intervention compared to two evidence based programs; giving advice to stay active and guided exercise sessions. The first active program includes a six week standardized strength training program where the participants are personally instructed by a trained physiotherapist. The second active program is a six week standardized kundalini yoga program with group sessions twice a week lead by an experienced yoga instructor. Both programs consist of two exercise sessions per week and lasts for six weeks. After six weeks the participants are instructed to continue practicing their program twice a week on their own. The hypothesis are that a kundalini yoga program as an early intervention for Low Back Pain (LBP) is more cost effective than the two other interventions studied.
Participants were recruited through the occupational health services and by advertisement in the local press. Study subjects eligible for inclusion were informed of the study either by health care personnel at the occupational health care centers or by a research assistant at the Karolinska Institutet. Subjects were informed that if they were eligible to participate in the study they would be given the opportunity to participate in one of three approaches for treatment of neck and back pain.
| Condition | Intervention | Phase |
|---|---|---|
|
Low Back Pain |
Behavioral: Kundalini yoga Behavioral: Self care advice Behavioral: Exercise |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Double Blind (Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Cost Effectiveness of Early Interventions for Non-specific Low Back Pain: A Randomized Controlled Study Investigating Yoga, Exercise Therapy and Evidence Based Advice |
- work ability [ Time Frame: 12 months ] [ Designated as safety issue: No ]Performance, sick leave, sickness presenteeism
- cost effectiveness [ Time Frame: 6 months, 12 months ] [ Designated as safety issue: No ]Assessments of direct and indirect cost. Further, assessments of performance is used to calculate production losses.
| Enrollment: | 164 |
| Study Start Date: | September 2009 |
| Study Completion Date: | June 2012 |
| Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: kUNDALINI YOGA
Guided kundalini yoga sessions specific for low back pain for 2 hours, twice a week for 6 weeks. Cd recording for home practice recommended once per day.A written self care pamphlet "The Back book"
|
Behavioral: Kundalini yoga
Guided training twice a week for six weeks. Self instructing cd for home practice
|
|
Active Comparator: Self care advice to stay active
Evidence based advice from caregiver to stay active and exercise
|
Behavioral: Self care advice
Evidence based advice from caregiver about keeping active, exercise and a written self care pamphlet "The Back book"
|
|
Active Comparator: Exercise
Guided exercise at a gym focusing on strength training. Twice a week during 6 weeks. A written self care pamphlet "The Back book"
|
Behavioral: Exercise
Strength training at a gym supervised by a physical therapist twice a week during 6 weeks. Self training instruction was provided. A written self care pamphlet "The Back book"
|
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- non- specific low back pain,
- 18-60 years old,
- > 90 points on the OMPSQ screening questionnaire for yellow flags and sufficient understanding of the Swedish language
Exclusion Criteria:
- presence of so called Red flags,
- pregnancy,
- comorbidities affecting the ability to perform the interventions,
- presently on sick leave for > 8 weeks,
- ongoing regular weekly yoga practice or strength training.
Contacts and Locations| Sweden | |
| Institute of medical yoga | |
| Stockholm, Sweden | |
| Friskis och svettis | |
| Stockholm, Sweden | |
| Karolinska instituet | |
| Stockholm, Sweden | |
More Information
Additional Information:
No publications provided
| Responsible Party: | Irene Jensen, Professor, Karolinska Institutet |
| ClinicalTrials.gov Identifier: | NCT01653782 History of Changes |
| Other Study ID Numbers: | 6411023 |
| Study First Received: | June 28, 2012 |
| Last Updated: | July 30, 2012 |
| Health Authority: | Sweden: Regional Ethical Review Board |
Keywords provided by Karolinska Institutet:
|
LPB RCT Intervention study Cost effectiveness |
Yoga evidence based advice to stay active exercise training |
Additional relevant MeSH terms:
|
Back Pain Low Back Pain Pain |
Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013