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Th e objective of this st udy was to evaluate the role of Integrated Approach of Yoga Therapy (IAYT) a s an add - on on pain and spinal flexibility in patients undergoing conventional treatment for chronic low back ache . One hundred and twenty patients suffering from chronic low back ache (CLBA) aged between 18yrs to 75yrs Yoga( 41.29±15.87 ) and Control ( 41.63±13.48 ) from Ebnezar orthopedic center, Bengaluru were randomly assigned into two groups; yoga group (YG) and control group (CG) to receive IAYT or Therapeutic exercises after Intermittent l umbar traction and ultrasound (20 minutes per day). Both the groups practiced supervised interventions (40 minutes per day) for 3 weeks at the c enter and later for 12 weeks at their residences after the completion of treatment. 57 (yoga) and 55 (control) s ubjects were available for the final analysis. Both th e groups were assessed for pain and spinal flexibility on the 1 st day in the pretest and on the 21 st day in the post test. Data were analyzed using repeated measures analysis of variance (RMANOVA). Ther e were significant differences within (RMANOVA, P<0.001) and between the groups (RMANOVA, P <0.001) on pain and spinal flexibility with better improvements in the yoga group than the control group. Pain in the yoga (39.9%, 66%, 85%, and 98.9 %) and control (25.5%, 45%, 63% and 74%), movements - flexion in yoga (77%, 126%, 183%,232%) and control (33%, 64%, 99%, 132%), Extension in yoga (75%, 113%, 130%,132%) and control (34%,68%,102%,121%), right lateral flexion in yoga (78%,113%,126%,129%) and control (32%, 66%, 99%,117%), left lateral rotation in yoga (76%, 109%, 119%, 120%) and control (33% ,67%, 100%, 113%), right lateral rotation in yoga (70%, 107%, 136%, 143%) and control (29%, 58%, 89%, 114%), left lateral rotation in yoga (66%, 103%, 129%, 130%) and control (28%,55%, 84%, 107%). All these improved in the yoga group better than the control group on the 21st day, 3 rd month, 6th mont h and 1year respectively. Integrated approach of yoga therapy (IAYT) as an add - on with the conventional physiotherapy provides significantly better improvement in reducing pain and improving spinal flexibility than the therapeutic exercises in patients suf fering from chronic low back ache.

EFFECT OF YOGA THERAPY ON SPINAL FLEXIBILITY IN PATIENTS UNDERGOING CONVENTIONAL TREATMENT FOR CHRONIC LOW BACK ACHE: AN RCT