Mind-body practices in chronic inflammatory arthritis

Author: Jean Sibilia1, Fabrice Berna2, Jean-Gérard Bloch3, Marc Scherlinger4
Affiliation: <sup>1</sup> Service de Rhumatologie - Hôpitaux Universitaires de Strasbourg, France; UMR INSERM 1109 - Fédération de Médecine Translationnelle de Strasbourg - Université de Strasbourg, France. Electronic address: jean.sibilia@chru-strasbourg.fr. <sup>2</sup> Service de Psychiatrie - Hôpitaux Universitaires de Strasbourg, France. <sup>3</sup> Service de Rhumatologie - Hôpitaux Universitaires de Strasbourg, France. <sup>4</sup> Service de Rhumatologie - Hôpitaux Universitaires de Strasbourg, France; UMR INSERM 1109 - Fédération de Médecine Translationnelle de Strasbourg - Université de Strasbourg, France.
Conference/Journal: Joint Bone Spine
Date published: 2023 Sep 26
Other: Special Notes: doi: 10.1016/j.jbspin.2023.105645. , Word Count: 153


Mind-body practices are complementary approaches recognized by the World Health Organization (WHO). While these practices are very diverse, they all focus on the interaction between mind and body. These include mindful meditation, yoga, Tai Chi, sophrology, hypnosis and various relaxation techniques. There is growing interest in incorporating these strategies in the management of chronic rheumatic diseases including rheumatoid arthritis. The aim of this review is to describe the main mind-body practices and analyze the existing evidence in chronic rheumatic diseases.In rheumatoid arthritis, the Mindfulness-Based Stress Reduction program, yoga, Tai Chi and relaxation may improve patient-reported outcomes, but the benefit on inflammation and structural progression is unclear. In spondyloarthritis, very few studies are available but similar evidence exist. Further evaluation of these practices in chronic rheumatic diseases are needed since their risk/benefit ratio appears excellent.

Keywords: chronic inflammatory arthritis; chronic stress; mind-body practices; mindfulness; psychoneuroimmunoendocrinologic system; rheumatoid arthritis.

PMID: 37769800 DOI: 10.1016/j.jbspin.2023.105645