Research EvidenceSteffany Moonaz, PhD, RYT-500

The emerging evidence since 2011…

CLINICAL TRIALS

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

Middleton, et al. (2013)

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

Ebnezar, et al. (2012)

Small pilot OA Chair yoga and reiki Outcomes: pain, depressive mood, physical

function Only finding was association between yoga

and physical function

Park, 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

Singh, et al. (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

Taibi and Vitiello (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

Evans, et al. (2011)

Scoping Review Systematic Review Meta-Analysis

REVIEWS

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 showed moderate

treatment effect for functional outcomes, pain

Ward et al. (2013)

Meta-analysis of 16 controlled studies Back pain, headache, RA, other indications All positive outcomes Moderate effect size for pain and pain-

related disability

Büssing et al (2012)

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

Haaz and Bartlett (2011)