Yoga Therapy and Pain—How Yoga Therapy Serves in ......complementary health, patient-centered, and...
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IAYT White Paper Executive Summary www.iayt.org continuing education, public education, interprofessional skills acquisition, and access to services. The paper concludes with the context and evidence that docu- ment the effectiveness of yoga therapy interventions to support peo- ple living with pain. The extensive summary of the evidence sub- stantiates the paper’s recommendations and illustrates the research shortfalls that require attention. Subheadings drawn from the CIPM definition categorize the evidence into biomedical, psychosocial, complementary health, patient-centered, and spiritual effects. This component-based approach illustrates for the many stakeholders how yoga therapy and CIPM are related and may be more fruitful- ly integrated in the future of pain care and the resolution of the cur- rent pain crisis. Originally published in the International Journal of Yoga Therapy, a publication of the International Association of Yoga Therapists (www.iayt.org); shared with permission. Access the full paper at www.iayt.org/page/WP_YTPain Executive Summary T his white paper examines the role of yoga therapy in compre- hensive integrative pain management (CIPM). How does yoga therapy contribute to integrative solutions to the current pub- lic health pain crisis, and how can the profession do more in the future? The premise of the paper is that the primary pain problem is misunderstood and is not the headline-grabbing symptoms of the opioid crisis. Effective pain-care, which includes comprehensive management approaches, needs to start in primary care and public health interventions. Additional challenges are described: Pain-care programs, services, and interventions are not accessible or inclusive; pain literacy is weak at best and often nonexistent; and limited pub- lic awareness of yoga therapy hinders its potential contributions to CIPM. Those contributions are detailed with an orientation to yoga and yoga therapy as well as exploration of the relationship between CIPM and yoga therapy (see Figure below). From that context, the paper addresses the many ways in which yoga therapy can be an essential component of the multidisciplinary undertaking to improve patient outcomes and alter the trajectory of the global public health crisis of poorly understood and inadequate- ly managed pain care. Building on the described challenges, the paper lists recom- mendations to providers, consumers, payers, and legislators, who together can begin to address the many systemic and structural bar- riers to CIPM by including yoga therapy. We do not hold out yoga therapy as a panacea for pain care. Instead, the profession and its individual members are called to self-reflection around an enumer- ated list of suggestions for further professional development. Substantial work is needed on every level of yoga therapy practice to optimize the opportunities offered by CIPM. That work includes improving pain literacy, research literacy, pain care curricula and Yoga Therapy and Pain—How Yoga Therapy Serves in Comprehensive Integrative Pain Management, and How It Can Do More White Paper: Yoga Therapy and Pain © International Association of Yoga Therapists, 2020. All rights reserved. Definitions of Comprehensive, Integrative Pain Management (CIPM) and Yoga Therapy that Highlight Commonalities Between the Approaches Comprehensive, integrative pain management includes biomedical, psychosocial, complementar y health, and spiritual car e. It is person-center ed and focuses on maximizing function and wellness. Car e plans are developed through a shar ed decision-making model that reflects the available evidence regarding optimal clinical practice and the person's goals and values. Yoga therapy [an adjunctive complementar y health practice] is the [ person-center ed] process of empowering individuals to progress [not by means of a singular silver-bullet solution, but with a car e plan] toward improved health and wellbeing [ focused on maximizing function and wellness rather than on pathologies] through the application of the teachings and [ biopsychosocial-spiritual] practices of yoga. I N T E R N ATIONAL ASSOCIATION OF YOGA THERAPISTS
Transcript of Yoga Therapy and Pain—How Yoga Therapy Serves in ......complementary health, patient-centered, and...
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IAYT White Paper Executive Summary
www.iayt.org
continuing education, public education, interprofessional skillsacquisition, and access to services.
The paper concludes with the context and evidence that docu-ment the effectiveness of yoga therapy interventions to support peo-ple living with pain. The extensive summary of the evidence sub-stantiates the paper’s recommendations and illustrates the researchshortfalls that require attention. Subheadings drawn from the CIPMdefinition categorize the evidence into biomedical, psychosocial,complementary health, patient-centered, and spiritual effects. Thiscomponent-based approach illustrates for the many stakeholdershow yoga therapy and CIPM are related and may be more fruitful-ly integrated in the future of pain care and the resolution of the cur-rent pain crisis.
Originally published in the International Journal of Yoga Therapy,a publication of the International Association of Yoga Therapists(www.iayt.org); shared with permission.
Access the full paper at www.iayt.org/page/WP_YTPain
Executive Summary
This white paper examines the role of yoga therapy in compre-hensive integrative pain management (CIPM). How does yogatherapy contribute to integrative solutions to the current pub-lic health pain crisis, and how can the profession do more in thefuture?
The premise of the paper is that the primary pain problem ismisunderstood and is not the headline-grabbing symptoms of theopioid crisis. Effective pain-care, which includes comprehensivemanagement approaches, needs to start in primary care and publichealth interventions. Additional challenges are described: Pain-careprograms, services, and interventions are not accessible or inclusive;pain literacy is weak at best and often nonexistent; and limited pub-lic awareness of yoga therapy hinders its potential contributions toCIPM.
Those contributions are detailed with an orientation to yogaand yoga therapy as well as exploration of the relationship betweenCIPM and yoga therapy (see Figure below).
From that context, the paper addresses the many ways in whichyoga therapy can be an essential component of the multidisciplinaryundertaking to improve patient outcomes and alter the trajectory ofthe global public health crisis of poorly understood and inadequate-ly managed pain care.
Building on the described challenges, the paper lists recom-mendations to providers, consumers, payers, and legislators, whotogether can begin to address the many systemic and structural bar-riers to CIPM by including yoga therapy. We do not hold out yogatherapy as a panacea for pain care. Instead, the profession and itsindividual members are called to self-reflection around an enumer-ated list of suggestions for further professional deve l o p m e n t .Substantial work is needed on every level of yoga therapy practice tooptimize the opportunities offered by CIPM. That work includesimproving pain literacy, research literacy, pain care curricula and
Yoga Therapy and Pain—How Yoga TherapyServes in Comprehensive Integrative PainManagement, and How It Can Do More
White Paper: Yoga Therapy and Pain © International Association of Yoga Therapists, 2020. All rights reserved.
Definitions of Comprehensive, Integrative Pain Management (CIPM) and Yoga Therapy that HighlightCommonalities Between the Approaches
Comprehensive, integrative pain management includes biomedical, psychosocial, complementary health, and spiritualcare. It is person-centered and focuses on maximizing functionand wellness. Care plans are developed through a shared decision-making model that reflects the available evidenceregarding optimal clinical practice and the person's goals and values.
Yoga therapy [an adjunctive complementary health practice] isthe [person-centered] process of empowering individuals toprogress [not by means of a singular silver-bullet solution, butwith a care plan] toward improved health and wellbeing[focused on maximizing function and wellness rather than onpathologies] through the application of the teachings and[biopsychosocial-spiritual] practices of yoga.
I N T E R N ATIONAL ASSOCIATION OF YOGA THERAPISTS
