1 2482 99 YOGA AS AN ALTERNATIVE AND COMPLIMENTARY THERAPY FOR CARDIOVASCULAR DISEASE: A SYSTEMATIC REVIEW. CARDIOVASCULAR DISEASE IS A LEADING CAUSE OF DISABILITY AND DEATH WORLDWIDE. YOGA, A MIND-BODY EXERCISE, UTILIZES BREATHING TECHNIQUES WITH LOW-IMPACT PHYSICAL ACTIVITY THAT MAY BE AN ALTERNATIVE TREATMENT FOR CARDIOVASCULAR DISEASE. THE PURPOSE OF THIS SYSTEMATIC REVIEW WAS TO EXAMINE YOGA INTERVENTIONS FOR PATIENTS AT-RISK FOR AND/OR SUFFERING FROM CARDIOVASCULAR DISEASE. THE INCLUSION CRITERIA FOR INTERVENTIONS WERE ( A) PUBLISHED IN THE ENGLISH LANGUAGE BETWEEN 2005 AND 2015; ( B) INDEXED IN MEDLINE/PUBMED, CINAHL, OR ALT HEALTHWATCH; ( C) EMPLOYED A QUANTITATIVE DESIGN; AND ( D) APPLIED A YOGA INTERVENTION. TWELVE INTERVENTIONS MET THE INCLUSION CRITERIA, OF WHICH, ALL DOCUMENTED SIGNIFICANT IMPROVEMENTS IN ONE OR MORE FACTORS ASSOCIATED WITH CARDIOVASCULAR DISEASE. LIMITATIONS TO THE STUDIES IN THIS REVIEW INCLUDED A LACK OF STUDIES ADHERING TO THE INCLUSION CRITERIA, SMALL SAMPLE SIZES, AND HIGH ATTRITION RATES. DESPITE THE LIMITATIONS, THIS REVIEW DEMONSTRATES THE CLEAR POTENTIAL YOGA HAS AS AN ALTERNATIVE AND COMPLEMENTARY MEANS TO IMPROVE CARDIOVASCULAR DISEASE RISK. 2017 2 588 31 DETERMINING PSYCHONEUROIMMUNOLOGIC MARKERS OF YOGA AS AN INTERVENTION FOR PERSONS DIAGNOSED WITH PTSD: A SYSTEMATIC REVIEW. THERE IS A GROWING BODY OF RESEARCH ON YOGA AS A THERAPEUTIC INTERVENTION FOR PSYCHOLOGICAL SYMPTOMS OF POST-TRAUMATIC STRESS DISORDER (PTSD) ACCOMPANIED BY SPECULATIONS ON UNDERLYING PHYSIOLOGIC MECHANISMS. THE PURPOSE OF THIS SYSTEMATIC REVIEW IS TO IDENTIFY, QUALITATIVELY EVALUATE, AND SYNTHESIZE STUDIES OF YOGA AS AN INTERVENTION FOR PTSD THAT MEASURED PHYSIOLOGIC OUTCOMES IN ORDER TO GAIN INSIGHTS INTO POTENTIAL MECHANISMS. THE FOCUS IS ON STUDIES EVALUATING YOGA AS A THERAPEUTIC INTERVENTION FOR PTSD RATHER THAN FOR TRAUMA EXPOSURE, PTSD PREVENTION, OR SUBCLINICAL PTSD. MULTIPLE DATABASES WERE SEARCHED FOR PUBLICATIONS FROM THE PAST TWO DECADES USING TERMS DERIVED FROM THE QUESTION, "IN PEOPLE WITH PTSD, WHAT IS THE EFFECT OF YOGA ON OBJECTIVE OUTCOMES?" ELIGIBILITY CRITERIA INCLUDED YOGA-ONLY MODALITIES TESTED AS AN INTERVENTION FOR FORMALLY DIAGNOSED PTSD WITH AT LEAST ONE PHYSIOLOGIC OUTCOME. RESULTS OF THIS REVIEW CONFIRMED THAT, THOUGH MUCH OF THE PUBLISHED LITERATURE PROPOSES PHYSIOLOGICAL MECHANISMS UNDERLYING YOGA'S EFFECTS ON PTSD, VERY FEW STUDIES ( N = 3) HAVE ACTUALLY EVALUATED PHYSIOLOGICAL EVIDENCE. ADDITIONALLY, SEVERAL STUDIES HAD METHODOLOGICAL LIMITATIONS. IN LIGHT OF THE LIMITED DATA SUPPORTING YOGA'S BENEFICIAL EFFECTS ON AUTONOMIC NERVOUS SYSTEM DYSREGULATION, WE PRESENT A THEORETICAL MODEL OF THE PSYCHONEUROIMMUNOLOGIC PROCESSES ASSOCIATED WITH PTSD AND THE EFFECTS YOGA MAY HAVE ON THESE PROCESSES TO GUIDE FUTURE RESEARCH. GAPS IN THE LITERATURE REMAIN FOR MECHANISMS RELATED TO ACTIVATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS AND INFLAMMATION. ADDITIONAL RIGOROUS MECHANISTIC STUDIES ARE NEEDED TO GUIDE DEVELOPMENT OF EFFECTIVE YOGA INTERVENTIONS FOR PTSD TO AUGMENT EXISTING EVIDENCE-BASED PTSD TREATMENTS. 2018 3 2035 24 TELE-YOGA FOR CHRONIC PAIN: CURRENT STATUS AND FUTURE DIRECTIONS. PAIN IS A PERVASIVE, DEBILITATING DISORDER THAT IS RESISTANT TO LONG-TERM PHARMACOLOGICAL INTERVENTIONS. ALTHOUGH PSYCHOLOGICAL THERAPIES SUCH AS COGNITIVE BEHAVIOR THERAPY DEMONSTRATE MODERATE EFFICACY, MANY INDIVIDUALS CONTINUE TO HAVE ONGOING DIFFICULTIES FOLLOWING TREATMENT. THERE IS A CURRENT TREND TO ESTABLISH COMPLEMENTARY AND INTEGRATIVE HEALTH INTERVENTIONS FOR CHRONIC PAIN, FOR WHICH YOGA HAS BEEN FOUND TO HAVE EXCITING POTENTIAL. NEVERTHELESS, AN IMPORTANT CONSIDERATION WITHIN THE FIELD IS ACCESSIBILITY TO ADEQUATE CARE. TELEHEALTH CAN BE USED TO PROVIDE REAL-TIME INTERACTIVE VIDEO CONFERENCING LEADING TO INCREASED ACCESS TO HEALTH CARE FOR INDIVIDUALS LOCATED REMOTELY OR WHO OTHERWISE HAVE DIFFICULTY ACCESSING SERVICES, PERHAPS THROUGH ISSUES OF MOBILITY OR PROXIMITY OF ADEQUATE SERVICES. THIS ARTICLE ASSESSES THE CURRENT STATUS AND FEASIBILITY OF IMPLEMENTING TELE-YOGA FOR CHRONIC PAIN. METHODOLOGICAL LIMITATIONS AND RECOMMENDATIONS FOR FUTURE RESEARCH ARE DISCUSSED. 2018 4 2129 31 THE EFFECTIVENESS OF YOGA ON CANCER-RELATED FATIGUE: A SYSTEMATIC REVIEW AND META-ANALYSIS. PROBLEM IDENTIFICATION: THE AIM OF THIS ARTICLE IS TO EVALUATE THE EFFECTIVENESS OF YOGA ON CANCER-RELATED FATIGUE (CRF) IN PATIENTS UNDERGOING CHEMOTHERAPY AND/OR RADIATION THERAPY. LITERATURE SEARCH: RELEVANT ENGLISH AND CHINESE ARTICLES WERE RETRIEVED FROM MEDICAL DATABASES AND INCLUDED IN THIS ANALYSIS. STANDARDIZED CRITICAL APPRAISAL INSTRUMENTS FROM THE JOANNA BRIGGS INSTITUTE WERE ADOPTED FOR THE QUALITY ASSESSMENT. DATA EVALUATION: 16 RANDOMIZED CONTROLLED TRIALS MET THE INCLUSION CRITERIA. SYNTHESIS: YOGA INTERVENTIONS HAD A POSITIVE EFFECT IN REDUCING CRF AMONG PATIENTS UNDERGOING CHEMOTHERAPY AND/OR RADIATION THERAPY, BUT THE ADHERENCE TO YOGA WAS LOW. MIXED TYPES OF YOGA, IN ADDITION TO SUPERVISED AND SELF-PRACTICING STRATEGIES, WERE ASSOCIATED WITH INCREASED PATIENT ADHERENCE AND IMPROVED CRF. IMPLICATIONS FOR PRACTICE: YOGA APPEARS TO BE A SAFE AND EFFECTIVE EXERCISE FOR THE MANAGEMENT OF CRF DURING CHEMOTHERAPY AND/OR RADIATION THERAPY; HOWEVER, ADDITIONAL HIGH-QUALITY STUDIES ARE NEEDED TO DEFINE AN OPTIMAL YOGA INTERVENTION STRATEGY. 2021 5 2454 28 YOGA AS A COMPLEMENTARY THERAPY FOR METABOLIC SYNDROME: A NARRATIVE REVIEW. METABOLIC SYNDROME (MS) IS ASSOCIATED WITH A SEDENTARY AND STRESSFUL LIFESTYLE AND AFFECTS UNDERACTIVE PEOPLE DISPROPORTIONATELY. YOGA IS CONSIDERED TO BE A LOW-IMPACT MIND-BODY STRESS-RELIEVING EXERCISE, AND RESEARCHERS ARE INCREASING THEIR FOCUS ON THE BENEFITS OF YOGA FOR MANAGING METABOLIC DISORDERS. IT IS ALSO IMPORTANT FOR PHYSICIANS AND HEALTH CARE PROFESSIONALS TO UNDERSTAND THE THERAPEUTIC EFFICACY OF YOGA INTERVENTION, IN TERMS OF ITS TYPE, DURATION AND FREQUENCY ON VARIOUS MS RISK FACTORS. THE PRESENT REVIEW SUMMARIZES THE CURRENT SCIENTIFIC UNDERSTANDING OF THE EFFECTS OF YOGA ON MS RISK FACTORS SUCH AS GLUCOSE HOMEOSTASIS MARKERS, LIPID PROFILE, ADIPOCYTOKINES AND CARDIOVASCULAR RISK FACTORS, AND DISCUSSES THE POSSIBLE MECHANISMS OF ACTION. MEDLINE, PUBMED, SCOPUS AND COCHRANE LIBRARY WERE SEARCHED FROM THEIR INCEPTION UP TO DECEMBER 2019, USING THE KEYWORDS "METABOLIC SYNDROME," "DIABETES," "CARDIOVASCULAR DISEASES," "OBESITY" AND "YOGA." THE LITERATURE SUMMARIZED IN THIS REVIEW HAVE SHOWN MIXED EFFECTS OF YOGA ON MS RISK FACTORS AND DO NOT PROVIDE ROBUST EVIDENCE FOR ITS EFFICACY. MORE RIGOROUS RESEARCH AND WELL-DESIGNED TRIALS THAT HAVE A HIGHER STANDARD OF METHODOLOGY AND EVALUATE YOGA'S LONG-TERM IMPACTS ON MS ARE NEEDED. UNDERSTANDING YOGA'S BIOCHEMICAL AND MOLECULAR MECHANISMS OF ACTION ON VARIOUS METABOLIC PATHWAYS IS ALSO NEEDED. 2021 6 2121 29 THE EFFECTIVENESS AND CHARACTERISTICS OF PREGNANCY YOGA INTERVENTIONS: A SYSTEMATIC REVIEW PROTOCOL. BACKGROUND: THE PURPOSE OF THIS REVIEW IS TO SYSTEMATICALLY EXAMINE THE REPORTED CLINICAL EFFECTIVENESS OF PREGNANCY YOGA. THE REVIEW WILL USE THE FITT (FREQUENCY, INTENSITY, TIME/DURATION AND TYPE) PRINCIPLE OF PHYSICAL ACTIVITY TO CHARACTERISE THE DIFFERENT TYPES OF YOGA INTERVENTIONS THAT HAVE BEEN EVALUATED IN THE INCLUDED STUDIES. STUDIES WILL BE CATEGORISED AS EFFECTIVENESS OR EFFICACY STUDIES AND THIS CONTINUUM OF EFFICACY VERSUS EFFECTIVENESS WILL BE INCORPORATED INTO THE FULL REVIEW. METHODS/DESIGN: THE FOLLOWING ELECTRONIC DATABASES WILL BE SEARCHED USING A DETAILED SEARCH STRATEGY: MEDLINE, PSYCINFO, EMBASE, CINAHL, WHOLIS, AMED, SCIELO, ASSIA AND WEB OF SCIENCE. RANDOMISED CONTROL TRIALS AND QUASI-EXPERIMENTAL STUDIES EXAMINING PREGNANCY YOGA AND REPORTING ON EFFECT WILL BE INCLUDED. TITLES, ABSTRACTS AND FULL ARTICLES WILL BE SCREENED BY TWO INVESTIGATORS INDEPENDENTLY TO IDENTIFY ELIGIBLE STUDIES. THE COCHRANE COLLABORATION'S RISK OF BIAS ASSESSMENT TOOL WILL BE USED TO ASSESS STUDY QUALITY. QUALITY OF THE EVIDENCE WILL BE EVALUATED USING THE GRADE CRITERIA. A STANDARDISED DATA EXTRACTION FORM WILL BE USED TO EXTRACT DATA. EFFECT SIZES WILL BE ESTIMATED USING MEAN DIFFERENCES FOR CONTINUOUS OUTCOMES, AND RELATIVE RISKS FOR DICHOTOMOUS OUTCOME. WHERE POSSIBLE, POOLING OF EFFECT ESTIMATES WILL BE DONE USING A RANDOM EFFECT MODEL. THE OUTCOMES OF INTEREST ARE QUALITY OF LIFE, STRESS, ANXIETY, DEPRESSION, MODE OF BIRTH, LABOUR DURATION AND PAIN MANAGEMENT IN LABOUR. DISCUSSION: THIS REVIEW WILL SYNTHESISE THE BEST AVAILABLE EVIDENCE ON THE EFFECTIVENESS OF YOGA DURING PREGNANCY AND PROVIDE VALUABLE HIGH-QUALITY INFORMATION FOR CLINICIANS AND HEALTH POLICYMAKERS. FINDINGS WILL BE DISSEMINATED THROUGH PUBLICATION IN A PEER-REVIEWED JOURNAL AND PRESENTATION AT RELEVANT CONFERENCE PROCEEDINGS. THE REVIEW WILL MAKE RECOMMENDATIONS FOR THE APPROPRIATE VOLUME, INTENSITY AND TYPE OF PREGNANCY YOGA FOR MAXIMUM EFFECT AND MAY HAVE IMPLICATIONS FOR POLICY AND PRACTICE RELATING TO PREGNANCY YOGA AS AN INTERVENTION. REGISTRATION: PROSPERO, CRD42019119916. REGISTERED ON 11TH JANUARY 2019. 2019 7 477 30 CLINICAL APPLICATIONS OF YOGA FOR THE PEDIATRIC POPULATION: A SYSTEMATIC REVIEW. OBJECTIVE: THE AIM OF THIS STUDY WAS TO EVALUATE THE EVIDENCE FOR CLINICAL APPLICATIONS OF YOGA AMONG THE PEDIATRIC POPULATION. METHODS: WE CONDUCTED AN ELECTRONIC LITERATURE SEARCH INCLUDING CINAHL, COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL), EMBASE, MEDLINE, PSYCINFO, AND MANUAL SEARCH OF RETRIEVED ARTICLES FROM INCEPTION OF EACH DATABASE UNTIL DECEMBER 2008. RANDOMIZED CONTROLLED TRIALS (RCTS) AND NONRANDOMIZED CONTROLLED TRIALS (NRCTS) WERE SELECTED THAT INCLUDED YOGA OR YOGA-BASED INTERVENTIONS FOR INDIVIDUALS AGED 0 TO 21 YEARS. DATA WERE EXTRACTED AND ARTICLES CRITICALLY REVIEWED USING A MODIFIED JADAD SCORE AND DESCRIPTIVE METHODOLOGICAL CRITERIA, WITH SUMMARIZATION IN TABLES. RESULTS: THIRTY-FOUR CONTROLLED STUDIES PUBLISHED FROM 1979 TO 2008 WERE IDENTIFIED, WITH 19 RCTS AND 15 NRCTS. MANY STUDIES WERE OF LOW METHODOLOGICAL QUALITY. CLINICAL AREAS FOR WHICH YOGA HAS BEEN STUDIED INCLUDE PHYSICAL FITNESS, CARDIORESPIRATORY EFFECTS, MOTOR SKILLS/STRENGTH, MENTAL HEALTH AND PSYCHOLOGICAL DISORDERS, BEHAVIOR AND DEVELOPMENT, IRRITABLE BOWEL SYNDROME, AND BIRTH OUTCOMES FOLLOWING PRENATAL YOGA. NO ADVERSE EVENTS WERE REPORTED IN TRIALS REVIEWED. ALTHOUGH A LARGE MAJORITY OF STUDIES WERE POSITIVE, METHODOLOGICAL LIMITATIONS SUCH AS RANDOMIZATION METHODS, WITHDRAWAL/DROPOUTS, AND DETAILS OF YOGA INTERVENTION PRECLUDE CONCLUSIVE EVIDENCE. CONCLUSIONS: THERE ARE LIMITED DATA ON THE CLINICAL APPLICATIONS OF YOGA AMONG THE PEDIATRIC POPULATION. MOST PUBLISHED CONTROLLED TRIALS WERE SUGGESTIVE OF BENEFIT, BUT RESULTS ARE PRELIMINARY BASED ON LOW QUANTITY AND QUALITY OF TRIALS. FURTHER RESEARCH OF YOGA FOR CHILDREN BY USING A HIGHER STANDARD OF METHODOLOGY AND REPORTING IS WARRANTED. 2009 8 1625 29 MINDFULNESS AND YOGA FOR PSYCHOLOGICAL TRAUMA: SYSTEMATIC REVIEW AND META-ANALYSIS. MINDFULNESS-BASED INTERVENTIONS (MBIS), WITH POSTURES, BREATH, RELAXATION, AND MEDITATION, SUCH AS MINDFULNESS-BASED STRESS REDUCTION (MBSR) AND YOGA, ARE COMPLEX INTERVENTIONS INCREASINGLY USED FOR TRAUMA-RELATED PSYCHIATRIC CONDITIONS. PRIOR REVIEWS HAVE ADOPTED A DISORDER-SPECIFIC FOCUS. HOWEVER, TRAUMA IS A RISK FACTOR FOR MOST PSYCHIATRIC CONDITIONS. WE ADOPTED A TRANSDIAGNOSTIC APPROACH TO EVALUATE THE EFFICACY OF MBIS FOR THE CONSEQUENCES OF TRAUMA, AGNOSTIC TO DIAGNOSIS. AMED, CINAHL, CENTRAL, EMBASE, PUBMED/MEDLINE, PSYCINFO, AND SCOPUS WERE SEARCHED TO 30 SEPTEMBER 2018 FOR CONTROLLED AND UNCONTROLLED TRIALS OF MINDFULNESS, YOGA, TAI CHI, AND QI GONG IN PEOPLE SPECIFICALLY SELECTED FOR TRAUMA EXPOSURE. OF >12,000 RESULTS, 66 STUDIES WERE INCLUDED IN THE SYSTEMATIC REVIEW AND 24 CONTROLLED STUDIES WERE META-ANALYZED. THERE WAS A SIGNIFICANT, POOLED EFFECT OF MBIS (G = 0.51, 95%CI 0.31 TO 0.71, P < .001). SIMILAR EFFECTS WERE OBSERVED FOR MINDFULNESS (G = 0.45, 0.26 TO 0.64, P < .001), YOGA (G = 0.46, 0.26 TO 0.66, P < .001), AND INTEGRATIVE EXERCISE (G = 0.94, 0.37 TO 1.51, P = .001), WITH NO DIFFERENCE BETWEEN INTERVENTIONS. OUTCOME MEASURE OR TRAUMA TYPE DID NOT INFLUENCE THE EFFECTIVENESS, BUT INTERVENTIONS OF 8 WEEKS OR MORE WERE MORE EFFECTIVE THAN SHORTER INTERVENTIONS (Q = 8.39, DF = 2, P = .02). MINDFULNESS-BASED INTERVENTIONS, ADJUNCTIVE TO TREATMENT-AS-USUAL OF MEDICATION AND/OR PSYCHOTHERAPY, ARE EFFECTIVE IN REDUCING TRAUMA-RELATED SYMPTOMS. YOGA AND MINDFULNESS HAVE COMPARABLE EFFECTIVENESS. MANY PSYCHIATRIC STUDIES DO NOT REPORT TRAUMA EXPOSURE, FOCUSING ON DISORDER-SPECIFIC OUTCOMES, BUT THIS REVIEW SUGGESTS A TRANSDIAGNOSTIC APPROACH COULD BE ADOPTED IN THE TREATMENT OF TRAUMA SEQUELAE WITH MBIS. MORE RIGOROUS REPORTING OF TRAUMA EXPOSURE AND MBI TREATMENT PROTOCOLS IS RECOMMENDED TO ENHANCE FUTURE RESEARCH. 2020 9 2569 38 YOGA FOR DEPRESSION: THE RESEARCH EVIDENCE. BACKGROUND: YOGA-BASED INTERVENTIONS MAY PROVE TO BE AN ATTRACTIVE OPTION FOR THE TREATMENT OF DEPRESSION. THE AIM OF THIS STUDY IS TO SYSTEMATICALLY REVIEW THE RESEARCH EVIDENCE ON THE EFFECTIVENESS OF YOGA FOR THIS INDICATION. METHODS: SEARCHES OF THE MAJOR BIOMEDICAL DATABASES INCLUDING MEDLINE, EMBASE, CLNAHL, PSYCINFO AND THE COCHRANE LIBRARY WERE CONDUCTED. SPECIALIST COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) AND THE INDMED DATABASES WERE ALSO SEARCHED AND EFFORTS MADE TO IDENTIFY UNPUBLISHED AND ONGOING RESEARCH. SEARCHES WERE CONDUCTED BETWEEN JANUARY AND JUNE 2004. RELEVANT RESEARCH WAS CATEGORISED BY STUDY TYPE AND APPRAISED. CLINICAL COMMENTARIES WERE OBTAINED FOR STUDIES REPORTING CLINICAL OUTCOMES. RESULTS: FIVE RANDOMISED CONTROLLED TRIALS WERE LOCATED, EACH OF WHICH UTILISED DIFFERENT FORMS OF YOGA INTERVENTIONS AND IN WHICH THE SEVERITY OF THE CONDITION RANGED FROM MILD TO SEVERE. ALL TRIALS REPORTED POSITIVE FINDINGS BUT METHODOLOGICAL DETAILS SUCH AS METHOD OF RANDOMISATION, COMPLIANCE AND ATTRITION RATES WERE MISSING. NO ADVERSE EFFECTS WERE REPORTED WITH THE EXCEPTION OF FATIGUE AND BREATHLESSNESS IN PARTICIPANTS IN ONE STUDY. LIMITATIONS: NO LANGUAGE RESTRICTIONS WERE IMPOSED ON THE SEARCHES CONDUCTED BUT NO SEARCHES OF DATABASES IN LANGUAGES OTHER THAN ENGLISH WERE INCLUDED. CONCLUSIONS: OVERALL, THE INITIAL INDICATIONS ARE OF POTENTIALLY BENEFICIAL EFFECTS OF YOGA INTERVENTIONS ON DEPRESSIVE DISORDERS. VARIATION IN INTERVENTIONS, SEVERITY AND REPORTING OF TRIAL METHODOLOGY SUGGESTS THAT THE FINDINGS MUST BE INTERPRETED WITH CAUTION. SEVERAL OF THE INTERVENTIONS MAY NOT BE FEASIBLE IN THOSE WITH REDUCED OR IMPAIRED MOBILITY. NEVERTHELESS, FURTHER INVESTIGATION OF YOGA AS A THERAPEUTIC INTERVENTION IS WARRANTED. 2005 10 2481 45 YOGA AS AN ALTERNATIVE AND COMPLEMENTARY TREATMENT FOR CANCER: A SYSTEMATIC REVIEW. OBJECTIVES: CANCER IS AN IMPORTANT PUBLIC HEALTH CONCERN, WITH MILLIONS OF PATIENTS AFFECTED WORLDWIDE. GIVEN THE PHYSICAL, PSYCHOLOGICAL, AND PHYSIOLOGIC CHANGES ASSOCIATED WITH CANCER, HOLISTIC THERAPIES ARE NEEDED TO TREAT ALL ASPECT OF THE DISEASE. DESIGN: A SYSTEMATIC REVIEW WAS CONDUCTED TO DETERMINE THE EFFICACY OF YOGA AS A TREATMENT OPTION FOR CANCER SINCE 2010. INCLUDED STUDIES WERE PUBLISHED FROM JANUARY 2010 TO JULY 2012 AND WERE INDEXED IN MEDLINE, CINAHL, AND ALT HEALTHWATCH. RESULTS: THIRTEEN STUDIES MET THE INCLUSION CRITERIA. EIGHT OF THESE STUDIES WERE PERFORMED IN THE UNITED STATES, AND ONE EACH WAS CONDUCTED IN SLOVENIA, ITALY, THE UNITED KINGDOM, CANADA, AND TURKEY. CONCLUSIONS: THE EVIDENCE FOR EFFICACY OF YOGA AS AN ALTERNATIVE AND COMPLEMENTARY TREATMENT FOR CANCER IS MIXED, ALTHOUGH GENERALLY POSITIVE. LIMITATIONS OF THE REVIEWED INTERVENTIONS INCLUDED A MIXED USE OF INSTRUMENTS, WEAK QUANTITATIVE DESIGNS, SMALL SAMPLE SIZES, AND A LACK OF THEORY-BASED STUDIES. 2013 11 2732 34 YOGA ON OUR MINDS: A SYSTEMATIC REVIEW OF YOGA FOR NEUROPSYCHIATRIC DISORDERS. BACKGROUND: THE DEMAND FOR CLINICALLY EFFICACIOUS, SAFE, PATIENT ACCEPTABLE, AND COST-EFFECTIVE FORMS OF TREATMENT FOR MENTAL ILLNESS IS GROWING. SEVERAL STUDIES HAVE DEMONSTRATED BENEFIT FROM YOGA IN SPECIFIC PSYCHIATRIC SYMPTOMS AND A GENERAL SENSE OF WELL-BEING. OBJECTIVE: TO SYSTEMATICALLY EXAMINE THE EVIDENCE FOR EFFICACY OF YOGA IN THE TREATMENT OF SELECTED MAJOR PSYCHIATRIC DISORDERS. METHODS: ELECTRONIC SEARCHES OF THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS AND THE STANDARD BIBLIOGRAPHIC DATABASES, MEDLINE, EMBASE, AND PSYCINFO, WERE PERFORMED THROUGH APRIL 2011 AND AN UPDATED IN JUNE 2011 USING THE KEYWORDS YOGA AND PSYCHIATRY OR DEPRESSION OR ANXIETY OR SCHIZOPHRENIA OR COGNITION OR MEMORY OR ATTENTION AND RANDOMIZED CONTROLLED TRIAL (RCT). STUDIES WITH YOGA AS THE INDEPENDENT VARIABLE AND ONE OF THE ABOVE MENTIONED TERMS AS THE DEPENDENT VARIABLE WERE INCLUDED AND EXCLUSION CRITERIA WERE APPLIED. RESULTS: THE SEARCH YIELDED A TOTAL OF 124 TRIALS, OF WHICH 16 MET RIGOROUS CRITERIA FOR THE FINAL REVIEW. GRADE B EVIDENCE SUPPORTING A POTENTIAL ACUTE BENEFIT FOR YOGA EXISTS IN DEPRESSION (FOUR RCTS), AS AN ADJUNCT TO PHARMACOTHERAPY IN SCHIZOPHRENIA (THREE RCTS), IN CHILDREN WITH ADHD (TWO RCTS), AND GRADE C EVIDENCE IN SLEEP COMPLAINTS (THREE RCTS). RCTS IN COGNITIVE DISORDERS AND EATING DISORDERS YIELDED CONFLICTING RESULTS. NO STUDIES LOOKED AT PRIMARY PREVENTION, RELAPSE PREVENTION, OR COMPARATIVE EFFECTIVENESS VERSUS PHARMACOTHERAPY. CONCLUSION: THERE IS EMERGING EVIDENCE FROM RANDOMIZED TRIALS TO SUPPORT POPULAR BELIEFS ABOUT YOGA FOR DEPRESSION, SLEEP DISORDERS, AND AS AN AUGMENTATION THERAPY. LIMITATIONS OF LITERATURE INCLUDE INABILITY TO DO DOUBLE-BLIND STUDIES, MULTIPLICITY OF COMPARISONS WITHIN SMALL STUDIES, AND LACK OF REPLICATION. BIOMARKER AND NEUROIMAGING STUDIES, THOSE COMPARING YOGA WITH STANDARD PHARMACO- AND PSYCHOTHERAPIES, AND STUDIES OF LONG-TERM EFFICACY ARE NEEDED TO FULLY TRANSLATE THE PROMISE OF YOGA FOR ENHANCING MENTAL HEALTH. 2012 12 1907 27 REVIEW OF YOGA THERAPY DURING CANCER TREATMENT. PURPOSE: REVIEWS OF YOGA RESEARCH THAT DISTINGUISH RESULTS OF TRIALS CONDUCTED DURING (VERSUS AFTER) CANCER TREATMENT ARE NEEDED TO GUIDE FUTURE RESEARCH AND CLINICAL PRACTICE. WE THEREFORE CONDUCTED A REVIEW OF NON-RANDOMIZED STUDIES AND RANDOMIZED CONTROLLED TRIALS OF YOGA INTERVENTIONS FOR CHILDREN AND ADULTS UNDERGOING TREATMENT FOR ANY CANCER TYPE. METHODS: STUDIES WERE IDENTIFIED VIA RESEARCH DATABASES AND REFERENCE LISTS. INCLUSION CRITERIA WERE THE FOLLOWING: (1) CHILDREN OR ADULTS UNDERGOING CANCER TREATMENT, (2) INTERVENTION STATED AS YOGA OR COMPONENT OF YOGA, AND (3) PUBLICATION IN ENGLISH IN PEER-REVIEWED JOURNALS THROUGH OCTOBER 2015. EXCLUSION CRITERIA WERE THE FOLLOWING: (1) SAMPLES RECEIVING HORMONE THERAPY ONLY, (2) INTERVENTIONS INVOLVING MEDITATION ONLY, AND (3) YOGA DELIVERED WITHIN BROADER CANCER RECOVERY OR MINDFULNESS-BASED STRESS REDUCTION PROGRAMS. RESULTS: RESULTS OF NON-RANDOMIZED (ADULT N = 8, PEDIATRIC N = 4) AND RANDOMIZED CONTROLLED TRIALS (ADULT N = 13, PEDIATRIC N = 0) CONDUCTED DURING CANCER TREATMENT ARE SUMMARIZED SEPARATELY BY AGE GROUP. FINDINGS MOST CONSISTENTLY SUPPORT IMPROVEMENT IN PSYCHOLOGICAL OUTCOMES (E.G., DEPRESSION, DISTRESS, ANXIETY). SEVERAL STUDIES ALSO FOUND THAT YOGA ENHANCED QUALITY OF LIFE, THOUGH FURTHER INVESTIGATION IS NEEDED TO CLARIFY DOMAIN-SPECIFIC EFFICACY (E.G., PHYSICAL, SOCIAL, CANCER-SPECIFIC). REGARDING PHYSICAL AND BIOMEDICAL OUTCOMES, EVIDENCE INCREASINGLY SUGGESTS THAT YOGA AMELIORATES SLEEP AND FATIGUE; ADDITIONAL RESEARCH IS NEEDED TO ADVANCE PRELIMINARY FINDINGS FOR OTHER TREATMENT SEQUELAE AND STRESS/IMMUNITY BIOMARKERS. CONCLUSIONS: AMONG ADULTS UNDERGOING CANCER TREATMENT, EVIDENCE SUPPORTS RECOMMENDING YOGA FOR IMPROVING PSYCHOLOGICAL OUTCOMES, WITH POTENTIAL FOR ALSO IMPROVING PHYSICAL SYMPTOMS. EVIDENCE IS INSUFFICIENT TO EVALUATE THE EFFICACY OF YOGA IN PEDIATRIC ONCOLOGY. WE DESCRIBE SUGGESTIONS FOR STRENGTHENING YOGA RESEARCH METHODOLOGY TO INFORM CLINICAL PRACTICE GUIDELINES. 2017 13 2130 34 THE EFFECTIVENESS OF YOGA TO PREVENT DIABETES MELLITUS TYPE 2: A PROTOCOL FOR SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: TYPE 2 DIABETES MELLITUS (T2DM) IS BECOMING A LEADING PROBLEM WORLDWIDE. EMERGING REPORTS REVEAL ALARMING EVIDENCE OF INCREASING PREVALENCE OF T2DM THAT HAS REACHED PANDEMIC LEVELS. DESPITE THE SIGNIFICANT INCIDENCE, THERE ARE LIMITED RELIABLE DATA RESOURCES AND COMPREHENSIVE SYSTEMATIC REVIEW AND META-ANALYSIS ON THE EFFECTS OF YOGA ON PEOPLE WHO ARE A PREDIABETIC OR HIGH RISK FOR DEVELOPING T2DM. OBJECTIVE: THE OBJECTIVE OF THIS PROTOCOL IS TO CONDUCT A FULL-SCALE SYSTEMATIC REVIEW AND META-ANALYSES ON THE EFFECTS OF YOGA ON PEOPLE WHO ARE PREDIABETES OR HIGH RISK OF DEVELOPING T2DM. METHODS: THE ARTICLES ENROLLED IN THE STUDY WILL BE RETRIEVED FROM THE ONLINE DATABASES BETWEEN 2002 AND THE DATE THE SEARCHES ARE EXECUTED. THE SEARCHES WILL BE REPEATED JUST BEFORE THE FINAL ANALYSES AND FURTHER RELEVANT STUDIES FOR INCLUSION. WE WILL CONDUCT A BIBLIOGRAPHIC SEARCH IN DATABASES: MEDLINE/PUBMED, SCOPUS, COCHRANE LIBRARY, EBSCO, AND INDMED USING KEYWORDS INCLUDING PREDIABETES STATE, HIGH RISK FOR DIABETES, METABOLIC SYNDROME, AND YOGA. A DEFINED SEARCH STRATEGY WILL BE IMPLEMENTED ALONG WITH SELECTION CRITERIA TO OBTAIN FULL-TEXT ARTICLES OF RELEVANT STUDIES. THIS STUDY PROTOCOL WAS PREPARED ACCORDING TO THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSIS FOR PROTOCOLS 2015 GUIDELINES. THERE WILL BE NO LANGUAGE RESTRICTIONS. ETHICS AND DISSEMINATION: THE PROPOSED STUDY WILL BE BASED ON PUBLISHED STUDIES AND PUBLICLY AVAILABLE ANONYMIZED DATA WITHOUT DIRECTLY INVOLVING HUMAN PARTICIPANTS AND THEREFORE REQUIRES NEITHER FORMAL HUMAN ETHICAL REVIEW NOR APPROVAL BY A HUMAN RESEARCH ETHICS COMMITTEE. WE PUBLISHED AN OUTLINE OF THE PROTOCOL IN THE INTERNATIONAL PROSPECTIVE REGISTER OF SYSTEMATIC REVIEWS (PROSPERO) IN 2018. WE PLAN TO DISSEMINATE THE FINDINGS OF THIS SYSTEMATIC REVIEW AND META-ANALYSIS THROUGH PUBLICATION IN A PEER-REVIEWED JOURNAL AND PRESENTATION AT RELEVANT CONFERENCE PROCEEDINGS. IN ADDITION, WE BELIEVE THE RESULTS OF THE SYSTEMATIC REVIEW WILL HAVE IMPLICATIONS FOR POLICY AND PRACTICE. WE WILL PREPARE POLICYMAKER SUMMARY USING A VALIDATED FORMAT, DISSEMINATE THROUGH SOCIAL MEDIA AND EMAIL DISCUSSION GROUPS. REVIEW REGISTRATION NUMBER: PROSPERO REGISTRATION NUMBER CRD 42018106657. 2019 14 2632 27 YOGA FOR TRAUMA AND RELATED MENTAL HEALTH PROBLEMS: A META-REVIEW WITH CLINICAL AND SERVICE RECOMMENDATIONS. HEALTH AND HUMAN SERVICE PROVIDERS HAVE EXPRESSED GROWING INTEREST IN THE BENEFITS OF YOGA TO HELP INDIVIDUALS COPE WITH THE EFFECTS OF TRAUMA, INCLUDING ANXIETY, DEPRESSION, AND POSTTRAUMATIC STRESS DISORDER (PTSD). DESPITE THE GROWING POPULARITY AND STRONG APPEAL OF YOGA, PROVIDERS MUST BE MINDFUL OF THE EVIDENCE REGARDING THE EFFICACY OF YOGA IN TREATING TRAUMA EFFECTS AS WELL AS TRAUMA-RELATED MENTAL HEALTH SYMPTOMS AND ILLNESSES. THEREFORE, OUR RESEARCH TEAM SOUGHT TO ANSWER TWO QUESTIONS: (A) WHAT IS THE EVIDENCE REGARDING YOGA AS A TREATMENT FOR TRAUMA EFFECTS, INCLUDING ANXIETY, DEPRESSION, AND PTSD AND (B) WHAT ARE THE CLINICAL AND SERVICE RECOMMENDATIONS FOR USING YOGA WITH TRAUMA-EXPOSED INDIVIDUALS? OUR INITIAL SCANS IDENTIFIED A SUBSTANTIAL BODY OF RESEARCH, INCLUDING REVIEWS. RATHER THAN REPLICATE EARLIER EFFORTS, WE UNDERTOOK A SYSTEMATIC META-REVIEW OF 13 LITERATURE REVIEWS, ONE OF WHICH INCLUDED A META-ANALYSIS. WE DETERMINED THE 13 REVIEWS EXAMINED 185 DISTINCT STUDIES. FINDINGS SHOW THAT THE EVIDENCE REGARDING YOGA AS AN INTERVENTION FOR THE EFFECTS OF TRAUMA AS WELL AS THE MENTAL HEALTH SYMPTOMS AND ILLNESSES OFTEN ASSOCIATED WITH TRAUMA IS ENCOURAGING BUT PRELIMINARY. OVERALL, THE BODY OF RESEARCH IS LACKING IN RIGOR AS WELL AS SPECIFICITY REGARDING TRAUMA. REVIEW RESULTS ALSO ONLY ALLOW FOR THE RECOMMENDATION OF YOGA AS AN ANCILLARY TREATMENT. FURTHER, THE REVIEWS HAD CONSIDERABLE DIFFERENCES IN THEIR METHODS AND LIMITATIONS. NONETHELESS, THE RESULTS YIELDED FINDINGS CONCERNING HOW CLINICIANS AND SERVICE PROVIDERS CAN USE YOGA IN THEIR OWN PRACTICES, WHICH IS AN IMPORTANT STEP FOR BUILDING AN EVIDENCE BASE IN THIS AREA. 2018 15 2705 31 YOGA INTERVENTIONS USED FOR THE REHABILITATION OF STROKE, PARKINSON'S DISEASE, AND MULTIPLE SCLEROSIS: A SCOPING REVIEW OF CLINICAL RESEARCH. OBJECTIVES: THE CURRENT BODY OF LITERATURE WAS REVIEWED TO COMPILE AND DESCRIBE YOGA INTERVENTIONS THAT HAVE BEEN APPLIED IN CLINICAL RESEARCH AND NEUROLOGIC REHABILITATION SETTINGS WITH PATIENTS AFFECTED BY STROKE, PARKINSON'S DISEASE (PD), AND MULTIPLE SCLEROSIS (MS). DESIGN: AVAILABLE LITERATURE ON YOGA THERAPY (YT) WAS MAPPED FOLLOWING A FIVE-STAGE FRAMEWORK TO IDENTIFY KEY CONCEPTS, KNOWLEDGE GAPS, AND EVIDENCE TO INFORM PRACTICE. PUBLICATIONS WERE IDENTIFIED THROUGH MEDLINE, CINAHL, EMBASE, AND PSYCINFO. SELECTED STUDIES REQUIRED SUBJECTS WITH A CLINICAL DIAGNOSIS OF STROKE, PD, AND MS TO PARTICIPATE IN A YOGA INTERVENTION AND HAVE PHYSICAL, COGNITIVE, AND/OR PSYCHOSOCIAL OUTCOME MEASURES ASSESSED. RESULTS: A TOTAL OF 50 STUDIES WERE INCLUDED IN THIS REVIEW. STUDY CHARACTERISTICS, PATIENT DEMOGRAPHICS, DESCRIPTION OF THE YOGA INTERVENTION, REPORTED OUTCOME MEASURES AND THE MAIN FINDINGS WERE EXTRACTED FROM THE STUDIES. CONCLUSION: IMPLEMENTING YT IN NEUROREHABILITATION CAN HELP HEALTH CARE PROFESSIONALS INTEGRATE A MORE HOLISTIC APPROACH THAT ADDRESSES THE FUNDAMENTAL PHYSICAL AND PSYCHOLOGICAL CHALLENGES OF LIVING WITH A CHRONIC AND DEBILITATING NEUROLOGIC DISORDER. THE INCLUDED STUDIES DESCRIBED YOGIC INTERVENTIONS CONSISTING OF GROUP OR INDIVIDUAL THERAPY SESSIONS LASTING 60-75 MIN THAT WERE CARRIED OUT ONE TO THREE TIMES PER WEEK FOR 8-12 CONSECUTIVE WEEKS ACROSS ALL THREE CONDITIONS. ALL STUDIES DESCRIBED IN THIS SCOPING REVIEW USED DIFFERENT YOGA PROTOCOLS CONFIRMING THE LACK OF SPECIFIC INTERVENTIONAL PARAMETERS AVAILABLE FOR IMPLEMENTING YOGA INTO THE REHABILITATION OF INDIVIDUALS AFFECTED BY STROKE, PD, OR MS. 2021 16 1856 39 RANDOMISED CONTROLLED TRIALS OF YOGA INTERVENTIONS FOR WOMEN WITH BREAST CANCER: A SYSTEMATIC LITERATURE REVIEW. PURPOSE: YOGA IS INCREASINGLY USED AS A COMPLEMENTARY THERAPY TO MANAGE DISEASE AND TREATMENT-RELATED SIDE EFFECTS IN PATIENTS WITH CANCER AND HAS RESULTED IN AN INCREASE IN THE NUMBER OF STUDIES EXPLORING THE EFFECTIVENESS OF YOGA INTERVENTIONS. THIS SYSTEMATIC REVIEW EXAMINES WHETHER YOGA INTERVENTIONS PROVIDE ANY MEASURABLE BENEFIT, BOTH PHYSICALLY AND PSYCHOLOGICALLY, FOR WOMEN WITH BREAST CANCER. THE RESULTS WILL INFORM FUTURE RESEARCH IN THIS FIELD AND ADVANCE THE DEVELOPMENT OF YOGA PROGRAMMES. METHODS: WE PERFORMED ELECTRONIC SEARCHES OF MEDLINE, PSYCHINFO, THE COCHRANE LIBRARY, EMBASE, CINAHL, AMED, WEB OF SCIENCE AND SCOPUS FOR ARTICLES PUBLISHED UP TO JUNE 2012. ONLY RANDOMISED CONTROLLED TRIALS (RCTS) WERE INCLUDED AND METHODOLOGICAL QUALITY RATING SCORES WERE DETERMINED USING THE PEDRO (PHYSIOTHERAPY EVIDENCE DATABASE) SCALE. RESULTS: ONE HUNDRED THIRTY-TWO STUDIES WERE IDENTIFIED THROUGH A SYSTEMATIC SEARCH OF EIGHT ELECTRONIC DATABASES. ONLY PUBLISHED MANUSCRIPTS THAT EMPLOYED A RCT DESIGN WERE INCLUDED (N = 18). THE SAMPLE SIZES FOR THESE STUDIES VARIED WIDELY FROM 18 TO 164 PARTICIPANTS AND THE ASSOCIATED PEDRO SCORES RANGED FROM 1 (POOR) TO 8 (GOOD). ALL 18 STUDIES REPORTED POSITIVE EFFECTS FOR TREATMENT-RELATED SIDE EFFECTS IN FAVOUR OF THE YOGA INTERVENTIONS, WITH THE GREATEST IMPACT ON GLOBAL QUALITY OF LIFE (QOL) SCORES AND EMOTIONAL WELL-BEING. CONCLUSION: RESULTS FROM THE FEW RCTS SUGGEST THERE IS MODERATE TO GOOD EVIDENCE THAT YOGA MAY BE A USEFUL PRACTICE FOR WOMEN RECOVERING FROM BREAST CANCER TREATMENTS. LARGE-SCALE RCTS USING OBJECTIVE MEASURES AND PATIENT-REPORTED OUTCOMES WITH LONG-TERM FOLLOW-UP ARE NEEDED TO SUBSTANTIATE WHETHER THE BENEFITS ARE TRUE AND SUSTAINABLE. 2012 17 1202 26 EXERCISE, YOGA, AND TAI CHI FOR TREATMENT OF MAJOR DEPRESSIVE DISORDER IN OUTPATIENT SETTINGS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: EXERCISE, YOGA, AND TAI CHI ARE COMMONLY USED COMPLEMENTARY APPROACHES FOR HEALTH AND WELLNESS. THIS REVIEW AIMS TO SYNTHESIZE THE EVIDENCE FOR EXERCISE, YOGA, AND TAI CHI IN THE OUTPATIENT TREATMENT OF MAJOR DEPRESSIVE DISORDER. STUDY SELECTION: A SYSTEMATIC SEARCH OF THE OVID MEDLINE, EMBASE, PSYCINFO, AND COCHRANE DATABASES WAS CONDUCTED FOR RANDOMIZED CONTROLLED TRIALS OF EXERCISE, YOGA, AND TAI CHI FOR MAJOR DEPRESSIVE DISORDER. DATA EXTRACTION: STANDARDIZED MEAN DIFFERENCES WERE CALCULATED AND META-ANALYZED USING A RANDOM EFFECTS MULTILEVEL MODELING FRAMEWORK. HETEROGENEITY AND SUBGROUP ANALYSIS WAS CONDUCTED. RESULTS: TWENTY-FIVE STUDIES WERE INCLUDED FOR FINAL ANALYSIS (EXERCISE: 15, YOGA: 7, TAI CHI: 3). OVERALL, META-ANALYSIS SHOWED A MODERATE SIGNIFICANT CLINICAL EFFECT. HOWEVER, WHEN ONLY STUDIES (6 STUDIES) WITH THE LOWEST RISK OF BIAS WERE INCLUDED, THE OVERALL EFFECT SIZE WAS REDUCED TO LOW TO MODERATE EFFICACY. OVERALL QUALITY OF EVIDENCE WAS LOW. HETEROGENEITY AND PUBLICATION BIAS WERE HIGH. CONCLUSIONS: THE CURRENT META-ANALYSIS OF OUTPATIENT EXERCISE, YOGA, AND TAI CHI FOR TREATMENT OF MAJOR DEPRESSIVE DISORDER SUGGESTS THAT ADJUNCTIVE EXERCISE AND YOGA MAY HAVE SMALL ADDITIVE CLINICAL EFFECTS IN COMPARISON TO CONTROL FOR REDUCING DEPRESSIVE SYMPTOMS. THE EVIDENCE FOR TAI CHI IS INSUFFICIENT TO DRAW CONCLUSIONS. THE CONCERNS WITH QUALITY OF STUDIES, HIGH HETEROGENEITY, AND EVIDENCE OF PUBLICATION BIAS PRECLUDE MAKING FIRM CONCLUSIONS. 2020 18 1927 29 ROLE OF YOGA IN CARDIAC DISEASE AND REHABILITATION. PURPOSE: CARDIOVASCULAR DISEASE CONTINUES TO BE THE LEADING CAUSE OF MORBIDITY AND MORTALITY AROUND THE WORLD. YOGA, A COMBINATION OF PHYSICAL POSTURES (ASANA), BREATHING EXERCISES (PRANAYAMA), AND MEDITATION (DHYANA), HAS GAINED INCREASING RECOGNITION AS A FORM OF MIND-BODY EXERCISE. IN THIS NARRATIVE REVIEW, WE INTENDED TO REVIEW THE EMERGING EVIDENCE ASSESSING THE PHYSIOLOGIC AND CLINICAL EFFECTS OF YOGA ON THE CARDIOVASCULAR SYSTEM AND THE POTENTIAL ROLE OF YOGA AS A COMPONENT OF COMPREHENSIVE CARDIAC REHABILITATION. METHODS: WE SEARCHED PUBMED, GOOGLE SCHOLAR, EMBASE, AND COCHRANE DATABASES FOR LITERATURE RELATED TO CARDIOVASCULAR EFFECTS OF YOGA FROM INCEPTION UP UNTIL 2017. RESULTS: YOGA HAS BEEN SHOWN TO HAVE FAVORABLE EFFECTS ON SYSTEMIC INFLAMMATION, STRESS, THE CARDIAC AUTONOMIC NERVOUS SYSTEM, AND TRADITIONAL AND EMERGING CARDIOVASCULAR RISK FACTORS. CONCLUSIONS: YOGA HAS SHOWN PROMISE AS A USEFUL LIFESTYLE INTERVENTION THAT CAN BE INCORPORATED INTO CARDIOVASCULAR DISEASE MANAGEMENT ALGORITHMS. ALTHOUGH MANY INVESTIGATORS HAVE REPORTED THE CLINICAL BENEFITS OF YOGA IN REDUCING CARDIOVASCULAR EVENTS, MORBIDITY, AND MORTALITY, EVIDENCE SUPPORTING THESE CONCLUSIONS IS SOMEWHAT LIMITED, THEREBY EMPHASIZING THE NEED FOR LARGE, WELL-DESIGNED RANDOMIZED TRIALS THAT MINIMIZE BIAS AND METHODOLOGICAL DRAWBACKS. 2019 19 2422 28 YOGA AND MINDFULNESS AS THERAPEUTIC INTERVENTIONS FOR STROKE REHABILITATION: A SYSTEMATIC REVIEW. AIM. THIS PAPER REPORTS A SYSTEMATIC REVIEW AND CRITICAL APPRAISAL OF THE EVIDENCE ON THE EFFECTIVENESS OF BEHAVIORAL THERAPIES SUCH AS YOGA AND MINDFULNESS PRACTICES FOR STROKE REHABILITATION. BACKGROUND. THE EXPERIENCE OF STROKE CAN HAVE A NEGATIVE IMPACT ON BOTH PSYCHOLOGICAL AND PHYSICAL HEALTH AND ON QUALITY OF LIFE. YOGA AND RELEVANT PRACTICES ARE PROMISING THERAPIES THAT HAVE BEEN USED WITH PATIENTS WITH A VARIETY OF CONDITIONS. IN ORDER TO DRAW CONCLUSIONS ON EFFECTIVENESS FOR STROKE PATIENTS, THE EVIDENCE REQUIRES SYSTEMATIC ASSESSMENT. METHODS. A COMPREHENSIVE SEARCH OF MAJOR BIOMEDICAL AND COMPLEMENTARY MEDICINE DATABASES WAS CONDUCTED. RELEVANT RESEARCH WAS CATEGORIZED BY STUDY TYPE AND APPRAISED ACCORDING TO STUDY DESIGN. RESULTS. FIVE RANDOMIZED CONTROLLED CLINICAL TRIALS AND FOUR SINGLE CASE STUDIES WERE FOUND. ADDITIONALLY, ONE QUALITATIVE RESEARCH STUDY WAS IDENTIFIED. STUDIES REPORTED POSITIVE RESULTS, INCLUDING IMPROVEMENTS IN COGNITION, MOOD, AND BALANCE AND REDUCTIONS IN STRESS. MODIFICATIONS TO DIFFERENT YOGA PRACTICES MAKE COMPARISON BETWEEN STUDIES DIFFICULT, AND A LACK OF CONTROLLED STUDIES PRECLUDES ANY FIRM CONCLUSIONS ON EFFICACY. CONCLUSION. YOGA AND MINDFULNESS COULD BE CLINICALLY VALUABLE SELF-ADMINISTERED INTERVENTION OPTIONS FOR STROKE REHABILITATION. FURTHER RESEARCH IS NEEDED TO EVALUATE THESE SPECIFIC PRACTICES AND THEIR SUITABILITY IN STROKE REHABILITATION. 2013 20 1300 25 HATHA YOGA FOR DEPRESSION: CRITICAL REVIEW OF THE EVIDENCE FOR EFFICACY, PLAUSIBLE MECHANISMS OF ACTION, AND DIRECTIONS FOR FUTURE RESEARCH. BACKGROUND: THE PURPOSE OF THIS ARTICLE IS TO REVIEW THE EVIDENCE FOR THE EFFICACY OF HATHA YOGA FOR DEPRESSION AND POSSIBLE MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION, AND TO OUTLINE DIRECTIONS FOR FUTURE RESEARCH. METHODS: LITERATURE REVIEW AND SYNTHESIS. RESULTS AND CONCLUSIONS: A LITERATURE SEARCH FOR CLINICAL TRIALS EXAMINING YOGA FOR DEPRESSION UNCOVERED EIGHT TRIALS: 5 INCLUDING INDIVIDUALS WITH CLINICAL DEPRESSION, AND 3 FOR INDIVIDUALS WITH ELEVATED DEPRESSION SYMPTOMS. ALTHOUGH RESULTS FROM THESE TRIALS ARE ENCOURAGING, THEY SHOULD BE VIEWED AS VERY PRELIMINARY BECAUSE THE TRIALS, AS A GROUP, SUFFERED FROM SUBSTANTIAL METHODOLOGICAL LIMITATIONS. WE WOULD ARGUE, HOWEVER, THAT THERE ARE SEVERAL REASONS TO CONSIDER CONSTRUCTING CAREFUL RESEARCH ON YOGA FOR DEPRESSION. FIRST, CURRENT STRATEGIES FOR TREATING DEPRESSION ARE NOT SUFFICIENT FOR MANY INDIVIDUALS, AND PATIENTS HAVE SEVERAL CONCERNS ABOUT EXISTING TREATMENTS. YOGA MAY BE AN ATTRACTIVE ALTERNATIVE TO OR A GOOD WAY TO AUGMENT CURRENT DEPRESSION TREATMENT STRATEGIES. SECOND, ASPECTS OF YOGA-INCLUDING MINDFULNESS PROMOTION AND EXERCISE-ARE THOUGHT TO BE "ACTIVE INGREDIENTS" OF OTHER SUCCESSFUL TREATMENTS FOR DEPRESSION. THIRD, THERE ARE PLAUSIBLE BIOLOGICAL, PSYCHOLOGICAL, AND BEHAVIORAL MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION. WE PROVIDE SUGGESTIONS FOR THE NEXT STEPS IN THE STUDY OF YOGA AS A TREATMENT FOR DEPRESSION. 2010