1 1524 138 ISOMETRIC YOGA-LIKE MANEUVERS IMPROVE ADOLESCENT IDIOPATHIC SCOLIOSIS-A NONRANDOMIZED CONTROL TRIAL. OBJECTIVE: ASSESS THERAPEUTIC VALUE OF SPECIFIC YOGA POSES FOR THORACIC AND LUMBAR ADOLESCENT IDIOPATHIC SCOLIOSIS (AIS) TAUGHT IN OFFICE OR INTERNET. STUDY DESIGN: NONRANDOMIZED CONTROL TRIAL: FIFTY-SIX ADOLESCENTS (MEAN AGE 14.0 YEARS; MEAN RISSER 3.0) WERE RECRUITED FROM OUR CLINIC; 41 DID THE SIDE-PLANK, THE HALF-MOON AND ELEVATED SIDE PLANK POSES AS APPROPRIATE (TREATMENT GROUP) AND 15 DID NOT (CONTROLS). THIRTY CURVES WERE TREATED IN OFFICE, 30 VIA INTERNET. CURVE CHANGE WAS EVALUATED BY BLINDED SERIAL COBB ANGLES, AND ANALYZED USING MANN-WHITNEY U, PAIRED T-TESTS AND CHI(2). RESULTS: MEAN LUMBAR AND THORACOLUMBAR COBB ANGLE CHANGE WAS -9.2 (95% CI = -11.8, -6.6) IN THE TREATMENT GROUP AND 5.4 (95% CI = 1.7, 9.0) IN CONTROLS. BOTH TREATMENT GROUP IMPROVEMENT AND DETERIORATION IN CONTROLS WERE SIGNIFICANT (TREATMENT GROUP: PAIRED T-TEST T = -7.1, DF = 40, P = .000; CONTROLS: T = 3.2, DF = 12, P = .008). MEAN THORACIC COBB ANGLE CHANGE WAS -7.1 (95% CI = -13.1, -1.2) IN THE TREATMENT GROUP AND 9.3 (95% CI = 4.5, 14.6) IN CONTROLS. BOTH CHANGES WERE SIGNIFICANT (PAIRED T-TEST T = -3.3, DF = 21, P = .022 FOR TREATMENT GROUP; T = 4.5, DF = 5, P = .006 FOR CONTROLS). NINE INTERNET PATIENTS WERE NON-COMPLIANT VS. 6 OFFICE PATIENTS. OFFICE PATIENTS IMPROVED 1.6 DEGREES/MONTH OR 5.5%/MONTH; INTERNET PATIENTS IMPROVED .72 DEGREES/MONTH OR 3.3%/MONTH. CONCLUSION: THESE YOGA POSES SHOW PROMISE FOR REVERSING ADOLESCENT IDIOPATHIC SCOLIOSIS. TELEMEDICINE HAD GREATER NON-COMPLIANCE AND LOWER EFFICACY BUT STILL PRODUCED PATIENT IMPROVEMENT. 2021 2 1965 37 SERIAL CASE REPORTING YOGA FOR IDIOPATHIC AND DEGENERATIVE SCOLIOSIS. BACKGROUND: NON-SURGICAL TECHNIQUES FOR TREATING SCOLIOSIS FREQUENTLY FOCUS ON REALIGNING THE SPINE, TYPICALLY BY MUSCULAR RELAXATION OR MUSCULAR OR LIGAMENTOUS STRETCHING. HOWEVER, SUCH TREATMENTS, WHICH INCLUDE PHYSICAL THERAPEUTIC, CHIROPRACTIC, AND BRACING TECHNIQUES, ARE INCONSISTENTLY SUPPORTED BY CURRENT EVIDENCE. IN THIS STUDY, WE ASSESS THE POSSIBLE BENEFITS OF ASYMMETRICAL STRENGTHENING OF TRUNCAL MUSCLES ON THE CONVEX SIDE OF THE SCOLIOTIC CURVE THROUGH A SINGLE YOGA POSE, THE SIDE PLANK POSE, IN IDIOPATHIC AND DEGENERATIVE SCOLIOSIS. METHODS: TWENTY-FIVE PATIENTS WITH IDIOPATHIC OR DEGENERATIVE SCOLIOSIS AND PRIMARY CURVES MEASURING 6 TO 120 DEGREES BY THE COBB METHOD HAD SPINAL RADIOGRAPHS AND WERE THEN TAUGHT THE SIDE PLANK POSE. AFTER 1 WEEK PERFORMING THE POSE WITH CONVEXITY DOWNWARD FOR 10 TO 20 SECONDS, THEY WERE INSTRUCTED TO MAINTAIN THE POSTURE ONCE DAILY FOR AS LONG AS POSSIBLE ON THAT ONE SIDE ONLY. A SECOND SERIES OF SPINAL RADIOGRAPHS WAS TAKEN 3 TO 22 MONTHS LATER. PRE- AND POST-YOGA COBB MEASUREMENTS WERE COMPARED. RESULTS: THE MEAN SELF-REPORTED PRACTICE OF THE YOGA POSE WAS 1.5 MINUTES PER DAY, 6.1 DAYS PER WEEK, FOR A MEAN FOLLOW-UP PERIOD OF 6.8 MONTHS. AMONG ALL PATIENTS, A SIGNIFICANT IMPROVEMENT IN THE COBB ANGLE OF THE PRIMARY SCOLIOTIC CURVE OF 32.0% WAS FOUND. AMONG 19 COMPLIANT PATIENTS, THE MEAN IMPROVEMENT ROSE TO 40.9%. IMPROVEMENTS DID NOT DIFFER SIGNIFICANTLY AMONG ADOLESCENT IDIOPATHIC AND DEGENERATIVE SUBTYPES (49.6% AND 38.4%, RESPECTIVELY). CONCLUSIONS: ASYMMETRICALLY STRENGTHENING THE CONVEX SIDE OF THE PRIMARY CURVE WITH DAILY PRACTICE OF THE SIDE PLANK POSE HELD FOR AS LONG AS POSSIBLE FOR AN AVERAGE OF 6.8 MONTHS SIGNIFICANTLY REDUCED THE ANGLE OF PRIMARY SCOLIOTIC CURVES. THESE RESULTS WARRANT FURTHER TESTING. 2014 3 459 27 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 4 2653 39 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 5 1841 27 QIGONG OR YOGA VERSUS NO INTERVENTION IN OLDER ADULTS WITH CHRONIC LOW BACK PAIN-A RANDOMIZED CONTROLLED TRIAL. UNLABELLED: THE AIM OF THIS STUDY WAS TO ASSESS THE EFFECTIVENESS OF THE REDUCTION OF CHRONIC LOWER BACK PAIN IN OLDER ADULTS USING EITHER YOGA CLASSES OR QIGONG CLASSES COMPARED WITH NO INTERVENTION. OLDER ADULTS (65 YEARS OF AGE AND OLDER) WITH CHRONIC LOW BACK PAIN WERE ENROLLED IN AND RANDOMLY ALLOCATED TO: 1) YOGA (24 CLASSES, 45 MINUTES EACH, DURING 3 MONTHS), 2) QIGONG (12 CLASSES, 90 MINUTES EACH, DURING 3 MONTHS), OR 3) A CONTROL GROUP WHO RECEIVED NO ADDITIONAL INTERVENTION. THE PAIN INTENSITY ITEM OF THE FUNCTIONAL RATING INDEX AFTER 3 MONTHS WAS USED AS PRIMARY OUTCOME PARAMETER. A TOTAL OF 176 PATIENTS WERE RANDOMIZED (N = 61 YOGA, N = 58 QIGONG, N = 57 CONTROL; MEAN AGE 73 +/- 5.6 YEARS, 89% FEMALE). THE MEAN ADJUSTED PAIN INTENSITY AFTER 3 MONTHS WAS 1.71 FOR THE YOGA GROUP (95% CONFIDENCE INTERVAL [CI], 1.54-1.89), 1.67 FOR THE QIGONG GROUP (95% CI, 1.45-1.89), AND 1.89 FOR NO INTERVENTION (95% CI, 1.67-2.11). NO STATISTICALLY SIGNIFICANT GROUP DIFFERENCES WERE OBSERVED. POSSIBLE EXPLANATIONS FOR THIS LACK OF PAIN RELIEF MIGHT INCLUDE THE INEFFECTIVENESS OF INTERVENTIONS, INAPPROPRIATE OUTCOMES, OR DIFFERENCES IN PAIN PERCEPTION AND PROCESSING IN OLDER ADULTS. PERSPECTIVE: THE AIM OF THIS STUDY WAS TO ASSESS THE EFFECTIVENESS OF THE REDUCTION OF CHRONIC LOWER BACK PAIN IN OLDER ADULTS USING EITHER YOGA CLASSES OR QIGONG CLASSES COMPARED WITH NO INTERVENTION. THIS 3-ARMED RANDOMIZED TRIAL WITH 176 OLDER ADULTS SHOWED THAT YOGA AND QIGONG WERE NOT SUPERIOR TO NO TREATMENT IN REDUCING PAIN AND INCREASING QUALITY OF LIFE. 2016 6 1034 28 EFFECTS OF YOGA IN DAILY LIFE PROGRAM IN RHEUMATOID ARTHRITIS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: TO EXPLORE THE FEASIBILITY AND EFFECTIVENESS OF A YOGA PROGRAM IN IMPROVING HEALTH-RELATED QUALITY OF LIFE (HQOL), PHYSICAL AND PSYCHOLOGICAL FUNCTIONING IN RHEUMATOID ARTHRITIS (RA) PATIENTS. DESIGN: SINGLE-CENTRE PARALLEL-ARMS RANDOMIZED CONTROLLED TRIAL COMPARING YOGA (N = 30) AND EDUCATION CONTROL GROUP (N = 27). SETTING: TERTIARY CARE UNIVERSITY HOSPITAL. INTERVENTION: A 12-WEEK YOGA PROGRAM, BASED ON THE YOGA IN DAILY LIFE SYSTEM, INCLUDED 2X WEEKLY/90-MINUTE SESSIONS. THE CONTROL GROUP HAD 1XWEEKLY/60-MINUTE EDUCATIONAL LECTURES ON ARTHRITIS-RELATED TOPICS. MAIN OUTCOME MEASURES: ASSESSMENTS WERE PERFORMED AT BASELINE, 12 (POST-INTERVENTION) AND 24 WEEKS (FOLLOW-UP). THE PRIMARY OUTCOME WAS CHANGE IN THE SHORT FORM-36 (SF-36) HQOL AT 12 WEEKS. LINEAR REGRESSION ANALYSIS WAS ADJUSTED FOR BASELINE SCORES. RESULTS: NO SIGNIFICANT BETWEEN-GROUP DIFFERENCES WERE FOUND FOR SF-36 (ALL P > 0.05). AT 12 WEEKS THE ADJUSTED MEAN DIFFERENCE BETWEEN GROUPS FAVOURED YOGA FOR FUNCTIONAL ASSESSMENT OF CHRONIC ILLNESS THERAPY-FATIGUE (5.08 CI 1.29 TO 8.86; P = 0.009) AND HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS)-DEPRESSION (-1.37 CI -2.38 TO -0.36); P = 0.008) AND AT 24 WEEKS FOR HADS-ANXIETY (-1.79 CI -3.34 TO - 0.23; P = 0.025), WHILE THE IMPACT ON FATIGUE WAS SUSTAINED (5.43 CI 1.33 TO 9.54, P = 0.01). THE PROGRAM HAD NO IMPACT ON RA DISEASE ACTIVITY. FEASIBILITY OUTCOMES INCLUDED RECRUITMENT RATE 16 %, RETENTION 80.7 %, AND ADHERENCE TO YOGA 87.5 VS 82.7 % FOR CONTROL. NO SERIOUS ADVERSE EVENTS WERE RECORDED. CONCLUSIONS: YOGA IN DAILY LIFE PROGRAM WAS NOT ASSOCIATED WITH CHANGE IN HEALTH-RELATED QUALITY OF LIFE OF RA PATIENTS. SIGNIFICANT IMPROVEMENTS IN FATIGUE AND MOOD WERE OBSERVED AT POSTINTERVENTION AND FOLLOW-UP. THIS YOGA PROGRAM WAS FOUND FEASIBLE AND SAFE FOR PATIENTS AND MAY COMPLEMENT STANDARD RA TREAT-TO-TARGET STRATEGY. 2021 7 771 28 EFFECT OF YOGA AND AEROBICS EXERCISE ON SLEEP QUALITY IN WOMEN WITH TYPE 2 DIABETES: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: THE AIM OF THIS STUDY WAS INVESTIGATING THE EFFECT OF 12 WEEKS OF YOGA AND AEROBIC EXERCISE (RUNNING ON A TREADMILL) ON THE SLEEP QUALITY IN WOMEN WITH TYPE 2 DIABETES. MATERIALS AND METHODS: 39 DIABETIC WOMEN WERE SELECTED FROM SEMNAN CITY WITH THE MEAN AGE OF 46.85+/-3.35 YEARS, WEIGHT OF 69.79+/-17.18 KG, HEIGHT OF 155.03+/-5.00, BMI OF 29.64+/-5.00 KG/M(2) WHO HAD A BACKGROUND OF DIABETES FOR 6.46+/-2.69 YEARS. THEY WERE THEN RANDOMLY DIVIDED INTO YOGA EXERCISE (N=15), AEROBIC EXERCISE (N=13), AND CONTROL GROUP (N=11). THE EXERCISE PROGRAM WAS PERFORMED FOR 12 WEEKS, THREE SESSIONS PER EACH WEEK. IN ORDER TO MEASURE THE SLEEP QUALITY, THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) WAS USED. THE DATA WERE ANALYZED BY NON-PARAMETRIC WILCOXON AND KRUSKAL-WALLIS TEST AT SIGNIFICANCE LEVEL OF P<0.05. RESULTS: OVERALL SCORE OF SLEEP QUALITY IMPROVED AFTER SIX (P=0.001) AND 12 (P=0.001) WEEKS OF YOGA EXERCISE. ALSO, SIGNIFICANT EFFECT WAS OBSERVED AFTER 6 WEEKS OF AEROBIC EXERCISE (P=0.039). HOWEVER, THE POSITIVE EFFECT WAS DIMINISHED TO UNDER SIGNIFICANT LEVELS AFTER 12 WEEKS OF AEROBIC EXERCISE (P=0.154). KRUSKAL-WALLIS TEST SHOWED SIGNIFICANT DIFFERENCES BETWEEN YOGA AND AEROBIC GROUPS AFTER 12 WEEKS OF EXERCISE (P=0.002). NO SIGNIFICANT DIFFERENCES WERE OBSERVED IN CONTROL GROUPS IN ALL SITUATION. CONCLUSIONS: IT CAN BE CONCLUDED THAT YOGA EXERCISE IS MORE EFFECTIVE IN IMPROVING THE SLEEP QUALITY IN COMPARISON WITH THE SAME COURSE OF AEROBIC EXERCISE IN WOMEN SUFFERING FROM DIABETES TYPE 2. THUS, YOGA EXERCISE CAN BE SUGGESTED TO THESE PATIENTS. 2017 8 1081 28 EFFECTS OF YOGA ON SEXUAL FUNCTION IN WOMEN WITH METABOLIC SYNDROME: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION: FEMALE SEXUAL DYSFUNCTION IS AN IMPORTANT PUBLIC HEALTH ISSUE; IT HAS A HIGH GLOBAL PREVALENCE, BUT NO EFFECTIVE AND SAFE TREATMENT OPTIONS. THE PREVALENCE OF SEXUAL DYSFUNCTION IS HIGHER IN WOMEN WITH METABOLIC SYNDROME THAN IN THE GENERAL POPULATION. AIM: THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFICACY OF YOGA AS A TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME. METHODS: IN THIS RANDOMIZED, CONTROLLED STUDY, 41 WOMEN WITH METABOLIC SYNDROME (AGE 30-60 YEARS) WERE ASSIGNED TO A 12-WEEK YOGA EXERCISE GROUP (N=20) OR A WAIT-LISTED CONTROL GROUP (N=21). MAIN OUTCOME MEASURES: PRIMARY END POINTS WERE CHANGES IN TOTAL AND INDIVIDUAL DOMAIN SCORES ON THE FEMALE SEXUAL FUNCTION INDEX. RESULTS: THE 12-WEEK YOGA INTERVENTION RESULTED IN SIGNIFICANT IMPROVEMENT IN AROUSAL (0.74+/-1.18 VS. 0.16+/-0.82, RESPECTIVELY; P=0.042) AND LUBRICATION (0.72+/-1.12 VS. 0.06+/-0.87, RESPECTIVELY; P=0.008) COMPARED WITH THE CONTROL GROUP. SYSTOLIC BLOOD PRESSURE SHOWED SIGNIFICANTLY GREATER IMPROVEMENT IN THE YOGA GROUP THAN IN THE CONTROL GROUP AT THE 12-WEEK FOLLOW UP (-3.5+/-13.7 VS. 2.0+/-14.7, RESPECTIVELY; P=0.040). CONCLUSION: THESE FINDINGS SUGGEST THAT YOGA MAY BE AN EFFECTIVE TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME AS WELL AS FOR METABOLIC RISK FACTORS. 2013 9 594 24 DEVELOPMENT AND FEASIBILITY OF A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR WOMEN WITH CHRONIC PELVIC PAIN. OBJECTIVE: TO DEVELOP A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR WOMEN WITH CHRONIC PELVIC PAIN (CPP) AND EXPLORE THE EFFECTS OF THIS PROGRAM ON PAIN SEVERITY, SEXUAL FUNCTION, AND WELL-BEING. METHODS: A YOGA THERAPY PROGRAM FOR CPP WAS DEVELOPED BY A MULTIDISCIPLINARY PANEL OF CLINICIANS, RESEARCHERS, AND YOGA CONSULTANTS. WOMEN REPORTING MODERATE TO SEVERE PELVIC PAIN FOR AT LEAST SIX MONTHS WERE RECRUITED INTO A SINGLE-ARM TRIAL. PARTICIPANTS ATTENDED TWICE WEEKLY GROUP CLASSES FOCUSING ON IYENGAR-BASED YOGA TECHNIQUES AND WERE INSTRUCTED TO PRACTICE YOGA AT HOME AN HOUR A WEEK FOR SIX WEEKS. PARTICIPANTS SELF-RATED THE SEVERITY OF THEIR PELVIC PAIN USING DAILY LOGS. THE IMPACT OF PARTICIPANTS' PAIN ON EVERYDAY ACTIVITIES, EMOTIONAL WELL-BEING, AND SEXUAL FUNCTION WAS ASSESSED USING AN IMPACT OF PELVIC PAIN (IPP) QUESTIONNAIRE. SEXUAL FUNCTION WAS FURTHER ASSESSED USING THE SEXUAL HEALTH OUTCOMES IN WOMEN QUESTIONNAIRE (SHOW-Q). RESULTS: AMONG THE 16 PARTICIPANTS (AGE RANGE = 31-64 YEARS), AVERAGE RATINGS OF THE SEVERITY OF PAIN "AT ITS WORST," "AT ITS BEST," AND "ON AVERAGE" DECREASED BY 29%, 32%, AND 34%, RESPECTIVELY, FROM START TO SIX WEEKS (P < 0.05 FOR ALL). WOMEN DEMONSTRATED IMPROVEMENTS IN SCORES ON IPP SUBSCALES FOR DAILY ACTIVITIES (1.8 +/- 0.7 TO 0.9 +/- 0.7, P < 0.001), EMOTIONAL WELL-BEING (1.7 +/- 0.9 TO 0.9 +/- 0.7, P = 0.005), AND SEXUAL FUNCTION (1.9 +/- 1.1 TO 1.0 +/- 0.9, P = 0.04). SCORES ON THE SHOW-Q "PELVIC PROBLEM INTERFERENCE" SCALE ALSO IMPROVED OVER SIX WEEKS (53 +/- 23 TO 27 +/- 23, P = 0.002). CONCLUSIONS: FINDINGS PROVIDE PRELIMINARY EVIDENCE OF THE FEASIBILITY OF TEACHING WOMEN WITH CPP TO PRACTICE YOGA TO SELF-MANAGE PAIN AND IMPROVE QUALITY OF LIFE AND SEXUAL FUNCTION. 2017 10 531 28 COMPARISON OF THE EFFECT OF 8 WEEKS AEROBIC AND YOGA TRAINING ON AMBULATORY FUNCTION, FATIGUE AND MOOD STATUS IN MS PATIENTS. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS A DISEASE OF THE CENTRAL NERVOUS SYSTEM THAT RESULTS IN MANY SYMPTOMS INCLUDING MOBILITY LIMITATION AND FATIGUE. PATIENTS AND METHODS: THIRTY-ONE MS PATIENTS, ALL FEMALE WITH MEAN OF AGE OF 36.75 YEARS AND EXPANDED DISABILITY STATUS SCALE SCORES (EDSS) OF 1.0 TO 4.0 WERE RECRUITED. SUBJECTS WERE RANDOMLY ASSIGNED TO ONE OF THE THREE GROUPS: TREADMILL TRAINING, YOGA OR CONTROL GROUPS. TREADMILL TRAINING AND YOGA PRACTICE CONSISTED OF 8 WEEKS (24 SESSIONS, THRICE WEEKLY). THE CONTROL GROUP FOLLOWED THEIR OWN ROUTINE TREATMENT PROGRAM. BALANCE, SPEED AND ENDURANCE OF WALKING, FATIGUE, DEPRESSION AND ANXIETY WERE MEASURED BY BERG BALANCE SCORES, TIME FOR 10M WALK AND DISTANCE FOR A TWO MINUTE WALK, FATIGUE SEVERITY SCALE (FFS), BECK DEPRESSION INVENTORY (BDI) AND BECK ANXIETY INVENTORY (BAI), RESPECTIVELY. RESULTS: COMPARISON OF RESULTS HAVE SHOWN THAT PRE- AND POST-INTERVENTIONS PRODUCED SIGNIFICANT IMPROVEMENTS IN THE BALANCE SCORE, WALKING ENDURANCE, FFS SCORE, BDI SCORE AND BAI SCORE IN THE TREADMILL TRAINING GROUP AND YOGA GROUP. HOWEVER, 10M WALK TIME DECREASED IN THE TREADMILL TRAINING GROUP BUT DID NOT SHOW ANY CLEAR CHANGE IN THE YOGA GROUP. MOREOVER, THE ANALYSIS SHOWED SIGNIFICANT DIFFERENCES BETWEEN THE TREADMILL TRAINING GROUP AND YOGA GROUP FOR BAI SCORE. CONCLUSIONS: THESE RESULTS SUGGEST THAT TREADMILL TRAINING AND YOGA PRACTICE IMPROVED AMBULATORY FUNCTION, FATIGUE AND MOOD STATUS IN THE INDIVIDUALS WITH MILD TO MODERATE MS. 2013 11 63 22 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 12 910 31 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 13 766 27 EFFECT OF THREE YOGA POSES (COBRA, CAT AND FISH POSES) IN WOMEN WITH PRIMARY DYSMENORRHEA: A RANDOMIZED CLINICAL TRIAL. OBJECTIVE: WE HAVE EVALUATED THE CLINICAL EFFICACY OF YOGA FOR PRIMARY DYSMENORRHEA. PRIMARY DYSMENORRHEA OCCURS IN 50% OF FEMALE ADOLESCENTS AND IS A COMMON PROBLEM IN WOMEN OF REPRODUCTIVE AGE. WE HAVE ASSESSED WHETHER THREE YOGA POSES (COBRA, CAT, AND FISH POSES) ARE ABLE TO REDUCE SEVERITY AND DURATION OF PRIMARY DYSMENORRHEA. METHODS: TO DETERMINE THE EFFECTIVENESS OF YOGA IN ADOLESCENTS WITH PRIMARY DYSMENORRHEA, 92 GIRL STUDENTS,18-22 YEARS OLD, WERE RANDOMLY ASSIGNED TO AN EXPERIMENTAL GROUP (N = 50) AND A CONTROL GROUP (N = 42). THE VISUAL ANALOG SCALE FOR PAIN WAS USED TO ASSESS INTENSITY OF PAIN AND THE PAIN DURATION WAS CALCULATED IN TERMS OF HOURS. EACH GROUP WAS EVALUATED FOR THREE MENSTRUAL CYCLES. AT FIRST CYCLE NO METHOD WAS PRESENTED; THE PARTICIPANTS ONLY WERE ASKED TO COMPLETE THE QUESTIONNAIRE OF MENSTRUAL CHARACTERISTICS DURING THEIR MENSTRUAL. THEN THE PARTICIPANTS WERE ASKED BY THE EXPERIMENTAL GROUP TO DO YOGA POSES AT LUTEAL PHASE, AND ALSO TO COMPLETE THE MENSTRUAL CHARACTERISTICS QUESTIONNAIRE IN DURING OF MENSTRUATION. THE CONTROL GROUP DID NOT RECEIVE ANY INTERVENTION EXCEPT TO COMPLETE MENSTRUAL CHARACTERISTICS QUESTIONNAIRE IN DURING OF MENSTRUATION. RESULTS: THERE WAS A SIGNIFICANT DIFFERENCE IN THE PAIN INTENSITY AND PAIN DURATION IN THE POST-TESTS COMPARED WITH THE PRETEST IN YOGA GROUP (P < 0.05). THE RESULTS SHOWED THAT COMPARED WITH THE CONTROL GROUP, THERE WAS A SIGNIFICANT DIFFERENCE IN THE PAIN INTENSITY AND PAIN DURATION IN THE EXPERIMENTAL GROUP (P < 0.05). CONCLUSION: YOGA REDUCED THE SEVERITY AND DURATION OF PRIMARY DYSMENORRHEA. THE FINDINGS SUGGEST THAT YOGA POSES ARE SAFE AND SIMPLE TREATMENT FOR PRIMARY DYSMENORRHEA. 2011 14 772 28 EFFECT OF YOGA AND EXERCISE ON GLYCEMIC CONTROL AND PSYCHOSOCIAL PARAMETERS IN TYPE 2 DIABETES MELLITUS: A RANDOMIZED CONTROLLED STUDY. CONTEXT BACKGROUND: TYPE 2 DIABETES HAS BEEN STRONGLY ASSOCIATED WITH PSYCHOSOCIAL FACTORS SUCH AS STRESS, ANXIETY, DEPRESSION, AND QUALITY OF LIFE (QOL). THERE IS NOT MUCH EVIDENCE WHETHER YOGA CAN IMPROVE THESE FACTORS AND MOTIVATE INDIVIDUALS TO ENGAGE IN ACTIVE LIFESTYLE. AIMS: THIS STUDY AIMS TO EVALUATE THE EFFECT OF YOGA AND EXERCISE OVER GLYCEMIC CONTROL, ANXIETY, DEPRESSION, EXERCISE SELF-EFFICACY (ESE), AND QOL AFTER 3-MONTH PROGRAM. METHODS: TWO HUNDRED AND TWENTY-SEVEN INDIVIDUALS WERE RANDOMLY ALLOCATED TO YOGA GROUP (YG) AND EXERCISE GROUP. YG PRACTICED YOGA FOR 2 WEEKS UNDER SUPERVISION AND THEN CARRIED OUT PRACTICE AT HOME FOR 3 MONTHS. THE EXERCISE GROUP PRACTICED 30 MIN OF BRISK WALKING FOR 5 DAYS A WEEK. RESULTS: ON COMPARISON AMONG THE GROUPS, IN YG, THERE WAS A MEAN CHANGE OF 0.47 IN GLYCATED HEMOGLOBIN WHICH WAS GREATER THAN MEAN REDUCTION OF 0.28 IN THE EXERCISE GROUP WITH P < 0.05. STATE ANXIETY REDUCED BY 7.8 AND TRAIT ANXIETY REDUCED BY 4.4 IN YG (P < 0.05) IN 3 MONTHS AS COMPARED TO NONSIGNIFICANT REDUCTIONS OF 3 AND 1 IN MEAN OF STATE AND TRAIT ANXIETY SCORES IN THE EXERCISE GROUP (P > 0.05). THERE WAS A STATISTICALLY SIGNIFICANT REDUCTION IN DEPRESSION SCORE IN BOTH THE GROUPS, 8.6 IN YOGA AND 4.0 IN EXERCISE, WHICH WAS GREATER IN YG. ESE IMPROVED BY 19.2 IN YG (P < 0.05), WHEREAS IT IMPROVED ONLY 2.2 IN THE EXERCISE GROUP (P > 0.05). QOL IMPROVED BY 23.7 IN YG AND 3.0 IN THE EXERCISE GROUP WHICH WAS NONSIGNIFICANT IN THE EXERCISE GROUP AS COMPARED TO YG. CONCLUSIONS: YOGA IS SUPERIOR TO EXERCISE ALONE AS A LIFESTYLE MODIFICATION PROGRAM IN IMPROVING GLYCEMIC CONTROL, ANXIETY, DEPRESSION, AND QOL AS WELL AS ESE. 2020 15 2319 28 TREATING THE CLIMACTERIC SYMPTOMS IN INDIAN WOMEN WITH AN INTEGRATED APPROACH TO YOGA THERAPY: A RANDOMIZED CONTROL STUDY. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON THE CLIMACTERIC SYMPTOMS, PERCEIVED STRESS, AND PERSONALITY IN PERIMENOPAUSAL WOMEN. DESIGN: ONE HUNDRED TWENTY PARTICIPANTS (AGES 40-55 Y) WERE RANDOMLY DIVIDED INTO TWO STUDY ARMS, IE, YOGA AND CONTROL. THE YOGA GROUP PRACTICED AN INTEGRATED APPROACH TO YOGA THERAPY COMPRISING SURYA NAMASKARA (SUN SALUTATION) WITH 12 POSTURES, PRANAYAMA (BREATHING PRACTICES), AND AVARTAN DHYAN (CYCLIC MEDITATION), WHEREAS THE CONTROL GROUP PRACTICED A SET OF SIMPLE PHYSICAL EXERCISES UNDER SUPERVISION OF TRAINED TEACHERS FOR 8 WEEKS (1 H DAILY, 5 DAYS PER WEEK). THE ASSESSMENTS WERE MADE BY GREENE CLIMACTERIC SCALE, PERCEIVED STRESS SCALE, AND EYSENCK'S PERSONALITY INVENTORY BEFORE AND AFTER THE INTERVENTION. RESULTS: OF THE THREE FACTORS OF THE GREENE CLIMACTERIC SCALE, THE MANN-WHITNEY TEST SHOWED A SIGNIFICANT DIFFERENCE BETWEEN GROUPS (P < 0.05) IN THE VASOMOTOR SYMPTOMS, A MARGINALLY SIGNIFICANT DIFFERENCE (P = 0.06) IN PSYCHOLOGICAL FACTORS BUT NOT IN THE SOMATIC COMPONENT. EFFECT SIZES WERE HIGHER IN THE YOGA GROUP FOR ALL FACTORS. THERE WAS A SIGNIFICANTLY GREATER DEGREE OF DECREASE IN PERCEIVED STRESS SCALE SCORES (P < 0.001, INDEPENDENT SAMPLES T TEST) IN THE YOGA GROUP COMPARED WITH CONTROLS (BETWEEN-GROUP ANALYSIS) WITH A HIGHER EFFECT SIZE IN THE YOGA GROUP (1.10) THAN THE CONTROL (0.27). ON THE EYSENCK'S PERSONALITY INVENTORY, THE DECREASE IN NEUROTICISM WAS GREATER (P < 0.05) IN THE YOGA GROUP (EFFECT SIZE = 0.43) THAN THE CONTROL GROUP (EFFECT SIZE = 0.21) WITH NO CHANGE IN EXTROVERSION IN EITHER THE YOGA OR CONTROL GROUP. CONCLUSIONS: EIGHT WEEKS OF AN INTEGRATED APPROACH TO YOGA THERAPY DECREASES CLIMACTERIC SYMPTOMS, PERCEIVED STRESS, AND NEUROTICISM IN PERIMENOPAUSAL WOMEN BETTER THAN PHYSICAL EXERCISE. 2008 16 1014 31 EFFECTS OF PILATES AND YOGA IN PATIENTS WITH CHRONIC NECK PAIN: A SONOGRAPHIC STUDY. BACKGROUND: VARIOUS STUDIES HAVE SHOWN THE EFFICACY OF CONVENTIONAL ISOMETRIC, PILATES AND YOGA EXERCISES. HOWEVER, DATA ON THE EFFECTS AND COMPARISON OF THESE SPECIFIC EXERCISES ON THE CERVICAL MUSCLE MORPHOLOGY ARE INSUFFICIENT OR LACKING. OBJECTIVE: TO INVESTIGATE THE EFFECTS OF DIFFERENT EXERCISE TREATMENTS ON NECK MUSCLES IN PATIENTS WITH CHRONIC NECK PAIN. DESIGN: A RANDOMIZED STUDY. METHODS: FIFTY-SIX PATIENTS WITH CHRONIC NECK PAIN WERE RANDOMIZED INTO 3 GROUPS AS FOLLOWS: PILATES GROUP (N = 20), YOGA GROUP (N = 18) AND ISOMETRIC GROUP (N = 18). DEMOGRAPHICS AND BACKGROUND INFORMATION WERE RECORDED. THE THICKNESS AND CROSS-SECTIONAL AREA OF NECK MUSCLES WERE EVALUATED BY ULTRASOUND IMAGING. CERVICAL MOTIONS WERE MEASURED WITH A GONIOMETER. PAIN SEVERITY WAS EVALUATED WITH THE MCGILL PAIN SCALE, DISABILITY WITH THE NECK DISABILITY INDEX, QUALITY OF LIFE WITH THE NOTTINGHAM HEALTH PROFILE, AND EMOTIONAL STATUS WITH THE BECK DEPRESSION INVENTORY. IN ADDITION TO A CONVENTIONAL PHYSIO-THERAPY PROGRAMME, 15 SESSIONS OF PHYSICAL THERAPY, INCLUDING HOT PACK, ULTRASOUND, AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS), WERE PROVIDED TO ALL PATIENTS. ALL GROUPS PERFORMED THE EXERCISES FOR 6 WEEKS. THE AFOREMENTIONED ASSESSMENTS WERE PERFORMED BEFORE AND 6 WEEKS AFTER THE TREATMENT. RESULTS: ALTHOUGH PAIN, DISABILITY, DEPRESSION AND QUALITY OF LIFE IMPROVED SIMILARLY WITHIN ALL GROUPS (ALL P < 0.05), MUSCLE THICKNESS VALUES AS REGARDS THE SEMISPINALIS CAPITIS WERE INCREASED ONLY IN THE PILATES GROUP (P = 0.022). STUDY LIMITATIONS: THE LACK OF COMPLEX (PROGRESSIVE RESISTIVE) EXERCISE TREATMENT PROTOCOLS, SHORT TREATMENT DURATION AND PARTIAL SUPERVISION. CONCLUSION: ALL 3 TYPES OF EXERCISE HAD FAVOURABLE EFFECTS ON PAIN AND FUNCTIONAL SCORES, BUT NO DIFFERENCES WERE FOUND AMONG THE GROUPS, EXCEPT FOR THE PILATES GROUP, IN WHICH THE SEMISPINALIS CAPITIS MUSCLE INCREASED IN THICKNESS. 2018 17 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 18 759 22 EFFECT OF STRUCTURED YOGA PROGRAM ON STRESS AND PROFESSIONAL QUALITY OF LIFE AMONG NURSING STAFF IN A TERTIARY CARE HOSPITAL OF DELHI-A SMALL SCALE PHASE-II TRIAL. BACKGROUND: NURSING STAFF SUFFER FROM VARIOUS LEVEL OF STRESS AND BURNOUT. WE AIMED TO ASSESS THE EFFECT OF 12 WEEKS OF STRUCTURED YOGA ON STRESS AND THE PROFESSIONAL QUALITY OF LIFE AMONG NURSING STAFF. DESIGN AND METHOD: AN OPEN-LABEL, PHASE-II RANDOMIZED CLINICAL TRIAL WAS UNDERTAKEN CONSIDERING A SAMPLE SIZE OF CONVENIENCE WAS DONE. IN SERVICE NURSING STAFF WERE RANDOMIZED (1:1) TO INTERVENTION GROUP AND WAIT-LIST CONTROL GROUP. PRIMARY OUTCOME WAS PERCEIVED STRESS WHICH WAS MEASURED BY PERCEIVED STRESS SCALE (PSS). SECONDARY MEASURES WERE PROFESSIONAL QUALITY MEASURED BY PROFESSIONAL QUALITY OF LIFE (PROQOL) SCALE, BLOOD PRESSURE, SERUM CORTISOL, AND HIGH-SENSITIVE C-REACTIVE PROTEIN. BOTH THE PER-PROTOCOL AND INTENTION TO TREAT ANALYSIS WAS DONE. RESULTS: TOTAL 113 PARTICIPANTS WERE ALLOCATED TO INTERVENTION GROUP (N = 58, MEAN = 35 YEARS, SD = 7.9 YEARS) AND WAIT-LIST CONTROL GROUP (N = 55, MEAN = 32.5 YEARS, SD = 6.8 YEARS). AFTER 12 WEEKS, 19 PARTICIPANTS OF INTERVENTION GROUP AND 32 PARTICIPANTS OF WAIT-LIST CONTROL GROUP WERE INCLUDED IN THE PER-PROTOCOL ANALYSIS. FOLLOW-UP MEAN PSS SCORE WAS 15.4 (95% CI 12.6-18.2, SD 5.8) IN INTERVENTION GROUP, 20.7 (95% CI 19.7-21.7, SD 2.8) IN WAIT-LIST CONTROL GROUP (P-VALUE < 0.0001). THE OTHER PARAMETERS DIDN'T DIFFER BETWEEN THE GROUPS AND FROM BASELINE TO END LINE TOO. CONCLUSIONS AND RELEVANCE: THE FINDING SHOWED SUPERVISED STRUCTURED YOGA MAY BE EFFICACIOUS TO REDUCE STRESS. STUDIES WITH LARGER SAMPLE SIZE ARE NEEDED TO CONFIRM THE FINDINGS. TRIAL REGISTRATION: IT WAS APPROVED BY THE INSTITUTE ETHICS COMMITTEE (REFERENCE NO: IECPG-543/20.12.2017, RT-57/31.01.2018) AND WAS REGISTERED PROSPECTIVELY IN THE CLINICAL TRIAL REGISTRY OF INDIA PROSPECTIVELY (NO. CTRI/2018/02/012206). 2021 19 1448 22 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 20 1246 22 FEASIBILITY OF INTEGRATION OF YOGA IN A BEHAVIORAL WEIGHT-LOSS INTERVENTION: A RANDOMIZED TRIAL. OBJECTIVE: THIS STUDY EXAMINED THE FEASIBILITY AND COMPARISON OF TWO STYLES OF YOGA WITHIN THE CONTEXT OF A STANDARD BEHAVIORAL WEIGHT-LOSS INTERVENTION (SBWI). METHODS: FIFTY ADULTS WITH OBESITY (BMI: 31.3 +/- 3.8 KG/M(2) ) PARTICIPATED IN THIS 6-MONTH STUDY THAT INCLUDED A SBWI AND A CALORIE- AND FAT-REDUCED DIET. RANDOMIZATION WAS TO RESTORATIVE HATHA (SBWI+RES) OR VINYASA (SBWI+VIN) YOGA. YOGA WAS PRESCRIBED TO INCREASE FROM 20 TO 40 TO 60 MINUTES PER SESSION ACROSS THE INTERVENTION. WEIGHT WAS ASSESSED AT BASELINE AND 6 MONTHS. PERCEPTIONS OF YOGA WERE ASSESSED AT THE COMPLETION OF THE INTERVENTION. RESULTS: ADJUSTED WEIGHT LOSS WAS -3.4 KG (95% CI: -6.4 TO -0.5) IN SBWI+RES AND -3.8 KG (95% CI: -6.8 TO -0.9) IN SBWI+VIN (P < 0.001), WITH NO DIFFERENCE BETWEEN GROUPS. OF ALL PARTICIPANTS, 74.4% REPORTED THAT THEY WOULD CONTINUE PARTICIPATION IN YOGA AFTER THE SBWI. SESSION DURATION WAS A BARRIER AS YOGA INCREASED FROM 20 TO 40 TO 60 MINUTES PER DAY, WITH 0%, 7.5%, AND 48.8% REPORTING THIS BARRIER, RESPECTIVELY. CONCLUSIONS: AMONG ADULTS WITH OBESITY, YOGA PARTICIPATION, WITHIN THE CONTEXT OF A SBWI, APPEARS TO BE FEASIBLE, WITH WEIGHT LOSS NOT DIFFERING BY STYLE OF YOGA. PROGRESSING TO 60 MINUTES PER SESSION APPEARS TO BE A BARRIER TO ENGAGEMENT IN YOGA IN THIS POPULATION. 2021