The Synchronous Application of Yoga and Myofascial Release Therapy for Musculoskeletal Pain: A Case Report.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.