A randomized controlled trial examining Iyengar yoga for young adults with rheumatoid arthritis: a study protocol

Subhadra Evans, Laura Cousins, Jennie Ci Tsao, Saskia Subramanian, Beth Sternlieb, Lonnie K Zeltzer, Subhadra Evans, Laura Cousins, Jennie Ci Tsao, Saskia Subramanian, Beth Sternlieb, Lonnie K Zeltzer

Abstract

Background: Rheumatoid arthritis is a chronic, disabling disease that can compromise mobility, daily functioning, and health-related quality of life, especially in older adolescents and young adults. In this project, we will compare a standardized Iyengar yoga program for young people with rheumatoid arthritis to a standard care wait-list control condition.

Methods/design: Seventy rheumatoid arthritis patients aged 16-35 years will be randomized into either the 6-week Iyengar yoga program (12 - 1.5 hour sessions twice weekly) or the 6-week wait-list control condition. A 20% attrition rate is anticipated. The wait-list group will receive the yoga program following completion of the first arm of the study. We will collect data quantitatively, using questionnaires and markers of disease activity, and qualitatively using semi-structured interviews. Assessments include standardized measures of general and arthritis-specific function, pain, mood, and health-related quality of life, as well as qualitative interviews, blood pressure/resting heart rate measurements, a medical exam and the assessment of pro-inflammatory cytokines. Data will be collected three times: before treatment, post-treatment, and two months following the treatment.

Discussion: Results from this study will provide critical data on non-pharmacologic methods for enhancing function in rheumatoid arthritis patients. In particular, results will shed light on the feasibility and potential efficacy of a novel intervention for rheumatoid arthritis symptoms, paving the way for a larger clinical trial.

Trial registration: ClinicalTrials.gov NCT01096823.

Figures

Figure 1
Figure 1
Conceptual model of Iyengar yoga for RA.
Figure 2
Figure 2
Flowchart of study design.
Figure 3
Figure 3
Selected yoga poses.
Figure 4
Figure 4
Group entry timeline.

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