The Effects of a Virtual Yoga Program on Patients With Chronic Pain

Mass General Brigham

Status: Completed

Conditions: Chronic Pain

Treatments: Behavioral: Yoga Based Daily Excercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05211414

2021P002534

Details and patient eligibility

About

This research is being done to determine if remote yoga-based exercise can help reduce chronic pain. It will include three virtual research visits. This cohort study will include three remote research visits and an online questionnaire administration. In addition, participants will attend 8 weekly virtual yoga sessions with a daily 30-minute "homework assignment" of 30 minutes of video-guided yoga practice.

Enrollment: 94 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• chronic pain for > 6 months' duration
• on stable doses of medication prior to entering the study and agree not to change medications or dosages (or CAM treatments) during the trial
• have an average pain score of 4/10 or greater over the previous week
• at least mild degree of sleep disturbance, defined as Pittsburgh Sleep Quality Index (PSQI) score >5
• are able to speak and understand English
• have access to a computer or tablet at home and have an email address
• are not currently engaged in a rigorous daily exercise routine (>5X/week)
• are willing and physically able to participate in virtual yoga-based exercise

Exclusion criteria

• currently under active cancer treatment (chemo, infusion, ongoing radiation)
• acute osteomyelitis or acute bone disease
• current diagnosis of chronic systemic inflammatory diseases including rheumatoid arthritis and lupus
• present or past diagnosis of schizophrenia, delusional disorder, psychotic disorder, or dissociative disorder that would be judged to interfere with study participation
• pregnancy
• any clinically unstable systemic illness judged to interfere with exercise treatment
• a pain condition requiring urgent surgery
• an active addiction disorder, such as cocaine or IV heroin use, that would interfere with study participation
• contraindications to yoga (e.g., severe back or neck injury or surgery)
• regular meditation practice or other meditative practice (e.g tai-chi, meditative form of yoga or contemplative prayer) for >20 min/week in the past 2 years
• participating in any other therapeutic trial
• other medical condition that would interfere with ability to exercise

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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94 participants in 2 patient groups

Yoga Based Daily Excercise

Experimental group

Description:

Subjects will be trained to perform 30 minutes of moderate level yoga daily, with instruction on breathing, self-awareness, and ways to modify poses to avoid pain. Subjects will be instructed in use of the email links to access the 30-minute instructive video. Subjects will attend weekly Zoom classes to learn additional postures and techniques, which will be reflected in their 30 minutes video (i.e. a new video for each week). At these weekly remote yoga classes, they will be asked about difficulties encountered and given advice about their personal home practice.

Treatment:

Behavioral: Yoga Based Daily Excercise

Usual Care

No Intervention group