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Dance and Yoga Reduced Functional Abdominal Pain in Young Girls: A Randomized Controlled Trial
Örebro University, School of Health Sciences. University Health Care Research Center. (Just in TIME - främja ungas hälsa)ORCID iD: 0000-0001-5886-7828
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center. (Just in TIME - främja ungas hälsa)ORCID iD: 0000-0001-8433-6529
Department of Pediatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden. (Just in TIME - främja ungas hälsa)
Örebro University, School of Health Sciences. (Just in TIME - främja ungas hälsa)ORCID iD: 0000-0002-5996-2584
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2022 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 26, no 2, p. 336-348Article in journal (Refereed) Published
Abstract [en]

Background: Functional abdominal pain disorders (FAPDs) affect children, especially girls, all over the world. The evidence for existing treatments is mixed, and effective accessible treatments are needed. Dance, a rhythmic cardio-respiratory activity, combined with yoga, which enhances relaxation and focus, may provide physiological and psychological benefits that could help to ease pain.

Objectives: The aim with this study was to evaluate the effects of a dance and yoga intervention on maximum abdominal pain in 9- to 13-year- old girls with FAPDs.

Methods: This study was a prospective randomised controlled trial with 121 participants recruited from outpatient clinics as well as the general public. The intervention group participated in dance and yoga twice weekly for 8 months; controls received standard care. Abdominal pain, as scored on the Faces Pain Scale–Revised, was recorded in a pain diary. A linear mixed model was used to estimate the outcomes and effect sizes.

Results: Dance and yoga were superior to standard healthcare alone, with a medium to high between-group effect size and significantly greater pain reduction (b = −1.29, p = 0.002) at the end of the intervention.

Conclusions: An intervention using dance and yoga is likely a feasible and beneficial complementary treatment to standard health care for 9- to 13-year-old girls with FAPDs.

Significance:  FAPDs affect children, especially girls, all over the world. The negative consequences such as absence from school, high consumption of medical care and depression pose a considerable burden on children and their families and effective treatments are needed. This is the first study examining a combined dance/yoga intervention for young girls with FAPDs and the result showed a reduction of abdominal pain. These findings contribute with new evidence in the field of managing FAPDs in a vulnerable target group. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 26, no 2, p. 336-348
Keywords [en]
Abdominal pain, Dance, Yoga
National Category
Physiotherapy Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-94449DOI: 10.1002/ejp.1862ISI: 000697940600001PubMedID: 34529293Scopus ID: 2-s2.0-85115140284OAI: oai:DiVA.org:oru-94449DiVA, id: diva2:1595360
Projects
Just in Time
Funder
Fredrik och Ingrid Thurings Stiftelse, 2016-00243
Note

Funding:

Uppsala-Örebro Regional Research Council [RFR-655161, RFR-740981, RFR-839811]

Nyckelfonden [OLL-689081]

Örebro Research Committee [OLL-615471]

Available from: 2021-09-17 Created: 2021-09-17 Last updated: 2022-05-12Bibliographically approved
In thesis
1. Health economic aspects of emotional problems and pain symptoms in childhood and adolescence: Long-term outcomes, efficacy and cost-effectiveness of interventions
Open this publication in new window or tab >>Health economic aspects of emotional problems and pain symptoms in childhood and adolescence: Long-term outcomes, efficacy and cost-effectiveness of interventions
2022 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Emotional problems and pain symptoms among children and adolescents are a global public health challenge that imposes a great burden on the individuals affected and on society. Because resources are limited, allocation and prioritization are needed. Health economic analysis can constitute a foundation for such decisions.

The overall aim of this thesis is to estimate long-term outcomes associated with adolescent depression and to evaluate interventions for emotional problems and pain symptoms in childhood and adolescence from a health economic perspective. The thesis is based on four papers: paper I is a longitudinal cohort study of 539 participants, showing that adolescent depression is associated with reduced earnings in adulthood, papers II, III, and IV are based on two randomized controlled trials of interventions. In paper II, a dance intervention for 112 adolescent females with internalizing symptoms were evaluated. A cost–utility analysis was performed, indicating that the intervention was costeffective given a willingness-to-pay threshold of USD 50,000 with an incremental cost-effectiveness ratio of USD 3830/quality-adjusted life year. Papers III and IV evaluated a dance and yoga intervention for 121 girls, 9–13 years old, with functional abdominal pain disorders. Paper III showed that the intervention group decreased their abdominal pain more than did the control group. In paper IV, the cost–utility analysis of the trial indicated a negative incremental cost-effectiveness ratio, investigated from a societal perspective, over both one and ten years.

In conclusion, this thesis identifies a need for preventive as well as treatment interventions for emotional problems in adolescence, to decrease the prevalence of emotional problems and mitigate negative outcomes. Dance or dance and yoga combined can be effective and cost-effective early treatment interventions for emotional problems and pain symptoms among females in childhood and adolescence. These findings may assist decision-makers in resource allocation within this area

Place, publisher, year, edition, pages
Örebro: Örebro University, 2022. p. 99
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 253
Keywords
Cohort studies, cost-effectiveness, emotional problems, depression, pain symptoms, FAPD, children, adolescents, dance, yoga
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-95777 (URN)9789175294186 (ISBN)
Public defence
2022-02-18, Örebro universitet, Campus USÖ, hörsal C1, Södra Grev Rosengatan 32, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2021-12-07 Created: 2021-12-07 Last updated: 2024-01-02Bibliographically approved

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Högström, SofiePhilipson, AnnaEriksson, MatsMöller, MargaretaSärnblad, StefanDuberg, Anna

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