Stretching the boundaries of yoga

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The practice, associated mostly with the health-conscious affluent, may offer low-cost treatment for back pain and other ailments

November 28, 2011|By Jan Brogan, Globe Correspondent
  • Yoga instructor Anna Dunwell teaching a class for people with low-back pain at the Boston Medical Center complex.
Yoga instructor Anna Dunwell teaching a class for people with low-back… (Essdras M Suarez/Globe…)

The lights are low, the music soft, as eight women lie on mats and follow the command to let their knees drop to one side, look over their opposite shoulder, and let out a long breath. Instructor Anna Dunwell leads them gently from one pose to another.

The yoga class, held in a Boston Medical Center lobby for staff and patients, features postures vetted for people with back pain. It was a prototype for an ongoing study exploring the use of yoga in the city’s poorer neighborhoods.

“You have yoga studios on every corner in Wellesley,’’ says Dr. Robert B. Saper, director of integrative medicine at BMC. “That’s not the case in Roxbury.’’

A survey of 5,050 people who practice yoga, conducted for Yoga Journal in 2008, found that 44 percent - almost half - reported annual incomes of $75,000 or more, and 24 percent said their income was higher than $100,000. Chronic low-back pain annually affects between 5 and 10 percent of all income levels of the population; low-back pain accounts for $50 billion in direct medical expenditures and is the most common cause of workers’ compensation, according to national health studies.

Because many yoga postures stretch and strengthen the muscles affecting the back, at least 10 published studies have been done on yoga and chronic low-back pain, says Saper. But though the majority have shown yoga to be promising as a low-cost treatment, all have been done on predominantly white, educated, affluent populations, he says.

“In our patient population, it’s unusual to have back pain alone as a single problem,’’ Saper says, noting that many patients also suffer from hypertension, diabetes, obesity, depression, and anxiety. And while he emphasizes that he doesn’t consider yoga a “panacea for everything, ’’ he says that “because of the mind-body component of yoga, we’re aware that [it] may be helpful for a variety of patients with co-morbidities. And that it may help with depression, anxiety, and resilience.’’

Saper is lead author of a pilot study published in a 2009 issue of Alternative Therapies in Health and Medicine that recruited 30 subjects from Codman Square Health Center and the Dorchester House Multiservice Center. A randomized controlled trial compared weekly hatha yoga classes to a control group that received standard treatment including doctor’s visits and medication.

The yoga group received one 75-minute class each week that included postures, deep breathing, and meditation. They were also given an instructional CD and equipment to practice 30 minutes a day at home. After 12 weeks, the yoga group reported one-third less pain and an 80 percent decrease in pain medications. The control group reported a decrease in pain of 5 percent and no change in medication use.

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