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Research: BISWAS and COLLEAGUES,
Listed in Issue 309
Abstract
BISWAS and COLLEAGUES, (1)Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, NG5 1PB, UK. isha.biswas@nottingham.ac.uk ; (2)Lifespan and Population Health, School of Medicine, University of Nottingham, Nottingham, NG5 1PB, UK. (3)The Nottingham Centre for Evidence-Based Healthcare: A JBI Centre of Excellence, Nottingham, NG5 1PB, UK. Conducted a systematic review to synthesise the content, structure, and delivery characteristics of effective yoga interventions for managing osteoarthritis symptoms, including joint pain and joint function.
Background
This systematic review aimed to synthesise the content, structure, and delivery characteristics of effective yoga interventions for managing osteoarthritis symptoms, including joint pain and joint function. JBI guidelines were followed.
Methodology
17 databases were searched for randomised controlled trials (RCTs) assessing yoga's effectiveness on osteoarthritis symptoms. Meta-analyses and a narrative synthesis were conducted to address the objective. The systematic review and meta-analysis included 18 and 16 articles (representing 16 and 14 RCTs), respectively. Overall, the included studies had low methodological quality scores.
Results
10 of 14 yoga interventions effectively reduced pain (standardised mean difference (SMD) - 0.70; 95% confidence interval (CI) - 1.08, - 0.32) and/or improved function (- 0.40; - 0.75, - 0.04). Notably, 8 effective interventions had centre-based (supervised, group) sessions, and 6 included additional home-based (unsupervised, individual) sessions. Effective interventions included 34 yogic poses (12 sitting, 10 standing, 8 supine, 4 prone), 8 breathing practices, and 3 meditation and relaxation practices. 8 interventions included yogic poses, and 7 also incorporated breathing practices and/or meditation and relaxation practices. 4 interventions included yogic pose modifications for osteoarthritis. The median duration of centre-based sessions was 8 weeks and each session was around 53 min, mostly delivered once a week. The median duration of home-based sessions was 10 weeks and each session was 30 min, usually instructed to practice 4 times a week.
Conclusion
Given previous studies' limitations, a high-quality long-term RCT should be conducted using synthesised findings of previous effective yoga interventions. © 2024. The Author(s). Conflict of interest statement: All authors declare that the data supporting the findings of this review are available within the article and its supplementary information files.
References
Biswas I(1), Nalbant G(2), Lewis S(2), Chattopadhyay K(2)(3). Key characteristics of effective yoga interventions for managing osteoarthritis: a systematic review and meta-analysis. Rheumatol Int.;44(9):1647-1677. doi: 10.1007/s00296-024-05652-y. Epub 2024 Jun 27. Sep 2024.
