1 2622 132 YOGA FOR SUBSTANCE USE: A SYSTEMATIC REVIEW. INTRODUCTION: SUBSTANCE USE DISORDERS (SUDS) ARE COMPLEX INTERACTIONS BETWEEN VARIOUS GENETIC, ENVIRONMENTAL, DEVELOPMENTAL, AND SOCIAL FACTORS. YOGA IS RECOMMENDED AS A NONMAINSTREAM TREATMENT FOR MANY HEALTH CONDITIONS, INCLUDING SUDS. METHODS: FIVE DATABASES WERE SEARCHED FOR RANDOMIZED CONTROLLED TRIALS (RCTS) THAT EVALUATED YOGA AS AN INTERVENTION IN ADULTS WITH ANY TYPE OF SUBSTANCE USE DISORDER. THE INTERVENTIONS BEING STUDIED INCLUDED HATHA YOGA, SUDARSHAN KRIYA YOGA, BREATHING YOGA EXERCISES, AND MEDITATION. STUDIES, WHERE YOGA WAS COMBINED WITH OTHER INTERVENTIONS WERE EXCLUDED. THE EFFECT OF YOGA AS AN INTERVENTION WAS ANALYZED USING PRIMARY OUTCOMES SUCH AS ANXIETY, PAIN, AND CRAVING. EIGHT RCTS MET THE ELIGIBILITY CRITERIA, AND QUALITY ANALYSIS WAS CONDUCTED USING THE COCHRANE CRITERIA. RESULTS: AMONG THE 8 FINAL STUDIES ELIGIBLE FOR QUALITY ANALYSIS, 2 HAD UNDEFINED SUBSTANCE USE, WHILE THE OTHERS WERE FOCUSED ON TOBACCO, ALCOHOL, OR OPIOIDS. SEVEN OUT OF 8 STUDIES SHOWED SIGNIFICANT RESULTS AND IMPROVED PRIMARY OUTCOMES SUCH AS ANXIETY, PAIN, OR SUBSTANCE USE. SEVEN OUT OF THE 8 STUDIES SHOWED SIGNIFICANT POSITIVE OUTCOMES USING YOGA IN CONJUNCTION WITH OTHER PHARMACOLOGICAL TREATMENT MODALITIES LIKE OPIOID SUBSTITUTION THERAPY. CONCLUSIONS: SIX OUT OF 8 STUDIES SHOWED LOW CONCERNS, WHILE 2 STUDIES SHOWED SOME CONCERNS ABOUT THE RISK OF BIAS JUDGMENT. ALTHOUGH THE RESULTS LOOK ENCOURAGING, RCTS WITH LARGER SAMPLE SIZE ARE NEEDED TO BETTER EVALUATE THE EFFECTIVENESS OF YOGA AS A TREATMENT MODALITY FOR SUBSTANCE USE. 2021 2 1084 32 EFFECTS OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS: A SYSTEMATIC REVIEW. OBJECTIVE: THIS ARTICLE REPORTS A SYSTEMATIC REVIEW AND CRITICAL APPRAISAL OF THE EFFECT OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS. METHODS: A SYSTEMATIC LITERATURE SEARCH WAS PERFORMED TO IDENTIFY RANDOMIZED CONTROLLED TRIALS (RCTS) AND CLINICAL CONTROLLED TRIALS (CCTS) THAT ASSESSED THE EFFECTS OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS. SELECTED STUDIES WERE CLASSIFIED ACCORDING TO THE TYPES OF INTERVENTION, DURATION, OUTCOME MEASURES, AND RESULTS. THEY WERE ALSO QUALITATIVELY ASSESSED BASED ON PUBLIC HEALTH RESEARCH, EDUCATION AND DEVELOPMENT STANDARDS. RESULTS: THE SYSTEMATIC REVIEW WAS BASED ON EIGHT RCTS AND CCTS THAT INDICATED A POSITIVE EFFECT OF YOGA IN REDUCING STRESS LEVELS OR STRESS SYMPTOMS. HOWEVER, MOST OF THE STUDIES HAD METHODOLOGICAL PROBLEMS IN THAT THE INTERVENTION DURATION WAS SHORT AND LIMITED FOLLOW-UP DATA WAS AVAILABLE. CONCLUSION: THIS REVIEW REVEALED POSITIVE EFFECTS OF YOGA ON STRESS REDUCTION IN HEALTHY ADULT POPULATIONS. HOWEVER, THE RESULT SHOULD BE INTERPRETED WITH CAUTION DUE TO THE SMALL NUMBER OF STUDIES AND THE ASSOCIATED METHODOLOGICAL PROBLEMS. FURTHER STUDIES TO ASCERTAIN YOGA'S LONG-TERM EFFECTS AND THE UNDERLYING BIOLOGICAL MECHANISMS LEADING TO ITS STRESS REDUCTION EFFECT SHOULD BE CONDUCTED. 2011 3 2292 31 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 4 2105 32 THE EFFECT OF YOGA ON MENSTRUAL DISORDERS: A SYSTEMATIC REVIEW. OBJECTIVE: TO SUMMARIZE AND EVALUATE EVIDENCE FOR THE EFFECT OF YOGA ON MENSTRUAL DISORDERS. METHODS: PUBMED, CINAHL/MEDLINE, WEB OF SCIENCE, AMED, AND SCOPUS WERE SEARCHED FOR ENGLISH-LANGUAGE LITERATURE RELEVANT TO THE REVIEW QUESTION. ALL PRIMARY RESEARCH STUDIES WERE INCLUDED. RESULTS: FIFTEEN STUDIES DESCRIBED IN 18 PAPERS WERE INCLUDED IN THE REVIEW. A RANGE OF YOGA INTERVENTIONS WERE USED. SOME STUDIES USED A COMBINATION OF ASANA, PRANAYAMA, AND OTHER YOGIC RELAXATION OR MEDITATION TECHNIQUES. ALL INCLUDED STUDIES REPORTED SOME CHANGE IN THEIR OUTCOME MEASURES, SUGGESTING REDUCED SYMPTOMS OF MENSTRUAL DISTRESS FOLLOWING A YOGA INTERVENTION; HOWEVER, THE HETEROGENEITY AND INTENSITY OF THE INTERVENTIONS AND OUTCOME MEASURES MEANT THAT FINDINGS HAVE LIMITED GENERALIZABILITY AND APPLICABILITY IN PRACTICE SETTINGS. CONCLUSIONS: FURTHER RESEARCH ON THE RELATIONSHIP BETWEEN YOGA PRACTICE AND MENSTRUAL DISORDERS IS WARRANTED, BUT THERE MUST BE BOTH CONSISTENCY IN THE METHODS, MEASURES, AND QUALITY OF STUDIES AND A SHIFT TOWARD RESEARCH ON YOGA PRACTICES THAT ARE REPLICABLE OUTSIDE OF THE CLINICAL TRIAL SETTING. 2017 5 2559 44 YOGA FOR CHRONIC LOW BACK PAIN: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. OBJECTIVES: TO EVALUATE THE EFFICACY OF YOGA AS AN INTERVENTION FOR CHRONIC LOW BACK PAIN (CLBP) USING A META-ANALYTICAL APPROACH. RANDOMIZED CONTROLLED TRIALS (RCTS) THAT EXAMINED PAIN ANDOR FUNCTIONAL DISABILITY AS TREATMENT OUTCOMES WERE INCLUDED. POST-TREATMENT AND FOLLOW-UP OUTCOMES WERE ASSESSED. METHODS: A COMPREHENSIVE SEARCH OF RELEVANT ELECTRONIC DATABASES, FROM THE TIME OF THEIR INCEPTION UNTIL NOVEMBER 2011, WAS CONDUCTED. COHEN'S D EFFECT SIZES WERE CALCULATED AND ENTERED IN A RANDOM-EFFECTS MODEL. RESULTS: EIGHT RCTS MET THE CRITERIA FOR INCLUSION (EIGHT ASSESSING FUNCTIONAL DISABILITY AND FIVE ASSESSING PAIN) AND INVOLVED A TOTAL OF 743 PATIENTS. AT POST-TREATMENT, YOGA HAD A MEDIUM TO LARGE EFFECT ON FUNCTIONAL DISABILITY (D=0.645) AND PAIN (D=0.623). DESPITE A WIDE RANGE OF YOGA STYLES AND TREATMENT DURATIONS, HETEROGENEITY IN POST-TREATMENT EFFECT SIZES WAS LOW. FOLLOW-UP EFFECT SIZES FOR FUNCTIONAL DISABILITY AND PAIN WERE SMALLER, BUT REMAINED SIGNIFICANT (D=0.397 AND D=0.486, RESPECTIVELY); HOWEVER, THERE WAS A MODERATE TO HIGH LEVEL OF VARIABILITY IN THESE EFFECT SIZES. DISCUSSION: THE RESULTS OF THE PRESENT STUDY INDICATE THAT YOGA MAY BE AN EFFICACIOUS ADJUNCTIVE TREATMENT FOR CLBP. THE STRONGEST AND MOST CONSISTENT EVIDENCE EMERGED FOR THE SHORT-TERM BENEFITS OF YOGA ON FUNCTIONAL DISABILITY. HOWEVER, BEFORE ANY DEFINITIVE CONCLUSIONS CAN BE DRAWN, THERE ARE A NUMBER OF METHODOLOGICAL CONCERNS THAT NEED TO BE ADDRESSED. IN PARTICULAR, IT IS RECOMMENDED THAT FUTURE RCTS INCLUDE AN ACTIVE CONTROL GROUP TO DETERMINE WHETHER YOGA HAS SPECIFIC TREATMENT EFFECTS AND WHETHER YOGA OFFERS ANY ADVANTAGES OVER TRADITIONAL EXERCISE PROGRAMS AND OTHER ALTERNATIVE THERAPIES FOR CLBP. 2013 6 2294 31 THERAPEUTIC EFFICACY OF YOGA FOR COMMON PRIMARY CARE CONDITIONS. INTRODUCTION: YOGA IS A POPULAR FORM OF EXERCISE THAT USES BODY POSTURES, MEDITATION, AND BREATHING TECHNIQUES AND HAS BEEN SHOWN TO HAVE MANY HEALTH BENEFITS. OBJECTIVE/METHODS: OUR GOAL FOR THIS REVIEW IS TO ORIENT HEALTH PROFESSIONALS TO THE EVIDENCE-BASED USES OF YOGA MOST RELEVANT TO PRIMARY CARE. WE CONDUCTED A PUBMED SEARCH THAT INCLUDED META-ANALYSES, REVIEWS, SYSTEMATIC REVIEWS, AND RANDOMIZED CONTROLLED TRIALS. RESULTS: RESULTS WERE LIMITED TO ENGLISH LANGUAGE AND PUBLICATION BETWEEN 2010 AND 2020. YOGA WAS FOUND TO HELP DECREASE HYPERTENSION, RELIEVE BACK PAIN, PROMOTE OVERALL WELL-BEING, AND IMPROVE MENTAL HEALTH. CONCLUSIONS: YOGA IS A RELATIVELY SAFE AND EFFECTIVE OPTION FOR PATIENTS INTERESTED IN THERAPEUTIC LIFESTYLE CHANGE TO PROMOTE WELL-BEING AND TO HELP MANAGE HYPERTENSION, BACK PAIN, AND OVERALL MENTAL HEALTH. 2021 7 2200 31 THE EFFICACY OF YOGA AS A FORM OF TREATMENT FOR DEPRESSION. THE PURPOSE OF THIS ARTICLE WAS TO SYSTEMATICALLY REVIEW YOGA INTERVENTIONS AIMED AT IMPROVING DEPRESSIVE SYMPTOMS. A TOTAL OF 23 INTERVENTIONS PUBLISHED BETWEEN 2011 AND MAY 2016 WERE EVALUATED IN THIS REVIEW. THREE STUDY DESIGNS WERE USED: RANDOMIZED CONTROL TRIALS, QUASI-EXPERIMENTAL, AND PRETEST/POSTTEST, WITH MAJORITY BEING RANDOMIZED CONTROL TRIALS. MOST OF THE STUDIES WERE IN THE UNITED STATES. VARIOUS YOGA SCHOOLS WERE USED, WITH THE MOST COMMON BEING HATHA YOGA. THE NUMBER OF PARTICIPANTS PARTICIPATING IN THE STUDIES RANGED FROM 14 TO 136, IMPLYING THAT MOST STUDIES HAD A SMALL SAMPLE. THE DURATION OF THE INTERVENTION PERIOD VARIED GREATLY, WITH THE MAJORITY BEING 6 WEEKS OR LONGER. LIMITATIONS OF THE INTERVENTIONS INVOLVED THE SMALL SAMPLE SIZES USED BY THE MAJORITY OF THE STUDIES, MOST STUDIES EXAMINING THE SHORT-TERM EFFECT OF YOGA FOR DEPRESSION, AND THE NONUTILIZATION OF BEHAVIORAL THEORIES. DESPITE THE LIMITATIONS, IT CAN BE CONCLUDED THAT THE YOGA INTERVENTIONS WERE EFFECTIVE IN REDUCING DEPRESSION. 2017 8 1516 39 IS YOGA AN EFFECTIVE TREATMENT IN THE MANAGEMENT OF PATIENTS WITH CHRONIC LOW BACK PAIN COMPARED WITH OTHER CARE MODALITIES - A SYSTEMATIC REVIEW. OBJECTIVE: THE AIM OF THE STUDY WAS TO ASSESS RANDOMIZED-CONTROL TRIALS (RCTS) TO ASCERTAIN WHETHER YOGA IS AN EFFECTIVE TREATMENT IN THE MANAGEMENT OF PATIENTS WITH CHRONIC LOW BACK PAIN (CLBP) COMPARED WITH OTHER CARE MODALITIES. METHODS: A SEARCH STRATEGY WAS FORMULATED WITH KEY CONCEPTS IDENTIFIED USING THE PICO PROCESS. FOUR DATABASES WERE SEARCHED IN JUNE 2012. APPROPRIATE ELIGIBILITY CRITERIA WERE SET AND IMPLEMENTED. RESULTS: FOUR RANDOMIZED CONTROL TRIALS MET THE INCLUSION CRITERIA. ALL FOUR PAPERS FOUND THAT YOGA LEAD TO A SIGNIFICANT IMPROVEMENT IN BACK FUNCTION, AND THREE DEMONSTRATED A SIGNIFICANT IMPROVEMENT IN BACK PAIN WHEN COMPARED WITH CERTAIN CARE MODALITIES. ALL PAPERS HAD SIGNIFICANT LIMITATIONS IDENTIFIED, HOWEVER. CONCLUSIONS: GIVEN THE LIMITATIONS IDENTIFIED WITHIN THE STUDIES, THE CONCLUSIONS DRAWN MUST BE CONSIDERED CONSERVATIVELY. ALTHOUGH EARLY RESULTS APPEAR PROMISING, BUT FURTHER WELL-DESIGNED RCTS ARE WARRANTED, WITH MULTIPLE, SPECIFIED COMPARATOR CARE MODALITIES BEFORE FIRM CONCLUSIONS CAN BE GAINED. 2013 9 1088 34 EFFECTS OF YOGA ON SYMPTOMS, PHYSICAL FUNCTION, AND PSYCHOSOCIAL OUTCOMES IN ADULTS WITH OSTEOARTHRITIS: A FOCUSED REVIEW. OSTEOARTHRITIS (OA) IS A HIGHLY PREVALENT AND DISABLING CHRONIC CONDITION. BECAUSE PHYSICAL ACTIVITY IS A KEY COMPONENT IN OA MANAGEMENT, EFFECTIVE EXERCISE INTERVENTIONS ARE NEEDED. YOGA IS AN INCREASINGLY POPULAR MULTIMODAL MIND-BODY EXERCISE THAT AIMS TO PROMOTE FLEXIBILITY, STRENGTH, ENDURANCE, AND BALANCE. ITS GENTLE APPROACH IS POTENTIALLY A SAFE AND EFFECTIVE EXERCISE OPTION FOR MANAGING OA. THE PURPOSE OF THIS FOCUSED REVIEW IS TO EXAMINE THE EFFECTS OF YOGA ON OA SYMPTOMS AND PHYSICAL AND PSYCHOSOCIAL OUTCOMES. A COMPREHENSIVE SEARCH WAS CONDUCTED USING SEVEN ELECTRONIC DATABASES. TWELVE REPORTS MET INCLUSION CRITERIA INVOLVING A TOTAL OF 589 PARTICIPANTS WITH OA-RELATED SYMPTOMS. A VARIETY OF TYPES, FREQUENCIES, AND DURATIONS OF YOGA INTERVENTIONS WERE REPORTED; HATHA AND IYENGAR YOGA WERE THE MOST COMMONLY USED TYPES. FREQUENCY OF INTERVENTION RANGED FROM ONCE A WEEK TO 6 DAYS A WEEK. DURATION OF THE INTERVENTIONS RANGED FROM 45 TO 90 MINS PER SESSION FOR 6 TO 12 WKS. YOGA INTERVENTION RESULTED IN REDUCTIONS IN PAIN, STIFFNESS, AND SWELLING, BUT RESULTS ON PHYSICAL FUNCTION AND PSYCHOSOCIAL WELL-BEING WERE INCONCLUSIVE BECAUSE OF A VARIETY OF OUTCOME MEASURES BEING USED. 2016 10 2566 46 YOGA FOR DEPRESSION AND ANXIETY SYMPTOMS IN PEOPLE WITH CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: CANCER AND ITS TREATMENT CAN LEAD TO A VARIETY OF PHYSICAL AND EMOTIONAL CONCERNS IMPACTING ON THOSE AFFECTED, INCLUDING SUBCLINICAL OR CLINICAL DEPRESSION AND ANXIETY, WHICH IN TURN HAVE A SIGNIFICANT IMPACT ON WELLBEING, QUALITY OF LIFE AND SURVIVAL. THE AIM OF THIS REVIEW WAS TO EVALUATE THE EFFECT OF YOGA-BASED INTERVENTIONS ON SELF-REPORTED DEPRESSION AND ANXIETY SYMPTOMS IN PEOPLE WITH CANCER IN RANDOMIZED CONTROLLED TRIALS. METHOD: SIX DATABASES WERE SEARCHED TO IDENTIFY RELEVANT STUDIES. SYSTEMATIC REVIEW PROCEDURES WERE FOLLOWED INCLUDING A QUALITY ASSESSMENT. META-ANALYSIS OF SUITABLE STUDIES WAS CONDUCTED. RESULTS: 26 STUDIES FROM OUR SEARCH CRITERIA WERE ELIGIBLE FOR INCLUSION FOR DEPRESSIVE AND 16 FOR ANXIETY SYMPTOMS. META-ANALYSES REVEALED EVIDENCE FOR SIGNIFICANT MEDIUM EFFECTS OF YOGA ON DEPRESSION SYMPTOMS (N = 1,486, G = -0.419, 95% CONFIDENCE INTERVAL [CI] = -0.558 TO -0.281, P < 0.001) AND ANXIETY (N = 977, G = -0.347, 95% CI = -0.473 TO -0.221, P < 0.001) COMPARED TO CONTROLS. SUBGROUP ANALYSES FOR DEPRESSIVE SYMPTOMS REVEALED SIGNIFICANT EFFECTS FOR ALL ANALYSES PERFORMED (TYPE OF CANCER, TYPE OF CONTROL, TREATMENT STATUS, DURATION OF INTERVENTION OR FREQUENCY OF YOGA SESSIONS), WITH EFFECT SIZES BEING COMPARABLE BETWEEN SUBGROUPS. SIMILAR FINDINGS WERE FOUND FOR ANXIETY SYMPTOMS EXCEPT FOR TREATMENT STATUS, WHERE THE ONLY SIGNIFICANT EFFECT WAS FOUND WHEN YOGA WAS DELIVERED DURING ACTIVE TREATMENT. CONCLUSIONS: THIS REVIEW PROVIDES EVIDENCE THAT IN PEOPLE WITH CANCER, YOGA-BASED INTERVENTIONS ARE ASSOCIATED WITH AMELIORATION OF DEPRESSION AND ANXIETY SYMPTOMS AND THEREFORE A PROMISING THERAPEUTIC MODALITY FOR THEIR MANAGEMENT. HOWEVER, THE POTENTIAL FOR RISK OF BIAS TOGETHER WITH CONTROL GROUP DESIGN CHALLENGES MEANS THE RESULTS SHOULD BE INTERPRETED WITH CAUTION. 2021 11 522 34 COMPARISON GROUPS IN YOGA RESEARCH: A SYSTEMATIC REVIEW AND CRITICAL EVALUATION OF THE LITERATURE. OBJECTIVES: COMPARISON GROUPS ARE ESSENTIAL FOR ACCURATE TESTING AND INTERPRETATION OF YOGA INTERVENTION TRIALS. HOWEVER, SELECTING PROPER COMPARISON GROUPS IS DIFFICULT BECAUSE YOGA COMPRISES A VERY HETEROGENEOUS SET OF PRACTICES AND ITS MECHANISMS OF EFFECT HAVE NOT BEEN CONCLUSIVELY ESTABLISHED. METHODS: WE CONDUCTED A SYSTEMATIC REVIEW OF THE CONTROL AND COMPARISON GROUPS USED IN PUBLISHED RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA. RESULTS: WE LOCATED 128 RCTS THAT MET OUR INCLUSION CRITERIA; OF THESE, 65 INCLUDED ONLY A PASSIVE CONTROL AND 63 INCLUDED AT LEAST ONE ACTIVE COMPARISON GROUP. PRIMARY COMPARISON GROUPS WERE PHYSICAL EXERCISE (43%), RELAXATION/MEDITATION (20%), AND EDUCATION (16%). STUDIES RARELY PROVIDED A STRONG RATIONALE FOR CHOICE OF COMPARISON. CONSIDERING YEAR OF PUBLICATION, THE USE OF ACTIVE CONTROLS IN YOGA RESEARCH APPEARS TO BE SLOWLY INCREASING OVER TIME. CONCLUSIONS: GIVEN THAT YOGA HAS BEEN ESTABLISHED AS A POTENTIALLY POWERFUL INTERVENTION, FUTURE RESEARCH SHOULD USE ACTIVE CONTROL GROUPS. FURTHER, CARE IS NEEDED TO SELECT COMPARISON CONDITIONS THAT HELP TO ISOLATE THE SPECIFIC MECHANISMS OF YOGA'S EFFECTS. 2014 12 233 34 A SYSTEMATIC REVIEW OF YOGA FOR STATE ANXIETY: CONSIDERATIONS FOR OCCUPATIONAL THERAPY. BACKGROUND: STATE ANXIETY CAN RESULT FROM A VARIETY OF LIFE SITUATIONS. THIS TYPE OF ANXIETY CAN DISRUPT OCCUPATIONAL ENGAGEMENT AND PERFORMANCE, THEREBY AFFECTING REHABILITATION AND RECOVERY. OCCUPATIONAL THERAPISTS NEED TO ADDRESS THE CONNECTION BETWEEN MIND-BODY-SPIRIT AND ITS RELATIONSHIP TO PERFORMANCE AND ENGAGEMENT IN MEANINGFUL OCCUPATIONS. YOGA, WHEN USED AS AN ADJUNCT TO THERAPY, HAS THE POTENTIAL TO ADDRESS STATE ANXIETY. PURPOSE: THE AIM WAS TO SYSTEMATICALLY REVIEW THE EVIDENCE CONCERNING THE EFFECTIVENESS OF YOGA AS A TREATMENT APPROACH FOR STATE ANXIETY. METHODS: SIX ELECTRONIC DATABASES, THE AUTHORS' OWN FILES, AND THE REFERENCES OF INCLUDED STUDIES FROM 1990 TO JULY 2011 WERE SEARCHED. FINDINGS: A TOTAL OF 25 UNIQUE STUDIES REPRESENTED BY 26 PUBLICATIONS MADE UP THE SAMPLE: TWO SYSTEMATIC REVIEWS; 16 RANDOMIZED CONTROLLED TRIALS, AND SEVEN PROSPECTIVE, CONTROLLED, NON-RANDOMIZED STUDIES. EVIDENCE SUGGESTS YOGA CAN BE A VIABLE THERAPEUTIC OPTION FOR REDUCING STATE ANXIETY IN CERTAIN SITUATIONS. IMPLICATIONS: IN MAKING THE DETERMINATION TO RECOMMEND YOGA AS AN INTERVENTION, OCCUPATIONAL THERAPISTS SHOULD CONSIDER THE CLIENT'S CIRCUMSTANCES AND VALUES AS WELL AS THE TYPE AND INTENSITY OF THE YOGA PROGRAM. 2013 13 2470 38 YOGA AS A TREATMENT FOR CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW OF THE LITERATURE. OBJECTIVES: CHRONIC LOW BACK PAIN (CLBP) AFFECTS MILLIONS OF PEOPLE WORLDWIDE, AND APPEARS TO BE INCREASING IN PREVALENCE. IT IS ASSOCIATED NOT ONLY WITH PAIN, BUT ALSO WITH INCREASED DISABILITY, PSYCHOLOGICAL SYMPTOMS, AND REDUCED QUALITY OF LIFE. THERE ARE VARIOUS TREATMENT OPTIONS FOR CLBP, BUT NO SINGLE THERAPY STANDS OUT AS BEING THE MOST EFFECTIVE. IN THE PAST 10 YEARS, YOGA INTERVENTIONS HAVE BEEN STUDIED AS A CLBP TREATMENT APPROACH. THE OBJECTIVE OF THIS PAPER IS TO REVIEW THE CURRENT LITERATURE SUPPORTING THE EFFICACY OF YOGA FOR CLBP. METHODS: A LITERATURE SEARCH THROUGH THE BEGINNING OF 2015 WAS CONDUCTED IN PUB MED FOR RANDOMIZED CONTROL TRIALS ADDRESSING TREATMENT OF CLBP WITH YOGA. RESULTS: IN THIS REVIEW WE EVALUATE THE USE OF YOGA AS A TREATMENT FOR CLBP. SPECIFICALLY WE EVALUATE HOW YOGA IMPACTS PHYSICAL FUNCTIONING AND DISABILITY, PAIN, AND ASSOCIATED PSYCHOLOGICAL SYMPTOMS. WE ALSO EVALUATE POSSIBLE MEDIATORS OF THE EFFECT OF YOGA AND THE SAFETY OF YOGA. DISCUSSION: WITH FEW EXCEPTIONS, PREVIOUS STUDIES AND THE RECENT RANDOMIZED CONTROL TRIALS (RCTS) INDICATE THAT YOGA CAN REDUCE PAIN AND DISABILITY, CAN BE PRACTICED SAFELY, AND IS WELL RECEIVED BY PARTICIPANTS. SOME STUDIES ALSO INDICATE THAT YOGA MAY IMPROVE PSYCHOLOGICAL SYMPTOMS, BUT THESE EFFECTS ARE CURRENTLY NOT AS WELL ESTABLISHED. 2016 14 2485 38 YOGA AS AN ANCILLARY TREATMENT FOR NEUROLOGICAL AND PSYCHIATRIC DISORDERS: A REVIEW. YOGA IS GAINING ACCEPTANCE AS AN ANCILLARY MEDICAL TREATMENT, BUT THERE HAVE BEEN FEW STUDIES EVALUATING ITS THERAPEUTIC BENEFITS IN NEUROLOGICAL AND MAJOR PSYCHIATRIC CONDITIONS. THE AUTHORS REVIEWED THE LITERATURE IN ENGLISH ON THE EFFICACY OF YOGA FOR THESE DISORDERS. ONLY RANDOMIZED, CONTROLLED TRIALS WERE INCLUDED, WITH THE EXCEPTION OF THE ONLY STUDY OF YOGA FOR BIPOLAR DISORDER, WHICH WAS OBSERVATIONAL. TRIALS WERE EXCLUDED IF YOGA WAS NOT THE CENTRAL COMPONENT OF THE INTERVENTION. OF SEVEN RANDOMIZED, CONTROLLED TRIALS OF YOGA IN PATIENTS WITH NEUROLOGICAL DISORDERS, SIX FOUND SIGNIFICANT, POSITIVE EFFECTS. OF 13 RANDOMIZED, CONTROLLED TRIALS OF YOGA IN PATIENTS WITH PSYCHIATRIC DISORDERS, 10 FOUND SIGNIFICANT, POSITIVE EFFECTS. THESE RESULTS, ALTHOUGH ENCOURAGING, INDICATE THAT ADDITIONAL RANDOMIZED, CONTROLLED STUDIES ARE NEEDED TO CRITICALLY DEFINE THE BENEFITS OF YOGA FOR BOTH NEUROLOGICAL AND PSYCHIATRIC DISORDERS. 2012 15 309 43 AN EVIDENCE-BASED REVIEW OF YOGA AS A COMPLEMENTARY INTERVENTION FOR PATIENTS WITH CANCER. OBJECTIVE: TO CONDUCT AN EVIDENCE-BASED REVIEW OF YOGA AS AN INTERVENTION FOR PATIENTS WITH CANCER. SPECIFICALLY, THIS PAPER REVIEWED THE IMPACT OF YOGA ON PSYCHOLOGICAL ADJUSTMENT AMONG CANCER PATIENTS. METHODS: A SYSTEMATIC LITERATURE SEARCH WAS CONDUCTED BETWEEN MAY 2007 AND APRIL 2008. DATA FROM EACH IDENTIFIED STUDY WERE EXTRACTED BY TWO INDEPENDENT RATERS; STUDIES WERE INCLUDED IF THEY ASSESSED PSYCHOLOGICAL FUNCTIONING AND FOCUSED ON YOGA AS A MAIN INTERVENTION. USING A QUALITY RATING SCALE (RANGE = 9-45), THE RATERS ASSESSED THE METHODOLOGICAL QUALITY OF THE STUDIES, AND CONSORT GUIDELINES WERE USED TO ASSESS RANDOMIZED CONTROLLED TRIALS (RCTS). EFFECT SIZES WERE CALCULATED WHEN POSSIBLE. IN ADDITION, EACH STUDY WAS NARRATIVELY REVIEWED WITH ATTENTION TO OUTCOME VARIABLES, THE TYPE OF YOGA INTERVENTION EMPLOYED, AND METHODOLOGICAL STRENGTHS AND LIMITATIONS. RESULTS: TEN STUDIES WERE INCLUDED, INCLUDING SIX RCTS. ACROSS STUDIES, THE MAJORITY OF PARTICIPANTS WERE WOMEN, AND BREAST CANCER WAS THE MOST COMMON DIAGNOSIS. METHODOLOGICAL QUALITY RANGED GREATLY ACROSS STUDIES (RANGE = 15.5-42), WITH THE AVERAGE RATING (M = 33.55) INDICATING ADEQUATE QUALITY. STUDIES ALSO VARIED IN TERMS OF CANCER POPULATIONS AND YOGA INTERVENTIONS SAMPLED. CONCLUSIONS: THIS STUDY PROVIDED A SYSTEMATIC EVALUATION OF THE YOGA AND CANCER LITERATURE. ALTHOUGH SOME POSITIVE RESULTS WERE NOTED, VARIABILITY ACROSS STUDIES AND METHODOLOGICAL DRAWBACKS LIMIT THE EXTENT TO WHICH YOGA CAN BE DEEMED EFFECTIVE FOR MANAGING CANCER-RELATED SYMPTOMS. HOWEVER, FURTHER RESEARCH IN THIS AREA IS CERTAINLY WARRANTED. FUTURE RESEARCH SHOULD EXAMINE WHAT COMPONENTS OF YOGA ARE MOST BENEFICIAL, AND WHAT TYPES OF PATIENTS RECEIVE THE GREATEST BENEFIT FROM YOGA INTERVENTIONS. 2009 16 2210 38 THE HEALTH BENEFITS OF YOGA AND EXERCISE: A REVIEW OF COMPARISON STUDIES. OBJECTIVES: EXERCISE IS CONSIDERED AN ACCEPTABLE METHOD FOR IMPROVING AND MAINTAINING PHYSICAL AND EMOTIONAL HEALTH. A GROWING BODY OF EVIDENCE SUPPORTS THE BELIEF THAT YOGA BENEFITS PHYSICAL AND MENTAL HEALTH VIA DOWN-REGULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS AND THE SYMPATHETIC NERVOUS SYSTEM (SNS). THE PURPOSE OF THIS ARTICLE IS TO PROVIDE A SCHOLARLY REVIEW OF THE LITERATURE REGARDING RESEARCH STUDIES COMPARING THE EFFECTS OF YOGA AND EXERCISE ON A VARIETY OF HEALTH OUTCOMES AND HEALTH CONDITIONS. METHODS: USING PUBMED((R)) AND THE KEY WORD "YOGA," A COMPREHENSIVE SEARCH OF THE RESEARCH LITERATURE FROM CORE SCIENTIFIC AND NURSING JOURNALS YIELDED 81 STUDIES THAT MET INCLUSION CRITERIA. THESE STUDIES SUBSEQUENTLY WERE CLASSIFIED AS UNCONTROLLED (N = 30), WAIT LIST CONTROLLED (N = 16), OR COMPARISON (N = 35). THE MOST COMMON COMPARISON INTERVENTION (N = 10) INVOLVED EXERCISE. THESE STUDIES WERE INCLUDED IN THIS REVIEW. RESULTS: IN THE STUDIES REVIEWED, YOGA INTERVENTIONS APPEARED TO BE EQUAL OR SUPERIOR TO EXERCISE IN NEARLY EVERY OUTCOME MEASURED EXCEPT THOSE INVOLVING PHYSICAL FITNESS. CONCLUSIONS: THE STUDIES COMPARING THE EFFECTS OF YOGA AND EXERCISE SEEM TO INDICATE THAT, IN BOTH HEALTHY AND DISEASED POPULATIONS, YOGA MAY BE AS EFFECTIVE AS OR BETTER THAN EXERCISE AT IMPROVING A VARIETY OF HEALTH-RELATED OUTCOME MEASURES. FUTURE CLINICAL TRIALS ARE NEEDED TO EXAMINE THE DISTINCTIONS BETWEEN EXERCISE AND YOGA, PARTICULARLY HOW THE TWO MODALITIES MAY DIFFER IN THEIR EFFECTS ON THE SNS/HPA AXIS. ADDITIONAL STUDIES USING RIGOROUS METHODOLOGIES ARE NEEDED TO EXAMINE THE HEALTH BENEFITS OF THE VARIOUS TYPES OF YOGA. 2010 17 1083 41 EFFECTS OF YOGA ON STRESS AMONG HEALTHY ADULTS: A SYSTEMATIC REVIEW. BACKGROUND: YOGA WAS RECOMMENDED IN BOTH CLINICAL AND NONCLINICAL POPULATIONS AS THERAPY METHODS. THE DIVERSITY OF YOGA PRACTICE AS A THERAPY METHOD HAS RARELY BEEN DISCUSSED AND IT IS ESSENTIAL TO ADDRESS THE EFFECTS OF YOGA ON STRESS. PRIMARY STUDY OBJECTIVE: THIS ARTICLE AIMS TO INVESTIGATE THE EFFECT OF DIFFERENT TYPES OF YOGA ON STRESS IN HEALTHY POPULATION. ON THE OTHER HAND, THE AUTHORS INTENDED TO FIGURE OUT YOGA EFFECTS ON STRESS SYSTEMATICALLY. METHODS/DESIGN: A SYSTEMATIC LITERATURE REVIEW WAS CONDUCTED TO IDENTIFY ARTICLES THAT ASSESS THE EFFECT OF YOGA AND YOGA-RELATED INTERVENTIONS ON STRESS REDUCTION IN NONCLINICAL POPULATIONS. STUDIES WERE CLASSIFIED ACCORDING TO THE LENGTH OF THE INTERVENTION, YOGA TYPE, AND MEASURES OF OUTCOME. THE STUDIES WERE SELECTED THROUGHOUT LAST 5 YEARS (JANUARY 2014 TO NOVEMBER 2018) BY USING THE KEY SEARCHING TERM YOGA AND STRESS INCORPORATION WITH TENSION AND PRESSURE. THE SELECTION PROCESS FOLLOWED THE PRISMA FLOW DIAGRAM. RESULTS: TOTALLY, 12 ARTICLES ELABORATING ON THE EFFECTS OF YOGA OR YOGA-RELATED INTERVENTIONS ON STRESS MANAGEMENT AND REMISSION WERE INCLUDED IN THE REVIEW. THIS REVIEW INCLUDED VARIOUS TYPES OF YOGA PRACTICE (E.G., HATHA YOGA, BIKRAM YOGA, KUNDALINI YOGA, SUDARSHAN KRIYA YOGA, KRIPALU YOGA, YIN YOGA). A TIME SPECTRUM WAS CONDUCTED FROM 4 WKS TO 28 WKS. THIS REVIEW REVEALED THAT MOST TYPES OF YOGA HAVE POSITIVE EFFECTS ON STRESS REDUCTION IN HEATHY POPULATIONS. CONCLUSION: FURTHER STUDIES ARE RECOMMENDED TO EXAMINE THE LONG-TERM EFFECT OF YOGA AND UNDERLYING PSYCHOLOGICAL MECHANISMS CAUSING STRESS AND MENTAL RESTRAIN. IN ADDITION, IT IS SUGGESTED TO CONSIDER AGE AS A RISK FACTOR AFFECTING THE EFFECT OF YOGA ON STRESS. 2020 18 340 39 ARE THERE BENEFITS FROM TEACHING YOGA AT SCHOOLS? A SYSTEMATIC REVIEW OF RANDOMIZED CONTROL TRIALS OF YOGA-BASED INTERVENTIONS. INTRODUCTION. YOGA IS A HOLISTIC SYSTEM OF VARIED MIND-BODY PRACTICES THAT CAN BE USED TO IMPROVE MENTAL AND PHYSICAL HEALTH AND IT HAS BEEN UTILIZED IN A VARIETY OF CONTEXTS AND SITUATIONS. EDUCATORS AND SCHOOLS ARE LOOKING TO INCLUDE YOGA AS A COST-EFFECTIVE, EVIDENCE-BASED COMPONENT OF URGENTLY NEEDED WELLNESS PROGRAMS FOR THEIR STUDENTS. OBJECTIVES. THE PRIMARY GOAL OF THIS STUDY WAS TO SYSTEMATICALLY EXAMINE THE AVAILABLE LITERATURE FOR YOGA INTERVENTIONS EXCLUSIVELY IN SCHOOL SETTINGS, EXPLORING THE EVIDENCE OF YOGA-BASED INTERVENTIONS ON ACADEMIC, COGNITIVE, AND PSYCHOSOCIAL BENEFITS. METHODS. AN EXTENSIVE SEARCH WAS CONDUCTED FOR STUDIES PUBLISHED BETWEEN 1980 AND OCTOBER 31, 2014 (PUBMED, PSYCINFO, EMBASE, ISI, AND THE COCHRANE LIBRARY). EFFECT SIZE ANALYSIS, THROUGH STANDARDIZED MEAN DIFFERENCE AND HEDGES'G, ALLOWED FOR THE COMPARISON BETWEEN EXPERIMENTAL CONDITIONS. RESULTS AND CONCLUSIONS. NINE RANDOMIZED CONTROL TRIALS MET CRITERIA FOR INCLUSION IN THIS REVIEW. EFFECT SIZE WAS FOUND FOR MOOD INDICATORS, TENSION AND ANXIETY IN THE POMS SCALE, SELF-ESTEEM, AND MEMORY WHEN THE YOGA GROUPS WERE COMPARED TO CONTROL. FUTURE RESEARCH REQUIRES GREATER STANDARDIZATION AND SUITABILITY OF YOGA INTERVENTIONS FOR CHILDREN. 2015 19 836 38 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 2383 30 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