1 633 131 DISC EXTRUSIONS AND BULGES IN NONSPECIFIC LOW BACK PAIN AND SCIATICA: EXPLORATORY RANDOMISED CONTROLLED TRIAL COMPARING YOGA THERAPY AND NORMAL MEDICAL TREATMENT. BACKGROUND: PREVIOUS TRIALS OF YOGA THERAPY FOR NONSPECIFIC LOW BACK PAIN (NSLBP) (WITHOUT SCIATICA) SHOWED BENEFICIAL EFFECTS. OBJECTIVE: TO TEST EFFECTS OF YOGA THERAPY ON PAIN AND DISABILITY ASSOCIATED WITH LUMBAR DISC EXTRUSIONS AND BULGES. METHODS: PARALLEL-GROUP, RANDOMISED, CONTROLLED TRIAL. SIXTY-ONE ADULTS FROM RURAL POPULATION, AGED 20-45, WITH NSLBP OR SCIATICA, AND DISC EXTRUSIONS OR BULGES. RANDOMISED TO YOGA (N=30) AND CONTROL (N=31). YOGA: 3-MONTH YOGA COURSE OF GROUP CLASSES AND HOME PRACTICE, DESIGNED TO ENSURE SAFETY FOR DISC EXTRUSIONS. CONTROL: NORMAL MEDICAL CARE. OUTCOME MEASURES (3-4 MONTHS) PRIMARY: ROLAND MORRIS DISABILITY QUESTIONNAIRE (RMDQ); WORST PAIN IN PAST TWO WEEKS. SECONDARY: ABERDEEN LOW BACK PAIN SCALE; STRAIGHT LEG RAISE TEST; STRUCTURAL CHANGES. RESULTS: DISC PROJECTIONS PER CASE RANGED FROM ONE BULGE OR ONE EXTRUSION TO THREE BULGES PLUS TWO EXTRUSIONS. SIXTY-TWO PERCENT HAD SCIATICA. INTENTION-TO-TREAT ANALYSIS OF THE RMDQ DATA, ADJUSTED FOR AGE, SEX AND BASELINE RMDQ SCORES, GAVE A YOGA GROUP SCORE 3.29 POINTS LOWER THAN CONTROL GROUP (0.98, 5.61; P=0.006) AT 3 MONTHS. NO OTHER SIGNIFICANT DIFFERENCES IN THE ENDPOINTS OCCURRED. NO ADVERSE EFFECTS OF YOGA WERE REPORTED. CONCLUSIONS: YOGA THERAPY CAN BE SAFE AND BENEFICIAL FOR PATIENTS WITH NSLBP OR SCIATICA, ACCOMPANIED BY DISC EXTRUSIONS AND BULGES. 2015 2 910 50 EFFECTIVENESS OF HATHA YOGA VERSUS CONVENTIONAL THERAPEUTIC EXERCISES FOR CHRONIC NONSPECIFIC LOW-BACK PAIN. OBJECTIVE: TO DETERMINE WHETHER THE EFFECTIVENESS OF HATHA YOGA THERAPY IS COMPARABLE TO CONVENTIONAL THERAPEUTIC EXERCISES (CTES) FOR REDUCING BACK PAIN INTENSITY AND BACK-RELATED DYSFUNCTION IN PATIENTS WITH CHRONIC NONSPECIFIC LOW-BACK PAIN (CNLBP). DESIGN: THE STUDY WAS A PROSPECTIVE RANDOMIZED COMPARATIVE TRIAL, DIVIDED INTO TWO PHASES: AN INITIAL 6-WEEKLY SUPERVISED INTERVENTION PERIOD FOLLOWED BY A 6-WEEK FOLLOW-UP PERIOD. SETTINGS: THIS STUDY WAS CONDUCTED AT DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION AND CENTRE FOR INTEGRATIVE MEDICINE AND RESEARCH OF A TERTIARY CARE HOSPITAL. SUBJECTS: PATIENTS BETWEEN 18 AND 55 YEARS OF AGE WITH COMPLAINT OF CNLBP PERSISTING >/=12 WEEKS WITH PAIN RATING >/=4 ON A NUMERICAL RATING SCALE (0-10). INTERVENTION: A TOTAL OF SIX STANDARDIZED 35-MIN WEEKLY HATHA YOGA SESSIONS (YOGA GROUP) AND SIMILARLY 35-MIN WEEKLY SESSIONS OF CTES (CTE GROUP), DESIGNED FOR PEOPLE WITH CNLBP UNACCUSTOMED TO STRUCTURED YOGA OR CTE PROGRAM. PARTICIPANTS WERE ASKED TO PRACTICE ON NONCLASS DAYS AT HOME. OUTCOME MEASURES: THE PRIMARY OUTCOME MEASURES WERE DEFENSE AND VETERANS PAIN RATING SCALE (DVPRS) (0-10) AND 24-POINT ROLAND MORRIS DISABILITY QUESTIONNAIRE (RDQ). SECONDARY OUTCOMES WERE PAIN MEDICATION USAGE PER WEEK AND A POSTINTERVENTION PERCEIVED RECOVERY (LIKERT SEVEN-POINT SCALE) OF BACK-RELATED DYSFUNCTION. OUTCOMES WERE RECORDED AT THE BASELINE, 6-WEEK FOLLOW-UP, AND 12-WEEK FOLLOW-UP. RESULTS: SEVENTY SUBJECTS WERE RANDOMIZED TO EITHER YOGA (N = 35) OR CTE GROUP (N = 35). DATA WERE ANALYZED USING INTENTION-TO-TREAT, WITH LAST OBSERVATION CARRIED FORWARD. BOTH YOGA AND THE CTE GROUP HAVE SHOWN SIGNIFICANT IMPROVEMENT IN BACK PAIN INTENSITY AND BACK-RELATED DYSFUNCTION WITHIN BOTH THE GROUPS AT 6- AND 12-WEEK FOLLOW-UPS COMPARED TO BASELINE. NO STATISTICALLY SIGNIFICANT DIFFERENCES IN THE PAIN INTENSITY (DVPRS; AT 6 WEEKS: N = 35, DIFFERENCE OF MEDIANS 1.0, 95% CONFIDENCE INTERVAL [-5.3 TO 3.0], P = 0.5; AT 12 WEEKS: N = 35, 0.0 [-4.2 TO 5.0], 0.7) AND BACK-RELATED DYSFUNCTION (RDQ; AT 6 WEEKS: N = 35, 1.0 [-9.6 TO 10.6], 0.4; AT 12 WEEKS: N = 35, 0.0 [-8.8 TO 10.6], 0.3) WERE NOTED BETWEEN TWO GROUPS. IMPROVEMENTS IN PILL CONSUMPTION AND PERCEIVED RECOVERY WERE ALSO COMPARABLE BETWEEN THE GROUPS. CONCLUSION: YOGA PROVIDED SIMILAR IMPROVEMENT COMPARED WITH CTES, IN PATIENTS WITH CNLBP. 2019 3 2073 44 THE EFFECT OF A STRETCH AND STRENGTH-BASED YOGA EXERCISE PROGRAM ON PATIENTS WITH NEUROPATHIC PAIN DUE TO LUMBAR DISC HERNIATION. STUDY DESIGN: RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO INVESTIGATE THE EFFECT OF A STRETCH AND STRENGTHBASED YOGA EXERCISE PROGRAM ON NEUROPATHIC PAIN DUE TO LDH. SUMMARY OF BACKGROUND DATA: LDH WITH NEUROPATHIC PAIN INFLUENCES TREATMENT OUTCOMES NEGATIVELY. MOST YOGA POSES INCLUDE THE PARAMETERS OF SPINAL TRAINING AND HELP REDUCE PAIN AND DISABILITY IN PATIENTS WITH LOW BACK INJURIES. WE HYPOTHESIZED THAT YOGA POSITIVELY AFFECTS BOTH LDH AND NEUROPATHIC PAIN BY INCREASING MOBILIZATION, CORE MUSCLE STRENGTH, AND SPINAL AND HAMSTRING FLEXIBILITY. METHODS: IN TOTAL, 48 PATIENTS WITH NEUROPATHIC PAIN DUE TO LDH WERE RANDOMLY ASSIGNED TO A CONTROL GROUP AND A YOGA GROUP. ALL PATIENTS UNDERWENT A PATIENT EDUCATION PROGRAM. IN ADDITION, THE SELECTED YOGA EXERCISE WAS TAUGHT AND PERFORMED TO THE YOGA GROUP FOR ONE HOUR TWICE WEEKLY FOR 12 WEEKS. NEUROPATHIC PAIN (DOULEUR NEUROPATHIQUE 4 FOR DIAGNOSIS; LEEDS ASSESSMENT OF NEUROPATHIC SYMPTOMS AND SIGNS FOR SEVERITY), LOW BACK PAIN (THE SHORT-FORM OF MCGILL PAIN QUESTIONNAIRE), DISABILITY (OSWESTRY DISABILITY INDEX), AND FUNCTION (MODIFIED SCHOBER AND PASSIVE KNEE EXTENSION TEST) WERE MEASURED BLIND BEFORE AND AT THE ONE-, THREE-, AND SIX-MONTH FOLLOW-UPS. THE PATIENT GLOBAL ASSESSMENT WAS APPLIED AT THE SIX-MONTH FOLLOWUP. THE INTENTION-TO-TREAT ANALYSIS WAS PERFORMED IN THIS STUDY. RESULTS: THE INTENTION-TO-TREAT ANALYSIS SHOWED A STATISTICALLY SIGNIFICANT DIFFERENCE IN NEUROPATHIC PAIN, PATIENT GLOBAL ASSESS MENT, LOW BACK PAIN, DISABILITY, AND FUNCTION IN FAVOR OF THE YOGA GROUP AT POST-TREATMENT. THE BETWEEN-GROUP EFFECT SIZES WERE MODERATE AT SIX-MONTHS FOLLOW-UP. CONCLUSION: IT WAS DETERMINED THAT THE SELECTED STRETCH AND STRENGTH-BASED YOGA EXERCISE COULD BE A PROMISING TREATMENT OPTION FOR NEUROPATHIC PAIN DUE TO LDH. LEVEL OF EVIDENCE: 2. 2022 4 63 31 A COMPREHENSIVE YOGA PROGRAMS IMPROVES PAIN, ANXIETY AND DEPRESSION IN CHRONIC LOW BACK PAIN PATIENTS MORE THAN EXERCISE: AN RCT. INTRODUCTION: PREVIOUSLY, OUTPATIENT YOGA PROGRAMS FOR PATIENTS WITH CHRONIC LOW BACK PAIN (CLBP) LASTING SEVERAL MONTHS HAVE BEEN FOUND TO REDUCE PAIN, ANALGESIC REQUIREMENT AND DISABILITY, AND IMPROVE SPINAL MOBILITY. THIS STUDY EVALUATED CHANGES IN PAIN, ANXIETY, DEPRESSION AND SPINAL MOBILITY FOR CLBP PATIENTS ON SHORT-TERM, RESIDENTIAL YOGA AND PHYSICAL EXERCISE PROGRAMS, INCLUDING COMPREHENSIVE YOGA LIFESTYLE MODIFICATIONS. METHODS: A SEVEN DAY RANDOMIZED CONTROL SINGLE BLIND ACTIVE STUDY IN AN RESIDENTIAL HOLISTIC HEALTH CENTRE IN BANGALORE, INDIA, ASSIGNED 80 PATIENTS (37 FEMALE, 43 MALE) WITH CLBP TO YOGA AND PHYSICAL EXERCISE GROUPS. THE YOGA PROGRAM CONSISTED OF SPECIFIC ASANAS AND PRANAYAMAS FOR BACK PAIN, MEDITATION, YOGIC COUNSELLING, AND LECTURES ON YOGA PHILOSOPHY. THE CONTROL GROUP PROGRAM INCLUDED PHYSICAL THERAPY EXERCISES FOR BACK PAIN, AND MATCHING COUNSELLING AND EDUCATION SESSIONS. RESULTS: GROUPXTIME INTERACTIONS (P<0.05) AND BETWEEN GROUP DIFFERENCES (P<0.05) WERE SIGNIFICANT IN ALL VARIABLES. BOTH GROUPS' SCORES ON THE NUMERICAL RATING SCALE FOR PAIN REDUCED SIGNIFICANTLY, 49% IN YOGA (P<0.001, ES=1.62), 17.5% IN CONTROLS (P=0.005, ES=0.67). STATE ANXIETY (STAI) REDUCED 20.4% (P<0.001, ES=0.72) AND TRAIT ANXIETY 16% (P<0.001, ES=1.09) IN THE YOGA GROUP. DEPRESSION (BDI) DECREASED IN BOTH GROUPS, 47% IN YOGA (P<0.001, ES=0.96,) AND 19.9% IN CONTROLS (P<0.001, ES=0.59). SPINAL MOBILITY ('SIT AND REACH' INSTRUMENT) IMPROVED IN BOTH GROUPS, 50%, IN YOGA (P<0.001, ES=2.99) AND 34.6% IN CONTROLS (P<0.001, ES=0.81). CONCLUSION: SEVEN DAYS INTENSIVE RESIDENTIAL YOGA PROGRAM REDUCES PAIN, ANXIETY, AND DEPRESSION, AND IMPROVES SPINAL MOBILITY IN PATIENTS WITH CLBP MORE EFFECTIVELY THAN PHYSIOTHERAPY EXERCISES. 2012 5 459 39 CHANGES IN PAIN INTENSITY AND HEALTH RELATED QUALITY OF LIFE WITH IYENGAR YOGA IN NONSPECIFIC CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: NONSPECIFIC CHRONIC LOW BACK (NCLBP) PAIN IS PREVALENT AMONG ADULT POPULATION AND OFTEN LEADS TO FUNCTIONAL LIMITATIONS, PSYCHOLOGICAL SYMPTOMS, LOWER QUALITY OF LIFE (QOL), AND HIGHER HEALTHCARE COSTS. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE EFFICACY OF IYENGAR YOGA THERAPY ON PAIN INTENSITY AND HEALTH RELATED QUALITY OF LIFE (HRQOL) WITH NCLBP. AIM OF THE STUDY: TO COMPARE THE EFFECT OF IYENGAR YOGA THERAPY AND CONVENTIONAL EXERCISE THERAPY ON PAIN INTENSITY AND HRQOL IN NONSPECIFIC CHRONIC LOW BACK PAIN. MATERIALS AND METHODS: EXPERIMENTAL STUDY WITH RANDOM SAMPLING TECHNIQUE. SUBJECTS/INTERVENTION: SIXTY SUBJECTS WHO FULFILLED THE SELECTION CRITERIA WERE RANDOMLY ASSIGNED TO IYENGAR YOGA (YOGA GROUP, N = 30) AND CONTROL GROUP (EXERCISE GROUP, N = 30). PARTICIPANTS COMPLETED LOW BACK PAIN EVALUATION FORM AND HRQOL-4 QUESTIONNAIRE BEFORE THEIR INTERVENTION AND AGAIN 4 WEEKS AND 6 MONTH LATER. YOGA GROUP UNDERWENT 29 YOGIC POSTURES TRAINING AND EXERCISE GROUP HAD UNDERGONE GENERAL EXERCISE PROGRAM FOR 4 WEEKS. STATISTICS: REPEATED MEASURES ANALYSIS OF VARIANCE (ANOVA) WAS USED TO ANALYZE GROUP DIFFERENCES OVER TIME, WHILE CONTROLLING FOR BASELINE DIFFERENCES. RESULTS: PATIENTS IN BOTH GROUPS EXPERIENCED SIGNIFICANT REDUCTION IN PAIN AND IMPROVEMENT IN HRQOL. IN VISUAL ANALOGUE SCALE (VAS) YOGA GROUP SHOWED REDUCTION OF 72.81% (P = 0.001) AS COMPARED TO EXERCISE GROUP 42.50% (P = 0.001). IN HRQOL, YOGA GROUP SHOWED REDUCTION OF 86.99% (P = 0.001) AS COMPARED TO EXERCISE GROUP 67.66% (P = 0.001). CONCLUSION: THESE RESULTS SUGGEST THAT IYENGAR YOGA PROVIDES BETTER IMPROVEMENT IN PAIN REDUCTION AND IMPROVEMENT IN HRQOL IN NONSPECIFIC CHRONIC BACK PAIN THAN GENERAL EXERCISE. 2014 6 2653 42 YOGA IMPROVES OCCUPATIONAL PERFORMANCE, DEPRESSION, AND DAILY ACTIVITIES FOR PEOPLE WITH CHRONIC PAIN. BACKGROUND: CHRONIC PAIN IS A COMPLEX ACCUMULATION OF PHYSICAL, PSYCHOLOGICAL, AND SOCIAL CONDITIONS, THUS INTERVENTIONS THAT ADDRESS PAIN AND PROMOTE OCCUPATIONAL PERFORMANCE ARE NEEDED. A HOLISTIC INTERVENTION, WITH MIND AND BODY COMPONENTS, IS LIKELY NECESSARY TO BEST TREAT THE COMPLEXITIES OF CHRONIC PAIN. THUS, WE DEVELOPED AND TESTED A YOGA INTERVENTION FOR PEOPLE WITH CHRONIC PAIN. OBJECTIVES: IN A RANDOMIZED CONTROL TRIAL (RCT), PARTICIPANTS WITH CHRONIC PAIN WERE RANDOMIZED TO A YOGA INTERVENTION OR USUAL CARE GROUP. BETWEEN AND WITHIN GROUP DIFFERENCES FOR PRE-AND POST-OUTCOME MEASURE SCORES WERE ASSESSED FOR: OCCUPATIONAL PERFORMANCE, COMPLETION OF ACTIVITIES, AND DEPRESSION. METHODS: PILOT RCT WITH PARTICIPANT ALLOCATION TO 8 WEEKS OF YOGA OR USUAL CARE. BOTH GROUPS RECEIVED ONGOING MONTHLY SELF-MANAGEMENT PROGRAMMING. DATA WERE COLLECTED BEFORE AND AFTER THE 8-WEEK INTERVENTION. PARTICIPANTS WERE RANDOMIZED TO YOGA OR USUAL CARE AFTER BASELINE ASSESSMENTS. DEMOGRAPHICS WERE COLLECTED AND MEASURES INCLUDED: CANADIAN OCCUPATIONAL PERFORMANCE MEASURE (COPM) TO ASSESS OCCUPATIONAL PERFORMANCE; THE 15-ITEM FRENCHAY ACTIVITIES INDEX (FAI)(ACTIVITIES); AND THE 9-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) FOR DEPRESSION. INDEPENDENT T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN GROUPS. PAIRED T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN PRE- AND POST 8-WEEK INTERVENTION FOR BOTH THE YOGA AND THE USUAL CARE GROUPS. PERCENT CHANGE SCORES AND EFFECT SIZES WERE CALCULATED. RESULTS: 83 PEOPLE WERE RECRUITED FOR THE STUDY AND COMPLETED BASELINE ASSESSMENTS; 44 INDIVIDUALS WERE RANDOMIZED TO YOGA AND 39 TO THE CONTROL GROUP. THE AVERAGE AGE OF ALL PARTICIPANTS WAS 51.4+/-10.5 YEARS, 68% WERE FEMALE; AND 60% HAD AT LEAST SOME COLLEGE EDUCATION. THERE WERE NO SIGNIFICANT DIFFERENCES IN DEMOGRAPHICS OR OUTCOME MEASURES BETWEEN GROUPS AT BASELINE OR 8 WEEKS; HOWEVER, THE STUDY WAS NOT POWERED TO SEE SUCH DIFFERENCES. INDIVIDUALS RANDOMIZED TO THE CONTROL GROUP DID NOT SIGNIFICANTLY IMPROVE IN ANY OUTCOME MEASURE OVER THE 8 WEEKS. THERE WERE SIGNIFICANT IMPROVEMENTS IN COPM PERFORMANCE AND COPM SATISFACTION SCORES FOR INDIVIDUALS RANDOMIZED TO THE YOGA GROUP; BOTH SCORES SIGNIFICANTLY IMPROVED. COPM PERFORMANCE IMPROVED BY 27% WITH A MODERATE TO LARGE EFFECT SIZE (3.66+/-1.85 VS 4.66+/-1.93, P < 0.001, D = 0.76). COPM SATISFACTION SIGNIFICANTLY IMPROVED BY 78% (2.14+/-2.31 VS. 3.80+/-2.50, P < 0.001) AND HAD A LARGE EFFECTS SIZE (D = 1.02). FAI SCORES IMPROVED, INDICATING INCREASED ACTIVITY OR ENGAGEMENT IN DAILY OCCUPATION DURING THE 8-WEEK INTERVENTION. SCORES INCREASED BY 5% (38.13+/-8.48 VS. 39.90+/-8.57, P = 0.024) WITH A SMALL EFFECT SIZE (D = 0.37). DEPRESSION SIGNIFICANTLY DECREASED FROM 13.21+/-5.60 TO 11.41+/-5.82, P = 0.041, WITH A SMALL EFFECT SIZE. CONCLUSION: DATA FROM THIS PILOT RCT INDICATE YOGA MAY BE AN EFFECTIVE THERAPEUTIC INTERVENTION WITH PEOPLE IN CHRONIC PAIN TO IMPROVE OCCUPATIONAL PERFORMANCE, INCREASE ENGAGEMENT IN ACTIVITIES, AND DECREASE DEPRESSION. OCCUPATIONAL THERAPY PRACTITIONERS MAY CONSIDER ADDING YOGA AS A TREATMENT INTERVENTION TO ADDRESS THE NEEDS OF PEOPLE WITH PAIN. 2019 7 1448 25 INDIVIDUALLY TAILORED YOGA FOR CHRONIC NECK OR BACK PAIN IN A LOW-INCOME POPULATION: A PILOT STUDY. BACKGROUND: LOW-INCOME PEOPLE ARE DISPROPORTIONATELY AFFECTED BY CHRONIC BACK AND NECK PAIN. YOGA MAY BE AN EFFECTIVE THERAPY. AIMS: THIS FEASIBILITY PILOT STUDY EVALUATED AN INDIVIDUALIZED YOGA PLAN FOR THE TREATMENT OF CHRONIC SPINAL PAIN. METHODS: RESULTS: INDIVIDUALS SHOWED A MEAN CHANGE OF -2.4 FROM PRE/POST 10-CM PAIN SCALE RECORDINGS (P = 0.028, 95% CONFIDENCE INTERVAL [CI]: -0.390--4.477) AND A MEAN INCREASE OF 0.26 ON THE EQ-5D-3L (P = 0.029, 95% CI: 0.04-0.47). THE INTERVENTION WAS WELL-RECEIVED. CONCLUSIONS: AN INDIVIDUALLY TAILORED YOGA PROGRAM WAS ACCEPTABLE TO THESE PARTICIPANTS. PAIN AND QUALITY OF LIFE SCORES APPEARED TO IMPROVE. 2020 8 672 39 EFFECT OF A HOME-BASED SIMPLE YOGA PROGRAM IN CHILD-CARE WORKERS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS STUDY INVESTIGATED THE EFFECT OF A BRIEF, SIMPLE, HOME-BASED YOGA PROGRAM ON BODY PAIN AND HEALTH STATUS IN CHILD-CARE WORKERS. DESIGN: THIS WAS A RANDOMIZED, CONTROLLED TRIAL COMPARING A HOME-BASED YOGA GROUP AND A CONTROL GROUP. PARTICIPANTS: THE TRIAL COMPRISED 98 HEALTHY FEMALE NURSERY SCHOOL AND KINDERGARTEN TEACHERS. INTERVENTIONS: A DVD OF A SIMPLE HOME-BASED YOGA PROGRAM WAS PROVIDED FOR A PERIOD OF 2 WEEKS. OUTCOME MEASURES: THE PRIMARY OUTCOME MEASURE WAS THE REPORTED CHANGE IN BODY PAIN AT 2 WEEKS (AFTER INTERVENTION) AND 4 WEEKS (FOLLOW-UP). THE SECONDARY OUTCOME MEASURE WAS THE 30-ITEM GENERAL HEALTH QUESTIONNAIRE (GHQ30) SCORE AND PHYSICAL FUNCTION. RESULTS: THE 67 YOGA GROUP PARTICIPANTS REPORTED IMPROVED MENSTRUAL PAIN AT 4 WEEKS; MENSTRUAL PAIN WAS REDUCED FROM 57.0 +/- 27.8 TO 37.8 +/- 26.7 IN THE YOGA GROUP, VERSUS 52.4 +/- 36.5 TO 46.9 +/- 32.1 IN THE CONTROL GROUP (CHANGE FROM BASELINE IN THE YOGA GROUP VERSUS CHANGE FROM BASELINE IN THE CONTROL GROUP, -15.3 POINTS; P=0.044). THE TOTAL GHQ30 SCORE AND THE GHQ SUBSCALE SCORES ("SLEEP DISTURBANCE" AND "ANXIETY AND DYSPHORIA") IMPROVED SIGNIFICANTLY AT 4 WEEKS IN THE YOGA GROUP, BUT NOT IN THE CONTROL GROUP. IN THE GOOD-ADHERENCE GROUP, LOW BACK PAIN IMPROVED DURING THE INTERVENTION (P=0.006) AND FOLLOW-UP (P=0.001) PERIODS. MENSTRUAL PAIN WAS ALSO IMPROVED (P=0.044). NO ADVERSE EVENTS WERE OBSERVED. CONCLUSIONS: A HOME-BASED SIMPLE YOGA PROGRAM MAY IMPROVE THE HEALTH STATUS OF CHILD-CARE WORKERS. 2012 9 1046 34 EFFECTS OF YOGA ON ANXIETY AND DEPRESSION FOR HIGH RISK MOTHERS ON HOSPITAL BEDREST. BACKGROUND: AND PURPOSE: IN RECENT YEARS, YOGA PRACTITIONERS HAVE JOINED FORCES WITH MEDICAL PROGRAMS TO APPROACH PATIENTS' WELL-BEING HOLISTICALLY. THIS STUDY IS A RANDOMIZED CONTROLLED TRIAL TO ASSESS THE EFFECTS OF A SPECIALIZED ADAPTED YOGA PROGRAM ON ANXIETY AND DEPRESSION FOR HIGH-RISK EXPECTANT MOTHERS ON BEDREST IN A HOSPITAL SETTING. MATERIALS AND METHODS: SEVENTY-NINE PREGNANT SUBJECTS ON PHYSICIAN ORDERED HOSPITALIZED BEDREST WERE RANDOMIZED INTO TWO GROUPS: RECEIVING BIWEEKLY YOGA SESSIONS (INTERVENTION GROUP) OR RECEIVING NO YOGA (CONTROL GROUP). DATA COLLECTION TOOL WAS THE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) TO ASSESS OUTCOMES AFTER DELIVERY. RESULTS: YOGA, EVEN AS LITTLE AS THREE SESSIONS, SHOWED SIGNIFICANT IMPACT IN REDUCING ANXIETY AND DEPRESSION HIGH-RISK PREGNANT WOMEN ON HOSPITALIZED BEDREST. PERCEIVED ANXIETY AND DEPRESSION OVERALL SCORES WERE LOWER IN THE INTERVENTION GROUP THAN IN THE CONTROL GROUP (P < 0.001). CONCLUSION: RESULTS DEMONSTRATED THAT YOGA IS AN EFFECTIVE INTERVENTION TO DECREASE ANXIETY AND DEPRESSION IN HIGH-RISK ANTEPARTUM WOMEN ON HOSPITALIZED BEDREST. 2020 10 2173 24 THE EFFECTS OF YOGA ON DYSPNEA, SLEEP AND FATIGUE IN CHRONIC RESPIRATORY DISEASES. PURPOSE: THIS STUDY WAS CARRIED OUT TO FIND OUT THE EFFECTS OF YOGA APPLIED TO CHRONIC RESPIRATORY DISEASE PATIENTS ON DYSPNEA, SLEEP QUALITY AND FATIGUE. MATERIAL AND METHOD: THE STUDY WAS CONDUCTED BETWEEN MAY AND AUGUST 2020 AS A RANDOMIZED CONTROLLED STUDY. 'PERSONAL INFORMATION FORM', 'RESPIRATORY FUNCTIONS MONITORING FORM', 'COPD AND ASTHMA FATIGUE SCALE (CAFS), "ASTHMA AND COPD SLEEP IMPACT SCALE (CASIS)" AND MODIFIED MEDICAL RESEARCH COUNCIL DYSPNEA SCALE (MMRC) WERE USED IN DATA COLLECTION. RESULTS: WHEN THE POST-TEST MEAN SCORES OF THE PATIENTS IN THE EXPERIMENTAL AND CONTROL GROUP WERE COMPARED, IT WAS FOUND THAT CAFS, CASIS AND MMRC MEAN SCORES OF THE PATIENTS IN THE EXPERIMENTAL GROUP DECREASED POSITIVELY COMPARED TO THE PATIENTS IN THE CONTROL GROUP AND THE DIFFERENCE BETWEEN WAS FOUND TO BE STATISTICALLY SIGNIFICANT (P < 0.05). CONCLUSION: YOGA HAS BEEN FOUND TO REDUCE THE SEVERITY OF DYSPNEA AND FATIGUE AND IMPROVE SLEEP QUALITY IN CHRONIC RESPIRATORY DISEASES. 2021 11 1852 46 RANDOMISED CLINICAL TRIAL: YOGA VS A LOW-FODMAP DIET IN PATIENTS WITH IRRITABLE BOWEL SYNDROME. BACKGROUND: IRRITABLE BOWEL SYNDROME IS THE MOST FREQUENT GASTROINTESTINAL DISORDER. IT IS ASSUMED THAT LIFESTYLE INTERVENTIONS MIGHT BE A RATIONAL TREATMENT APPROACH. AIM: TO EXAMINE THE EFFECT OF A YOGA-BASED INTERVENTION VS A LOW-FODMAP DIET ON PATIENTS WITH IRRITABLE BOWEL SYNDROME. METHODS: FIFTY-NINE PATIENTS WITH IRRITABLE BOWEL SYNDROME UNDERTOOK A SINGLE-BLIND, RANDOMISED CONTROLLED TRIAL INVOLVING YOGA OR A LOW-FODMAP DIET FOR 12 WEEKS. PATIENTS IN THE YOGA GROUP RECEIVED TWO SESSIONS WEEKLY, WHILE PATIENTS IN THE LOW-FODMAP GROUP RECEIVED A TOTAL OF THREE SESSIONS OF NUTRITIONAL COUNSELLING. THE PRIMARY OUTCOME WAS A CHANGE IN GASTROINTESTINAL SYMPTOMS (IBS-SSS). SECONDARY OUTCOMES EXPLORED CHANGES IN QUALITY OF LIFE (IBS-QOL), HEALTH (SF-36), PERCEIVED STRESS (CPSS, PSQ), BODY AWARENESS (BAQ), BODY RESPONSIVENESS (BRS) AND SAFETY OF THE INTERVENTIONS. OUTCOMES WERE EXAMINED IN WEEKS 12 AND 24 BY ASSESSORS "BLINDED" TO PATIENTS' GROUP ALLOCATION. RESULTS: NO STATISTICALLY SIGNIFICANT DIFFERENCE WAS FOUND BETWEEN THE INTERVENTION GROUPS, WITH REGARD TO IBS-SSS SCORE, AT EITHER 12 (DELTA = 31.80; 95%CI = -11.90, 75.50; P = .151) OR 24 WEEKS (DELTA = 33.41; 95%CI = -4.21, 71.04; P = .081). WITHIN-GROUP COMPARISONS SHOWED STATISTICALLY SIGNIFICANT EFFECTS FOR YOGA AND LOW-FODMAP DIET AT BOTH 12 AND 24 WEEKS (ALL P < .001). COMPARABLE WITHIN-GROUP EFFECTS OCCURRED FOR THE OTHER OUTCOMES. ONE PATIENT IN EACH INTERVENTION GROUP EXPERIENCED SERIOUS ADVERSE EVENTS (P = 1.00) AND ANOTHER, ALSO IN EACH GROUP, EXPERIENCED NONSERIOUS ADVERSE EVENTS (P = 1.00). CONCLUSIONS: PATIENTS WITH IRRITABLE BOWEL SYNDROME MIGHT BENEFIT FROM YOGA AND A LOW-FODMAP DIET, AS BOTH GROUPS SHOWED A REDUCTION IN GASTROINTESTINAL SYMPTOMS. MORE RESEARCH ON THE UNDERLYING MECHANISMS OF BOTH INTERVENTIONS IS WARRANTED, AS WELL AS EXPLORATION OF POTENTIAL BENEFITS FROM THEIR COMBINED USE. 2018 12 2833 38 YOGA'S EFFECT ON FALLS IN RURAL, OLDER ADULTS. BACKGROUND: UNINTENTIONAL FALLS AFFECT 30% OF PEOPLE OVER AGE 65 YEARS. YOGA HAS BEEN SHOWN TO IMPROVE BALANCE. WE DESIGNED THIS STUDY TO EXAMINE IF YOGA REDUCES FALLS. METHODS: WE CONDUCTED 16 SESSIONS OF HATHA YOGA OVER 8 WEEKS. PARTICIPANTS WERE RANDOMLY ASSIGNED TO PRACTICE 10MIN OF YOGA DAILY AT HOME IN ADDITION TO 5-MIN RELAXATION EXERCISES OR RELAXATION EXERCISES ONLY (CONTROL GROUP). RESULTS: OF THE 38 PARTICIPANTS COMPLETING THE INTERVENTION, 15 PARTICIPANTS REPORTED A TOTAL OF 27 FALLS IN THE 6-MONTHS BEFORE THE STUDY, COMPARED TO 13 PARTICIPANTS SUSTAINING 14 FALLS IN THE 6 MONTHS FROM THE START OF THE STUDY (P<0.047), WITHOUT DIFFERENCE BETWEEN YOGA HOME-EXERCISE AND HOME RELAXATION-ONLY GROUPS. COMPARED TO BASELINE SCORES, ALL PARTICIPANTS IMPROVED ON THE BERG BALANCE SCALE (53-54 OUT OF 56, P=0.002), THE FUNCTIONAL GAIT ASSESSMENT (22.9-25.8 OUT OF 30 POINTS, P<0.001), AND THE DYNAMIC GAIT INDEX (20.6-22.4 OUT OF 24 POINTS, P<0.001). RIGHT LEG STAND TIME IMPROVED FROM A MEAN OF 13.3S TO 17.1S (P=0.020) AND STANDING FORWARD REACH DISTANCE FROM 26.0CM TO 29.6CM (P<0.001). WITHOUT DIFFERENCE BETWEEN GROUPS. CONFIDENCE, WITH THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE, INCREASED IN THE YOGA HOME-EXERCISE GROUP (88%-93%, P=0.037) COMPARED TO 90% UNCHANGED FROM PRE-INTERVENTION IN THE HOME RELAXATION-ONLY GROUP. CONCLUSION: YOGA CLASSES REDUCE SELF-REPORTED FALLS AND IMPROVE BALANCE MEASURES. THE ADDITION OF HOME YOGA EXERCISES DID NOT ENHANCE BENEFIT OVER RELAXATION EXERCISE ONLY. 2017 13 1838 40 PSYCHOSOCIAL AND CARDIAC OUTCOMES OF YOGA FOR ICD PATIENTS: A RANDOMIZED CLINICAL CONTROL TRIAL. BACKGROUND: BECAUSE AS MANY AS 46% OF IMPLANTABLE CARDIOVERTER DEFIBRILLATOR (ICD) PATIENTS EXPERIENCE CLINICAL SYMPTOMS OF SHOCK ANXIETY, THIS RANDOMIZED CONTROLLED STUDY EVALUATED THE EFFICACY OF ADAPTED YOGA (VS USUAL CARE) IN REDUCING CLINICAL PSYCHOSOCIAL RISKS SHOWN TO IMPACT MORBIDITY AND MORTALITY IN ICD RECIPIENTS. METHODS: FORTY-SIX PARTICIPANTS WERE RANDOMIZED TO A CONTROL GROUP OR AN 8-WEEK ADAPTED YOGA GROUP THAT FOLLOWED A STANDARDIZED PROTOCOL WITH WEEKLY CLASSES AND HOME PRACTICE. MEDICAL AND PSYCHOSOCIAL DATA WERE COLLECTED AT BASELINE AND FOLLOW-UP, THEN COMPARED AND ANALYZED. RESULTS: TOTAL SHOCK ANXIETY DECREASED FOR THE YOGA GROUP AND INCREASED FOR THE CONTROL GROUP, T(4.43, 36), P < 0.0001, WITH SIGNIFICANT DIFFERENCES BETWEEN THESE CHANGES. SIMILARLY, CONSEQUENTIAL ANXIETY DECREASED FOR THE YOGA GROUP BUT INCREASED FOR THE CONTROL GROUP T(2.86,36) P = 0.007. COMPARED TO THE CONTROL, THE YOGA GROUP HAD GREATER OVERALL SELF-COMPASSION, T(-2.84,37), P = 0.007, AND GREATER MINDFULNESS, T(-2.10,37) P = 0.04, AT THE END OF THE STUDY. EXPLORATORY ANALYSES UTILIZING A LINEAR MODEL (R(2) = 0.98) OF OBSERVED DEVICE-TREATED VENTRICULAR (DTV) EVENTS REVEALED THAT THE EXPECTED NUMBER OF DTV EVENTS IN THE YOGA GROUP WAS SIGNIFICANTLY LOWER THAN IN THE CONTROL GROUP (P < 0.0001). COMPARED TO THE CONTROL, THE YOGA GROUP HAD A 32% LOWER RISK OF EXPERIENCING DEVICE-RELATED FIRINGS AT END OF FOLLOW-UP. CONCLUSIONS: OUR STUDY DEMONSTRATED PSYCHOSOCIAL BENEFITS FROM A PROGRAM OF ADAPTED YOGA (VS USUAL CARE) FOR ICD RECIPIENTS. THESE DATA SUPPORT CONTINUED RESEARCH TO BETTER UNDERSTAND THE ROLE OF COMPLEMENTARY MEDICINE TO ADDRESS ICD-SPECIFIC STRESS IN CARDIAC OUTCOMES. 2014 14 2789 41 YOGA THERAPY FOR ABDOMINAL PAIN-RELATED FUNCTIONAL GASTROINTESTINAL DISORDERS IN CHILDREN: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THE AIM OF THE PRESENT STUDY WAS TO COMPARE EFFECTS OF 10 WEEKS OF YOGA THERAPY (YT) AND STANDARD MEDICAL CARE (SMC) ON ABDOMINAL PAIN AND QUALITY OF LIFE (QOL) IN CHILDREN WITH ABDOMINAL PAIN-RELATED FUNCTIONAL GASTROINTESTINAL DISORDERS (AP-FGIDS). METHODS: SIXTY-NINE PATIENTS, AGES 8 TO 18 YEARS, WITH AP-FGIDS, WERE RANDOMIZED TO SMC COMPLEMENTED WITH YT OR SMC ALONE. YT IS A MIXTURE OF YOGA POSES, MEDITATION, AND RELAXATION EXERCISES AND WAS GIVEN ONCE A WEEK IN GROUP SESSIONS. SMC CONSISTED OF EDUCATION, REASSURANCE, DIETARY ADVICE, AND FIBERS/MEBEVERINE, IF NECESSARY. PAIN INTENSITY (PAIN INTENSITY SCORE [PIS] 0-5) AND FREQUENCY (PAIN FREQUENCY SCORE [PFS] 0-4) WERE SCORED IN A PAIN DIARY, AND QOL WAS MEASURED WITH KIDSCREEN-27. FOLLOW-UP WAS 12 MONTHS. TREATMENT RESPONSE WAS DEFINED AS >/=50% REDUCTION OF WEEKLY PAIN SCORES. RESULTS: AT 1-YEAR FOLLOW-UP, TREATMENT RESPONSE WAS ACCOMPLISHED IN 58% OF THE YT GROUP AND IN 29% OF THE CONTROL GROUP (P = 0.01); NO SIGNIFICANT DIFFERENCES FOR OTHER TIME POINTS WERE FOUND. YT, AND NOT SMC, RESULTED IN A SIGNIFICANT REDUCTION OF PIS (P < 0.01) AND PFS (P < 0.01) AFTER 12 MONTHS. DURING THE STUDY, HOWEVER, YT WAS NOT SIGNIFICANTLY SUPERIOR COMPARED WITH SMC. SUBANALYSES FOR TIME POINTS DEMONSTRATED A SIGNIFICANT GREATER REDUCTION OF PIS AT 12 MONTHS IN FAVOR OF YT. NO DIFFERENCES WERE FOUND FOR QOL. YT WAS MORE EFFECTIVE IN THE REDUCTION OF REPORTED MONTHLY SCHOOL ABSENCE (P = 0.03). CONCLUSION: AT 1-YEAR FOLLOW-UP, YT IN ADDITION TO STANDARD CARE WAS SUPERIOR COMPARED WITH SMC ACCORDING TO TREATMENT SUCCESS, PIS, AND REDUCTION OF SCHOOL ABSENCE. YT, HOWEVER, WAS NOT SIGNIFICANTLY MORE EFFECTIVE IN IMPROVING PFS OR QOL, COMPARED WITH SMC. 2016 15 1969 43 SHORT TERM EFFECT OF YOGA ASANA - AN ADJUNCT THERAPY TO CONVENTIONAL TREATMENT IN FROZEN SHOULDER. BACKGROUND: THE AVAILABLE TREATMENTS FOR FROZEN SHOULDER YIELD VARIABLE RESULTS. PHYSICAL THERAPY AND ANALGESICS ARE CONSIDERED AS THE FIRST-LINE TREATMENT FOR THIS DISORDER, BUT THE EFFECTS ARE NOT UNIFORM. THERE IS SOME EVIDENCE TO SUPPORT THAT ALTERNATIVE MEDICINE MAY HAVE A ROLE IN ITS MANAGEMENT. OBJECTIVE(S): THIS STUDY WAS DESIGNED TO EXAMINE THE SHORT-TERM EFFECTS OF YOGA THERAPY IN PATIENTS WITH FROZEN SHOULDER OF MILD TO MODERATE SEVERITY. MATERIALS AND METHODS: A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL WAS CONDUCTED ON PATIENTS WITH FROZEN SHOULDER BETWEEN 30 AND 60 YEARS OF AGE. THEY WERE DIVIDED INTO TWO GROUPS: YOGA (Y) AND CONTROL (NY). A SET OF ASANA EXERCISES CALLED "STANDING GROUP OF ASANA" WAS PRACTICED BY THE YOGA GROUP IN ADDITION TO THE CONVENTIONAL THERAPY AS RECEIVED BY THE CONTROL GROUP. THE PATIENTS WERE REVIEWED AT 1, 2 AND 4 WEEKS. THE PAIN AND FUNCTIONAL ASSESSMENT WERE DONE AT BASELINE AND AT EACH REVIEW USING THE SHOULDER PAIN AND DISABILITY INDEX (SPADI). RESULTS: THERE WERE 16 MALE AND 20 FEMALE PARTICIPANTS IN THE Y GROUP, AND 15 MALES AND 21 FEMALES IN THE NY GROUP. THERE WAS NO STATISTICALLY SIGNIFICANT DIFFERENCE IN AGE, SEX, AND PRE-TREATMENT SPADI SCORE BETWEEN THE GROUPS. AT THE END OF THE FOUR WEEKS, THE SPADI PAIN SCORES IN THE Y AND NY GROUP WERE 20.47 AND 20.14, RESPECTIVELY (P = 0.666). THE SPADI DISABILITY SCORES IN THE Y AND NY GROUP WERE 20.4 AND 19.7, RESPECTIVELY (P = 0.599). OVERALL SPADI SCORES WERE 40.67 AND 40.03 IN THE Y AND NY GROUP, RESPECTIVELY (P = 0.736). BOTH GROUPS HAD A SIGNIFICANT REDUCTION IN SPADI PAIN AND DISABILITY SCORES. HOWEVER, THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS IN TERMS OF SPADI SCORES. CONCLUSION: THE EFFECT OF THE STANDING GROUP OF ASANA HAS NO ADDED ADVANTAGE RELATIVE TO STANDARD FROZEN SHOULDER TREATMENT WHEN PRACTICED FOR ONE MONTH. 2020 16 2561 39 YOGA FOR CHRONIC NECK PAIN: A 12-MONTH FOLLOW-UP. OBJECTIVES: TO ASSESS THE EFFECTS OF A 9-WEEK YOGA INTERVENTION ON CHRONIC NONSPECIFIC NECK PAIN 12 MONTHS AFTER COMPLETION. DESIGN: TWELVE-MONTH FOLLOW-UP OF THE POOLED DATA OF BOTH ARMS OF A RANDOMIZED, CONTROLLED TRIAL. SETTING: DEPARTMENT OF INTERNAL AND INTEGRATIVE MEDICINE AT AN ACADEMIC TEACHING HOSPITAL. SUBJECTS: FIFTY-ONE PATIENTS WITH CHRONIC NONSPECIFIC NECK PAIN (MEAN AGE 47.8 YEARS; 82.4% FEMALE). INTERVENTIONS: A 9-WEEK YOGA GROUP INTERVENTION. OUTCOME MEASURES: NECK PAIN INTENSITY (100-MM VISUAL ANALOG SCALE), FUNCTIONAL DISABILITY (NECK DISABILITY INDEX), HEALTH-RELATED QUALITY OF LIFE (SHORT-FORM 36 QUESTIONNAIRE, SF-36), GENERIC DISABILITY (DAYS WITH RESTRICTED ACTIVITIES), AND GLOBAL IMPROVEMENT. RESULTS: FROM BASELINE TO 12-MONTH FOLLOW-UP, PAIN INTENSITY IMPROVED FROM 48.81 +/- 17.71 TO 32.31 +/- 20.68 (P < 0.001), NECK-RELATED DISABILITY DECREASED FROM 25.26 +/- 9.02 TO 19.49 +/- 11.52 (P = 0.001), AND BODILY PAIN IN THE SF-36 IMPROVED FROM 49.37 +/- 12.40 TO 59.26 +/- 17.57 (P = 0.005). IMPROVEMENTS IN PAIN INTENSITY WERE PREDICTED BY WEEKLY MINUTES OF YOGA PRACTICE DURING THE PAST 4 WEEKS (R(2) = 0.12, P = 0.028); IMPROVED NECK-RELATED DISABILITY (R(2) = 0.24, P = 0.001) AND BODILY PAIN (R(2) = 0.26, P = 0.006) WERE PREDICTED BY REGULAR YOGA PRACTICE DURING THE PAST 12 MONTHS. GENERIC DISABILITY DID NOT DECREASE SIGNIFICANTLY. TWENTY-FOUR PATIENTS (68.6%) RATED THEIR HEALTH AS AT LEAST SOMEWHAT IMPROVED. CONCLUSIONS: A 9-WEEK YOGA INTERVENTION IMPROVED PAIN AND NECK-RELATED DISABILITY FOR AT LEAST 12 MONTHS AFTER COMPLETION. SUSTAINED YOGA PRACTICE SEEMS TO BE THE MOST IMPORTANT PREDICTOR OF LONG-TERM EFFECTIVENESS. 2013 17 585 38 DESIGNING, VALIDATION, AND FEASIBILITY OF INTEGRATED YOGA THERAPY MODULE FOR CHRONIC LOW BACK PAIN. CONTEXT: CHRONIC LOW BACK PAIN (CLBP) IS A SIGNIFICANT PUBLIC HEALTH PROBLEM THAT HAS REACHED EPIDEMIC PROPORTIONS. YOGA THERAPY HAS EMERGED AS ONE OF THE COMPLEMENTARY AND ALTERNATIVE THERAPIES FOR CLBP. AIM: THE PRESENT STUDY REPORTS THE DEVELOPMENT, VALIDATION, AND FEASIBILITY OF AN INTEGRATED YOGA THERAPY MODULE (IYTM) FOR CLBP. SETTINGS AND DESIGN: THIS STUDY WAS CARRIED OUT AT THE SVYASA YOGA UNIVERSITY, BENGALURU, SOUTH INDIA. THE IYTM FOR CLBP WAS DESIGNED, VALIDATED, AND LATER TESTED FOR FEASIBILITY IN PATIENTS WITH CLBP. MATERIALS AND METHODS: IN THE FIRST PHASE, IYTM FOR CLBP WAS DESIGNED BASED ON THE LITERATURE REVIEW OF CLASSICAL TEXTS AND RECENTLY PUBLISHED RESEARCH STUDIES. IN THE SECOND PHASE, DESIGNED IYTM (26 YOGA PRACTICES) WAS VALIDATED BY THIRTY SUBJECT MATTER (YOGA) EXPERTS. CONTENT VALIDITY RATIO (CVR) WAS ANALYZED USING LAWSHE'S FORMULA. IN THE THIRD PHASE, THE VALIDATED IYTM (20 YOGA PRACTICES) WAS TESTED ON 12 PATIENTS FOR PAIN, DISABILITY AND PERCEIVED STRESS AT BASELINE AND AFTER 1-MONTH OF THIS INTERVENTION. RESULTS: A TOTAL OF 20 YOGA PRACTICES WITH CVR >/=0.33 WERE INCLUDED, 6 YOGA PRACTICES WITH CVR >/=0.33 WERE EXCLUDED FROM THE DESIGNED IYTM. THE FEASIBILITY STUDY WITH VALIDATED IYTM SHOWED SIGNIFICANT REDUCTION IN NUMERICAL PAIN RATING SCALE (P = 0.02), OSWESTRY DISABILITY SCALE (P = 0.02), AND PERCEIVED STRESS SCALE (P = 0.03). CONCLUSION: THE DESIGNED IYTM WAS VALIDATED BY THIRTY YOGA EXPERTS AND LATER EVALUATED ON A SMALL SAMPLE. THIS STUDY HAS SHOWN THAT THE VALIDATED IYTM IS FEASIBLE, HAD NO ADVERSE EFFECTS AND WAS USEFUL IN ALLEVIATING PAIN, DISABILITY, AND PERCEIVED STRESS IN PATIENTS WITH CLBP. HOWEVER, RANDOMIZED CONTROL TRIALS WITH LARGER SAMPLE ARE NEEDED TO STRENGTHEN THE STUDY. 2015 18 2059 23 THE BENEFITS OF YOGA FOR RHEUMATOID ARTHRITIS: RESULTS OF A PRELIMINARY, STRUCTURED 8-WEEK PROGRAM. THE AIM OF THIS STUDY WAS TO MEASURE THE EFFECTS OF A BI-WEEKLY RAJ YOGA PROGRAM ON RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY. SUBJECTS WERE RECRUITED FROM AMONG RA PATIENTS IN DUBAI, UNITED ARAB EMIRATES BY EMAIL INVITATIONS OF THE RA DATABASE. DEMOGRAPHIC DATA, DISEASE ACTIVITY INDICES, HEALTH ASSESSMENT QUESTIONNAIRE (HAQ), AND QUALITY OF LIFE (QOL) BY SF-36 WERE DOCUMENTED AT ENROLLMENT AND AFTER COMPLETION OF 12 SESSIONS OF RAJ YOGA. A TOTAL OF 47 PATIENTS WERE ENROLLED: 26 YOGA AND 21 CONTROLS. BASELINE DEMOGRAPHICS WERE SIMILAR IN BOTH GROUPS. PATIENTS WHO UNDERWENT YOGA HAD STATISTICALLY SIGNIFICANT IMPROVEMENTS IN DAS28 AND HAQ, BUT NOT QOL. OUR PILOT STUDY OF 12 SESSIONS OF YOGA FOR RA WAS ABLE TO DEMONSTRATE STATISTICALLY SIGNIFICANT IMPROVEMENTS IN RA DISEASE PARAMETERS. WE BELIEVE THAT A LONGER DURATION OF TREATMENT COULD RESULT IN MORE SIGNIFICANT IMPROVEMENTS. 2009 19 2159 37 THE EFFECTS OF VR-BASED WII FIT YOGA ON PHYSICAL FUNCTION IN MIDDLE-AGED FEMALE LBP PATIENTS. [PURPOSE] THE PURPOSE OF THIS RESEARCH WAS TO DETERMINE THE EFFECTS OF A VIRTUAL REALITY-BASED YOGA PROGRAM ON MIDDLE-AGED FEMALE LOW BACK PAIN PATIENTS. [SUBJECTS AND METHODS] THIRTY MIDDLE-AGED FEMALE PATIENTS WHO SUFFERED FROM LOW BACK PAIN WERE ASSIGNED TO EITHER A PHYSICAL THERAPY PROGRAM OR A VIRTUAL REALITY-BASED YOGA PROGRAM FOR A PERIOD OF FOUR WEEKS. PARTICIPANTS COULD CHECK THEIR POSTURE AND WEIGHT BEARING ON A MONITOR AS THEY SHIFTED THEIR WEIGHT OR CHANGED THEIR POSTURES ON A WII BALANCE BOARD. THERE WERE A TOTAL OF SEVEN EXERCISE PROGRAMS. A 30-MINUTE, THREE TIMES PER WEEK, VIRTUAL REALITY-BASED WII FIT YOGA PROGRAM OR TRUNK STABILIZING EXERCISE WAS PERFORMED, RESPECTIVELY. [RESULTS] REPEATED-MEASURES ANALYSIS OF COVARIANCE REVEALED SIGNIFICANT DIFFERENCES IN BETWEEN PRE- AND POST-TRAINING VAS, ALGOMETER, OSWESTRY LOW-BACK PAIN DISABILITY INDEX (ODI), ROLAND MORRIS DISABILITY QUESTIONNAIRE (RMDQ), AND FEAR AVOIDANCE BELIEFS QUESTIONNAIRE (FBQ) SCORES. THE VAS, ALGOMETER, ODI, RMDQ, AND FBQ SCORES SHOWED SIGNIFICANT DIFFERENCES IN GROUPS. REGARDING THE EFFECT OF TIME-BY-GROUP INTERACTION, THERE WERE SIGNIFICANT DIFFERENCES IN VAS, ODI, ODI, AND FBQ SCORES. [CONCLUSION] IN CONCLUSION, FOR MIDDLE-AGED FEMALE PATIENTS WHO HAVE LOW BACK PAIN, A VIRTUAL REALITY-BASED YOGA PROGRAM WAS SHOWN TO HAVE POSITIVE EFFECTS ON PHYSICAL IMPROVEMENTS, AND THIS PROGRAM CAN BE EMPLOYED AS A THERAPEUTIC MEDIUM FOR PREVENTION AND CURE OF LOW BACK PAIN. 2014 20 1818 29 PROSPECTIVE RANDOMIZED TRIAL OF STANDARD ANTIEMETIC THERAPY WITH YOGA VERSUS STANDARD ANTIEMETIC THERAPY ALONE FOR HIGHLY EMETOGENIC CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING IN SOUTH ASIAN POPULATION. AIM/BACKGROUND: CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING (CINV) IS ONE OF THE MOST DISTRESSING SIDE EFFECTS OF HIGHLY EMETOGENIC CHEMOTHERAPY REGIMENS. THERE HAVE BEEN CONTINUOUS EFFORTS IN THE DIRECTION TO CONTROL CINV BY MANY INVESTIGATORS. MATERIALS AND METHODS: RANDOMLY SELECTED PATIENTS WERE THOSE RECEIVING HIGHLY EMETOGENIC CHEMOTHERAPY REGIMEN GROUPED INTO YOGA AND STANDARD ANTIEMETIC THERAPY (N = 50) JUST BEFORE RECEIVING CHEMOTHERAPY AND CONTINUED FOR THE FOLLOWING DAYS AND OTHER GROUP (N = 50) RECEIVED ONLY THE STANDARD ANTIEMETIC AGENT. BOTH THE GROUPS WERE ASSESSED, FOLLOWED FOR ACUTE AND DELAYED ONSET OF CHEMOTHERAPY-INDUCED AND ANTICIPATORY NAUSEA AND VOMITING USING RADIATION THERAPY ONCOLOGY GROUP GRADING FOR THE SAME. WE ALSO ASSESSED THE QUALITY OF LIFE OF THE PATIENT USING THE FUNCTIONAL ASSESSMENT OF CANCER THERAPY-GENERAL QUESTIONNAIRE. RESULTS: THE MEDIAN AGE GROUP OF THE PATIENTS WAS 51 YEARS WITH MALE:FEMALE RATIO 2:1, THE EASTERN COOPERATIVE ONCOLOGY GROUP (ECOG) PERFORMANCE STATUS WAS 0/1 IN 38% OF THE SELECTED POPULATION, WHILE ECOG 2 IN 62% OF THE PATIENTS. IN YOGA ARM, INSIGNIFICANT REDUCTION IN CHEMOTHERAPY-INDUCED NAUSEA (90% VS. 78%, P = 0.35) AND BUT SIGNIFICANT REDUCTION IN VOMITING (42% VS. 22%, P =0.01) WAS OBSERVED AS COMPARED TO THE STANDARD ANTIEMETICS ONLY ARM. THERE WAS A SIGNIFICANT REDUCTION IN GRADE 2 AND 3 NAUSEA (84% VS. 38% P < 0.01) AND VOMITING (14% VS. 0% P < 0.01). QUALITY OF LIFE IS ALSO SIGNIFICANTLY IMPROVED IN THE YOGA ARM, ESPECIALLY IN THE ECOG 2 PERFORMANCE STATUS. CONCLUSIONS: THIS STUDY CONCLUDES THAT YOGA ALONG WITH STANDARD ANTIEMETIC MEDICATION SHOULD BE A PART OF THE MANAGEMENT PLAN FOR THE CANCER PATIENTS RECEIVING HIGHLY EMETOGENIC CHEMOTHERAPY. 2019