1 2359 174 VERTEBRAL COMPRESSION FRACTURES ASSOCIATED WITH YOGA: A CASE SERIES. BACKGROUND: THE IMPORTANCE OF EXERCISE IN SKELETAL HEALTH IS INCREASINGLY RECOGNIZED BY BOTH PATIENTS AND PROVIDERS. HOWEVER, THE SAFETY OF PRESCRIBED OR RECREATIONAL EXERCISE IN AT-RISK POPULATIONS REMAINS UNDER-REPORTED AND UNDER-PUBLICIZED. YOGA HAS GAINED WIDESPREAD POPULARITY DUE TO ITS PHYSICAL AND PSYCHOLOGICAL BENEFITS. WHEN PRACTICED IN A POPULATION AT INCREASED FRACTURE RISK, HOWEVER, SOME YOGA POSES MAY INCREASE FRACTURE RISK, PARTICULARLY AT THE SPINE, RATHER THAN INCREASING BMD AS NOTED IN RECENT POPULAR PRESS REPORTS. CASE REPORT: NINE SUBJECTS (8 WOMEN) WITH A MEDIAN AGE OF 66 YEARS (RANGE 53-87), DEVELOPED VERTEBRAL COMPRESSION FRACTURE (VCF) ONE MONTH TO SIX YEARS AFTER INITIATING YOGA-ASSOCIATED SPINAL FLEXION EXERCISES (SFE). VCF PRESENTED WITH BACK PAIN AND OCCURRED IN THE THORACICSPINE (N.=6), LUMBAR-SPINE (N.=4) AND CERVICAL-SPINE (N.=1). FOUR PATIENTS HAD OSTEOPOROSIS BY BMD CRITERIA PRIOR TO VCF AND 2 HAD OSTEOPENIA (MEDIAN T-SCORE -2.35; RANGE -3.3 TO +2.0). INTERESTINGLY, ALL PATIENTS HAD THEIR LOWEST T-SCORES AT THE SPINE. THREE PATIENTS HAD A HISTORY OF FRAGILITY FRACTURE PRIOR TO THE INDEX VCF. WHILE ONE PATIENT HAD PRIMARY HYPERPARATHYROIDISM AND ANOTHER WAS TREATED WITH HIGH DOSE PREDNISONE, NO OTHER RISK FACTORS FOR BONE LOSS INCLUDING MEDICATIONS OR SECONDARY OSTEOPOROSIS CAUSES WERE IDENTIFIED IN THE OTHER PATIENTS. CLINICAL REHABILITATION IMPACT: THIS STUDY IDENTIFIED PATIENTS IN WHOM INCREASED TORSIONAL AND COMPRESSIVE MECHANICAL LOADING PRESSURES OCCURRING DURING YOGA SFE RESULTED IN DE NOVO VCF. DESPITE THE NEED FOR SELECTIVITY IN YOGA POSES IN POPULATIONS AT INCREASED FRACTURE RISK, BOTH SCIENTIFIC AND MEDIA REPORTS CONTINUE TO ADVERTISE YOGA AS A BONE PROTECTIVE ACTIVITY. ACCORDINGLY, YOGA IS MISCONCEIVED AS A 'ONESIZE-FITS-ALL' PRESCRIPTION. INSTEAD, THE APPROPRIATE SELECTION OF PATIENTS LIKELY TO BENEFIT FROM YOGA MUST BE A CORNERSTONE OF FRACTURE PREVENTION. 2018 2 2777 57 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 3 2393 20 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 4 2853 46 YOGA, VERTEBRAL FRACTURES, AND OSTEOPOROSIS: RESEARCH AND RECOMMENDATIONS. BACKGROUND: OSTEOPOROSIS IS CHARACTERIZED BY DECREASED BONE DENSITY THAT LEAVES BONES FRAGILE AND HIGHLY SUSCEPTIBLE TO FRACTURE. GLOBALLY, 1 IN 3 WOMEN AND 1 IN 5 MEN OLDER THAN 50 WILL SUFFER FROM AN OSTEOPOROTIC FRACTURE, AND THOSE INDIVIDUALS WILL EXPERIENCE A CONSIDERABLY HIGHER RISK OF POSTFRACTURE MORTALITY THAN WILL THE GENERAL POPULATION. GENTLE, WEIGHT-BEARING EXERCISES SUCH AS YOGA CAN HELP PREVENT OR CEASE THE PROGRESSION OF OSTEOPOROSIS; HOWEVER, THERE IS INSUFFICIENT DATA REGARDING WHICH YOGA POSES PRESENT THE LEAST RISK AND ARE MOST BENEFICIAL TO INDIVIDUALS WITH REDUCED BONE DENSITY. OBJECTIVES: REVIEW THE EXTANT LITERATURE ABOUT THE RISKS AND BENEFITS TO THE SPINE OF PARTICULAR FORMS OF MOVEMENT AND CONSIDER RECOMMENDATIONS RELATIVE TO THE PRACTICE OF YOGA. METHODS: A REVIEW OF THE PUBMED, MEDLINE, AND COCHRANE DATABASES WAS CONDUCTED THAT IDENTIFIED MANUSCRIPTS PUBLISHED BETWEEN 1966 AND 2011 ABOUT TOPICS RELATED TO OSTEOPOROSIS AND SPINAL MOVEMENT. CONCLUSIONS: MOVEMENTS INVOLVING SPINAL FLEXION CAN INCREASE RISK FOR VERTEBRAL COMPRESSION FRACTURES; HOWEVER, A COMBINATION OF MILD SPINAL FLEXION AND EXTENSION MAY PROVE BENEFICIAL. MODERATE, WEIGHT-BEARING ACTIVITIES THAT STRENGTHEN THE MUSCLES SUPPORTING THE SPINAL COLUMN, PROMOTE BALANCE, IMPROVE POSTURE, AND ENHANCE QUALITY OF LIFE APPEAR TO BE OF GREATEST BENEFIT. AMPLE EVIDENCE SUPPORTS THE IMPORTANCE OF VARIED SPINAL MOVEMENT FOR PRESERVING THE HEALTH AND STRENGTH OF THE VERTEBRAL BODIES. EXERCISE MODIFICATIONS SUITABLE FOR HIGH-RISK INDIVIDUALS MAY BE COUNTERPRODUCTIVE FOR THOSE AT LOW RISK FOR VERTEBRAL FRACTURES. YOGA THERAPISTS ARE CAUTIONED TO NOT APPLY A ONE-SIZE-FITS-ALL APPROACH WHEN WORKING WITH THIS POPULATION. WELL-DESIGNED EMPIRICAL STUDIES ARE NEEDED TO FURTHER OUR UNDERSTANDING OF WHICH YOGA POSES PRESENT THE LEAST RISK AND ARE OF GREATEST BENEFIT TO INDIVIDUALS WITH OSTEOPOROSIS. 2013 5 2015 28 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 6 2722 38 YOGA MIGHT BE AN ALTERNATIVE TRAINING FOR THE QUALITY OF LIFE AND BALANCE IN POSTMENOPAUSAL OSTEOPOROSIS. AIM: OSTEOPOROTIC VERTEBRA AND HIP FRACTURES ARE MAJOR CAUSES OF DYSFUNCTION, DISABILITY, MORTALITY AND IMPAIRED LIFE QUALITY IN THE AGEING POPULATION. IN THE POSTMENOPAUSAL PERIOD, EXERCISES PREVENT RAPID BONE LOSS AND INCREASE MUSCLE STRENGTH, MOBILITY AND FLEXIBILITY THEREBY DECREASING THE RISK OF FALLS AND FRACTURES. YOGA EXERCISES, WHICH HAVE BEEN AN INSEPARABLE PART OF EASTERN CULTURE FOR HUNDREDS OF YEARS, ARE NOW BEING USED IN THE FIELD OF OSTEOPOROSIS REHABILITATION. YOGA HAS A POSITIVE EFFECT ON BALANCE, POSTURE, FLEXIBILITY, AND LIFE QUALITY RESULTING FROM ITS EFFECTS ON BALANCE, STRETCHING, RELAXATION AND STRENGTHENING. THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECT OF YOGA EXERCISES IN POSTMENOPAUSAL OSTEOPOROTIC WOMEN ON BALANCE AND LIFE QUALITY AND TO COMPARE THE RESULTS WITH A CLASSIC OSTEOPOROSIS EXERCISE PROGRAM. METHODS: TWENTY-SIX POSTMENOPAUSAL OSTEOPOROTIC WOMEN OVER 55 YEARS OF AGE WERE INCLUDED IN THE STUDY. A NEUROMUSCULAR TEST BATTERY AND THE QUALEFFO AS A LIFE QUALITY INDEX WERE USED FOR THE ASSESSMENT OF BALANCE AND LIFE QUALITY, RESPECTIVELY. RESULTS: THE RESULTS SHOWED THAT YOGA EDUCATION HAS A POSITIVE EFFECT ON PAIN, PHYSICAL FUNCTIONS, SOCIAL FUNCTIONS, GENERAL CONCLUSION: IN CONCLUSION, YOGA APPEARS TO BE AN ALTERNATIVE PHYSICAL ACTIVITY FOR THE REHABILITATION OF OSTEOPOROTIC SUBJECTS. 2010 7 554 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 8 1623 35 MINDFULNESS AND MODIFIED MEDICAL YOGA AS INTERVENTION IN OLDER WOMEN WITH OSTEOPOROTIC VERTEBRAL FRACTURE. BACKGROUND: PEOPLE WITH OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES (VCFS) HAVE DECREASED HEALTH-RELATED QUALITY OF LIFE (HRQOL). YOGA AND MINDFULNESS ARE METHODS THAT CAN PROMOTE WELL-BEING. OBJECTIVE: THE AIM OF THIS ARTICLE WAS TO EXPLORE THE EFFECT OF MINDFULNESS AND MODIFIED MEDICAL YOGA ON HRQOL, STRESS, SLEEP, AND PAIN IN PEOPLE 60 YEARS OR OLDER WITH A DIAGNOSED OSTEOPOROTIC VCF. DESIGN: THE SCHOOL OF OSTEOPOROSIS IN LINKOPING (SOL) IS A PILOT STUDY WITH RANDOMIZED GROUPS. MATERIALS AND METHODS: THE SOL-STUDY WAS SCHEDULED TO ONCE A WEEK FOR 10 WEEKS. TEN PEOPLE WERE RANDOMIZED TO A THEORY (T) GROUP, AND TEN PEOPLE WERE RANDOMIZED TO A THEORY AND MINDFULNESS/MEDICAL YOGA (MMY) GROUP. THE EDUCATIONAL SESSIONS LASTED 60 MIN AND WERE SIMILAR FOR THE GROUPS, BUT THEY TOOK PLACE AT DIFFERENT FACILITIES. AN EXPERIENCED PHYSIOTHERAPIST SUPERVISED THE MMY SESSIONS FOR 60 MIN. SLEEP QUALITY AND PRESENT STRESS EXPERIENCE WERE MEASURED ON A SYMMETRIC LIKERT SCALE. THE NUMERIC RATING SCALE WAS USED FOR PAIN, AND EQ-5D, RAND-36, AND QUALEFFO-41 WERE USED FOR HRQOL. THE PATIENT ENABLEMENT INSTRUMENT (PEI) WAS USED TO REFLECT HOW THE PARTICIPANTS COPED WITH THEIR ILLNESS. RESULTS: EIGHT WOMEN IN THE MMY-GROUP AND SEVEN WOMEN IN THE T-GROUP COMPLETED THE SOL STUDY INTERVENTIONS. THE ADHERENCE TO THE INTERVENTION PROGRAM WAS 89% IN THE MMY-GROUP AND 87% IN THE T-GROUP. THERE WAS NO ADVERSE CONSEQUENCE OF THE MMY TRAINING. AFTER THE 10-WEEK INTERVENTION PERIOD, SLEEP QUALITY (P = 0.018) AND PRESENT STRESS (P = 0.043), BUT NOT PERCEIVED PAIN WERE IMPROVED IN THE MMY-GROUP. THE SOCIAL FUNCTION (SF) DOMAIN WAS IMPROVED IN THE MMY-GROUP THAT WAS MEASURED BY BOTH RAND-36 (P = 0.028) AND QUALEFFO-41 (P = 0.012). THERE WAS A TREND TOWARD A BETTER PEI-SCORE IN THE MMY-GROUP COMPARED WITH THE T-GROUP POSTINTERVENTION (P = 0.089). CONCLUSION: THIS ARTICLE SUGGESTS THAT MINDFULNESS AND MODIFIED MEDICAL YOGA SUPERVISED BY A SKILLED PHYSIOTHERAPIST MAY BE A FEASIBLE WAY TO IMPROVE SF, SLEEP, AND STRESS IN OLDER WOMEN WITH OSTEOPOROTIC VCFS. 2020 9 2410 31 YOGA AND HYPERTENSION: A SYSTEMATIC REVIEW. LIFESTYLE MODIFICATION IS A CORNERSTONE OF HYPERTENSION (HPT) TREATMENT, YET MOST RECOMMENDATIONS CURRENTLY FOCUS ON DIET AND EXERCISE AND DO NOT CONSIDER STRESS REDUCTION STRATEGIES. YOGA IS A SPIRITUAL PATH THAT MAY REDUCE BLOOD PRESSURE (BP) THROUGH REDUCING STRESS, INCREASING PARASYMPATHETIC ACTIVATION, AND ALTERING BARORECEPTOR SENSITIVITY; HOWEVER, DESPITE REVIEWS ON YOGA AND CARDIOVASCULAR DISEASE, DIABETES, METABOLIC SYNDROME, AND ANXIETY THAT SUGGEST YOGA MAY REDUCE BP, NO COMPREHENSIVE REVIEW HAS YET FOCUSED ON YOGA AND HPT. A SYSTEMATIC REVIEW OF ALL PUBLISHED STUDIES ON YOGA AND HPT WAS PERFORMED REVEALING 39 COHORT STUDIES, 30 NONRANDOMIZED, CONTROLLED TRIALS (NRCTS), 48 RANDOMIZED, CONTROLLED TRIALS (RCTS), AND 3 CASE REPORTS WITH DURATIONS RANGING FROM 1 WK TO 4 Y AND INVOLVING A TOTAL OF 6693 SUBJECTS. MOST STUDIES REPORTED THAT YOGA EFFECTIVELY REDUCED BP IN BOTH NORMOTENSIVE AND HYPERTENSIVE POPULATIONS. THESE STUDIES SUGGEST THAT YOGA IS AN EFFECTIVE ADJUNCT THERAPY FOR HPT AND WORTHY OF INCLUSION IN CLINICAL GUIDELINES, YET THE GREAT HETEROGENEITY OF YOGA PRACTICES AND THE VARIABLE QUALITY OF THE RESEARCH MAKES IT DIFFICULT TO RECOMMEND ANY SPECIFIC YOGA PRACTICE FOR HPT. FUTURE RESEARCH NEEDS TO FOCUS ON HIGH QUALITY CLINICAL TRIALS ALONG WITH STUDIES ON THE MECHANISMS OF ACTION OF DIFFERENT YOGA PRACTICES. 2014 10 987 37 EFFECTS OF HATHA YOGA EXERCISES ON SPINE FLEXIBILITY IN WOMEN OVER 50 YEARS OLD. [PURPOSE] THE AIM OF THIS STUDY WAS TO ACCESS THE FLEXIBILITY OF THE SPINE IN WOMEN PRACTICING YOGA AS A PART OF THE "UNIVERSITY FOR HEALTH" PROJECT. [SUBJECTS AND METHODS] THE STUDY INCLUDED 56 WOMEN RANGING IN AGE BETWEEN 50-79 AND ATTENDING 90 MINUTES HATHA YOGA SESSIONS ONCE A WEEK. THE MEASUREMENTS WERE PERFORMED TWICE-AT THE BEGINNING OF THE PROJECT AND AFTER ITS COMPLETION, I.E., AFTER 20 WEEKS OF CLASSES. THE RANGE OF SPINE MOBILITY IN THREE PLANES WAS MEASURED USING A RIPPSTEIN PLURIMETER. THE RANGE OF MOTION IN THE SAGITTAL AND FRONTAL PLANES WAS MEASURED IN A STANDING POSITION WITH THE FEET HIP-WIDTH APART. THE TORSIONAL RANGE OF MOTION OF THE SUBJECTS WAS MEASURED WITH THE TRUNK BENT AT A RIGHT ANGLE AND THE LEGS APART. THE FLEXIBILITY RANGES OF THE SPINE AND HAMSTRINGS WERE ALSO MEASURED BY THE TOE-TOUCH TEST IN A STANDING POSITION. [RESULTS] THIS STUDY SHOWED THAT THE APPLIED YOGA EXERCISES INCREASED SPINAL MOBILITY AND FLEXIBILITY OF THE HAMSTRING MUSCLES REGARDLESS OF AGE. [CONCLUSION] YOGA EXERCISES SHOULD BE RECOMMENDED TO THE ELDERLY TO MAKE THEIR MUSCLES MORE FLEXIBLE AND TO INCREASE THE RANGE OF MOTION IN THE JOINTS, WHICH IS PARTICULARLY IMPORTANT FOR IMPROVING THEIR LIFE QUALITY. 2015 11 2501 32 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 12 1906 35 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 13 292 37 ADVERSE EVENTS ASSOCIATED WITH YOGA: A SYSTEMATIC REVIEW OF PUBLISHED CASE REPORTS AND CASE SERIES. WHILE YOGA IS GAINING INCREASED POPULARITY IN NORTH AMERICA AND EUROPE, ITS SAFETY HAS BEEN QUESTIONED IN THE LAY PRESS. THE AIM OF THIS SYSTEMATIC REVIEW WAS TO ASSESS PUBLISHED CASE REPORTS AND CASE SERIES ON ADVERSE EVENTS ASSOCIATED WITH YOGA. MEDLINE/PUBMED, SCOPUS, CAMBASE, INDMED AND THE CASES DATABASE WERE SCREENED THROUGH FEBRUARY 2013; AND 35 CASE REPORTS AND 2 CASE SERIES REPORTING A TOTAL OF 76 CASES WERE INCLUDED. TEN CASES HAD MEDICAL PRECONDITIONS, MAINLY GLAUCOMA AND OSTEOPENIA. PRANAYAMA, HATHA YOGA, AND BIKRAM YOGA WERE THE MOST COMMON YOGA PRACTICES; HEADSTAND, SHOULDER STAND, LOTUS POSITION, AND FORCEFUL BREATHING WERE THE MOST COMMON YOGA POSTURES AND BREATHING TECHNIQUES CITED. TWENTY-SEVEN ADVERSE EVENTS (35.5%) AFFECTED THE MUSCULOSKELETAL SYSTEM; 14 (18.4%) THE NERVOUS SYSTEM; AND 9 (11.8%) THE EYES. FIFTEEN CASES (19.7%) REACHED FULL RECOVERY; 9 CASES (11.3%) PARTIAL RECOVERY; 1 CASE (1.3%) NO RECOVERY; AND 1 CASE (1.3%) DIED. AS ANY OTHER PHYSICAL OR MENTAL PRACTICE, YOGA SHOULD BE PRACTICED CAREFULLY UNDER THE GUIDANCE OF A QUALIFIED INSTRUCTOR. BEGINNERS SHOULD AVOID EXTREME PRACTICES SUCH AS HEADSTAND, LOTUS POSITION AND FORCEFUL BREATHING. INDIVIDUALS WITH MEDICAL PRECONDITIONS SHOULD WORK WITH THEIR PHYSICIAN AND YOGA TEACHER TO APPROPRIATELY ADAPT POSTURES; PATIENTS WITH GLAUCOMA SHOULD AVOID INVERSIONS AND PATIENTS WITH COMPROMISED BONE SHOULD AVOID FORCEFUL YOGA PRACTICES. 2013 14 1984 46 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 15 2384 35 YOGA - A LABORIOUS WAY TO WELL-BEING: PATIENTS' EXPERIENCES OF YOGA AS A TREATMENT FOR HYPERTENSION IN PRIMARY CARE. OBJECTIVE: THE AIM OF THE STUDY WAS TO DESCRIBE PATIENTS' EXPERIENCE OF YOGA AS A TREATMENT FOR HYPERTENSION, AS WELL AS THEIR EXPERIENCE OF LIVING WITH HYPERTENSION. DESIGN: QUALITATIVE INTERVIEW STUDY METHOD AND MATERIALS: IN 2013-2014, IN SOUTHERN SWEDEN, PATIENTS WITH HYPERTENSION FROM THREE HEALTH CARE CENTRES WERE INVITED TO PARTICIPATE IN A RANDOMISED CONTROLLED TRIAL ON YOGA FOR HYPERTENSION. AFTER COMPLETION OF THE STUDY, EIGHT WOMEN AND FIVE MEN (AGED 35-79), WHO HAD PRACTICED THE YOGA INTERVENTION, WERE INTERVIEWED ABOUT THEIR EXPERIENCES. WE USED A SEMI-STRUCTURED INTERVIEW GUIDE ACCORDING TO KVALE. QUALITATIVE ANALYSIS WAS CONDUCTED BY SYSTEMATIC TEXT CONDENSATION INSPIRED BY MALTERUD. RESULTS: TWO MAIN THEMES EMERGED DURING THE ANALYSIS PROCESS: YOGA - A LABORIOUS WAY TO WELL-BEING AND HYPERTENSION - A SILENT DISEASE. THE POSITIVE EXPERIENCES OF DOING YOGA WERE DESCRIBED IN TERMS OF TRANQUILLITY AND INCREASED AGILITY. THE DRAWBACKS WERE MAINLY LINKED TO THE TIME REQUIRED TO PERFORM THE EXERCISES. LIVING WITH HIGH BLOOD PRESSURE AND HAVING TO TAKE MEDICATION CAN IMPLY A STIGMA AND CAUSE CONCERNS FOR FUTURE CARDIOVASCULAR EVENTS. MOST PATIENTS THAT WE INTERVIEWED EXPRESSED A WISH TO FIND ALTERNATIVE WAYS TO TREAT THEIR HIGH BLOOD PRESSURE. PARTICIPATING IN THE YOGA STUDY WAS SEEN AS A GOOD POSSIBILITY TO TRY SUCH AN ALTERNATIVE WAY. CONCLUSIONS: MANY PATIENTS WITH HYPERTENSION IN SWEDISH PRIMARY CARE SEEM TO BE INTERESTED IN TRYING ALTERNATIVE TREATMENTS TO CONTROL BLOOD PRESSURE. THE PATIENTS IN OUR STUDY EXPERIENCED SEVERAL BENEFITS FROM DOING YOGA, BUT THEY ALSO POINTED OUT DIFFICULTIES IN IMPLEMENTING YOGA AS A REGULAR AND PERMANENT LIFESTYLE CHANGE. 2017 16 2461 33 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 17 2033 36 TEACHING YOGA TO SENIORS: ESSENTIAL CONSIDERATIONS TO ENHANCE SAFETY AND REDUCE RISK IN A UNIQUELY VULNERABLE AGE GROUP. BACKGROUND: SENIORS AGE 65 AND OLDER REPRESENT THE FASTEST-GROWING SECTOR OF THE POPULATION AND, LIKE MANY AMERICANS, ARE INCREASINGLY DRAWN TO YOGA. THIS PRESENTS BOTH AN EXTRAORDINARY OPPORTUNITY AND A SERIOUS CHALLENGE FOR YOGA INSTRUCTORS WHO MUST BE BOTH A RESOURCE AND GUARDIANS OF SAFETY FOR THIS UNIQUELY VULNERABLE GROUP. A TYPICAL CLASS OF SENIORS IS LIKELY TO REPRESENT THE MOST DIVERSE MIX OF ABILITIES OF ANY AGE GROUP. WHILE SOME MAY BE EXCEEDINGLY HEALTHY, MOST FIT THE PROFILE OF THE AVERAGE OLDER ADULT IN AMERICA, 80% OF WHOM HAVE AT LEAST ONE CHRONIC HEALTH CONDITION AND 50% OF WHOM HAVE AT LEAST TWO. OBJECTIVES: THIS ARTICLE DISCUSSES THE THERAPEUTIC YOGA FOR SENIORS PROGRAM, OFFERED SINCE 2007 AT DUKE INTEGRATIVE MEDICINE TO FILL A CRITICAL NEED TO HELP YOGA INSTRUCTORS WORK SAFELY AND EFFECTIVELY WITH THE INCREASING NUMBER OF OLDER ADULTS COMING TO YOGA CLASSES, AND EXPLORES THREE AREAS THAT POSE THE GREATEST RISK OF COMPROMISE TO OLDER ADULT STUDENTS: SEDENTARY LIFESTYLE, CARDIOVASCULAR DISEASE, AND OSTEOPOROSIS. TO PROVIDE A SKILLFUL FRAMEWORK FOR TEACHING YOGA TO SENIORS, WE HAVE DEVELOPED SPECIFIC PRINCIPLES OF PRACTICE THAT INTEGRATE THE KNOWLEDGE GAINED FROM WESTERN MEDICINE WITH YOGIC TEACHINGS. 2010 18 2876 40 YOGA-RELATED INJURIES IN THE UNITED STATES FROM 2001 TO 2014. BACKGROUND: YOGA HAS BECOME MORE POPULAR AMONG PEOPLE IN THE UNITED STATES AND HAS BEEN TOUTED BY BOTH YOGA PARTICIPANTS AS WELL AS SOME PHYSICIANS AND RESEARCHERS FOR ITS HEALTH BENEFITS. WHILE THE HEALTH BENEFITS HAVE BEEN STUDIED, THE FREQUENCY OF INJURY AMONG YOGA PARTICIPANTS HAS NOT BEEN WELL DOCUMENTED. PURPOSE: INJURY INCIDENCE, RATES, AND TYPES ASSOCIATED WITH YOGA IN THE UNITED STATES HAVE NOT BEEN QUANTIFIED. THIS STUDY ESTIMATES US YOGA-ASSOCIATED INJURY INCIDENCE AND CHARACTERIZES INJURY TYPE OVER A 13-YEAR PERIOD. STUDY DESIGN: DESCRIPTIVE EPIDEMIOLOGY STUDY. METHODS: DATA FROM THE NATIONAL ELECTRONIC INJURY SURVEILLANCE SYSTEM (NEISS) FROM 2001 TO 2014 WERE USED TO ESTIMATE THE INCIDENCE AND TYPE OF YOGA-ASSOCIATED INJURIES. THE NUMBER AND AGE DISTRIBUTION OF YOGA PARTICIPANTS WAS ESTIMATED USING DATA FROM NATIONAL HEALTH STATISTICS REPORTS. THESE NATIONAL POPULATION ESTIMATES WERE APPLIED TO THE NEISS DATA TO DETERMINE INJURY RATES OVERALL AND STRATIFIED ACCORDING TO AGE CATEGORIES. RESULTS: THERE WERE 29,590 YOGA-RELATED INJURIES SEEN IN HOSPITAL EMERGENCY DEPARTMENTS FROM 2001 TO 2014. THE TRUNK (46.6%) WAS THE MOST FREQUENT REGION INJURED, AND SPRAIN/STRAIN (45.0%) ACCOUNTED FOR THE MAJORITY OF DIAGNOSES. THE INJURY RATE INCREASED OVERALL FROM 2001 TO 2014, AND IT WAS GREATEST FOR THOSE AGED 65 YEARS AND OLDER (57.9/100,000) COMPARED WITH THOSE AGED 18 TO 44 YEARS (11.9/100,000) AND 45 TO 64 YEARS (17.7/100,000) IN 2014. CONCLUSION: PARTICIPANTS AGED 65 YEARS AND OLDER HAVE A GREATER RATE OF INJURY FROM PRACTICING YOGA WHEN COMPARED WITH OTHER AGE GROUPS. MOST INJURIES SUSTAINED WERE TO THE TRUNK AND INVOLVED A SPRAIN/STRAIN. WHILE THERE ARE MANY HEALTH BENEFITS TO PRACTICING YOGA, PARTICIPANTS AND THOSE WISHING TO BECOME PARTICIPANTS SHOULD CONFER WITH A PHYSICIAN PRIOR TO ENGAGING IN PHYSICAL ACTIVITY AND PRACTICE ONLY UNDER THE GUIDANCE OF CERTIFIED INSTRUCTORS. 2016 19 371 24 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 20 2073 32 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