1 1765 131 POSTSTROKE BALANCE IMPROVES WITH YOGA: A PILOT STUDY. BACKGROUND AND PURPOSE: BALANCE IMPAIRMENT IS COMMON AFTER STROKE; MODIFIED YOGA MAY BE ABLE TO IMPROVE BALANCE AND OTHER IMPORTANT POSTSTROKE VARIABLES. SCIENTIFIC-EVIDENCE IS NEEDED TO SUPPORT SUCH TREATMENT INTERVENTIONS. THE PURPOSE OF THIS STUDY WAS TO ASSESS THE IMPACT OF A YOGA-BASED REHABILITATION INTERVENTION ON BALANCE, BALANCE SELF-EFFICACY, FEAR OF FALLING (FOF), AND QUALITY OF LIFE AFTER STROKE. METHODS: THIS WAS A PROSPECTIVE, RANDOMIZED, PILOT STUDY OF YOGA-BASED REHABILITATION FOR PEOPLE WITH CHRONIC STROKE. ALL YOGA SESSIONS WERE TAUGHT BY A REGISTERED YOGA THERAPIST, OCCURRED TWICE PER WEEK FOR 8 WEEKS AND INCLUDED SEATED, STANDING, AND FLOOR POSTURES WITH RELAXATION AND MEDITATION. BALANCE WAS ASSESSED WITH THE BERG BALANCE SCALE, BALANCE SELF-EFFICACY WITH THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE, FOF WITH A DICHOTOMOUS YES/NO QUESTION, AND QUALITY OF LIFE WITH THE STROKE SPECIFIC QUALITY OF LIFE SCALE. RESULTS: THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN WAIT-LIST CONTROL (N=10) AND YOGA (N=37) GROUPS IN BASELINE OR FOLLOW-UP SCORES. HOWEVER, USING WITHIN-GROUP COMPARISONS, YOGA GROUP DATA DEMONSTRATED SIGNIFICANT IMPROVEMENT IN BALANCE (BERG BALANCE SCALE, 41.3+/-11.7 VS 46.3+/-9.1; P<0.001) AND FOF (51% VS 46% WITH FOF; P<0.001). CONCLUSIONS: A GROUP YOGA-BASED REHABILITATION INTERVENTION FOR PEOPLE WITH CHRONIC STROKE HAS POTENTIAL IN IMPROVING MULTIPLE POSTSTROKE VARIABLES. GROUP YOGA MAY BE COMPLEMENTARY TO REHABILITATION, MAY BE POSSIBLE IN MEDICAL-BASED AND COMMUNITY-BASED SETTINGS, AND MAY BE COST-EFFECTIVE. FURTHER TESTING OF GROUP YOGA-BASED REHABILITATION INTERVENTIONS IS WARRANTED. CLINICAL TRIAL REGISTRATION- URL: HTTP://CLINICALTRIALS.GOV. UNIQUE IDENTIFIER: NCT01109602.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2 2222  57 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	
                                                                                                                                                                                                                                                                                                              
3 1864  36 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
4  255  45 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5  666  40 EFFECT OF A 12-WEEK YOGA INTERVENTION ON FEAR OF FALLING AND BALANCE IN OLDER ADULTS: A PILOT STUDY. OBJECTIVE: TO DETERMINE WHETHER FEAR OF FALLING (FOF) AND BALANCE IMPROVED AFTER A 12-WEEK YOGA INTERVENTION AMONG OLDER ADULTS. DESIGN: A 12-WEEK YOGA INTERVENTION SINGLE-ARMED PILOT STUDY. SETTING: A RETIREMENT COMMUNITY IN A MEDIUM-SIZED UNIVERSITY TOWN IN THE MIDWEST. PARTICIPANTS: A CONVENIENCE SAMPLE OF ADULTS (N=14) OVER THE AGE OF 65 YEARS WHO ALL ENDORSED AN FOF. INTERVENTION: EACH PARTICIPANT TOOK PART IN A BIWEEKLY 12-WEEK YOGA INTERVENTION. THE YOGA SESSIONS INCLUDED BOTH PHYSICAL POSTURES AND BREATHING EXERCISES. POSTURES WERE COMPLETED IN SITTING AND STANDING POSITIONS. MAIN OUTCOME MEASURES: WE MEASURED FOF WITH THE ILLINOIS FOF MEASURE AND BALANCE WITH THE BERG BALANCE SCALE. UPPER- AND LOWER-BODY FLEXIBILITY WERE MEASURED WITH THE BACK SCRATCH TEST AND CHAIR SIT AND REACH TEST, RESPECTIVELY. RESULTS: FOF DECREASED BY 6%, STATIC BALANCE INCREASED BY 4% (P=.045), AND LOWER-BODY FLEXIBILITY INCREASED BY 34%. CONCLUSIONS: THE RESULTS INDICATE THAT YOGA MAY BE A PROMISING INTERVENTION TO MANAGE FOF AND IMPROVE BALANCE, THEREBY REDUCING FALL RISK FOR OLDER ADULTS. REHABILITATION THERAPISTS MAY WISH TO EXPLORE YOGA AS A MODALITY FOR BALANCE AND FALLS PROGRAMMING; HOWEVER, FUTURE RESEARCH IS NEEDED TO CONFIRM THE USE OF YOGA IN SUCH PROGRAMMING.	2010	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
6 1242  43 FEASIBILITY OF A YOGA INTERVENTION TO DECREASE PAIN IN OLDER WOMEN: A RANDOMIZED CONTROLLED PILOT STUDY. BACKGROUND: A SIGNIFICANT PROPORTION OF OLDER WOMEN SUFFER FROM CHRONIC PAIN, WHICH CAN DECREASE QUALITY OF LIFE. THE OBJECTIVE OF THIS PILOT RANDOMIZED STUDY WAS TO EVALUATE THE FEASIBILITY OF A FLOW-RESTORATIVE YOGA INTERVENTION DESIGNED TO DECREASE PAIN AND RELATED OUTCOMES AMONG WOMEN AGED 60 OR OLDER. METHODS: FLOW-RESTORATIVE YOGA CLASSES WERE HELD TWICE WEEKLY FOR 1 HOUR AND LED BY A CERTIFIED YOGA INSTRUCTOR. PARTICIPANTS RANDOMIZED TO THE INTERVENTION GROUP ATTENDED THE YOGA CLASSES FOR 12 WEEKS AND RECEIVED SUPPLEMENTAL MATERIALS FOR AT-HOME PRACTICE. THOSE RANDOMIZED TO THE CONTROL GROUP WERE ASKED TO MAINTAIN THEIR NORMAL DAILY ROUTINE. FEASIBILITY WAS EVALUATED USING RECRUITMENT AND RETENTION RATES, CLASS AND HOME PRACTICE ADHERENCE RATES, AND PARTICIPANT SATISFACTION SURVEYS. OUTCOME MEASURES (SELF-REPORTED PAIN, INFLAMMATORY MARKERS, FUNCTIONAL FITNESS, QUALITY OF LIFE, RESILIENCE, AND SELF-REPORTED PHYSICAL ACTIVITY) WERE ASSESSED AT BASELINE AND POST-INTERVENTION. PAIRED T-TESTS OR WILCOXON SIGNED-RANK TESTS WERE USED TO EXAMINE CHANGES IN OUTCOME MEASURES WITHIN TREATMENT GROUPS. RESULTS: THIRTY-EIGHT PARTICIPANTS WERE RECRUITED AND RANDOMIZED. PARTICIPANTS WERE PRIMARILY WHITE, COLLEGE-EDUCATED, AND HIGHER FUNCTIONING, DESPITE EXPERIENCING VARIOUS FORMS OF CHRONIC PAIN. ATTENDANCE AND RETENTION RATES WERE HIGH (91 AND 97%, RESPECTIVELY) AND THE MAJORITY OF PARTICIPANTS WERE SATISFIED WITH THE YOGA PROGRAM (89%) AND WOULD RECOMMEND IT TO OTHERS (87%). INTERVENTION PARTICIPANTS ALSO EXPERIENCED REDUCTIONS IN PAIN INTERFERENCE AND IMPROVEMENTS IN ENERGY AND SOCIAL FUNCTIONING. CONCLUSIONS: THIS PILOT STUDY PROVIDES ESSENTIAL DATA TO INFORM A FULL SCALE RANDOMIZED TRIAL OF FLOW-RESTORATIVE YOGA FOR OLDER WOMEN WITH CHRONIC PAIN. FUTURE STUDIES SHOULD EMPHASIZE STRATEGIES TO RECRUIT A MORE DIVERSE STUDY POPULATION, PARTICULARLY OLDER WOMEN AT HIGHER RISK OF DISABILITY AND FUNCTIONAL DECLINE. TRIAL REGISTRATION: CLINICALTRIALS.GOV , NCT03790098 . REGISTERED 31 DECEMBER 2018 - RETROSPECTIVELY REGISTERED.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
7  444  24 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
8 2864  43 YOGA-BASED INTERVENTION FOR CAREGIVERS OF OUTPATIENTS WITH PSYCHOSIS: A RANDOMIZED CONTROLLED PILOT STUDY. PURPOSE OF THE STUDY: THE USE OF YOGA AS AN INTERVENTION FOR CAREGIVERS OF PATIENTS WITH PSYCHOSIS HAS BEEN POORLY STUDIED. THE CURRENT STUDY AIMED TO TEST THE EFFICACY OF A BRIEF YOGA PROGRAM AS AN INTERVENTION IN CAREGIVERS OF OUTPATIENTS WITH FUNCTIONAL PSYCHOTIC DISORDERS USING A RANDOMIZED CONTROLLED RESEARCH DESIGN. MATERIALS AND METHODS: CAREGIVERS WHO AGREED TO PARTICIPATE IN THE STUDY (N=29) WERE RANDOMIZED INTO YOGA (N=15) OR WAIT-LIST GROUP (N=14). THEY WERE ASSESSED AT BASELINE AND AT THE END OF 3 MONTHS. PATIENTS WHO WERE RANDOMIZED INTO THE YOGA GROUP WERE OFFERED SUPERVISED YOGA TRAINING THRICE A WEEK FOR 4 WEEKS, AFTER WHICH THEY WERE INSTRUCTED TO PRACTICE AT HOME FOR THE NEXT 2 MONTHS. DUE TO THE SMALL SAMPLE SIZE AND SOME VARIABLES NOT BEING NORMALLY DISTRIBUTED, NON-PARAMETRIC STATISTICAL ANALYSIS WAS USED. RESULTS: RESULTS SHOWED SIGNIFICANTLY REDUCED BURDEN SCORES AND IMPROVED QUALITY OF LIFE SCORES IN THE YOGA GROUP AS COMPARED TO THE WAIT-LIST GROUP AT THE END OF 3 MONTHS. THERE WERE NO SIGNIFICANT CHANGES IN ANXIETY AND DEPRESSION SCORES IN CAREGIVERS, OR PSYCHOPATHOLOGY SCORES IN PATIENTS. CONCLUSION: IN CAREGIVERS OF OUTPATIENTS WITH FUNCTIONAL PSYCHOSIS, 4 WEEKS OF TRAINING FOLLOWED BY 3 MONTHS OF HOME PRACTICE OF A YOGA MODULE OFFERED SIGNIFICANT ADVANTAGE OVER WAITLIST. YOGA CAN BE OFFERED AS AN INTERVENTION FOR CAREGIVERS OF PATIENTS WITH SEVERE MENTAL DISORDERS. METHODS OF PROVIDING YOGA INTERVENTION CLOSER TO THE COMMUNITY OR USE OF FLEXIBLE MODULES AT HOSPITALS NEEDS FURTHER STUDY.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
9   12  52 "MERGING YOGA AND OCCUPATIONAL THERAPY (MY-OT): A FEASIBILITY AND PILOT STUDY". OBJECTIVE: TO EXAMINE THE FEASIBILITY AND BENEFITS OF THE MERGING YOGA AND OCCUPATIONAL THERAPY (MY-OT) INTERVENTION. DESIGN: THIS IS THE PRIMARY ANALYSIS OF A NON-CONTROLLED PRETEST-POSTTEST PILOT STUDY TO UNDERSTAND THE FEASIBILITY AND IMPACT OF MY-OT ON BALANCE, BALANCE SELF-EFFICACY, AND FALL RISK FACTOR MANAGEMENT IN PEOPLE WITH CHRONIC STROKE. SETTING: UNIVERSITY RESEARCH LABORATORY. PARTICIPANTS: PEOPLE WITH CHRONIC STROKE WERE INCLUDED IN THE STUDY IF THEY: HAD SUSTAINED A FALL OR HAD FEAR OF FALLING, WERE ABLE TO STAND, AND HAND IMPAIRED BALANCE AND WERE AT RISK FOR FALLS (</=46 ON THE BERG BALANCE SCALE (BBS)). INTERVENTIONS: INDIVIDUALS COMPLETED AN 8 WEEK INTERVENTION THAT INCLUDED 16 SESSIONS OF BOTH YOGA AND GROUP OCCUPATIONAL THERAPY (OT). YOGA INCLUDED PHYSICAL POSTURES, BREATHING EXERCISES, AND MEDITATION. OT FOCUSED ON POST-STROKE FALL RISK FACTOR MANAGEMENT. MAIN OUTCOME MEASURES: THE BBS WAS USED TO ASSESS BALANCE, THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE (ABC) WAS USED TO MEASURE BALANCE SELF-EFFICACY. FIVE FALL RISK FACTOR MANAGEMENT SCALES WERE USED. RESULTS: OVERALL, THE INTERVENTION WAS CONSIDERED FEASIBLE, AS INDIVIDUALS WERE ABLE TO SAFELY COMPLETE THE INTERVENTION WITH LITTLE ATTRITION AND HIGH ATTENDANCE. BALANCE IMPROVED BY 30% (P=0.002). BALANCE SELF-EFFICACY IMPROVED BY 15% (P=0.034). EACH OF THE FIVE FALL RISK FACTOR MANAGEMENT SCALES IMPROVED, BUT ONLY TWO SIGNIFICANTLY IMPROVED (FALL PREVENTION AND MANAGEMENT QUESTIONNAIRE, 29%, P=0.004 AND FALL PREVENTION STRATEGY SURVEY, 42%, P=0.032). CONCLUSION: THE RESULTS DEMONSTRATE THAT MY-OT IS A POTENTIAL INTERVENTION TO IMPROVE MULTIPLE FALL RELATED OUTCOMES FOR PEOPLE WITH STROKE. THERAPISTS MAY CONSIDER THESE INTERVENTIONS FOR PEOPLE WITH STROKE, BUT ADDITIONAL RESEARCH IS WARRANTED.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
10 1072  58 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	

11 2811  39 YOGA TO PREVENT MOBILITY LIMITATIONS IN OLDER ADULTS: FEASIBILITY OF A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: THE LOSS OF MOBILITY DURING AGING IMPACTS INDEPENDENCE AND LEADS TO FURTHER DISABILITY, MORBIDITY, AND REDUCED LIFE EXPECTANCY. OUR OBJECTIVE WAS TO EXAMINE THE FEASIBILITY AND SAFETY OF CONDUCTING A RANDOMIZED CONTROLLED TRIAL OF YOGA FOR OLDER ADULTS AT RISK FOR MOBILITY LIMITATIONS. METHODS: SEDENTARY OLDER ADULTS (N = 46; AGE 60-89) WERE RECRUITED AND RANDOMIZED TO EITHER YOGA OR A HEALTH EDUCATION COMPARISON GROUP. YOGA SESSIONS (60-MIN) OCCURRED 2X WEEKLY, AND 90-MIN HEALTH EDUCATION SESSIONS OCCURRED WEEKLY, FOR 10 WEEKS. THE PRIMARY OUTCOMES WERE RECRUITMENT RATE, INTERVENTION ATTENDANCE, AND RETENTION AT ASSESSMENTS. ADVERSE EVENT RATES AND PARTICIPANT SATISFACTION WERE ALSO MEASURED. PHYSICAL PERFORMANCE MEASURES OF GAIT, BALANCE, AND STRENGTH AND SELF-REPORT OUTCOME MEASURES WERE ADMINISTERED AT BASELINE AND 10-WEEKS. RESULTS: RECRUITMENT LASTED 6 MONTHS. RETENTION OF PARTICIPANTS AT THE 10-WEEK FOLLOW-UP WAS HIGH (89% - PERFORMANCE MEASURES; 98% - SELF-REPORT QUESTIONNAIRES). ATTENDANCE WAS GOOD WITH 82% OF YOGA AND 74% OF HEALTH EDUCATION PARTICIPANTS ATTENDING AT LEAST 50% OF THE SESSIONS. NO SERIOUS ADVERSE EVENTS WERE REPORTED. PATIENT SATISFACTION WITH THE INTERVENTIONS WAS HIGH. THE MEAN EFFECT SIZE FOR THE PHYSICAL PERFORMANCE MEASURES WAS 0.35 WITH SOME OVER 0.50. THE MEAN EFFECT SIZE FOR SELF-REPORT OUTCOME MEASURES WAS 0.36. CONCLUSIONS: RESULTS INDICATE THAT IT IS FEASIBLE TO CONDUCT A LARGER RCT OF YOGA FOR SEDENTARY OLDER ADULTS AT RISK FOR MOBILITY PROBLEMS. THE YOGA AND COMPARISON INTERVENTIONS WERE SAFE, WELL ACCEPTED, AND WELL ATTENDED. EFFECT SIZES SUGGEST YOGA MAY HAVE IMPORTANT BENEFITS FOR THIS POPULATION AND SHOULD BE STUDIED FURTHER. TRIAL REGISTRATION: CLINICALTRIALS # NCT03544879 ; RETROSPECTIVELY REGISTERED 4 JUNE, 2018.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
12 2815  44 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
13  428  37 CAN YOGA HAVE ANY EFFECT ON SHOULDER AND ARM PAIN AND QUALITY OF LIFE IN PATIENTS WITH BREAST CANCER? A RANDOMIZED, CONTROLLED, SINGLE-BLIND TRIAL. OBJECTIVE: TO EXAMINE THE EFFECTS OF YOGA ON SHOULDER AND ARM PAIN, QUALITY OF LIFE (QOL), DEPRESSION, AND PHYSICAL PERFORMANCE IN PATIENTS WITH BREAST CANCER. METHODS: THIS PROSPECTIVE, RANDOMIZED STUDY INCLUDED 42 PATIENTS. THE PATIENTS IN GROUP 1 UNDERWENT A 10-WEEK HATHA YOGA EXERCISE PROGRAM. THE PATIENTS IN GROUP 2 WERE INCLUDED IN A 10-WEEK FOLLOW-UP PROGRAM. OUR PRIMARY ENDPOINT WAS ARM AND SHOULDER PAIN INTENSITY. RESULTS: THE GROUP RECEIVING YOGA SHOWED A SIGNIFICANT IMPROVEMENT IN THEIR PAIN SEVERITY FROM BASELINE TO POST-TREATMENT, AND THESE BENEFITS WERE MAINTAINED AT 2.5 MONTHS POST-TREATMENT. WHEN COMPARED TO THE CONTROL GROUP, THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN THE 2 GROUPS WITH RESPECT TO THE PARAMETERS ASSESSED AT THE END OF WEEK 10. CONCLUSION: YOGA WAS AN EFFECTIVE AND SAFE EXERCISE FOR ALLEVIATING SHOULDER AND ARM PAIN, WHICH IS A COMPLICATION WITH A HIGH PREVALENCE IN PATIENTS WITH BREAST CANCER.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
14  159  39 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
15  936  34 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
16 2405  44 YOGA AND EXERCISE FOR SYMPTOMS OF DEPRESSION AND ANXIETY IN PEOPLE WITH POSTSTROKE DISABILITY: A RANDOMIZED, CONTROLLED PILOT TRIAL. CONTEXT: MOOD DISORDERS ARE PREVALENT IN PEOPLE AFTER STROKE, AND A DISORDER'S ONSET CAN EXACERBATE STROKE-RELATED DISABILITIES. WHILE EVIDENCE SUPPORTS THE MENTAL-HEALTH BENEFITS OF PARTICIPATION IN EXERCISE AND YOGA, IT IS UNKNOWN WHETHER SUCH BENEFITS EXTEND TO A POPULATION WITH POSTSTROKE HEMIPARESIS. OBJECTIVE: THE STUDY INVESTIGATED WHETHER SUPPLEMENTING EXERCISE WITH PARTICIPATION IN A YOGA PROGRAM WOULD PROVIDE FURTHER IMPROVEMENTS IN SELF-REPORTED SYMPTOMS OF DEPRESSION AND ANXIETY IN A CHRONIC POSTSTROKE POPULATION, AND IT ALSO ASSESSED TRIAL FEASIBILITY FOR FUTURE STUDIES. DESIGN: THE RESEARCH TEAM DESIGNED A RANDOMIZED, CONTROLLED PILOT TRIAL THAT INCLUDED AN EXERCISE-ONLY GROUP (EX, CONTROL) AND A YOGA-AND-EXERCISE GROUP (YEX, INTERVENTION). SETTING: THE STUDY TOOK PLACE AT THE CENTRE FOR PHYSICAL ACTIVITY IN AGEING AN EXERCISE REHABILITATION AND ACTIVITY CENTER AT THE ROYAL ADELAIDE HOSPITAL IN SOUTH AUSTRALIA. PARTICIPANTS: THE PARTICIPANTS INCLUDED 14 INDIVIDUALS WITH CHRONIC POSTSTROKE HEMIPARESIS: EIGHT IN THE INTERVENTION GROUP AND SIX IN THE CONTROL GROUP. INTERVENTIONS: THE YEX GROUP PARTICIPATED IN A 6-WEEK STANDARDIZED PROGRAM THAT INCLUDED YOGA IN WEEKLY GROUP SESSIONS AND HOME PRACTICE IN ADDITION TO EXERCISE IN A WEEKLY GROUP CLASS. THE EX GROUP PARTICIPATED ONLY IN THE GROUP EXERCISE CLASS WEEKLY FOR 6 WEEKS. OUTCOME MEASURES: THE RESEARCH TEAM ASSESSED SELF-REPORTED SYMPTOMS OF DEPRESSION USING THE GERIATRIC DEPRESSION SCALE (GDS15) AND SYMPTOMS OF ANXIETY AND NEGATIVE AFFECT USING THE STATE TRAIT ANXIETY INVENTORY (STAI). THE TEAM BASED THE FEASIBILITY EVALUATION ON RECRUITMENT OUTCOMES, RETENTION OF PARTICIPANTS, PARTICIPANTS' COMPLIANCE WITH THE INTERVENTION PROGRAM, AND THE SAFETY OF THE INTERVENTION. RESULTS: CHANGES IN DEPRESSION AND STATE AND TRAIT ANXIETY DID NOT SIGNIFICANTLY DIFFER BETWEEN INTERVENTION GROUPS (GDS15 P=.749, STAI-Y1, P=.595, STAI-Y2, P=.407). COMPARISON OF INDIVIDUALS' CASE RESULTS INDICATED CLINICALLY RELEVANT IMPROVEMENTS IN BOTH GROUPS, ALTHOUGH MEMBERS OF THE INTERVENTION GROUP HAD GREATER IMPROVEMENTS. PARTICIPANTS REPORTED NO ADVERSE EVENTS, AND THE STUDY EXPERIENCED HIGH RETENTION OF PARTICIPANTS AND HIGH COMPLIANCE IN THE YOGA PROGRAM. CONCLUSIONS: THIS PILOT STUDY PROVIDES PRELIMINARY DATA ON THE EFFECTS OF YOGA COMBINED WITH EXERCISE TO INFLUENCE MOOD POSTSTROKE. IT IS A FEASIBLE, SAFE, AND ACCEPTABLE INTERVENTION, AND THE FIELD REQUIRES ADDITIONAL INVESTIGATIONS WITH A LARGER SAMPLE SIZE.	2012	
     
17  282  44 ADHERENCE TO YOGA AND EXERCISE INTERVENTIONS IN A 6-MONTH CLINICAL TRIAL. BACKGROUND: TO DETERMINE FACTORS THAT PREDICT ADHERENCE TO A MIND-BODY INTERVENTION IN A RANDOMIZED TRIAL. DESIGN: WE ANALYZED ADHERENCE DATA FROM A 3-ARM TRIAL INVOLVING 135 GENERALLY HEALTHY SENIORS 65-85 YEARS OF AGE RANDOMIZED TO A 6-MONTH INTERVENTION CONSISTING OF: AN IYENGAR YOGA CLASS WITH HOME PRACTICE, AN EXERCISE CLASS WITH HOME PRACTICE, OR A WAIT-LIST CONTROL GROUP. OUTCOME MEASURES INCLUDED COGNITIVE FUNCTION, MOOD, FATIGUE, ANXIETY, HEALTH-RELATED QUALITY OF LIFE, AND PHYSICAL MEASURES. ADHERENCE TO THE INTERVENTION WAS OBTAINED BY CLASS ATTENDANCE AND BIWEEKLY HOME PRACTICE LOGS. RESULTS: THE DROP-OUT RATE WAS 13%. AMONG THE COMPLETERS OF THE TWO ACTIVE INTERVENTIONS, AVERAGE YOGA CLASS ATTENDANCE WAS 77% AND HOME PRACTICE OCCURRED 64% OF ALL DAYS. AVERAGE EXERCISE CLASS ATTENDANCE WAS 69% AND HOME EXERCISE OCCURRED 54% OF ALL DAYS. THERE WERE NO CLEAR EFFECTS OF ADHERENCE ON THE SIGNIFICANT STUDY OUTCOMES (QUALITY OF LIFE AND PHYSICAL MEASURES). CLASS ATTENDANCE WAS SIGNIFICANTLY CORRELATED WITH BASELINE MEASURES OF DEPRESSION, FATIGUE, AND PHYSICAL COMPONENTS OF HEALTH-RELATED QUALITY OF LIFE. SIGNIFICANT DIFFERENCES IN BASELINE MEASURES WERE ALSO FOUND BETWEEN STUDY COMPLETERS AND DROP-OUTS IN THE ACTIVE INTERVENTIONS. ADHERENCE WAS NOT RELATED TO AGE, GENDER, OR EDUCATION LEVEL. CONCLUSION: HEALTHY SENIORS HAVE GOOD ATTENDANCE AT CLASSES WITH A PHYSICALLY ACTIVE INTERVENTION. HOME PRACTICE TAKES PLACE OVER HALF OF THE TIME. DECREASED ADHERENCE TO A POTENTIALLY BENEFICIAL INTERVENTION HAS THE POTENTIAL TO DECREASE THE EFFECT OF THE INTERVENTION IN A CLINICAL TRIAL BECAUSE SUBJECTS WHO MIGHT SUSTAIN THE GREATEST BENEFIT WILL RECEIVE A LOWER DOSE OF THE INTERVENTION AND SUBJECTS WITH HIGHER ADHERENCE RATES MAY BE FUNCTIONING CLOSER TO MAXIMUM ABILITY BEFORE THE INTERVENTION. STRATEGIES TO MAXIMIZE ADHERENCE AMONG SUBJECTS AT GREATER RISK FOR LOW ADHERENCE WILL BE IMPORTANT FOR FUTURE TRIALS, ESPECIALLY COMPLEMENTARY TREATMENTS REQUIRING GREATER EFFORT THAN SIMPLE PILL-TAKING.	2007	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
18 1869  34 RANDOMIZED, CONTROLLED, SIX-MONTH TRIAL OF YOGA IN HEALTHY SENIORS: EFFECTS ON COGNITION AND QUALITY OF LIFE. CONTEXT: THERE ARE POTENTIAL BENEFITS OF MIND-BODY TECHNIQUES ON COGNITIVE FUNCTION BECAUSE THE TECHNIQUES INVOLVE AN ACTIVE ATTENTIONAL OR MINDFULNESS COMPONENT, BUT THIS HAS NOT BEEN FULLY EXPLORED. OBJECTIVE: TO DETERMINE THE EFFECT OF YOGA ON COGNITIVE FUNCTION, FATIGUE, MOOD, AND QUALITY OF LIFE IN SENIORS. DESIGN: RANDOMIZED, CONTROLLED TRIAL COMPARING YOGA, EXERCISE, AND WAIT-LIST CONTROL GROUPS. PARTICIPANTS: ONE HUNDRED THIRTY-FIVE GENERALLY HEALTHY MEN AND WOMEN AGED 65-85 YEARS. INTERVENTION: PARTICIPANTS WERE RANDOMIZED TO 6 MONTHS OF HATHA YOGA CLASS, WALKING EXERCISE CLASS, OR WAIT-LIST CONTROL. SUBJECTS ASSIGNED TO CLASSES ALSO WERE ASKED TO PRACTICE AT HOME. MAIN OUTCOME MEASURES: OUTCOME ASSESSMENTS PERFORMED AT BASELINE AND AFTER THE 6-MONTH PERIOD INCLUDED A BATTERY OF COGNITIVE MEASURES FOCUSED ON ATTENTION AND ALERTNESS, THE PRIMARY OUTCOME MEASURES BEING PERFORMANCE ON THE STROOP TEST AND A QUANTITATIVE ELECTROENCEPHALOGRAM (EEG) MEASURE OF ALERTNESS; SF-36 HEALTH-RELATED QUALITY OF LIFE; PROFILE OF MOOD STATES; MULTI-DIMENSIONAL FATIGUE INVENTORY; AND PHYSICAL MEASURES RELATED TO THE INTERVENTIONS. RESULTS: ONE HUNDRED THIRTY-FIVE SUBJECTS WERE RECRUITED AND RANDOMIZED. SEVENTEEN SUBJECTS DID NOT FINISH THE 6-MONTH INTERVENTION. THERE WERE NO EFFECTS FROM EITHER OF THE ACTIVE INTERVENTIONS ON ANY OF THE COGNITIVE AND ALERTNESS OUTCOME MEASURES. THE YOGA INTERVENTION PRODUCED IMPROVEMENTS IN PHYSICAL MEASURES (EG, TIMED 1-LEGGED STANDING, FORWARD FLEXIBILITY) AS WELL AS A NUMBER OF QUALITY-OF-LIFE MEASURES RELATED TO SENSE OF WELL-BEING AND ENERGY AND FATIGUE COMPARED TO CONTROLS. CONCLUSIONS: THERE WERE NO RELATIVE IMPROVEMENTS OF COGNITIVE FUNCTION AMONG HEALTHY SENIORS IN THE YOGA OR EXERCISE GROUP COMPARED TO THE WAIT-LIST CONTROL GROUP. THOSE IN THE YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENT IN QUALITY-OF-LIFE AND PHYSICAL MEASURES COMPARED TO EXERCISE AND WAIT-LIST CONTROL GROUPS.	2006	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
19 2651  40 YOGA IMPROVES BALANCE, MOBILITY, AND PERCEIVED OCCUPATIONAL PERFORMANCE IN ADULTS WITH CHRONIC BRAIN INJURY: A PRELIMINARY INVESTIGATION. BACKGROUND AND PURPOSE: THIS WAS A PRELIMINARY INVESTIGATION TO INVESTIGATE POTENTIAL BENEFITS OF GROUP YOGA, AS PAST WORK HAS INDICATED THAT ONE-ON-ONE YOGA CAN IMPROVE FUNCTIONAL DEFICITS IN ADULTS WITH BRAIN INJURY. MATERIALS AND METHODS: PARTICIPANTS SERVED AS THEIR OWN CONTROLS. NINE PARTICIPANTS WITH CHRONIC BRAIN INJURY WERE RECRUITED, AND SEVEN (FOUR FEMALE) COMPLETED THE STUDY. PERFORMANCE MEASURES OF BALANCE AND MOBILITY AND SELF-REPORTED MEASURES OF BALANCE CONFIDENCE, PAIN, AND OCCUPATIONAL PERFORMANCE AND SATISFACTION WERE USED. DATA WERE COLLECTED 3 TIMES: BASELINE (STUDY ONSET), PRE-YOGA (AFTER AN 8-WEEK NO-CONTACT PERIOD), AND POST-YOGA (AFTER 8 WEEKS OF YOGA). GROUP YOGA WAS LED BY A YOGA INSTRUCTOR/OCCUPATIONAL THERAPIST, AND SESSIONS LASTED 1 H AND OCCURRED TWICE A WEEK. RESULTS: NO PARTICIPANTS WITHDREW DUE TO ADVERSE EFFECTS FROM YOGA. THERE WERE NO SIGNIFICANT CHANGES BETWEEN BASELINE AND PRE-YOGA. SIGNIFICANT IMPROVEMENT WAS OBSERVED POST-YOGA IN BALANCE (P = 0.05), MOBILITY (P = 0.03), AND SELF-REPORTED OCCUPATIONAL PERFORMANCE (P = 0.04). CONCLUSION: WE OBSERVED SIGNIFICANT IMPROVEMENTS IN BALANCE, MOBILITY, AND SELF-REPORTED OCCUPATIONAL PERFORMANCE IN ADULTS WITH CHRONIC BRAIN INJURY.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
20  445  25 CHAIR YOGA: FEASIBILITY AND SUSTAINABILITY STUDY WITH OLDER COMMUNITY-DWELLING ADULTS WITH OSTEOARTHRITIS. THIS STUDY MEASURED THE FEASIBILITY OF COMPLETING A RANDOMIZED CONTROL TRIAL ON AN 8-WEEK SEATED YOGA PROGRAM FOR OLDER ADULTS WITH OSTEOARTHRITIS. PART OF THE FEASIBILITY OF THIS PROGRAM WAS TO DETERMINE WHETHER PARTICIPANTS WOULD CONTINUE THE YOGA PRACTICE AT HOME USING A GUIDE BOOK AFTER THE 8-WEEK PROGRAM. FINDINGS DEMONSTRATED THAT ONCE PARTICIPANTS WERE NOT IN A GROUP SETTING FOR THE YOGA, THEY DID NOT CONTINUE WITH YOGA PRACTICE. THIS OUTCOME DEMONSTRATES THE NEED FOR GROUP PROGRAMS FOR OLDER ADULTS TO PROMOTE ADHERENCE TO MOVEMENT-BASED PROGRAMS. (TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT02113410).	2017