1 102 76 A PHYSICIAN'S GUIDE TO RECOMMENDING YOGA. THE POPULARITY OF YOGA IN THE UNITED STATES AND ACROSS THE GLOBE HAS BEEN STEADILY INCREASING OVER THE PAST SEVERAL DECADES. THE INTEREST IN YOGA AS A THERAPEUTIC LIFESTYLE TOOL HAS ALSO GROWN WITHIN THE MEDICAL COMMUNITY DURING THIS TIME. HOWEVER, THE WIDE RANGE OF STYLES AVAILABLE TO THE PUBLIC CAN MAKE IT DIFFICULT FOR PATIENTS AND PHYSICIANS ALIKE TO CHOOSE THE ONE THAT WILL OFFER THE MOST BENEFIT. THIS GUIDE WAS CREATED TO ASSIST PHYSICIANS IN MAKING INFORMED RECOMMENDATIONS FOR PATIENTS PRACTICING YOGA IN THE COMMUNITY. WHEN THE MOST SUITABLE STYLE IS SELECTED, YOGA CAN BE AN EXTREMELY USEFUL LIFESTYLE TOOL FOR PATIENTS SEEKING TO IMPROVE FITNESS AND DEVELOP A MINDFULNESS-BASED PRACTICE. 2018 2 2453 23 YOGA AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS: A GUIDE FOR CLINICIANS. YOGA IS BEING USED BY A GROWING NUMBER OF YOUTH AND ADULTS AS A MEANS OF IMPROVING OVERALL HEALTH AND FITNESS. THERE IS ALSO A PROGRESSIVE TREND TOWARD USE OF YOGA AS A MIND-BODY COMPLEMENTARY AND ALTERNATIVE MEDICINE INTERVENTION TO IMPROVE SPECIFIC PHYSICAL AND MENTAL HEALTH CONDITIONS. TO PROVIDE CLINICIANS WITH THERAPEUTICALLY USEFUL INFORMATION ABOUT YOGA, THE EVIDENCE EVALUATING YOGA AS AN EFFECTIVE INTERVENTION FOR CHILDREN AND ADOLESCENTS WITH HEALTH PROBLEMS IS REVIEWED AND SUMMARIZED. A BRIEF OVERVIEW OF YOGA AND YOGA THERAPY IS PRESENTED ALONG WITH YOGA RESOURCES AND PRACTICAL STRATEGIES FOR CLINICAL PRACTITIONERS TO USE WITH THEIR PATIENTS. THE MAJORITY OF AVAILABLE STUDIES WITH CHILDREN AND ADOLESCENTS SUGGEST BENEFITS TO USING YOGA AS A THERAPEUTIC INTERVENTION AND SHOW VERY FEW ADVERSE EFFECTS. THESE RESULTS MUST BE INTERPRETED AS PRELIMINARY FINDINGS BECAUSE MANY OF THE STUDIES HAVE METHODOLOGICAL LIMITATIONS THAT PREVENT STRONG CONCLUSIONS FROM BEING DRAWN. YOGA APPEARS PROMISING AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS. FURTHER INFORMATION ABOUT HOW TO APPLY IT MOST EFFECTIVELY AND MORE COORDINATED RESEARCH EFFORTS ARE NEEDED. 2010 3 1218 22 EXPLORING THE THERAPEUTIC EFFECTS OF YOGA AND ITS ABILITY TO INCREASE QUALITY OF LIFE. THE OBJECTIVE OF THIS STUDY IS TO ASSESS THE FINDINGS OF SELECTED ARTICLES REGARDING THE THERAPEUTIC EFFECTS OF YOGA AND TO PROVIDE A COMPREHENSIVE REVIEW OF THE BENEFITS OF REGULAR YOGA PRACTICE. AS PARTICIPATION RATES IN MIND-BODY FITNESS PROGRAMS SUCH AS YOGA CONTINUE TO INCREASE, IT IS IMPORTANT FOR HEALTH CARE PROFESSIONALS TO BE INFORMED ABOUT THE NATURE OF YOGA AND THE EVIDENCE OF ITS MANY THERAPEUTIC EFFECTS. THUS, THIS MANUSCRIPT PROVIDES INFORMATION REGARDING THE THERAPEUTIC EFFECTS OF YOGA AS IT HAS BEEN STUDIED IN VARIOUS POPULATIONS CONCERNING A MULTITUDE OF DIFFERENT AILMENTS AND CONDITIONS. THERAPEUTIC YOGA IS DEFINED AS THE APPLICATION OF YOGA POSTURES AND PRACTICE TO THE TREATMENT OF HEALTH CONDITIONS AND INVOLVES INSTRUCTION IN YOGIC PRACTICES AND TEACHINGS TO PREVENT REDUCE OR ALLEVIATE STRUCTURAL, PHYSIOLOGICAL, EMOTIONAL AND SPIRITUAL PAIN, SUFFERING OR LIMITATIONS. RESULTS FROM THIS STUDY SHOW THAT YOGIC PRACTICES ENHANCE MUSCULAR STRENGTH AND BODY FLEXIBILITY, PROMOTE AND IMPROVE RESPIRATORY AND CARDIOVASCULAR FUNCTION, PROMOTE RECOVERY FROM AND TREATMENT OF ADDICTION, REDUCE STRESS, ANXIETY, DEPRESSION, AND CHRONIC PAIN, IMPROVE SLEEP PATTERNS, AND ENHANCE OVERALL WELL-BEING AND QUALITY OF LIFE. 2011 4 1481 23 INTEGRATING YOGA INTO PSYCHOTHERAPY: THE ETHICS OF MOVING FROM THE MIND TO THE MAT. GIVEN THE RISE IN ATTENTION TO CLIENT PREFERENCES IN MEDICAL TREATMENT AND THE SHIFT IN FOCUS TOWARD HEALTH PROMOTION, IT IS NOT SURPRISING THAT THE USE OF COMPLEMENTARY HEALTH APPROACHES HAVE INCREASED IN THE PAST SEVERAL YEARS. YOGA IS AMONG THE MOST PROMINENT COMPLEMENTARY HEALTH APPROACHES. RECENTLY, BOTH QUALITATIVE AND QUANTITATIVE WORK HAS EMERGED SUPPORTING ITS USE FOR A VARIETY OF MEDICAL AND PSYCHOLOGICAL DISORDERS. HOWEVER, THERE IS A CRITICAL GAP IN KNOWLEDGE REGARDING HOW TO MOST OPTIMALLY AND ETHICALLY INTEGRATE COMPLEMENTARY THERAPIES (I.E., YOGA) INTO CURRENT PSYCHOLOGY PRACTICES. MOREOVER, IT REMAINS UNCLEAR WHICH CLIENTS ARE THE BEST CANDIDATES FOR RECEIVING SUCH COMPLEMENTARY TREATMENTS AND WHICH THERAPISTS SHOULD PROVIDE THEM. THE PURPOSE OF THIS PAPER IS TO PROVIDE AN OVERVIEW OF THE HISTORY OF YOGA, THE SCIENTIFIC EVIDENCE IN SUPPORT OF ITS USE FOR MENTAL HEALTH ISSUES, AND AN ETHICAL FRAMEWORK TO GUIDE PSYCHOLOGISTS INTERESTED IN INTEGRATING YOGA INTO PSYCHOTHERAPY. 2017 5 1210 27 EXPLORING DIFFERENT TYPES OF HATHA YOGA FOR PATIENTS WITH CANCER. YOGA HAS BEEN PRACTICED FOR MORE THAN 5,000 YEARS AND IS BASED ON THE COLLECTIVE EXPERIENCES OF YOGA PRACTITIONERS OVER TIME. WESTERN COUNTRIES AND SOPHISTICATED MEDICAL FACILITIES USE THIS PRACTICE AS A COMPLEMENTARY THERAPY WITH STANDARD MEDICAL TREATMENTS. YOGA HAS BEEN SHOWN TO IMPROVE QUALITY OF LIFE. SEVERAL TYPES OF YOGA POTENTIALLY CAN BENEFIT PEOPLE WITH CANCER, INCLUDING HATHA YOGA. THE TYPE OF RECOMMENDED HATHA YOGA IS DEPENDENT ON THE PHYSICAL CONDITIONS AND FITNESS LEVEL OF PATIENTS. THIS ARTICLE EXPLORES THE IMPACT OF DIFFERENT TYPES OF HATHA YOGA ON VARIOUS CANCER-RELATED SYMPTOMS IN PATIENTS WITH CANCER. THE ARTICLE ALSO PROVIDES GUIDELINES FOR HEALTHCARE PERSONNEL-PARTICULARLY NURSES-TO HELP CHOOSE THE RIGHT KIND OF HATHA YOGA THAT SUITS THEIR PATIENTS' NEEDS AND INTERESTS. ADDITIONAL INFORMATION IS PROVIDED ON MEASURES AND INSTRUCTIONS THAT ARE ESSENTIAL FOR HEALTHCARE PROVIDERS TO KNOW BEFORE RECOMMENDING ANY YOGA TYPE TO THEIR PATIENTS. EVIDENCE OF THE FEASIBILITY AND POTENTIAL EFFICACY OF YOGA FOR PATIENTS WITH CANCER IS PROVIDED. 2014 6 406 28 BIOLOGICAL MARKERS FOR THE EFFECTS OF YOGA AS A COMPLEMENTARY AND ALTERNATIVE MEDICINE. FROM THE LAST FEW DECADES, THERE ARE INCREASING INCIDENCES OF DISORDERS LIKE PREMATURE AGING, CARDIOVASCULAR DISEASE, MULTIPLE SCLEROSIS, FIBROMYALGIA, AND ALZHEIMER'S DISEASE IN ADDITION TO MEDICATION, RESEARCHERS HAVE FOUND THAT YOGA, A MIND-BODY THERAPY, CAN BE USED AS AN ALTERNATIVE MEDICINE. YOGA COMBINES SPECIFIC PHYSICAL POSTURES, BREATHING TECHNIQUES, RELAXATION AND MEDITATION THAT IMPROVE MENTAL AND PHYSICAL HEALTH OF THE BODY. THE PURPOSE OF THIS REVIEW IS TO COLLATE THE RESEARCH EVIDENCES CLAIMING HEALTH BENEFITS OF PERFORMING TRADITIONAL YOGIC PRACTICES. WHAT ARE THE BIOLOGICAL AND OTHER RELIABLE INDICATORS TO SUGGEST THAT DOING ASANAS, PRANAYAMA, AND MEDITATION COULD REDUCE OR TREAT WIDE RANGE OF LIFE STYLE DISORDERS ARE DISCUSSED. IMPORTANTLY, THESE INDICATORS ARE OTHERWISE USED TO ASSESS THE SEVERITY OF DISORDERS. IN MANY OF THE STUDY IT HAS BEEN SHOWN THAT YOGA IMPROVES THE REDOX HEALTH OF BODY WHOSE IMBALANCE HAS BEEN WELL PROVEN TO CAUSE MANY HEALTH COMPLICATIONS. THE IMPACT OF YOGA ON NEURODEGENERATIVE DISEASES HAVE REVEALED THAT IT REVERSES MEMORY LOSS, REDUCE ANXIETY, DEPRESSION AND STRESS, THE BIOLOGICAL INDICATORS OF DISEASE. HOWEVER, MOST STUDIES HAVE SEVERAL LIMITATIONS AND THEREFORE FURTHER RESEARCH INTO YOGA IS NEEDED TO VALIDATE THESE FINDINGS. 2019 7 2600 20 YOGA FOR OSTEOARTHRITIS: NURSING AND RESEARCH CONSIDERATIONS. OSTEOARTHRITIS (OA) IS A LEADING CAUSE OF PAIN AND DISABILITY WORLDWIDE. CURRENT TREATMENT GUIDELINES RECOMMEND NONPHARMACOLOGICAL APPROACHES SUCH AS YOGA FOR FIRSTLINE TREATMENT OF OA. YOGA IS A PROMISING MIND-BODY PRACTICE THAT INCLUDES PHYSICAL POSTURES, BREATHING PRACTICES, AND MEDITATIVE MENTAL FOCUS. THIS ARTICLE PRESENTS THE CURRENT EVIDENCE, AS WELL AS A PROPOSED CONCEPTUAL MODEL FOR FUTURE RESEARCH. CURRENT RESEARCH ON YOGA FOR OA IS SCANT BUT PROMISING, SHOWING SOME EVIDENCE OF REDUCED PAIN, SLEEP DISTURBANCE, AND DISABILITY. THE CONCEPTUAL MODEL DESCRIBED HERE PROPOSES MUSCULOSKELETAL EFFECTS (STRENGTHENING, FLEXIBILITY, RELAXATION), REDUCTION OF AUTONOMIC AROUSAL, AND THERAPEUTIC COGNITIVE PATTERNS (DISTRACTION, MINDFULNESS) AS POTENTIALLY IMPORTANT MECHANISMS OF YOGA. THIS ARTICLE ALSO DESCRIBES CONSIDERATIONS FOR PATIENTS AND HEALTH CARE PROVIDERS WHEN EVALUATING THE POTENTIAL USEFULNESS AND SAFETY OF YOGA PROGRAMS: YOGA STYLE, INSTRUCTOR QUALIFICATIONS, AND AMOUNT OF TIME SPENT IN YOGA PRACTICE. 2012 8 2923 18 [WHERE AND HOW DOES YOGA WORK? - A SCIENTIFIC OVERVIEW]. AS A TRADITIONAL HEALTH CARE SYSTEM, YOGA COMBINES PHYSICAL ACTIVITY, BREATHING TECHNIQUES AND MEDITATION. IT IS INCREASINGLY USED AS A PREVENTIVE OR THERAPEUTIC MEANS. YOGA HAS BEEN RESEARCHED IN HUNDREDS OF RANDOMIZED CONTROLLED TRIALS. POSITIVE EFFECTS ARE ESPECIALLY FOUND FOR CHRONIC PAIN CONDITIONS, HYPERTENSION, DEPRESSION AND IN SUPPORTIVE CANCER CARE. WHILE THERE ARE CASE REPORTS OF SERIOUS ADVERSE EVENTS ASSOCIATED WITH YOGA, THE RISK SEEMS TO BE EXTREMELY LOW AND COMPARABLE TO OTHER FORMS OF PHYSICAL ACTIVITY. YOGA CAN THUS BE CONSIDERED AS A SAFE AND EFFECTIVE ADJUNCT THERAPY FOR A NUMBER OF CONDITIONS. 2017 9 1799 15 PRESCRIBING YOGA. MORE THAN 15.8 MILLION PEOPLE IN THE UNITED STATES NOW PRACTICE SOME FORM OF YOGA, AND NEARLY HALF OF CURRENT PRACTITIONERS STATED THEY BEGAN YOGA PRACTICE AS A MEANS OF IMPROVING OVERALL HEALTH. MORE BROADLY UNDERSTOOD IN A MODERN CONTEXT, YOGA IS A SET OF PRINCIPLES AND PRACTICES DESIGNED TO PROMOTE HEALTH AND WELL-BEING THROUGH THE INTEGRATION OF BODY, BREATH, AND MIND. THIS ARTICLE OUTLINES THE HISTORY OF YOGA AND DESCRIBES SEVERAL FORMS, INCLUDING ASANA-BASED YOGA, WHICH IS BECOMING POPULAR IN THE UNITED STATES. RESEARCH FINDINGS RELATED TO USE OF YOGA AS A THERAPY FOR VARIOUS HEALTH PROBLEMS ARE REVIEWED. GUIDELINES FOR FINDING A YOGA TEACHER ARE OFFERED, AS ARE A NUMBER OF BOOK AND INTERNET SOURCES OF FURTHER INFORMATION. 2010 10 203 17 A REVIEW OF THE LITERATURE EXAMINING THE PHYSIOLOGICAL PROCESSES UNDERLYING THE THERAPEUTIC BENEFITS OF HATHA YOGA. AN ESTIMATED 7.4 MILLION AMERICANS CURRENTLY PRACTICE HATHA YOGA. MOREOVER, 64% OF INDIVIDUALS WHO PRACTICE YOGA REPORT DOING SO FOR WELL-BEING. PREVIOUS RESEARCH HAS REPORTED AN ASSOCIATION BETWEEN YOGA PRACTICE AND SUBJECTIVE WELL-BEING; HOWEVER, FEW STUDIES HAVE INVESTIGATED THE PHYSIOLOGICAL MECHANISMS INVOLVED. THE FOLLOWING REVIEW PROVIDES AN HISTORICAL OVERVIEW OF THE FIELD OF INTEGRATIVE MEDICINE, WHICH CONCEPTUALIZES YOGA AS A MIND-BODY PRACTICE. A BRIEF DESCRIPTION OF HATHA YOGA IS PROVIDED THAT DESCRIBES THE PURPORTED RELATIONSHIP BETWEEN YOGA AND THE RELAXATION RESPONSE. A REVIEW OF THE EMERGING LITERATURE RELATED TO NITRIC OXIDE AND OXIDATIVE STRESS AS POTENTIAL MECHANISMS IN THE RELATIONSHIP BETWEEN YOGA AND WELL-BEING ALSO IS INCLUDED. THE ARTICLE CONCLUDES WITH A BRIEF DISCUSSION OF THE STATE OF THE RESEARCH AND PROVIDES SUGGESTIONS FOR FUTURE STUDIES. 2008 11 2126 24 THE EFFECTIVENESS OF YOGA FOR DEPRESSION: A CRITICAL LITERATURE REVIEW. IN THE UNITED STATES, THE PREVALENCE OF DEPRESSION IS QUITE HIGH-9% IN THE GENERAL POPULATION-WITH WOMEN, YOUNG ADULTS, AND SENIORS PARTICULARLY VULNERABLE. IN RECENT YEARS, INCREASING NUMBERS OF PEOPLE ARE TURNING TO COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) FOR RELIEF FROM DEPRESSION AND OTHER MENTAL HEALTH PROBLEMS. ONE FORM OF CAM, YOGA, HAS BEEN GROWING IN POPULARITY; THIS RISE IN POPULARITY HAS, IN PART, BEEN DRIVEN BY INTEREST IN HOW THIS PRACTICE, WITH ITS MINDFULNESS AND MEDITATION ASPECTS, MAY DECREASE DEPRESSION. THIS CRITICAL LITERATURE REVIEW EXAMINES SIX RECENT STUDIES ON YOGA AS AN INTERVENTION; SPECIFICALLY, THIS REVIEW FOCUSES ON YOGA STYLES IN WHICH THE PRACTICE OF YOGA POSES, CALLED ASANAS, IS THE CORE COMPONENT. ALTHOUGH THE SIGNIFICANT POSITIVE FINDINGS ARE PROMISING, THE STUDIES HAD METHODOLOGICAL LIMITATIONS; IDENTIFICATION OF THESE LIMITATIONS CAN INFORM FUTURE STUDIES. 2014 12 2882 17 YOGA: A THERAPEUTIC APPROACH. YOGA, PRACTICED WIDELY IN THE EAST, IS NOW POPULAR IN THE WEST AS PART OF A HEALTHY LIFESTYLE. THIS ARTICLE BRINGS A MEDICAL PERSPECTIVE TO THE PRACTICE OF YOGA. SELECTED YOGA POSTURES THAT ARE BELIEVED TO BENEFIT CERTAIN MEDICAL CONDITIONS ARE HIGHLIGHTED. IN ADDITION, THE PHILOSOPHY, GENERAL GUIDELINES, AND MEDICAL BENEFITS OF YOGA PRACTICE ARE DESCRIBED. 2004 13 1280 21 GENERIC YOGA MODULES FOR CLINICAL AND RESEARCH SETTINGS-NEED OF THE HOUR. YOGA-BASED INTERVENTIONS OFFER SIGNIFICANT PROMISE IN HEALTHCARE. HOWEVER, META-ANALYSES OF VARIOUS YOGA TRIALS SUGGEST THAT COMPARISONS OF TRIALS ARE EITHER NOT POSSIBLE OR DIFFICULT DUE TO HETEROGENEITY IN THERAPEUTIC YOGA INTERVENTIONS. ALSO, IN VIEW OF EMERGING EVIDENCE FOR THE ROLE OF THERAPEUTIC YOGA, IT IS IMPORTANT TO IDENTIFY THE SPECIFICITY AND VALIDITY OF VARIOUS YOGA COMPONENTS BEING USED IN DIFFERENT TRIALS. EFFORTS IN THIS DIRECTION WILL BE FRUITFUL ONLY IF A SYSTEMATIC APPROACH IS ADOPTED TO DEVELOP YOGA PROGRAMS FOR VARIOUS AILMENTS. IN THIS ARTICLE, WE EMPHASIZE THE NEED FOR A "GENERIC YOGA" CONCEPT FOR DESIGNING A THERAPEUTIC YOGA PROGRAM FOR PARTICULAR HEALTH ISSUES, WITH THE OBJECTIVES OF PROMOTING SCIENTIFIC GROWTH OF THERAPEUTIC APPLICATIONS OF YOGA AND WIDESPREAD APPLICATION OF STANDARDIZED THERAPEUTIC YOGA PROGRAMS WITHIN A BIOMEDICAL FRAMEWORK. THIS GENERIC THERAPEUTIC YOGA WILL ESSENTIALLY HIGHLIGHT THE DEVELOPMENT-VALIDATION PROCESS OF UNCOPYRIGHTED YOGA PROGRAMS; THEIR COMPONENTS, BENEFITS, AND POSSIBLE SIDE-EFFECTS; AND REQUIREMENT FOR NEED-BASED MODIFICATIONS. 2021 14 2402 24 YOGA AND EATING DISORDERS: IS THERE A PLACE FOR YOGA IN THE PREVENTION AND TREATMENT OF EATING DISORDERS AND DISORDERED EATING BEHAVIOURS? THIS PAPER ADDRESSES THE QUESTION: WHAT CAN THE PRACTICE OF YOGA OFFER THE FIELD OF EATING DISORDERS IN TERMS OF PREVENTION AND TREATMENT? REGARDING PREVENTION, PRELIMINARY RESEARCH SUGGESTS THAT YOGA MAY BE EFFECTIVE IN DECREASING RISK FACTORS, AND INCREASING PROTECTIVE FACTORS, FOR EATING DISORDERS. YOGA WAS ALSO FOUND TO BE HELPFUL IN A SMALL NUMBER OF TREATMENT STUDIES. HOWEVER, FINDINGS ARE NOT CONSISTENT ACROSS STUDIES, WHICH ARE LIMITED IN NUMBER, AND DUE TO THE PRELIMINARY NATURE OF THIS BODY OF RESEARCH, MOST STUDIES HAVE WEAKNESSES IN THEIR DESIGNS (E.G. OBSERVATIONAL DESIGN, NO CONTROL GROUPS, OR SMALL SAMPLE SIZES). THE BASIC TENETS OF YOGA, ANECDOTAL REPORTS OF ITS EFFECTIVENESS, ITS HIGH ACCESSIBILITY AND LOW COST, AND INITIAL RESEARCH FINDINGS SUGGEST THAT YOGA MAY OFFER PROMISE FOR THE FIELD OF EATING DISORDERS. TWO OPTIONS ARE SUGGESTED FOR PREVENTION: (1) EATING DISORDER PREVENTION CAN BE INTEGRATED INTO ONGOING YOGA CLASSES AND (2) YOGA CAN BE INTEGRATED INTO EATING DISORDER PREVENTION PROGRAMMES. REGARDING TREATMENT, IT IS IMPORTANT TO EXAMINE THE EFFECTIVENESS OF DIFFERENT TEACHING STYLES AND PRACTICES FOR DIFFERENT EATING DISORDERS. POTENTIAL HARMS OF YOGA SHOULD ALSO BE EXPLORED. FURTHER RESEARCH, USING STRONGER STUDY DESIGNS, SUCH AS RANDOMISED, CONTROLLED TRIALS, IS NEEDED. 2014 15 2265 17 THE PSYCHOLOGICAL BENEFITS OF YOGA PRACTICE FOR OLDER ADULTS: EVIDENCE AND GUIDELINES. YOGA IS AN EFFECTIVE COMPLEMENTARY APPROACH TO HEALTH MAINTENANCE AND PROMOTION FOR OLDER ADULTS AND HAS BEEN DEMONSTRATED TO SUPPORT MANY DIMENSIONS OF PSYCHOLOGICAL WELLBEING, FROM EVERYDAY STRESS TO ANXIETY, DEPRESSION, AND COPING WITH HEALTH CHALLENGES. YOGA HAS THE POTENTIAL TO BE EVEN MORE EFFECTIVE WHEN CONSCIOUSLY AND SYSTEMATICALLY INTEGRATED INTO AN INDIVIDUAL'S OVERALL SELF-CARE AND MEDICAL CARE PROGRAM, THROUGH DELIBERATE AND OPEN DIALOGUE AMONG PATIENTS, HEALTHCARE PROFESSIONALS, AND YOGA PROFESSIONALS. THE PURPOSE OF THIS ARTICLE IS TO (1) BRIEFLY REVIEW THE PSYCHOLOGICAL BENEFITS OF YOGA PRACTICE FOR OLDER ADULTS; (2) OUTLINE PRACTICE GUIDELINES FOR OLDER ADULT YOGA, INCLUDING KEY POSTURES; AND (3) PROVIDE SOME BASIC PRACTICAL GUIDELINES FOR BOTH HEALTHCARE PROFESSIONALS REFERRING PATIENTS TO YOGA AND YOGA TEACHERS INTERESTED IN WORKING WITH OLDER ADULTS. 2011 16 2445 18 YOGA AND SUBSTANCE USE DISORDERS: A NARRATIVE REVIEW. YOGA HAS BEEN UTILIZED FOR PROMOTION OF HEALTH AND ALLEVIATING DISTRESS. IT HAS ALSO BEEN USED AS A THERAPEUTIC MEASURE IN THE FIELD OF MENTAL HEALTH, INCLUDING SUBSTANCE USE DISORDERS. THIS NARRATIVE REVIEW DISCUSSES THE LITERATURE PERTAINING TO USE OF YOGA IN THE TREATMENT OF SUBSTANCE USE DISORDERS. THE EVIDENCE BASE ESPECIALLY WITH REGARDS TO RANDOMIZED TRIALS IS PRESENTED. THE POSSIBLE MECHANISMS HOW YOGA MIGHT BE HELPFUL IN THE TREATMENT OF SUBSTANCE USE DISORDERS ARE EXPLORED. SUBSEQUENTLY, IMPLICATIONS OF YOGA IN CLINICAL PRACTICE ARE ELABORATED, FOLLOWED BY EXAMINATION OF THE ISSUES IN INTERPRETATION OF THE LITERATURE OF PUBLISHED YOGA RELATED STUDIES. 2017 17 2805 22 YOGA THERAPY IN THE GERMAN HEALTHCARE SYSTEM. AN ESTIMATED 15.7 MILLION GERMANS ARE CURRENTLY PRACTICING YOGA OR ARE AT LEAST INTERESTED IN STARTING TO PRACTICE, AND THEY OFTEN PERCEIVE YOGA AS A THERAPEUTIC APPROACH. FROM A HEALTHCARE SYSTEM PERSPECTIVE, THE SITUATION IS LESS CLEAR. HERE, YOGA IS ONLY RECOGNIZED AS A RECREATIONAL OR PREVENTIVE ACTIVITY. WHEN YOGA TEACHERS FULFILL SPECIFIC QUALIFICATIONS, THEIR PREVENTIVE YOGA CLASSES ARE COVERED BY THE STATUTORY HEALTH INSURANCES. ONLY THOSE WITH ADDITIONAL QUALIFICATIONS IN MEDICINE OR PSYCHOTHERAPY, HOWEVER, CAN INDEPENDENTLY USE AND PROMOTE "YOGA THERAPY." THE GENERAL PERCEPTION OF YOGA IN GERMANY AS A PREVENTIVE PRACTICE IS REFLECTED IN THE PROFESSIONAL ORGANIZATION OF YOGA PROVIDERS. MOST PROVIDERS ARE CONSIDERED TO BE YOGA TEACHERS RATHER THAN YOGA THERAPISTS AND ARE ORGANIZED MAINLY IN YOGA TEACHER ASSOCIATIONS. DESPITE THE UNCERTAIN LEGAL FRAMEWORK, YOGA IS NOW CONSIDERED IN A NUMBER OF MEDICAL GUIDELINES; IN A NUMBER OF HOSPITALS, YOGA IS PART OF MULTIMODAL INPATIENT TREATMENT PROGRAMS AND IS DELIVERED BY PHYSICAL THERAPISTS OR MEMBERS OF OTHER HEALTH PROFESSIONS. AN INCREASING NUMBER OF YOGA THERAPY CLINICAL TRIALS ARE CONDUCTED IN GERMANY, AND EFFORTS ARE UNDERWAY TO ESTABLISH YOGA THERAPY AS AN ACCEPTED ADJUNCT TREATMENT APPROACH FOR SELECTED MEDICAL CONDITIONS WITHIN THE GERMAN HEALTHCARE SYSTEM. 2018 18 2429 23 YOGA AND PHYSICAL EXERCISE - A REVIEW AND COMPARISON. YOGA IS A MULTIFACETED SPIRITUAL TOOL WITH ENHANCED HEALTH AND WELL-BEING AS ONE OF ITS POSITIVE EFFECTS. THE COMPONENTS OF YOGA WHICH ARE VERY COMMONLY APPLIED FOR HEALTH BENEFITS ARE ASANAS (PHYSICAL POSTURES), PRANAYAMA (REGULATED BREATHING) AND MEDITATION. IN THE CONTEXT OF ASANAS, YOGA RESEMBLES MORE OF A PHYSICAL EXERCISE, WHICH MAY LEAD TO THE PERCEPTION THAT YOGA IS ANOTHER KIND OF PHYSICAL EXERCISE. THIS ARTICLE AIMS AT EXPLORING THE COMMONALITIES AND DIFFERENCES BETWEEN YOGA AND PHYSICAL EXERCISE IN TERMS OF CONCEPTS, POSSIBLE MECHANISMS AND EFFECTIVENESS FOR HEALTH BENEFITS. A NARRATIVE REVIEW IS UNDERTAKEN BASED ON TRADITIONAL AND CONTEMPORARY LITERATURE FOR YOGA, ALONG WITH SCIENTIFIC ARTICLES AVAILABLE ON YOGA AND EXERCISE INCLUDING HEAD-TO-HEAD COMPARATIVE TRIALS WITH HEALTHY VOLUNTEERS AND PATIENTS WITH VARIOUS DISEASE CONDITIONS. PHYSICAL EXERCISES AND THE PHYSICAL COMPONENTS OF YOGA PRACTICES HAVE SEVERAL SIMILARITIES, BUT ALSO IMPORTANT DIFFERENCES. EVIDENCE SUGGESTS THAT YOGA INTERVENTIONS APPEAR TO BE EQUAL AND/OR SUPERIOR TO EXERCISE IN MOST OUTCOME MEASURES. EMPHASIS ON BREATH REGULATION, MINDFULNESS DURING PRACTICE, AND IMPORTANCE GIVEN TO MAINTENANCE OF POSTURES ARE SOME OF THE ELEMENTS WHICH DIFFERENTIATE YOGA PRACTICES FROM PHYSICAL EXERCISES. 2016 19 1587 19 MEDICAL YOGA THERAPY. MEDICAL YOGA IS DEFINED AS THE USE OF YOGA PRACTICES FOR THE PREVENTION AND TREATMENT OF MEDICAL CONDITIONS. BEYOND THE PHYSICAL ELEMENTS OF YOGA, WHICH ARE IMPORTANT AND EFFECTIVE FOR STRENGTHENING THE BODY, MEDICAL YOGA ALSO INCORPORATES APPROPRIATE BREATHING TECHNIQUES, MINDFULNESS, AND MEDITATION IN ORDER TO ACHIEVE THE MAXIMUM BENEFITS. MULTIPLE STUDIES HAVE SHOWN THAT YOGA CAN POSITIVELY IMPACT THE BODY IN MANY WAYS, INCLUDING HELPING TO REGULATE BLOOD GLUCOSE LEVELS, IMPROVE MUSCULOSKELETAL AILMENTS AND KEEPING THE CARDIOVASCULAR SYSTEM IN TUNE. IT ALSO HAS BEEN SHOWN TO HAVE IMPORTANT PSYCHOLOGICAL BENEFITS, AS THE PRACTICE OF YOGA CAN HELP TO INCREASE MENTAL ENERGY AND POSITIVE FEELINGS, AND DECREASE NEGATIVE FEELINGS OF AGGRESSIVENESS, DEPRESSION AND ANXIETY. 2017 20 1294 20 GUIDELINES FOR DEVELOPING YOGA INTERVENTIONS FOR RANDOMIZED TRIALS. LITTLE GUIDANCE IS AVAILABLE TO ASSIST RESEARCHERS IN DEVELOPING TREATMENT PROTOCOLS FOR RESEARCH ON YOGA FOR HEALTH CONCERNS. BECAUSE YOGA IS A COMPLEX MULTIFACTORIAL MIND-BODY DISCIPLINE HISTORICALLY DEVELOPED FOR NONMEDICAL PURPOSES, NUMEROUS DECISIONS MUST BE MADE IN ORDER TO THOUGHTFULLY DEVELOP SUCH PROTOCOLS. IN THIS PAPER, A SYSTEMATIC APPROACH IS PROPOSED TO ASSIST RESEARCHERS IN SELECTING AN INTERVENTION THAT IS APPROPRIATE FOR THE CONDITION UNDER CONSIDERATION AND EXPLICITLY DEVELOPED. RESEARCHERS NEED TO CONSIDER THE TYPE OR "STYLE" OF YOGA, THE COMPONENTS TO INCLUDE (E.G., BREATHING EXERCISES, POSTURES) AS WELL AS THE SPECIFIC PROTOCOL FOR EACH COMPONENT, THE DOSE TO BE DELIVERED (FREQUENCY, DURATION OF PRACTICE, AND THE TOTAL DURATION OF PRACTICE), AND ISSUES RELATED TO SELECTION OF INSTRUCTORS AND MONITORING THE FIDELITY TO THE INTERVENTION. EACH OF THESE DOMAINS AND THE KEY ISSUES FOR THE DEVELOPMENT OF PROTOCOLS IS DISCUSSED. FINALLY, SOME AREAS FOR FURTHER RESEARCH RELATED TO PROTOCOL DEVELOPMENT ARE RECOMMENDED. 2012