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, MPH , Steven D. Stovitz MD, MS , Ravindra Ganesh MBBS, MD , Jay Verkuilen PhD , Kenneth A. Knapp PhD , Lin Yang PhD , Roger Härtl MD
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引用次数: 0
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<.01), −6.42 (95% CI: −7.96 to −4.88, p<.01), and −8.14 (95% CI: −9.68 to −6.59, p<.01) points at weeks 8, 12, and 16, respectively. Treatment group also experienced statistically significant improvement at all time points in the other outcomes.
Conclusions
Among adults with LBP, VDTQM treatment resulted in small to moderate improvements in pain-related disability, pain intensity, sleep quality, and QOL. Improvements persisted 1 month after treatment concluded. These findings suggest VDTQM may be a viable treatment option for patients with LBP.
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