Remotely Delivered Yoga Program for Chronic Low Back Pain

Study Overview
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Brief Summary
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The purpose of this research is to integrate the meditative components of integrative restoration (iRest) yoga nidra with simple and safe movement sequences derived from established yoga postures and physical therapy interventions for chronic nonspecific low back pain and to use telemedicine technology to facilitate the intervention in a diverse socioeconomic and racial/ethnic population. This project will first systematically adapt the iRest yoga intervention for the incorporation of movement using a consultative and iterative process followed by a pilot intervention to assess the acceptability and preliminary efficacy of this program for pain, back related function and to address body-mind regulation and biopsychosocial-spiritual well-being. Hypothesis: a yoga intervention emphasizing meditative movement and relaxation will be safe for remote delivery and effective for biopsychosocial-spiritual outcomes for people with chronic low back pain.

Official Title
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Feasibility of a Remotely Delivered Yoga Intervention for Chronic Low Back Pain

Conditions
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Low Back Pain

Intervention / Treatment
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* Other: Yoga


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults age 18-64 years who report chronic nonspecific low back pain, defined as low back pain of unknown etiology persisting for at least 12 weeks, Participants must report an average pain intensity in the previous week of 4 or greater on an 11-point (0 to 10) numerical rating scale, Demonstrate medium to high risk on the STarT back screening tool, Understand English Have access to technology including a computer and internet access Exclusion Criteria: Specific causes of low back pain (e.g. spinal fractures, cancer-related pain) Severe or progressive neurological deficits Severe chronic medical and/or psychiatric comorbidities that may prevent safe participation in the study Established pregnancy Current yoga practice or regular yoga class attendance in the last three months; Current application for a receipt of workers compensation lack of access to technology including a computer and the internet

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: chronic nonspecific low back pain<br>Remotely delivered yoga intervention | Other: Yoga<br>* Remotely delivered yoga intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Oswestry Disability Index | Back related function and pain | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Vagal Efficiency | A device will be used to measure Heart rate variability and vagal efficiency | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | 
| Change in Purpose in Life | Six item measure of purpose in life | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | 
| Change in Body Brain Center Sensory Scales | Subjective measure of sensory sensitivity | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | 
| Change in Body Perception Questionnaire subscale on autonomic reactivity | Subjective measure of autonomic reactivity | Pre, midpoint (4 weeks), final (8 weeks), 1 month follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chronic pain, yoga, meditation