Yoga in the Treatment of Osteoporosis

Overview

The study measures change in bone mineral density by the DEXA scan before and two or more years after beginning ten minutes of daily yoga designed to put pressure on the spine, hips and femur.

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: N/A
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: September 2015

Detailed Description

After collecting blood and urine samples, and pre-study DEXA scans, qualifying patients are given an entry DEXA scan and a DVD with instructions to advance from beginner versions of 12 Iyengar-style yoga poses to more advanced levels in daily practice for 2 years. fter two years or more, subsequent DEXA scans are recorded. Interested participants are also encouraged to have hip and spine X-rays, and bone quality studies on study entry and two years later. Actual subject participation, intercurrent illnesses, fractures and changes in medication are self-monitored with an on line scorecard, supplemented by emails and/or telephone calls when judged necessary by the PI. Results are calculated by change in bone mineral density in the lumbar spine, hips and femurs by the DEXA scan, changes in osteoarthritis according to the X-rays, and changes in bone quality before and two or more years after beginning the ten minutes of daily yoga. Dose-response relationships between the amount and intensity of yoga practice and bone mineral density and quality are sought. Yoga-related fractures and other adverse effects are also noted.

Interventions

  • Behavioral: Yoga
    • Subjects assume 10 physical postures for 30 seconds each

Arms, Groups and Cohorts

  • Experimental: Yoga of minimal intensity
    • Does Yoga: At least 4 times/week.

Clinical Trial Outcome Measures

Primary Measures

  • DEXA T-score
    • Time Frame: 2 years
    • Bone mineral density change in spine, hip and femur after 2 years of yoga.

Secondary Measures

  • Change in bone quality after doing yoga for two years.
    • Time Frame: two years
  • Number of fractures occurring while in study
    • Time Frame: two years

Participating in This Clinical Trial

Inclusion Criteria

  • Past DEXA scan and, all within 6 months of study entry, DEXA scan and normal values for: Metabolic panel, TSH, PTH, ESR (or CRP), Vitamin D 25 hydroxy, Vitamin D 1,25 dihydroxy, Urine NTX. Exclusion Criteria:

  • Known metabolic bone disease such as osteogenesis imperfecta, current treatment with steroids, chemotherapy, or currently healing fractures of lumbar spine, hips or femurs.

Gender Eligibility: All

Minimum Age: 16 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Manhattan Physical Medicine and Rehabilitation, LLP
  • Collaborator
    • New York University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Loren M. Fishman,MD, Loren M. Fishman, MD – Manhattan Physical Medicine and Rehabilitation, LLP
  • Overall Official(s)
    • Loren M Fishman, MD, Principal Investigator, Manhattan Physical Medicine and Rehabilitation, LLP

Citations Reporting on Results

Fishman, LM. "Yoga for Osteoporosis – A pilot study." Topics in Geriatric Rehabilitation Vol. 25, No. 3, 2009 pp. 244-250.

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