1 1515 93 IS YOGA A SUITABLE TREATMENT FOR RHEUMATOID ARTHRITIS: CURRENT OPINION. WE REVIEWED PUBLISHED LITERATURE REGARDING THE USE OF YOGA FOR MANAGING RHEUMATOID ARTHRITIS TO DETERMINE WHETHER ADEQUATE EVIDENCE EXISTS TO SUGGEST ITS USEFULNESS AS A THERAPY. A SEARCH FOR PREVIOUS STUDIES INVOLVING YOGA AND RHEUMATOID ARTHRITIS IN PUBMED YIELDED EIGHT REPORTS. THESE STUDIES REPORTED THE BENEFITS OF YOGA IN THE PHYSICAL AND MENTAL HEALTH OF PATIENTS WITH RHEUMATOID ARTHRITIS (RA), SUGGESTING THAT YOGA IS A USEFUL ADD-ON THERAPY FOR RA PATIENTS. HOWEVER, ALL STUDIES SHOWED LIMITATIONS WITH RESPECT TO SAMPLE SIZE, STUDY DESIGN, DESCRIPTION AND DURATION OF YOGA INTERVENTION, AND ASSESSMENT TOOLS AND STATISTICAL METHODS USED. ADDITIONALLY, THE STUDIES DID NOT ATTEMPT TO UNDERSTAND THE MECHANISMS UNDERLYING OBSERVED BENEFITS. HENCE, EVIDENCE SUGGESTS A DEFINITE ROLE OF YOGA IN RA IMPROVEMENT, REDUCING PAIN, IMPROVING FUNCTION, AND CREATING A POSITIVE MENTAL STATE. HOWEVER, DETAILED ANALYSIS AND ADDITIONAL STUDIES ARE NECESSARY TO VERIFY THESE OBSERVATIONS. 2012 2 2026 23 TAI CHI AND YOGA AS COMPLEMENTARY THERAPIES IN RHEUMATOLOGIC CONDITIONS. TAI CHI AND YOGA ARE COMPLEMENTARY THERAPIES WHICH HAVE, DURING THE LAST FEW DECADES, EMERGED AS POPULAR TREATMENTS FOR RHEUMATOLOGIC AND MUSCULOSKELETAL DISEASES. THIS REVIEW COVERS THE EVIDENCE OF TAI CHI AND YOGA IN THE MANAGEMENT OF RHEUMATOLOGIC DISEASES, ESPECIALLY OSTEOARTHRITIS OF THE KNEE, HIP AND HAND, AND RHEUMATOID ARTHRITIS. THERE IS EVIDENCE THAT TAI CHI AND YOGA ARE SAFE, AND SOME EVIDENCE THAT THEY HAVE BENEFIT, LEADING TO REDUCTION OF PAIN AND IMPROVEMENT OF PHYSICAL FUNCTION AND QUALITY OF LIFE IN PATIENTS. RECOMMENDATIONS FOR TAI CHI IN KNEE OSTEOARTHRITIS HAVE RECENTLY BEEN ISSUED BY THE AMERICAN COLLEGE OF RHEUMATOLOGY. TO ALLOW BROADER RECOMMENDATIONS FOR THE USE OF TAI CHI AND YOGA IN RHEUMATIC DISEASES, THERE IS A NEED TO COLLECT MORE EVIDENCE RESEARCHED WITH LARGER RANDOMISED CONTROLLED TRIALS. 2012 3 2412 23 YOGA AND ITS IMPACT ON CHRONIC INFLAMMATORY AUTOIMMUNE ARTHRITIS. RHEUMATOID ARTHRITIS (RA) IS ONE OF THE MOST COMMON CHRONIC INFLAMMATORY AUTOIMMUNE DISEASES, WHICH ADVERSELY AFFECTS THE QUALITY OF LIFE. RA IS A DISEASE OF UNKNOWN ETIOLOGY, HOWEVER, BOTH GENETIC AND ENVIRONMENTAL FACTORS APPEAR TO CONTRIBUTE TO THE SUSCEPTIBILITY TO THIS DISEASE. THE SEVERITY AND PROGRESSION OF THE DISEASE ARE ATTRIBUTABLE TO THE RELEASE OF A HOST OF INFLAMMATORY CYTOKINES, CYTOTOXIC AND IMMUNE REGULATORY FACTORS. THE TREATMENTS OF RA ARE PRIMARILY LIMITED TO SYMPTOMATIC ALLEVIATION OF PAIN OR OTHER SYMPTOMS OR TO THE USE OF CYTOTOXIC DRUG TREATMENT IN SEVERE FORMS OF THE DISEASE WHICH IS COMMONLY ASSOCIATED WITH SIGNIFICANT SIDE EFFECTS. DESPITE LACK OF A CURE, THE DISEASE MAY BE CONTROLLED BY MIND-BODY INTERVENTIONS. HOLISTIC TREATMENTS SUCH AS YOGA SIGNIFICANTLY IMPROVE AND REDUCE THE PSYCHO-SOMATIC SYMPTOMS, PAIN PERCEPTION, DISABILITY QUOTIENT, JOINT FLEXIBILITY, RANGE OF MOTION, POSTURE, MUSCLE STRENGTH, COORDINATION, AND DISEASE ACTIVITY. HERE, WE DISCUSS THE FEATURES OF RA AND ADDRESS HOW YOGA CAN BE USED AS A THERAPEUTIC REGIMEN TO IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RA. 2021 4 144 24 A QUALITATIVE APPROACH EXPLORING THE ACCEPTABILITY OF YOGA FOR MINORITIES LIVING WITH ARTHRITIS: 'WHERE ARE THE PEOPLE WHO LOOK LIKE ME?' OBJECTIVES: TO EXAMINE THE ACCEPTABILITY OF YOGA RESEARCH TAILORED TO RECRUIT AND RETAIN A MINORITY POPULATION (BOTH ENGLISH AND SPANISH SPEAKING) WITH ARTHRITIS. YOGA RESEARCH FOR ARTHRITIS OFTEN UNDERREPRESENTS MINORITIES AND ACCEPTABILITY FOR THIS POPULATION HAS NOT PREVIOUSLY BEEN INVESTIGATED. DESIGN: ACCEPTABILITY WAS EVALUATED USING RETENTION, ADHERENCE, JOURNALS, AND SEMI-STRUCTURED EXIT INTERVIEWS FROM TWELVE PARTICIPANTS WITH OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS UNDERGOING AN 8-WEEK YOGA INTERVENTION. JOURNAL QUOTES WERE ANALYZED USING CONTENT ANALYSIS TECHNIQUES. NVIVO SOFTWARE WAS USED TO ORGANIZE TRANSCRIPTS AND ASSEMBLE THEMES. TWO METHODS OF TRIANGULATION (DATA AND INVESTIGATOR) WERE USED TO OVERCOME POTENTIAL BIAS FROM A SINGLE-PERSPECTIVE INTERPRETATION. EXIT INTERVIEW COMMENTS WERE CONTENT ANALYZED USING A CARD SORT METHOD. THE STUDY WAS DESIGNED WITH A CULTURAL INFRASTRUCTURE INCLUDING A MULTICULTURAL RESEARCH TEAM, TRANSLATORS, AND BILINGUAL MATERIALS AND CLASSES, TO FACILITATE TRUST AND ACCEPTABILITY FOR PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. SETTING: WASHINGTON, D.C. METROPOLITAN AREA, USA. RESULTS: ON AVERAGE PARTICIPANTS ATTENDED 10 OF 16 CLASSES, WITH HOME PRACTICE 2-3DAYS A WEEK. ALL WHO COMPLETED WERE STILL PRACTICING YOGA THREE-MONTHS LATER. QUALITATIVE NARRATIVE ANALYSIS IDENTIFIED MAJOR THEMES RELATED TO FACILITATING FACTORS AND BARRIERS FOR YOGA PRACTICE, SELF-EFFICACY, AND SUPPORT. PARTICIPANT COMMENTS INDICATED THAT OFFERING AN ARTHRITIS-BASED YOGA INTERVENTION AND USING A CULTURALLY CONGRUENT RESEARCH DESIGN WAS FOUND TO BE ACCEPTABLE. CONCLUSIONS: AS YOGA RESEARCH GROWS, THERE IS A NEED TO UNDERSTAND AND PROMOTE ACCEPTABILITY FOR TYPICALLY UNDER-REPRESENTED POPULATIONS. THIS STUDY ATTEMPTS TO INFORM THE EXPANSION OF MULTICULTURAL RESEARCH DESIGNED TO RECRUIT AND RETAIN THOSE FROM DIVERSE BACKGROUNDS. 2017 5 2281 31 THE SUITABILITY OF YOGA AS A POTENTIAL THERAPEUTIC INTERVENTION FOR RHEUMATOID ARTHRITIS: A FOCUS GROUP APPROACH. OBJECTIVES: THE AIM OF THIS STUDY WAS TO EXPLORE THE VIEWS OF PATIENTS WITH RHEUMATOID ARTHRITIS (RA) REGARDING THE SUITABILITY OF YOGA AS A POTENTIAL THERAPEUTIC INTERVENTION IN THE MANAGEMENT OF RA. METHODS: TWENTY-TWO PARTICIPANTS WITH RA WERE RECRUITED FROM OUTPATIENT CLINICS AT A REGIONAL HOSPITAL IN NEW ZEALAND AND DIVIDED INTO FOUR FOCUS GROUPS. HETEROGENEITY BETWEEN GROUPS IN TERMS OF AGE, GENDER, DURATION OF RA AND FUNCTIONAL ABILITY PROVIDED OPINIONS FROM A CROSS-SECTION OF RA PATIENTS. TRANSCRIPTS WERE ANALYSED USING THEMATIC ANALYSIS, WITH FOUR THEMES PREDOMINATING. RESULTS: FIRSTLY, PARTICIPANTS DESCRIBED THEIR EXPERIENCE OF SYMPTOMS RELATED TO THEIR RA IN THREE INDEPENDENT BUT LINKED CATEGORIES OF PHYSICAL, MENTAL AND SOCIAL WELL-BEING. SECONDLY, PARTICIPANTS PERCEIVED THE MANAGEMENT OF THEIR RA TO BE PRESCRIPTIVE, MEDICALIZED AND FAILING TO ADDRESS THEIR WIDER HEALTH CONCERNS. THIRDLY, PARTICIPANTS PERCEIVED YOGA AS A SAFE, ADAPTABLE THERAPY THAT MAY ALLOW SELF-MANAGEMENT OF THEIR RA. HOWEVER, THERE WAS SOME CONCERN THAT FUNCTIONAL LIMITATIONS MAY INHIBIT ABILITY TO PRACTISE THE PHYSICAL ASPECTS OF YOGA. FOURTHLY, REQUIREMENTS FOR A YOGA INTERVENTION THAT WOULD BE FEASIBLE FOR PEOPLE WITH RA WERE PRESENTED BY PARTICIPANTS. CONCLUSIONS: PATIENTS WITH RA PERCEIVE A DISPARITY BETWEEN THEIR PERSONAL EXPERIENCE OF LIVING WITH RA AND THEIR CURRENT MEDICAL MANAGEMENT. YOGA IS PERCEIVED AS A POTENTIAL THERAPY TO ADDRESS THIS DISPARITY. BASED ON OPINIONS EXPRESSED BY PARTICIPANTS, FUTURE RESEARCH REGARDING A YOGA INTERVENTION AS AN ADJUNCTIVE THERAPY FOR MANAGING RA SHOULD MEET PATIENTS' VIEWS ON FEASIBILITY AND TEST OUTCOME MEASURES REFLECTING THE DOMAINS OF PHYSICAL, MENTAL AND SOCIAL WELL-BEING. 2011 6 122 32 A PILOT STUDY OF YOGA AS SELF-CARE FOR ARTHRITIS IN MINORITY COMMUNITIES. BACKGROUND: WHILE ARTHRITIS IS THE MOST COMMON CAUSE OF DISABILITY, NON-HISPANIC BLACKS AND HISPANICS EXPERIENCE WORSE ARTHRITIS IMPACT DESPITE HAVING THE SAME OR LOWER PREVALENCE OF ARTHRITIS COMPARED TO NON-HISPANIC WHITES. PEOPLE WITH ARTHRITIS WHO EXERCISE REGULARLY HAVE LESS PAIN, MORE ENERGY, AND IMPROVED SLEEP, YET ARTHRITIS IS ONE OF THE MOST COMMON REASONS FOR LIMITING PHYSICAL ACTIVITY. MIND-BODY INTERVENTIONS, SUCH AS YOGA, THAT TEACH STRESS MANAGEMENT ALONG WITH PHYSICAL ACTIVITY MAY BE WELL SUITED FOR INVESTIGATION IN BOTH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. YOGA USERS ARE PREDOMINANTLY WHITE, FEMALE, AND COLLEGE EDUCATED. THERE ARE FEW STUDIES THAT EXAMINE YOGA IN MINORITY POPULATIONS; NONE ADDRESS ARTHRITIS. THIS PAPER PRESENTS A STUDY PROTOCOL EXAMINING THE FEASIBILITY AND ACCEPTABILITY OF PROVIDING YOGA TO AN URBAN, MINORITY POPULATION WITH ARTHRITIS. METHODS/DESIGN: IN THIS ONGOING PILOT STUDY, A CONVENIENCE SAMPLE OF 20 MINORITY ADULTS DIAGNOSED WITH EITHER OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS UNDERGO AN 8-WEEK PROGRAM OF YOGA CLASSES. IT IS BELIEVED THAT BY ATTENDING YOGA CLASSES DESIGNED FOR PATIENTS WITH ARTHRITIS, WITH RACIALLY CONCORDANT INSTRUCTORS; ACCEPTABILITY OF YOGA AS AN ADJUNCT TO STANDARD ARTHRITIS TREATMENT AND SELF-CARE WILL BE ENHANCED. SELF-CARE IS DEFINED AS ADOPTING BEHAVIORS THAT IMPROVE PHYSICAL AND MENTAL WELL-BEING. THIS CONCEPT IS QUANTIFIED THROUGH COLLECTING PATIENT-REPORTED OUTCOME MEASURES RELATED TO SPIRITUAL GROWTH, HEALTH RESPONSIBILITY, INTERPERSONAL RELATIONS, AND STRESS MANAGEMENT. ADDITIONAL MEASURES COLLECTED DURING THIS STUDY INCLUDE: PHYSICAL FUNCTION, ANXIETY/DEPRESSION, FATIGUE, SLEEP DISTURBANCE, SOCIAL ROLES, AND PAIN; AS WELL AS BASELINE DEMOGRAPHIC AND CLINICAL DATA. FIELD NOTES, QUANTITATIVE AND QUALITATIVE DATA REGARDING FEASIBILITY AND ACCEPTABILITY ARE ALSO COLLECTED. ACCEPTABILITY IS DETERMINED BY RESPONSE/RETENTION RATES, POSITIVE QUALITATIVE DATA, AND CONTINUING YOGA PRACTICE AFTER THREE MONTHS. DISCUSSION: THERE ARE A NUMBER OF CHALLENGES IN RECRUITING AND RETAINING PARTICIPANTS FROM A COMMUNITY CLINIC SERVING MINORITY POPULATIONS. ADOPTING BEHAVIORS THAT IMPROVE WELL-BEING AND QUALITY OF LIFE INCLUDE THOSE THAT INTEGRATE MENTAL HEALTH (MIND) AND PHYSICAL HEALTH (BODY). FEW STUDIES HAVE EXAMINED OFFERING INTEGRATIVE MODALITIES TO THIS POPULATION. THIS PILOT WAS UNDERTAKEN TO QUANTIFY MEASURES OF FEASIBILITY AND ACCEPTABILITY THAT WILL BE USEFUL WHEN EVALUATING FUTURE PLANS FOR EXPANDING THE STUDY OF YOGA IN URBAN, MINORITY POPULATIONS WITH ARTHRITIS. TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT01617421. 2013 7 1224 32 FEASIBILITY AND ASSESSMENT OF OUTCOME MEASURES FOR YOGA AS SELF-CARE FOR MINORITIES WITH ARTHRITIS: A PILOT STUDY. BACKGROUND: WHILE THERE IS A GROWING INTEREST IN THE THERAPEUTIC BENEFITS OF YOGA, MINORITY POPULATIONS WITH ARTHRITIS TEND TO BE UNDER-REPRESENTED IN THE RESEARCH. ADDITIONALLY, THERE IS AN ABSENCE OF GUIDANCE IN THE LITERATURE REGARDING THE USE OF MULTICULTURAL TEAMS AND SOCIOCULTURAL HEALTH BELIEFS, WHEN DESIGNING YOGA STUDIES FOR A RACIALLY DIVERSE POPULATION WITH ARTHRITIS. THIS PILOT STUDY EXAMINED THE FEASIBILITY OF OFFERING YOGA AS A SELF-CARE MODALITY TO AN URBAN, BILINGUAL, MINORITY POPULATION WITH OSTEOARTHRITIS (OA) OR RHEUMATOID ARTHRITIS (RA), IN THE WASHINGTON, DC AREA. METHODS: THE PRIMARY OBJECTIVE OF THE STUDY WAS TO ASSESS THE FEASIBILITY OF OFFERING AN 8-WEEK, BILINGUAL YOGA INTERVENTION ADAPTED FOR ARTHRITIS TO A CONVENIENCE SAMPLE OF PRIMARILY HISPANIC AND BLACK/AFRICAN-AMERICAN ADULTS. A RACIALLY DIVERSE INTERDISCIPLINARY RESEARCH TEAM WAS ASSEMBLED TO DESIGN A STUDY TO FACILITATE RECRUITMENT AND RETENTION. THE SECOND OBJECTIVE IDENTIFIED OUTCOME MEASURES TO OPERATIONALIZE POTENTIAL FACILITATORS AND BARRIERS TO SELF-CARE AND SELF-EFFICACY. THE THIRD OBJECTIVE DETERMINED THE FEASIBILITY OF USING COMPUTER-ASSISTED SELF-INTERVIEW (CASI) FOR DATA COLLECTION. RESULTS: ENROLLED PARTICIPANTS (N = 30) WERE MOSTLY FEMALE (93%), SPANISH SPEAKING (69%), AND DIAGNOSED WITH RA (88.5%). FEASIBILITY WAS EVALUATED USING PRACTICALITY, ACCEPTABILITY, ADAPTATION, AND EXPANSION OF AN ARTHRITIS-ADAPTED YOGA INTERVENTION, MODIFIED FOR THIS POPULATION. RECRUITMENT (51%) AND PARTICIPATION (60%) RATES WERE SIMILAR TO PREVIOUS RESEARCH AND CLINICAL EXPERIENCE WITH THE STUDY POPULATION. OF THOSE ENROLLED, 18 STARTED THE INTERVENTION. FOR ADHERENCE, 12 OUT OF 18 (67%) PARTICIPANTS COMPLETED THE INTERVENTION. ALL (100%), WHO COMPLETED THE INTERVENTION, CONTINUED TO PRACTICE YOGA 3 MONTHS AFTER COMPLETING THE STUDY. USING NONPARAMETRIC TESTS, SELECTED OUTCOME MEASURES SHOWED A MEASURABLE CHANGE POST-INTERVENTION SUGGESTING APPROPRIATE USE IN FUTURE STUDIES. AN IN-PERSON COMPUTERIZED QUESTIONNAIRE WAS DETERMINED TO BE A FEASIBLE METHOD OF DATA COLLECTION. CONCLUSIONS: FINDINGS FROM THIS PILOT STUDY CONFIRM THE FEASIBILITY OF OFFERING YOGA TO THIS RACIALLY/ETHNICALLY DIVERSE POPULATION WITH ARTHRITIS. THIS ARTICLE PROVIDES RECRUITMENT/RETENTION RATES, OUTCOME MEASURES WITH ERROR RATES, AND DATA COLLECTION RECOMMENDATIONS FOR A PREVIOUSLY UNDER-REPRESENTED POPULATION. SUGGESTIONS INCLUDE ALLOCATING RESOURCES FOR TRANSLATION AND USING A MULTICULTURAL DESIGN TO FACILITATE RECRUITMENT AND RETENTION. TRIAL REGISTRATION: CLINICALTRIALS.GOV, NCT01617421. 2018 8 2479 25 YOGA AS AN ALTERNATIVE AND COMPLEMENTARY APPROACH FOR ARTHRITIS: A SYSTEMATIC REVIEW. IN THE UNITED STATES, APPROXIMATELY 21% OF THE ADULTS SUFFER FROM ARTHRITIS. YOGA OFFERS ONE POSSIBLE WAY OF MANAGING ARTHRITIS. THE PURPOSE OF THIS STUDY WAS TO LOOK AT STUDIES FROM 2010 TO JUNE 2013 AND EXAMINE WHETHER YOGA CAN BE AN EFFICACIOUS APPROACH FOR MANAGING ARTHRITIS. A SYSTEMATIC SEARCH FROM MEDLINE, CUMULATIVE INDEX TO NURSING AND ALLIED HEALTH, AND ALT HEALTHWATCH DATABASES WAS CONDUCTED FOR QUANTITATIVE ARTICLES INVOLVING ALL SCHOOLS OF YOGA. A TOTAL OF 9 ARTICLES MET THE INCLUSION CRITERIA. FIVE OF THESE WERE FROM THE UNITED STATES AND 4 FROM INDIA. OF THE 9 STUDIES, 6 DEMONSTRATED POSITIVE CHANGES IN PSYCHOLOGICAL OR PHYSIOLOGICAL OUTCOMES RELATED TO ARTHRITIS. DESPITE THE LIMITATIONS NOT ALL STUDIES USING RANDOMIZED CONTROLLED DESIGN, HAVING SMALLER SAMPLE SIZES, HAVING DIFFERENT OUTCOMES, HAVING NONSTANDARDIZED YOGA INTERVENTION, NOT USING BEHAVIORAL THEORY, AND HAVING VARYING LENGTHS, YOGA APPEARS TO BE A PROMISING MODALITY FOR ARTHRITIS. 2014 9 152 28 A QUALITATIVE STUDY EXPLORING COMMUNITY YOGA PRACTICE IN ADULTS WITH RHEUMATOID ARTHRITIS. OBJECTIVE: YOGA MAY IMPROVE PHYSICAL FUNCTION AND REDUCE DISEASE SYMPTOMS IN ADULTS WITH RHEUMATOID ARTHRITIS (RA). HOWEVER, LITTLE IS KNOWN ABOUT HOW PATIENTS WITH RA ARE PRACTICING YOGA IN THE COMMUNITY. THE OBJECTIVE OF THIS QUALITATIVE STUDY WAS TO EXPLORE COMMUNITY YOGA PRACTICE CHARACTERISTICS AND THOUGHTS ABOUT YOGA PRACTICE FOR ADULTS WITH RA. DESIGN: PARTICIPANTS COMPLETED A SEMI-STRUCTURED TELEPHONE INTERVIEW WITH OPEN-ENDED QUESTIONS. THEMATIC ANALYSIS WAS USED TO ANALYZE INTERVIEW TRANSCRIPTS. PARTICIPANTS: A CONVENIENCE SAMPLE OF 17 ADULTS WITH RHEUMATOLOGIST-DIAGNOSED RA WHO HAD PARTICIPATED IN YOGA WITHIN THE PAST YEAR WERE ASKED ABOUT THE DECISION TO START, CONTINUE, AND STOP YOGA; THE PERCEIVED BENEFITS OF YOGA; COMPONENTS OF YOGA SESSIONS; AND GENERAL THOUGHTS ABOUT YOGA AS IT RELATES TO RA. RESULTS: ALTHOUGH EIGHT DIFFERENT STYLES OF YOGA WERE PRACTICED, COMMONALITIES IN YOGA CLASS COMPONENTS (SUCH AS STRETCHING, STRENGTHENING, DEEP BREATHING, MEDITATION, AND POSITIVE MESSAGING FROM THE INSTRUCTOR) REVEAL EXAMPLES OF PREFERRED TYPES OF YOGA FOR PATIENTS WITH RA. THREE MAIN THEMES EMERGED, EACH WITH MULTIPLE SUBTHEMES: (1) MOTIVATORS (PHYSICAL FITNESS, INFLUENCE OF OTHERS, REDUCED PRICE), (2) BARRIERS (COST, SYMPTOM BURDEN, CLASS DIFFICULTY), AND (3) BENEFITS OF YOGA PRACTICE (MIND-BODY, A TOOL FOR COPING, PRIDE/ACHIEVEMENT, SOCIAL, AND "YOGA MEETS YOU WHERE YOU ARE"). CONCLUSION: IN THIS STUDY, PATIENTS WITH RA DESCRIBED HOW YOGA PRACTICE HELPED IMPROVE PHYSICAL AND PSYCHOSOCIAL SYMPTOMS RELATED TO THEIR DISEASE. YOGA PRACTICE, A DYNAMIC EXERCISE, ENCOMPASSING MANY DIFFERENT STYLES, CAN PROVIDE MANY BENEFITS FOR ADULTS WITH RA; HOWEVER, YOGA MAY NOT BE BENEFICIAL FOR EVERY ADULT WITH RA. 2017 10 175 23 A RANDOMIZED CONTROLLED TRIAL EXAMINING IYENGAR YOGA FOR YOUNG ADULTS WITH RHEUMATOID ARTHRITIS: A STUDY PROTOCOL. BACKGROUND: RHEUMATOID ARTHRITIS IS A CHRONIC, DISABLING DISEASE THAT CAN COMPROMISE MOBILITY, DAILY FUNCTIONING, AND HEALTH-RELATED QUALITY OF LIFE, ESPECIALLY IN OLDER ADOLESCENTS AND YOUNG ADULTS. IN THIS PROJECT, WE WILL COMPARE A STANDARDIZED IYENGAR YOGA PROGRAM FOR YOUNG PEOPLE WITH RHEUMATOID ARTHRITIS TO A STANDARD CARE WAIT-LIST CONTROL CONDITION. METHODS/DESIGN: SEVENTY RHEUMATOID ARTHRITIS PATIENTS AGED 16-35 YEARS WILL BE RANDOMIZED INTO EITHER THE 6-WEEK IYENGAR YOGA PROGRAM (12 - 1.5 HOUR SESSIONS TWICE WEEKLY) OR THE 6-WEEK WAIT-LIST CONTROL CONDITION. A 20% ATTRITION RATE IS ANTICIPATED. THE WAIT-LIST GROUP WILL RECEIVE THE YOGA PROGRAM FOLLOWING COMPLETION OF THE FIRST ARM OF THE STUDY. WE WILL COLLECT DATA QUANTITATIVELY, USING QUESTIONNAIRES AND MARKERS OF DISEASE ACTIVITY, AND QUALITATIVELY USING SEMI-STRUCTURED INTERVIEWS. ASSESSMENTS INCLUDE STANDARDIZED MEASURES OF GENERAL AND ARTHRITIS-SPECIFIC FUNCTION, PAIN, MOOD, AND HEALTH-RELATED QUALITY OF LIFE, AS WELL AS QUALITATIVE INTERVIEWS, BLOOD PRESSURE/RESTING HEART RATE MEASUREMENTS, A MEDICAL EXAM AND THE ASSESSMENT OF PRO-INFLAMMATORY CYTOKINES. DATA WILL BE COLLECTED THREE TIMES: BEFORE TREATMENT, POST-TREATMENT, AND TWO MONTHS FOLLOWING THE TREATMENT. DISCUSSION: RESULTS FROM THIS STUDY WILL PROVIDE CRITICAL DATA ON NON-PHARMACOLOGIC METHODS FOR ENHANCING FUNCTION IN RHEUMATOID ARTHRITIS PATIENTS. IN PARTICULAR, RESULTS WILL SHED LIGHT ON THE FEASIBILITY AND POTENTIAL EFFICACY OF A NOVEL INTERVENTION FOR RHEUMATOID ARTHRITIS SYMPTOMS, PAVING THE WAY FOR A LARGER CLINICAL TRIAL. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT01096823. 2011 11 2053 32 THE ASSOCIATION BETWEEN YOGA USE, PHYSICAL FUNCTION, AND EMPLOYMENT IN ADULTS WITH RHEUMATOID ARTHRITIS. MIND-BODY EXERCISES SUCH AS YOGA OFFER PATIENTS WITH RHEUMATOID ARTHRITIS (RA) A SYMPTOM MANAGEMENT STRATEGY FOR IMPROVING PHYSICAL AND MENTAL HEALTH. STUDIES HAVE EVALUATED YOGA TO MANAGE SYMPTOMS OF RA AND IMPROVE PHYSICAL FUNCTION; HOWEVER, NONE HAS EXAMINED THE RELATIONSHIP BETWEEN YOGA AND WORK STATUS IN ADULTS WITH RA. THE OBJECTIVE WAS TO DESCRIBE DIFFERENCES IN RA SYMPTOMATOLOGY, PHYSICAL FUNCTION SCORES, AND WORK STATUS BETWEEN ADULTS WITH RA WHO PARTICIPATE IN YOGA AND THOSE WHO DO NOT. THIS CROSS-SECTIONAL STUDY SURVEYED ADULTS WITH RHEUMATOLOGIST-DIAGNOSED RA REGARDING YOGA USE IN THE PAST YEAR, SYMPTOMS, PHYSICAL FUNCTION, AND WORK STATUS. DIFFERENCES BETWEEN YOGA AND NON-YOGA PARTICIPATION GROUPS WERE ASSESSED WITH 2-SIDED T TESTS OR PEARSON CHI TESTS. MULTIVARIATE LINEAR REGRESSION ANALYSES WERE CONDUCTED TO IDENTIFY SIGNIFICANT ASSOCIATIONS BETWEEN YOGA PARTICIPATION AND PRIMARY OUTCOMES. THE SAMPLE INCLUDED 398 ADULTS WITH RA; 88% WERE FEMALES, 66% WERE WHITE, MEAN AGE 61.8 YEARS, MEAN DISEASE DURATION 24.8 YEARS; 10.6% PARTICIPATED IN YOGA. VINYASA, BIKRAM, HATHA, IYENGAR, AND RESTORATIVE YOGA STYLES WERE PRACTICED, MOSTLY IN A GROUP SETTING. YOGA PARTICIPANTS WERE SIGNIFICANTLY MORE LIKELY TO WORK FULL-TIME, LESS LIKELY TO BE UNABLE TO WORK DUE TO DISABILITY, AND HAD BETTER PHYSICAL FUNCTION. THESE FINDINGS CHARACTERIZE YOGA PRACTICE AND PRACTITIONERS AMONG ADULTS WITH RA. IN ADULTS WITH RA, YOGA PARTICIPATION IS ASSOCIATED WITH FULL-TIME WORK STATUS AND BETTER PHYSICAL FUNCTION THAN NONPARTICIPATION. THIS STUDY ADDS ADDITIONAL INFORMATION TO THE GROWING BODY OF LITERATURE ABOUT ADULTS WITH RA WHO PRACTICE YOGA. 2019 12 1529 32 IYENGAR YOGA FOR YOUNG ADULTS WITH RHEUMATOID ARTHRITIS: RESULTS FROM A MIXED-METHODS PILOT STUDY. CONTEXT: RHEUMATOID ARTHRITIS (RA) IS A CHRONIC DISEASE THAT OFTEN IMPACTS PATIENT'S QUALITY OF LIFE. FOR YOUNG PEOPLE WITH RA, THERE IS A NEED FOR REHABILITATIVE APPROACHES THAT HAVE BEEN SHOWN TO BE SAFE AND TO LEAD TO IMPROVED FUNCTIONING. OBJECTIVES: THIS PILOT STUDY INVESTIGATED THE FEASIBILITY OF A SINGLE-ARM, GROUP-ADMINISTERED, SIX-WEEK, BIWEEKLY IYENGAR YOGA (IY) PROGRAM FOR EIGHT YOUNG ADULTS WITH RA. METHODS: IY IS KNOWN FOR ITS USE OF PROPS, THERAPEUTIC SEQUENCES DESIGNED FOR PATIENT POPULATIONS, EMPHASIS ON ALIGNMENT, AND A RIGOROUS TEACHER TRAINING. TREATMENT OUTCOMES WERE EVALUATED USING A MIXED-METHODS APPROACH THAT COMBINED QUANTITATIVE RESULTS FROM STANDARDIZED QUESTIONNAIRES AND QUALITATIVE INTERVIEWS WITH PARTICIPANTS. RESULTS: INITIAL ATTRITION WAS 37% (N=3) AFTER THE FIRST WEEK BECAUSE OF SCHEDULING CONFLICTS AND A PRIOR NON-RA RELATED INJURY. HOWEVER, THE REMAINING PARTICIPANTS (N=5) COMPLETED BETWEEN 75% AND 100% OF TREATMENT SESSIONS (MEAN=95%). NO ADVERSE EVENTS WERE REPORTED. THE QUANTITATIVE RESULTS INDICATED SIGNIFICANT IMPROVEMENTS IN PAIN, PAIN DISABILITY, DEPRESSION, MENTAL HEALTH, VITALITY, AND SELF-EFFICACY. INTERVIEWS DEMONSTRATED IMPROVEMENT IN RA SYMPTOMS AND FUNCTIONING BUT UNCERTAINTY ABOUT WHETHER THE INTERVENTION AFFECTED PAIN. CONCLUSION: THESE PRELIMINARY FINDINGS INDICATE THAT IY IS A FEASIBLE COMPLEMENTARY APPROACH FOR YOUNG PEOPLE WITH RA, ALTHOUGH LARGER CLINICAL TRIALS ARE NEEDED TO DEMONSTRATE SAFETY AND EFFICACY. 2010 13 2542 22 YOGA FOR ARTHRITIS: A SCOPING REVIEW. THIS ARTICLE REVIEWS THE EXISTING LITERATURE ON USING YOGA FOR ARTHRITIS. IT INCLUDES PEER-REVIEWED RESEARCH FROM CLINICAL TRIALS (PUBLISHED FROM 1980 TO 2010) THAT USED YOGA AS AN INTERVENTION FOR ARTHRITIS AND REPORTED QUANTITATIVE FINDINGS. ELEVEN STUDIES WERE IDENTIFIED, INCLUDING 4 RANDOMIZED CONTROLLED TRIALS (RCTS) AND 4 NON-RCTS. ALL TRIALS WERE SMALL AND CONTROL GROUPS VARIED. NO ADVERSE EVENTS WERE REPORTED, AND ATTRITION WAS COMPARABLE OR BETTER THAN THAT TYPICAL FOR EXERCISE INTERVENTIONS. EVIDENCE WAS STRONGEST FOR REDUCED DISEASE SYMPTOMS (TENDER/SWOLLEN JOINTS, PAIN) AND DISABILITY AND FOR IMPROVED SELF-EFFICACY AND MENTAL HEALTH. INTERVENTIONS, RESEARCH METHODS, AND DISEASE DIAGNOSES WERE HETEROGENEOUS. 2011 14 2575 32 YOGA FOR FUNCTIONAL ABILITY, PAIN AND PSYCHOSOCIAL OUTCOMES IN MUSCULOSKELETAL CONDITIONS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVES: MUSCULOSKELETAL CONDITIONS (MSCS) ARE THE LEADING CAUSE OF DISABILITY AND CHRONIC PAIN IN THE DEVELOPED WORLD, IMPACTING BOTH FUNCTIONAL ABILITY AND PSYCHOSOCIAL HEALTH. THE CURRENT REVIEW INVESTIGATES THE EFFECTIVENESS OF YOGA ON PRIMARY OUTCOMES OF FUNCTIONAL ABILITY, PAIN AND PSYCHOSOCIAL OUTCOMES ACROSS A RANGE OF MSCS. METHODS: A COMPREHENSIVE SEARCH OF 20 DATABASES WAS CONDUCTED FOR FULL-TEXT, RANDOMIZED CONTROLLED TRIALS OF YOGA IN CLINICALLY DIAGNOSED MSCS. RESULT: SEVENTEEN STUDIES MET THE INCLUSION CRITERIA, INVOLVING 1,626 PARTICIPANTS WITH LOW BACK PAIN (LBP), OSTEOARTHRITIS (OA), RHEUMATOID ARTHRITIS (RA), KYPHOSIS OR FIBROMYALGIA. STUDIES WERE QUALITY RATED, AND ANALYSED FOR THE EFFECT OF YOGA ON PRIMARY OUTCOMES, IMMEDIATELY POST-INTERVENTION. TWELVE STUDIES WERE RATED AS GOOD QUALITY. YOGA INTERVENTIONS RESULTED IN A CLINICALLY SIGNIFICANT IMPROVEMENT IN FUNCTIONAL OUTCOMES IN MILD-TO-MODERATE LBP AND FIBROMYALGIA, AND SHOWED A TREND TO IMPROVEMENT IN KYPHOSIS. YOGA SIGNIFICANTLY IMPROVED PAIN IN OA, RA AND MILD-TO-SEVERE LBP. PSYCHOSOCIAL OUTCOMES WERE SIGNIFICANTLY IMPROVED IN MILD-TO-MODERATE LBP AND OA. META-ANALYSIS OF GOOD-QUALITY STUDIES SHOWED A MODERATE TREATMENT EFFECT FOR YOGA OF -0.64 (95%CI -0.89 TO -0.39) FOR FUNCTIONAL OUTCOMES AND -0.61 (95%CI -0.97 TO -0.26) FOR PAIN OUTCOMES. CONCLUSIONS: EVIDENCE SUGGESTS THAT YOGA IS AN ACCEPTABLE AND SAFE INTERVENTION, WHICH MAY RESULT IN CLINICALLY RELEVANT IMPROVEMENTS IN PAIN AND FUNCTIONAL OUTCOMES ASSOCIATED WITH A RANGE OF MSCS. FUTURE ANALYSIS OF OUTCOMES WHICH TAKE INTO ACCOUNT THE AMOUNT OF YOGA RECEIVED BY PARTICIPANTS MAY PROVIDE INSIGHT INTO ANY PUTATIVE DURATION OR DOSAGE EFFECTS OF YOGA INTERVENTIONS FOR MSCS. 2013 15 2635 34 YOGA FOR TREATING RHEUMATOID ARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS. PURPOSE: RHEUMATOID ARTHRITIS (RA) IS A PERVASIVE INFLAMMATORY AUTOIMMUNE DISEASE THAT SERIOUSLY IMPAIRS HUMAN HEALTH AND REQUIRES MORE EFFECTIVE NON-PHARMACOLOGIC TREATMENT APPROACHES. THIS STUDY AIMS TO SYSTEMATICALLY REVIEW AND EVALUATE THE EFFICACY OF YOGA FOR PATIENTS WITH RA. METHODS: MEDLINE (THROUGH PUBMED), COCHRANE LIBRARY, EMBASE (THROUGH SCOPUS), AND WEB OF SCIENCE DATABASE WERE SCREENED THROUGH FOR ARTICLES PUBLISHED UNTIL 20 JULY 2020. RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA IN PATIENTS WITH RA WERE INCLUDED. OUTCOMES MEASURES WERE PAIN, PHYSICAL FUNCTION, DISEASE ACTIVITY, INFLAMMATORY CYTOKINES, AND GRIP STRENGTH. FOR EACH OUTCOME, STANDARDIZED MEAN DIFFERENCES (SMD) AND 95% CONFIDENCE INTERVALS (CI) WERE CALCULATED. RESULT: TEN TRIALS INCLUDING 840 PATIENTS WITH RA AGED 30-70 YEARS WERE IDENTIFIED, WITH 86% FEMALE PARTICIPANTS. META-ANALYSIS REVEALED A STATISTICALLY SIGNIFICANT OVERALL EFFECT IN FAVOR OF YOGA FOR PHYSICAL FUNCTION (HAQ-DI) (5 RCTS; SMD = -0.32, 95% CI -0.58 TO -0.05, I (2) = 15%, P = 0.02), DISEASE ACTIVITY (DAS-28) (4 RCTS; SMD = -0.38, 95% CI -0.71 TO -0.06, I (2) = 41%, P = 0.02) AND GRIP STRENGTH (2 RCTS; SMD = 1.30, 95% CI 0.47-2.13, I (2) = 63%, P = 0.002). NO EFFECTS WERE FOUND FOR PAIN, TENDER JOINTS, SWOLLEN JOINTS COUNT OR INFLAMMATORY CYTOKINES (I.E., CRP, ESR, IL-6, AND TNF-ALPHA). SUMMARY: THE FINDINGS OF THIS META-ANALYSIS INDICATE THAT YOGA MAY BE BENEFICIAL FOR IMPROVING PHYSICAL FUNCTION, DISEASE ACTIVITY, AND GRIP STRENGTH IN PATIENTS WITH RA. HOWEVER, THE BALANCE OF EVIDENCE SHOWED THAT YOGA HAD NO SIGNIFICANT EFFECT IN IMPROVING PAIN, TENDER JOINTS, SWOLLEN JOINTS COUNT, AND INFLAMMATORY CYTOKINES IN PATIENTS SUFFERING FROM RA. CONSIDERING METHODOLOGICAL LIMITATIONS, SMALL SAMPLE SIZE, AND LOW-QUALITY, WE DRAW A VERY CAUTIOUS CONCLUSION IN THE RESULTS OF THE ESTIMATE OF THE EFFECT. HIGH-QUALITY AND LARGE-SCALE RCTS ARE URGENTLY NEEDED IN THE FUTURE, AND THE REAL RESULT MAY BE SUBSTANTIALLY DIFFERENT. 2020 16 2199 25 THE EFFICACY OF TAI CHI AND YOGA IN RHEUMATOID ARTHRITIS AND SPONDYLOARTHROPATHIES: A NARRATIVE BIOMEDICAL REVIEW. RHEUMATOID ARTHRITIS (RA) AND SPONDYLOARTHROPATHIES (SPA) ARE AMONG THE MOST COMMON INFLAMMATORY RHEUMATIC DISEASES, WHICH MIGHT INDUCE CHRONIC PAIN FOR THEIR SUFFERERS. MIND-BODY INTERVENTIONS LIKE TAI CHI AND YOGA ARE AMONG THE MANY ALTERNATIVE THERAPIES FOR COMBATTING CHRONIC PAIN. THIS REVIEW AIMS TO OVERVIEW THE ARTICLES ABOUT THEIR EFFECTIVENESS IN RA AND SPA. WE SEARCHED PUBMED/MEDLINE, SCOPUS, AND WEB OF SCIENCE FOR ENGLISH-LANGUAGE SOURCES FROM THEIR INCEPTION THROUGH SEPTEMBER 2017. CASE-CONTROL STUDIES, INTERVENTIONAL STUDIES, AND CASE SERIES THAT INCLUDED MORE THAN THREE CASES AND RANDOMIZED CROSSOVER STUDIES WERE INCLUDED. THE LITERATURE SEARCH RETRIEVED 133 NON-DUPLICATE RECORDS, AND 15 OF THEM WERE ELIGIBLE AND WERE INCLUDED IN THIS REVIEW. THE INFLUENCE OF TAI CHI REMAINS DEBATABLE IN RA, WHILE THERE IS ONLY ONE STUDY THAT INVESTIGATED ITS EFFICACY IN SPA. YOGA SEEMS EFFECTIVE IN DECREASING PAIN AND INFLAMMATION WHILE INCREASING QUALITY OF LIFE. THERE ARE NO DATA AVAILABLE ABOUT ITS EFFECT ON SPA. EVEN AFTER A THOROUGH RESEARCH, THE NUMBER OF ARTICLES IS QUITE LIMITED ON THE EFFECTIVENESS OF TAI CHI AND YOGA IN RA AND SPA. WHILE THESE COMPLEMENTARY APPROACHES STILL SHOW SOME PROMISE AS ALTERNATIVE THERAPIES IN RA AND SPA, THE LITERATURE LACKS LONG-TERM STUDIES WITH LARGER PATIENT GROUPS. 2018 17 734 23 EFFECT OF ONE WEEK OF YOGA ON FUNCTION AND SEVERITY IN RHEUMATOID ARTHRITIS. BACKGROUND: PREVIOUS STUDIES HAVE SHOWN THAT YOGA PRACTICE IMPROVED THE HAND GRIP STRENGTH IN PATIENTS WITH RHEUMATOID ARTHRITIS (RA). FINDINGS: SIXTY-FOUR PARTICIPANTS WITH RA (GROUP AVERAGE AGE +/- S.D., 46.5 +/- 9.6 YEARS; 47 FEMALES) WERE ASSESSED AT THE BEGINNING AND END OF A ONE WEEK YOGA PROGRAM. THE STANFORD HEALTH ASSESSMENT QUESTIONNAIRE (HAQ), HAND GRIP STRENGTH, RHEUMATOID FACTOR, AND C-REACTIVE PROTEIN LEVELS WERE ASSESSED ON THE FIRST AND LAST DAY AND COMPARED USING A T-TEST FOR PAIRED DATA. ALL PARTICIPANTS SHOWED REDUCED DISABILITY SCORES OF THE HAQ AND RHEUMATOID FACTOR LEVELS, WITH AN INCREASE IN BILATERAL HAND GRIP STRENGTH IN MALE PARTICIPANTS ALONE. CONCLUSIONS: THIS SINGLE GROUP STUDY INDICATED THAT A BRIEF INTENSIVE YOGA PROGRAM WAS BENEFICIAL IN RA, WITH DECREASED DISABILITY, BETTER FUNCTIONALITY AND CHANGES IN THE RHEUMATOID FACTOR LEVELS SUGGESTING IMPROVEMENT. 2011 18 1486 27 INTEGRATIVE EFFECT OF YOGA PRACTICE IN PATIENTS WITH KNEE ARTHRITIS: A PRISMA-COMPLIANT META-ANALYSIS. BACKGROUND: BENEFITS OF YOGA PRACTICE IN PATIENTS WITH KNEE OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS REMAINS CONTROVERSIAL. THIS STUDY PERFORMS A META-ANALYSIS TO QUANTIFY THE EFFICIENCY OF YOGA EXERCISE FOR PATIENTS PAIN REDUCTION, FUNCTIONAL RECOVERY, AND GENERAL WELLBEING. METHODS: A COMPUTERIZED SEARCH OF PUBMED AND EMBASE WAS PERFORMED TO IDENTIFY RELEVANT STUDIES. THE OUTCOME MEASURES WERE PAIN, STIFFNESS, AND PHYSICAL FUNCTION. TWO INVESTIGATORS IDENTIFIED ELIGIBLE STUDIES AND EXTRACTED DATA INDEPENDENTLY. THE QUALITY OF CITATIONS WAS MEASURED USING JADAD SCORE. STANDARDIZED MEAN DIFFERENCES (SMDS) WITH 95% CONFIDENCE INTERVALS (CIS) WERE CALCULATED FOR PAIN, MUSCULOSKELETAL IMPAIRMENT, QUALITY OF LIFE, GENERAL WELLBEING, AND MENTAL WELLBEING. RESULTS: A TOTAL OF 13 CLINICAL TRIALS INVOLVING 1557 PATIENTS WITH KNEE OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS WERE INCLUDED IN FINAL META-ANALYSIS WITH THE AVERAGE JADAD SCORE 2.8. THE SMD WAS -0.98 (95% CI -1.18, -0.78, P < .05) FOR PAIN, -1.83 (95% CI -2.09, -1.57, P < .05) FOR FUNCTIONAL DISABILITY, WAS 0.80 (95% CI 0.59, 1.01, P < .05) FOR SHORT FORM 36 HEALTH SURVEY (SF-36) GENERAL HEALTH, 0.49 (95% CI 0.14, 0.82, P < .05) FOR SF-36 MENTAL HEALTH, AND HAQ WAS -0.55 (95% CI -0.83, -0.26, P < .05) FOR HEALTH ASSOCIATED QUESTIONNAIRE (HAQ). ALL THE RESULTS FAVOR YOGA TRAINING GROUP. CONCLUSIONS: REGULAR YOGA TRAINING IS HELPFUL IN REDUCING KNEE ARTHRITIC SYMPTOMS, PROMOTING PHYSICAL FUNCTION, AND GENERAL WELLBEING IN ARTHRITIC PATIENTS. 2018 19 545 21 CONTENT, STRUCTURE AND DELIVERY CHARACTERISTICS OF YOGA INTERVENTIONS FOR MANAGING RHEUMATOID ARTHRITIS: A SYSTEMATIC REVIEW PROTOCOL. THE GLOBAL BURDEN OF RHEUMATOID ARTHRITIS AMONG ADULTS IS RISING. YOGA MIGHT BE A POTENTIAL SOLUTION FOR MANAGING RHEUMATOID ARTHRITIS. THIS SYSTEMATIC REVIEW AIMS TO SYNTHESISE THE CONTENT, STRUCTURE AND DELIVERY CHARACTERISTICS OF EFFECTIVE YOGA INTERVENTIONS FOR MANAGING RHEUMATOID ARTHRITIS. THE JBI METHODOLOGY FOR SYSTEMATIC REVIEWS OF EFFECTIVENESS AND THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSES (PRISMA) GUIDELINES WILL BE FOLLOWED. PRISMA FOR SYSTEMATIC REVIEW PROTOCOLS (PRISMA-P) WAS USED TO WRITE THE PROTOCOL. RANDOMISED CONTROLLED TRIALS ASSESSING THE EFFECTIVENESS OF YOGA INTERVENTIONS FOR MANAGING RHEUMATOID ARTHRITIS IN ADULTS WILL BE INCLUDED IN THIS REVIEW. WE AIM TO SEARCH THE FOLLOWING DATABASES TO FIND PUBLISHED AND UNPUBLISHED STUDIES: ABIM, AMED, AYUSH RESEARCH PORTAL, CAM-QUEST, CINAHL, CENTRAL, EMBASE, MEDLINE, PEDRO, PSYCINFO, SPORTDISCUS, TRIP, WEB OF SCIENCE, DART-EUROPE-E-THESES PORTAL, ETHOS, OPENGREY AND PROQUEST DISSERTATIONS AND THESES. NO DATE OR LANGUAGE RESTRICTIONS WILL BE APPLIED. A NARRATIVE SYNTHESIS WILL BE CONDUCTED. META-REGRESSION WILL BE CONDUCTED TO EXPLORE THE STATISTICAL EVIDENCE FOR WHICH COMPONENTS (CONTENT, STRUCTURE AND DELIVERY CHARACTERISTICS) OF YOGA INTERVENTIONS ARE EFFECTIVE. 2022 20 2430 26 YOGA AND PHYSICAL REHABILITATION MEDICINE: A RESEARCH PARTNERSHIP IN INTEGRATIVE CARE. MIND-BODY INTERVENTIONS, SUCH AS YOGA, THAT TEACH STRESS MANAGEMENT WITH PHYSICAL ACTIVITY MAY BE WELL SUITED FOR INVESTIGATION IN BOTH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. IN ORDER TO BE CONSIDERED AS VIABLE CARE OPTIONS INTEGRATIVE STUDIES NEED TO OFFER A COMPREHENSIVE DESIGN AND INCLUDE CLINICIANS FAMILIAR WITH THE DISEASE PROCESS OF THE STUDY POPULATIONS. A REVIEW OF THE LITERATURE REVEALS A DEARTH OF INFORMATION RELATED TO THE COLLABORATION BETWEEN YOGA AND PHYSICAL REHABILITATION MEDICINE. THIS ARTICLE DISCUSSES THE COLLABORATION WITH PHYSICAL REHABILITATION MEDICINE TO COLLECT RELEVANT PRE- AND POST-INTERVENTION MEASURES FOR AN ON-GOING PILOT ACCEPTABILITY/FEASIBILITY YOGA STUDY FOR MINORITY PATIENTS WITH OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS. AN INTERDISCIPLINARY CLINICAL RESEARCH TEAM SELECTED PSYCHOSOCIAL AND PHYSICAL MEASURES FOR A COMMUNITY SAMPLE OF BILINGUAL MINORITY PATIENTS, NOT TYPICALLY IDENTIFIED AS PRACTICING YOGA. SIXTEEN FEMALE ADULTS AGED 40-63 YEARS (MEAN =51) COMPLETED BASELINE PHYSICAL ASSESSMENTS USING SINGLE LEG STANCE, FUNCTIONAL REACH TEST, TIME UP AND GO TEST, TIMED UP FROM THE FLOOR TEST AND THE DISABILITIES OF THE ARM, SHOULDER AND HAND MEASURES. BASELINE VALUES SHOW AN AVERAGE LEVEL OF FUNCTIONAL ABILITY PRIOR TO BEGINNING THE INTERVENTION. PRELIMINARY RESULTS INDICATE SOME IMPROVEMENT; HOWEVER, SELECTED MEASURES MAY NOT HAVE THE SENSITIVITY AND SPECIFICITY NEEDED TO IDENTIFY SIGNIFICANT CHANGE. IN THIS STUDY, COMBINING INTERDISCIPLINARY PERSPECTIVES ENHANCED THE QUALITY OF THE RESEARCH STUDY DESIGN. THE EXPERIENCE OF THIS INTERDISCIPLINARY CLINICAL RESEARCH TEAM OPENS THE DISCUSSION FOR FUTURE COLLABORATIONS. 2013