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https://www.arca.fiocruz.br/handle/icict/54475
EFFECTIVENESS AND SAFETY OF YOGA TO TREAT CHRONIC AND ACUTE PAIN: A RAPID REVIEW OF SYSTEMATIC REVIEWS
Author
Affilliation
Governo Estadual de São Paulo. Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. São Paulo, SP, Brasil.
University of Campinas. Institute of Philosophy and Human Sciences. Campinas, SP, Brazil.
Governo Estadual de São Paulo. Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. São Paulo, SP, Brasil.
Governo Estadual de São Paulo. Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. São Paulo, SP, Brasil.
Governo Estadual de São Paulo. Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
University of Campinas. Institute of Philosophy and Human Sciences. Campinas, SP, Brazil.
Governo Estadual de São Paulo. Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. São Paulo, SP, Brasil.
Governo Estadual de São Paulo. Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. São Paulo, SP, Brasil.
Governo Estadual de São Paulo. Secretaria de Estado da Saúde de São Paulo. Instituto de Saúde. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
Abstract
Background Pain is a sensation of discomfort that affects
a large part of the population. Yoga is indicated to treat
various health conditions, including chronic and acute pain.
Objective To evaluate the effectiveness and safety of
yoga to treat acute or chronic pain in the adult and elderly
population.
Study selection A rapid review was carried out, following
a protocol established a priori. Searches were carried out
in September 2019, in six databases, using PICOS and
MeSH (Medical Subject Headings) and DeCS (Descritores
em Ciências da Saúde) terms. Systematic reviews were
included, and methodological quality was assessed using
Assessing the Methodological Quality of Systematic
Reviews. The results were presented in a narrative
synthesis.
Findings Ten systematic reviews were selected. Two
reviews were assessed as of high methodological quality,
two as of low quality, and six of critically low quality.
Results were favourable to yoga compared with usual
daily care, particularly in low back and cervical pain cases.
There was little evidence about the superiority of yoga
compared with active interventions (exercises, pilates or
complementary and complementary medicine). It was
also less consistent in pain associated with fibromyalgia,
osteoarthritis, rheumatoid arthritis, carpal tunnel and
irritable bowel syndromes. There was an improvement in
the quality of life and mood of the participants, especially
for yoga compared with usual care, exercises and waiting
list.
Conclusions Overall, the results were favourable to yoga
compared with usual care in low back and cervical pain
cases. The evidence is insufficient to assert yoga’s benefits
for other pain conditions, as well as its superiority over
active interventions. The findings must be considered
with caution, given their low methodological quality and
the small samples in the primary studies reported in the
included systematic reviews. Thus, more studies must be
carried out to improve the reliability of the results.
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