Chang Douglas G, Holt Jacquelyn A, Sklar Marisa, Groessl Erik J
Department of Orthopaedic Surgery, University of California, San Diego, USA.
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, USA.
J Orthop Rheumatol. 2016 Jan 1;3(1):1-8.
Chronic low back pain (CLBP) affects millions of people worldwide, and appears to be increasing in prevalence. It is associated not only with pain, but also with increased disability, psychological symptoms, and reduced quality of life. There are various treatment options for CLBP, but no single therapy stands out as being the most effective. In the past 10 years, yoga interventions have been studied as a CLBP treatment approach. The objective of this paper is to review the current literature supporting the efficacy of yoga for CLBP.
A literature search through the beginning of 2015 was conducted in Pub Med for randomized control trials addressing treatment of CLBP with yoga.
In this review we evaluate the use of yoga as a treatment for CLBP. Specifically we evaluate how yoga impacts physical functioning and disability, pain, and associated psychological symptoms. We also evaluate possible mediators of the effect of yoga and the safety of yoga.
With few exceptions, previous studies and the recent randomized control trials (RCTs) indicate that yoga can reduce pain and disability, can be practiced safely, and is well received by participants. Some studies also indicate that yoga may improve psychological symptoms, but these effects are currently not as well established.
慢性下腰痛（CLBP）影响着全球数百万人，且患病率似乎在上升。它不仅与疼痛相关，还与残疾增加、心理症状以及生活质量下降有关。CLBP有多种治疗选择，但没有一种疗法脱颖而出成为最有效的。在过去10年里，瑜伽干预已作为一种CLBP治疗方法进行了研究。本文的目的是综述支持瑜伽治疗CLBP疗效的现有文献。
截至2015年初，在PubMed上进行文献检索，以查找关于用瑜伽治疗CLBP的随机对照试验。
在本综述中，我们评估了瑜伽作为CLBP治疗方法的应用。具体而言，我们评估了瑜伽如何影响身体功能和残疾、疼痛以及相关心理症状。我们还评估了瑜伽效果的可能调节因素以及瑜伽的安全性。
除少数例外情况外，先前的研究和最近的随机对照试验（RCT）表明，瑜伽可以减轻疼痛和残疾，可安全练习，且受参与者欢迎。一些研究还表明，瑜伽可能改善心理症状，但目前这些效果尚未得到充分证实。
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