Effectiveness and safety of yoga to treat chronic and acute pain: a rapid review of systematic reviews

BackgroundPain is a sensation of discomfort that affects a large part of the population. Yoga is indicated to treat various health conditions, including chronic and acute pain.ObjectiveTo evaluate the effectiveness and safety of yoga to treat acute or chronic pain in the adult and elderly population.Study selectionA rapid review was carried out, following a protocol established a priori. Searches were carried out in September 2019, in six databases, using PICOS and MeSH (Medical Subject Headings) and DeCS (Descritores em Ciências da Saúde) terms. Systematic reviews were included, and methodological quality was assessed using Assessing the Methodological Quality of Systematic Reviews. The results were presented in a narrative synthesis.FindingsTen systematic reviews were selected. Two reviews were assessed as of high methodological quality, two as of low quality, and six of critically low quality. Results were favourable to yoga compared with usual daily care, particularly in low back and cervical pain cases. There was little evidence about the superiority of yoga compared with active interventions (exercises, pilates or complementary and complementary medicine). It was also less consistent in pain associated with fibromyalgia, osteoarthritis, rheumatoid arthritis, carpal tunnel and irritable bowel syndromes. There was an improvement in the quality of life and mood of the participants, especially for yoga compared with usual care, exercises and waiting list.ConclusionsOverall, the results were favourable to yoga compared with usual care in low back and cervical pain cases. The evidence is insufficient to assert yoga’s benefits for other pain conditions, as well as its superiority over active interventions. The findings must be considered with caution, given their low methodological quality and the small samples in the primary studies reported in the included systematic reviews. Thus, more studies must be carried out to improve the reliability of the results.

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Overall confidence in the results of systematic reviews on exercise therapy for chronic low back pain: a cross-sectional analysis using the Assessing the Methodological Quality of Systematic Reviews (AMSTAR) 2 tool

Brazilian Journal of Physical Therapy ◽

10.1016/j.bjpt.2019.04.004 ◽

2020 ◽

Vol 24 (2) ◽

pp. 103-117 ◽

Cited By ~ 8

Author(s):

Matheus Oliveira Almeida ◽

Tiê Parma Yamato ◽

Patricia do Carma Silva Parreira ◽

Leonardo Oliveira Pena Costa ◽

Steven Kamper ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Exercise Therapy ◽

Systematic Reviews ◽

Chronic Low Back Pain ◽

Methodological Quality ◽

Low Back ◽

Cross Sectional ◽

Sectional Analysis

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Evaluating the Characteristics, Reporting and Methodological Quality of Systematic Reviews of Acupuncture for Low Back Pain by Using the Veritas Plot

Journal of Pain Research ◽

10.2147/jpr.s254234 ◽

2020 ◽

Vol Volume 13 ◽

pp. 2633-2652

Author(s):

Fan Huang ◽

Mingwang Qiu ◽

Siyi Zhao ◽

Lin Dai ◽

Yanpeng Xu ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Systematic Reviews ◽

Methodological Quality ◽

Low Back

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Journal impact factor is associated with PRISMA endorsement, but not with the methodological quality of low back pain systematic reviews: a methodological review

European Spine Journal ◽

10.1007/s00586-019-06206-8 ◽

2019 ◽

Vol 29 (3) ◽

pp. 462-479 ◽

Cited By ~ 2

Author(s):

Dafne Port Nascimento ◽

Gabrielle Zoldan Gonzalez ◽

Amanda Costa Araujo ◽

Leonardo Oliveira Pena Costa

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Impact Factor ◽

Systematic Reviews ◽

Journal Impact Factor ◽

Methodological Quality ◽

Low Back ◽

Methodological Review ◽

Journal Impact

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Non-Vitamin K Antagonist Oral Anticoagulants in Pulmonary Embolism: An Overview of Systematic Reviews

Current Pharmaceutical Design ◽

10.2174/1381612826666200506114450 ◽

2020 ◽

Vol 26 (23) ◽

pp. 2686-2691 ◽

Cited By ~ 1

Author(s):

Ioannis Doundoulakis ◽

Christina Antza ◽

Haralambos Karvounis ◽

George Giannakoulas

Keyword(s):

Pulmonary Embolism ◽

Vitamin K ◽

Systematic Reviews ◽

Methodological Quality ◽

Randomized Clinical Trials ◽

Oral Anticoagulants ◽

Vitamin K Antagonist ◽

Language Restriction ◽

Overview Of Systematic Reviews

Background: Anticoagulation in patients with pulmonary embolism. Objective: To identify how non-vitamin K antagonist oral anticoagulants are associated with multiple outcomes in patients with pulmonary embolism. Methods: We performed a systematic search of systematic reviews via multiple electronic databases from inception to August 19th, 2019, without language restriction. Two authors independently extracted data and assessed the methodological quality of the included systematic reviews using the ROBIS tool. Results: We found twelve systematic reviews. Eleven SRs collected their data from randomized clinical trials and one from observational studies. All the included studies were published between 2014 and 2019 in English. The methodological quality of the 12 systematic reviews was low to high. None of the systematic reviews, which are included in our overview of systematic reviews, has evaluated the overall quality of evidence outcome using the Grading of Recommendations Assessments, Development and Evaluation (GRADE) approach. Conclusion: This is the first effort to summarize evidence about non-vitamin K antagonist oral anticoagulants in an overview of systematic reviews focusing exclusively on patients with pulmonary embolism. The evidence suggests that the non-vitamin K antagonist oral anticoagulants seem to be more effective and safer than a dualdrug approach with LMWH- VKA.

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The reporting and methodological quality of systematic reviews and meta‐analyses of nursing interventions for chronic obstructive pulmonary disease ‐ A systematic review

Nursing Open ◽

10.1002/nop2.767 ◽

2021 ◽

Author(s):

Xiao Sun ◽

Duo Wang ◽

Mei Wang ◽

Han Li ◽

Bo Liu

Keyword(s):

Systematic Review ◽

Chronic Obstructive Pulmonary Disease ◽

Pulmonary Disease ◽

Systematic Reviews ◽

Methodological Quality ◽

Chronic Obstructive ◽

Nursing Interventions ◽

Obstructive Pulmonary Disease ◽

Meta Analyses

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Low Back Pain in Athletes Is Associated with General and Sport Specific Risk Factors: A Comprehensive Review of Longitudinal Studies

Rehabilitation Research and Practice ◽

10.1155/2015/850184 ◽

2015 ◽

Vol 2015 ◽

pp. 1-10 ◽

Cited By ~ 6

Author(s):

Vahideh Moradi ◽

Amir-Hossein Memari ◽

Monir ShayestehFar ◽

Ramin Kordi

Keyword(s):

Risk Factors ◽

Body Weight ◽

Low Back Pain ◽

Back Pain ◽

Longitudinal Studies ◽

Methodological Quality ◽

Low Back ◽

Lumbar Flexion ◽

High Body

We aimed to examine systematically the available evidence on risk factors of low back pain (LBP) in athletes. We performed search without language restriction in PubMed, Ovid, Google Scholar, Scopus, and CINAHL. Longitudinal studies that examined possible risk factors of LBP in athletes were included in this systematic review. Based on methodological quality of studies, a best-evidence synthesis was conducted. Seven longitudinal studies were included, four of which had high methodological quality. Results showed that previous LBP, decreased lumbar flexion, and decreased lumbar extension are positively associated with LBP. There was moderate evidence for hip flexor tightness and high body weight as a risk factor. We found insufficient evidence for association between forward bending, previous injury, and amount of training per week, active years, age, and sex with LBP. In conclusion this study would provide a list of risk factors for LBP in athletes, though it showed a strong evidence for only a few including decrease lumbar flexion or extension, previous LBP, and high body weight. This review indicated a high heterogeneity of study characteristics including assessed risk factors and statistical techniques might limit the quality of evidence.

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