1 2713 108 YOGA LED BY A PHYSICAL THERAPIST FOR INDIVIDUALS WITH ESSENTIAL TREMOR: AN EXPLORATIVE PILOT STUDY. PURPOSE: THE PURPOSE OF THIS PILOT STUDY IS TO EVALUATE THE OUTCOMES FOR INDIVIDUALS WITH ESSENTIAL TREMOR (ET) WHO PARTICIPATE IN A COMMUNITY-BASED YOGA CLASS, LED BY A NEUROLOGIC PHYSICAL THERAPIST. METHODS: SIX SUBJECTS WITH ET COMPLETED AN 8-WEEK INTERVENTION CONSISTING OF WEEKLY 1-H YOGA CLASSES (IN THE VINYASA STYLE) GUIDED BY AN INSTRUCTOR (200-H REGISTERED YOGA TEACHER, PHYSICAL THERAPIST, AND NEUROLOGICAL RESIDENT). RESULTS: FIVE SUBJECTS DEMONSTRATED IMPROVEMENTS ON THE TREMOR RESEARCH GROUP ESSENTIAL TREMOR RATING SCALE (MEAN 15.3%, RANGE 8.3-34.7%). THE MEAN IMPROVEMENT ON THE FULLERTON ADVANCED BALANCE SCALE WAS 10.8% (RANGE 2.5-20%). FIVE SUBJECTS MAINTAINED PRE-INTERVENTION ANXIETY LEVELS ("VERY LOW") WHILE ONE REPORTED INCREASED ANXIETY SECONDARY TO A NON-STUDY RELATED FACTOR. MINIMAL IMPROVEMENTS WERE NOTED IN THE MCGILL QUALITY OF LIFE QUESTIONNAIRE. CONCLUSION: THIS PILOT STUDY OFFERS SUPPORT FOR FURTHER EXAMINING THE BENEFITS OF INTEGRATION OF YOGA INTO AN EXERCISE PROGRAM FOR INDIVIDUALS WITH ET AND SPECIFIC SUGGESTIONS FOR FUTURE RESEARCH ARE OFFERED. THERE WERE NO ADVERSE EVENTS WITH PARTICIPATION IN YOGA. 2019 2 2240 35 THE INFLUENCE OF A YOGA EXERCISE PROGRAM FOR YOUNG ADULTS WITH INTELLECTUAL DISABILITIES. BACKGROUND: INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ID) HAVE AN INCREASED RISK OF OBESITY AND ARE SIGNIFICANTLY LESS LIKELY TO ENGAGE IN PHYSICAL ACTIVITY COMPARED TO THEIR NONDISABLED PEERS. A GROWING BODY OF RESEARCH SUPPORTS THE PHYSICAL AND MENTAL HEALTH BENEFITS OF YOGA. WHILE THE BENEFITS OF YOGA HAVE BEEN STUDIED ACROSS A HOST OF POPULATIONS WITH VARYING AGES AND PHYSICAL DISABILITIES, NO STUDIES COULD BE IDENTIFIED INVESTIGATING THE BENEFITS OF YOGA FOR YOUNG ADULTS WITH ID. AIMS: THIS STUDY INVESTIGATED THE IMPACT OF PARTICIPATING IN YOGA CLASSES ON THE AMOUNT OF EXERCISE BEHAVIOR AND PERCEPTION OF PHYSICAL EXERTION WHEN COMPARED TO NON-STRUCTURED EXERCISE SESSIONS BETWEEN TWO YOUNG ADULTS WITH ID IN A POST-SECONDARY EDUCATION SETTING. MATERIALS AND METHODS: A SINGLE SUBJECT MULTIPLE BASELINE RESEARCH DESIGN WAS IMPLEMENTED ACROSS TWO YOUNG ADULTS WITH MILD ID TO DETERMINE THE EFFECTS OF A YOGA EXERCISE CLASS ON FREQUENCY OF EXERCISE BEHAVIOR AND PERCEPTION OF PHYSICAL EXERTION WHEN COMPARED TO NON-STRUCTURED EXERCISE SESSIONS. PARTIAL INTERVAL RECORDING, THE ESTON-PARFITT CURVILINEAR RATING OF PERCEIVED EXERTION SCALE, AND THE PHYSICAL ACTIVITY ENJOYMENT SCALE WERE IMPLEMENTED TO COLLECT DATA ON DEPENDENT VARIABLES AND CONSUMER SATISFACTION DURING EACH NON-STRUCTURED EXERCISE SESSION AND EACH YOGA CLASS. RESULTS: INDICATED THAT PERCENTAGE OF EXERCISE BEHAVIOR AND PERCEIVED EXERTION LEVELS DURING YOGA GROUP EXERCISE SHARPLY INCREASED WITH LARGE EFFECT SIZES WHEN COMPARED TO NON-STRUCTURED EXERCISE SESSIONS. 2012 3 2579 31 YOGA FOR HEALTH-RELATED QUALITY OF LIFE IN ADULT CANCER: A RANDOMIZED CONTROLLED FEASIBILITY STUDY. AN INCREASE IN PATIENT-LED UPTAKE OF COMPLEMENTARY THERAPIES IN ADULT CANCER HAS LED TO A NEED FOR MORE RIGOROUS STUDY OF SUCH INTERVENTIONS AND THEIR OUTCOMES. THIS STUDY THEREFORE AIMED TO EVALUATE THE FEASIBILITY AND ACCEPTABILITY OF A YOGA INTERVENTION IN MEN AND WOMEN RECEIVING CONVENTIONAL TREATMENT FOR A CANCER DIAGNOSIS. PROSPECTIVE, MIXED METHODS FEASIBILITY TRIAL ALLOCATED PARTICIPANTS TO RECEIVE ONE OF THREE YOGA INTERVENTIONS OVER A FOUR-WEEK STUDY PERIOD. DATA COLLECTION WAS COMPLETED THROUGH ONLINE SURVEY OF QOL-CA/CS AND CUSTOMIZED SURVEYS. FIFTEEN PARTICIPANTS WERE INCLUDED (11 FEMALE) UNDERGOING TREATMENT FOR BREAST, PROSTATE, COLORECTAL, BRAIN, AND BLOOD AND LUNG CANCER. TWO PARTICIPANTS DROPPED OUT AND COMPLETE QUALITATIVE AND QUANTITATIVE DATA SETS WERE COLLECTED FROM 12 PARTICIPANTS AND FOUR YOGA INSTRUCTORS. OTHER OUTCOME MEASURES INCLUDED IMPLEMENTATION COSTS PATIENT-REPORTED PREFERENCES FOR YOGA INTERVENTION AND CHANGES IN QOL-CA/CS. THREE TYPES OF YOGA INTERVENTION WERE SAFELY ADMINISTERED IN ADULT CANCER. MIXED METHODS, COST-EFFICIENCY, QOL-CA/CS, AND EVIDENCE-BASED DESIGN OF YOGA INTERVENTION HAVE BEEN USED TO ESTABLISH FEASIBILITY AND PATIENT-PREFERENCES FOR YOGA DELIVERY IN ADULT CANER. RESULTS SUGGEST THAT, WITH SOME METHODOLOGICAL IMPROVEMENTS, A LARGE-SCALE RANDOMIZED CONTROLLED TRIAL IS WARRANTED TO TEST THE EFFICACY OF YOGA FOR MALE AND FEMALE CANCER PATIENTS. THIS TRIAL IS REGISTERED WITH CLINICALTRIALS.GOV NCT02309112. 2015 4 719 33 EFFECT OF IYENGAR YOGA ON MENTAL HEALTH OF INCARCERATED WOMEN: A FEASIBILITY STUDY. BACKGROUND: INCARCERATED WOMEN SHARE A DISPROPORTIONATE BURDEN OF MENTAL ILLNESS. ALTHOUGH PSYCHOTROPIC MEDICATIONS ARE AVAILABLE TO WOMEN IN PRISON, ADJUNCTIVE TREATMENT MODALITIES, SUCH AS IYENGAR YOGA, MAY INCREASE PSYCHOLOGICAL WELL-BEING. OBJECTIVES: THE PURPOSES OF THIS STUDY WERE (A) TO ADDRESS THE FEASIBILITY OF PROVIDING A GENDER-RESPONSIVE EXERCISE INTERVENTION WITHIN A CORRECTIONAL INSTITUTION AND (B) TO OBSERVE THE EFFECT OF A GROUP-FORMAT IYENGAR YOGA PROGRAM THAT MET TWO SESSIONS A WEEK FOR 12 WEEKS ON LEVELS OF DEPRESSION SYMPTOMS, ANXIETY SYMPTOMS, AND PERCEIVED STRESS AMONG INCARCERATED WOMEN. METHODS: A REPEATED MEASURES DESIGN, IN WHICH EACH PARTICIPANT SERVED AS HER OWN CONTROL, WAS USED. PARTICIPANTS COMPLETED THREE SELF-ADMINISTERED INSTRUMENTS: THE BECK DEPRESSION INVENTORY, THE BECK ANXIETY INVENTORY, AND THE PERCEIVED STRESS SCALE BEFORE TREATMENT (BASELINE) AND DURING TREATMENT (WEEKS 4, 8, AND 12). LINEAR MIXED EFFECTS MODELS WERE USED TO EXAMINE STATISTICALLY SIGNIFICANT CHANGES IN MENTAL HEALTH MEASURES OVER TIME, TAKING ADVANTAGE OF ALL AVAILABLE DATA. RESULTS: ALTHOUGH 21 WOMEN INITIALLY PARTICIPATED IN THE INTERVENTION, 6 WOMEN COMPLETED THE 12-WEEK INTERVENTION. A SIGNIFICANT LINEAR DECREASE WAS DEMONSTRATED IN SYMPTOMS OF DEPRESSION OVER TIME, WITH MEAN VALUES CHANGING FROM 24.90 AT BASELINE TO 5.67 AT WEEK 12. THERE WAS A MARGINALLY SIGNIFICANT DECREASE IN ANXIETY OVER TIME (12.00 AT BASELINE TO 7.33 AT WEEK 12) AND A NONLINEAR CHANGE IN STRESS OVER TIME, WITH DECREASES FROM BASELINE TO WEEK 4 AND SUBSEQUENT INCREASES TO WEEK 12. DISCUSSION: WOMEN WHO PARTICIPATED IN THIS PROGRAM EXPERIENCED FEWER SYMPTOMS OF DEPRESSION AND ANXIETY OVER TIME. FINDINGS FROM THIS STUDY MAY BE USED TO IMPROVE FUTURE INTERVENTIONS FOCUSING ON THE HEALTH OUTCOMES OF INCARCERATED WOMEN. 2010 5 2673 30 YOGA IN PRIMARY HEALTH CARE: A QUASI-EXPERIMENTAL STUDY TO ACCESS THE EFFECTS ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS. BACKGROUND: AND PURPOSE: YOGA IS GROWING IN POPULARITY, BUT ITS BENEFITS AND INTEGRATION INTO PRIMARY CARE REMAIN UNCERTAIN. HERE, WE DETERMINE YOGA EFFECTS ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS, AND EVALUATE THE FEASIBILITY OF INTRODUCING YOGA AT PRIMARY CARE LEVEL. MATERIALS AND METHODS: THIS IS A PROSPECTIVE, LONGITUDINAL, QUASI-EXPERIMENTAL STUDY, WITH AN INTERVENTION (N=49) AND A CONTROL GROUP (N=37). YOGA GROUP UNDERWENT 24-WEEKS PROGRAM OF ONE-HOUR SESSIONS. OUR PRIMARY ENDPOINT WAS QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS, AS WELL AS SATISFACTION LEVEL AND ADHERENCE RATE. RESULTS: PARTICIPANTS REPORTED A SIGNIFICANT IMPROVEMENT IN ALL DOMAINS OF QUALITY OF LIFE AND A REDUCTION OF PSYCHOLOGICAL DISTRESS. LINEAR REGRESSION ANALYSIS SHOWED THAT YOGA SIGNIFICANTLY IMPROVES PSYCHOLOGICAL QUALITY OF LIFE (P=0.046). CONCLUSION: YOGA IN PRIMARY CARE IS FEASIBLE, SAFE AND HAS A SATISFACTORY ADHERENCE, AS WELL AS A POSITIVE EFFECT ON PSYCHOLOGICAL QUALITY OF LIFE OF PARTICIPANTS. 2019 6 893 23 EFFECT OF YOGA-BASED PHYSICAL ACTIVITY ON PERCEIVED STRESS, ANXIETY, AND QUALITY OF LIFE IN YOUNG ADULTS. PURPOSE: THIS STUDY, CONDUCTED AT A PUBLIC UNIVERSITY IN TURKEY, SOUGHT TO DETERMINE THE EFFECTS OF YOGA-BASED PHYSICAL ACTIVITY ON PERCEIVED STRESS, ANXIETY, AND QUALITY OF LIFE IN YOUNG ADULTS. DESIGN AND METHODS: THIS STUDY WAS PLANNED AS A SEMIEXPERIMENTAL NONRANDOMIZED STUDY WITH A CONTROL GROUP. FINDINGS: YOGA-BASED PHYSICAL ACTIVITY DECREASED THE PERCEIVED STRESS AND STATE ANXIETY LEVELS, BUT HAD NO EFFECT ON TRAIT ANXIETY LEVELS AND QUALITY OF LIFE. PRACTICAL IMPLICATIONS: IT IS RECOMMENDED THAT YOGA-BASED TREATMENT CAN BE INCLUDED IN NURSING INTERVENTIONS FOR REDUCING STRESS AND ANXIETY LEVELS IN YOUNG ADULTS. 2020 7 1512 25 IS THERE MORE TO YOGA THAN EXERCISE? CONTEXT: YOGA IS INCREASING IN POPULARITY, WITH AN ESTIMATED 15 MILLION PRACTITIONERS IN THE UNITED STATES, YET THERE IS A DEARTH OF EMPIRICAL DATA ADDRESSING THE HOLISTIC BENEFITS OF YOGA. OBJECTIVE: TO COMPARE THE PHYSICAL AND MENTAL BENEFITS OF AN EXERCISE-BASED YOGA PRACTICE TO THAT OF A MORE COMPREHENSIVE YOGA PRACTICE (ONE WITH AN ETHICAL/SPIRITUAL COMPONENT). DESIGN: STUDENTS WITH MILD TO MODERATE DEPRESSION, ANXIETY, OR STRESS AND WHO AGREED TO PARTICIPATE WERE ASSIGNED TO ONE OF THREE GROUPS: INTEGRATED YOGA, YOGA AS EXERCISE, CONTROL. PARTICIPANTS: A TOTAL OF 81 UNDERGRADUATE STUDENTS 18 YEARS AND OLDER AT A UNIVERSITY IN THE SOUTHEASTERN UNITED STATES PARTICIPATED IN THE STUDY. MAIN OUTCOME MEASURES: DEPRESSION, ANXIETY, STRESS, HOPE, AND SALIVARY CORTISOL. RESULTS: OVER TIME, PARTICIPANTS IN BOTH THE INTEGRATED AND EXERCISE YOGA GROUPS EXPERIENCED DECREASED DEPRESSION AND STRESS, AN INCREASED SENSE OF HOPEFULNESS, AND INCREASED FLEXIBILITY COMPARED TO THE CONTROL GROUP. HOWEVER, ONLY THE INTEGRATED YOGA GROUP EXPERIENCED DECREASED ANXIETY-RELATED SYMPTOMS AND DECREASED SALIVARY CORTISOL FROM THE BEGINNING TO THE END OF THE STUDY. CONCLUSIONS: YOGA, PRACTICED IN A MORE INTEGRATED FORM, IE, WITH AN ETHICAL AND SPIRITUAL COMPONENT, MAY PROVIDE ADDITIONAL BENEFITS OVER YOGA PRACTICED AS AN EXERCISE REGIMEN. 2011 8 2495 28 YOGA AS PALLIATION IN WOMEN WITH ADVANCED CANCER: A PILOT STUDY. OBJECTIVE: THE PURPOSE OF THIS PILOT STUDY WAS TO INVESTIGATE THE PALLIATIVE POTENTIAL OF HOME-BASED YOGA SESSIONS PROVIDED TO WOMEN WITH ADVANCED CANCER. METHOD: PERSONALISED 45-MINUTE YOGA SESSIONS WERE OFFERED TO THREE WOMEN WITH ADVANCED CANCER BY AN EXPERIENCED YOGA TEACHER. EACH WOMAN TOOK PART IN A ONE-TO-ONE INTERVIEW AFTER THE COMPLETION OF THE YOGA PROGRAMME AND WAS ASKED TO DESCRIBE HER EXPERIENCES OF THE PROGRAMME'S IMPACT. RESULTS: THE PERSONALISED NATURE OF THE YOGA SESSIONS RESULTED IN SIMILAR POSITIVE PHYSICAL AND PSYCHOSOCIAL EFFECTS COMPARABLE TO THOSE DEMONSTRATED IN OTHER STUDIES WITH CANCER PATIENTS. PARTICIPANTS DESCRIBED PHYSICAL, MENTAL, AND EMOTIONAL BENEFITS AS WELL AS THE ALLEVIATION OF ILLNESS IMPACTS. THE ENHANCEMENT OF MIND-BODY AND BODY-SPIRIT CONNECTIONS WERE ALSO NOTED. CONCLUSION: PERSONALISED HOME-BASED YOGA PROGRAMMES FOR PEOPLE WITH ADVANCED CANCER MAY PRODUCE SIMILAR BENEFITS, INCLUDING PALLIATION, AS THOSE INSTITUTIONALLY-BASED PROGRAMMES FOR PEOPLE WITH NON-ADVANCED CANCER. 2016 9 1710 39 PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES OF A YOGA INTERVENTION FOR INDIVIDUALS WITH PARKINSON'S DISEASE: A MIXED METHODS STUDY. PARKINSON'S DISEASE (PD) OFTEN LEADS TO POOR BALANCE, INCREASED FALLS, AND FEAR OF FALLING, ALL OF WHICH CAN REDUCE PARTICIPATION IN LIFE ACTIVITIES. YOGA, WHICH USUALLY INCLUDES PHYSICAL EXERCISE, CAN IMPROVE FUNCTIONING AND LIFE PARTICIPATION; HOWEVER, LIMITED RESEARCH HAS BEEN CONDUCTED ON THE EFFECTS OF YOGA ON LIFE PARTICIPATION OF INDIVIDUALS WITH PD. THIS STUDY HAD TWO PURPOSES: (1) TO IDENTIFY AND UNDERSTAND THE PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES ASSOCIATED A THERAPEUTIC YOGA INTERVENTION FOR INDIVIDUALS WITH PD; AND (2) TO COMPARE THE PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES WITH THE OUTCOMES MEASURED IN THE CLINICAL TRIAL. A SINGLE-BLIND, RANDOMIZED, WAITLIST-CONTROLLED, PHASE II EXPLORATORY PILOT STUDY USING AN AFTER-TRIAL EMBEDDED MIXED METHODS DESIGN (CLINICAL TRIAL PRO00041068) EVALUATED THE EFFECT OF AN 8-WEEK HATHA YOGA INTERVENTION ON INDIVIDUALS WITH PD. DIRECTED CONTENT ANALYSIS WAS USED TO ANALYZE FOCUS GROUP INTERVIEWS WITH PARTICIPANTS WHO COMPLETED THE YOGA INTERVENTION. QUANTITATIVE AND QUALITATIVE DATA WERE MERGED AND COMPARED USING A DATA COMPARISON MATRIX. QUALITATIVE ANALYSIS INDICATED MANY ACTIVITIES AND PARTICIPATION OUTCOMES. COMPARISON OF QUALITATIVE AND QUANTITATIVE DATA INDICATED THE YOGA INTERVENTION LED TO IMPROVED BALANCE, MOBILITY, AND FUNCTIONAL GAIT, AND FEWER FALLS. THESE OUTCOMES REACHED BEYOND THE INTERVENTION AND INTO PARTICIPANTS' DAILY LIVES. RESULTS SUPPORT THE USE OF HATHA YOGA AS A COMMUNITY-BASED REHABILITATION INTERVENTION FOR INDIVIDUALS WITH PD. YOGA, AS PART OF AN INTERDISCIPLINARY APPROACH TO TREATMENT, CAN IMPROVE MANY TYPES OF ACTIVITIES AND PARTICIPATION OUTCOMES (E.G., MOBILITY, SOCIAL RELATIONSHIPS, SELF-CARE, HANDLING STRESS, RECREATION). 2018 10 248 35 A YOGA INTERVENTION FOR YOUNG ADULTS WITH ELEVATED SYMPTOMS OF DEPRESSION. CONTEXT: YOGA TEACHERS AND STUDENTS OFTEN REPORT THAT YOGA HAS AN UPLIFTING EFFECT ON THEIR MOODS, BUT SCIENTIFIC RESEARCH ON YOGA AND DEPRESSION IS LIMITED. OBJECTIVE: TO EXAMINE THE EFFECTS OF A SHORT-TERM IYENGAR YOGA COURSE ON MOOD IN MILDLY DEPRESSED YOUNG ADULTS. DESIGN: YOUNG ADULTS PRE-SCREENED FOR MILD LEVELS OF DEPRESSION WERE RANDOMLY ASSIGNED TO A YOGA COURSE OR WAIT-LIST CONTROL GROUP. SETTING: COLLEGE CAMPUS RECREATION CENTER. PARTICIPANTS: TWENTY-EIGHT VOLUNTEERS AGES 18 TO 29. AT INTAKE, ALL PARTICIPANTS WERE EXPERIENCING MILD LEVELS OF DEPRESSION, BUT HAD RECEIVED NO CURRENT PSYCHIATRIC DIAGNOSES OR TREATMENTS. NONE HAD SIGNIFICANT YOGA EXPERIENCE. INTERVENTION: SUBJECTS IN THE YOGA GROUP ATTENDED TWO 1-HOUR IYENGAR YOGA CLASSES EACH WEEK FOR 5 CONSECUTIVE WEEKS. THE CLASSES EMPHASIZED YOGA POSTURES THOUGHT TO ALLEVIATE DEPRESSION, PARTICULARLY BACK BENDS, STANDING POSES, AND INVERSIONS. MAIN OUTCOME MEASURES: BECK DEPRESSION INVENTORY, STATE-TRAIT ANXIETY INVENTORY, PROFILE OF MOOD STATES, MORNING CORTISOL LEVELS. RESULTS: SUBJECTS WHO PARTICIPATED IN THE YOGA COURSE DEMONSTRATED SIGNIFICANT DECREASES IN SELF-REPORTED SYMPTOMS OF DEPRESSION AND TRAIT ANXIETY. THESE EFFECTS EMERGED BY THE MIDDLE OF THE YOGA COURSE AND WERE MAINTAINED BY THE END. CHANGES ALSO WERE OBSERVED IN ACUTE MOOD, WITH SUBJECTS REPORTING DECREASED LEVELS OF NEGATIVE MOOD AND FATIGUE FOLLOWING YOGA CLASSES. FINALLY, THERE WAS A TREND FOR HIGHER MORNING CORTISOL LEVELS IN THE YOGA GROUP BY THE END OF THE YOGA COURSE, COMPARED TO CONTROLS. THESE FINDINGS PROVIDE SUGGESTIVE EVIDENCE OF THE UTILITY OF YOGA ASANAS IN IMPROVING MOOD AND SUPPORT THE NEED FOR FUTURE STUDIES WITH LARGER SAMPLES AND MORE COMPLEX STUDY DESIGNS TO MORE FULLY EVALUATE THE EFFECTS OF YOGA ON MOOD DISTURBANCES. 2004 11 947 30 EFFECTS OF A 4-MONTH ANANDA YOGA PROGRAM ON PHYSICAL AND MENTAL HEALTH OUTCOMES FOR PERSONS WITH MULTIPLE SCLEROSIS. OBJECTIVES: YOGA HAS BEEN FOUND TO BE EFFECTIVE FOR ADDRESSING PROBLEMS WITH STRENGTH, FLEXIBILITY, BALANCE, GAIT, ANXIETY, DEPRESSION, AND CONCENTRATION. VARYING DEGREES OF THESE PROBLEMS OCCUR IN INDIVIDUALS WITH MULTIPLE SCLEROSIS (MS). THIS STUDY EXAMINED THE EFFECTS OF A COMPREHENSIVE, 4-MONTH YOGA PROGRAM ON STRENGTH, MOBILITY, BALANCE, RESPIRATORY FUNCTION, AND QUALITY OF LIFE FOR INDIVIDUALS WITH MS. METHODS: TWENTY FOUR INDIVIDUALS WITH MS PARTICIPATED IN AN INTENSIVE ANANDA YOGA TRAINING FOLLOWED BY 17 WEEKS OF HOME PRACTICE. RESULTS: SIGNIFICANT IMPROVEMENTS IN FUNCTIONAL STRENGTH, BALANCE, AND PEAK EXPIRATORY FLOW AND A TREND TOWARD IMPROVEMENTS IN MENTAL HEALTH AND QUALITY OF LIFE OUTCOMES WERE DETECTED FOLLOWING THE INTERVENTION. CONCLUSIONS: THE RESULTS OF THIS EXPLORATORY STUDY SUGGEST THAT YOGA CAN HAVE A POSITIVE IMPACT ON PHYSICAL FUNCTIONING AND QUALITY OF LIFE FOR PERSONS WITH MILD TO MODERATE MS. 2013 12 255 34 A YOGA-BASED EXERCISE PROGRAM FOR PEOPLE WITH CHRONIC POSTSTROKE HEMIPARESIS. BACKGROUND AND PURPOSE: THIS WAS A PRELIMINARY INVESTIGATION OF THE EFFECTS OF A YOGA-BASED EXERCISE PROGRAM ON PEOPLE WITH CHRONIC (GREATER THAN 9 MONTHS) POSTSTROKE HEMIPARESIS. MANY PEOPLE WHO HAVE HAD A STROKE REPORT AN IMPAIRED HEALTH STATUS BECAUSE OF A REDUCED LEVEL OF ACTIVITY. PROPONENTS OF YOGA CONTEND THAT IT OFFERS A GENTLE ALTERNATIVE EXERCISE PROGRAM THAT CAN BE EASILY ADAPTED FOR PEOPLE WHO HAVE HAD A STROKE. SUBJECTS AND METHODS: FOUR SUBJECTS WITH CHRONIC POSTSTROKE HEMIPARESIS PARTICIPATED IN THIS SINGLE-CASE STUDY. THE PRIMARY OUTCOME MEASURES WERE THE BERG BALANCE SCALE (BBS) AND THE TIMED MOVEMENT BATTERY (TMB). A SECONDARY OUTCOME MEASURE WAS THE STROKE IMPACT SCALE (SIS). THE BASELINE TESTING PHASE VARIED FOR EACH SUBJECT AND RANGED FROM 4 TO 7 WEEKS. THE 8-WEEK INTERVENTION PHASE CONSISTED OF 1.5-HOUR YOGA SESSIONS, 2 TIMES PER WEEK, IN THE SUBJECT'S HOME. THE PRIMARY OUTCOME DATA WERE COLLECTED EACH WEEK, AND THE SECONDARY OUTCOME DATA WERE COLLECTED BEFORE THE BASELINE TESTING PHASE AND BEFORE AND AFTER THE INTERVENTION PHASE. RESULTS: SUBJECTS 1, 2, AND 4 HAD IMPROVED TMB SCORES, AND SUBJECTS 3 AND 4 HAD IMPROVED BBS SCORES. DISCUSSION AND CONCLUSION: THE RESULTS SUGGEST THAT YOGA MAY BE BENEFICIAL TO PEOPLE WHO HAVE HAD A STROKE. FURTHER INVESTIGATION IS WARRANTED TO FURTHER EXAMINE THE EFFECTS OF YOGA IN THIS POPULATION. 2004 13 2613 32 YOGA FOR RISK REDUCTION OF METABOLIC SYNDROME: PATIENT-REPORTED OUTCOMES FROM A RANDOMIZED CONTROLLED PILOT STUDY. LIFESTYLE CHANGE IS RECOMMENDED AS TREATMENT FOR ADULTS AT RISK FOR METABOLIC SYNDROME (METS), ALTHOUGH ADOPTION OF NEW BEHAVIORAL PATTERNS IS LIMITED. IN ADDITION, MOST EXISTING LIFESTYLE INTERVENTIONS DO NOT ADDRESS PSYCHOLOGICAL STRESS OR QUALITY OF LIFE, BOTH OF WHICH IMPACT THE BURDEN OF METS. YOGA, A FORM OF PHYSICAL ACTIVITY THAT INCORPORATES PSYCHOLOGICAL COMPONENTS (E.G., MAINTAINING ATTENTION, RELAXATION), IS A PROMISING INTERVENTION FOR IMPROVING THE BURDEN OF METS. THIS RANDOMIZED CONTROLLED TRIAL ASSESSED THE FEASIBILITY AND PRELIMINARY EFFICACY OF A 12-WEEK YOGA PROGRAM COUPLED WITH AN EVIDENCE-BASED HEALTH EDUCATION PROGRAM (HED) COMPARED TO HED ALONE. A SECONDARY, EXPLORATORY AIM EXAMINED PERCEIVED STRESS, QUALITY OF LIFE, AND RELATED PSYCHOLOGICAL OUTCOMES (MINDFULNESS, PERCEIVED HEALTH COMPETENCE, AND MOOD). SIXTY-SEVEN ADULTS AT RISK FOR METS ENROLLED (MEAN AGE [SD]: 58 [10] YEARS; 50% MALE; 79% NON-HISPANIC WHITE). PRELIMINARY RESULTS REVEALED SIGNIFICANTLY LARGER IMPROVEMENTS IN TWO QUALITY OF LIFE DOMAINS (ROLE-PHYSICAL AND GENERAL HEALTH PERCEPTIONS) IN THE HED PLUS YOGA GROUP VERSUS HED ALONE (PS < 0.05). THIS IS THE FIRST STUDY THAT IMPLEMENTED LIFESTYLE EDUCATION ALONG WITH YOGA TO EVALUATE THE POTENTIAL UNIQUE EFFECTS OF YOGA ON PARTICIPANTS AT RISK FOR METS. A LARGER CLINICAL TRIAL IS WARRANTED TO FURTHER INVESTIGATE THESE PROMISING PATIENT-REPORTED OUTCOMES. 2016 14 342 26 ASHTANGA YOGA FOR CHILDREN AND ADOLESCENTS FOR WEIGHT MANAGEMENT AND PSYCHOLOGICAL WELL BEING: AN UNCONTROLLED OPEN PILOT STUDY. OBJECTIVE: THE OBJECTIVE OF THIS PILOT STUDY WAS TO DETERMINE THE EFFECT OF YOGA ON WEIGHT IN YOUTH AT RISK FOR DEVELOPING TYPE 2 DIABETES. SECONDARILY, THE IMPACT OF PARTICIPATION IN YOGA ON SELF-CONCEPT AND PSYCHIATRIC SYMPTOMS WAS MEASURED. METHODS: A 12-WEEK PROSPECTIVE PILOT ASHTANGA YOGA PROGRAM ENROLLED TWENTY CHILDREN AND ADOLESCENTS. WEIGHT WAS MEASURED BEFORE AND AFTER THE PROGRAM. ALL PARTICIPANTS COMPLETED SELF-CONCEPT, ANXIETY, AND DEPRESSION INVENTORIES AT THE INITIATION AND COMPLETION OF THE PROGRAM. RESULTS: FOURTEEN PREDOMINATELY HISPANIC CHILDREN, AGES 8-15, COMPLETED THE PROGRAM. THE AVERAGE WEIGHT LOSS WAS 2KG. WEIGHT DECREASED FROM 61.2+/-20.2KG TO 59.2+/-19.2KG (P=0.01). FOUR OF FIVE CHILDREN WITH LOW SELF-ESTEEM IMPROVED, ALTHOUGH TWO HAD DECREASES IN SELF-ESTEEM. ANXIETY SYMPTOMS IMPROVED IN THE STUDY. CONCLUSION: ASHTANGA YOGA MAY BE BENEFICIAL AS A WEIGHT LOSS STRATEGY IN A PREDOMINATELY HISPANIC POPULATION. 2009 15 1753 35 PILOTING YOGA AND ASSESSING OUTCOMES IN A RESIDENTIAL BEHAVIOURAL HEALTH UNIT. THIS STUDY EXAMINED IF ADOLESCENTS ON A RESIDENTIAL BEHAVIOURAL HEALTH UNIT WOULD PARTICIPATE IN A YOGA INTERVENTION. YOGA HAS BEEN USED AS A MIND-BODY PRACTICE FOR MORE THAN 2000 YEARS; HOWEVER, STUDIES ARE LIMITED REGARDING ITS EFFECTS ON ADOLESCENTS WITH MENTAL ILLNESS ON AN INPATIENT UNIT. YOGA WAS ADDED, TWICE WEEKLY, TO THE PROGRAM SCHEDULE. TRAIT EMOTIONAL INTELLIGENCE QUESTIONNAIRE-ADOLESCENT SHORT FORM (TEIQUE-ASF) SCORES WERE MEASURED OVER 8 WEEKS. ADDITIONAL MEASURES INCLUDED DAILY NUMBERS OF QUIET TIMES, TIME OUTS, AND POINT CARD SCORES. TWENTY-TWO ADOLESCENTS COMPLETED THE STUDY. THE TEIQUE-ASF ASSESSMENT WAS ABLE TO DETECT CHANGES IN TOTAL SCORES OVER 8 WEEKS. INCREASED YOGA PARTICIPATION WAS RELATED TO HIGHER VALUES OF THE TEIQUE-ASF SUBDOMAIN OF SOCIABILITY, INCREASE IN WEEKLY POINT CARD TOTALS, A DECREASE IN BEHAVIOURAL TIME OUTS, AND A DECREASE IN COMBINED BEHAVIOURAL INTERVENTIONS AT VARIOUS TIME POINTS THROUGHOUT THE PROGRAMME. THIS STUDY WAS RELEVANT BECAUSE IT WAS CONDUCTED ON AN ADOLESCENT INPATIENT UNIT. IT PROVIDES SUPPORT THAT YOGA, AS PART OF A RESIDENTIAL PROGRAMME, IS A FEASIBLE INTERVENTION FOR ADOLESCENTS WITH MENTAL ILLNESS. CHANGES IN THE VARIOUS MEASURES CANNOT BE DIRECTLY LINKED TO YOGA BECAUSE OF LACK OF A COMPARISON GROUP. ADDITIONAL STUDIES WITH A LARGER SAMPLE, AND RANDOMIZATION, ARE NEEDED TO EVALUATE THE POTENTIAL BENEFITS OF YOGA AND TO DETERMINE IF CHANGES TO THE TEIQUE-ASF CAN BE ATTRIBUTED TO YOGA OR OTHER BEHAVIOURAL-BASED INTERVENTIONS. LITTLE IS KNOWN ABOUT HOW YOGA WILL IMPACT BEHAVIOURAL HEALTH OUTCOMES FOR ADOLESCENTS WITH MENTAL ILLNESS IN AN INPATIENT SETTING. THIS STUDY EXAMINED IF ADOLESCENTS ON A RESIDENTIAL BEHAVIOURAL HEALTH UNIT WOULD PARTICIPATE IN A YOGA INTERVENTION TO ADDRESS EMOTIONAL REGULATION. A SINGLE COHORT STUDY DESIGN WAS USED. YOGA WAS ADDED TO THE PROGRAMME SCHEDULE TWICE WEEKLY. TRAIT EMOTIONAL INTELLIGENCE QUESTIONNAIRE-ADOLESCENT SHORT FORM (TEIQUE-ASF) SCORES AND ADDITIONAL BEHAVIOURAL MEASURES WERE TRACKED OVER 8 WEEKS. ADOLESCENTS PARTICIPATED IN YOGA, WITH A HIGHER PARTICIPATION RATE FOR GIRLS COMPARED WITH BOYS. THE TEIQUE-ASF ASSESSMENT DETECTED CHANGES IN TOTAL SCORE OVER 8 WEEKS. INCREASED YOGA PARTICIPATION WAS RELATED TO HIGHER VALUES OF THE TEIQUE-ASF SUBDOMAIN OF SOCIABILITY, INCREASE IN WEEKLY POINT CARD TOTALS, AND A DECREASE IN COMBINED BEHAVIOURAL INTERVENTIONS AT VARIOUS TIME POINTS THROUGHOUT THE PROGRAMME. THIS STUDY WAS RELEVANT BECAUSE IT WAS CONDUCTED ON AN ADOLESCENT INPATIENT UNIT. FURTHER STUDIES ARE NEEDED TO DETERMINE IF CHANGES CAN BE ATTRIBUTED TO YOGA OR OTHER BEHAVIOURAL-BASED INTERVENTIONS. IF SUPPORTED BY FURTHER STUDIES, YOGA HAS THE POTENTIAL TO BE A COMPLIMENTARY THERAPY THAT CAN BE INTEGRATED INTO THE MULTIDISCIPLINARY TREATMENT APPROACH FOR MENTAL HEALTH PATIENTS. 2015 16 115 24 A PILOT STUDY OF A YOGA INTERVENTION FOR THE TREATMENT OF ANXIETY IN YOUNG PEOPLE WITH EARLY PSYCHOSIS. BACKGROUND: ANXIETY IS COMMON IN YOUNG PEOPLE WITH EARLY PSYCHOSIS AND TREATMENT OPTIONS FOR THIS CO-MORBIDITY REMAIN LIMITED. YOGA IS A PROMISING ADJUNCT INTERVENTION THAT HAS BEEN SHOWN TO REDUCE ANXIETY FOR ADULTS WITH SCHIZOPHRENIA, THEREFORE THIS PILOT STUDY EVALUATED THE ACCEPTABILITY AND POTENTIAL EFFECTIVENESS OF YOGA FOR ANXIETY IN EARLY PSYCHOSIS. METHODS: A PROSPECTIVE SINGLE ARM PILOT STUDY OF A YOGA INTERVENTION WAS CONDUCTED WITHIN AN EARLY INTERVENTION FOR PSYCHOSIS SERVICE. RATES OF ATTENDANCE, AS WELL AS SYMPTOMS OF ANXIETY PRE AND POST YOGA SESSION WERE MEASURED. RESULTS: A TOTAL OF 14 YOUNG PEOPLE PARTICIPATED IN THE STUDY AND OVER 70% ATTENDED HALF OR MORE OF THE YOGA SESSIONS OFFERED. SIGNIFICANT TRANSIENT REDUCTION IN STATE ANXIETY AFTER A SINGLE SESSION OF YOGA WAS OBSERVED (P < 0.01). CONCLUSIONS: YOGA WAS FOUND TO BE AN ACCEPTABLE AND POTENTIALLY EFFECTIVE ADJUNCTIVE TREATMENT FOR ANXIETY IN EARLY PSYCHOSIS AND THE RESULTS WARRANT FURTHER CLINICAL TRIALS. 2022 17 118 30 A PILOT STUDY OF IYENGAR YOGA FOR PEDIATRIC OBESITY: EFFECTS ON GAIT AND EMOTIONAL FUNCTIONING. OBESITY NEGATIVELY IMPACTS THE KINEMATICS AND KINETICS OF THE LOWER EXTREMITIES IN CHILDREN AND ADOLESCENTS. ALTHOUGH YOGA HAS THE POTENTIAL TO PROVIDE SEVERAL DISTINCT BENEFITS FOR CHILDREN WITH OBESITY, THIS IS THE FIRST STUDY TO EXAMINE THE BENEFITS OF YOGA FOR GAIT (PRIMARY OUTCOME) IN YOUTHS WITH OBESITY. SECONDARY OUTCOMES INCLUDED HEALTH-RELATED QUALITY OF LIFE (HRQOL), PHYSICAL ACTIVITY, AND PAIN. FEASIBILITY AND ACCEPTABILITY WERE ALSO ASSESSED. NINE YOUTHS (11(-)17 YEARS) PARTICIPATED IN AN EIGHT-WEEK IYENGAR YOGA INTERVENTION (BI-WEEKLY 1-H CLASSES). GAIT, HRQOL (SELF AND PARENT-PROXY REPORTS), AND PHYSICAL ACTIVITY WERE ASSESSED AT BASELINE AND POST-YOGA. PAIN WAS SELF-REPORTED AT THE BEGINNING OF EACH CLASS. SIGNIFICANT IMPROVEMENTS WERE FOUND IN MULTIPLE GAIT PARAMETERS, INCLUDING HIP, KNEE, AND ANKLE MOTION AND MOMENTS. SELF-REPORTED AND PARENT-PROXY REPORTS OF EMOTIONAL FUNCTIONING SIGNIFICANTLY IMPROVED. TIME SPENT IN PHYSICAL ACTIVITY AND WEIGHT DID NOT CHANGE. THIS STUDY DEMONSTRATES THAT A RELATIVELY BRIEF, NON-INVASIVE IYENGAR YOGA INTERVENTION CAN RESULT IN IMPROVED MALALIGNMENT OF THE LOWER EXTREMITIES DURING AMBULATION, AS WELL AS IN CLINICALLY MEANINGFUL IMPROVEMENTS IN EMOTIONAL FUNCTIONING. THIS STUDY EXTENDS CURRENT EVIDENCE THAT SUPPORTS A ROLE FOR YOGA IN PEDIATRIC OBESITY. 2018 18 1267 30 FOLLOW-UP OF YOGA OF AWARENESS FOR FIBROMYALGIA: RESULTS AT 3 MONTHS AND REPLICATION IN THE WAIT-LIST GROUP. OBJECTIVES: PUBLISHED PRELIMINARY FINDINGS FROM A RANDOMIZED-CONTROLLED TRIAL SUGGEST THAT AN 8-WEEK YOGA OF AWARENESS INTERVENTION MAY BE EFFECTIVE FOR IMPROVING SYMPTOMS, FUNCTIONAL DEFICITS, AND COPING ABILITIES IN FIBROMYALGIA. THE PRIMARY AIMS OF THIS STUDY WERE TO EVALUATE THE SAME INTERVENTION'S POSTTREATMENT EFFECTS IN A WAIT-LIST GROUP AND TO TEST THE INTERVENTION'S EFFECTS AT 3-MONTH FOLLOW-UP IN THE IMMEDIATE TREATMENT GROUP. METHODS: UNPAIRED T TESTS WERE USED TO COMPARE DATA FROM A PER PROTOCOL SAMPLE OF 21 WOMEN IN THE IMMEDIATE TREATMENT GROUP WHO HAD COMPLETED TREATMENT AND 18 WOMEN IN THE WAIT-LIST GROUP WHO HAD COMPLETED TREATMENT. WITHIN-GROUP PAIRED T TESTS WERE PERFORMED TO COMPARE POSTTREATMENT DATA WITH 3-MONTH FOLLOW-UP DATA IN THE IMMEDIATE TREATMENT GROUP. THE PRIMARY OUTCOME MEASURE WAS THE FIBROMYALGIA IMPACT QUESTIONNAIRE REVISED (FIQR). MULTILEVEL RANDOM-EFFECTS MODELS WERE ALSO USED TO EXAMINE ASSOCIATIONS BETWEEN YOGA PRACTICE RATES AND OUTCOMES. RESULTS: POSTTREATMENT RESULTS IN THE WAIT-LIST GROUP LARGELY MIRRORED RESULTS SEEN AT POSTTREATMENT IN THE IMMEDIATE TREATMENT GROUP, WITH THE FIQR TOTAL SCORE IMPROVING BY 31.9% ACROSS THE 2 GROUPS. FOLLOW-UP RESULTS SHOWED THAT PATIENTS SUSTAINED MOST OF THEIR POSTTREATMENT GAINS, WITH THE FIQR TOTAL SCORE REMAINING 21.9% IMPROVED AT 3 MONTHS. YOGA PRACTICE RATES WERE GOOD, AND MORE PRACTICE WAS ASSOCIATED WITH MORE BENEFIT FOR A VARIETY OF OUTCOMES. DISCUSSION: THESE FINDINGS INDICATE THAT THE BENEFITS OF YOGA OF AWARENESS IN FIBROMYALGIA ARE REPLICABLE AND CAN BE MAINTAINED. 2012 19 1701 31 PARTICIPATION IN A YOGA STUDY DECREASES STRESS AND DEPRESSION SCORES FOR INCARCERATED WOMEN. INCARCERATED INDIVIDUALS EXHIBIT A HIGH INCIDENCE OF STRESS-RELATED DISORDERS, INCLUDING ADDICTION AND POSTTRAUMATIC STRESS DISORDER (PTSD), AS WELL AS THE ADDED STRESS OF CAPTIVITY. ACCESS TO STRESS-REDUCTION TOOLS IS LIMITED FOR THESE INDIVIDUALS. ONE POSSIBLE APPROACH MAY BE REGULAR STRUCTURED YOGA CLASSES. USING TWO APPROACHES, WE TESTED THE EFFECTIVENESS OF A BRIEF, INTENSIVE YOGA INTERVENTION IN A POPULATION OF INCARCERATED WOMEN IN A COUNTY JAIL. THE FIRST APPROACH WAS AN EXAMINATION OF ARCHIVAL DATA COLLECTED AS PART OF A PROGRAM ANALYSIS. INDIVIDUALS SHOWED CONSIDERABLE REDUCTION IN SELF-REPORTED STRESS FOLLOWING A SINGLE YOGA SESSION. THE SECOND APPROACH WAS AN EXPERIMENTAL STUDY USING A WEEK-LONG YOGA INTERVENTION. THIRTY-FOUR PARTICIPANTS WERE ASSIGNED TO EITHER THE YOGA OR CONTROL GROUP FOR THE FIRST WEEK. IN THE SECOND WEEK, THE CONDITIONS WERE REVERSED. PARTICIPANTS WERE ASSESSED WEEKLY, BEFORE AND AFTER INTERVENTION. BASELINE SCORES REVEALED HIGH RATES OF DEPRESSION, STRESS, AND EXPOSURE TO TRAUMATIC LIFE EVENTS COMPARED TO NORMATIVE DATA. STRESS AND DEPRESSION WERE ASSESSED USING THE PERCEIVED STRESS SCALE AND BECK DEPRESSION INVENTORY, RESPECTIVELY. COMPARED TO CONTROLS, PARTICIPANTS REPORTED LESS DEPRESSION AFTER A WEEK OF DAILY YOGA SESSIONS. PERCEIVED STRESS DECLINED UNDER BOTH CONTROL AND YOGA CONDITIONS. DUE TO THE TRANSIENT NATURE OF THE JAIL INSTITUTION, IT IS IMPORTANT TO EXAMINE INTERVENTIONS THAT CAN BE PROVIDED ON A SHORT-TERM BASIS. ALTHOUGH THERE WERE LIMITATIONS IN THIS STUDY, THE RESULTS SUPPORT THE CONCLUSION THAT THE BRIEF YOGA INTERVENTION HAD A POSITIVE EFFECT ON PARTICIPANTS' WELL-BEING. 2021 20 2383 27 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