Comparison of Integrated Approach of Yoga Therapy (IAYT) versus Usual Care in Management of Chronic Low Back Pain Using Quantitative Sensory Testing

This prospective, Randomized ,parallel group clinical trial will compare the effectiveness of the Intergrated Approach of Yoga Therapy (IAYT) versus usual care in patients with chronic non- specific low back pain. A total of 82 adult participants with low back pain for more than three months and a pain score of (NRS) more than 5 will be randomized in a 1:1 ratio to either receive IAYT or usual care. The IAYT group will undergo 60 minute yoga sessions over 2 weeks including physical, postures, breathing exercises, and meditation, followed by Home practice. The usual care group will receive standard advice on ergonomics, posture, physical activity, and a back care booklet. Participants will be assessed at baseline, four weeks and at 12 weeks for pain intensity (NRS) , disability (modified oswestry, disability index), quality of life (EQ – 5D), and quantitative sensory testing parameters (pressure, pain threshold, and conditioned pain modulation). The primary aim is to estimate the difference in pain, intensity, and sensory testing parameters between groups and to demonstrate the effectiveness of yoga as an adjunct in managing chronic low back pain. The study will be conducted at the pain clinic, department of anaesthesia and intensive care, PGIMER, Chandigarh from January 2025 to June 2026.