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The Synchronous Application of Yoga and Myofascial Release Therapy for Musculoskeletal Pain: A Case Report.

Alternative therapies in health and medicine
June 1, 2024
Benjamin D Holmes et al. (2 authors)
Journal ArticleCase ReportsHuman Study
Study Details

Study Goal

The researchers aimed to explore the potential benefits of combining myofascial release therapy with in-clinic yoga practice ("yoga release therapy," YRT) for managing chronic musculoskeletal pain.

Results Summary

The study found that YRT was associated with improvements in pain, pain interference, sleep disturbance, anxiety, fatigue, physical function, and social function, as measured by PROMIS scores. These outcomes suggest YRT may be a promising integrative approach for MSK pain management.

Population

A 40-year-old female with chronic right-sided thoracolumbar, posterior ribcage, abdominal wall, and anterior hip pain.

Effective Dosage

Not specified

Duration

Initial treatment spanned two months, with YRT introduced later (exact duration not specified).

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
manual therapy and yoga-based home exercise prescription
no change
Outcome measures
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
-
fluctuated erratically
#1
yoga release therapy (YRT)
decrease
pain rating
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
50 - 20
improvements
#2
yoga release therapy (YRT)
decrease
pain interference
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
60 - 47
improvements
#3
yoga release therapy (YRT)
decrease
sleep disturbance
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
54 - 37
improvements
#4
yoga release therapy (YRT)
decrease
anxiety
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
46 - 42
improvements
#5
yoga release therapy (YRT)
decrease
fatigue
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
57 - 43
improvements
#6
yoga release therapy (YRT)
increase
physical function
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
32 - 51
improvements
#7
yoga release therapy (YRT)
increase
social function
A 40-year-old female with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain
44 - 65
improvements
#8
Abstract

INTRODUCTION: Musculoskeletal (MSK) pain is common and costly, and conventional care is often inadequate for pain resolution. Although evidence supports movement and manual therapy treatments, the benefits of the synchronous application of these two therapies are sparsely documented and poorly understood. CASE PRESENTATION: A 40-year-old female presented to a chiropractic practice within a large multispecialty clinic with chronic right-sided thoracolumbar and posterior ribcage, abdominal wall, and anterior hip pain, despite extensive medical workup and multifaceted treatment. INTERVENTION DESCRIPTION: Initial chiropractic treatment entailed manual therapy and yoga-based home exercise prescription. Outcome measures during the first two months of treatment fluctuated erratically. In an effort to facilitate at-home yoga practice and to bolster the patient's self-efficacy, myofascial release therapy was combined synchronously with in-clinic yoga practice ("yoga release therapy", YRT). OUTCOMES: The shift in treatment to YRT was associated with improvements measured on the Patient-Reported Outcomes Measurement Information System (PROMIS) instrument, including: pain rating (50 - 20), pain interference (60 - 47), sleep disturbance (54 - 37), anxiety (46 - 42), fatigue (57 - 43), physical function (32 - 51), and social function (44 - 65). CONCLUSION: These outcomes indicate a potential role for YRT in an integrative approach to managing MSK pain. They justify prospective research to validate YRT's efficacy and explore its mechanisms.

Medical Subject Headings (MeSH)
HumansYogaFemaleAdultMusculoskeletal PainCombined Modality Therapy
Study Links
PubMed ID38819190
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality60/10
Research Impact Scores
APT Score0.05
Weight Score2.06
Normalized Score0.62
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