{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:03:54Z","timestamp":1792641834828,"version":"4.5.0"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Orthopaedic Research"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Chronic nonspecific low back pain (NSLBP) is a prevalent condition with socioeconomic and healthcare challenges. The flexion\u2013relaxation phenomenon (FRP) evaluation is a valid clinical tool for\u00a0low back pain\u00a0(LBP) assessment. Yoga, a holistic mind\u2013body practice, has been explored as an\u00a0LBP\u00a0intervention. This study aimed to evaluate the impact of yoga asanas on the FRP in women with NSLBP.\u00a0The study included healthy and chronic NSLBP females who underwent an eight\u2010session yoga asanas program, with the first session conducted in\u2010clinic and the rest delivered with tele\u2010approach. Outcome measures included pain intensity, flexion\u2013relaxation ratio (FRR), and trough surface electromyography collected during trunk maximum voluntary flexion (MVF).\u00a0The study included 11 healthy and 10 NSLBP women. Repeated measures test in chronic NSLBP group showed a significant decrease in pain intensity after the 4 weeks follow\u2010up (visual analog\u00a0scale\u00a0[VAS]:\u00a06.80\u2009\u00b1\u20091.48 vs. 3.30\u2009\u00b1\u20091.25; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and an\u00a0FRR improvement after the intervention (5.12\u2009\u00b1\u20090.93 vs. 9.49\u2009\u00b1\u20090.92; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). VAS and FRR effect sizes were 0.77 and 0.47, respectively. Therefore, we performed a Prophet evaluation to assess FRR trends, finding a growth rate (<jats:italic>k<\/jats:italic>) of 0.405\u2009\u00b1\u20090.448, with a forecast 1 month after the end of the intervention approaching the trend line of the control group.\u00a0The findings suggested that tele\u2010yoga asana might have a positive impact on pain intensity and the FRP in chronic LBP. Further research is warranted to confirm the long\u2010term effects of yoga for managing LBP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jor.25790","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T08:01:39Z","timestamp":1708502499000},"page":"1420-1427","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of yoga asanas on flexion and relaxation phenomenon in women with chronic low back pain: Prophet model prospective study"],"prefix":"10.1002","volume":"42","author":[{"given":"Nicola","family":"Marotta","sequence":"first","affiliation":[{"name":"Physical and Rehabilitative Medicine Division, Department of Experimental and Clinical Medicine University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"},{"name":"Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5541-8346","authenticated-orcid":false,"given":"Alessandro","family":"de Sire","sequence":"additional","affiliation":[{"name":"Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"},{"name":"Physical and Rehabilitative Medicine Division, Department of Medical and Surgical Sciences University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Lippi","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitative Medicine Division, Department of Health Sciences University of Eastern Piedmont \u201cA. Avogadro\u201d Novara Italy"},{"name":"Translational Medicine Division, Dipartimento Attivit\u00e0 Integrate Ricerca e Innovazione (DAIRI) Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo Alessandria Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucrezia","family":"Moggio","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitative Medicine Division, Department of Medical and Surgical Sciences University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"},{"name":"Rehabilitation Unit Ospedale degli Infermi Biella Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Tasselli","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitative Medicine Division, Department of Medical and Surgical Sciences University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Invernizzi","sequence":"additional","affiliation":[{"name":"Physical and Rehabilitative Medicine Division, Department of Health Sciences University of Eastern Piedmont \u201cA. Avogadro\u201d Novara Italy"},{"name":"Translational Medicine Division, Dipartimento Attivit\u00e0 Integrate Ricerca e Innovazione (DAIRI) Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo Alessandria Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Ammendolia","sequence":"additional","affiliation":[{"name":"Research Center on Musculoskeletal Health, MusculoSkeletalHealth@UMG University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"},{"name":"Physical and Rehabilitative Medicine Division, Department of Medical and Surgical Sciences University of Catanzaro \u201cMagna Graecia\u201d Catanzaro Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Iona","sequence":"additional","affiliation":[{"name":"Motor Sciences Division, Department of Medical and Surgical Sciences University of Catanzaro \u201cMagna Graecia\u201d Catanzaro 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