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Randomized Controlled Trial
. 2018 Jan;99(1):91-98.
doi: 10.1016/j.apmr.2017.08.473. Epub 2017 Sep 14.

Benefits of the Restorative Exercise and Strength Training for Operational Resilience and Excellence Yoga Program for Chronic Low Back Pain in Service Members: A Pilot Randomized Controlled Trial

Krista Beth Highland  1 , Audrey Schoomaker  2 , Winifred Rojas  2 , Josh Suen  2 , Ambareen Ahmed  2 , Zhiwei Zhang  2 , Sarah Fink Carlin  3 , Christian E Calilung  2 , Michael Kent  4 , Christin McDonough  2 , Chester C Buckenmaier 3rd  4
Affiliations
Randomized Controlled Trial

Benefits of the Restorative Exercise and Strength Training for Operational Resilience and Excellence Yoga Program for Chronic Low Back Pain in Service Members: A Pilot Randomized Controlled Trial

Krista Beth Highland et al. Arch Phys Med Rehabil. 2018 Jan.

Erratum in

  • Correction.
    [No authors listed] [No authors listed] Arch Phys Med Rehabil. 2018 Apr;99(4):777. doi: 10.1016/j.apmr.2018.01.004. Arch Phys Med Rehabil. 2018. PMID: 29580463 No abstract available.

Abstract

Objective: To examine the feasibility and preliminary effectiveness of an individualized yoga program.

Design: Pilot randomized controlled trial.

Setting: Military medical center.

Participants: Patients (N=68) with chronic low back pain.

Interventions: Restorative Exercise and Strength Training for Operational Resilience and Excellence (RESTORE) program (9-12 individual yoga sessions) or treatment as usual (control) for an 8-week period.

Main outcome measures: The primary outcome was past 24-hour pain (Defense & Veterans Pain Rating Scale 2.0). Secondary outcomes included disability (Roland-Morris Disability Questionnaire) and physical functioning and symptom burden (Patient-Reported Outcomes Measurement Information System-29 subscales). Assessment occurred at baseline, week 4, week 8, 3-month follow-up, and 6-month follow-up. Exploratory outcomes included the proportion of participants in each group reporting clinically meaningful changes at 3- and 6-month follow-ups.

Results: Generalized linear mixed models with sequential Bonferroni-adjusted pairwise significance tests and chi-square analyses examined longitudinal outcomes. Secondary outcome significance tests were Bonferroni adjusted for multiple outcomes. The RESTORE group reported improved pain compared with the control group. Secondary outcomes did not retain significance after Bonferroni adjustments for multiple outcomes, although a higher proportion of RESTORE participants reported clinically meaningfully changes in all outcomes at 3-month follow-up and in symptom burden at 6-month follow-up.

Conclusions: RESTORE may be a viable nonpharmacological treatment for low back pain with minimal side effects, and research efforts are needed to compare the effectiveness of RESTORE delivery formats (eg, group vs individual) with that of other treatment modalities.

Trial registration: ClinicalTrials.gov NCT02132910.

Keywords: Low back pain; Pain management; Rehabilitation; Yoga.

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