1 1984 161 SOFT TISSUE AND BONY INJURIES ATTRIBUTED TO THE PRACTICE OF YOGA: A BIOMECHANICAL ANALYSIS AND IMPLICATIONS FOR MANAGEMENT. OBJECTIVE: TO ANALYZE INJURIES THAT WERE DIRECTLY ASSOCIATED WITH YOGA PRACTICE AND IDENTIFY SPECIFIC POSES THAT SHOULD BE AVOIDED IN PATIENTS WITH OSTEOPENIA OR OSTEOPOROSIS. PATIENTS AND METHODS: WE RETROSPECTIVELY REVIEWED THE MEDICAL RECORDS OF PATIENTS WITH INJURIES THAT WERE PRIMARILY CAUSED BY YOGA. PATIENTS WERE SEEN FROM JANUARY 1, 2006, THROUGH DECEMBER 31, 2018. INJURIES WERE CATEGORIZED INTO 3 GROUPS: (1) SOFT TISSUE INJURY, (2) AXIAL NONBONY INJURY, AND (3) BONY INJURY. PATIENTS UNDERWENT EVALUATION AND WERE COUNSELED TO MODIFY EXERCISE ACTIVITY. RESULTS: WE IDENTIFIED 89 PATIENTS FOR INCLUSION IN THE STUDY. WITHIN THE SOFT TISSUE GROUP, 66 PATIENTS (74.2%) HAD MECHANICAL MYOFASCIAL PAIN DUE TO OVERUSE. ROTATOR CUFF INJURY WAS SEEN IN 6 (6.7%), AND TROCHANTERIC BURSOPATHY WAS OBSERVED IN 1 (1.1%). IN THE AXIAL GROUP, EXACERBATION OF PAIN IN DEGENERATIVE JOINT DISEASE (46 PATIENTS [51.7%]) AND FACET ARTHROPATHY (N=34 [38.2%]) WERE OBSERVED. RADICULOPATHY WAS SEEN IN 5 PATIENTS (5.6%). WITHIN THE BONY INJURY CATEGORY, KYPHOSCOLIOSIS WAS SEEN ON IMAGING IN 15 PATIENTS (16.9%). SPONDYLOLISTHESIS WAS PRESENT IN 15 PATIENTS (16.9%). ANTERIOR WEDGING WAS SEEN IN 16 (18.0%), AND COMPRESSION FRACTURES WERE PRESENT IN 13 (14.6%). THE POSES THAT WERE MOST COMMONLY IDENTIFIED AS CAUSING THE INJURIES INVOLVED HYPERFLEXION AND HYPEREXTENSION OF THE SPINE. WE CORRELATED THE KINESIOLOGIC EFFECT OF SUCH EXERCISES ON SPECIFIC MUSCULOSKELETAL STRUCTURES. CONCLUSION: YOGA POTENTIALLY HAS MANY BENEFITS, BUT CARE MUST BE TAKEN WHEN PERFORMING POSITIONS WITH EXTREME SPINAL FLEXION AND EXTENSION. PATIENTS WITH OSTEOPENIA OR OSTEOPOROSIS MAY HAVE HIGHER RISK OF COMPRESSION FRACTURES OR DEFORMITIES AND WOULD BENEFIT FROM AVOIDING EXTREME SPINAL FLEXION. PHYSICIANS SHOULD CONSIDER THIS RISK WHEN DISCUSSING YOGA AS EXERCISE. 2019 2 2393 16 YOGA AND BONE HEALTH. OSTEOPOROSIS IS A PUBLIC HEALTH PROBLEM AFFECTING INDIVIDUALS GLOBALLY. YOGA HAS BEEN FOUND TO PREVENT AND REVERSE BONE LOSS. YOGA MAY RESULT IN BETTER BALANCE, IMPROVED POSTURE, AND GREATER RANGE OF MOTION, STRENGTH, AND COORDINATION, ALL FACTORS THAT ALSO MITIGATE THE RISK OF FALLS AND FRACTURES. A 12-MINUTE, 12-POSE YOGA REGIMEN IS DISCUSSED IN DETAIL. ONCE LEARNED, THE ONGOING USE OF YOGA IS SAFE, WITHOUT COST, AND MAY BE DONE LIFELONG. 2021 3 554 35 CORRELATION OF PERSONAL EXPERIENCE AND ACQUIRED KNOWLEDGE WITH INTENT TO RECOMMEND ADJUNCTIVE OSTEOPATHIC MANIPULATIVE TREATMENT OR YOGA FOR PATIENTS WITH CHRONIC LOW BACK PAIN. CONTEXT: OSTEOPATHIC MANIPULATIVE TREATMENT (OMT) AND YOGA ARE BOTH RECOMMENDED BY SYSTEMATIC REVIEWS IN THE EVIDENCE-BASED RESEARCH LITERATURE FOR LOW BACK PAIN MANAGEMENT. IT IS UNKNOWN, TO THE AUTHORS' KNOWLEDGE, WHAT THE EFFECT OF PERSONAL EXPERIENCE WITH OMT OR YOGA, READING RESEARCH ARTICLES ON OMT OR YOGA, OR BOTH WILL HAVE ON MEDICAL STUDENTS' RECOMMENDATIONS FOR THESE TREATMENT OPTIONS TO FUTURE PATIENTS WITH CHRONIC LOW BACK PAIN. OBJECTIVE: TO EVALUATE THE LIKELIHOOD OF OSTEOPATHIC MEDICAL STUDENTS RECOMMENDING OMT OR YOGA TO TREAT PATIENTS WITH CHRONIC LOW BACK PAIN BASED ON THEIR PERSONAL EXPERIENCE OR READING RESEARCH ARTICLES THAT RECOMMEND OMT OR YOGA FOR PATIENTS WITH CHRONIC LOW BACK PAIN. METHODS: IN THIS PROSPECTIVE COHORT STUDY, RESEARCHERS ADMINISTERED AN ANONYMOUS 18-QUESTION ONLINE SURVEY FOR OSTEOPATHIC MEDICAL STUDENTS. THE SURVEY INCLUDED A PATIENT VIGNETTE, 2 EVIDENCE-BASED ARTICLES, AND MULTIPLE CHOICE, YES/NO, AND LIKERT-TYPE QUESTIONS. PARTICIPANTS WERE RECRUITED VIA EMAIL FROM ALL 4 YEARS OF MEDICAL SCHOOL. BETWEEN-GROUP DIFFERENCES IN PROPORTIONS WERE ASSESSED WITH DESCRIPTIVE STATISTICS AND CHI2 TESTS; DIFFERENCES WITHIN GROUPS WERE ASSESSED WITH THE MCNEMAR TEST; AND FISCHER EXACT TESTS WERE USED WHEN EXPECTED CELL COUNTS WERE LESS THAN 5. RESULTS: A TOTAL OF 180 PARTICIPANTS (100 MALE, 80 FEMALE) COMPLETED THE STUDY. PERSONAL EXPERIENCE INCREASED THE LIKELIHOOD OF OSTEOPATHIC MEDICAL STUDENTS RECOMMENDING OMT (P<.018) OR YOGA (P<.001) TO A FUTURE PATIENT OR TO A PATIENT IN A CASE VIGNETTE (P<.05) WITH CHRONIC LOW BACK PAIN. STUDENTS WHO READ RESEARCH ARTICLES WERE MORE LIKELY TO RECOMMEND OMT TO THE CASE PATIENT AND FUTURE PATIENTS BEFORE AND AFTER READING THE INTERVENTION ARTICLE REGARDLESS OF THEIR EXPERIENCE (P<.001). CONCLUSION: PERSONAL EXPERIENCE AND READING EVIDENCE-BASED RESEARCH MAY INCREASE THE LIKELIHOOD THAT OSTEOPATHIC MEDICAL STUDENTS WILL RECOMMEND OMT TO FUTURE PATIENTS WITH CHRONIC LOW BACK PAIN. 2018 4 371 22 AWARENESS AND PRACTICE OF AEROBIC EXERCISE AND YOGA AMONG HYPERTENSIVE PATIENTS IN ANAND CITY. BACKGROUND: AEROBIC EXERCISE IS HELPFUL IN REDUCING ELEVATED BLOOD PRESSURE (BP). IT WAS ALSO FOUND THAT YOGA IS USEFUL IN REDUCING RAISED BP. THUS, THEY BOTH CAN BE USED IN PREVENTION AND TREATMENT OF HYPERTENSION. HENCE, THE STUDY AIMED TO OBSERVE BOTH AWARENESS AND PRACTICE OF AEROBIC EXERCISE AND YOGA AMONG HYPERTENSIVE PATIENTS IN ANAND CITY. MATERIALS AND METHODS: A CROSS-SECTIONAL DESCRIPTIVE STUDY WAS CONDUCTED. A QUESTIONNAIRE WAS PREPARED CONTAINING 24 QUESTIONS ABOUT AWARENESS AND PRACTICE OF AEROBIC EXERCISE AND YOGA AMONG HYPERTENSIVE PATIENTS. THE QUESTIONS WERE EXPLAINED TO ALL THE PATIENTS, AND 200 PATIENTS WERE RECRUITED FROM ANAND CITY THROUGH CONVENIENCE SAMPLING. RESULTS: TWO-HUNDRED PATIENTS WERE INCLUDED IN THIS STUDY, OF WHICH 100% WERE AWARE OF HYPERTENSION. 67.68% WERE AWARE OF THE ROLE OF AEROBIC EXERCISE IN HYPERTENSION, OF WHICH 58.29% PRACTICED THEM. THE AWARENESS OF THE ROLE OF YOGA IN HYPERTENSION WAS NOTED IN 33.67% OF PATIENTS, OF WHICH ONLY 13.07% PRACTICED PRANAYAMA AND 9.50% PRACTICED ASANAS. CONCLUSION: THERE WAS A COMPLETE AWARENESS OF HYPERTENSION AMONG HYPERTENSIVE PATIENTS. A LARGE NUMBER OF PATIENTS WERE AWARE OF THE ROLE OF AEROBIC EXERCISE IN HYPERTENSION, BUT ONLY FEW OF THE PATIENTS PRACTICED THEM. HOWEVER, THERE WAS LESS AWARENESS OF THE ROLE OF YOGA IN HYPERTENSION AND EVEN LESSER NUMBER PRACTICED THEM. 2019 5 1802 25 PREVALENCE AND PREDICTORS OF YOGIC BREATHING AND MEDITATION USE - A NATIONALLY REPRESENTATIVE SURVEY OF US ADULT YOGA PRACTITIONERS. INTRODUCTION: YOGA PRACTICE IN COMMON USAGE IS OFTEN CONFINED TO THE PHYSICAL ASPECTS OF THE COMPREHENSIVE PRACTICE. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE USE OF TWO ADDITIONAL ASPECTS OF YOGA AS PART OF YOGA PRACTICE, I.E. YOGIC BREATHING AND MEDITATION (YOBAM). PREVALENCE AND PREDICTORS OF YOBAM USE AMONG YOGA PRACTITIONERS IN THE US GENERAL POPULATION WERE ANALYZED. METHOD: CROSS-SECTIONAL DATA FROM THE 2012 AND 2017 NATIONAL HEALTH INTERVIEW SURVEY (NHIS) (N = 61,267) WAS USED. 12-MONTH PREVALENCE OF YOGA USE AND YOBAM USE AMONG YOGA PRACTITIONERS WERE ANALYZED DESCRIPTIVELY FOR THE TWO COHORTS RESPECTIVELY. LOGISTIC REGRESSION ANALYSES WERE USED TO ANALYZE SOCIODEMOGRAPHIC AND HEALTH-RELATED PREDICTORS OF YOBAM USE AMONG YOGA PRACTITIONERS. RESULTS: 12-MONTH PREVALENCE OF YOGA USE AND YOBAM USE WERE 8.9 % AND 4.8 % RESPECTIVELY IN 2012. IN 2017, 13.3 % HAD PRACTICED YOGA IN THE PAST 12 MONTHS AND 7.0 % HAD USED YOBAM. YOGA PRACTITIONERS AGED BETWEEN 50 AND 64 COMPARED TO BEING 29 OR YOUNGER, FEMALES, HISPANICS AND THOSE EXPERIENCING MILD TO SEVERE FORMS OF PSYCHOLOGICAL DISTRESS WERE MORE LIKELY TO USE YOBAM AS PART OF THEIR YOGA PRACTICE. YOGA PRACTITIONERS LIVING IN THE MIDWEST OR IN A RELATIONSHIP WERE LESS LIKELY TO USE YOBAM. CONCLUSION: IN RECENT YEARS, THE NUMBER OF YOGA PRACTITIONERS IN THE US GENERAL POPULATION HAS CONSIDERABLY INCREASED AND YOBAM USE IS COMMON AMONG YOGA PRACTITIONERS. YOBAM USE SEEMS TO BE ASSOCIATED WITH AGE, GENDER, ETHNICITY, REGION, MARITAL STATUS AND PSYCHOLOGICAL DISTRESS DIMENSIONS. 2021 6 1571 30 MANAGEMENT OF MYOFASCIAL PAIN DYSFUNCTION SYNDROME WITH MEDITATION AND YOGA: HEALING THROUGH NATURAL THERAPY. AIMS AND OBJECTIVES: AIMS AND OBJECTIVES OF THE STUDY WERE TO STUDY THE EFFECTIVENESS OF RAJ-YOGA MEDITATION AND PRANAYAMA IN PATIENTS WITH MYOFASCIAL PAIN DYSFUNCTION SYNDROME (MPDS) AND COMPARED THE EFFECTS WITH ONGOING CONVENTIONAL NONINVASIVE TREATMENT MODALITIES. MATERIALS AND METHODS: THE STUDY COMPRISED 30 PATIENTS DIVIDED EQUALLY (10 EACH) INTO 3 GROUP, I.E., CONTROL GROUP (CONVENTIONAL, NONINVASIVE TREATMENT), EXPERIMENTAL A GROUP (CONVENTIONAL, NONINVASIVE TREATMENT WITH RAJ-YOGA MEDITATION THERAPY AND PRANAYAMA), AND EXPERIMENTAL B GROUP (RAJ-YOGA MEDITATION THERAPY AND PRANAYAMA ONLY). PARAMETERS SUCH AS PAIN, MOUTH OPENING, MANDIBULAR DEVIATION, INFLAMMATION, SWELLING, CLICKING, OCCLUSION, AND PSYCHOLOGIC EVALUATION SUCH AS ANXIETY, STRESS, AND DEPRESSION WERE ASSESSED BEFORE THE START OF THE STUDY AND AT WEEKLY INTERVALS FOR 3 MONTHS. RESULTS: POSTTREATMENT PAIN AND INFLAMMATION IMPROVED BOTH IN THE CONTROL GROUP AND EXPERIMENTAL A GROUP, BUT STATISTICALLY IT IS HIGHLY SIGNIFICANT IN THE EXPERIMENTAL A GROUP. FURTHERMORE, IT IS EFFECTIVE IMMEDIATELY AS WELL AS FOR A LONG PERIOD IN EXPERIMENTAL A GROUP. IMPROVEMENT IN MOUTH OPENING WAS STATISTICALLY HIGHLY SIGNIFICANT IN CONTROL GROUP BUT NOT IN THE EXPERIMENTAL GROUPS. POSTTREATMENT ANXIETY AND STRESS STATUS WAS IMPROVED WITH STATISTICALLY HIGHLY SIGNIFICANT RESULT IN THE EXPERIMENTAL A AND B. THE POSTTREATMENT DEPRESSION STATUS ALONG WITH MANDIBULAR DEVIATION, SWELLING, CLICKING, AND OCCLUSION HAS NOT IMPROVED SIGNIFICANTLY IN ANY OF THE GROUPS. INTERPRETATION AND CONCLUSION: RAJ-YOGA MEDITATION AND PRANAYAMA IN COMBINATION WITH CONVENTIONAL, NONINVASIVE, TREATMENT MODALITIES SHOWED PROMISING RESULTS IN MPDS PATIENTS AS COMPARED TO EITHER MODALITIES ALONE. 2018 7 2461 31 YOGA AS A NOVEL ADJUVANT THERAPY FOR PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHIES. CONTEXT: RECENT STUDIES HAVE DEMONSTRATED THAT PHYSICAL ACTIVITY IS WELL TOLERATED BY PATIENTS WITH IDIOPATHIC INFLAMMATORY MYOPATHIES (IIMS) AND CAN HAVE ADDITIONAL BENEFITS AS AN ADJUVANT THERAPY TO PHARMACOLOGIC AGENTS, ESPECIALLY IF STARTED EARLY. TO DATE, NO STUDIES HAVE EXAMINED THE EFFECTS OF YOGA ON PATIENTS WITH IIMS. AIMS: THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECTS OF YOGA ON SELF-REPORTED DIFFICULTY IN PERFORMING ACTIVITIES OF DAILY LIVING (ADL) AND MUSCLE STRENGTH IN PATIENTS WITH MILD-TO-MODERATE IIMS. SUBJECTS AND METHODS: A LONGITUDINAL COHORT STUDY IN WHICH PARTICIPANTS WERE ASSESSED USING THE MYOSITIS ACTIVITIES PROFILE (MAP) AND MANUAL MUSCLE TESTING (MMT) BEFORE AND AFTER THE COMPLETION OF AN 8-WEEK INSTRUCTOR-GUIDED YOGA COURSE WAS PERFORMED. STATISTICAL ANALYSIS USED: WILCOXON SIGNED-RANKED TEST WAS PERFORMED FOR STATISTICAL ANALYSIS. RESULTS: THE AVERAGE POSTTREATMENT MAP SCORES OF SIX PARTICIPANTS DEMONSTRATED AN INCREASE OF 2.51 POINTS, WHILE THE AVERAGE MMT SCORE OF FOUR PARTICIPANTS DEMONSTRATED AN INCREASE OF 11 POINTS. CONCLUSIONS: THIS STUDY IS THE FIRST STUDY TO DATE TO EXAMINE THE EFFECT OF YOGA AS AN ADJUVANT COMPLEMENTARY THERAPY FOR PATIENTS WITH IIM. CONTINUED RESEARCH SHOULD BE DONE ON THE EFFECT OF YOGA AS AN ADJUVANT THERAPY, FOR IN ADDITION TO INCREASE IN MUSCLE STRENGTH AND ABILITY TO PERFORM ADL, YOGA MAY OFFER POTENTIAL IMPROVEMENTS IN MOOD, MENTAL HEALTH, AND SLEEP. 2021 8 1906 32 RETURNING TO YOGA PRACTICE AND TEACHING AFTER TOTAL HIP ARTHROPLASTY. PATIENTS WHO PRACTICE YOGA ARE MOTIVATED TO RETURN TO PRACTICE AFTER TOTAL HIP ARTHROPLASTY (THA). WITH CASE REPORTS OF DISLOCATIONS DURING YOGA, THE SAFETY OF SUCH A RETURN IS UNCLEAR. THE PURPOSE OF THIS STUDY IS TO EXAMINE THE TIMING AND FEASIBILITY OF A RETURN IN A SUBSET OF HIGHLY EXPERIENCED AND MOTIVATED PATIENTS. BETWEEN 2010 AND 2019, A TOTAL OF 19 THA'S PERFORMED IN 14 PATIENTS WHO SELF-IDENTIFIED AS YOGA INSTRUCTORS WERE RETROSPECTIVELY REVIEWED. PATIENTS WHO PRACTICED YOGA BUT WERE NOT TEACHERS WERE EXCLUDED FROM THIS SERIES. THE PRIMARY OUTCOME MEASURES WERE THE ABILITY TO RETURN TO YOGA, TO RESUME TEACHING, AND FLUENCY WITH 14 CLASSIC POSES. SECONDARY OUTCOMES MEASURED WERE PATIENT-REPORTED HIP DISABILITY AND OSTEOARTHRITIS OUTCOME SCORE (HOOS, JR.), COMPLICATIONS, AND RADIOGRAPHIC POSITION OF THE IMPLANTS. AFTER SURGERY, ALL PATIENTS RETURNED TO PRACTICING AND TEACHING YOGA, AND THE MEAN TIME TO EACH WAS 2 MONTHS. ALL PATIENTS WERE ABLE TO PERFORM ALL 14 CLASSIC POSES. AT A MEAN FOLLOW-UP OF 5 YEARS (SD +/- 4), THERE WERE NO COMPLICATIONS, AND THE MEAN HOOS, JR SCORE WAS 92 POINTS (SD +/- 15). THIS STUDY DEMONSTRATES THAT A RETURN TO YOGA IN AN EXPERIENCED POPULATION IS NOT ONLY POSSIBLE BUT ALSO SAFE AFTER A DIRECT ANTERIOR THA. LIMITATIONS IN PERFORMING THE POSES SHOULD BE UNDERSTOOD, AND APPROPRIATE MODIFICATIONS SHOULD BE INCORPORATED WHEN NEEDED. 2021 9 1806 27 PREVALENCE, PATTERNS, AND PREDICTORS OF YOGA PRACTICE AMONG ADULTS IN AN URBAN POPULATION IN EASTERN INDIA. THE OBJECTIVE OF THIS STUDY WAS TO DETERMINE THE PREVALENCE AND PREDICTORS OF YOGA PRACTICE. THIS CROSS-SECTIONAL STUDY WAS CONDUCTED AS A PART OF A LARGER STUDY THAT INCLUDED YOGA AS A FORM OF PHYSICAL ACTIVITY. DATA WERE COLLECTED DURING APRIL AND AUGUST 2019 FROM THE ADULT URBAN POPULATION OF BHUBANESWAR, INDIA. THIS STUDY WAS CONDUCTED USING A CLUSTER RANDOM SAMPLING METHOD. A REPRESENTATIVE SAMPLE (N = 1,203) OF ADULTS AGED 18-59 YEARS, IRRESPECTIVE OF GENDER, WAS INTERVIEWED USING A QUESTIONNAIRE ADAPTED FROM THE 2012 U.S. NATIONAL HEALTH INTERVIEW SURVEY, WITH THE EPICOLLECT5 HANDHELD DATA-COLLECTION TOOL. PREDICTORS OF YOGA PRACTICE WERE EXPLORED USING MULTIVARIABLE LOGISTIC REGRESSION. THE MEAN AGE OF THE PARTICIPANTS WAS 35.19 +/- 10.67 YEARS, WITH 55.3% MALES. THE MAJORITY WERE HINDU (93.62%) AND BELONGED TO THE UNRE S E RVED CATEGORY (65.60%), PEOPLE GENERALLY OF HIGHER RELATIVE SOCIOECONOMIC STATUS. THE LIFETIME PREVALENCE OF YOGA WAS 16.9%. PREVALENCE OF ANY FORM OF YOGA (YOGA, PRANAYAMA, OR MEDITATION), ALL FORMS OF YOGA (YOGA, PRANAYAMA, AND MEDITATION), PRANAYAMA, AND MEDITATION WAS 17.0%, 10.7%, 14.3%, AND 11.4%, RESPECTIVELY. AFTER ADJUSTING FOR CONFOUNDERS, FEMALE GENDER, HINDU RELIGION, MINIMUM OF HIGHER-SECONDARY OR GRADUATE-LEVEL EDUCATION, AND HAVING RECEIVED ADVICE FROM PROFESSIONALS FOR YOGA PRACTICE HAD SIGNIFICANTLY HIGHER ODDS OF PRACTICING YOGA, AND THOSE OF HIGHER SOCIOECONOMIC STATUS HAD SIGNIFICANTLY LOWER ODDS OF PRACTICING YOGA. WE FOUND A LOW PREVALENCE OF YOGA. SOCIODEMOGRAPHIC CHARACTERISTICS LIKE GENDER, RELIGION, EDUCATION, SOCIOECONOMIC STATUS, AND OTHER FACTORS LIKE LEARNING YOGA FROM PROFESSIONALS MAY BE IMPORTANT PREDICTORS OF CONTINUED YOGA PRACTICE. 2021 10 2501 30 YOGA AS THERAPY FOR NEURODEGENERATIVE DISORDERS: A CASE REPORT OF THERAPEUTIC YOGA FOR ADRENOMYELONEUROPATHY. YOGA IS A PROMISING THERAPEUTIC MODALITY FOR NEURODEGENERATIVE DISEASES. THIS CASE STUDY PRESENTS A THERAPEUTIC YOGA PROTOCOL FOR ADRENOMYELONEUROPATHY (AMN) AND ITS EFFECT ON A PATIENT'S QUALITY OF LIFE (QOL), AGILITY, BALANCE, AND PERIPHERAL DEXTERITY. A 61-Y-OLD MAN DIAGNOSED WITH AMN WHO WAS EXPERIENCING (1) PERIPHERAL NEUROPATHY IN HIS LEGS AND FEET, (2) LOWER-BACK PAIN (LBP), AND (3) OSTEOARTHRITIS RECEIVED 60-MIN WEEKLY THERAPEUTIC YOGA SESSIONS FOR A 10-MO PERIOD. YOGA THERAPY INCLUDED HATHA YOGA ASANAS (POSES) AND PRANAYAMA (BREATHING EXERCISES). HATHA YOGA ASANAS WERE ALIGNED WITH 7 BERG BALANCE SCALE (BBS) INDICATORS TO MEASURE IMPROVEMENT IN BALANCE AND RANGE OF MOTION. THE 10-MO COURSE OF THERAPEUTIC YOGA RESULTED IN IMPROVED LBP; IMPROVED FLEXION OF THE PATIENT'S HIPS, KNEES, AND ANKLES; IMPROVED PROPULSION PHASE OF WALKING; AND IMPROVEMENT IN THE PATIENT'S ABILITY TO STAND AND BALANCE WITHOUT AN ASSISTIVE DEVICE. THE EFFECT OF YOGA THERAPY ON THE PATIENT IN THIS CASE STUDY ALIGNS WITH CURRENT QOL IMPROVEMENTS NOTED IN CURRENT RESEARCH ON YOGA THERAPY FOR NEUROLOGICAL DISORDERS. THE DESCRIBED CONCEPTS AND METHODS OF EMPLOYING THERAPEUTIC YOGA PROVIDE INSIGHTS FOR CLINICIANS INTO A MODALITY THAT IS LOW RISK AND LOW COST AND THAT CAN SUPPORT INDIVIDUALS WITH OTHER NEUROLOGICAL DISORDERS, SUCH AS MULTIPLE SCLEROSIS (MS), FIBROMYALGIA (FM), AND DISEASES OF THE PERIPHERAL NERVOUS SYSTEM. FURTHER STUDY IS WARRANTED TO HELP DETERMINE THE SAFETY AND EFFICACY OF YOGA THERAPY FOR THESE CONDITIONS. 2014 11 2015 30 SUGGESTIONS FOR ADAPTING YOGA TO THE NEEDS OF OLDER ADULTS WITH OSTEOPOROSIS. BACKGROUND: EXERCISE SUCH AS YOGA MAY HAVE HEALTH BENEFITS FOR OLDER ADULTS WITH OSTEOPOROSIS, BUT WITHOUT ATTENTION TO SAFE MOVEMENT YOGA CAN ALSO INCREASE THE RISK FOR INJURY. OBJECTIVE: THE CURRENT ARTICLE PROVIDES SUGGESTIONS FOR HOW TO ADAPT YOGA TO THE NEEDS OF OLDER ADULTS WITH OSTEOPOROSIS. SUGGESTIONS: A GENERAL GUIDELINES FOR EXERCISE IS THAT OLDER ADULTS WITH OSTEOPOROSIS SHOULD PARTICIPATE IN A MULTICOMPONENT EXERCISE PROGRAM, INCLUDING RESISTANCE AND BALANCE TRAINING. CONTRAINDICATED MOVEMENTS INCLUDE END-RANGE FLEXION/EXTENSION/ROTATION OF THE SPINE AND INTERNAL/EXTERNAL ROTATION OF THE HIP. YOGA POSTURES THAT SHOULD BE ENCOURAGED INCLUDE POSTURES EMPHASIZING SPINAL ALIGNMENT AND EXTENSION TO MID-RANGE IN STANDING AND ON THE FLOOR. OVERARCHING CONSIDERATIONS FOR PARTICIPATION IN YOGA ARE THAT CLASSES SHOULD BE DESIGNED FOR HIGHER-RISK OLDER ADULTS, LED BY AN INSTRUCTOR WHO HAS HAD PROPER TRAINING WITH INDIVIDUALS WITH OSTEOPOROSIS, SHOULD BE A NONCOMPETITIVE ENVIRONMENT, AND SHOULD GIVE ATTENTION TO WHICH POSTURES ARE SAFE AND HOW TO TRANSITION SAFELY. 2016 12 2890 26 YOGA: POTENTIAL BENEFITS FOR PERSONS WHO STUTTER. YOGA HAS BEEN DEMONSTRATED TO MODULATE AUTONOMIC NERVOUS SYSTEM ACTIVITY, DECREASING ANXIETY AND STRESS, AND IMPROVING QUALITY OF LIFE. THIS PRELIMINARY STUDY SOUGHT TO EXAMINE THE USE OF YOGIC TECHNIQUES ON PERSONS WHO STUTTER GIVEN THE INTERACTION BETWEEN PHYSIOLOGICAL AROUSAL/ANXIETY AND STUTTERING THAT CURRENT MULTIFACTORIAL MODELS OF STUTTERING PROPOSE. FOUR PARTICIPANTS (M = 52 YR, SD = 10; 2 FEMALE, 2 MALE), RECRUITED FROM LOCAL STUTTERING SUPPORT GROUPS IN THE GREATER PHILADELPHIA COMMUNITY VOLUNTEERED TO PARTICIPATE. STUTTERING SEVERITY, ANXIETY, AND EXPERIENCES REGARDING STUTTERING AND COMMUNICATION WERE MEASURED AT BASELINE, POST INTERVENTION, AND AT 4 MONTHS FOLLOW-UP. THE PARTICIPANTS ATTENDED GROUP YOGA SESSIONS AND ENGAGED IN HOME PRACTICE. DESCRIPTIVE RESULTS REVEALED THAT PARTICIPANTS SHOWED IMPROVEMENTS ACROSS OUTCOME MEASURES, WITH THE MOST IMPROVEMENT RELATED TO ANXIETY. PARTICIPANTS ALSO REPORTED IMPROVEMENTS IN THEIR PERCEPTIONS ABOUT COMMUNICATION AS PER QUALITATIVE ANALYSIS OF RESPONSES TO THE OPEN-ENDED QUESTIONNAIRES. THE RESULTS SUGGEST THE POTENTIAL BENEFITS OF YOGA FOR PERSONS WHO STUTTER AND WARRANTS FURTHER STUDY USING AN EXPERIMENTAL DESIGN. 2016 13 2073 36 THE EFFECT OF A STRETCH AND STRENGTH-BASED YOGA EXERCISE PROGRAM ON PATIENTS WITH NEUROPATHIC PAIN DUE TO LUMBAR DISC HERNIATION. STUDY DESIGN: RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO INVESTIGATE THE EFFECT OF A STRETCH AND STRENGTHBASED YOGA EXERCISE PROGRAM ON NEUROPATHIC PAIN DUE TO LDH. SUMMARY OF BACKGROUND DATA: LDH WITH NEUROPATHIC PAIN INFLUENCES TREATMENT OUTCOMES NEGATIVELY. MOST YOGA POSES INCLUDE THE PARAMETERS OF SPINAL TRAINING AND HELP REDUCE PAIN AND DISABILITY IN PATIENTS WITH LOW BACK INJURIES. WE HYPOTHESIZED THAT YOGA POSITIVELY AFFECTS BOTH LDH AND NEUROPATHIC PAIN BY INCREASING MOBILIZATION, CORE MUSCLE STRENGTH, AND SPINAL AND HAMSTRING FLEXIBILITY. METHODS: IN TOTAL, 48 PATIENTS WITH NEUROPATHIC PAIN DUE TO LDH WERE RANDOMLY ASSIGNED TO A CONTROL GROUP AND A YOGA GROUP. ALL PATIENTS UNDERWENT A PATIENT EDUCATION PROGRAM. IN ADDITION, THE SELECTED YOGA EXERCISE WAS TAUGHT AND PERFORMED TO THE YOGA GROUP FOR ONE HOUR TWICE WEEKLY FOR 12 WEEKS. NEUROPATHIC PAIN (DOULEUR NEUROPATHIQUE 4 FOR DIAGNOSIS; LEEDS ASSESSMENT OF NEUROPATHIC SYMPTOMS AND SIGNS FOR SEVERITY), LOW BACK PAIN (THE SHORT-FORM OF MCGILL PAIN QUESTIONNAIRE), DISABILITY (OSWESTRY DISABILITY INDEX), AND FUNCTION (MODIFIED SCHOBER AND PASSIVE KNEE EXTENSION TEST) WERE MEASURED BLIND BEFORE AND AT THE ONE-, THREE-, AND SIX-MONTH FOLLOW-UPS. THE PATIENT GLOBAL ASSESSMENT WAS APPLIED AT THE SIX-MONTH FOLLOWUP. THE INTENTION-TO-TREAT ANALYSIS WAS PERFORMED IN THIS STUDY. RESULTS: THE INTENTION-TO-TREAT ANALYSIS SHOWED A STATISTICALLY SIGNIFICANT DIFFERENCE IN NEUROPATHIC PAIN, PATIENT GLOBAL ASSESS MENT, LOW BACK PAIN, DISABILITY, AND FUNCTION IN FAVOR OF THE YOGA GROUP AT POST-TREATMENT. THE BETWEEN-GROUP EFFECT SIZES WERE MODERATE AT SIX-MONTHS FOLLOW-UP. CONCLUSION: IT WAS DETERMINED THAT THE SELECTED STRETCH AND STRENGTH-BASED YOGA EXERCISE COULD BE A PROMISING TREATMENT OPTION FOR NEUROPATHIC PAIN DUE TO LDH. LEVEL OF EVIDENCE: 2. 2022 14 1290 28 GROUND REACTION FORCES GENERATED BY TWENTY-EIGHT HATHA YOGA POSTURES. ADHERENTS CLAIM MANY BENEFITS FROM THE PRACTICE OF YOGA, INCLUDING PROMOTION OF BONE HEALTH AND PREVENTION OF OSTEOPOROSIS. HOWEVER, NO KNOWN STUDIES HAVE INVESTIGATED WHETHER YOGA ENHANCES BONE MINERAL DENSITY. FURTHERMORE, NONE HAVE ESTIMATED REACTION FORCES APPLIED BY YOGA PRACTITIONERS. THE PURPOSE OF THIS STUDY WAS TO COLLECT GROUND REACTION FORCE (GRF) DATA ON A VARIETY OF HATHA YOGA POSTURES THAT WOULD COMMONLY BE PRACTICED IN FITNESS CENTERS OR PRIVATE STUDIOS. TWELVE FEMALE AND EIGHT MALE VOLUNTEERS PERFORMED A SEQUENCE OF 28 HATHA YOGA POSTURES WHILE GRF DATA WERE COLLECTED WITH AN AMTI STRAIN-GAUGE FORCE PLATFORM. THE SEQUENCE WAS REPEATED SIX TIMES BY EACH STUDY SUBJECT. FOUR DEPENDENT VARIABLES WERE STUDIED: PEAK VERTICAL GRF, MEAN VERTICAL GRF, PEAK RESULTANT GRF, AND MEAN RESULTANT GRF. UNIVARIATE ANALYSIS WAS USED TO IDENTIFY MEAN VALUES AND STANDARD DEVIATIONS FOR THE DEPENDENT VARIABLES. PEAK VERTICAL AND RESULTANT VALUES OF EACH POSTURE WERE SIMILAR FOR ALL SUBJECTS, AND STANDARD DEVIATIONS WERE SMALL. SIMILARLY, MEAN VERTICAL AND RESULTANT VALUES WERE SIMILAR FOR ALL SUBJECTS. THIS 28 POSTURE YOGA SEQUENCE PRODUCED LOW IMPACT GRF APPLIED TO UPPER AND LOWER EXTREMITIES. FURTHER RESEARCH IS WARRANTED TO DETERMINE WHETHER THESE FORCES ARE SUFFICIENT TO PROMOTE OSTEOGENESIS OR MAINTAIN CURRENT BONE HEALTH IN YOGA PRACTITIONERS. 2012 15 1301 33 HATHA YOGA ON BODY BALANCE. BACKGROUND: A GOOD BODY BALANCE REQUIRES A PROPER FUNCTION OF VESTIBULAR, VISUAL, AND SOMATOSENSORY SYSTEMS WHICH CAN BE REACH WITH EXERCISE PRACTICE AND/OR YOGA. AIM: TO DETERMINE THE EFFECTS OF A 5-MONTH HATHA YOGA TRAINING PROGRAM ON BODY BALANCE IN YOUNG ADULTS. MATERIALS AND METHODS: THIS STUDY USED A CONTROLLED, NONRANDOMIZED DESIGN, WHERE THE EXPERIMENTAL GROUP UNDERWENT A 5-MONTH TRAINING PROGRAM AND WERE THEN COMPARED WITH THE CONTROL GROUP THAT HAD A SEDENTARY LIFESTYLE. A CONVENIENCE SAMPLE OF 34 OUT OF 40 MEN AGED 25-55 YEARS OLD (34.0 +/- 0.9) WERE DEEMED ELIGIBLE FOR THIS STUDY. THEY WERE RANDOMLY DIVIDED INTO TWO GROUPS: EXPERIMENTAL AND CONTROL GROUPS. SUBJECTS IN THE EXPERIMENTAL GROUP WERE ENGAGED IN 60 MIN SESSIONS OF HATHA YOGA THREE TIMES A WEEK FOR 5 MONTHS. WE EVALUATED POSTURAL CONTROL BY MEASURING THE LIMIT OF STABILITY AND VELOCITY OF OSCILLATION (VOS) IN THREE CONDITIONS OF THE BALANCE REHABILITATION UNIT (BRU) AND THROUGH FIELD PROCEDURES (FOUR POSITION, PLANE, FLAMINGO, HOPSCOTCH, AND DYNAMIC TEST). RESULTS: WE OBSERVED DIFFERENCES (P < 0.05) IN POSTINTERVENTION SCORES BETWEEN THE GROUPS REGARDLESS OF BRU PARAMETERS AND FIELD PROCEDURES (EXCEPT FOR FLAMINGO) EVEN AFTER ADJUSTING FOR PREINTERVENTION SCORES, SUGGESTING THAT THESE CHANGES WERE INDUCED BY HATHA YOGA TRAINING. THE PARTIAL ETA SQUARED ON BRU PARAMETERS RANGED FROM 0.78 (VOS1)-0.97 (COP2), AND FROM 0.00 (FLAMINGO)-0.94 (FOUR POSITION) FOR THE FIELD PROCEDURES. CONCLUSIONS: OUR RESULTS PROVIDE SUBSTANTIAL EVIDENCE THAT POSTURAL CONTROL IN HEALTHY YOUNG ADULTS CAN BE IMPROVED THROUGH PRACTICING HATHA YOGA. 2014 16 579 27 DESIGNING A YOGA INTERVENTION PROGRAM TO IMPROVE WELL-BEING FOR PHYSICIAN TRAINEES: CHALLENGES AND LESSONS LEARNED. WELL-BEING ACTIVITIES MAY HELP TO COUNTERACT PHYSICIAN BURNOUT. YOGA IS KNOWN TO ENHANCE WELL-BEING, BUT THERE ARE FEW STUDIES OF YOGA AS AN INTERVENTION FOR PHYSICIANS IN TRAINING. THIS PROSPECTIVE METHODOLOGY-DEVELOPMENT STUDY AIMED TO EXPLORE HOW TO ESTABLISH A YOGA-BASED WELL-BEING INTERVENTION FOR PHYSICIAN TRAINEES IN A LARGE URBAN TRAINING HOSPITAL. WE AIMED TO IDENTIFY FACTORS THAT CONTRIBUTE TO TRAINEE PARTICIPATION AND EXPLORE AN INSTRUMENT TO MEASURE CHANGES IN SELF-REPORTED WELL-BEING AFTER YOGA. COHORTS INCLUDED A REQUIRED-ATTENDANCE GROUP, A VOLUNTARY-ATTENDANCE GROUP, AND AN UNASSIGNED WALK-IN YOGA GROUP. WEEKLY 1-HOUR YOGA SESSIONS WERE LED BY A QUALIFIED YOGA INSTRUCTOR FOR 4 WEEKS. THE SEVEN-QUESTION RESIDENT PHYSICIAN WELL-BEING INDEX (RPWBI) WAS USED TO MEASURE RESIDENT WELL-BEING BEFORE YOGA, AFTER 4 WEEKS OF YOGA, AND 6 MONTHS POST-YOGA. TRAINEES ATTENDING EACH SESSION RANGED FROM 17 FOR REQUIRED YOGA TO 0-2 FOR VOLUNTARY YOGA, 2-9 FOR LUNCHTIME WALK-IN YOGA, AND 1-7 FOR EVENING WALK-IN YOGA. IN THE REQUIRED-YOGA GROUP (N = 17), OVERALL RPWBI MEAN SCORES DID NOT CHANGE SIGNIFICANTLY ACROSS THE THREE QUERY TIMES, AND PARTICIPATION IN THE SURVEY DECLINED OVER TIME. THE MEAN BASELINE RPWBI SCORE FOR THE REQUIRED GROUP BEFORE YOGA WAS IN THE NON-DISTRESSED RANGE AND ANSWERS TO THE SEVEN INDIVIDUAL QUESTIONS VARIED. REQUIRING A YOGA ACTIVITY FOR MEDICAL TRAINEES MAY BE A GOOD STRATEGY FOR PROMOTING PARTICIPATION IN YOGA. THE RPWBI MAY HAVE LIMITED UTILITY FOR MEASURING CHANGES IN OVERALL GROUP WELL-BEING AFTER A YOGA INTERVENTION. 2021 17 2777 44 YOGA SPINAL FLEXION POSITIONS AND VERTEBRAL COMPRESSION FRACTURE IN OSTEOPENIA OR OSTEOPOROSIS OF SPINE: CASE SERIES. OBJECTIVE: THE OBJECTIVE OF THIS REPORT IS TO RAISE AWARENESS OF THE EFFECT OF STRENUOUS YOGA FLEXION EXERCISES ON OSTEOPENIC OR OSTEOPOROTIC SPINES. WE PREVIOUSLY DESCRIBED SUBJECTS WITH KNOWN OSTEOPOROSIS IN WHOM VERTEBRAL COMPRESSION FRACTURES (VCFS) DEVELOPED AFTER SPINAL FLEXION EXERCISE (SFE) AND RECOMMENDED THAT SFES NOT BE PRESCRIBED IN PATIENTS WITH SPINAL OSTEOPOROSIS. METHODS: THIS REPORT DESCRIBES 3 HEALTHY PERSONS WITH LOW BONE MASS AND YOGA-INDUCED PAIN OR FRACTURE. RESULTS: ALL 3 PATIENTS HAD OSTEOPENIA, WERE IN GOOD HEALTH AND PAIN-FREE, AND HAD STARTED YOGA EXERCISES TO IMPROVE THEIR MUSCULOSKELETAL HEALTH. NEW PAIN AND FRACTURE AREAS OCCURRED AFTER PARTICIPATION IN YOGA FLEXION EXERCISES. CONCLUSIONS: THE DEVELOPMENT OF PAIN AND COMPLICATIONS WITH SOME FLEXION YOGA POSITIONS IN THE PATIENTS WITH OSTEOPENIA LEADS TO CONCERN THAT FRACTURE RISK WOULD INCREASE EVEN FURTHER IN OSTEOPOROSIS. ALTHOUGH EXERCISE HAS BEEN SHOWN TO BE EFFECTIVE FOR IMPROVING BONE MINERAL DENSITY AND DECREASING FRACTURE RISK, OUR SUBJECTS HAD DEVELOPMENT OF VCFS AND NECK AND BACK PAIN WITH YOGA EXERCISES. THIS FINDING SUGGESTS THAT FACTORS OTHER THAN BONE MASS SHOULD BE CONSIDERED FOR EXERCISE COUNSELING IN PATIENTS WITH BONE LOSS. THE INCREASED TORQUE PRESSURE APPLIED TO VERTEBRAL BODIES DURING SFES MAY BE A RISK. EXERCISE IS EFFECTIVE AND IMPORTANT FOR TREATMENT OF OSTEOPENIA AND OSTEOPOROSIS AND SHOULD BE PRESCRIBED FOR PATIENTS WITH VERTEBRAL BONE LOSS. SOME YOGA POSITIONS CAN CONTRIBUTE TO EXTREME STRAIN ON SPINES WITH BONE LOSS. ASSESSMENT OF FRACTURE RISK IN OLDER PERSONS PERFORMING SFES AND OTHER HIGH-IMPACT EXERCISES IS AN IMPORTANT CLINICAL CONSIDERATION. 2013 18 2748 28 YOGA PRACTICE IN ENGLAND 1997-2008: PREVALENCE, TEMPORAL TRENDS, AND CORRELATES OF PARTICIPATION. BACKGROUND: YOGA IS A HOLISTIC PRACTICE THAT MAY OFFER SEVERAL HEALTH BENEFITS. NO STUDY HAS EXAMINED THE PREVALENCE, TEMPORAL TRENDS, OR CORRELATES OF YOGA PRACTICE AT THE POPULATION LEVEL IN A EUROPEAN COUNTRY AND VERY FEW SUCH STUDIES EXIST WORLDWIDE. THE OBJECTIVE OF THE STUDY IS TO EXAMINE THE PREVALENCE, TRENDS AND CORRELATES OF YOGA PRACTICE IN ENGLAND BETWEEN 1997 AND 2008. FINDINGS: ANALYSIS WAS CONDUCTED IN EARLY 2013 USING HEALTH SURVEY FOR ENGLAND DATA. INDEPENDENT COHORTS, REPRESENTATIVE OF ADULTS LIVING IN ENGLAND, WERE SURVEYED IN ANNUAL CYCLES IN 1997-1999, 2003-2004, AND 2006/2008. PREVALENCE OF YOGA PRACTICE (DEFINED AS ANY PRACTICE IN THE PAST FOUR WEEKS) WAS DETERMINED AT EACH TIME POINT AND MULTIPLE LOGISTIC REGRESSION WAS USED TO EXAMINE TEMPORAL TRENDS (USING 1997-1999 AS REFERENCE TIME POINT) AND THE CORRELATES OF YOGA PRACTICE. THE PREVALENCE OF YOGA PRACTICE WAS 0.46% (95% CI: 0.39%-0.52%) IN 1997-1999, 0.94% (0.83%-1.06%) IN 2003-2004, AND 1.11% (0.95%-1.28%) IN 2006/2008. YOGA PARTICIPANTS IN ENGLAND WERE MORE LIKELY TO BE OLDER, FEMALE, DEGREE EDUCATED, OF NON-MANUAL SOCIAL CLASS, LOWER BMI, BETTER SELF-RATED GENERAL HEALTH, INACTIVE OCCUPATION, AND HIGHER MODERATE-TO-VIGOROUS PHYSICAL ACTIVITY. ADJUSTED FOR AGE, SEX, SOCIAL CLASS, AND LONG STANDING ILLNESSES, THERE WAS A SIGNIFICANT INCREASING TREND OF YOGA PRACTICE FROM 1997 TO 2008 (2003/04 OR = 1.93, 95% CI: 1.59-2.34; 2006/08 OR = 2.19, 95% CI: 1.77-2.71). CONCLUSIONS: YOGA PRACTICE HAS INCREASED IN POPULARITY, THOUGH THE ABSOLUTE RATES ARE STILL RELATIVELY LOW. FUTURE POPULATION STUDIES SHOULD MORE COMPREHENSIVELY EXAMINE THE CONTEXTS, SETTINGS, STYLES, CORRELATES AND HEALTH BENEFITS OF YOGA PRACTICE. 2014 19 2059 27 THE BENEFITS OF YOGA FOR RHEUMATOID ARTHRITIS: RESULTS OF A PRELIMINARY, STRUCTURED 8-WEEK PROGRAM. THE AIM OF THIS STUDY WAS TO MEASURE THE EFFECTS OF A BI-WEEKLY RAJ YOGA PROGRAM ON RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY. SUBJECTS WERE RECRUITED FROM AMONG RA PATIENTS IN DUBAI, UNITED ARAB EMIRATES BY EMAIL INVITATIONS OF THE RA DATABASE. DEMOGRAPHIC DATA, DISEASE ACTIVITY INDICES, HEALTH ASSESSMENT QUESTIONNAIRE (HAQ), AND QUALITY OF LIFE (QOL) BY SF-36 WERE DOCUMENTED AT ENROLLMENT AND AFTER COMPLETION OF 12 SESSIONS OF RAJ YOGA. A TOTAL OF 47 PATIENTS WERE ENROLLED: 26 YOGA AND 21 CONTROLS. BASELINE DEMOGRAPHICS WERE SIMILAR IN BOTH GROUPS. PATIENTS WHO UNDERWENT YOGA HAD STATISTICALLY SIGNIFICANT IMPROVEMENTS IN DAS28 AND HAQ, BUT NOT QOL. OUR PILOT STUDY OF 12 SESSIONS OF YOGA FOR RA WAS ABLE TO DEMONSTRATE STATISTICALLY SIGNIFICANT IMPROVEMENTS IN RA DISEASE PARAMETERS. WE BELIEVE THAT A LONGER DURATION OF TREATMENT COULD RESULT IN MORE SIGNIFICANT IMPROVEMENTS. 2009 20 2085 32 THE EFFECT OF LONG TERM COMBINED YOGA PRACTICE ON THE BASAL METABOLIC RATE OF HEALTHY ADULTS. BACKGROUND: DIFFERENT PROCEDURES PRACTICED IN YOGA HAVE STIMULATORY OR INHIBITORY EFFECTS ON THE BASAL METABOLIC RATE WHEN STUDIED ACUTELY. IN DAILY LIFE HOWEVER, THESE PROCEDURES ARE USUALLY PRACTICED IN COMBINATION. THE PURPOSE OF THE PRESENT STUDY WAS TO INVESTIGATE THE NET CHANGE IN THE BASAL METABOLIC RATE (BMR) OF INDIVIDUALS ACTIVELY ENGAGING IN A COMBINATION OF YOGA PRACTICES (ASANA OR YOGIC POSTURES, MEDITATION AND PRANAYAMA OR BREATHING EXERCISES) FOR A MINIMUM PERIOD OF SIX MONTHS, AT A RESIDENTIAL YOGA EDUCATION AND RESEARCH CENTER AT BANGALORE. METHODS: THE MEASURED BMR OF INDIVIDUALS PRACTICING YOGA THROUGH A COMBINATION OF PRACTICES WAS COMPARED WITH THAT OF CONTROL SUBJECTS WHO DID NOT PRACTICE YOGA BUT LED SIMILAR LIFESTYLES. RESULTS: THE BMR OF THE YOGA PRACTITIONERS WAS SIGNIFICANTLY LOWER THAN THAT OF THE NON-YOGA GROUP, AND WAS LOWER BY ABOUT 13 % WHEN ADJUSTED FOR BODY WEIGHT (P < 0.001). THIS DIFFERENCE PERSISTED WHEN THE GROUPS WERE STRATIFIED BY GENDER; HOWEVER, THE DIFFERENCE IN BMR ADJUSTED FOR BODY WEIGHT WAS GREATER IN WOMEN THAN MEN (ABOUT 8 AND 18% RESPECTIVELY). IN ADDITION, THE MEAN BMR OF THE YOGA GROUP WAS SIGNIFICANTLY LOWER THAN THEIR PREDICTED VALUES, WHILE THE MEAN BMR OF NON-YOGA GROUP WAS COMPARABLE WITH THEIR PREDICTED VALUES DERIVED FROM 1985 WHO/FAO/UNU PREDICTIVE EQUATIONS. CONCLUSION: THIS STUDY SHOWS THAT THERE IS A SIGNIFICANTLY REDUCED BMR, PROBABLY LINKED TO REDUCED AROUSAL, WITH THE LONG TERM PRACTICE OF YOGA USING A COMBINATION OF STIMULATORY AND INHIBITORY YOGIC PRACTICES. 2006