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Research Evidence

Research Evidence. Steffany Moonaz, PhD, RYT-500. CLINICAL TRIALS. The emerging evidence since 2011…. Middleton, et al . (2013). Uses protocol from Hopkins study Focuses on underserved urban minorities with arthritis Bilingual classes with African American and Hispanic teachers

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Research Evidence

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  1. Research Evidence Steffany Moonaz, PhD, RYT-500

  2. CLINICAL TRIALS • The emerging evidence since 2011…

  3. Middleton, et al. (2013) • Uses protocol from Hopkins study • Focuses on underserved urban minorities with arthritis • Bilingual classes with African American and Hispanic teachers • Study underway • Qualitative and quantitative data analysis • Pilot

  4. Ebnezar, et al. (2012) • Large sample (n=250) • Active control (daily yoga therapy vs. therapeutic exercise) • Knee OA • Improvements in both groups for: • Waking pain • Knee disability • Knee flexion • Joint tenderness • Swelling • Crepitis • Walk time

  5. Park, et al. (2011) • Small pilot • OA • Chair yoga and reiki • Outcomes: pain, depressive mood, physical function • Only finding was association between yoga and physical function

  6. Singh, et al. (2011) • Indian publication- abstract only • RA • Pranayama, cleansing, meditation • pain intensity, inflammation, stiffness, pulse rate, blood pressure, lymphocyte count, C-reactive protein and serum uric acid • Claims RA severity improved with yoga, but does not indicate which measures

  7. Taibi and Vitiello (2011) • Pilot: 13 completed • Gentle yoga for sleep disturbance in OA • 8 weeks- weekly classes and daily home practice • Sig: The Insomnia Severity Index, diary-reported sleep onset latency, sleep efficiency, nights with insomnia • NS but Imp: Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, diary-reported total sleep time, wake after sleep onset, • No change: Actigraphic sleep outcomes • Supports feasibility and acceptability

  8. Evans, et al. (2011) • 70 RA patients • 6 weeks • Waitlist control • Quantitative and qualitative measures • Function, pain, mood, HRQL, qualitative interviews, BP, heart rate, medical exam, pro-inflammatory cytokines • Study in progress

  9. REVIEWS • Scoping Review • Systematic Review • Meta-Analysis

  10. Ward et al. (2013) • Meta-analysis of 17 studies • RA, OA, LBP, FM, kyphosis • 12 reported to have good quality • Improvement in functional outcomes for m/m LBP, FM (trend in kyphosis) • Pain improved in RA, OA, m/s LBP • Psychosocial imp in m/m LBP, OA • Good quality studies showedmoderate treatment effect for functional outcomes, pain

  11. Büssing et al (2012) • Meta-analysis of 16 controlled studies • Back pain, headache, RA, other indications • All positive outcomes • Moderate effect size for pain and pain-related disability

  12. Haaz and Bartlett (2011) • Scoping Review • Reviewed 9 clinical trials (1994-2010) • Yoga in RA and/or OA • Study quality 2-6 (out of 8) • Design • Sample size • Intervention • Data analysis • Evidence strongest for symptoms, disability, self-efficacy, mental health

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