1 680 125 EFFECT OF A YOGA PROGRAMME ON AN INDIVIDUAL WITH PARKINSON'S DISEASE: A SINGLE-SUBJECT DESIGN. PURPOSE: TO INVESTIGATE THE EFFECT OF EIGHT WEEKLY YOGA SESSIONS ON BALANCE, MOBILITY AND REPORTED QUALITY OF LIFE OF AN INDIVIDUAL WITH PARKINSON'S DISEASE (PD). FURTHERMORE, TO TEST THE METHODOLOGY IN ORDER TO INFORM FUTURE RESEARCH. METHOD: A 69-YEAR-OLD FEMALE WITH AN 8-YEAR HISTORY OF PD (HOEHN AND YAHR RATING TWO) WAS SELECTED FOR THE STUDY, WHICH HAD A SINGLE SUBJECT ABA DESIGN. A 1-WEEK BASELINE WAS FOLLOWED BY AN 8-WEEK PERIOD OF WEEKLY 60 MIN YOGA CLASSES AND A FURTHER 5 WEEKS OF TREATMENT WITHDRAWAL. MAIN OUTCOME MEASURES USED WERE BERG BALANCE SCALE (BBS), TIMED UP AND GO (TUG) AND THE PARKINSON'S DISEASE QUESTIONNAIRE-39 (PDQ-39); COLLECTED AT BASELINE, BEFORE, DURING AND AFTER THE INTERVENTION AND AT FOLLOW-UP. RESULTS: AN IMPROVEMENT WAS NOTED IN THE BBS AND TUG DURING THE INTERVENTION PHASE; ALTHOUGH THESE CHANGES DID NOT APPEAR TO BE CLINICALLY SIGNIFICANT. NO CHANGE IN QUALITY OF LIFE AS MEASURED BY THE PDQ-39 WAS NOTED. CONCLUSIONS: THE OBJECTIVE IMPROVEMENTS IN FUNCTIONAL ACTIVITIES DURING THE INTERVENTION PERIOD WERE NOT CLINICALLY SIGNIFICANT. SUBJECTIVELY, THE PARTICIPANT GAINED MUCH ENJOYMENT AND RELAXATION FROM THE YOGA CLASSES. THIS STUDY JUSTIFIES THE NEED FOR FURTHER STUDIES USING A LARGER SAMPLE SIZE. ADDITIONALLY, IT WILL INFORM THE METHODOLOGICAL DESIGN. 2011 2 1580 50 MEASURING THE EFFECT OF AN EIGHT-WEEK ADAPTIVE YOGA PROGRAM ON THE PHYSICAL AND PSYCHOLOGICAL STATUS OF INDIVIDUALS WITH PARKINSON'S DISEASE. A PILOT STUDY. PARKINSON'S DISEASE (PD) IS A NEURODEGENERATIVE DISEASE THAT AFFECTS MUSCLE TONE, STRENGTH, FLEXIBILITY, MOTOR CONTROL, PSYCHOLOGICAL OUTLOOK, COGNITION, AND FUNCTION. EXERCISE HAS BEEN FOUND TO IMPROVE PHYSICAL ABILITY AND PSYCHOLOGICAL OUTLOOK, BUT THE EFFECT OF YOGA ON INDIVIDUALS WITH PD HAS NOT BEEN WELL RESEARCHED. THE PURPOSES OF THIS STUDY WERE TO IDENTIFY OUTCOME MEASURES THAT WERE RESPONSIVE TO CHANGE IN INDIVIDUALS WITH PD AFTER AN 8-WEEK ADAPTIVE YOGA PROGRAM AND TO DETERMINE APPROPRIATE SAMPLE SIZES FOR FUTURE STUDIES. IN A REPEATED MEASURES DESIGN, 10 PARTICIPANTS WITH A HOEHN AND YAHR STAGE OF 2 OR 3 WERE TESTED PRIOR TO AND AFTER AN 8-WEEK CONTROL PHASE AND AGAIN AFTER THEY UNDERWENT AN 8-WEEK ADAPTIVE YOGA PROGRAM. ANALYSIS OF VARIANCE (ANOVA) TESTS REVEALED DIFFERENCES IN TIME OF MEASURE THAT APPROACHED SIGNIFICANCE FOR THE DEPRESSION SUBSCALE OF THE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) (P = 0.008) AND THE 30-SECOND CHAIR STAND (TSCS) (P = 0.013). THE INTERACTION BETWEEN TIME OF MEASURE AND GENDER APPROACHED SIGNIFICANCE FOR THE SIT-AND-REACH TEST (SRT) (P = 0.08 AND 0.03, RIGHT AND LEFT RESPECTIVELY), WITH MALE PARTICIPANTS IMPROVING IN SIT-AND-REACH FLEXIBILITY COMPARED WITH FEMALE PARTICIPANTS AFTER INTERVENTION. THE INTERACTION BETWEEN TIME OF MEASURE AND AGE APPROACHED SIGNIFICANCE FOR THE SINGLE-LEG BALANCE TEST (SLB) (P = 0.007), WITH YOUNGER PARTICIPANTS IMPROVING IN SLB TIME AFTER INTERVENTION. POWER CALCULATIONS FOUND THAT A SAMPLE SIZE RANGING FROM 33 TO 153 WOULD BE REQUIRED TO ACHIEVE SIGNIFICANCE AT THE 0.01 LEVEL IN THE VARIOUS OUTCOME MEASURES IN A FUTURE STUDY OF THIS DESIGN. THE DEPRESSION SUBSCALE OF THE HADS, THE TSCS, THE SLB, AND THE RIGHT AND LEFT SRT WERE THE MEASURES THAT CHANGED FOLLOWING THE YOGA INTERVENTION AND ARE RECOMMENDED AS OUTCOME MEASURES IN FUTURE STUDIES INVESTIGATING THE EFFECTIVENESS OF YOGA FOR INDIVIDUALS WITH PD. THIS PRELIMINARY STUDY SUPPORTS FURTHER INVESTIGATION OF ADAPTIVE YOGA USING A RANDOMIZED DESIGN AND A LARGER SAMPLE SIZE OF INDIVIDUALS WITH PD. 2014 3 2815 45 YOGA TRAINING HAS POSITIVE EFFECTS ON POSTURAL BALANCE AND ITS INFLUENCE ON ACTIVITIES OF DAILY LIVING IN PEOPLE WITH MULTIPLE SCLEROSIS: A PILOT STUDY. CONTEXT: THERE IS A LITTLE EVIDENCE ABOUT THE INFLUENCE OF YOGA AS A COMPLEMENTARY THERAPY FOR POSTURAL BALANCE AND ITS INFLUENCE ON ACTIVITIES OF DAILY LIVING IN MULTIPLE SCLEROSIS (MS) PATIENTS. OBJECTIVE: TO EVALUATE THE INFLUENCE OF A SIX-MONTH YOGA PROGRAM ON POSTURAL BALANCE AND SUBJECTIVE IMPACT OF POSTURAL BALANCE IMPAIRMENT ON ACTIVITIES OF DAILY LIVING IN PEOPLE WITH MS. DESIGN: RANDOMIZED CONTROLLED PILOT STUDY. SETTING: PROTOCOL DEVELOPED AT THE ADAPTIVE PHYSICAL ACTIVITY STUDY DEPARTMENT, COLLEGE OF PHYSICAL EDUCATION, STATE UNIVERSITY OF CAMPINAS, BRAZIL. SUBJECTS: A TOTAL OF 12 (11 WOMEN) YOGA NAIVE PEOPLE WITH MS RANDOMLY DIVIDED INTO TWO GROUPS AS FOLLOWS: CONTROL (C-WAITING LIST, N = 6) AND YOGA (Y-YOGA TRAINING, N = 6). INTERVENTIONS: YOGA GROUP PRACTICED POSTURES, BREATHING EXERCISES, MEDITATION, AND RELAXATION ON WEEKLY 60-MIN CLASSES FOR A SIX-MONTH PERIOD. MAIN OUTCOME MEASURES: THE FOLLOWING EVALUATIONS WERE PERFORMED AT STUDY ENTRY (BASELINE), AND AFTER SIX MONTHS (SIX MONTHS): BERG BALANCE SCALE (BBS), EXPANDED DISABILITY STATUS SCALE (EDSS), AND SELF-REPORTED POSTURAL BALANCE QUALITY AND INFLUENCE OF POSTURAL BALANCE ON ACTIVITIES OF DAILY LIVING. RESULTS: THERE WAS A SIGNIFICANT IMPROVEMENT IN BBS SCORE FROM BASELINE TO SIX MONTHS ONLY IN THE YOGA GROUP, ESPECIALLY IN SUBJECTS WITH HIGHER EDSS SCORE, WITH INCREASED QUALITY OF SELF-REPORTED POSTURAL BALANCE, AND DECREASED INFLUENCE OF POSTURAL BALANCE IMPAIRMENT ON ACTIVITIES OF DAILY LIVING. IN CONCLUSION, A SIX-MONTH YOGA TRAINING IS BENEFICIAL FOR PEOPLE WITH MS, SINCE IT IMPROVES POSTURAL BALANCE AND DECREASES THE INFLUENCE OF POSTURAL BALANCE IMPAIRMENT ON ACTIVITIES OF DAILY LIVING. A GREATER SAMPLE SIZE IS NECESSARY TO INCREASE GENERALIZATION, BUT IT SEEMS THAT YOGA COULD BE INCLUDED AS A FEASIBLE COMPLEMENTARY THERAPY FOR PEOPLE WITH MS. 2016 4 1072 60 EFFECTS OF YOGA ON OXIDATIVE STRESS, MOTOR FUNCTION, AND NON-MOTOR SYMPTOMS IN PARKINSON'S DISEASE: A PILOT RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO EXAMINE THE FEASIBILITY, ACCEPTABILITY, AND PRELIMINARY EFFECTS OF HATHA YOGA ON OXIDATIVE STRESS, MOTOR FUNCTION, AND NON-MOTOR SYMPTOMS AMONG INDIVIDUALS WITH PARKINSON'S DISEASE (PD). METHODS: THE STUDY HAS A PILOT RANDOMIZED CONTROLLED TRIAL DESIGN WITH TWO ARMS: AN IMMEDIATE TREATMENT GROUP AND A WAIT-LIST CONTROL GROUP. THE YOGA-FOR-PD PROGRAM WAS IMPLEMENTED VIA TWICE WEEKLY 60-MIN GROUP-BASED CLASSES FOR 12 WEEKS. PARTICIPANTS WERE ASSESSED AT BASELINE, 12 WEEKS, AND 6 MONTHS POST-INTERVENTION. OUTCOME MEASURES INCLUDED OXIDATIVE STRESS, MOTOR FUNCTION, PHYSICAL ACTIVITY, COGNITIVE FUNCTION, SLEEP QUALITY, AND QUALITY OF LIFE. DATA ON PROGRAM ACCEPTABILITY AND YOGA ADHERENCE WERE COLLECTED DURING THE INTERVENTION AND AT 6 MONTHS POST-INTERVENTION. RESULTS: PARTICIPANTS (N = 20) HAD A MEAN AGE OF 63 YEARS (SD 8, RANGE 49-75) AND DISEASE DURATION 4.8 YEARS (SD 2.9, RANGE 1-13). ALL PARTICIPANTS HAD MILD-MODERATE DISEASE SEVERITY; 18 (90%) WERE ON DOPAMINERGIC MEDICATIONS. SEVENTEEN PARTICIPANTS (85%) ATTENDED AT LEAST 75% OF THE CLASSES AND 4 (20%) ATTENDED ALL CLASSES. MOST PARTICIPANTS (N = 17) REPORTED THEY "DEFINITELY ENJOYED" THE INTERVENTION PROGRAM. NO ADVERSE EVENTS WERE REPORTED. AT 12 WEEKS, THERE WERE NO MAJOR DIFFERENCES IN BLOOD OXIDATIVE STRESS MARKERS BETWEEN THE TWO GROUPS. MOTOR FUNCTION BASED ON THE UNIFIED PARKINSON'S DISEASE RATING SCALE WAS BETTER IN THE TREATMENT GROUP, BUT THEIR SCORES ON SLEEP AND OUTLOOK IN PARKINSON'S DISEASE QUALITY OF LIFE (PDQUALIF) SCALE AND THE PHYSICAL ACTIVITY LEVELS BASED ON THE LONGITUDINAL AGING STUDY AMSTERDAM PHYSICAL ACTIVITY QUESTIONNAIRE WERE WORSE THAN THOSE OF THE CONTROL GROUP. IN WITHIN-GROUP COMPARISONS, MOTOR FUNCTION, COGNITIVE FUNCTION, AND CATALASE IMPROVED BUT THREE PDQUALIF DOMAINS (SOCIAL AND ROLE FUNCTION, SLEEP, AND OUTLOOK) AND PHYSICAL ACTIVITY LEVEL WORSENED BY THE END OF THE YOGA INTERVENTION PROGRAM COMPARED TO BASELINE. THE RESPONSE RATE FOR THE 6-MONTH FOLLOW-UP SURVEY WAS 74% (N = 14) WITH SIX PARTICIPANTS (43%) WHO SIGNED UP FOR A YOGA CLASS AND FOUR (29%) WHO PRACTICED IT INDEPENDENTLY. HEALTH PROBLEMS WERE THE MAIN BARRIER TO YOGA PRACTICE. CONCLUSION: YOGA IS FEASIBLE AND ACCEPTABLE AND MAY SERVE AS A COMPLEMENTARY METHOD FOR IMPROVING MOTOR FUNCTION IN PD. FURTHER RESEARCH USING A LARGER SAMPLE SIZE IS NEEDED TO DETERMINE ITS IMPACT ON OXIDATIVE STRESS AND NON-MOTOR SYMPTOMS. TRIAL REGISTRATION: CLINICALTRIALS.GOV REGISTRATION NUMBER: NCT02509610031. 2018 5 255 46 A YOGA-BASED EXERCISE PROGRAM FOR PEOPLE WITH CHRONIC POSTSTROKE HEMIPARESIS. BACKGROUND AND PURPOSE: THIS WAS A PRELIMINARY INVESTIGATION OF THE EFFECTS OF A YOGA-BASED EXERCISE PROGRAM ON PEOPLE WITH CHRONIC (GREATER THAN 9 MONTHS) POSTSTROKE HEMIPARESIS. MANY PEOPLE WHO HAVE HAD A STROKE REPORT AN IMPAIRED HEALTH STATUS BECAUSE OF A REDUCED LEVEL OF ACTIVITY. PROPONENTS OF YOGA CONTEND THAT IT OFFERS A GENTLE ALTERNATIVE EXERCISE PROGRAM THAT CAN BE EASILY ADAPTED FOR PEOPLE WHO HAVE HAD A STROKE. SUBJECTS AND METHODS: FOUR SUBJECTS WITH CHRONIC POSTSTROKE HEMIPARESIS PARTICIPATED IN THIS SINGLE-CASE STUDY. THE PRIMARY OUTCOME MEASURES WERE THE BERG BALANCE SCALE (BBS) AND THE TIMED MOVEMENT BATTERY (TMB). A SECONDARY OUTCOME MEASURE WAS THE STROKE IMPACT SCALE (SIS). THE BASELINE TESTING PHASE VARIED FOR EACH SUBJECT AND RANGED FROM 4 TO 7 WEEKS. THE 8-WEEK INTERVENTION PHASE CONSISTED OF 1.5-HOUR YOGA SESSIONS, 2 TIMES PER WEEK, IN THE SUBJECT'S HOME. THE PRIMARY OUTCOME DATA WERE COLLECTED EACH WEEK, AND THE SECONDARY OUTCOME DATA WERE COLLECTED BEFORE THE BASELINE TESTING PHASE AND BEFORE AND AFTER THE INTERVENTION PHASE. RESULTS: SUBJECTS 1, 2, AND 4 HAD IMPROVED TMB SCORES, AND SUBJECTS 3 AND 4 HAD IMPROVED BBS SCORES. DISCUSSION AND CONCLUSION: THE RESULTS SUGGEST THAT YOGA MAY BE BENEFICIAL TO PEOPLE WHO HAVE HAD A STROKE. FURTHER INVESTIGATION IS WARRANTED TO FURTHER EXAMINE THE EFFECTS OF YOGA IN THIS POPULATION. 2004 6 171 46 A RANDOMIZED CONTROLLED PILOT STUDY OF THE THERAPEUTIC EFFECTS OF YOGA IN PEOPLE WITH PARKINSON'S DISEASE. BACKGROUND: EXERCISE CAN BE BENEFICIAL FOR CARDIOPULMONARY, MUSCULOSKELETAL OR NEUROLOGICAL SYSTEMS, AND OTHER FACTORS INCLUDING MOOD, AND MAY BE BENEFICIAL IN REDUCING FALL RISKS, DEMENTIA AND VARIABLES ASSOCIATED WITH QUALITY OF LIFE (QOL). PARKINSON'S DISEASE (PD) PRODUCES PROGRESSIVE MOTOR AND COGNITIVE DETERIORATION THAT MAY LEAVE THOSE INFLICTED UNABLE TO PARTICIPATE IN STANDARD EXERCISE PROGRAMS. ALTERNATIVE FORMS OF EXERCISE SUCH AS YOGA MAY BE SUCCESSFUL IN IMPROVING PHYSICAL FUNCTION, QOL AND PHYSIOLOGICAL VARIABLES FOR OVERALL WELL-BEING. AIM: THIS RANDOMIZED CONTROLLED PILOT STUDY INVESTIGATED THE EFFECTIVENESS OF YOGA INTERVENTION ON PHYSIOLOGICAL AND HEALTH-RELATED QOL MEASURES IN PEOPLE WITH PD. METHODS AND MATERIALS: THIRTEEN PEOPLE WITH STAGE 1-2 PD WERE RANDOMIZED TO EITHER A YOGA (N = 8) OR A CONTROL GROUP (N = 5). THE YOGA GROUP PARTICIPATED IN TWICE-WEEKLY YOGA SESSIONS FOR 12 WEEKS. PARTICIPANTS WERE TESTED AT BASELINE, AND AT 6 AND 12 WEEKS USING THE UNIFIED PARKINSON'S DISEASE RATING SCALE (UPDRS), CLINICAL MEASURES OF HEALTH-RELATED QOL AND PHYSIOLOGICAL MEASURES. RESULTS: SIGNIFICANT IMPROVEMENT IN UPDRS SCORES (P = .006), DIASTOLIC BLOOD PRESSURE (P = 0.036) AND AVERAGE FORCED VITAL CAPACITY (P = 0.03) WAS NOTED IN THE YOGA GROUP OVER TIME. CHANGES BETWEEN GROUPS WERE ALSO NOTED IN TWO SF-36 SUBSCALES. POSITIVE TRENDS OF IMPROVEMENT WERE NOTED IN DEPRESSION SCORES (P = 0.056), BODY WEIGHT (P = 0.056) AND FORCED EXPIRATORY VOLUME (P = 0.059). YOGA PARTICIPANTS REPORTED MORE POSITIVE SYMPTOM CHANGES INCLUDING IMMEDIATE TREMOR REDUCTION. CONCLUSIONS: THE RESULTS SUGGEST THAT YOGA MAY IMPROVE ASPECTS OF QOL AND PHYSIOLOGICAL FUNCTIONS IN STAGES 1-2 PD. FUTURE LARGER STUDIES ARE NEEDED TO CONFIRM AND EXTEND OUR FINDINGS OF THE EFFECTS OF YOGA IN PD. 2015 7 2222 51 THE IMPACT OF MODIFIED HATHA YOGA ON CHRONIC LOW BACK PAIN: A PILOT STUDY. PURPOSE: THE PURPOSE OF THIS RANDOMIZED PILOT STUDY WAS TO EVALUATE A POSSIBLE DESIGN FOR A 6-WEEK MODIFIED HATHA YOGA PROTOCOL TO STUDY THE EFFECTS ON PARTICIPANTS WITH CHRONIC LOW BACK PAIN. PARTICIPANTS: TWENTY-TWO PARTICIPANTS (M = 4; F = 17), BETWEEN THE AGES OF 30 AND 65, WITH CHRONIC LOW BACK PAIN (CLBP) WERE RANDOMIZED TO EITHER AN IMMEDIATE YOGA BASED INTERVENTION, OR TO A CONTROL GROUP WITH NO TREATMENT DURING THE OBSERVATION PERIOD BUT RECEIVED LATER YOGA TRAINING. METHODS: A SPECIFIC CLBP YOGA PROTOCOL DESIGNED AND MODIFIED FOR THIS POPULATION BY A CERTIFIED YOGA INSTRUCTOR WAS ADMINISTERED FOR ONE HOUR, TWICE A WEEK FOR 6 WEEKS. PRIMARY FUNCTIONAL OUTCOME MEASURES INCLUDED THE FORWARD REACH (FR) AND SIT AND REACH (SR) TESTS. ALL PARTICIPANTS COMPLETED OSWESTRY DISABILITY INDEX (ODI) AND BECK DEPRESSION INVENTORY (BDI) QUESTIONNAIRES. GUIDING QUESTIONS WERE USED FOR QUALITATIVE DATA ANALYSIS TO ASCERTAIN HOW YOGA PARTICIPANTS PERCEIVED THE INSTRUCTOR, GROUP DYNAMICS, AND THE IMPACT OF YOGA ON THEIR LIFE. ANALYSIS: TO ACCOUNT FOR DROP OUTS, THE DATA WERE DIVIDED INTO BETTER OR NOT CATEGORIES, AND ANALYZED USING CHI-SQUARE TO EXAMINE DIFFERENCES BETWEEN THE GROUPS. QUALITATIVE DATA WERE ANALYZED THROUGH FREQUENCY OF POSITIVE RESPONSES. RESULTS: POTENTIALLY IMPORTANT TRENDS IN THE FUNCTIONAL MEASUREMENT SCORES SHOWED IMPROVED BALANCE AND FLEXIBILITY AND DECREASED DISABILITY AND DEPRESSION FOR THE YOGA GROUP BUT THIS PILOT WAS NOT POWERED TO REACH STATISTICAL SIGNIFICANCE. SIGNIFICANT LIMITATIONS INCLUDED A HIGH DROPOUT RATE IN THE CONTROL GROUP AND LARGE BASELINE DIFFERENCES IN THE SECONDARY MEASURES. IN ADDITION, ANALYSIS OF THE QUALITATIVE DATA REVEALED THE FOLLOWING FREQUENCY OF RESPONSES (1) GROUP INTERVENTION MOTIVATED THE PARTICIPANTS AND (2) YOGA FOSTERED RELAXATION AND NEW AWARENESS/LEARNING. CONCLUSION: A MODIFIED YOGA-BASED INTERVENTION MAY BENEFIT INDIVIDUALS WITH CLB, BUT A LARGER STUDY IS NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. ALSO, THE IMPACT ON DEPRESSION AND DISABILITY COULD BE CONSIDERED AS IMPORTANT OUTCOMES FOR FURTHER STUDY. ADDITIONAL FUNCTIONAL OUTCOME MEASURES SHOULD BE EXPLORED. THIS PILOT STUDY SUPPORTS THE NEED FOR MORE RESEARCH INVESTIGATING THE EFFECT OF YOGA FOR THIS POPULATION. 2004 8 1710 43 PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES OF A YOGA INTERVENTION FOR INDIVIDUALS WITH PARKINSON'S DISEASE: A MIXED METHODS STUDY. PARKINSON'S DISEASE (PD) OFTEN LEADS TO POOR BALANCE, INCREASED FALLS, AND FEAR OF FALLING, ALL OF WHICH CAN REDUCE PARTICIPATION IN LIFE ACTIVITIES. YOGA, WHICH USUALLY INCLUDES PHYSICAL EXERCISE, CAN IMPROVE FUNCTIONING AND LIFE PARTICIPATION; HOWEVER, LIMITED RESEARCH HAS BEEN CONDUCTED ON THE EFFECTS OF YOGA ON LIFE PARTICIPATION OF INDIVIDUALS WITH PD. THIS STUDY HAD TWO PURPOSES: (1) TO IDENTIFY AND UNDERSTAND THE PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES ASSOCIATED A THERAPEUTIC YOGA INTERVENTION FOR INDIVIDUALS WITH PD; AND (2) TO COMPARE THE PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES WITH THE OUTCOMES MEASURED IN THE CLINICAL TRIAL. A SINGLE-BLIND, RANDOMIZED, WAITLIST-CONTROLLED, PHASE II EXPLORATORY PILOT STUDY USING AN AFTER-TRIAL EMBEDDED MIXED METHODS DESIGN (CLINICAL TRIAL PRO00041068) EVALUATED THE EFFECT OF AN 8-WEEK HATHA YOGA INTERVENTION ON INDIVIDUALS WITH PD. DIRECTED CONTENT ANALYSIS WAS USED TO ANALYZE FOCUS GROUP INTERVIEWS WITH PARTICIPANTS WHO COMPLETED THE YOGA INTERVENTION. QUANTITATIVE AND QUALITATIVE DATA WERE MERGED AND COMPARED USING A DATA COMPARISON MATRIX. QUALITATIVE ANALYSIS INDICATED MANY ACTIVITIES AND PARTICIPATION OUTCOMES. COMPARISON OF QUALITATIVE AND QUANTITATIVE DATA INDICATED THE YOGA INTERVENTION LED TO IMPROVED BALANCE, MOBILITY, AND FUNCTIONAL GAIT, AND FEWER FALLS. THESE OUTCOMES REACHED BEYOND THE INTERVENTION AND INTO PARTICIPANTS' DAILY LIVES. RESULTS SUPPORT THE USE OF HATHA YOGA AS A COMMUNITY-BASED REHABILITATION INTERVENTION FOR INDIVIDUALS WITH PD. YOGA, AS PART OF AN INTERDISCIPLINARY APPROACH TO TREATMENT, CAN IMPROVE MANY TYPES OF ACTIVITIES AND PARTICIPATION OUTCOMES (E.G., MOBILITY, SOCIAL RELATIONSHIPS, SELF-CARE, HANDLING STRESS, RECREATION). 2018 9 456 43 CHANGES IN NONMOTOR SYMPTOMS FOLLOWING AN 8-WEEK YOGA INTERVENTION FOR PEOPLE WITH PARKINSON'S DISEASE. PARKINSON'S DISEASE (PD) IS A NEURODEGENERATIVE DISORDER MARKED BY PROGRESSIVE DEGENERATIVE MOTOR SYMPTOMS (E.G., TREMORS, IMPAIRED BALANCE AND GAIT) AND NONMOTOR SYMPTOMS (E.G., FATIGUE, SLEEP DISTURBANCES, PAIN) THAT CAN NEGATIVELY INFLUENCE HEALTH-RELATED QUALITY OF LIFE (HRQOL). PREVIOUS STUDIES HAVE SHOWN THAT YOGA FOR INDIVIDUALS WITH PD IMPROVES BALANCE, STRENGTH, AND MOBILITY. HOWEVER, LITTLE RESEARCH HAS BEEN CONDUCTED TO DETERMINE THE EFFECT OF YOGA ON NONMOTOR SYMPTOMS OF PD. THE PURPOSE OF THIS STUDY WAS TO EXAMINE CHANGES IN NONMOTOR SYMPTOMS AMONG INDIVIDUALS WITH PD FOLLOWING AN 8-WEEK YOGA INTERVENTION. DATA USED FOR ANALYSES WERE PART OF A LARGER STUDY THAT RESEARCHED IMPROVEMENTS IN MOTOR FUNCTION FOR INDIVIDUALS WITH PD. PARTICIPANTS (N = 27) WERE RANDOMLY ASSIGNED TO EXPERIMENTAL (N = 15) AND CONTROL (N = 12) GROUPS AND COMPLETED PRE- AND POSTINTERVENTION QUANTITATIVE MEASURES. WITHIN-GROUP IMPROVEMENTS WERE STATISTICALLY SIGNIFICANT FOR FATIGUE MEASURED BY THE PARKINSON'S FATIGUE SCALE, BALANCE CONFIDENCE MEASURED BY THE ACTIVITIES BALANCE CONFIDENCE SCALE, THE BELIEF IN ONE'S ABILITY TO MANAGE FALLS MEASURED BY THE FALLS MANAGEMENT SCALE, ACTIVITY CONSTRAINTS MEASURED BY THE ACTIVITIES CONSTRAINT QUESTIONNAIRE, AND PD-SPECIFIC QUALITY OF LIFE MEASURED BY THE PARKINSON'S DISEASE QUESTIONNAIRE-8. ACROSS-GROUP CHANGES WERE STATISTICALLY SIGNIFICANT FOR ACTIVITY CONSTRAINTS. FINDINGS INDICATE YOGA MAY BE AN EFFICACIOUS INTERVENTION FOR IMPROVING NONMOTOR SYMPTOMS AS WELL AS HRQOL FOR INDIVIDUALS WITH PD. 2019 10 2235 35 THE IMPACT OF YOGA UPON FEMALE PATIENTS SUFFERING FROM HYPOTHYROIDISM. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON THE QUALITY OF LIFE OF FEMALE HYPOTHYROID PATIENTS. DESIGN: THE WHO QUALITY OF LIFE SCALE(22) WAS USED TO ASSESS THE QUALITY OF LIFE OF 20 FEMALE HYPOTHYROID PATIENTS. SUBJECTS ATTENDED ONE HOUR YOGA SESSIONS DAILY FOR A PERIOD OF ONE MONTH. A PRETEST-POST-TEST RESEARCH DESIGN WAS USED FOR DATA ANALYSIS. RESULTS: PATIENTS' QUALITY OF LIFE SCORES FOLLOWING THE YOGA PROGRAM WERE GREATER THAN SCORES OBTAINED PRIOR TO UNDERTAKING YOGA (P < 0.01). PATIENTS ALSO REPORTED SIGNIFICANT IMPROVEMENT IN THEIR PERCEPTION OF THE OVERALL QUALITY OF LIFE AND OF THEIR HEALTH POST YOGA INTERVENTION. CONCLUSIONS: IT CAN BE CONCLUDED THAT YOGA IS VALUABLE IN HELPING THE HYPOTHYROID PATIENTS TO MANAGE THEIR DISEASE-RELATED SYMPTOMS. YOGA MAY BE CONSIDERED AS SUPPORTIVE OR COMPLEMENTARY THERAPY IN CONJUNCTION WITH MEDICAL THERAPY FOR THE TREATMENT OF HYPOTHYROID DISORDER. 2011 11 702 54 EFFECT OF HOME-BASED TAI CHI, YOGA OR CONVENTIONAL BALANCE EXERCISE ON FUNCTIONAL BALANCE AND MOBILITY AMONG PERSONS WITH IDIOPATHIC PARKINSON'S DISEASE: AN EXPERIMENTAL STUDY. BACKGROUND: INDIVIDUALS WITH PARKINSON'S DISEASE (PD) INVARIABLY EXPERIENCE FUNCTIONAL DECLINE IN A NUMBER OF MOTOR AND NON-MOTOR DOMAINS AFFECTING POSTURE, BALANCE AND GAIT. NUMEROUS CLINICAL STUDIES HAVE EXAMINED EFFECTS OF VARIOUS TYPES OF EXERCISE ON MOTOR AND NON-MOTOR PROBLEMS. BUT STILL MUCH GAP REMAINS IN OUR UNDERSTANDING OF VARIOUS THERAPIES AND THEIR EFFECT ON DELAYING OR SLOWING THE DOPAMINE NEURON DEGENERATION. RECENTLY, TAI CHI AND YOGA BOTH HAVE GAINED POPULARITY AS COMPLEMENTARY THERAPIES, SINCE BOTH HAVE COMPONENTS FOR MIND AND BODY CONTROL. OBJECTIVE: THE AIM OF THIS STUDY WAS TO DETERMINE WHETHER EIGHT WEEKS OF HOME-BASED TAI CHI OR YOGA WAS MORE EFFECTIVE THAN REGULAR BALANCE EXERCISES ON FUNCTIONAL BALANCE AND MOBILITY. METHODS: TWENTY-SEVEN INDIVIDUALS WITH IDIOPATHIC PD (MODIFIED HOEHN AND YAHR STAGES 2.5-3) WERE RANDOMLY ASSIGNED TO EITHER TAI CHI, YOGA OR CONVENTIONAL EXERCISE GROUP. ALL THE PARTICIPANTS WERE EVALUATED FOR FUNCTIONAL BALANCE AND MOBILITY USING BERG BALANCE SCALE, TIMED 10 M WALK TEST AND TIMED UP AND GO TEST BEFORE AND AFTER EIGHT WEEKS OF TRAINING. RESULTS: THE RESULTS WERE ANALYZED USING TWO-WAY MIXED ANOVA WHICH SHOWED THAT THERE WAS A SIGNIFICANT MAIN EFFECT FOR TIME AS F (1, 24) = 74.18, P = 0 . 000 , ETA P 2 = 0 . 76 FOR OVERALL BALANCE IN BERG BALANCE SCALE. THERE WAS ALSO SIGNIFICANT MAIN EFFECT OF TIME ON MOBILITY OVERALL AS F(1, 24) = 77 . 78 , P = 0 . 000 , ETA P 2 = 0 . 76 IN TIMED UP AND GO TEST AND F(1, 24) = 48 . 24 , P = 0 . 000 , ETA P 2 = 0 . 67 FOR 10 M WALK TEST. THERE WAS A SIGNIFICANT INTERACTION EFFECT FOR TIME X GROUP WITH F(2, 24) = 8 . 67 , P = 0 . 001 , ETA P 2 = 0 . 420 FOR BALANCE. WITH RESPECT TO MOBILITY, THE VALUES F(2, 24) = 5 . 92 , P = 0 . 008 , ETA P 2 = 0 . 330 IN TIMED UP AND GO TEST AND F(2, 24) = 10 . 40 , P = 0 . 001 , ETA P 2 = 0 . 464 IN 10 M WALK TEST SHOWED A SIGNIFICANT INTERACTION. BUT THERE WAS NO SIGNIFICANT MAIN EFFECT BETWEEN THE GROUPS FOR BOTH BALANCE AND MOBILITY. CONCLUSION: THE FINDINGS OF THIS STUDY SUGGEST THAT TAI CHI AS WELL AS YOGA ARE WELL ADHERED AND ARE ATTRACTIVE OPTIONS FOR A HOME-BASED SETTING. AS ANY FORM OF PHYSICAL ACTIVITY IS CONSIDERED BENEFICIAL FOR INDIVIDUALS WITH PD EITHER TAI CHI, YOGA OR CONVENTIONAL BALANCE EXERCISES COULD BE USED AS THERAPEUTIC INTERVENTION TO OPTIMIZE BALANCE AND MOBILITY. FURTHER STUDIES ARE NECESSARY TO UNDERSTAND THE MIND-BODY BENEFITS OF TAI CHI AND YOGA EITHER AS MULTICOMPONENT PHYSICAL ACTIVITIES OR AS INDIVIDUAL THERAPIES IN VARIOUS STAGES OF PD. 2020 12 2194 44 THE EFFECTS OF YOGA VERSUS STRETCHING AND RESISTANCE TRAINING EXERCISES ON PSYCHOLOGICAL DISTRESS FOR PEOPLE WITH MILD-TO-MODERATE PARKINSON'S DISEASE: STUDY PRXOTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: PSYCHOLOGICAL DISTRESS IS PREVALENT AMONG PEOPLE WITH PARKINSON'S DISEASE (PD) AND AGGRAVATES THEIR MOTOR SYMPTOMS, THEREBY LEADING TO INCREASED DISABILITY, HIGH HEALTHCARE COSTS, AND POOR HEALTH-RELATED QUALITY OF LIFE (HRQOL). THE UNDER-RECOGNITION AND ADVERSE EFFECTS OF THE PHARMACOLOGICAL MANAGEMENT OF ANXIETY AND DEPRESSION AMONG THE PD POPULATION ARE CONSIDERABLE. THUS, ADOPTING A COMPLEMENTARY AND ALTERNATIVE MANAGEMENT (CAM) APPROACH TO ADDRESS THIS PROBLEM IS IMPORTANT. YOGA, ONE OF THE MOST COMMON "MIND-BODY" CAM THERAPIES, CAN IMPROVE THE PSYCHOLOGICAL WELLBEING OF PEOPLE WITH CHRONIC ILLNESSES. HOWEVER, LIMITED RESEARCH ON THE EFFECTS OF YOGA IN PEOPLE WITH PD HAS BEEN CONDUCTED. THIS STUDY WILL DETERMINE THE EFFECTS OF YOGA ON THE PSYCHOLOGICAL WELLBEING OF PEOPLE WITH MILD-TO-MODERATE PD AND WILL COMPARE THESE EFFECTS WITH THOSE OF STRETCHING AND RESISTANCE TRAINING EXERCISES. METHODS: A COMMUNITY-BASED, SINGLE-BLIND, RANDOMIZED TRIAL WILL BE CONDUCTED. A TOTAL OF 126 SUBJECTS WILL BE RECRUITED AND RANDOMLY DIVIDED INTO YOGA (N = 63) OR STRETCHING AND RESISTANCE EXERCISE (N = 63) GROUPS. FOR 8 WEEKS, THE YOGA GROUP WILL RECEIVE A WEEKLY 90-MIN SESSION OF YOGA, AND THE CONTROL GROUP WILL RECEIVE A WEEKLY 60-MIN SESSION OF STRETCHING AND RESISTANCE EXERCISES. THE PRIMARY OUTCOME WILL BE THE LEVEL OF PSYCHOLOGICAL DISTRESS MEASURED USING THE HOSPITAL ANXIETY AND DEPRESSION SCALE. THE SECONDARY OUTCOMES WILL INCLUDE THE SEVERITY OF MOTOR SYMPTOMS MEASURED BY THE MOVEMENT DISORDERS SOCIETY - UNIFIED PARKINSON'S DISEASE SCALE - PART III MOTOR EXAMINATION; MOBILITY, BALANCE, AND FALL RISK MEASURED BY THE TIMED UP AND GO TEST; SPIRITUAL WELLBEING MEASURED BY THE HOLISTIC WELLBEING SCALE; AND HRQOL MEASURED BY THE PARKINSON'S DISEASE QUESTIONNAIRE-8. ASSESSMENT WILL BE CONDUCTED AT BASELINE, 8TH, AND 20TH WEEKS OF FOLLOW-UPS. DISCUSSION: THIS STUDY WILL BE THE FIRST RANDOMIZED TRIAL TO COMPARE THE EFFECT OF YOGA VERSUS STRETCHING AND RESISTANCE TRAINING EXERCISES IN A PD POPULATION. RESULTS WILL CONTRIBUTE TO THE VALUE OF YOGA AS A THERAPEUTIC OPTION FOR MANAGING PSYCHOLOGICAL DISTRESS IN PD PATIENTS. MULTIPLE OUTCOMES INCLUDING PSYCHOLOGICAL, PHYSIOLOGICAL, AND SPIRITUAL AND HRQOL WILL ALSO BE MEASURED TO ELUCIDATE THE POTENTIAL MECHANISMS OF YOGA. THE EFFECT OF YOGA ON PEOPLE WITH CHRONIC ILLNESSES WILL FURTHER BE ELUCIDATED. THIS INFORMATION SHOULD CONTRIBUTE TO FUTURE RESEARCH, PRACTICE, AND POLICY RELATED TO PD MANAGEMENT. TRIAL REGISTRATION: WHO PRIMARY REGISTRY - CHINESE CLINICAL TRIALS REGISTRY (CHICTR): CUHK_CCRB00522 REGISTERED ON 8 OCTOBER 2016; DATE OF APPROVAL 19 AUGUST 2016. 2017 13 159 43 A RANDOMISED COMPARATIVE TRIAL OF YOGA AND RELAXATION TO REDUCE STRESS AND ANXIETY. OBJECTIVE: TO COMPARE YOGA AND RELAXATION AS TREATMENT MODALITIES AT 10 AND 16 WEEKS FROM STUDY BASELINE TO DETERMINE IF EITHER OF MODALITY REDUCES SUBJECT STRESS, ANXIETY, BLOOD PRESSURE AND IMPROVE QUALITY OF LIFE. DESIGN: A RANDOMISED COMPARATIVE TRIAL WAS UNDERTAKEN COMPARING YOGA WITH RELAXATION. PARTICIPANTS: ONE HUNDRED AND THIRTY-ONE SUBJECTS WITH MILD TO MODERATE LEVELS OF STRESS WERE RECRUITED FROM THE COMMUNITY IN SOUTH AUSTRALIA. INTERVENTIONS: TEN WEEKLY 1- H SESSIONS OF RELAXATION OR HATHA YOGA. MAIN OUTCOME MEASURES: CHANGES IN THE STATE TRAIT PERSONALITY INVENTORY SUB-SCALE ANXIETY, GENERAL HEALTH QUESTIONNAIRE AND THE SHORT FORM-36. RESULTS: FOLLOWING THE 10 WEEK INTERVENTION STRESS, ANXIETY AND QUALITY OF LIFE SCORES IMPROVED OVER TIME. YOGA WAS FOUND TO BE AS EFFECTIVE AS RELAXATION IN REDUCING STRESS, ANXIETY AND IMPROVING HEALTH STATUS ON SEVEN DOMAINS OF THE SF-36. YOGA WAS MORE EFFECTIVE THAN RELAXATION IN IMPROVING MENTAL HEALTH. AT THE END OF THE 6 WEEK FOLLOW-UP PERIOD THERE WERE NO DIFFERENCES BETWEEN GROUPS IN LEVELS OF STRESS, ANXIETY AND ON FIVE DOMAINS OF THE SF-36. VITALITY, SOCIAL FUNCTION AND MENTAL HEALTH SCORES ON THE SF-36 WERE HIGHER IN THE RELAXATION GROUP DURING THE FOLLOW-UP PERIOD. CONCLUSION: YOGA APPEARS TO PROVIDE A COMPARABLE IMPROVEMENT IN STRESS, ANXIETY AND HEALTH STATUS COMPARED TO RELAXATION. 2007 14 1782 32 PREDICTORS OF FUNCTIONAL IMPROVEMENTS AFTER THERAPEUTIC YOGA INTERVENTION FOR PEOPLE WITH PARKINSON'S DISEASE. PARKINSON'S DISEASE (PD) AFFECTS NEARLY 10 MILLION PEOPLE WORLDWIDE, LEADING TO DECREASED MOBILITY AND BALANCE AND POTENTIAL LOSS OF INDEPENDENCE. YOGA HAS BEEN ASSOCIATED WITH IMPROVED FUNCTION FOR PEOPLE WITH PD, BUT THE PREDICTIVE FACTORS FOR IMPROVED FUNCTIONAL OUTCOMES AS A RESULT OF YOGA PARTICIPATION REMAIN UNEXAMINED. THE OBJECTIVE OF THIS SECONDARY DATA ANALYSIS WAS TO IDENTIFY PREDICTIVE FACTORS OF FUNCTIONAL IMPROVEMENT FOR PEOPLE WITH PD AFTER AN 8-WEEK YOGA INTERVENTION. STEPWISE MULTIPLE LINEAR REGRESSION WAS USED TO IDENTIFY SIGNIFICANT PREDICTORS OF IMPROVEMENT IN BALANCE, FALL CONTROL, PD SYMPTOMS, AND ACTIVITY CONSTRAINTS. LOWER COGNITIVE FUNCTIONING WAS PREDICTIVE OF IMPROVEMENT IN PERCEIVED CONTROL OVER FALLS, BODY RESPONSIVENESS WAS PREDICTIVE OF IMPROVEMENT IN PD-SPECIFIC SYMPTOMS, AND GAIT VELOCITY WAS PREDICTIVE OF IMPROVEMENT IN BALANCE AND ACTIVITY CONSTRAINTS. FUTURE RESEARCH IS WARRANTED TO EVALUATE THE USE OF SCREENERS TO PREDICT WHO IS THE BEST FIT FOR YOGA THERAPY. ADDITIONAL RESEARCH IS NEEDED TO EVALUATE THE NEED TO INCLUDE COGNITIVE SELF-MANAGEMENT TRAINING CONCURRENT WITH YOGA THERAPY. 2020 15 1236 39 FEASIBILITY OF A 6-MONTH YOGA PROGRAM TO IMPROVE THE PHYSICAL AND PSYCHOSOCIAL STATUS OF PERSONS WITH MULTIPLE SCLEROSIS AND THEIR FAMILY MEMBERS. CONTEXT: TO THE BEST OF OUR KNOWLEDGE, THERE HAS BEEN NO STUDY ON YOGA THAT INCLUDES BOTH PERSONS WITH MULTIPLE SCLEROSIS (MS) AND THEIR FAMILY MEMBERS. BECAUSE YOGA HAS THERAPEUTIC EFFECTS IN BOTH PERSONS WITH MS AND HEALTHY PERSONS, WE HYPOTHESIZED THAT IT WOULD BE AN EFFECTIVE METHOD TO IMPROVE NOT ONLY THE PHYSICAL AND PSYCHOSOCIAL STATUS BUT ALSO THE TIME PERSONS WITH MS AND THEIR FAMILY MEMBERS SPEND TOGETHER. OBJECTIVE: TO EXAMINE THE FEASIBILITY OF A 6-MONTH (LONG-TERM) YOGA PROGRAM TO IMPROVE THE PHYSICAL AND PSYCHOSOCIAL STATUS OF PERSONS WITH MS AND THEIR FAMILY MEMBERS. DESIGN: UNCONTROLLED CLINICAL TRIAL. SETTING: THE PROTOCOL WAS DEVELOPED AT THE DEPARTMENT OF NEUROLOGY, FACULTY OF MEDICINE, AND SCHOOL OF PHYSICAL THERAPY AND REHABILITATION, DOKUZ EYLUL UNIVERSITY, IZMIR, TURKEY. PARTICIPANTS: PERSONS WITH MS AND HEALTHY FAMILY MEMBERS. MAIN OUTCOME MEASURES: WALKING, BALANCE, FATIGUE, HEALTH-RELATED QUALITY OF LIFE, DEPRESSION, PAIN, AND KINESIOPHOBIA. INTERVENTIONS: YOGA TRAINING WAS GIVEN ONCE A WEEK (AT LEAST 1H) FOR 6 MONTHS. THE SAME ASSESSORS WHO ASSESSED AT BASELINE ALSO PERFORMED THE SAME ASSESSMENTS IMMEDIATELY AFTER THE END OF THE TRAINING (I.E., AFTER 6 MONTHS). RESULTS: IN TOTAL, 44 PARTICIPANTS (27 PERSONS WITH MS AND 17 HEALTHY FAMILY MEMBERS) PARTICIPATED IN THE STUDY. TWELVE PERSONS WITH MS AND THREE HEALTHY FAMILY MEMBERS COMPLETED THE 6-MONTH YOGA INTERVENTION. THE COMPLETION RATE FOR PERSONS WITH MS AND HEALTHY SUBJECTS WAS 44.4% AND 17.6%, RESPECTIVELY. IN PERSONS WITH MS, THE MENTAL DIMENSION OF HEALTH-RELATED QUALITY OF LIFE, WALKING SPEED, FATIGUE, AND DEPRESSION LEVELS SIGNIFICANTLY IMPROVED AFTER THE YOGA PROGRAM (P < .05). HOWEVER, THERE WAS NO SIGNIFICANT CHANGE IN THE SELF-REPORTED WALKING IMPACT, BALANCE, PAIN, PHYSICAL DIMENSION OF HEALTH-RELATED QUALITY OF LIFE, AND KINESIOPHOBIA LEVELS IN THE PERSONS WITH MS (P > .05). THIS STUDY SUGGESTS THAT A 6-MONTH YOGA PROGRAM CAN IMPROVE THE MENTAL DIMENSION OF HEALTH-RELATED QUALITY OF LIFE, WALKING SPEED, FATIGUE, AND DEPRESSION IN THE PERSONS WITH MS. HOWEVER, THE 6-MONTH YOGA PROGRAM DOES NOT APPEAR TO BE A FEASIBLE METHOD TO INCREASE THE TIME THAT PERSONS WITH MS SPEND TOGETHER WITH THEIR FAMILY MEMBERS. 2018 16 719 40 EFFECT OF IYENGAR YOGA ON MENTAL HEALTH OF INCARCERATED WOMEN: A FEASIBILITY STUDY. BACKGROUND: INCARCERATED WOMEN SHARE A DISPROPORTIONATE BURDEN OF MENTAL ILLNESS. ALTHOUGH PSYCHOTROPIC MEDICATIONS ARE AVAILABLE TO WOMEN IN PRISON, ADJUNCTIVE TREATMENT MODALITIES, SUCH AS IYENGAR YOGA, MAY INCREASE PSYCHOLOGICAL WELL-BEING. OBJECTIVES: THE PURPOSES OF THIS STUDY WERE (A) TO ADDRESS THE FEASIBILITY OF PROVIDING A GENDER-RESPONSIVE EXERCISE INTERVENTION WITHIN A CORRECTIONAL INSTITUTION AND (B) TO OBSERVE THE EFFECT OF A GROUP-FORMAT IYENGAR YOGA PROGRAM THAT MET TWO SESSIONS A WEEK FOR 12 WEEKS ON LEVELS OF DEPRESSION SYMPTOMS, ANXIETY SYMPTOMS, AND PERCEIVED STRESS AMONG INCARCERATED WOMEN. METHODS: A REPEATED MEASURES DESIGN, IN WHICH EACH PARTICIPANT SERVED AS HER OWN CONTROL, WAS USED. PARTICIPANTS COMPLETED THREE SELF-ADMINISTERED INSTRUMENTS: THE BECK DEPRESSION INVENTORY, THE BECK ANXIETY INVENTORY, AND THE PERCEIVED STRESS SCALE BEFORE TREATMENT (BASELINE) AND DURING TREATMENT (WEEKS 4, 8, AND 12). LINEAR MIXED EFFECTS MODELS WERE USED TO EXAMINE STATISTICALLY SIGNIFICANT CHANGES IN MENTAL HEALTH MEASURES OVER TIME, TAKING ADVANTAGE OF ALL AVAILABLE DATA. RESULTS: ALTHOUGH 21 WOMEN INITIALLY PARTICIPATED IN THE INTERVENTION, 6 WOMEN COMPLETED THE 12-WEEK INTERVENTION. A SIGNIFICANT LINEAR DECREASE WAS DEMONSTRATED IN SYMPTOMS OF DEPRESSION OVER TIME, WITH MEAN VALUES CHANGING FROM 24.90 AT BASELINE TO 5.67 AT WEEK 12. THERE WAS A MARGINALLY SIGNIFICANT DECREASE IN ANXIETY OVER TIME (12.00 AT BASELINE TO 7.33 AT WEEK 12) AND A NONLINEAR CHANGE IN STRESS OVER TIME, WITH DECREASES FROM BASELINE TO WEEK 4 AND SUBSEQUENT INCREASES TO WEEK 12. DISCUSSION: WOMEN WHO PARTICIPATED IN THIS PROGRAM EXPERIENCED FEWER SYMPTOMS OF DEPRESSION AND ANXIETY OVER TIME. FINDINGS FROM THIS STUDY MAY BE USED TO IMPROVE FUTURE INTERVENTIONS FOCUSING ON THE HEALTH OUTCOMES OF INCARCERATED WOMEN. 2010 17 444 30 CHAIR YOGA: BENEFITS FOR COMMUNITY-DWELLING OLDER ADULTS WITH OSTEOARTHRITIS. THE AIM OF THIS PILOT STUDY WAS TO EXAMINE WHETHER CHAIR YOGA WAS EFFECTIVE IN REDUCING PAIN LEVEL AND IMPROVING PHYSICAL FUNCTION AND EMOTIONAL WELL-BEING IN A SAMPLE OF COMMUNITY-DWELLING OLDER ADULTS WITH OSTEOARTHRITIS. ONE-WAY REPEATED MEASURES ANALYSIS OF VARIANCE WAS PERFORMED TO EXAMINE THE EFFECTIVENESS OF CHAIR YOGA AT BASELINE, MIDPOINT (4 WEEKS), AND END OF THE INTERVENTION (8 WEEKS). ALTHOUGH CHAIR YOGA WAS EFFECTIVE IN IMPROVING PHYSICAL FUNCTION AND REDUCING STIFFNESS IN OLDER ADULTS WITH OSTEOARTHRITIS, IT WAS NOT EFFECTIVE IN REDUCING PAIN LEVEL OR IMPROVING DEPRESSIVE SYMPTOMS. FUTURE RESEARCH PLANNED BY THIS TEAM WILL USE RIGOROUS STUDY METHODS, INCLUDING LARGER SAMPLES, RANDOMIZED CONTROLLED TRIALS, AND FOLLOW UP FOR MONITORING HOME PRACTICE AFTER THE INTERVENTIONS. 2012 18 1864 42 RANDOMIZED CONTROLLED TRIAL OF YOGA FOR CHRONIC POSTSTROKE HEMIPARESIS: MOTOR FUNCTION, MENTAL HEALTH, AND QUALITY OF LIFE OUTCOMES. PURPOSE: TO ASSESS THE EFFICACY OF YOGA FOR MOTOR FUNCTION, MENTAL HEALTH, AND QUALITY OF LIFE OUTCOMES IN PERSONS WITH CHRONIC POSTSTROKE HEMIPARESIS. METHOD: TWENTY-TWO INDIVIDUALS PARTICIPATED IN A RANDOMIZED CONTROLLED TRIAL INVOLVING ASSESSMENT OF TASK-ORIENTATED FUNCTION, BALANCE, MOBILITY, DEPRESSION, ANXIETY, AND QUALITY OF LIFE DOMAINS BEFORE AND AFTER EITHER A 10-WEEK YOGA INTERVENTION (N = 11) OR NO TREATMENT (N = 11). RESULTS: THE YOGA INTERVENTION DID NOT RESULT IN ANY SIGNIFICANT IMPROVEMENTS IN OBJECTIVE MOTOR FUNCTION MEASURES, HOWEVER THERE WAS A SIGNIFICANT IMPROVEMENT IN QUALITY OF LIFE ASSOCIATED WITH PERCEIVED MOTOR FUNCTION (P = .0001) AND IMPROVEMENTS IN PERCEIVED RECOVERY APPROACHED SIGNIFICANCE (P = .072). MEMORY-RELATED QUALITY OF LIFE SCORES SIGNIFICANTLY IMPROVED AFTER YOGA INTERVENTION (P = .022), AND THOSE PARTICIPATING IN THE INTERVENTION EXHIBITED CLINICALLY RELEVANT DECREASES IN STATE AND TRAIT ANXIETY. CONCLUSIONS: PRELIMINARY RESULTS OFFER PROMISE FOR YOGA AS AN INTERVENTION TO ADDRESS MENTAL HEALTH AND QUALITY OF LIFE IN PERSONS WITH STROKE-RELATED ACTIVITY LIMITATIONS. THERE IS A NEED TO MORE RIGOROUSLY EVALUATE THESE YOGA BENEFITS WITH A LARGER RANDOMIZED CONTROLLED TRIAL, WHICH, BASED ON THIS PRELIMINARY TRIAL, IS FEASIBLE. 2014 19 1076 36 EFFECTS OF YOGA ON PHYSIOLOGICAL INDICES, ANXIETY AND SOCIAL FUNCTIONING IN MULTIPLE SCLEROSIS PATIENTS: A RANDOMIZED TRIAL. INTRODUCTION: MULTIPLE SCLEROSIS (MS) AS A CHRONIC DISEASE COULD AFFECT PATIENTS' VARIOUS DOMAINS OF LIFE. AIM: THIS STUDY WAS CONDUCTED TO STUDY THE EFFECT OF YOGA ON THE PHYSIOLOGICAL INDICES, ANXIETY AND SOCIAL FUNCTIONING OF PATIENTS WITH MS IN SOUTHWEST, IRAN. MATERIALS AND METHODS: IN THIS CLINICAL TRIAL STUDY, 60 MS PATIENTS WERE ENROLLED ACCORDING TO INCLUSION CRITERIA AND RANDOMLY ASSIGNED TO TWO GROUPS OF 30 EACH. PRIOR TO AND AFTER INTERVENTION, THE PATIENTS' VITAL SIGNS WERE MEASURED. FOR CASE GROUP YOGA EXERCISES WERE PERFORMED THREE SESSIONS A WEEK FOR 12 WEEKS WHILE CONTROL GROUP PERFORMED NO EXERCISE. THE DATA WERE GATHERED BY QUESTIONNAIRE AND ANALYSED BY DESCRIPTIVE AND ANALYTICAL STATISTICS IN SPSS. RESULTS: PRIOR TO INTERVENTION, THERE WAS NO SIGNIFICANT DIFFERENCE IN FATIGUE SEVERITY AND PAIN BETWEEN THE TWO GROUPS BUT THE MEAN FATIGUE SEVERITY AND PAIN IN CASE GROUP DECREASED COMPARED TO THE CONTROL GROUP AFTER THE INTERVENTION. PRIOR TO INTERVENTION, THERE WAS NO SIGNIFICANT DIFFERENCE IN MEAN PHYSIOLOGICAL INDICES BETWEEN THE TWO GROUPS BUT THE MEAN PHYSIOLOGICAL INDICES IN CASE GROUP DECREASED SIGNIFICANTLY AFTER THE INTERVENTION (P<0.05). CONCLUSION: YOGA IS LIKELY TO INCREASE SELF-EFFICACY OF MS PATIENTS THROUGH ENHANCING PHYSICAL ACTIVITY, INCREASING THE STRENGTH OF LOWER LIMBS AND BALANCE, AND DECREASING FATIGUE AND PAIN, AND FINALLY TO PROMOTE SOCIAL FUNCTIONING AND TO RELIEVE STRESS AND ANXIETY IN THESE PATIENTS. 2016 20 936 29 EFFECTIVENESS OF YOGA VERSUS EXERCISE FOR REDUCING FALLING RISK IN OLDER ADULTS: PHYSICAL AND PSYCHOLOGICAL INDICES. OUR PURPOSE IN THIS STUDY WAS TO EXAMINE THE EFFECTIVENESS OF YOGA TO ADDRESS MULTIPLE RISK FACTORS OF FALLING IN ACTIVE AND LOW ACTIVE OLDER ADULTS. COMMUNITY-DWELLING OLDER ADULTS (N = 35) OVER THE AGE OF 65 ACTIVELY PARTICIPATED IN EITHER A YOGA PROGRAM, AN EXERCISE PROGRAM, OR A NO-PROGRAM CONTROL. PARTICIPANTS COMPLETED MEASURES ASSOCIATED WITH FALLING RISKS. PHYSICAL MEASURES INCLUDED LOWER BODY STRENGTH, STATIC BALANCE, AND LOWER BODY FLEXIBILITY. PSYCHOLOGICAL MEASURES INCLUDED PERCEIVED SELF-EFFICACY WITH RESPECT TO FALLS AND HEALTH-RELATED QUALITY OF LIFE. WE DETERMINED BETWEEN-GROUP DIFFERENCES USING PLANNED COMPARISONS, EFFECT SIZE, CONFIDENCE INTERVALS, AND PROBABILITY OF SUPERIORITY. RESULTS OF PLANNED COMPARISONS AND PRACTICAL SIGNIFICANCE TESTING INDICATED THAT YOGA PARTICIPANTS SCORED HIGHER THAN THE EXERCISE AND CONTROL PARTICIPANTS ON BOTH RIGHT AND LEFT LOWER BODY FLEXIBILITY TESTS. YOGA PARTICIPANTS ALSO SCORED HIGHER THAN THE CONTROL PARTICIPANTS ON RIGHT LEG STATIC BALANCE, AND THE RIGHT AND LEFT LOWER BODY FLEXIBILITY TESTS. THE EXERCISE PARTICIPANTS SCORED HIGHER THAN YOGA PARTICIPANTS ON THE RAND-36 QUALITY OF LIFE SUBSCALES OF ENERGY/FATIGUE, PAIN, AND GENERAL HEALTH. THE PROBABILITY OF SUPERIORITY RESULTS INDICATED THAT THE NO-PROGRAM OLDER ADULT PARTICIPANTS WOULD BENEFIT BY ENROLLING IN THE YOGA RATHER THAN THE EXERCISE PROGRAM TO REDUCE PHYSICAL RISKS OF FALLING. THESE FINDINGS WERE DISCUSSED IN RELATION TO PROMOTING PHYSICAL ACTIVITY PROGRAMS TO REDUCE RISKS OF FALLING, AND THE ROLES OF THE PROTOCOL, PRACTICAL SIGNIFICANCE, AND MEASURES EMPLOYED WHEN DETERMINING PROGRAM EFFECTIVENESS. 2022