Efek Latihan Yoga pada Pasien Nyeri Punggung Bawah Kronis: Tinjauan Sistematis Uji Coba Kontrol Acak
Effects Of Yoga Exercise On Patients With Chronic Lower Back Pain: A Systematic Review Of Randomized Control Trial
Abstract
Low back pain merupakan permasalahan yang banyak terjadi pada kalangan masyarakat, hal tersebut dapat mempengaruhi kehidupan sosial dan ekonomi masyakarat sehingga dapat mempengaruhi kualitas dalam kehidupan. LBP menjadi permasalahan dengan tingkat prevalensi paling tinggi di kalangan pekerja, hal tersebut dapat dipengaruhi karena postur yang buruk, cidera, mengangkat beban berat serta faktor psikososial seperti stress dan cemas. Penelitian ini merupakan tinjauan sistematik uji coba kontrol acak dengan menggunakan pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) dengan hasil penyaringan (n=9). Pengaruh Yoga dan Fisioterapi memiliki efek yang sama pada kasus chronic low back pain di bandingkan hanya edukasi dan pemberian buku ajar tentang penanganan chronic low back pain. Pada beberapa aspek penelitian memiliki hasil yang efektif untuk menurunkan tingkat nyeri seorang individu dimana sering dilakukan dengan NRS (Numeric Rating Scale) dan pengukuran kualitas hidup menggunakan Roland-Morris Disability Questionnaire dan juga pengukuran tingkat stres menggunakan Generalized Anxiety Disorder 7-item Scale (GAD-7). Yoga efektif dalam menurunkan nyeri, meningkatkan kualitas hidup, mengurangi tingkat depresi, stress dan anxiety.
References
Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol [Internet]. 2010;24(6):769–81. Available from: http://dx.doi.org/10.1016/j.berh.2010.10.002
Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–67.
Liao LZ, Wang HY, Cui WL, Zhang Q, He XQ, Wang L, et al. Global, regional and national burden and trends of larynx cancer among adults aged 55 and older from 1990 to 2021: results from the global burden of disease study 2021. BMC Public Health. 2025;25(1).
Windiastoni YH, Basuki N, Haritsah NF. Effect of Cryotherapy Combined with William Flexion Exercise in Reducing Myogenic Low Back Pain. Indones J Med. 2023;8(2):219–24.
Gündüz OH, Erçalik T. Exercise prescription in chronic low back pain | Kronik bel ağrısında egzersiz reçeteleme. Turkiye Fiz Tip ve Rehabil Derg. 2014;60:S25–30.
Taşpınar G, Angın E, Oksüz S. The effects of Pilates on pain, functionality, quality of life, flexibility and endurance in lumbar disc herniation. J Comp Eff Res. 2023;12(1).
Hübner J, Hanf V, Muenstedt K. Yoga for cancer patients | Yoga für Krebspatienten. Gynakol Prax. 2016;40(2):309–13.
Mikkonen, J., Luomajoki, H., Airaksinen, O., Goubert, L., Pratscher, S., & Leinonen, V. (2024). Identical movement control exercises with and without synchronized breathing for chronic non-specific low back pain:A randomized pilot trial. Journal of Back and Musculoskeletal Rehabilitation, 37, 1–11. https://doi.org/10.3233/bmr-230413
Joyce C, Roseen EJ, Keysor JJ, Gross KD, Culpepper L, Saper RB. Can Yoga or Physical Therapy for Chronic Low Back Pain Improve Depression and Anxiety Among Adults From a Racially Diverse, Low-Income Community? A Secondary Analysis of a Randomized Controlled Trial. Arch Phys Med Rehabil [Internet]. 2021 Jun;102(6):1049–58. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0003999321001404
Roseen EJ, Pinheiro A, Lemaster CM, Plumb D, Wang S, Elwy AR, et al. Yoga Versus Education for Veterans with Chronic Low Back Pain: a Randomized Controlled Trial. J Gen Intern Med. 2023;38(9):2113–22.
Joyce CT, Chernofsky A, Lodi S, Sherman KJ, Saper RB, Roseen EJ. Do Physical Therapy and Yoga Improve Pain and Disability through Psychological Mechanisms? A Causal Mediation Analysis of Adults with Chronic Low Back Pain. J Orthop Sports Phys Ther. 2022;52(7):470–83.
Michalsen A, Jeitler M, Kessler CS, Steckhan N, Robens S, Ostermann T, et al. Yoga, Eurythmy Therapy and Standard Physiotherapy (YES-Trial) for Patients With Chronic Non-specific Low Back Pain: A Three-Armed Randomized Controlled Trial. J Pain. 2021;22(10):1233–45.
Berlowitz, J., Hall, D. L., Joyce, C., Fredman, L., Sherman, K. J., Saper, R. B., & Roseen, E. J. (2020). Changes in perceived stress after yoga, physical therapy, and education interventions for chronic low back pain: A secondary analysis of a randomized controlled trial. Pain Medicine (United States), 21(10), 2529–2537. https://doi.org/10.1093/PM/PNAA150
Roseen EJ, Gerlovin H, Felson DT, Delitto A, Sherman KJ, Saper RB. Which Chronic Low Back Pain Patients Respond Favorably to Yoga, Physical Therapy, and a Self-care Book? Responder Analyses from a Randomized Controlled Trial. Pain Med (United States). 2021;22(1):165–80.
Marshall A, Joyce CT, Tseng B, Gerlovin H, Yeh GY, Sherman KJ, et al. Changes in Pain Self-Efficacy, Coping Skills, and Fear-Avoidance Beliefs in a Randomized Controlled Trial of Yoga, Physical Therapy, and Education for Chronic Low Back Pain. Pain Med (United States). 2022;23(4):834–43.
Tankha, H., Gaskins, D., Shallcross, A., Rothberg, M., Hu, B., Guo, N., Roseen, E. J., Dombrowski, S., Bar, J., Warren, R., Wilgus, H., Tate, P., Goldfarb, J., Drago, V. G., & Saper, R. (2024). Effectiveness of Virtual Yoga for Chronic Low back pain: A Randomized Clinical Trial. JAMA Network Open, 7(11), e2442339. https://doi.org/10.1001/jamanetworkopen.2024.42339
Cargnin, Z. A., Schneider, D. G., Vargas, M. A. de O., & Machado, R. R. (2019). Non-specific low back painand its relation to the nursing work process. Revista Latino-Americana de Enfermagem, 27. https://doi.org/10.1590/1518-8345.2915.3172
The use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution 4.0 International License.
Author’s Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
User Rights
JFR's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JFR permits users to copy, distribute, display, and perform the work. Users will also need to attribute authors and JFR on distributing works in the journal.
Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article
Co-Authorship
If the article was jointly prepared by other authors, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JFR will not be held liable for anything that may arise due to the author(s) internal dispute. JFR will only communicate with the corresponding author.
Miscellaneous
JFR will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JFR's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.
