To examine the feasibility and preliminary effectiveness of an individualized yoga program.
Pilot randomized controlled trial.
Military medical center.
Patients (N=68) with chronic low back pain.
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.
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.
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.
List of abbreviations:GLMM (generalized linear mixed model), LBP (low back pain), MHS (Military Health System), PROMIS (Patient-Reported Outcomes Measurement Information System), RESTORE (Restorative Exercise and Strength Training for Operational Resilience and Excellence)
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Published online: September 15, 2017
Supported by the U.S. Department of the Army, Telemedicine and Advanced Technology Research Center, U.S. Army Medical and Materiel Command, and Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. under Cooperative Agreement (W81XWH-11-2-0201).
Clinical Trial Registration No.: NCT02132910.
© 2017 by the American Congress of Rehabilitation Medicine
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- CorrectionArchives of Physical Medicine and RehabilitationVol. 99Issue 4
- PreviewThe article Highland et al, 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, published in Archives of Physical Medicine and Rehabilitation 2018;99:91-98 ( https://doi.org/10.1016/j.apmr.2017.08.473 ) should have been published with the following disclaimer: “The views expressed in this article are those of the author and do not reflect the official policy of the Department of Army/Navy/Air Force, Department of Defense, or U.S.