A Tai chi and qigong mind-body program for low back pain: A virtually delivered randomized control trial

Autor: Yang Yang, PhD, Sydne McCluskey, PhD, Mohamad Bydon, MD, Jaspal Ricky Singh, MD, Robert D. Sheeler, MD, Karim Rizwan Nathani, MBBS, Ana C. Krieger, MD, MPH, Neel D. Mehta, MD, Joshua Weaver, MD, Libin Jia, MD, Sharon DeCelle, MS, PT, LPC, Robert C. Schlagal, PhD, Jay Ayar, DrPH (c), MPH, BDS, Sahar Abduljawad, DrPH (c), MPH, Steven D. Stovitz, MD, MS, Ravindra Ganesh, MBBS, MD, Jay Verkuilen, PhD, Kenneth A. Knapp, PhD, Lin Yang, PhD, Roger Härtl, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: North American Spine Society Journal, Vol 20, Iss , Pp 100557- (2024)
Druh dokumentu: article
ISSN: 2666-5484
DOI: 10.1016/j.xnsj.2024.100557
Popis: ABSTRACT: Background: Mind-body treatments have the potential to manage pain, yet their effectiveness when delivered online for the treatment of low back pain (LBP) is unknown. We sought to evaluate whether a virtually delivered mind-body program integrating tai chi, qigong, and meditation (VDTQM) is effective for treating LBP. Methods: This randomized controlled trial compared VDTQM (n=175) to waitlist control (n=175). Eligible participants were at least 18 years old, had LBP for at least 6 weeks, were not pregnant, had not previously taken tai chi classes, and had not undergone spine surgery within 6 months. The treatment group received a 12-week VDTQM program in live online 60-minute twice-weekly group classes from September 2022 to December 2022. All participants continued their usual activities and care. Primary outcome was pain-related disability assessed by the Oswestry Disability Index (ODI) score. Secondary outcomes included pain intensity, sleep quality, and quality of life (QOL). Intent-to-treat analyses were conducted. Results: Of the 350 participants 278 (79%) were female, mean age was 58.8 years (range: 21–92), 244 (69.7%) completed the 8-week survey, 248 (70.9%) the 12-week, and 238 (68%) the 16 -week. No participants withdrew due to adverse treatment effects. Compared with control group, treatment group experienced statistically and clinically significant improvement in ODI score by −4.7 (95% CI: −6.24 to −3.16, p
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