• Musculoskeletal care · Mar 2018

    Randomized Controlled Trial

    Yoga for the management of pain and sleep in rheumatoid arthritis: a pilot randomized controlled trial.

    • Lesley Ward, Simon Stebbings, Josie Athens, Daniel Cherkin, and David Baxter G G School of Physiotherapy, University of Otago, Dunedin, New Zealand..
    • School of Physiotherapy, University of Otago, Dunedin, New Zealand.
    • Musculoskeletal Care. 2018 Mar 1; 16 (1): 39-47.

    ObjectiveThe aim of the present study was to determine the feasibility of a relaxation-based yoga intervention for rheumatoid arthritis, designed and reported in accordance with Delphi recommendations for yoga interventions for musculoskeletal conditions.MethodsParticipants were recruited from a hospital database, and randomized to either eight weekly 75-min yoga classes or a usual care control. Feasibility was determined by recruitment rates, retention, protocol adherence, participant satisfaction and adverse events. Secondary physical and psychosocial outcomes were assessed using self-reported questionnaires at baseline (week 0), week 9 (primary time point) and week 12 (follow-up).ResultsOver a 3-month period, 26 participants with mild pain, mild to moderate functional disability and moderate disease activity were recruited into the study (25% recruitment rate). Retention rates were 100% for yoga participants and 92% for usual care participants at both weeks 9 and 12. Protocol adherence and participant satisfaction were high. Yoga participants attended a median of seven classes; additionally, seven of the yoga participants (54%) reported continuing yoga at home during the follow-up period. No serious adverse events were related to the study. Secondary outcomes showed no group effects of yoga compared with usual care.ConclusionsA relaxation-based yoga programme was found to be feasible and safe for participants with rheumatoid arthritis-related pain and functional disability. Adverse events were minor, and not unexpected from an intervention including physical components. This pilot provides a framework for larger intervention studies, and supports further exploration of yoga as a complex intervention to assist with the management of rheumatoid arthritis.Copyright © 2017 John Wiley & Sons, Ltd.

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