1 2650 145 YOGA IMPROVES BALANCE AND LOW-BACK PAIN, BUT NOT ANXIETY, IN PEOPLE WITH PARKINSON'S DISEASE. INDIVIDUALS WITH PARKINSON'S DISEASE (PD) EXPERIENCE POSTURAL INSTABILITY, LOW-BACK PAIN (LBP), AND ANXIETY. THESE SYMPTOMS INCREASE THE RISK OF FALLS AND DECREASE QUALITY OF LIFE. RESEARCH SHOWS YOGA IMPROVES BALANCE AND DECREASES LBP AND ANXIETY IN HEALTHY ADULTS, BUT ITS EFFECTS IN PD ARE POORLY UNDERSTOOD. ALL PARTICIPANTS WERE PART OF A LARGER INTERVENTION STUDY. PARTICIPANTS RECEIVED PRETEST AND POSTTEST EVALUATIONS, INCLUDING THE BALANCE EVALUATION SYSTEMS TEST (BESTEST), BECK ANXIETY INVENTORY (BAI), AND REVISED OSWESTRY DISABILITY INDEX (ROSW). TOTAL SCORES FOR EACH MEASURE, AS WELL AS INDIVIDUAL BALANCE SYSTEM SECTION SCORES FROM THE BESTEST (BIOMECHANICAL CONSTRAINTS, STABILITY LIMITS/VERTICALITY, TRANSITIONS/ANTICIPATORY, REACTIVE, SENSORY ORIENTATION, AND STABILITY IN GAIT) WERE COMPARED WITHIN GROUPS PRE- TO POSTTEST. PARTICIPANTS IN THE YOGA GROUP (N = 13) COMPLETED A TWICE-WEEKLY 12-WEEK YOGA INTERVE N T I O N , WHEREAS CONTROLS (N = 13) CONTINUED THEIR USUAL ROUTINES FOR 12 WEEKS. BOTH THE YOGA (Z = -3.20, P = 0.001) AND CONTROL (Z = -2.10, P = 0.040) GROUPS IMPROVED ON THE BESTEST TOTAL SCORE. THE CONTROL GROUP SHOWED NO CHANGES IN INDIVIDUAL BALANCE SYSTEMS, WHEREAS THE YOGA GROUP IMPROVED IN STABILITY LIMITS/VERTICALITY (Z = -2.3, P = 0.020), TRANSITIONS/ ANTICIPATORY (Z = -2.50, P = 0.010), REACTIVE (Z = -2.70, P = 0.008), AND SENSORY ORIENTATION (Z = -2.30, P = 0.020). ROSW DECREASED IN THE YOGA GROUP ONLY (Z = -2.10, P = 0.030). BAI DID NOT CHANGE IN EITHER GROUP. YOGA IS A NONPHARMACOLOGICAL INTERVENTION THAT CAN IMPROVE BALANCE AND LBP IN PEOPLE WITH PD. THIS STUDY DEMONSTRATED THAT YOGA IS FEASIBLE FOR PEOPLE WITH PD, AND PARTICIPANTS REPORTED HIGH LEVELS OF ENJOYMENT AND INTENT TO PRACTICE YOGA AFTER THE STUDY. 2020 2 2180 32 THE EFFECTS OF YOGA ON PATIENTS WITH PARKINSON'S DISEASE: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. METHODS: A META-ANALYSIS WAS CONDUCTED BY SYSTEMATICALLY SEARCHING PUBMED, EMBASE, AND COCHRANE LIBRARY DATABASES TILL AUGUST 2020 FOR STUDIES PUBLISHED IN ENGLISH. THE REFERENCE LISTS OF ELIGIBLE STUDIES WERE ALSO SEARCHED. THE MOTOR SYMPTOMS (UPDRS-PART III), BALANCE FUNCTION (BBS AND BESTEST), FUNCTIONAL MOBILITY (TUG), ANXIETY (HADS AND BAI), DEPRESSION (HADS AND BDI), AND THE QUALITY OF LIFE (PDQ-39 AND PDQ-8) WERE THE PRIMARY EVALUATION INDEXES. RESULTS: TEN STUDIES INCLUDING 359 PARTICIPANTS WERE INCLUDED IN THIS META-ANALYSIS. THE POOLED RESULTS SHOWED SIGNIFICANT DIFFERENCE BETWEEN THE YOGA TRAINING GROUP AND THE CONTROL GROUP. PATIENTS IN THE YOGA TRAINING GROUP HAD BETTER FUNCTIONAL OUTCOMES IN TERMS OF MOTOR STATUS (MD = -5.64; 95% CI, -8.57 TO -2.7), BALANCE FUNCTION (SMD = 0.42; 95% CI, 0.08 TO 0.77), FUNCTIONAL MOBILITY (MD = -1.71; 95% CI, -2.58 TO -0.84), ANXIETY SCALE SCORES (SMD = -0.72; 95% CI, -1.01 TO -0.43), DEPRESSION SCALE SCORES (SMD = -0.92; 95% CI, -1.22 TO -0.62), AND QOL (SMD = -0.54; 95% CI, -0.97 TO -0.11). CONCLUSION: OUR POOLED RESULTS SHOWED THE BENEFITS OF YOGA IN IMPROVING MOTOR FUNCTION, BALANCE, FUNCTIONAL MOBILITY, REDUCING ANXIETY AND DEPRESSION, AND INCREASING QOL IN PD PATIENTS. 2021 3 2114 34 THE EFFECT OF YOGA ON THE QUALITY OF LIFE AND FATIGUE IN PATIENTS WITH MULTIPLE SCLEROSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CLINICAL TRIALS. BACKGROUND: THE IMPACT OF YOGA ON THE QUALITY OF LIFE AND FATIGUE IN PATIENTS WITH MULTIPLE SCLEROSIS (MS) HAS SHOWN VARIOUS RESULTS IN DIFFERENT REPORTS. AS A RESULT, PERFORMING A SYSTEMATIC REVIEW AND META-ANALYSIS TO GUIDE PHYSICIANS AND PATIENTS SEEMS NECESSARY. THE PRESENT STUDY WAS CARRIED OUT TO EVALUATE THE EFFECT OF YOGA INTERVENTION ON THE QUALITY OF LIFE AND FATIGUE IN PATIENTS WITH MS. METHOD: THE PRESENT STUDY WAS DESIGNED BASED ON PRISMA GUIDELINES FROM THEIR INCEPTION UNTIL OCTOBER 2019. TWO RESEARCHERS INDEPENDENTLY PERFORMED ALL STEPS. WE SEARCHED SEVERAL INTERNATIONAL ONLINE DATABASES SUCH AS PUBMED/MEDILNE, SCOPUS, SCIENCE DIRECT, COCHRANE LIBRARY, PSYCINFO, WEB OF SCIENCE, CINAHL, CAM-QUEST, CAMBASE, INDMED AND GOOGLE SCHOLAR SEARCH ENGINE. THE DATA WERE ANALYZED USING COMPREHENSIVE META-ANALYSIS SOFTWARE VER. 2, WHILE P < 0.05 WAS CONSIDERED SIGNIFICANT. THE PROTOCOL OF THIS META-ANALYSIS WAS REGISTERED AT PROSPERO WITH NUMBER IDENTIFIER: CRD42019127168. RESULTS: OVERALL, 693 PATIENTS WITH MS (YOGA (N = 209), EXERCISE (N = 298), CONTROL (N = 186) GROUPS) WERE EXAMINED IN TEN RANDOMIZED CONTROLLED TRIALS (RCTS). ACCORDING TO THIS META-ANALYSIS, THE EFFECT OF YOGA INTERVENTION ON FATIGUE IN PATIENTS WITH MS WAS SIGNIFICANTLY BETTER COMPARED TO THE TYPICAL MS CARE GROUP [SMD = -0.872; 95%CI: -1.467 TO -0.277, P = 0.004], AND DID NOT SHOW SIGNIFICANT DIFFERENCE COMPARED TO THE EXERCISE GROUP [SMD = -0.093; 95%CI: -0.353 TO 0.167, P = 0.482]. THE EFFECT OF YOGA INTERVENTION ON THE OVERALL QUALITY OF LIFE (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.710; 95%CI: -0.172 TO 1.592, P = 0.114], AND COMPARED TO THE EXERCISE GROUP: [SMD = -0.453; 95%CI: -0.233 TO 1.138, P = 0.195]), PHYSICAL COMPONENT (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.281; 95%CI: -0.157 TO 0.719, P = 0.209], AND COMPARED TO THE EXERCISE GROUP: [SMD = 0.074; 95%CI: -0.125 TO 0.273, P = 0.467]), PSYCHOLOGICAL COMPONENT (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.250; 95% CI: - 0.132 TO 0.631, P = 0.199], AND COMPARED TO THE EXERCISE GROUP: [SMD = - 0.270; 95%CI: -0.813 TO 0.272, P = 0.329]), SEXUAL FUNCTION (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.438; 95%CI: -0.350 TO 1.226, P = 0.276]), AND COGNITIVE FUNCTION (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = -0.390; 95%CI: -0.008 TO 0.789, P = 0.055]) IN PATIENTS WITH MS WAS NOT SIGNIFICANT. CONCLUSION: YOGA IS A SIMPLE EXERCISE FOR PATIENTS WITH MS THAT IS CAPABLE OF DECREASING FATIGUE IN THESE PATIENTS. 2020 4 1314 31 HEALTH-RELATED QUALITY OF LIFE CHANGES AFTER THE MERGING YOGA AND OCCUPATIONAL THERAPY FOR PARKINSON'S DISEASE PROGRAM: A MIXED-METHODS STUDY. BACKGROUND: TO UNDERSTAND CHANGES IN HEALTH-RELATED QUALITY OF LIFE (HRQOL) AFTER THE MERGING YOGA AND OCCUPATIONAL THERAPY FOR PARKINSON'S DISEASE (MY-OT FOR PD) PROGRAM. MATERIALS AND METHODS: WE USED A MIXED-METHODS CONVERGENT DESIGN AND ADMINISTERED THE PARKINSON'S DISEASE QUESTIONNAIRE-8 (PDQ-8), A MEASURE OF HRQOL, WITH 17 PARTICIPANTS. WE CONSIDERED SCORES 8 WEEKS BEFORE MY-OT FOR PD, JUST BEFORE, AND UPON COMPLETION. ADDITIONALLY, WE COMPLETED TWO FOCUS GROUPS FOLLOWING THE PROGRAM WITH 16 PARTICIPANTS TO ASSESS QUALITATIVE CHANGES IN HRQOL. RESULTS: THERE WERE NO SIGNIFICANT DIFFERENCES IN PDQ-8 SCORES BETWEEN TIME POINTS, F(2,32) = 1.60, P = 0.22, PARTIAL ETA(2) = 0.09. PARTICIPANTS DID DISCUSS IMPROVEMENTS IN ALL 8 HRQOL DOMAINS, FREQUENTLY REGARDING MOBILITY AND ACTIVITIES OF DAILY LIVING. CONCLUSION: RESULTS DIVERGED, WITH QUANTITATIVE RESULTS SHOWING NO SIGNIFICANT IMPROVEMENT IN HRQOL AND QUALITATIVE RESULTS INDICATING PARTICIPANT PERCEIVED IMPROVEMENTS IN ALL DOMAINS OF THE PDQ-8. THE PROGRAM SHOULD BE EXPLORED FURTHER, AND LONGITUDINAL FOLLOW-UP COMPLETED. 2020 5 2719 37 YOGA MEDITATION ENHANCES PROPRIOCEPTION AND BALANCE IN INDIVIDUALS DIAGNOSED WITH PARKINSON'S DISEASE. THIS STUDY COMPARED THE EFFECTIVENESS OF TWO PROPRIOCEPTIVE EXERCISE PROGRAMS FOR PERSONS DIAGNOSED WITH PARKINSON'S DISEASE (PD). THIRTY-THREE PATIENTS WITH MILD TO MODERATE PD WERE RANDOMLY ASSIGNED TO A YOGA MEDITATION PROGRAM (YOMED) OR TO AN ESTABLISHED PROPRIOCEPTIVE TRAINING PROGRAM (PRO). BOTH INTERVENTIONS INCLUDED TWICE WEEKLY SESSIONS (45 MINUTES EACH), SPANNING A 12-WEEK PERIOD. OUTCOME MEASURES INCLUDED: JOINT POSITION SENSE (JPS45 DEGREES , JPS55 DEGREES , JPS65 DEGREES ) AND JOINT KINESTHESIA (JKFLEX AND JKEXT), THE TINETTI BALANCE ASSESSMENT TOOL (TIN), FALLS EFFICACY SCALE (FES), BALANCE ERROR SCORING SYSTEM (BESS), DYNAMIC POSTUROGRAPHY (DMA AND TIME) AND THE TIMED UP-AND-GO TEST (TUG). TEST ADMINISTRATORS WERE BLINDED TO GROUP AFFILIATION. SIGNIFICANT BETWEEN-GROUP DIFFERENCES FAVORING THE YOMED GROUP WERE OBSERVED FOR TIN (P = 0.01, D = 0.77) AND JKFLEX (P = 0.05, D = -0.72). DMA AND TIME SCORES SIGNIFICANTLY IMPROVED FOR BOTH GROUPS, AND NO ADVERSE EVENTS WERE REPORTED. THESE FINDINGS INDICATE THAT THE YOMED PROGRAM IS SAFE AND EFFECTIVE FOR PATIENTS WITH PD. RESEARCHERS SHOULD CONTINUE TO EXAMINE THE CLINICAL EFFICACY OF MIND-BODY TECHNIQUES TO IMPROVE MOVEMENT CONTROL AND BODY AWARENESS IN THIS POPULATION. 2021 6 506 41 COMPARATIVE EFFECT OF POWER TRAINING AND HIGH-SPEED YOGA ON MOTOR FUNCTION IN OLDER PATIENTS WITH PARKINSON DISEASE. OBJECTIVES: TO COMPARE THE EFFECTS OF POWER TRAINING (PWT) AND A HIGH-SPEED YOGA PROGRAM ON PHYSICAL PERFORMANCES IN OLDER PATIENTS WITH PARKINSON DISEASE (PD), AND TO TEST THE HYPOTHESIS THAT BOTH TRAINING INTERVENTIONS WOULD ATTENUATE PD SYMPTOMS AND IMPROVE PHYSICAL PERFORMANCE. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: A LABORATORY OF NEUROMUSCULAR RESEARCH AND ACTIVE AGING. PARTICIPANTS: PATIENTS WITH PD (N=41; MEAN AGE +/- SD, 72.2 +/- 6.5Y). INTERVENTIONS: TWO HIGH-SPEED EXERCISE INTERVENTIONS (SPECIFICALLY DESIGNED YOGA PROGRAM AND PWT) WERE GIVEN FOR 12 WEEKS (TWICE A WEEK), AND 1 NONEXERCISE CONTROL GROUP. MAIN OUTCOME MEASURES: UNIFIED PARKINSON DISEASE RATING SCALE MOTOR SCORE (UPDRSMS), BERG BALANCE SCALE (BBS), MINI-BALANCE EVALUATION SYSTEMS TEST (MINI-BESTEST), TIMED UP AND GO, FUNCTIONAL REACH, SINGLE LEG STANCE (SLS), POSTURAL SWAY TEST, 10-M USUAL AND MAXIMAL WALKING SPEED TESTS, 1 REPETITION MAXIMUM (RM), AND PEAK POWER (PPW) FOR LEG PRESS. RESULTS: FOR THE POSTTESTS, BOTH TRAINING GROUPS SHOWED SIGNIFICANT IMPROVEMENTS (P<.05) IN ALL PHYSICAL MEASUREMENTS EXCEPT FUNCTIONAL REACH ON THE MORE AFFECTED SIDE, SLS, AND POSTURAL SWAY COMPARED WITH THE PRETESTS, AND SIGNIFICANTLY BETTER SCORES FOR UPDRSMS, BBS, MINI-BESTEST, TIMED UP AND GO, FUNCTIONAL REACH ON THE LESS AFFECTED SIDE, 10-M USUAL AND MAXIMAL WALKING SPEED TESTS, 1RM, AND PPW THAN CONTROLS, WITH NO DIFFERENCES DETECTED BETWEEN THE YOGA PROGRAM AND PWT. CONCLUSIONS: BOTH THE SPECIALLY DESIGNED YOGA PROGRAM AND PWT PROGRAMS CAN SIGNIFICANTLY IMPROVE PHYSICAL PERFORMANCE IN OLDER PERSONS WITH PD. 2016 7 1007 40 EFFECTS OF MINDFULNESS YOGA VS STRETCHING AND RESISTANCE TRAINING EXERCISES ON ANXIETY AND DEPRESSION FOR PEOPLE WITH PARKINSON DISEASE: A RANDOMIZED CLINICAL TRIAL. IMPORTANCE: CLINICAL PRACTICE GUIDELINES SUPPORT EXERCISE FOR PATIENTS WITH PARKINSON DISEASE (PD), BUT TO OUR KNOWLEDGE, NO RANDOMIZED CLINICAL TRIALS HAVE TESTED WHETHER YOGA IS SUPERIOR TO CONVENTIONAL PHYSICAL EXERCISES FOR STRESS AND SYMPTOM MANAGEMENT. OBJECTIVE: TO COMPARE THE EFFECTS OF A MINDFULNESS YOGA PROGRAM VS STRETCHING AND RESISTANCE TRAINING EXERCISE (SRTE) ON PSYCHOLOGICAL DISTRESS, PHYSICAL HEALTH, SPIRITUAL WELL-BEING, AND HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN PATIENTS WITH MILD-TO-MODERATE PD. DESIGN, SETTING, AND PARTICIPANTS: AN ASSESSOR-MASKED, RANDOMIZED CLINICAL TRIAL USING THE INTENTION-TO-TREAT PRINCIPLE WAS CONDUCTED AT 4 COMMUNITY REHABILITATION CENTERS IN HONG KONG BETWEEN DECEMBER 1, 2016, AND MAY 31, 2017. A TOTAL OF 187 ADULTS (AGED >/=18 YEARS) WITH A CLINICAL DIAGNOSIS OF IDIOPATHIC PD WHO WERE ABLE TO STAND UNAIDED AND WALK WITH OR WITHOUT AN ASSISTIVE DEVICE WERE ENROLLED VIA CONVENIENCE SAMPLING. ELIGIBLE PARTICIPANTS WERE RANDOMIZED 1:1 TO MINDFULNESS YOGA OR SRTE. INTERVENTIONS: MINDFULNESS YOGA WAS DELIVERED IN 90-MINUTE GROUPS AND SRTE WERE DELIVERED IN 60-MINUTE GROUPS FOR 8 WEEKS. MAIN OUTCOMES AND MEASURES: PRIMARY OUTCOMES INCLUDED ANXIETY AND DEPRESSIVE SYMPTOMS ASSESSED USING THE HOSPITAL ANXIETY AND DEPRESSION SCALE. SECONDARY OUTCOMES INCLUDED SEVERITY OF MOTOR SYMPTOMS (MOVEMENT DISORDER SOCIETY UNIFIED PARKINSON'S DISEASE RATING SCALE [MDS-UPDRS], PART III MOTOR SCORE), MOBILITY, SPIRITUAL WELL-BEING IN TERMS OF PERCEIVED HARDSHIP AND EQUANIMITY, AND HRQOL. ASSESSMENTS WERE DONE AT BASELINE, 8 WEEKS (T1), AND 20 WEEKS (T2). RESULTS: THE 138 PARTICIPANTS INCLUDED 65 MEN (47.1%) WITH A MEAN (SD) AGE OF 63.7 (8.7) YEARS AND A MEAN (SD) MDS-UPDRS SCORE OF 33.3 (15.3). GENERALIZED ESTIMATING EQUATION ANALYSES REVEALED THAT THE YOGA GROUP HAD SIGNIFICANTLY BETTER IMPROVEMENT IN OUTCOMES THAN THE SRTE GROUP, PARTICULARLY FOR ANXIETY (TIME-BY-GROUP INTERACTION, T1: BETA, -1.79 [95% CI, -2.85 TO -0.69; P = .001]; T2: BETA, -2.05 [95% CI, -3.02 TO -1.08; P < .001]), DEPRESSION (T1: BETA, -2.75 [95% CI, -3.17 TO -1.35; P < .001]); T2: BETA, -2.75 [95% CI, -3.71 TO -1.79; P < .001]), PERCEIVED HARDSHIP (T1: BETA, -0.92 [95% CI, -1.25 TO -0.61; P < .001]; T2: BETA, -0.76 [95% CI, -1.12 TO -0.40; P < .001]), PERCEIVED EQUANIMITY (T1: BETA, 1.11 [95% CI, 0.79-1.42; P < .001]; T2: BETA, 1.19 [95% CI, 0.82-1.56; P < .001]), AND DISEASE-SPECIFIC HRQOL (T1: BETA, -7.77 [95% CI, -11.61 TO -4.38; P < .001]; T2: BETA, -7.99 [95% CI, -11.61 TO -4.38; P < .001]). CONCLUSIONS AND RELEVANCE: AMONG PATIENTS WITH MILD-TO-MODERATE PD, THE MINDFULNESS YOGA PROGRAM WAS FOUND TO BE AS EFFECTIVE AS SRTE IN IMPROVING MOTOR DYSFUNCTION AND MOBILITY, WITH THE ADDITIONAL BENEFITS OF A REDUCTION IN ANXIETY AND DEPRESSIVE SYMPTOMS AND AN INCREASE IN SPIRITUAL WELL-BEING AND HRQOL. TRIAL REGISTRATION: CENTRE FOR CLINICAL RESEARCH AND BIOSTATISTICS IDENTIFIER: CUHK_CCRB00522. 2019 8 1053 27 EFFECTS OF YOGA ON CARDIOVASCULAR DISEASE RISK FACTORS: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: THE AIM OF THIS REVIEW WAS TO SYSTEMATICALLY ASSESS AND META-ANALYZE THE EFFECTS OF YOGA ON MODIFIABLE BIOLOGICAL CARDIOVASCULAR DISEASE RISK FACTORS IN THE GENERAL POPULATION AND IN HIGH-RISK DISEASE GROUPS. METHODS: MEDLINE/PUBMED, SCOPUS, THE COCHRANE LIBRARY, AND INDMED WERE SCREENED THROUGH AUGUST 2013 FOR RANDOMIZED CONTROLLED TRIALS (RCTS) ON YOGA FOR PREDEFINED CARDIOVASCULAR RISK FACTORS IN HEALTHY PARTICIPANTS, NON-DIABETIC PARTICIPANTS WITH HIGH RISK FOR CARDIOVASCULAR DISEASE, OR PARTICIPANTS WITH TYPE 2 DIABETES MELLITUS. RISK OF BIAS WAS ASSESSED USING THE COCHRANE RISK OF BIAS TOOL. RESULTS: FORTY-FOUR RCTS WITH A TOTAL OF 3168 PARTICIPANTS WERE INCLUDED. RISK OF BIAS WAS HIGH OR UNCLEAR FOR MOST RCTS. RELATIVE TO USUAL CARE OR NO INTERVENTION, YOGA IMPROVED SYSTOLIC (MEAN DIFFERENCE (MD)=-5.85 MM HG; 95% CONFIDENCE INTERVAL (CI)=-8.81, -2.89) AND DIASTOLIC BLOOD PRESSURE (MD=-4.12 MM HG; 95%CI=-6.55, -1.69), HEART RATE (MD=-6.59 BPM; 95%CI=-12.89, -0.28), RESPIRATORY RATE (MD=-0.93 BREATHS/MIN; 95%CI=-1.70, -0.15), WAIST CIRCUMFERENCE (MD=-1.95 CM; 95%CI=-3.01, -0.89), WAIST/HIP RATIO (MD=-0.02; 95%CI=-0.03, -0.00), TOTAL CHOLESTEROL (MD=-13.09 MG/DL; 95%CI=-19.60, -6.59), HDL (MD=2.94 MG/DL; 95%CI=0.57, 5.31), VLDL (MD=-5.70 MG/DL; 95%CI=-7.36, -4.03), TRIGLYCERIDES (MD=-20.97 MG/DL; 95%CI=-28.61, -13.32), HBA1C (MD=-0.45%; 95%CI=-0.87, -0.02), AND INSULIN RESISTANCE (MD=-0.19; 95%CI=-0.30, -0.08). RELATIVE TO EXERCISE, YOGA IMPROVED HDL (MD=3.70 MG/DL; 95%CI=1.14, 6.26). CONCLUSIONS: THIS META-ANALYSIS REVEALED EVIDENCE FOR CLINICALLY IMPORTANT EFFECTS OF YOGA ON MOST BIOLOGICAL CARDIOVASCULAR DISEASE RISK FACTORS. DESPITE METHODOLOGICAL DRAWBACKS OF THE INCLUDED STUDIES, YOGA CAN BE CONSIDERED AS AN ANCILLARY INTERVENTION FOR THE GENERAL POPULATION AND FOR PATIENTS WITH INCREASED RISK OF CARDIOVASCULAR DISEASE. 2014 9 856 23 EFFECT OF YOGA ON THE QUALITY OF LIFE OF PATIENTS WITH RHEUMATIC DISEASES: SYSTEMATIC REVIEW WITH META-ANALYSIS. AIM: TO ANALYZE THE EFFECTS OF YOGA ON THE QUALITY OF LIFE OF PATIENTS WITH RHEUMATIC DISEASES THROUGH A SYSTEMATIC REVIEW WITH META-ANALYSIS. METHODS: THIS SYSTEMATIC REVIEW WITH META-ANALYSIS WAS CONDUCTED FOLLOWING THE RECOMMENDATIONS OF THE DECLARATION OF PRISMA. THE SEARCHES WERE CARRIED OUT ON THE DATABASES PUBMED, WEB OF SCIENCE, EBSCO, SCOPUS, AND COCHRANE UNTIL AUGUST 2018. EXPERIMENTAL STUDIES EVALUATING THE EFFECT OF YOGA ON THE QUALITY OF LIFE IN PATIENTS WITH RHEUMATIC DISEASES WERE INCLUDED. RESULTS: AFTER DATA SEARCHES, 483 STUDIES WERE FOUND, 23 OF WHICH WERE INCLUDED IN OUR ANALYSIS. WE FOUND THAT YOGA IMPROVES THE OVERALL QUALITY OF LIFE (D= -0.64; 95% CI: -0.91 TO 0.038) OF PATIENTS WITH RHEUMATIC DISEASES, AS WELL AS THE FOLLOWING DOMAINS: FUNCTIONAL CAPACITY (D=16.43; 95% CI: 13.37-19.49), PHYSICAL ASPECTS (D=27.11; 95% CI: 19.40-34.83), EMOTIONAL ASPECTS (D=26.00; 95% CI: 18.87-33.13), GENERAL HEALTH (D=16.61; 95% CI: 12.66-20.55), AND SOCIAL ASPECTS (D=7.01 ; 95% CI: 5.57-9.45). CONCLUSION: EVIDENCE SUGGESTS WEAK RECOMMENDATIONS CAN BE MADE FOR THE USE OF YOGA IN THE MANAGEMENT OF RD PATIENTS. 2019 10 932 20 EFFECTIVENESS OF YOGA THERAPY FOR MIGRAINE: A META-ANALYSIS OF RANDOMIZED CONTROLLED STUDIES. INTRODUCTION: THE EFFICACY OF YOGA THERAPY FOR MIGRAINE REMAINS CONTROVERSIAL. WE CONDUCT THIS META-ANALYSIS TO EXPLORE THE INFLUENCE OF YOGA THERAPY ON THE TREATMENT EFFICACY OF MIGRAINE. METHODS: WE HAVE SEARCHED PUBMED, EMBASE, WEB OF SCIENCE, EBSCO AND COCHRANE LIBRARY DATABASES THROUGH FEBRUARY 2021, AND INCLUDED RANDOMIZED CONTROLLED TRIALS (RCTS) ASSESSING THE EFFICACY OF YOGA THERAPY FOR MIGRAINE ATTACK. RESULTS: FIVE RCTS INVOLVING 356 PATIENTS WERE INCLUDED IN THE META-ANALYSIS. OVERALL, COMPARED WITH CONTROL GROUP FOR MIGRAINE, YOGA THERAPY WAS ASSOCIATED WITH SUBSTANTIALLY REDUCED HEADACHE FREQUENCY HEADACHE FREQUENCY (SMD = -1.43; 95% CI = -2.23 TO -0.64; P = 0.0004) AND HIT-6 SCORE (SMD = -2.19; 95% CI = -4.09 TO -0.28; P = 0.02), BUT REVEALED NO OBVIOUS INFLUENCE ON PAIN INTENSITY (SMD = -1.37; 95% CI = -2.76 TO 0.01; P = 0.05) OR MCGILL PAIN QUESTIONNAIRE (SMD = -2.09; 95% CI = -6.39 TO 2.22; P = 0.34). CONCLUSIONS: YOGA THERAPY MAY BENEFIT TO REDUCE THE HEADACHE FREQUENCY OF MIGRAINE PATIENTS. 2022 11 2599 36 YOGA FOR OSTEOARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS. PURPOSE OF REVIEW: THIS STUDY AIMS TO SYSTEMATICALLY REVIEW AND SUMMARISE THE EFFICACY AND SAFETY OF YOGA FOR OSTEOARTHRITIS. MEDLINE (THROUGH PUBMED), SCOPUS, AND THE COCHRANE LIBRARY WERE SEARCHED THROUGH APRIL 2018 FOR RANDOMISED CONTROLLED TRIALS OF YOGA FOR OSTEOARTHRITIS. PRIMARY OUTCOMES WERE PAIN INTENSITY, FUNCTION, AND QUALITY OF LIFE; SECONDARY OUTCOMES WERE MENTAL HEALTH AND SAFETY. RISK OF BIAS WAS ASSESSED USING THE COCHRANE TOOL AND QUALITY OF EVIDENCE THROUGH GRADE. RECENT FINDINGS: NINE TRIALS INCLUDING 640 INDIVIDUALS WITH MAINLY LOWER EXTREMITY OSTEOARTHRITIS AGED 50-80 YEARS WERE IDENTIFIED, WITH 80.3% FEMALE PARTICIPANTS (MEDIAN). META-ANALYSES REVEALED VERY LOW-QUALITY EVIDENCE FOR THE EFFECTS OF YOGA ON PAIN (VS. EXERCISE: STANDARDISED MEAN DIFFERENCE (SMD) = - 1.07; 95%CI - 1.92, - 0.21; P = 0.01; VS. NON-EXERCISE: SMD = - 0.75; 95%CI - 1.18, - 0.31; P < 0.001), PHYSICAL FUNCTION (VS. EXERCISE: SMD = 0.80; 95%CI 0.36; 1.24; P < 0.001; VS. NON-EXERCISE: SMD = 0.60; 95%CI 0.30, 0.98; P < 0.001), AND STIFFNESS (VS. EXERCISE: SMD = - 0.92; 95%CI - 1.69, - 0.14; P = 0.008; VS. NON-EXERCISE: SMD = - 0.76; 95%CI - 1.26, - 0.26; P = 0.003) IN INDIVIDUALS WITH KNEE OSTEOARTHRITIS. EFFECTS WERE NOT ROBUST AGAINST POTENTIAL METHODOLOGICAL BIAS. NO EFFECTS WERE FOUND FOR QUALITY OF LIFE, AND DEPRESSION, OR FOR HAND OSTEOARTHRITIS. SAFETY WAS RARELY REPORTED. THE FINDINGS OF THIS META-ANALYSIS INDICATE THAT YOGA MAY BE EFFECTIVE FOR IMPROVING PAIN, FUNCTION, AND STIFFNESS IN INDIVIDUALS WITH OSTEOARTHRITIS OF THE KNEE, COMPARED TO EXERCISE AND NON-EXERCISE CONTROL GROUPS. DUE TO THE LOW METHODOLOGICAL QUALITY AND POTENTIAL RISK OF BIAS, ONLY A WEAK RECOMMENDATION CAN BE MADE AT THIS TIME FOR THE USE OF YOGA IN ADULTS WITH OSTEOARTHRITIS OF THE KNEE. 2019 12 185 32 A RANDOMIZED CONTROLLED TRIAL TO STUDY THE EFFECT OF YOGA THERAPY ON CARDIAC FUNCTION AND N TERMINAL PRO BNP IN HEART FAILURE. AIMS: THE PURPOSE OF THIS STUDY WAS TO EVALUATE WHETHER YOGA TRAINING IN ADDITION TO STANDARD MEDICAL THERAPY CAN IMPROVE CARDIAC FUNCTION AND REDUCE N TERMINAL PRO B-TYPE NATRIURETIC PEPTIDE (NT PRO BNP) IN HEART FAILURE (HF). METHODS: 130 PATIENTS WERE RECRUITED AND RANDOMIZED INTO TWO GROUPS: CONTROL GROUP (CG) (N = 65), YOGA GROUP (YG). IN YG, 44 PATIENTS AND IN CG, 48 PATIENTS COMPLETED THE STUDY. CARDIAC FUNCTION USING LEFT VENTRICULAR EJECTION FRACTION (LVEF), MYOCARDIAL PERFORMANCE INDEX (TEI INDEX), AND NT PRO BNP, A BIOMARKER OF HF, WAS ASSESSED AT BASELINE AND AFTER 12 WEEKS. RESULT: IMPROVEMENT IN LVEF, TEI INDEX, AND NT PRO BNP WERE STATISTICALLY SIGNIFICANT IN BOTH THE GROUPS. FURTHERMORE, WHEN THE CHANGES IN BEFORE AND AFTER 12 WEEKS WERE IN PERCENTAGE, LVEF INCREASED 36.88% IN THE YG AND 16.9% IN THE CG, TEI INDEX WAS REDUCED 27.87% IN THE YG AND 2.79% IN THE CG, NT PRO BNP WAS REDUCED 63.75% IN THE YG AND 10.77% IN THE CG. THE BETWEEN GROUP COMPARISONS FROM PRE TO POST 12 WEEKS WERE SIGNIFICANT FOR YG IMPROVEMENTS (LVEF, P < 0.01, TEI INDEX, P < 0.01, NT PRO BNP, P < 0.01). CONCLUSION: THESE RESULTS INDICATE THAT THE ADDITION OF YOGA THERAPY TO STANDARD MEDICAL THERAPY FOR HF PATIENTS HAS A MARKEDLY BETTER EFFECT ON CARDIAC FUNCTION AND REDUCED MYOCARDIAL STRESS MEASURED USING NT PRO BNP IN PATIENTS WITH STABLE HF. 2014 13 456 45 CHANGES IN NONMOTOR SYMPTOMS FOLLOWING AN 8-WEEK YOGA INTERVENTION FOR PEOPLE WITH PARKINSON'S DISEASE. PARKINSON'S DISEASE (PD) IS A NEURODEGENERATIVE DISORDER MARKED BY PROGRESSIVE DEGENERATIVE MOTOR SYMPTOMS (E.G., TREMORS, IMPAIRED BALANCE AND GAIT) AND NONMOTOR SYMPTOMS (E.G., FATIGUE, SLEEP DISTURBANCES, PAIN) THAT CAN NEGATIVELY INFLUENCE HEALTH-RELATED QUALITY OF LIFE (HRQOL). PREVIOUS STUDIES HAVE SHOWN THAT YOGA FOR INDIVIDUALS WITH PD IMPROVES BALANCE, STRENGTH, AND MOBILITY. HOWEVER, LITTLE RESEARCH HAS BEEN CONDUCTED TO DETERMINE THE EFFECT OF YOGA ON NONMOTOR SYMPTOMS OF PD. THE PURPOSE OF THIS STUDY WAS TO EXAMINE CHANGES IN NONMOTOR SYMPTOMS AMONG INDIVIDUALS WITH PD FOLLOWING AN 8-WEEK YOGA INTERVENTION. DATA USED FOR ANALYSES WERE PART OF A LARGER STUDY THAT RESEARCHED IMPROVEMENTS IN MOTOR FUNCTION FOR INDIVIDUALS WITH PD. PARTICIPANTS (N = 27) WERE RANDOMLY ASSIGNED TO EXPERIMENTAL (N = 15) AND CONTROL (N = 12) GROUPS AND COMPLETED PRE- AND POSTINTERVENTION QUANTITATIVE MEASURES. WITHIN-GROUP IMPROVEMENTS WERE STATISTICALLY SIGNIFICANT FOR FATIGUE MEASURED BY THE PARKINSON'S FATIGUE SCALE, BALANCE CONFIDENCE MEASURED BY THE ACTIVITIES BALANCE CONFIDENCE SCALE, THE BELIEF IN ONE'S ABILITY TO MANAGE FALLS MEASURED BY THE FALLS MANAGEMENT SCALE, ACTIVITY CONSTRAINTS MEASURED BY THE ACTIVITIES CONSTRAINT QUESTIONNAIRE, AND PD-SPECIFIC QUALITY OF LIFE MEASURED BY THE PARKINSON'S DISEASE QUESTIONNAIRE-8. ACROSS-GROUP CHANGES WERE STATISTICALLY SIGNIFICANT FOR ACTIVITY CONSTRAINTS. FINDINGS INDICATE YOGA MAY BE AN EFFICACIOUS INTERVENTION FOR IMPROVING NONMOTOR SYMPTOMS AS WELL AS HRQOL FOR INDIVIDUALS WITH PD. 2019 14 637 26 DO 12-WEEK YOGA PROGRAM INFLUENCE RESPIRATORY FUNCTION OF ELDERLY WOMEN? AGING PRODUCES SEVERAL RESPIRATORY LIMITATIONS AND REDUCES TOLERANCE TO PHYSICAL EFFORTS, SOMETIMES LEADING TO PULMONARY DISEASES IN THE ELDERLY. THE LITERATURE DRAWS ATTENTION TO THE POSSIBLE BENEFITS OF YOGA PRACTICE AMONG THE ELDERLY, PRESENTING EVIDENCE FOR SIGNIFICANT IMPROVEMENTS IN QUALITY OF LIFE. IT WAS HYPOTHESIZED THAT YOGA PRACTICE CAN IMPROVE RESPIRATORY FUNCTION IN THE ELDERLY. THE EFFECTS OF A YOGA PROGRAM ON PULMONARY VOLUMES AND RESPIRATORY MUSCLE STRENGTH WERE VERIFIED IN 36 ELDERLY WOMEN DIVIDED INTO A YOGA GROUP [YG] (63.1 +/- 13.3 YEARS OF AGE) AND A CONTROL GROUP (61.0 +/- 6.9 YEARS OF AGE). MAXIMAL INSPIRATORY AND EXPIRATORY PRESSURE (MIP AND MEP) WERE ASSESSED BY A MANOVACUOMETER AND TIDAL VOLUME (VT), VITAL CAPACITY (VC) AND MINUTE VENTILATION (VE) WERE MEASURED BY A VENTILOMETER. THE PROGRAM COMPRISED 65 MIN SESSIONS, 3 TIMES/WEEK DURING 12 WEEKS. THE HEART RATE AND RESPIRATORY RATE DECREASED SIGNIFICANTLY IN THE YG (76-39 +/- 8-03 VS. 74-61+/-10.26 BPM AND 18.61 +/- 3.15 VS. 16.72 +/- 3.12 RESP/MIN, RESPECTIVELY). IN THE YG, VT AND VE INCREASED SIGNIFICANTLY (0.55 +/- 0.22 VS. 0.64 +/- 0.2 ML AND 9.19 +/- 2.39 VS. 10.05 +/- 2.11 ML, RESPECTIVELY), AS WELL AS VC (1.48 +/- 0.45 VS. 2.03 +/- 0.72 ML). IMPROVEMENTS WERE ALSO FOUND IN MIP AND MEP IN THE YG (62.17 +/- 14.77 VS. 73.06 +/- 20.16 CMH2O AND 80.56 +/- 23.94 VS. 86.39 +/- 20.16 CMH2O, RESPECTIVELY). IT WAS CONCLUDED THAT A 12-WEEK YOGA PROGRAM SIGNIFICANTLY IMPROVES PULMONARY FUNCTION OF AGED WOMEN. 2014 15 2040 33 THAI YOGA IMPROVES PHYSICAL FUNCTION AND WELL-BEING IN OLDER ADULTS: A RANDOMISED CONTROLLED TRIAL. OBJECTIVES: COMPARE TWO 12-WEEK LOW-INTENSITY EXERCISE REGIMENS ON COMPONENTS OF PHYSICAL FUNCTION AND QUALITY OF LIFE IN COMMUNITY-DWELLING HEALTHY YET SEDENTARY ADULTS AGED OVER 60. DESIGN: THIS STUDY USED A RANDOMISED, MULTI-ARM, CONTROLLED TRIAL DESIGN. METHODS: THIRTY-NINE SEDENTARY PARTICIPANTS (29 WOMEN), AGED 67.7+/-6.7 YEARS WERE RANDOMLY ALLOCATED TO EITHER A 12-WEEK THAI YOGA (TY) OR TAI CHI (TC) FOR 90MIN TWICE PER WEEK, OR TELEPHONE COUNSELLING CONTROL (C). A SENIOR FITNESS TEST (CHAIR-STAND, ARM-CURL, SIT-&-REACH, BACK-SCRATCH, 8-FOOT UP-&-GO AND 6-MIN WALK) AND SHORT-FORM 36 HEALTH SURVEY, CENTRE FOR EPIDEMIOLOGICAL STUDIES OF DEPRESSION, PHYSICAL ACTIVITY SCALE FOR THE ELDERLY AND THE PHYSICAL ACTIVITY ENJOYMENT SCALE WERE ASSESSED AT BASELINE, SIX, 12 WEEKS, AND THREE MONTHS AFTER THE COMPLETION OF THE REGIMEN. RESULTS: AFTER 12 WEEKS, CHAIR-STAND (MEAN DIFFERENCE, 2.69; 95% CI, 0.97-4.41; P<0.001), ARM-CURL (2.23; 95% CI, 0.06-4.52; P=0.009), SIT-&-REACH (1.25; 95% CI, 0.03-2.53; P=0.013), BACK-SCRATCH (2.00; 95% CI, 0.44-3.56; P=0.005), 8-FOOT UP-&-GO (-0.43; 95% CI, -0.85 TO 0.01; P=0.013), 6-MIN WALK (57.5; 95% CI, 20.93-94.07; P<0.001), VITALITY (13.27; 95% CI, 2.88-23.66; P=0.050) AND ENJOYMENT (7.96; 95% CI, 3.70-12.23; P=0.001) SIGNIFICANTLY IMPROVED IN TY COMPARED TO C, HOWEVER NO CHANGE WAS OBSERVED IN TC COMPARED TO C. TY IMPROVED IN CHAIR-STAND (2.31; 95% CI, 0.59-4.03; P=0.007), SIT-&-REACH (1.38; 95% CI, 0.10-2.66; P=0.007), 6-MIN WALK (32.31; 95% CI, -4.26-68.88; P=0.015), VITALITY (12.88; 95% CI, 2.50-23.27; P=0.040) AND ENJOYMENT (5.65; 95% CI, 1.39-9.92; P=0.010) COMPARED TO TC AFTER 12 WEEKS. CONCLUSIONS: THE FINDINGS SUGGEST THAT OLDER ADULTS CAN MAKE SIGNIFICANT IMPROVEMENTS IN THEIR HEALTH AND WELL-BEING BY ENGAGING IN LOW INTENSITY THAI YOGA EXERCISE. 2017 16 1078 26 EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH IN OLDER ADULTS. BACKGROUND: THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFECT OF A YOGA INTERVENTION ON PSYCHOLOGICAL HEALTH IN OLDER ADULTS. METHOD: A RANDOMIZED CONTROLLED TRIAL STUDY, CONDUCTED AT 2 NORTH FLORIDA FACILITIES FOR OLDER ADULTS. SUBJECTS WERE 98 OLDER ADULTS, AGES 65 TO 92. PARTICIPANTS WERE RANDOMLY ASSIGNED TO CHAIR YOGA, CHAIR EXERCISE, AND CONTROL GROUPS AND ASSESSED PREINTERVENTION, POSTINTERVENTION, AND 1-MONTH FOLLOW-UP ON THE STATE ANGER EXPRESSION INVENTORY, STATE ANXIETY INVENTORY, GERIATRIC DEPRESSION SCALE, LAWTON'S PGC MORALE SCALE, GENERAL SELF-EFFICACY SCALE, CHRONIC DISEASE SELF-EFFICACY SCALES, AND SELF- CONTROL SCHEDULE. RESULTS: YOGA PARTICIPANTS IMPROVED MORE THAN BOTH EXERCISE AND CONTROL PARTICIPANTS IN ANGER (COHEN'S D = 0.89 FOR YOGA VERSUS EXERCISE, AND 0.90 FOR YOGA VERSUS CONTROL, PRETEST TO POSTTEST; AND D = 0.90 AND 0.72, PRETEST TO FOLLOW-UP), ANXIETY (D = 0.27, 0.39 AND 0.62, 0.63), DEPRESSION (D = 0.47, 0.49 AND 0.53, 0.51), WELL-BEING (D = 0.14, 0.49 AND 0.25, 0.61), GENERAL SELF-EFFICACY (D = 0.63, 1.10 AND 0.30, 0.85), AND SELF-EFFICACY FOR DAILY LIVING (D = 0.52, 0.81 AND 0.27, 0.42). CHANGES IN SELF-CONTROL MODERATED CHANGES IN PSYCHOLOGICAL HEALTH. CONCLUSIONS: OVER A 6-WEEK PERIOD, OUR FINDINGS INDICATE YOGA'S POTENTIAL FOR IMPROVING PSYCHOLOGICAL HEALTH IN OLDER ADULTS. 2014 17 1264 27 FLEXIBILITY, FUNCTIONAL AUTONOMY AND QUALITY OF LIFE (QOL) IN ELDERLY YOGA PRACTITIONERS. THE AIM OF THIS STUDY WAS TO ASSESS THE LEVELS OF FLEXIBILITY, FUNCTIONAL AUTONOMY AND QOL IN ELDERLY YOGA PRACTITIONERS. THE SUBJECTS WERE DIVIDED INTO A YOGA GROUP (YG; N = 52; AGE = 66.79 +/- 3.30 YEARS; BMI = 24.77 +/- 3.18) AND CONTROL GROUP (CG; N = 31; AGE = 69.33 +/- 4.84 YEARS; BMI = 24.32 +/- 3.71) AND SUBMITTED TO FLEXIBILITY TESTS THROUGH GONIOMETRY, THE LADEG AUTONOMY PROTOCOL AND QOL, USING THE WHOQOL-OLD QUESTIONNAIRE. REPEATED MEASURES ANOVA SHOWED INCREASES IN ARTICULAR RANGE OF MOTION IN SHOULDER ABDUCTION (DELTA%SA = 14.11%; P = 0.0001), HORIZONTAL SHOULDER EXTENSION (DELTA%HSE = 33.90%; P = 0.0001), LUMBAR SPINE FLEXION (DELTA%LSF = 50.74%; P = 0.0001), HIP FLEXION (DELTA%HF = 35.75%; P = 0.0001), HIP EXTENSION (DELTA%HE = 10.93%; P = 0.021) AND KNEE FLEXION (DELTA%KF = 3.90%; P = 0.001) AND IN THE GDLAM AUTONOMY INDEX (DELTA%AI = -13.67%; P = 0.0001) IN THE YG COMPARED TO THE CG. THE MANN-WHITNEY TEST REVEALED INCREASES IN QOL SCORES IN FACET 1 (DELTA%FAC1 = 9.04%; P=0.043), FACET 5 (DELTA%FAC5 = 51.06%; P = 0.0001) AND IN OVERALL QOL (DELTA%OQOL = 8.13%; P = 0.046) IN THE YG COMPARED TO THE CG. THE REMAINING VARIABLES SHOWED NO SIGNIFICANT INTERGROUP MODIFICATIONS. THUS, THE STUDY SUGGESTS THAT THE REGULAR PRACTICE OF YOGA MAY LEAD TO IMPROVED RANGE OF MOTION IN THE PERFORMANCE OF ACTIVITIES OF DAILY LIVING IN ELDERLY WOMEN. 2011 18 2154 32 THE EFFECTS OF THAI YOGA ON PHYSICAL FITNESS: A META-ANALYSIS OF RANDOMIZED CONTROL TRIALS. OBJECTIVES: THAI YOGA IS A TRADITIONAL THAI EXERCISE USED FOR IMPROVING HEALTH-RELATED PHYSICAL FITNESS. MANY STUDIES HAVE EVALUATED THESE EFFECTS, BUT THEIR RESULTS REMAIN INCONCLUSIVE. THIS META-ANALYSIS AIMED TO EXAMINE THE EFFECTIVENESS OF THAI YOGA ON PHYSICAL FITNESS. DESIGN/METHODS: PUBMED, EMBASE, CINAHL, COCHRANE LIBRARY, THAI LIBRARY INTEGRATED SYSTEM (THAILIS), PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO), NATIONAL REHABILITATION INFORMATION CENTER (REHABDATA), SCOPUS, WEB OF SCIENCE, THAI UNIVERSITY LIBRARY DATABASES/JOURNALS, AND THAI PHYSICAL THERAPY DATABASE UP TO MARCH 2016 WERE SEARCHED FOR RANDOMIZED CONTROLLED TRIALS (RCTS) EXAMINING THE EFFECT OF THAI YOGA EXERCISE COMPARED WITH NORMAL DAILY ACTIVITIES AS CONTROLS, IN ANY LANGUAGE. THE WEIGHTED MEAN DIFFERENCE (WMD) AND 95% CONFIDENCE INTERVALS (95% CI) WERE PERFORMED USING THE RANDOM-EFFECTS MODEL. RESULTS: SEVEN RCTS MET THE INCLUSION CRITERIA. THAI YOGA TRAINING SIGNIFICANTLY IMPROVED BODY FLEXIBILITY BY 3.9 CM AFTER 4 WEEKS [95% CI = 3.9-4.0; P < 0.001: NO HETEROGENEITY CHI(2) = 0.66, D.F.2, P = 0.7; I(2) 0.00%] AND 8.9 CM AFTER 8 WEEKS [95% CI = 7.4-10.5; P < 0.001: NO HETEROGENEITY CHI(2) = 0.16, D.F.2, P = 0.9; I(2) 0.00%] COMPARED TO CONTROLS. IT ALSO SIGNIFICANTLY INCREASED RANGE OF MOTION (ROM) OF RIGHT SHOULDER EXTENSION BY 1.5 DEGREES AT WEEK 8, COMPARED TO CONTROLS [95% CI = 0.12-2.81; P = 0.03; LOW HETEROGENEITY CHI(2) = 1.61, D.F.1, P = 0.2; I(2) 37.9%]. GREATER ROM FOR RIGHT SHOULDER ABDUCTION WAS OBSERVED AFTER 12 WEEKS COMPARED TO CONTROLS [22.2 DEGREES (95% CI = 20-24; P < 0.001): NO HETEROGENEITY CHI(2) = 0.29, D.F.1, P = 0.6; I(2) 0.00%]. CONCLUSIONS: THAI YOGA EXERCISES APPEARED USEFUL, IN PARTICULAR, ON BODY AND RIGHT SHOULDER JOINT FLEXIBILITY. REGULAR STRETCHING EXERCISE OF THAI YOGA AND/OR IN COMBINATION WITH EXERCISES COULD PROMOTE HEALTH-RELATED PHYSICAL FITNESS. 2018 19 2143 38 THE EFFECTS OF M2M AND ADAPTED YOGA ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN PEOPLE WITH MULTIPLE SCLEROSIS. OBJECTIVE: TO INVESTIGATE THE EFFECTS OF TWO 12-WEEK EXERCISE TRAINING INTERVENTIONS, MOVEMENT-TO-MUSIC (M2M) AND ADAPTED YOGA (AY), ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN PEOPLE WITH MULTIPLE SCLEROSIS (MS). DESIGN: THREE-ARM RANDOMIZED CONTROLLED PROOF-OF-CONCEPT TRIAL. SETTING: A COMMUNITY-BASED FITNESS FACILITY. PARTICIPANTS: PARTICIPANTS (N=81) WITH MS (PATIENT DETERMINED DISEASE STEPS [PDDS] SELF-REPORTED DISEASE STATUS SCORES: 0-6) BETWEEN AGES OF 18 AND 65 YEARS WERE RANDOMIZED TO M2M (N=27), AY (N=26), OR WAITLIST CONTROL (N=28). INTERVENTIONS: BOTH M2M AND AY COMPLETED THREE 60-MINUTE EXERCISE SESSIONS PER WEEK FOR 12 WEEKS. WAITLIST CONTROLS RECEIVED BIWEEKLY NEWSLETTERS VIA MAIL THAT CONTAINED EDUCATIONAL INFORMATION ON LIVING WITH MS. MAIN OUTCOME MEASURES: PRIMARY MEASURES WERE TIMED UP AND GO (TUG, S) TEST, 6-MINUTE WALK TEST (6MWT, M), AND 5 TIMES SIT-TO-STAND TEST (FTSST, S). SECONDARY MEASURES WERE SELF-REPORTED OUTCOMES ASSESSED USING PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM FATIGUE AND PAIN INTERFERENCE SHORT FORM 8A. PARTICIPANTS WERE EVALUATED AT BASELINE AND POSTINTERVENTION. PRIMARY ANALYSES WERE PERFORMED USING AN INTENT-TO-TREAT MIXED MODEL ANALYSIS OF COVARIANCE. RESULTS: COMPARISONS ACROSS ALL 3 GROUPS REVEALED SIGNIFICANT GROUP DIFFERENCES IN TUG AND 6MWT. POST HOC ANALYSES INDICATED SIGNIFICANT IMPROVEMENTS IN TUG (LEAST SQUARE MEAN DIFFERENCE [95% CONFIDENCE INTERVAL] = -1.9S [-3.3 TO -0.5], P=.01, D=0.7) AND 6MWT (41.0M [2.2-80.0], P=.04, D=0.6; CONTROLLED FOR PDDS) IN M2M COMPARED TO CONTROLS, WHILE NO SIGNIFICANT DIFFERENCES WERE OBSERVED WHEN COMPARED AY TO CONTROLS. NO SIGNIFICANT GROUP DIFFERENCES WERE FOUND IN FTSST, FATIGUE, AND PAIN INTERFERENCE. CONCLUSIONS: M2M MAY BE A USEFUL AND ENJOYABLE EXERCISE FORM FOR PEOPLE WITH MS IN IMPROVING MOBILITY AND WALKING ENDURANCE AND MERITS LONG-TERM STUDY IN LARGER STUDY POPULATIONS. 2019 20 2544 30 YOGA FOR ASTHMA: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: ALTHOUGH YOGA IS FREQUENTLY USED BY PATIENTS WITH ASTHMA, ITS EFFICACY IN ALLEVIATING ASTHMA REMAINS UNCLEAR. OBJECTIVE: TO SYSTEMATICALLY ASSESS AND META-ANALYZE THE AVAILABLE DATA ON EFFICACY AND SAFETY OF YOGA IN ALLEVIATING ASTHMA. METHODS: MEDLINE/PUBMED, SCOPUS, THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS, PSYCINFO, CAM-QUEST, CAMBASE, AND INDMED WERE SEARCHED THROUGH JANUARY 2014. RANDOMIZED CONTROLLED TRIALS OF YOGA FOR PATIENTS WITH ASTHMA WERE INCLUDED IF THEY ASSESSED ASTHMA CONTROL, SYMPTOMS, QUALITY OF LIFE, AND/OR PULMONARY FUNCTION. FOR EACH OUTCOME, STANDARDIZED MEAN DIFFERENCES (SMDS) OR RISK RATIOS (RRS) AND 95% CONFIDENCE INTERVALS (CIS) WERE CALCULATED. RISK OF BIAS WAS ASSESSED USING THE COCHRANE TOOL. RESULTS: FOURTEEN RANDOMIZED CONTROLLED TRIALS WITH 824 PATIENTS WERE INCLUDED. EVIDENCE FOR EFFECTS OF YOGA COMPARED WITH USUAL CARE WAS FOUND FOR ASTHMA CONTROL (RR, 10.64; 95% CI, 1.98 TO 57.19; P = .006), ASTHMA SYMPTOMS (SMD, -0.37; 95% CI, -0.55 TO -0.19; P < .001), QUALITY OF LIFE (SMD, 0.86; 95% CI, 0.39 TO 1.33; P < .001), PEAK EXPIRATORY FLOW RATE (SMD, 0.49; 95% CI, 0.32 TO 0.67; P < .001), AND RATIO OF FORCED EXPIRATORY VOLUME IN 1 SECOND TO FORCED VITAL CAPACITY (SMD, 0.50; 95% CI, 0.24 TO 0.75; P < .001); EVIDENCE FOR EFFECTS OF YOGA COMPARED WITH PSYCHOLOGICAL INTERVENTIONS WAS FOUND FOR QUALITY OF LIFE (SMD, 0.61; 95% CI, 0.22 TO 0.99; P = .002) AND PEAK EXPIRATORY FLOW RATE (SMD, 2.87; 95% CI, 0.14 TO 5.60; P = .04). NO EVIDENCE FOR EFFECTS OF YOGA COMPARED WITH SHAM YOGA OR BREATHING EXERCISES WAS REVEALED. NO EFFECT WAS ROBUST AGAINST ALL POTENTIAL SOURCES OF BIAS. YOGA WAS NOT ASSOCIATED WITH SERIOUS ADVERSE EVENTS. CONCLUSION: YOGA CANNOT BE CONSIDERED A ROUTINE INTERVENTION FOR ASTHMATIC PATIENTS AT THIS POINT. IT CAN BE CONSIDERED AN ANCILLARY INTERVENTION OR AN ALTERNATIVE TO BREATHING EXERCISES FOR ASTHMA PATIENTS INTERESTED IN COMPLEMENTARY INTERVENTIONS. 2014