1 2503 97 YOGA AS TREATMENT FOR INSOMNIA AMONG CANCER PATIENTS AND SURVIVORS: A SYSTEMATIC REVIEW. MANY CANCER PATIENTS AND SURVIVORS, BETWEEN 15 TO 90%, REPORT SOME FORM OF INSOMNIA OR SLEEP QUALITY IMPAIRMENT DURING AND POST-TREATMENT, SUCH AS EXCESSIVE DAYTIME NAPPING, DIFFICULTY FALLING ASLEEP, DIFFICULTY STAYING ASLEEP, AND WAKING UP TOO EARLY. INSOMNIA AND SLEEP QUALITY IMPAIRMENT ARE AMONG THE MOST PREVALENT AND DISTRESSING PROBLEMS REPORTED BY CANCER PATIENTS AND SURVIVORS, AND CAN BE SEVERE ENOUGH TO INCREASE CANCER MORTALITY. DESPITE THE UBIQUITY OF INSOMNIA AND SLEEP QUALITY IMPAIRMENT, THEY ARE UNDER-DIAGNOSED AND UNDER-TREATED IN CANCER PATIENTS AND SURVIVORS. WHEN SLEEP PROBLEMS ARE PRESENT, PROVIDERS AND PATIENTS ARE OFTEN HESITANT TO PRESCRIBE OR TAKE PHARMACEUTICALS FOR SLEEP PROBLEMS DUE TO POLY PHARMACY CONCERNS, AND COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA CAN BE VERY DIFFICULT AND IMPRACTICAL FOR PATIENTS TO ADHERE TO THROUGHOUT THE CANCER EXPERIENCE. RESEARCH SUGGESTS YOGA IS A WELL-TOLERATED EXERCISE INTERVENTION WITH PROMISING EVIDENCE FOR ITS EFFICACY IN IMPROVING INSOMNIA AND SLEEP QUALITY IMPAIRMENT AMONG SURVIVORS. THIS ARTICLE PROVIDES A SYSTEMATIC REVIEW OF EXISTING CLINICAL RESEARCH ON THE EFFECTIVENESS OF YOGA FOR TREATING INSOMNIA AND SLEEP QUALITY IMPAIRMENT AMONG CANCER PATIENTS AND SURVIVORS. 2013 2 2631 68 YOGA FOR THE TREATMENT OF INSOMNIA AMONG CANCER PATIENTS: EVIDENCE, MECHANISMS OF ACTION, AND CLINICAL RECOMMENDATIONS. UP TO 90% OF CANCER PATIENTS REPORT SYMPTOMS OF INSOMNIA DURING AND AFTER TREATMENT. SYMPTOMS OF INSOMNIA INCLUDE EXCESSIVE DAYTIME SLEEPINESS, DIFFICULTY FALLING ASLEEP, DIFFICULTY STAYING ASLEEP, AND WAKING UP TOO EARLY. INSOMNIA SYMPTOMS ARE AMONG THE MOST PREVALENT, DISTRESSING AND PERSISTENT CANCER- AND CANCER TREATMENT-RELATED TOXICITIES REPORTED BY PATIENTS, AND CAN BE SEVERE ENOUGH TO INCREASE CANCER MORBIDITY AND MORTALITY. DESPITE THE UBIQUITY OF INSOMNIA SYMPTOMS, THEY ARE UNDER-SCREENED, UNDER-DIAGNOSED, AND UNDER-TREATED IN CANCER PATIENTS. WHEN INSOMNIA SYMPTOMS ARE IDENTIFIED, PROVIDERS ARE HESITANT TO PRESCRIBE, AND PATIENTS ARE HESITANT TO TAKE PHARMACEUTICALS DUE TO POLYPHARMACY CONCERNS. IN ADDITION, SLEEP MEDICATIONS DO NOT CURE INSOMNIA. YOGA IS A WELL-TOLERATED MODE OF EXERCISE WITH PROMISING EVIDENCE FOR ITS EFFICACY IN IMPROVING INSOMNIA SYMPTOMS AMONG CANCER PATIENTS. THIS ARTICLE REVIEWS EXISTING CLINICAL RESEARCH ON THE EFFECTIVENESS OF YOGA FOR TREATING INSOMNIA AMONG CANCER PATIENTS. THE ARTICLE ALSO PROVIDES CLINICAL RECOMMENDATIONS FOR PRESCRIBING YOGA FOR THE TREATMENT OF INSOMNIA IN THIS POPULATION. 2014 3 2627 29 YOGA FOR THE MANAGEMENT OF CANCER TREATMENT-RELATED TOXICITIES. PURPOSE OF REVIEW: TO (1) EXPLAIN WHAT YOGA IS, (2) SUMMARIZE PUBLISHED LITERATURE ON THE EFFICACY OF YOGA FOR MANAGING CANCER TREATMENT-RELATED TOXICITIES, (3) PROVIDE CLINICAL RECOMMENDATIONS ON THE USE OF YOGA FOR ONCOLOGY PROFESSIONALS, AND (4) SUGGEST PROMISING AREAS FOR FUTURE RESEARCH. RECENT FINDINGS: BASED ON A TOTAL OF 24 PHASE II AND ONE PHASE III CLINICAL TRIALS, LOW-INTENSITY FORMS OF YOGA, SPECIFICALLY GENTLE HATHA AND RESTORATIVE, ARE FEASIBLE, SAFE, AND EFFECTIVE FOR TREATING SLEEP DISRUPTION, CANCER-RELATED FATIGUE, COGNITIVE IMPAIRMENT, PSYCHOSOCIAL DISTRESS, AND MUSCULOSKELETAL SYMPTOMS IN CANCER PATIENTS RECEIVING CHEMOTHERAPY AND RADIATION AND CANCER SURVIVORS. CLINICIANS SHOULD CONSIDER PRESCRIBING YOGA FOR THEIR PATIENTS SUFFERING WITH THESE TOXICITIES BY REFERRING THEM TO QUALIFIED YOGA PROFESSIONALS. MORE DEFINITIVE PHASE III CLINICAL TRIALS ARE NEEDED TO CONFIRM THESE FINDINGS AND TO INVESTIGATE OTHER TYPES, DOSES, AND DELIVERY MODES OF YOGA FOR TREATING CANCER-RELATED TOXICITIES IN PATIENTS AND SURVIVORS. 2018 4 493 25 COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA, MINDFULNESS, AND YOGA IN PATIENTS WITH BREAST CANCER WITH SLEEP DISTURBANCE: A LITERATURE REVIEW. THE NUMBER OF PATIENTS WITH BREAST CANCER DIAGNOSED WITH SLEEP DISTURBANCE HAS GROWN SUBSTANTIALLY WITHIN THE UNITED STATES OVER THE PAST 20 YEARS. MEANWHILE, THERE HAVE BEEN SIGNIFICANT IMPROVEMENTS IN THE PSYCHOLOGICAL TREATMENT OF SLEEP DISTURBANCE IN PATIENTS WITH BREAST CANCER. MORE SPECIFICALLY, COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA (CBT-I), MINDFULNESS, AND YOGA HAVE SHOWN TO BE 3 PROMISING TREATMENTS WITH VARYING DEGREES OF BENEFIT, SUPPORTING DATA, AND INHERENT LIMITATIONS. IN THIS ARTICLE, WE WILL OUTLINE THE TREATMENT APPROACH FOR SLEEP DISTURBANCE IN PATIENTS WITH BREAST CANCER AND CONDUCT A COMPREHENSIVE REVIEW OF CBT-I, MINDFULNESS, AND YOGA AS THEY PERTAIN TO THIS PATIENT POPULATION. 2017 5 2548 26 YOGA FOR CANCER PATIENTS AND SURVIVORS. BACKGROUND: YOGA HAS BEEN PRACTICED FOR THOUSANDS OF YEARS TO IMPROVE PHYSICAL AND EMOTIONAL WELL-BEING. EMPIRICAL RESEARCH ON YOGA HAS BEEN ONGOING FOR SEVERAL DECADES, INCLUDING SEVERAL RECENT STUDIES CONDUCTED WITH CANCER PATIENTS AND SURVIVORS. METHODS: THIS REVIEW PROVIDES A GENERAL INTRODUCTION TO YOGA AND A DETAILED REVIEW OF YOGA RESEARCH IN CANCER. RESULTS: NINE STUDIES CONDUCTED WITH CANCER PATIENTS AND SURVIVORS YIELDED MODEST IMPROVEMENTS IN SLEEP QUALITY, MOOD, STRESS, CANCER-RELATED DISTRESS, CANCER-RELATED SYMPTOMS, AND OVERALL QUALITY OF LIFE. STUDIES CONDUCTED IN OTHER PATIENT POPULATIONS AND HEALTHY INDIVIDUALS HAVE SHOWN BENEFICIAL EFFECTS ON PSYCHOLOGICAL AND SOMATIC SYMPTOMS, AS WELL AS OTHER ASPECTS OF PHYSICAL FUNCTION. CONCLUSIONS: RESULTS FROM THE EMERGING LITERATURE ON YOGA AND CANCER PROVIDE PRELIMINARY SUPPORT FOR THE FEASIBILITY AND EFFICACY OF YOGA INTERVENTIONS FOR CANCER PATIENTS, ALTHOUGH CONTROLLED TRIALS ARE LACKING. FURTHER RESEARCH IS REQUIRED TO DETERMINE THE RELIABILITY OF THESE EFFECTS AND TO IDENTIFY THEIR UNDERLYING MECHANISMS. 2005 6 2706 31 YOGA INTO CANCER CARE: A REVIEW OF THE EVIDENCE-BASED RESEARCH. TO COPE WITH CANCER AND ITS TREATMENT-RELATED SIDE EFFECTS AND TOXICITIES, PEOPLE ARE INCREASINGLY USING COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM). CONSEQUENTLY, INTEGRATIVE ONCOLOGY, WHICH COMBINES CONVENTIONAL THERAPIES AND EVIDENCE-BASED CAM PRACTICES, IS AN EMERGING DISCIPLINE IN CANCER CARE. THE USE OF YOGA AS A CAM IS PROVING TO BE BENEFICIAL AND INCREASINGLY GAINING POPULARITY. AN ELECTRONIC DATABASE SEARCH (PUBMED), THROUGH DECEMBER 15, 2016, REVEALED 138 RELEVANT CLINICAL TRIALS (SINGLE-ARMED, NONRANDOMIZED, AND RANDOMIZED CONTROLLED TRIALS) ON THE USE OF YOGA IN CANCER PATIENTS. A TOTAL OF 10,660 CANCER PATIENTS FROM 20 COUNTRIES WERE RECRUITED IN THESE STUDIES. REGARDLESS OF SOME METHODOLOGICAL DEFICIENCIES, MOST OF THE STUDIES REPORTED THAT YOGA IMPROVED THE PHYSICAL AND PSYCHOLOGICAL SYMPTOMS, QUALITY OF LIFE, AND MARKERS OF IMMUNITY OF THE PATIENTS, PROVIDING A STRONG SUPPORT FOR YOGA'S INTEGRATION INTO CONVENTIONAL CANCER CARE. THIS REVIEW ARTICLE PRESENTS THE PUBLISHED CLINICAL RESEARCH ON THE PREVALENCE OF YOGA'S USE IN CANCER PATIENTS SO THAT ONCOLOGISTS, RESEARCHERS, AND THE PATIENTS ARE AWARE OF THE EVIDENCE SUPPORTING THE USE OF THIS RELATIVELY SAFE MODALITY IN CANCER CARE. 2018 7 2383 28 YOGA & CANCER INTERVENTIONS: A REVIEW OF THE CLINICAL SIGNIFICANCE OF PATIENT REPORTED OUTCOMES FOR CANCER SURVIVORS. LIMITED RESEARCH SUGGESTS YOGA MAY BE A VIABLE GENTLE PHYSICAL ACTIVITY OPTION WITH A VARIETY OF HEALTH-RELATED QUALITY OF LIFE, PSYCHOSOCIAL AND SYMPTOM MANAGEMENT BENEFITS. THE PURPOSE OF THIS REVIEW WAS TO DETERMINE THE CLINICAL SIGNIFICANCE OF PATIENT-REPORTED OUTCOMES FROM YOGA INTERVENTIONS CONDUCTED WITH CANCER SURVIVORS. A TOTAL OF 25 PUBLISHED YOGA INTERVENTION STUDIES FOR CANCER SURVIVORS FROM 2004-2011 HAD PATIENT-REPORTED OUTCOMES, INCLUDING QUALITY OF LIFE, PSYCHOSOCIAL OR SYMPTOM MEASURES. THIRTEEN OF THESE STUDIES MET THE NECESSARY CRITERIA TO ASSESS CLINICAL SIGNIFICANCE. CLINICAL SIGNIFICANCE FOR EACH OF THE OUTCOMES OF INTEREST WAS EXAMINED BASED ON 1 STANDARD ERROR OF THE MEASUREMENT, 0.5 STANDARD DEVIATION, AND RELATIVE COMPARATIVE EFFECT SIZES AND THEIR RESPECTIVE CONFIDENCE INTERVALS. THIS REVIEW DESCRIBES IN DETAIL THESE PATIENT-REPORTED OUTCOMES, HOW THEY WERE OBTAINED, THEIR RELATIVE CLINICAL SIGNIFICANCE AND IMPLICATIONS FOR BOTH CLINICAL AND RESEARCH SETTINGS. OVERALL, CLINICALLY SIGNIFICANT CHANGES IN PATIENT-REPORTED OUTCOMES SUGGEST THAT YOGA INTERVENTIONS HOLD PROMISE FOR IMPROVING CANCER SURVIVORS' WELL-BEING. THIS RESEARCH OVERVIEW PROVIDES NEW DIRECTIONS FOR EXAMINING HOW CLINICAL SIGNIFICANCE CAN PROVIDE A UNIQUE CONTEXT FOR DESCRIBING CHANGES IN PATIENT-REPORTED OUTCOMES FROM YOGA INTERVENTIONS. RESEARCHERS ARE ENCOURAGED TO EMPLOY INDICES OF CLINICAL SIGNIFICANCE IN THE INTERPRETATION AND DISCUSSION OF RESULTS FROM YOGA STUDIES. 2012 8 2023 28 SYSTEMATIC REVIEW OF YOGA FOR SYMPTOM MANAGEMENT DURING CONVENTIONAL TREATMENT OF BREAST CANCER PATIENTS. INTRODUCTION: BREAST CANCER IS ONE OF THE MOST COMMONLY DIAGNOSED CANCERS IN WOMEN IN THE US, AND ITS TREATMENTS HAVE SIGNIFICANT PHYSICAL AND PSYCHOLOGICAL SIDE EFFECTS AND LONG-TERM COMPLICATIONS CAUSING SIGNIFICANT MORBIDITY AND DECREASED QUALITY OF LIFE. INTEGRATIVE MEDICINE MODALITIES, SUCH AS YOGA, HAVE BEEN FOUND TO REDUCE SIDE EFFECTS OF CONVENTIONAL TREATMENTS WITHOUT INTERFERING WITH THE TREATMENT ITSELF AND IMPROVE QUALITY OF LIFE. IN THIS SYSTEMATIC REVIEW, WE SPECIFICALLY EXPLORED YOGA AS A POTENTIAL OPTION FOR SYMPTOMATIC MANAGEMENT IN PATIENTS UNDERGOING CONVENTIONAL BREAST CANCER TREATMENTS. METHODS: WE PERFORMED A LITERATURE SEARCH THAT WAS CONDUCTED TO INCLUDE THE DATABASES PUBMED, PSYCHINFO, COCHRANE LIBRARY, SCOPUS, AND CINAHL, RESULTING IN 28 RANDOMIZED CONTROLLED TRIAL (RCT) ARTICLES. WE REVIEW THE RESULTS OF THESE TRIALS REGARDING THE IMPACT OF YOGA IN THIS PATIENT POPULATION. RESULTS: OVERALL, THE MAJORITY OF THE RCT ARTICLES SHOWED SIGNIFICANT BENEFITS OF YOGA INTERVENTION IN VARIOUS ASPECTS OF QUALITY OF LIFE, FATIGUE, NAUSEA/VOMITING, SLEEP QUALITY, ANXIETY, DEPRESSION, AND DISTRESS. THERE ARE SEVERAL STUDIES THAT HAVE EXPLORED THE PHYSIOLOGICAL MECHANISM BEHIND THE EFFECTS OF YOGA AND FOUND THAT YOGA AFFECTS BOTH THE IMMUNE RESPONSE AND INFLAMMATION. DISCUSSION: THESE STUDIES REVEALED THAT YOGA HAS A POTENTIAL THERAPEUTIC ROLE IN THE SYMPTOMATIC MANAGEMENT OF BREAST CANCER PATIENTS, ENHANCING QUALITY OF LIFE DURING TREATMENT AS WELL AS IMPROVING ADHERENCE TO TREATMENT. FUTURE STUDIES WITH MORE DEFINED AND CONSISTENT METHODOLOGIES ARE NECESSARY TO FULLY UNDERSTAND THE POTENTIAL USE OF YOGA THERAPY IN PATIENTS WITH BREAST CANCER. 2022 9 2658 35 YOGA IN ADULT CANCER: A PILOT SURVEY OF ATTITUDES AND BELIEFS AMONG ONCOLOGISTS. BACKGROUND: DEPENDING ON INTEREST, KNOWLEDGE, AND SKILLS, ONCOLOGISTS ARE ADAPTING CLINICAL BEHAVIOUR TO INCLUDE INTEGRATIVE APPROACHES, SUPPORTING PATIENTS TO MAKE INFORMED COMPLEMENTARY CARE DECISIONS. THE PRESENT STUDY SOUGHT TO IMPROVE THE KNOWLEDGE BASE IN THREE WAYS: TEST THE ACCEPTABILITY OF A SELF-REPORTED ONLINE SURVEY FOR ONCOLOGISTS.PROVIDE PRELIMINARY DATA COLLECTION CONCERNING KNOWLEDGE, ATTITUDES, BELIEFS, AND CURRENT REFERRAL PRACTICES AMONG ONCOLOGISTS WITH RESPECT TO YOGA IN ADULT CANCER.LIST THE PERCEIVED BENEFITS OF AND BARRIERS TO YOGA INTERVENTION FROM A CLINICAL PERSPECTIVE. METHODS: A 38-ITEM SELF-REPORT QUESTIONNAIRE WAS ADMINISTERED ONLINE TO MEDICAL, RADIATION, AND SURGICAL ONCOLOGISTS IN BRITISH COLUMBIA. RESULTS: SOME OF THE 29 ONCOLOGISTS WHO COMPLETED THE SURVEY (N = 10) REPORTED HAVING RECOMMENDED YOGA TO PATIENTS TO IMPROVE PHYSICAL ACTIVITY, FATIGUE, STRESS, INSOMNIA, AND MUSCLE OR JOINT STIFFNESS. OTHER RESPONDING ONCOLOGISTS WERE HESITANT OR UNLIKELY TO SUGGEST YOGA FOR THEIR PATIENTS BECAUSE THEY HAD NO KNOWLEDGE OF YOGA AS A THERAPY (N = 15) OR BELIEVED THAT SCIENTIFIC EVIDENCE TO SUPPORT ITS USE IS LACKING (N = 11). ALL 29 RESPONDENTS WOULD RECOMMEND THAT THEIR PATIENTS PARTICIPATE IN A CLINICAL TRIAL TO TEST THE EFFICACY OF YOGA. IN QUALITATIVE FINDINGS, ONCOLOGISTS COMPARED YOGA WITH EXERCISE AND SUGGESTED THAT IT MIGHT HAVE SIMILAR PSYCHOLOGICAL AND PHYSICAL HEALTH BENEFITS THAT WOULD IMPROVE PATIENT CAPACITY TO ENDURE TREATMENT. BARRIERS TO AND LIMITATIONS OF YOGA IN ADULT CANCER ARE ALSO DISCUSSED. CONCLUSIONS: AN ONLINE SELF-REPORT SURVEY IS FEASIBLE, BUT HAS RESPONSE RATE LIMITATIONS. A SMALL NUMBER OF ONCOLOGISTS ARE CURRENTLY RECOMMENDING YOGA TO IMPROVE HEALTH-RELATED OUTCOMES IN ADULT CANCER. RESPONDENTS WOULD SUPPORT CLINICAL YOGA INTERVENTIONS TO IMPROVE THE EVIDENCE BASE IN CANCER PATIENTS, INCLUDING MEN AND WOMEN IN ALL TUMOUR GROUPS. 2015 10 1190 24 EVIDENCE-BASED YOGA INTERVENTIONS FOR PATIENTS WITH CANCER. BACKGROUND: INTRODUCING PATIENTS WITH CANCER TO THE PRACTICE OF YOGA CAN BE BENEFICIAL FOR COPING WITH THE SIDE EFFECTS OF TREATMENT AND THE PSYCHOLOGICAL ASPECTS OF CANCER THAT ARE OFTEN DIFFICULT AND DISTRESSING FOR PATIENTS. ONCOLOGY NURSES CAN LEARN TO USE SIMPLE YOGA TECHNIQUES FOR THEMSELVES AND AS INTERVENTIONS WITH THEIR PATIENTS. OBJECTIVES: THIS ARTICLE PROVIDES DETAILS ABOUT THE DEVELOPMENT AND IMPLEMENTATION OF A YOGA CLASS FOR PATIENTS WITH CANCER AND PROVIDES DETAILS ABOUT OTHER WAYS NURSES CAN INTEGRATE YOGA INTO ONCOLOGY NURSING AND CANCER CARE. METHODS: CURRENT RESEARCH LITERATURE WAS REVIEWED AND SYNTHESIZED TO PROVIDE SUPPORT FOR THE USE OF YOGA AS AN EVIDENCE-BASED NURSING INTERVENTION. A DETAILED APPROACH FOR IMPLEMENTING YOGA INTO PROFESSIONAL PRACTICE WAS DELINEATED. FINDINGS: YOGA TECHNIQUES CAN BE EASILY INTEGRATED INTO NURSING PRACTICE AND HAVE BEEN SHOWN TO BE BENEFICIAL FOR PATIENTS AND NURSES. 2016 11 1945 33 SALUTE TO THE SUN: A NEW DAWN IN YOGA THERAPY FOR BREAST CANCER. INTRODUCTION: INTEREST IN THE APPLICATION OF YOGA FOR HEALTH BENEFITS IN WESTERN MEDICINE IS GROWING RAPIDLY, WITH A SIGNIFICANT RISE IN PUBLICATIONS. THE PURPOSE OF THIS SYSTEMATIC REVIEW IS TO DETERMINE WHETHER THE INCLUSION OF YOGA THERAPY TO THE TREATMENT OF BREAST CANCER CAN IMPROVE THE PATIENT'S PHYSICAL AND PSYCHOSOCIAL QUALITY OF LIFE (QOL). METHODS: A SEARCH OF PEER REVIEWED JOURNAL ARTICLES PUBLISHED BETWEEN JANUARY 2009 AND JULY 2014 WAS CONDUCTED. STUDIES WERE INCLUDED IF THEY HAD MORE THAN 15 STUDY PARTICIPANTS, INCLUDED INTERVENTIONS SUCH AS MINDFULNESS-BASED STRESS REDUCTION (MBSR) OR YOGA THERAPY WITH OR WITHOUT COMPARISON GROUPS AND HAD STATED PHYSICAL OR PSYCHOLOGICAL OUTCOMES. RESULTS: SCREENING IDENTIFIED 38 APPROPRIATE ARTICLES. THE MOST REPORTED PSYCHOSOCIAL BENEFITS OF YOGA THERAPY WERE ANXIETY, EMOTIONAL AND SOCIAL FUNCTIONING, STRESS, DEPRESSION AND GLOBAL QOL. THE MOST REPORTED PHYSICAL BENEFITS OF YOGA THERAPY WERE IMPROVED SALIVARY CORTISOL READINGS, SLEEP QUALITY AND LYMPHOCYTE APOPTOSIS. BENEFITS IN THESE AREAS WERE LINKED STRONGLY WITH THE YOGA INTERVENTIONS, IN ADDITION TO SIGNIFICANT IMPROVEMENT IN OVERALL QOL. CONCLUSION: THE EVIDENCE SUPPORTS THE USE OF YOGA THERAPY TO IMPROVE THE PHYSICAL AND PSYCHOSOCIAL QOL FOR BREAST CANCER PATIENTS WITH A RANGE OF BENEFITS RELEVANT TO RADIATION THERAPY. FUTURE STUDIES ARE RECOMMENDED TO CONFIRM THESE BENEFITS. EVIDENCE-BASED RECOMMENDATIONS FOR IMPLEMENTATION OF A YOGA THERAPY PROGRAMME HAVE BEEN DERIVED AND INCLUDED WITHIN THIS REVIEW. LONG-TERM FOLLOW-UP IS NECESSARY WITH THESE PROGRAMMES TO ASSESS THE EFFICACY OF THE YOGA INTERVENTION IN TERMS OF SUSTAINABILITY AND PATIENT OUTCOMES. 2017 12 2623 31 YOGA FOR SYMPTOM MANAGEMENT IN ONCOLOGY: A REVIEW OF THE EVIDENCE BASE AND FUTURE DIRECTIONS FOR RESEARCH. BECAUSE YOGA IS INCREASINGLY RECOGNIZED AS A COMPLEMENTARY APPROACH TO CANCER SYMPTOM MANAGEMENT, PATIENTS/SURVIVORS AND PROVIDERS NEED TO UNDERSTAND ITS POTENTIAL BENEFITS AND LIMITATIONS BOTH DURING AND AFTER TREATMENT. THE AUTHORS REVIEWED RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA CONDUCTED AT THESE POINTS IN THE CANCER CONTINUUM (N = 29; N = 13 DURING TREATMENT, N = 12 POST-TREATMENT, AND N = 4 WITH MIXED SAMPLES). FINDINGS BOTH DURING AND AFTER TREATMENT DEMONSTRATED THE EFFICACY OF YOGA TO IMPROVE OVERALL QUALITY OF LIFE (QOL), WITH IMPROVEMENT IN SUBDOMAINS OF QOL VARYING ACROSS STUDIES. FATIGUE WAS THE MOST COMMONLY MEASURED OUTCOME, AND MOST RCTS CONDUCTED DURING OR AFTER CANCER TREATMENT REPORTED IMPROVEMENTS IN FATIGUE. RESULTS ALSO SUGGESTED THAT YOGA CAN IMPROVE STRESS/DISTRESS DURING TREATMENT AND POST-TREATMENT DISTURBANCES IN SLEEP AND COGNITION. SEVERAL RCTS PROVIDED EVIDENCE THAT YOGA MAY IMPROVE BIOMARKERS OF STRESS, INFLAMMATION, AND IMMUNE FUNCTION. OUTCOMES WITH LIMITED OR MIXED FINDINGS (EG, ANXIETY, DEPRESSION, PAIN, CANCER-SPECIFIC SYMPTOMS, SUCH AS LYMPHEDEMA) AND POSITIVE PSYCHOLOGICAL OUTCOMES (SUCH AS BENEFIT-FINDING AND LIFE SATISFACTION) WARRANT FURTHER STUDY. IMPORTANT FUTURE DIRECTIONS FOR YOGA RESEARCH IN ONCOLOGY INCLUDE: ENROLLING PARTICIPANTS WITH CANCER TYPES OTHER THAN BREAST, STANDARDIZING SELF-REPORT ASSESSMENTS, INCREASING THE USE OF ACTIVE CONTROL GROUPS AND OBJECTIVE MEASURES, AND ADDRESSING THE HETEROGENEITY OF YOGA INTERVENTIONS, WHICH VARY IN TYPE, KEY COMPONENTS (MOVEMENT, MEDITATION, BREATHING), DOSE, AND DELIVERY MODE. 2019 13 2292 22 THERAPEUTIC EFFECTS OF YOGA FOR CHILDREN: A SYSTEMATIC REVIEW OF THE LITERATURE. PURPOSE: WE COMPLETED A SYSTEMATIC REVIEW OF THE LITERATURE ON THE EFFECT OF YOGA ON QUALITY OF LIFE AND PHYSICAL OUTCOME MEASURES IN THE PEDIATRIC POPULATION. WE EXPLORED VARIOUS DATABASES AND INCLUDED CASE-CONTROL AND PILOT STUDIES, COHORT AND RANDOMIZED CONTROLLED TRIALS THAT EXAMINED YOGA AS AN EXERCISE INTERVENTION FOR CHILDREN. SUMMARY OF KEY POINTS: USING THE SACKETT LEVELS OF EVIDENCE, THIS ARTICLE REVIEWS THE LITERATURE ON YOGA AS A COMPLEMENTARY MIND-BODY MOVEMENT THERAPY. WE ADDRESS THE RESEARCH THROUGH THREE PRACTICE PATTERNS ACCORDING TO THE GUIDE TO PHYSICAL THERAPIST PRACTICE AND PROVIDE CONSIDERATIONS FOR THE INCLUSION OF YOGA INTO CLINICAL PRACTICE. STATEMENT OF CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE: THE EVIDENCE SHOWS PHYSIOLOGICAL BENEFITS OF YOGA FOR THE PEDIATRIC POPULATION THAT MAY BENEFIT CHILDREN THROUGH THE REHABILITATION PROCESS, BUT LARGER CLINICAL TRIALS, INCLUDING SPECIFIC MEASURES OF QUALITY OF LIFE ARE NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. 2008 14 2848 28 YOGA, MEDITATION AND MINDFULNESS IN PEDIATRIC ONCOLOGY - A REVIEW OF LITERATURE. PURPOSE: CHILDREN AND ADOLESCENTS UNDERGOING TREATMENT FOR CANCER ARE EXPOSED TO A WIDE VARIETY OF STRESSORS BOTH PHYSICAL AND MENTAL. NOT ONLY ADULTS BUT ALSO CHILDREN AND ADOLESCENTS INCREASINGLY PRACTICE YOGA IN A HEALTH-PROMOTING MANNER AND TO COPE WITH STRESSFUL SITUATIONS. METHODS: A REVIEW OF LITERATURE WAS CONDUCTED TO PRESENT THE CURRENT OUTCOMES ON YOGA, MEDITATION AND MINDFULNESS FOR CHILDREN AND ADOLESCENTS WHO ARE AFFECTED BY AN ONCOLOGICAL DISEASE. RESULTS: EIGHT STUDIES WERE IDENTIFIED THAT EXAMINED YOGA TREATMENT FOR CHILDREN AND ADOLESCENTS WITH ONCOLOGICAL DISEASES. THREE STUDIES WERE FOUND ON MINDFULNESS IN PEDIATRIC ONCOLOGY. THE STUDIES SUMMARIZED HERE SUGGEST THAT YOGA AND MINDFULNESS COULD HELP TO IMPROVE QUALITY OF LIFE, REDUCE FATIGUE, IMPROVE ACTIVITY AND FITNESS LEVELS, IMPROVE SLEEP QUALITY, INCREASE APPETITE AND DECREASE ANXIETY IN VARIOUS STAGES OF THE DISEASE AND ITS TREATMENT. THE REVIEWED STUDIES SHOWED THAT YOGA AND MINDFULNESS-BASED INTERVENTIONS FOR CHILDREN AND ADOLESCENTS WITH ONCOLOGICAL ILLNESSES ARE FEASIBLE IN DIFFERENT SETTINGS AND ARE WELL RECEIVED. CONCLUSIONS: THE RESULTS OF THE STUDIES SUGGEST THAT YOGA AND MINDFULNESS MAY HELP TO SUPPORT CHILDREN AND ADOLESCENTS DURING AND AFTER ONCOLOGICAL TREATMENT. BASED ON THE CURRENT BODY OF EVIDENCE IT IS NOT POSSIBLE TO DRAW CONCLUSIONS ABOUT THE EFFICACY OF YOGA AND MINDFULNESS-BASED INTERVENTIONS IN PEDIATRIC ONCOLOGY PATIENTS. RESEARCH MUST MEET THIS CHALLENGE TO DEVELOP SUITABLE DESIGNS TO FURTHER AND BETTER INVESTIGATE THE EFFECTS OF YOGA AND MINDFULNESS IN CHILDREN AND ADOLESCENTS WITH ONCOLOGICAL DISEASES. 2021 15 2354 29 UTILIZING YOGA IN ONCOLOGIC PATIENTS TREATED WITH RADIOTHERAPY: REVIEW. PURPOSE: SEVERAL TRIALS ON NONCANCER POPULATION INDICATE THAT YOGA IS ASSOCIATED WITH MEANINGFUL CLINICAL EFFECTS. THIS STUDY EVALUATED THE PHYSICAL AND PSYCHOSOCIAL OUTCOMES OF YOGA IN ONCOLOGIC PATIENTS TREATED WITH RADIOTHERAPY. METHODS: WE FOCUSED ON A RESEARCH THROUGH COCHRANE REGISTER OF CONTROLLED TRIALS (CENTRAL), BIOMED CENTRAL, AND MEDLINE STUDIES UP TO MAY 2017. RESULTS: YOGA WAS FOUND TO HAVE A SUBSTANTIAL BENEFIT IN CANCER PATIENTS' DISTRESS, ANXIETY, AND DEPRESSION. IT ALSO DEMONSTRATED A MODERATE IMPACT ON FATIGUE AND EMOTIONAL FUNCTION AND A SMALL AND INSIGNIFICANT EFFECT ON FUNCTIONAL WELL-BEING AND SLEEP DISTURBANCES. AS FAR AS THE EFFECTS ON PSYCHOLOGICAL OUTCOMES ARE CONCERNED, THERE WAS INSUFFICIENT EVIDENCE. CONCLUSIONS: THIS SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS SHOWED THAT YOGA HAS STRONG BENEFICIAL EFFECTS ON ONCOLOGIC PATIENTS' QUALITY OF LIFE. RESULTS OF THE CURRENT REVIEW MUST BE INTERPRETED WITH CAUTION DUE TO THE RELATIVE SMALL SAMPLE SIZES OF MOST OF THE INCLUDED STUDIES, WHILE A PROSPECTIVE RANDOMIZED STUDY STANDS IN NEED FOR THE CONFIRMATION OF OUR RESULTS. 2018 16 2170 27 THE EFFECTS OF YOGA ON ANXIETY AND STRESS. STRESS AND ANXIETY HAVE BEEN IMPLICATED AS CONTRIBUTORS TO MANY CHRONIC DISEASES AND TO DECREASED QUALITY OF LIFE, EVEN WITH PHARMACOLOGIC TREATMENT. EFFORTS ARE UNDERWAY TO FIND NON-PHARMACOLOGIC THERAPIES TO RELIEVE STRESS AND ANXIETY, AND YOGA IS ONE OPTION FOR WHICH RESULTS ARE PROMISING. THE FOCUS OF THIS REVIEW IS ON THE RESULTS OF HUMAN TRIALS ASSESSING THE ROLE OF YOGA IN IMPROVING THE SIGNS AND SYMPTOMS OF STRESS AND ANXIETY. OF 35 TRIALS ADDRESSING THE EFFECTS OF YOGA ON ANXIETY AND STRESS, 25 NOTED A SIGNIFICANT DECREASE IN STRESS AND/OR ANXIETY SYMPTOMS WHEN A YOGA REGIMEN WAS IMPLEMENTED; HOWEVER, MANY OF THE STUDIES WERE ALSO HINDERED BY LIMITATIONS, SUCH AS SMALL STUDY POPULATIONS, LACK OF RANDOMIZATION, AND LACK OF A CONTROL GROUP. FOURTEEN OF THE 35 STUDIES REPORTED BIOCHEMICAL AND PHYSIOLOGICAL MARKERS OF STRESS AND ANXIETY, BUT YIELDED INCONSISTENT SUPPORT OF YOGA FOR RELIEF OF STRESS AND ANXIETY. EVALUATION OF THE CURRENT PRIMARY LITERATURE IS SUGGESTIVE OF BENEFITS OF YOGA IN RELIEVING STRESS AND ANXIETY, BUT FURTHER INVESTIGATION INTO THIS RELATIONSHIP USING LARGE, WELL-DEFINED POPULATIONS, ADEQUATE CONTROLS, RANDOMIZATION AND LONG DURATION SHOULD BE EXPLORED BEFORE RECOMMENDING YOGA AS A TREATMENT OPTION. 2012 17 2684 29 YOGA IN THE PEDIATRIC ONCOLOGY POPULATION: A REVIEW OF THE LITERATURE. BACKGROUND: THE PURPOSE OF THIS REVIEW WAS TO EVALUATE THE CURRENT BODY OF LITERATURE ON YOGA IN THE PEDIATRIC ONCOLOGY POPULATION. CONSIDERING THE INCREASING NUMBER OF STUDIES ON YOGA INDICATING IMPROVEMENTS IN HEALTH-RELATED QUALITY OF LIFE (HRQL) AMONG THE ADULT ONCOLOGY POPULATION, IT IS IMPORTANT TO EXPLORE WHETHER SIMILAR BENEFITS HAVE BEEN FOUND IN PEDIATRIC ONCOLOGY PATIENTS. METHODS: CINAHL, OVID MEDLINE, PSYCINFO, PUBMED, AND SCOPUS WERE SEARCHED FROM THE YEARS 2010 THROUGH 2020 FOR STUDIES ASSESSING THE USE OF YOGA IN CHILDREN AND ADOLESCENTS AFFECTED BY CANCER. CONSIDERING THE BENEFITS OF YOGA ON HRQL IN THE ADULT ONCOLOGY POPULATION, THE AIM OF THIS REVIEW WAS TO EVALUATE THE CURRENT BODY OF LITERATURE ON YOGA IN THE PEDIATRIC CANCER POPULATION. RESULTS: EIGHT STUDIES, ALL NONRANDOMIZED WITH SINGLE-ARM DESIGNS, WERE REVIEWED. FIVE OF THE STUDIES WERE DESIGNED AS FEASIBILITY STUDIES AND WHILE RECRUITMENT RATES RANGED FROM 34% TO 55%, RETENTION RATES WERE APPROXIMATELY 70%. QUALITATIVE FEEDBACK FROM PARTICIPANTS WAS VERY POSITIVE AND THEMES RELATED TO BOTH PHYSICAL AND PSYCHOLOGICAL BENEFITS. CERTAIN MEASURES OF HRQL (I.E., ANXIETY, PAIN, AND PHYSICAL FUNCTIONING) WERE FOUND TO BE SIGNIFICANTLY IMPROVED FOLLOWING A YOGA INTERVENTION. DISCUSSION: ALTHOUGH NO RANDOMIZED CLINICAL TRIALS HAVE BEEN CONDUCTED TO DATE ON THIS IMPORTANT TOPIC, THE STUDIES REVIEWED SHOWED THAT DELIVERING YOGA TO THIS POPULATION IS FEASIBLE AND SAFE. ADDITIONALLY, PRELIMINARY FINDINGS ON THE IMPACT OF YOGA FOR SOME OF THE COMMON SYMPTOMS AND TREATMENT-RELATED SIDE EFFECTS EXPERIENCED BY CHILDREN AND ADOLESCENTS AFFECTED BY CANCER ARE PROMISING. 2021 18 142 22 A PROTOCOL AND PILOT STUDY FOR MANAGING FIBROMYALGIA WITH YOGA AND MEDITATION. FIBROMYALGIA IS A CHRONIC SYNDROME CHARACTERIZED BY WIDESPREAD PAIN, SLEEP DISTURBANCE, STIFFNESS, FATIGUE, HEADACHE, AND MOOD DISORDERS. RECENT RESEARCH HAS RESULTED IN AN IMPROVED UNDERSTANDING OF FIBROMYALGIA AND ITS POSSIBLE CAUSES. THIS ARTICLE HIGHLIGHTS SOME OF THE CURRENT RESEARCH, DISCUSSES A STRATEGY FOR USING YOGA AND MEDITATION AS A THERAPY FOR FIBROMYALGIA SUFFERERS, AND PRESENTS THE RESULTS OF A PRELIMINARY 8-WEEK STUDY USING YOGA AND MEDITATION TO HELP MANAGE FIBROMYALGIA SYMPTOMS. THE STUDY OF 11 PARTICIPANTS FOUND SIGNIFICANT IMPROVEMENT IN THE OVERALL HEALTH STATUS OF THE PARTICIPANTS AND IN SYMPTOMS OF STIFFNESS, ANXIETY, AND DEPRESSION. SIGNIFICANT IMPROVEMENTS WERE ALSO SEEN IN THE REPORTED NUMBER OF DAYS "FELT GOOD" AND NUMBER OF DAYS "MISSED WORK" BECAUSE OF FIBROMYALGIA. NONSIGNIFICANT IMPROVEMENTS WERE SEEN IN MEASURES OF PAIN, FATIGUE, AND HOW ONE FELT IN THE MORNING. EFFECT SIZES WERE MEDIUM TO LARGE FOR MOST TESTED AREAS. THIS STUDY SUPPORTS THE BENEFITS OF YOGA AND MEDITATION FOR INDIVIDUALS WITH FIBROMYALGIA AND ENCOURAGES FURTHER RESEARCH TO EXPLORE THEIR USE AS STANDARD THERAPIES FOR FIBROMYALGIA. 2011 19 836 26 EFFECT OF YOGA ON PATIENTS WITH CANCER: OUR CURRENT UNDERSTANDING. OBJECTIVE: TO DETERMINE WHETHER THERAPEUTIC YOGA IMPROVES THE QUALITY OF LIFE OF PATIENTS WITH CANCER. DATA SOURCES: SEARCH OF MEDLINE DATABASE (1950-2010) USING KEY WORDS YOGA, CANCER, AND QUALITY OF LIFE. STUDY SELECTION: PRIORITY WAS GIVEN TO RANDOMIZED CONTROLLED CLINICAL STUDIES CONDUCTED TO DETERMINE THE EFFECT OF YOGA ON TYPICAL SYMPTOMS OF PATIENTS WITH CANCER IN NORTH AMERICA. SYNTHESIS: INITIALLY, 4 RANDOMIZED CONTROLLED CLINICAL STUDIES WERE ANALYZED, THEN 2 STUDIES WITHOUT CONTROL GROUPS WERE ANALYZED. THREE STUDIES CONDUCTED IN INDIA AND THE NEAR EAST PROVIDED INTERESTING INFORMATION ON METHODOLOGIES. THE INTERVENTIONS INCLUDED YOGA SESSIONS OF VARYING LENGTH AND FREQUENCY. THE PARAMETERS MEASURED ALSO VARIED AMONG STUDIES. SEVERAL SYMPTOMS IMPROVED SUBSTANTIALLY WITH YOGA (HIGHER QUALITY OF SLEEP, DECREASE IN SYMPTOMS OF ANXIETY AND DEPRESSION, IMPROVEMENT IN SPIRITUAL WELL-BEING, ETC). IT WOULD APPEAR THAT QUALITY OF LIFE, OR SOME ASPECTS THEREOF, ALSO IMPROVED. CONCLUSION: THE VARIETY OF BENEFITS DERIVED, THE ABSENCE OF SIDE EFFECTS, AND THE COST-BENEFIT RATIO OF THERAPEUTIC YOGA MAKE IT AN INTERESTING ALTERNATIVE FOR FAMILY PHYSICIANS TO SUGGEST TO THEIR PATIENTS WITH CANCER. CERTAIN METHODOLOGIC SHORTCOMINGS, INCLUDING THE LIMITED SIZE OF THE SAMPLES AND VARYING LEVELS OF ATTENDANCE ON THE PART OF THE SUBJECTS, MIGHT HAVE REDUCED THE STATISTICAL STRENGTH OF THE STUDIES PRESENTED. IT IS ALSO POSSIBLE THAT THE MEASUREMENT SCALES USED DID NOT SUIT THIS TYPE OF SITUATION AND PATIENT POPULATION, MAKING IT IMPOSSIBLE TO SEE A SIGNIFICANT EFFECT. HOWEVER, FAVOURABLE COMMENTS BY PARTICIPANTS DURING THE STUDIES AND THEIR LEVEL OF APPRECIATION AND WELL-BEING SUGGEST THAT FURTHER RESEARCH IS CALLED FOR TO FULLY UNDERSTAND THE MECHANISMS OF THESE EFFECTS. 2012 20 2642 23 YOGA FOR WOMEN LIVING WITH BREAST CANCER-RELATED ARM MORBIDITY: FINDINGS FROM AN EXPLORATORY STUDY. TREATMENTS FOR BREAST CANCER ASSAULT THE BODY AND CAN DISRUPT THE RELATIONSHIP BETWEEN BODY, MIND, AND SPIRIT. IN THIS ARTICLE, WE DISCUSS THE WAYS IN WHICH YOGA WAS EXPERIENCED AND UNDERSTOOD AS A HEALING THERAPY AMONG TEN FEMALE BREAST CANCER SURVIVORS BETWEEN THE AGES OF 26 AND 70 AND LIVING WITH TREATMENT-RELATED ARM MORBIDITY. THE WOMEN PARTICIPATED IN 6 WEEKLY SESSIONS OF GENTLE IYENGAR YOGA AND RESPONDED TO OPEN-ENDED SURVEYS BEFORE AND AFTER THE INTERVENTION. THE MAJORITY OF WOMEN REPORTED PHYSICAL, EMOTIONAL, AND SPIRITUAL BENEFITS FROM THE PRACTICE OF YOGA. SPECIFIC BENEFITS INCLUDED IMPROVEMENTS IN PHYSICAL FUNCTION AND RELIEF FROM SYMPTOMS RELATED TO TREATMENT; INCREASED PEACE OF MIND AND HOPE; AND CONNECTION TO OTHER YOGA PARTICIPANTS. INTEGRAL TO THIS HEALING PROCESS WAS SOCIAL SUPPORT FROM OTHER BREAST CANCER SURVIVORS. 2011