NCT01653782

Brief Summary

This randomized controlled study will evaluate the cost effectiveness of a yoga intervention compared to two evidence based programs; giving advice to stay active and guided exercise sessions. The first active program includes a six week standardized strength training program where the participants are personally instructed by a trained physiotherapist. The second active program is a six week standardized kundalini yoga program with group sessions twice a week lead by an experienced yoga instructor. Both programs consist of two exercise sessions per week and lasts for six weeks. After six weeks the participants are instructed to continue practicing their program twice a week on their own. The hypothesis are that a kundalini yoga program as an early intervention for Low Back Pain (LBP) is more cost effective than the two other interventions studied. Participants were recruited through the occupational health services and by advertisement in the local press. Study subjects eligible for inclusion were informed of the study either by health care personnel at the occupational health care centers or by a research assistant at the Karolinska Institutet. Subjects were informed that if they were eligible to participate in the study they would be given the opportunity to participate in one of three approaches for treatment of neck and back pain.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
159

participants targeted

Target at P75+ for not_applicable low-back-pain

Timeline
Completed

Started Sep 2009

Longer than P75 for not_applicable low-back-pain

Geographic Reach
1 country

3 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2009

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2012

Completed
27 days until next milestone

First Submitted

Initial submission to the registry

June 28, 2012

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 31, 2012

Completed
3.6 years until next milestone

Results Posted

Study results publicly available

March 14, 2016

Completed
Last Updated

March 14, 2016

Status Verified

February 1, 2016

Enrollment Period

2.8 years

First QC Date

June 28, 2012

Results QC Date

September 25, 2013

Last Update Submit

February 15, 2016

Conditions

Keywords

LPBRCTIntervention studyCost effectivenessYogaevidence basedadvice to stay activeexercise training

Outcome Measures

Primary Outcomes (1)

  • Number of Days on Sick Leave

    Sick leave using self-reported data on number of days on sick leave

    12 MONTHS

Secondary Outcomes (1)

  • Cost Effectiveness

    6 months, 12 months

Study Arms (3)

kUNDALINI YOGA

EXPERIMENTAL

Guided kundalini yoga sessions specific for low back pain for 1 hour, twice a week (120 minutes of instructor-led yoga) for 6 weeks. Cd recording for home practice recommended once per day.A written self care pamphlet "The Back book"

Behavioral: Kundalini yoga

Self care advice to stay active

ACTIVE COMPARATOR

Evidence based advice from caregiver to stay active and exercise

Behavioral: Self care advice

Exercise

ACTIVE COMPARATOR

Guided exercise at a gym focusing on strength training. Twice a week during 6 weeks. A written self care pamphlet "The Back book"

Behavioral: Exercise

Interventions

Kundalini yogaBEHAVIORAL

Guided training twice a week for six weeks. Self instructing cd for home practice

kUNDALINI YOGA

Evidence based advice from caregiver about keeping active, exercise and a written self care pamphlet "The Back book"

Self care advice to stay active
ExerciseBEHAVIORAL

Strength training at a gym supervised by a physical therapist twice a week during 6 weeks. Self training instruction was provided. A written self care pamphlet "The Back book"

Exercise

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • non- specific low back pain,
  • years old,
  • \> 90 points on the OMPSQ screening questionnaire for yellow flags and sufficient understanding of the Swedish language

You may not qualify if:

  • presence of so called Red flags,
  • pregnancy,
  • comorbidities affecting the ability to perform the interventions,
  • presently on sick leave for \> 8 weeks,
  • ongoing regular weekly yoga practice or strength training.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Friskis och svettis

Stockholm, Sweden

Location

Institute of medical yoga

Stockholm, Sweden

Location

Karolinska instituet

Stockholm, Sweden

Location

Related Publications (1)

  • Bramberg EB, Bergstrom G, Jensen I, Hagberg J, Kwak L. Effects of yoga, strength training and advice on back pain: a randomized controlled trial. BMC Musculoskelet Disord. 2017 Mar 29;18(1):132. doi: 10.1186/s12891-017-1497-1.

Related Links

MeSH Terms

Conditions

Low Back Pain

Interventions

Exercise

Condition Hierarchy (Ancestors)

Back PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor ActivityMovementMusculoskeletal Physiological PhenomenaMusculoskeletal and Neural Physiological Phenomena

Limitations and Caveats

Problems in recruiting eligible subject and drop outs especially in the control group resulted in a small number of subjects analysed.

Results Point of Contact

Title
Dr. Irene Jensen
Organization
Karolinska Institute

Study Officials

  • Irene B Jensen, PhD

    Karolinska Institutet

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

June 28, 2012

First Posted

July 31, 2012

Study Start

September 1, 2009

Primary Completion

June 1, 2012

Study Completion

June 1, 2012

Last Updated

March 14, 2016

Results First Posted

March 14, 2016

Record last verified: 2016-02

Data Sharing

IPD Sharing
Will not share

Locations