Exercise interventions are often incompletely described in reports of clinical trials hampering e... more Exercise interventions are often incompletely described in reports of clinical trials hampering evaluation of results and replication and implementation into practice. To develop a standardized method for reporting exercise programs in clinical trials, the Consensus on Exercise Reporting Template (CERT). Using the EQUATOR Network's methodological framework we invited 137 exercise experts to participate in a Delphi consensus study. A list of 41 items was identified from a meta-epidemiologic study of 73 systematic reviews of exercise. For each item, participants indicated agreement on an 11-point rating scale. Consensus for item inclusion was defined a priori as greater than 70% agreement of respondents rating an item seven or above. We used three sequential rounds of anonymous online questionnaires and a Delphi workshop. There were 57 (response rate 42%), 54 and 49 respondents to Rounds 1-3 respectively from 11 countries and a range of disciplines. In Round One, two items were ex...
ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory sy... more ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory systemic joint disorders such as rheumatoid arthritis (RA) through to localized soft tissue disorders such as low back pain (LBP).1,2 They are the leading cause of physical disability and pain,2–4 adversely affect quality of life,5 and are associated with an increased prevalence of depression.5–7 This biopsychosocial nature of muscu- loskeletal disorders is addressed in their diagnosis and treatment, with psychosocial factors incorpo- rated into their diagnosis,8 and non-pharmaceutical therapies such as exercise recommended for their management.8–10 Complementary and alternative medicine (CAM) therapies are becoming an integral part of the non- pharmaceutical management of musculoskeletal dis- orders. The American College of Rheumatology conditionally recommends the practice of tai chi for the management of knee and hip osteoarthritis,10 and the American College of Physicians and the Ameri- can Pain Society recommend yoga as a therapy of proven benefit for the management of LBP.8 These clinical recommendations reflect patient preference, with billions of dollars spent annually on CAM therapies.11 People with musculoskeletal disorders are the primary users of CAM,12 and are increasingly turning to therapies such as yoga for the management of their physical and mental health.13–17
ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory sy... more ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory systemic joint disorders such as rheumatoid arthritis (RA) through to localized soft tissue disorders such as low back pain (LBP).1,2 They are the leading cause of physical disability and pain,2–4 adversely affect quality of life,5 and are associated with an increased prevalence of depression.5–7 This biopsychosocial nature of muscu- loskeletal disorders is addressed in their diagnosis and treatment, with psychosocial factors incorpo- rated into their diagnosis,8 and non-pharmaceutical therapies such as exercise recommended for their management.8–10 Complementary and alternative medicine (CAM) therapies are becoming an integral part of the non- pharmaceutical management of musculoskeletal dis- orders. The American College of Rheumatology conditionally recommends the practice of tai chi for the management of knee and hip osteoarthritis,10 and the American College of Physicians and the Ameri- can Pain Society recommend yoga as a therapy of proven benefit for the management of LBP.8 These clinical recommendations reflect patient preference, with billions of dollars spent annually on CAM therapies.11 People with musculoskeletal disorders are the primary users of CAM,12 and are increasingly turning to therapies such as yoga for the management of their physical and mental health.13–17
As yoga has gained popularity as a therapeutic intervention, its safety has been questioned in th... more As yoga has gained popularity as a therapeutic intervention, its safety has been questioned in the lay press. Thus, this review aimed to systematically assess and meta-analyze the frequency of adverse events in randomized controlled trials of yoga. MEDLINE/PubMed, Scopus, the Cochrane Library, and IndMED were screened through February 2014. Of 301 identified randomized controlled trials of yoga, 94 (1975-2014; total of 8,430 participants) reported on adverse events. Life-threatening, disabling adverse events or those requiring intensive treatment were defined as serious and all other events as nonserious. No differences in the frequency of intervention-related, nonserious, or serious adverse events and of dropouts due to adverse events were found when comparing yoga with usual care or exercise. Compared with psychological or educational interventions (e.g., health education), more intervention-related adverse events (odds ratio = 4.21, 95% confidence interval: 1.01, 17.67; P = 0.05)...
Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complement... more Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complementary manual therapies such as massage, spinal manipulation, chiropractic, and osteopathy to manage their symptoms. The aim of this systematically review was to critically appraise and synthesize the best available evidence regarding the effectiveness of manual therapies for managing pregnancy-related low back and pelvic pain. Seven databases were searched from their inception until April 2015 for randomized controlled trials. Studies investigating the effectiveness of massage and chiropractic and osteopathic therapies were included. The study population was pregnant women of any age and at any time during the antenatal period. Study selection, data extraction, and assessment of risk of bias were conducted by 2 reviewers independently, using the Cochrane tool. Separate meta-analyses were conducted to compare manual therapies to different control interventions. Out of 348 nonduplicate recor...
American journal of preventive medicine, Jan 13, 2015
The purpose of this study was to investigate the prevalence, patterns, and predictors of yoga use... more The purpose of this study was to investigate the prevalence, patterns, and predictors of yoga use in the U.S. general population. Using cross-sectional data from the 2012 National Health Interview Survey Family Core, Sample Adult Core, and Adult Complementary and Alternative Medicine questionnaires (N=34,525), weighted frequencies for lifetime and 12-month prevalence of yoga use and patterns of yoga practice were analyzed. Using logistic regression analyses, sociodemographic predictors of lifetime yoga use were analyzed. Analyses were conducted in 2015. Lifetime and 12-month prevalence of yoga use were 13.2% and 8.9%, respectively. Compared with nonpractitioners, lifetime yoga practitioners were more likely female, younger, non-Hispanic white, college educated, higher earners, living in the West, and of better health status. Among those who had practiced in the past 12 months, 51.2% attended yoga classes, 89.9% used breathing exercises, and 54.9% used meditation. Yoga was practiced ...
Evidence-based complementary and alternative medicine : eCAM, 2015
We examined the National Health Interview Survey (NHIS) 2012 to explore how US adult consumers of... more We examined the National Health Interview Survey (NHIS) 2012 to explore how US adult consumers of CAM differ by gender in terms of their sociodemographic characteristics, current health conditions, and perceived benefits of CAM. All individuals who completed the adults core interviews (N = 34,525) were included. CAM use, major sociodemographic variables, perceived benefits of using CAM, and top ten reported health conditions for which CAM was used were selected and analyzed by Stata. Findings revealed that 29.6% (n = 10,181) reported having used at least one form of CAM in the previous 12 months. Compared to male CAM users, female CAM users were more likely to have a bachelor degree, to be divorced/separated or widowed, and less likely to earn $75,000 or more. Back pain/problem was the most common problem reported by both male and female CAM users (32.2% and 22.6%, resp.). A higher proportion of female CAM users reported using CAM for perceived benefits such as general wellness or g...
Exercise interventions are often incompletely described in reports of clinical trials hampering e... more Exercise interventions are often incompletely described in reports of clinical trials hampering evaluation of results and replication and implementation into practice. To develop a standardized method for reporting exercise programs in clinical trials, the Consensus on Exercise Reporting Template (CERT). Using the EQUATOR Network's methodological framework we invited 137 exercise experts to participate in a Delphi consensus study. A list of 41 items was identified from a meta-epidemiologic study of 73 systematic reviews of exercise. For each item, participants indicated agreement on an 11-point rating scale. Consensus for item inclusion was defined a priori as greater than 70% agreement of respondents rating an item seven or above. We used three sequential rounds of anonymous online questionnaires and a Delphi workshop. There were 57 (response rate 42%), 54 and 49 respondents to Rounds 1-3 respectively from 11 countries and a range of disciplines. In Round One, two items were ex...
ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory sy... more ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory systemic joint disorders such as rheumatoid arthritis (RA) through to localized soft tissue disorders such as low back pain (LBP).1,2 They are the leading cause of physical disability and pain,2–4 adversely affect quality of life,5 and are associated with an increased prevalence of depression.5–7 This biopsychosocial nature of muscu- loskeletal disorders is addressed in their diagnosis and treatment, with psychosocial factors incorpo- rated into their diagnosis,8 and non-pharmaceutical therapies such as exercise recommended for their management.8–10 Complementary and alternative medicine (CAM) therapies are becoming an integral part of the non- pharmaceutical management of musculoskeletal dis- orders. The American College of Rheumatology conditionally recommends the practice of tai chi for the management of knee and hip osteoarthritis,10 and the American College of Physicians and the Ameri- can Pain Society recommend yoga as a therapy of proven benefit for the management of LBP.8 These clinical recommendations reflect patient preference, with billions of dollars spent annually on CAM therapies.11 People with musculoskeletal disorders are the primary users of CAM,12 and are increasingly turning to therapies such as yoga for the management of their physical and mental health.13–17
ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory sy... more ABSTRACT Musculoskeletal disorders are a diverse group of conditions ranging from inflammatory systemic joint disorders such as rheumatoid arthritis (RA) through to localized soft tissue disorders such as low back pain (LBP).1,2 They are the leading cause of physical disability and pain,2–4 adversely affect quality of life,5 and are associated with an increased prevalence of depression.5–7 This biopsychosocial nature of muscu- loskeletal disorders is addressed in their diagnosis and treatment, with psychosocial factors incorpo- rated into their diagnosis,8 and non-pharmaceutical therapies such as exercise recommended for their management.8–10 Complementary and alternative medicine (CAM) therapies are becoming an integral part of the non- pharmaceutical management of musculoskeletal dis- orders. The American College of Rheumatology conditionally recommends the practice of tai chi for the management of knee and hip osteoarthritis,10 and the American College of Physicians and the Ameri- can Pain Society recommend yoga as a therapy of proven benefit for the management of LBP.8 These clinical recommendations reflect patient preference, with billions of dollars spent annually on CAM therapies.11 People with musculoskeletal disorders are the primary users of CAM,12 and are increasingly turning to therapies such as yoga for the management of their physical and mental health.13–17
As yoga has gained popularity as a therapeutic intervention, its safety has been questioned in th... more As yoga has gained popularity as a therapeutic intervention, its safety has been questioned in the lay press. Thus, this review aimed to systematically assess and meta-analyze the frequency of adverse events in randomized controlled trials of yoga. MEDLINE/PubMed, Scopus, the Cochrane Library, and IndMED were screened through February 2014. Of 301 identified randomized controlled trials of yoga, 94 (1975-2014; total of 8,430 participants) reported on adverse events. Life-threatening, disabling adverse events or those requiring intensive treatment were defined as serious and all other events as nonserious. No differences in the frequency of intervention-related, nonserious, or serious adverse events and of dropouts due to adverse events were found when comparing yoga with usual care or exercise. Compared with psychological or educational interventions (e.g., health education), more intervention-related adverse events (odds ratio = 4.21, 95% confidence interval: 1.01, 17.67; P = 0.05)...
Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complement... more Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complementary manual therapies such as massage, spinal manipulation, chiropractic, and osteopathy to manage their symptoms. The aim of this systematically review was to critically appraise and synthesize the best available evidence regarding the effectiveness of manual therapies for managing pregnancy-related low back and pelvic pain. Seven databases were searched from their inception until April 2015 for randomized controlled trials. Studies investigating the effectiveness of massage and chiropractic and osteopathic therapies were included. The study population was pregnant women of any age and at any time during the antenatal period. Study selection, data extraction, and assessment of risk of bias were conducted by 2 reviewers independently, using the Cochrane tool. Separate meta-analyses were conducted to compare manual therapies to different control interventions. Out of 348 nonduplicate recor...
American journal of preventive medicine, Jan 13, 2015
The purpose of this study was to investigate the prevalence, patterns, and predictors of yoga use... more The purpose of this study was to investigate the prevalence, patterns, and predictors of yoga use in the U.S. general population. Using cross-sectional data from the 2012 National Health Interview Survey Family Core, Sample Adult Core, and Adult Complementary and Alternative Medicine questionnaires (N=34,525), weighted frequencies for lifetime and 12-month prevalence of yoga use and patterns of yoga practice were analyzed. Using logistic regression analyses, sociodemographic predictors of lifetime yoga use were analyzed. Analyses were conducted in 2015. Lifetime and 12-month prevalence of yoga use were 13.2% and 8.9%, respectively. Compared with nonpractitioners, lifetime yoga practitioners were more likely female, younger, non-Hispanic white, college educated, higher earners, living in the West, and of better health status. Among those who had practiced in the past 12 months, 51.2% attended yoga classes, 89.9% used breathing exercises, and 54.9% used meditation. Yoga was practiced ...
Evidence-based complementary and alternative medicine : eCAM, 2015
We examined the National Health Interview Survey (NHIS) 2012 to explore how US adult consumers of... more We examined the National Health Interview Survey (NHIS) 2012 to explore how US adult consumers of CAM differ by gender in terms of their sociodemographic characteristics, current health conditions, and perceived benefits of CAM. All individuals who completed the adults core interviews (N = 34,525) were included. CAM use, major sociodemographic variables, perceived benefits of using CAM, and top ten reported health conditions for which CAM was used were selected and analyzed by Stata. Findings revealed that 29.6% (n = 10,181) reported having used at least one form of CAM in the previous 12 months. Compared to male CAM users, female CAM users were more likely to have a bachelor degree, to be divorced/separated or widowed, and less likely to earn $75,000 or more. Back pain/problem was the most common problem reported by both male and female CAM users (32.2% and 22.6%, resp.). A higher proportion of female CAM users reported using CAM for perceived benefits such as general wellness or g...
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