1 1524 138 ISOMETRIC YOGA-LIKE MANEUVERS IMPROVE ADOLESCENT IDIOPATHIC SCOLIOSIS-A NONRANDOMIZED CONTROL TRIAL. OBJECTIVE: ASSESS THERAPEUTIC VALUE OF SPECIFIC YOGA POSES FOR THORACIC AND LUMBAR ADOLESCENT IDIOPATHIC SCOLIOSIS (AIS) TAUGHT IN OFFICE OR INTERNET. STUDY DESIGN: NONRANDOMIZED CONTROL TRIAL: FIFTY-SIX ADOLESCENTS (MEAN AGE 14.0 YEARS; MEAN RISSER 3.0) WERE RECRUITED FROM OUR CLINIC; 41 DID THE SIDE-PLANK, THE HALF-MOON AND ELEVATED SIDE PLANK POSES AS APPROPRIATE (TREATMENT GROUP) AND 15 DID NOT (CONTROLS). THIRTY CURVES WERE TREATED IN OFFICE, 30 VIA INTERNET. CURVE CHANGE WAS EVALUATED BY BLINDED SERIAL COBB ANGLES, AND ANALYZED USING MANN-WHITNEY U, PAIRED T-TESTS AND CHI(2). RESULTS: MEAN LUMBAR AND THORACOLUMBAR COBB ANGLE CHANGE WAS -9.2 (95% CI = -11.8, -6.6) IN THE TREATMENT GROUP AND 5.4 (95% CI = 1.7, 9.0) IN CONTROLS. BOTH TREATMENT GROUP IMPROVEMENT AND DETERIORATION IN CONTROLS WERE SIGNIFICANT (TREATMENT GROUP: PAIRED T-TEST T = -7.1, DF = 40, P = .000; CONTROLS: T = 3.2, DF = 12, P = .008). MEAN THORACIC COBB ANGLE CHANGE WAS -7.1 (95% CI = -13.1, -1.2) IN THE TREATMENT GROUP AND 9.3 (95% CI = 4.5, 14.6) IN CONTROLS. BOTH CHANGES WERE SIGNIFICANT (PAIRED T-TEST T = -3.3, DF = 21, P = .022 FOR TREATMENT GROUP; T = 4.5, DF = 5, P = .006 FOR CONTROLS). NINE INTERNET PATIENTS WERE NON-COMPLIANT VS. 6 OFFICE PATIENTS. OFFICE PATIENTS IMPROVED 1.6 DEGREES/MONTH OR 5.5%/MONTH; INTERNET PATIENTS IMPROVED .72 DEGREES/MONTH OR 3.3%/MONTH. CONCLUSION: THESE YOGA POSES SHOW PROMISE FOR REVERSING ADOLESCENT IDIOPATHIC SCOLIOSIS. TELEMEDICINE HAD GREATER NON-COMPLIANCE AND LOWER EFFICACY BUT STILL PRODUCED PATIENT IMPROVEMENT. 2021
2 1965 37 SERIAL CASE REPORTING YOGA FOR IDIOPATHIC AND DEGENERATIVE SCOLIOSIS. BACKGROUND: NON-SURGICAL TECHNIQUES FOR TREATING SCOLIOSIS FREQUENTLY FOCUS ON REALIGNING THE SPINE, TYPICALLY BY MUSCULAR RELAXATION OR MUSCULAR OR LIGAMENTOUS STRETCHING. HOWEVER, SUCH TREATMENTS, WHICH INCLUDE PHYSICAL THERAPEUTIC, CHIROPRACTIC, AND BRACING TECHNIQUES, ARE INCONSISTENTLY SUPPORTED BY CURRENT EVIDENCE. IN THIS STUDY, WE ASSESS THE POSSIBLE BENEFITS OF ASYMMETRICAL STRENGTHENING OF TRUNCAL MUSCLES ON THE CONVEX SIDE OF THE SCOLIOTIC CURVE THROUGH A SINGLE YOGA POSE, THE SIDE PLANK POSE, IN IDIOPATHIC AND DEGENERATIVE SCOLIOSIS. METHODS: TWENTY-FIVE PATIENTS WITH IDIOPATHIC OR DEGENERATIVE SCOLIOSIS AND PRIMARY CURVES MEASURING 6 TO 120 DEGREES BY THE COBB METHOD HAD SPINAL RADIOGRAPHS AND WERE THEN TAUGHT THE SIDE PLANK POSE. AFTER 1 WEEK PERFORMING THE POSE WITH CONVEXITY DOWNWARD FOR 10 TO 20 SECONDS, THEY WERE INSTRUCTED TO MAINTAIN THE POSTURE ONCE DAILY FOR AS LONG AS POSSIBLE ON THAT ONE SIDE ONLY. A SECOND SERIES OF SPINAL RADIOGRAPHS WAS TAKEN 3 TO 22 MONTHS LATER. PRE- AND POST-YOGA COBB MEASUREMENTS WERE COMPARED. RESULTS: THE MEAN SELF-REPORTED PRACTICE OF THE YOGA POSE WAS 1.5 MINUTES PER DAY, 6.1 DAYS PER WEEK, FOR A MEAN FOLLOW-UP PERIOD OF 6.8 MONTHS. AMONG ALL PATIENTS, A SIGNIFICANT IMPROVEMENT IN THE COBB ANGLE OF THE PRIMARY SCOLIOTIC CURVE OF 32.0% WAS FOUND. AMONG 19 COMPLIANT PATIENTS, THE MEAN IMPROVEMENT ROSE TO 40.9%. IMPROVEMENTS DID NOT DIFFER SIGNIFICANTLY AMONG ADOLESCENT IDIOPATHIC AND DEGENERATIVE SUBTYPES (49.6% AND 38.4%, RESPECTIVELY). CONCLUSIONS: ASYMMETRICALLY STRENGTHENING THE CONVEX SIDE OF THE PRIMARY CURVE WITH DAILY PRACTICE OF THE SIDE PLANK POSE HELD FOR AS LONG AS POSSIBLE FOR AN AVERAGE OF 6.8 MONTHS SIGNIFICANTLY REDUCED THE ANGLE OF PRIMARY SCOLIOTIC CURVES. THESE RESULTS WARRANT FURTHER TESTING. 2014
3 1990 28 SPINAL CURVATURES OF YOGA PRACTITIONERS COMPARED TO CONTROL PARTICIPANTS-A CROSS-SECTIONAL STUDY. PURPOSE: THE ANGLES OF THORACIC KYPHOSIS AND LUMBAR LORDOSIS DETERMINE THE SPINAL ALIGNMENT IN THE SAGITTAL PLANE. THE AIM OF THIS STUDY WAS TO COMPARE THE THORACIC KYPHOSIS AND LUMBAR LORDOSIS OF MALE AND FEMALE YOGA PRACTITIONERS WITH NON-PRACTICING PARTICIPANTS AND TO DETERMINE THE POSSIBLE DEPENDENCIES BETWEEN SAGITTAL SPINAL CURVATURES AND SOMATIC PARAMETERS, TIME SPENT ON YOGA EXERCISE, AND UNDERTAKING OTHER PHYSICAL ACTIVITIES IN YOGA PRACTITIONERS. METHODS: THE STUDY INVOLVED 576 WOMEN AND 91 MEN AGES 18-68 YEARS (MEAN = 38.5 +/- 9) WHO WERE PRACTICING YOGA, AND 402 WOMEN AND 176 MEN AGES 18-30 YEARS (MEAN = 20.2 +/- 1.3) AS A CONTROL GROUP. THE ANGLES OF THORACIC KYPHOSIS AND LUMBAR LORDOSIS WERE MEASURED USING A PLURIMETER-V GRAVITY INCLINOMETER. RESULTS: THE TWO-WAY ANOVA DEMONSTRATED THE INFLUENCE OF GROUP (P < .0001) AND SEX (P = .03) ON THE ANGLE OF THORACIC KYPHOSIS, AS WELL AS THE INFLUENCE OF GROUP (P < .0001) AND SEX (P < .0001) ON THE ANGLE OF LUMBAR LORDOSIS. IT WAS NOTED THAT YOGA PRACTITIONERS HAD LESS PRONOUNCED THORACIC KYPHOSIS AND LUMBAR LORDOSIS AND WERE MORE OFTEN CHARACTERIZED BY NORMAL OR SMALLER THORACIC KYPHOSIS AND LUMBAR LORDOSIS THAN STUDENTS FROM THE CONTROL GROUP. IN YOGA PRACTITIONERS, THE ANGLE OF THORACIC KYPHOSIS WAS POSITIVELY CORRELATED WITH AGE, BODY MASS, BMI, AND UNDERTAKING OTHER FORMS OF PHYSICAL ACTIVITY. THE ANGLE OF LUMBAR LORDOSIS WAS NEGATIVELY CORRELATED WITH BODY HEIGHT AND BODY MASS. CONCLUSIONS: THE RESULTS SUGGEST THAT YOGA EXERCISES CAN AFFECT THE SHAPE OF THE ANTERIOR-POSTERIOR CURVES OF THE SPINE AND MAY BE AN EFFICIENT TRAINING METHOD FOR SHAPING PROPER POSTURE IN ADULTS. 2021
4 552 25 CORE MUSCLE FUNCTION DURING SPECIFIC YOGA POSES. OBJECTIVE: TO ASSESS THE POTENTIAL USE OF 11 YOGA POSES IN SPECIFIC TRAINING AND REHABILITATION PROGRAMS VIA EXAMINATION OF THE MUSCLE ACTIVATION PATTERNS IN SELECTED TRUNK AND HIP MUSCLES. DESIGN: REPEATED-MEASURES DESCRIPTIVE STUDY. SETTING: UNIVERSITY LABORATORY, US. PARTICIPANTS: THIRTY HEALTHY YOGA PRACTITIONERS WITH MORE THAN 3 MONTHS YOGA PRACTICE EXPERIENCE (MEAN AGE+/-SD, 32.0+/-12.3 Y; 8 M/22 F) PARTICIPATED. INTERVENTIONS: SURFACE ELECTROMYOGRAPHIC SIGNALS OF UPPER RECTUS ABDOMINIS, LOWER RECTUS ABDOMINIS, LONGISSIMUS THORACIS, EXTERNAL OBLIQUE ABDOMINIS AND GLUTEUS MAXIMUM MUSCLE WERE RECORDED IN 11 YOGA POSES: HALFWAY LIFT, FORWARD FOLD, DOWNWARD FACING DOG, UPWARD FACING DOG, HIGH PLANK, LOW PLANK, CHAIR, MOUNTAIN WITH ARMS DOWN, MOUNTAIN WITH ARMS UP, WARRIOR 1 (BOTH SIDES). MAIN OUTCOME MEASURES: ROOT MEAN SQUARE VALUES OF EACH MUSCLE DURING EACH POSE, NORMALIZED BY THE MAXIMAL VOLUNTARY CONTRACTION. RESULTS: THERE WERE SIGNIFICANT MAIN EFFECTS OF POSE (P<.001) AND MUSCLE (P<.001), AND A SIGNIFICANT POSEXMUSCLE INTERACTION (P=.001). THE POST HOC ANALYSIS REVEALED UNIQUE PATTERNS FOR THE FIVE MUSCLES OF INTEREST FOR EACH OF THE 11 POSES (P<.024). CONCLUSIONS: VARIATIONS IN CORE MUSCLE FIRING PATTERNS DEPEND ON THE TRUNK AND PELVIC POSITIONS DURING THESE POSES. TRAINING PROGRAMS CAN BE DEVELOPED BY CHOOSING PARTICULAR POSES TO TARGET SPECIFIC CORE MUSCLES FOR ADDRESSING LOW BACK PAIN AND DECLINES IN PERFORMANCE. THE HIGH PLANK, LOW PLANK AND DOWNWARD FACING DOG POSES ARE EFFECTIVE FOR STRENGTHENING EXTERNAL OBLIQUE ABDOMINIS, CHAIR AND WARRIOR 1 POSES FOR TARGETING GLUTEUS MAXIMUM, AND CHAIR AND HALFWAY LIFT POSES FOR STRENGTHENING LONGISSIMUS THORACIS. AND THESE THREE MUSCLES COULD BE STRENGTHENED BY THE UPWARD FACING DOG POSE. 2014
5 2342 13 USE OF YOGA, MEDITATION, AND CHIROPRACTORS AMONG U.S. ADULTS AGED 18 AND OVER. COMPLEMENTARY HEALTH IS THE USE OF HOLISTIC OR UNCONVENTIONAL MEDICINE WITH MAINSTREAM WESTERN MEDICINE FOR HEALTH AND WELLNESS (1,2). PAST RESEARCH HAS IDENTIFIED YOGA, MEDITATION, AND SEEING A CHIROPRACTOR AS SOME OF THE MOST COMMONLY USED APPROACHES (3). THIS REPORT EXAMINES CHANGES OVER TIME IN THE PERCENTAGE OF ADULTS WHO USED YOGA, MEDITATION, AND CHIROPRACTORS IN THE PAST 12 MONTHS, AS WELL AS VARIATION BY SEX, AGE, AND RACE AND HISPANIC ORIGIN. 2018
6 1498 27 INTRAOCULAR PRESSURE CHANGES AND OCULAR BIOMETRY DURING SIRSASANA (HEADSTAND POSTURE) IN YOGA PRACTITIONERS. PURPOSE: TO STUDY THE INTRAOCULAR PRESSURE (IOP) CHANGES IN SIRSASANA (HEADSTAND POSTURE) DONE BY EXPERIENCED YOGA PRACTITIONERS AND CORRELATE THE OCULAR BIOMETRIC PARAMETERS WITH THE IOP CHANGES, AND TO SCREEN FOR THE PREVALENCE OF OCULAR HYPERTENSION IN THIS GROUP OF SUBJECTS. DESIGN: PROSPECTIVE CASE OBSERVATIONAL SERIES. PARTICIPANTS: SEVENTY-FIVE SUBJECTS (50 ASIAN INDIANS AND 25 CAUCASIANS) FROM A YOGA TRAINING INSTITUTE VOLUNTEERED FOR THE STUDY. METHODS: ALL PARTICIPANTS UNDERWENT A DETAILED OPHTHALMIC EXAMINATION ALONG WITH OCULAR BIOMETRY AND CORNEAL PACHYMETRY. INTRAOCULAR PRESSURE WAS RECORDED USING A TONOPEN BEFORE, DURING, AND AFTER THE SIRSASANA. CHANGES WERE COMPARED USING THE PAIRED T TEST. AGE, AXIAL LENGTH, ANTERIOR CHAMBER DEPTH, LENS THICKNESS, CORNEAL CURVATURE, CORNEAL THICKNESS, RACE, AND THE LENGTH OF TIME FOR WHICH THE PRACTITIONER WAS PERFORMING YOGA WERE CORRELATED WITH THE INDUCED IOP DIFFERENCE IN A RANDOMLY SELECTED EYE USING PEARSON'S CORRELATION COEFFICIENT WITH BONFERRONI CORRECTION FOR MULTIPLE COMPARISONS. MAIN OUTCOME MEASURES: OCULAR BIOMETRY AND INDUCED IOP DIFFERENCE. RESULTS: THE MEAN INCREASE IN IOP AT BASELINE AND IMMEDIATELY AFTER ASSUMING SIRSASANA WAS 15.1+/-4.1 MMHG (R = 0.07; P = 0.999) AND AFTER 5 MINUTES WAS 15.8+/-4.6 MMHG (R = -0.25; P = 0.357). THE INDUCED INCREASE IN IOP DURING THE POSTURE WAS TWICE THE BASELINE IOP. THERE WAS NO CORRELATION BETWEEN AGE, OCULAR BIOMETRY, AND ULTRASOUND PACHYMETRY WHEN COMPARED WITH THE INDUCED IOP DIFFERENCE. ONE SUBJECT (1.33%) WAS FOUND TO HAVE BASELINE IOP OF MORE THAN 21 MMHG. CONCLUSION: THERE WAS A UNIFORM 2-FOLD INCREASE IN THE IOP DURING SIRSASANA, WHICH WAS MAINTAINED DURING THE POSTURE IN ALL AGE GROUPS IRRESPECTIVE OF THE OCULAR BIOMETRY AND ULTRASOUND PACHYMETRY. WE DID NOT DEMONSTRATE A HIGHER PREVALENCE OF OCULAR HYPERTENSIVES IN THIS COHORT OF YOGA PRACTITIONERS NOR DID THE RISK FACTORS CONTRIBUTING TO GLAUCOMA SHOW ANY CORRELATION WITH MAGNITUDE OF IOP RAISE DURING THE POSTURE. 2006
7 1499 22 INTRAOCULAR PRESSURE RISE IN SUBJECTS WITH AND WITHOUT GLAUCOMA DURING FOUR COMMON YOGA POSITIONS. PURPOSE: TO MEASURE CHANGES IN INTRAOCULAR PRESSURE (IOP) IN ASSOCIATION WITH YOGA EXERCISES WITH A HEAD-DOWN POSITION. METHODS: THE SINGLE CENTER, PROSPECTIVE, OBSERVATIONAL STUDY INCLUDED 10 SUBJECTS WITH PRIMARY OPEN-ANGLE GLAUCOMA AND 10 NORMAL INDIVIDUALS, WHO PERFORMED THE YOGA EXERCISES OF ADHO MUKHA SVANASANA, UTTANASANA, HALASANA AND VIPARITA KARANI FOR TWO MINUTES EACH. IOP WAS MEASURED BY PNEUMATONOMETRY AT BASELINE AND DURING AND AFTER THE EXERCISES. RESULTS: ALL YOGA POSES WERE ASSOCIATED WITH A SIGNIFICANT (P < 0.01) RISE IN IOP WITHIN ONE MINUTE AFTER ASSUMING THE YOGA POSITION. THE HIGHEST IOP INCREASE (P < 0.01) WAS MEASURED IN THE ADHO MUKHA SVANASANA POSITION (IOP INCREASE FROM 17 +/- 3.2 MMHG TO 28 +/- 3.8 MMHG IN GLAUCOMA PATIENTS; FROM 17 +/- 2.8 MMHG TO 29 +/- 3.9 MMHG IN NORMAL INDIVIDUALS), FOLLOWED BY THE UTTANASANA POSITION (17 +/- 3.9 MMHG TO 27 +/- 3.4 MMHG (GLAUCOMA PATIENTS) AND FROM 18 +/- 2.5 MMHG TO 26 +/- 3.6 MMHG NORMAL INDIVIDUALS)), THE HALASANA POSITION (18 +/- 2.8 MMHG TO 24 +/- 3.5 MMHG (GLAUCOMA PATIENTS); 18 +/- 2.7 MMHG TO 22 +/- 3.4 MMHG (NORMAL INDIVIDUALS)), AND FINALLY THE VIPARITA KIRANI POSITION (17 +/- 4 MMHG TO 21 +/- 3.6 MMHG (GLAUCOMA PATIENTS); 17 +/- 2.8 TO 21 +/- 2.4 MMHG (NORMAL INDIVIDUALS)). IOP DROPPED BACK TO BASELINE VALUES WITHIN TWO MINUTES AFTER RETURNING TO A SITTING POSITION. OVERALL, IOP RISE WAS NOT SIGNIFICANTLY DIFFERENT BETWEEN GLAUCOMA AND NORMAL SUBJECTS (P = 0.813), ALL THOUGH GLAUCOMA EYES TENDED TO HAVE MEASUREMENTS 2 MM HG HIGHER ON AVERAGE. CONCLUSIONS: YOGA EXERCISES WITH HEAD-DOWN POSITIONS WERE ASSOCIATED WITH A RAPID RISE IN IOP IN GLAUCOMA AND HEALTHY EYES. IOP RETURNED TO BASELINE VALUES WITHIN 2 MINUTES. FUTURE STUDIES ARE WARRANTED ADDRESSING WHETHER YOGA EXERCISE ASSOCIATED IOP CHANGES ARE ASSOCIATED WITH SIMILAR CHANGES IN CEREBROSPINAL FLUID PRESSURE AND WHETHER THEY INCREASE THE RISK OF GLAUCOMA PROGRESSION. TRIAL REGISTRATION: CLINICALTRIALS.GOV #NCT01915680. 2015
8 1494 26 INTERRATER RELIABILITY OF AN OBSERVATIONAL RATING SCALE AND VIDEO ANALYSIS OF YOGA POSES. CONTEXT: YOGA IS INCREASINGLY POPULAR, NOT ONLY AS A FORM OF RECREATIONAL EXERCISE BUT ALSO AS A PHYSICIAN-RECOMMENDED INTERVENTION FOR HEALTH CONDITIONS. WHILE SERIOUS ADVERSE EFFECTS ACCOMPANYING YOGA PRACTICE ARE RARE, POSES THAT INVOLVE UPPER-EXTREMITY WEIGHT-BEARING HAVE A HIGH RISK OF DISCOMFORT. TO BETTER UNDERSTAND FACTORS CONTRIBUTING TO ADVERSE EFFECTS, THERE IS A CRITICAL NEED FOR ROBUST INSTRUMENTS THAT OBJECTIVELY EVALUATE POSE PERFORMANCE. THE PURPOSE OF THIS STUDY WAS TO ASSESS THE INTERRATER RELIABILITY OF AN OBSERVATIONAL SCALE DEVELOPED TO ASSESS THE ALIGNMENT OF 3 YOGA POSES. DESIGN: CROSS-SECTIONAL EXPERIMENTAL STUDY. METHODS: THIRTY-EIGHT INDIVIDUALS WERE GIVEN STANDARDIZED INSTRUCTIONS AND PERFORMED 3 POSES (DOWNWARD DOG, PLANK, AND SIDE PLANK). LATERAL VIDEOS WERE RATED BY 2 RATERS. A RATING SCALE EVALUATING THE ALIGNMENT OF 7 REGIONS WAS DEVELOPED BY THE STUDY TEAM WITH INPUT FROM YOGA TEACHERS. DESCRIPTIVE STATISTICS WERE USED TO SUMMARIZE THE PERCENTAGE OF SUBJECTS SHOWING IDEAL ALIGNMENT AND DEVIATIONS. INTERRATER RELIABILITY WAS QUANTIFIED USING COHEN KAPPA COEFFICIENT (KAPPA). RESULTS: IN DOWNWARD DOG, THE PREVALENCE OF IDEAL ALIGNMENT WAS 20%, 28%, AND 37%, AT THE NECK, SHOULDER, AND BACK, RESPECTIVELY; KAPPA RANGED FROM .44 TO .69. IN PLANK, THE PREVALENCE OF IDEAL ALIGNMENT WAS 31%, 45%, AND 54% AT THE NECK, SHOULDER, AND BACK, RESPECTIVELY; KAPPA RANGED FROM .47 TO .95. IN SIDE PLANK, THE PREVALENCE OF IDEAL ALIGNMENT WAS 16, 41%, AND 24%, AT THE NECK, SHOULDER, AND BACK, RESPECTIVELY; KAPPA RANGED FROM .20 TO .84. CONCLUSION: THE OBSERVATIONAL SCALE FOUND A HIGH PREVALENCE OF DEVIATIONS, AND DEMONSTRATED FAIR TO SUBSTANTIAL INTERRATER AGREEMENT. 2022
9 2400 27 YOGA AND DISC DEGENERATIVE DISEASE IN CERVICAL AND LUMBAR SPINE: AN MR IMAGING-BASED CASE CONTROL STUDY. THE OBJECTIVE OF THE CURRENT STUDY WAS TO FIND OUT WHETHER YOGA PRACTICE WAS BENEFICIAL TO THE SPINE BY COMPARING DEGENERATIVE DISC DISEASE IN THE SPINES OF LONG-TIME YOGA PRACTITIONERS AND NON-YOGA PRACTICING CONTROLS, USING AN OBJECTIVE MEASUREMENT TOOL, MAGNETIC RESONANCE IMAGING. THIS MATCHED CASE-CONTROL STUDY COMPRISED 18 YOGA INSTRUCTORS WITH TEACHING EXPERIENCE OF MORE THAN 10 YEARS AND 18 NON-YOGA PRACTICING ASYMPTOMATIC INDIVIDUALS RANDOMLY SELECTED FROM A HEALTH CHECKUP DATABASE. A VALIDATED GRADING SCALE WAS USED TO GRADE THE CONDITION OF CERVICAL AND LUMBAR DISCS SEEN IN MAGNETIC RESONANCE IMAGING OF THE SPINE, AND THE RESULTING DATA ANALYZED STATISTICALLY. THE MEAN NUMBER OF YEARS OF YOGA PRACTICE FOR THE YOGA GROUP WAS 12.9 +/- 7.5. THE OVERALL (CERVICAL + LUMBAR) DISC SCORES OF THE YOGA GROUP WERE SIGNIFICANTLY LOWER (INDICATING LESS DEGENERATIVE DISC DISEASE) THAN THOSE OF THE CONTROL GROUP (P < 0.001). THE SCORES FOR THE CERVICAL VERTEBRAL DISCS OF THE YOGA GROUP WERE ALSO SIGNIFICANTLY LOWER THAN THOSE OF THE CONTROL GROUP (P < 0.001), WHILE THE LOWER SCORES FOR THE YOGA GROUP IN THE LUMBAR GROUP APPROACHED, BUT DID NOT REACH, STATISTICAL SIGNIFICANCE (P = 0.055). THE SCORES FOR INDIVIDUAL DISCS OF YOGA PRACTITIONERS SHOWED SIGNIFICANTLY LESS DEGENERATIVE DISEASE AT THREE DISC LEVELS, C3/C4, L2/L3 AND L3/L4 (P < 0.05). MAGNETIC RESONANCE IMAGING SHOWED THAT THE GROUP OF LONG-TERM PRACTITIONERS OF YOGA STUDIED HAD SIGNIFICANTLY LESS DEGENERATIVE DISC DISEASE THAN A MATCHED CONTROL GROUP. 2011
10 2916 17 [THE EFFECT OF HATHA YOGA ON POOR POSTURE IN CHILDREN AND THE PSYCHOPHYSIOLOGIC CONDITION IN ADULTS]. HATHA YOGA'S EFFECTS ON THE POSTURE OF 15 TEN YEAR-OLD CHILDREN AND ALSO ITS EFFECTS ON THE PSYCHOPHYSICAL CONDITION OF 15 GROWN-UPS WAS STUDIED. AS SYMPTOMS, DURING THE FIRST EXAMINATION, 12 OF THE 15 CHILDREN HAD HEAD PROTRUSION, 14 HAD SHORTENED BACK EXTENSORS, ALL 15 HAD BENT SHOULDERS, RELAXATION OF THE FRONTAL ABDOMINAL WALL AND SHORTENED FLEXORS OF BOTH THE CALF AND THIGH. THE CONDITION OF ALL THE CHILDREN WAS REMARKABLY BETTER AFTER SIX MONTHS OF PRACTICE, SOME OF THE SYMPTOMS HAVING COMPLETELY DISAPPEARED (HEAD PROTRUSION, ASYMMETRY OF THE SHOULDERS, MAMILLAS AND HIPS, SHORTENING OF THE PECTORALIS AND BACK EXTENSORS), 9 CHILDREN STILL HAD SLIGHT TO MEDIUM RELAXATION OF THE FRONTAL ABDOMINAL WALL, 8 CHILDREN STILL HAD BENT SHOULDERS, AND 1 CHILD STILL HAD SHORTENED CALF AND THIGH EXTENSORS. THE ADULTS WERE IN A WEAK OR VERY WEAK PSYCHOPHYSICAL CONDITION, THEY TIRED EASILY, THEY COMPLAINED OF SLEEP DISTURBANCES, FLUCTUATION OF EMOTIONAL STATE AND IRRITABILITY. AFTER 3 MONTHS OF PRACTICE, THE VITAL CAPACITY OF 8 OF THE ADULTS TESTED (53.3%) HAD INCREASED BY 435 ML. THE TIME DURATION OF APNOEA HAD LENGTHENED FOR ALL OF THE PRACTICING ADULTS, BUT WITH A TRULY LARGE VARIATION AMONG THEM (A MEDIAN OF 14%). THE DEEP WAIST-BEND LENGTH OF ALL THE PRACTICING ADULTS HAD LENGTHENED BY AN AVERAGE OF 9.5 CM, AND THE AVERAGE LENGTH INCREASE FOR THE 3-MINUTE RUNNING TEST WAS 42 M. ALL THOSE WHO PRACTICED, HAD EXPERIENCED AN ALLEVIATION OF PSYCHIC DIFFICULTIES. 1990
11 1816 12 PROGRESSIVE OPTIC NEUROPATHY IN CONGENITAL GLAUCOMA ASSOCIATED WITH THE SIRSASANA YOGA POSTURE. THE AUTHORS DESCRIBE A CASE OF PROGRESSIVE OPTIC NEUROPATHY IN A PATIENT WITH CONGENITAL GLAUCOMA WHO HAD ROUTINELY PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE FOR SEVERAL YEARS. OPHTHALMIC EXAMINATION INCLUDED BEST-CORRECTED VISUAL ACUITY, ANTERIOR SEGMENT EXAMINATION, INDIRECT OPHTHALMOSCOPY, ULTRASOUND PACHYMETRY FOR CENTRAL CORNEAL THICKNESS, AND INTRAOCULAR PRESSURE BEFORE, DURING, AND AFTER MAINTAINING THE SIRSASANA POSTURE FOR 5 MINUTES. INTRAOCULAR PRESSURE INCREASED SIGNIFICANTLY DURING THE SIRSASANA POSTURE. TRANSIENT ELEVATION IN INTRAOCULAR PRESSURE DURING YOGA EXERCISES MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY, ESPECIALLY IN SUSCEPTIBLE PATIENTS WITH CONGENITAL GLAUCOMA. 2008
12 993 17 EFFECTS OF HEATED AND THERMONEUTRAL YOGA INTERVENTIONS ON ARTERIAL STIFFNESS IN MIDDLE-AGED ADULTS. THE STUDY INVESTIGATED THE EFFICACY OF 12 WEEKS OF HEATED AND THERMONEUTRAL BIKRAM YOGA IN REDUCING ARTERIAL STIFFNESS IN MIDDLE-AGED ADULTS. FIFTY-FOUR SEDENTARY ADULTS (AGES 40-60 YEARS) COMPLETED 12 WEEKS OF YOGA AT 40.5 DEGREES C (N = 21), YOGA AT 23 DEGREES C (N = 14) OR TIME CONTROL (N = 19). BRACHIAL-ANKLE PULSE WAVE VELOCITY (PWV) WAS NOT SIGNIFICANTLY ALTERED BY HOT OR THERMONEUTRAL YOGA INTERVENTIONS. 2018
13 2333 23 TWELVE-MINUTE DAILY YOGA REGIMEN REVERSES OSTEOPOROTIC BONE LOSS. OBJECTIVE: ASSESS THE EFFECTIVENESS OF SELECTED YOGA POSTURES IN RAISING BONE MINERAL DENSITY (BMD). METHODS: TEN-YEAR STUDY OF 741 INTERNET-RECRUITED VOLUNTEERS COMPARING PREYOGA BMD CHANGES WITH POSTYOGA BMD CHANGES. OUTCOME MEASURES: DUAL-ENERGY X-RAY ABSORPTIOMETRIC SCANS. OPTIONAL RADIOGRAPHS OF HIPS AND SPINE AND BONE QUALITY STUDY (7 TESLA). RESULTS: BONE MINERAL DENSITY IMPROVED IN SPINE, HIPS, AND FEMUR OF THE 227 MODERATELY AND FULLY COMPLIANT PATIENTS. MONTHLY GAIN IN BMD WAS SIGNIFICANT IN SPINE (0.0029 G/CM(2), P = .005) AND FEMUR (0.00022 G/CM(2), P = .053), BUT IN 1 COHORT, ALTHOUGH MEAN GAIN IN HIP BMD WAS 50%, LARGE INDIVIDUAL DIFFERENCES RAISED THE CONFIDENCE INTERVAL AND THE GAIN WAS NOT SIGNIFICANT FOR TOTAL HIP (0.000357 G/CM(2)). NO YOGA-RELATED SERIOUS INJURIES WERE IMAGED OR REPORTED. BONE QUALITY APPEARED QUALITATIVELY IMPROVED IN YOGA PRACTITIONERS. CONCLUSION: YOGA APPEARS TO RAISE BMD IN THE SPINE AND THE FEMUR SAFELY. 2016
14 649 33 DYNAMIC EVALUATION OF THE CONTRACTILE FUNCTION OF LUMBODORSAL MUSCLES DURING LOCUST POSE IN YOGA BY REAL-TIME ULTRASOUND. BACKGROUND AND PURPOSE: CHRONIC LOW BACK PAIN (CLBP), WHICH HAS A CLOSE RELATIONSHIP WITH LUMBAR MUSCLE DEGENERATION, CAN BE EFFECTIVELY TREATED BY EXERCISE THERAPY, AND YOGA HAS BEEN WIDELY ACCEPTED BY CLINICIANS AND PATIENTS WITH CLBP. THE PURPOSE OF THIS STUDY WAS TO OBSERVE THE CHANGES IN THE THICKNESS OF LUMBODORSAL MUSCLES THAT OCCUR DURING LOCUST POSE IN YOGA AND HOW THESE CHANGES OCCUR. FROM THE CHANGES IN MUSCLE THICKNESS THAT OCCUR IN THE LOCUST POSE, THE CONTRACTILE FUNCTION OF LUMBODORSAL MUSCLES CAN BE EVALUATED. METHODS: FIFTY-TWO HEALTHY VOLUNTEERS (FROM MAY 2019 TO AUGUST 2019, AGE FROM 28 TO 68 YEARS, 23 MALES AND 29 FEMALES (AGE: 40 +/- 8 YEARS; WEIGHT: 68.3 +/- 5.2 KG; HEIGHT: 170.2 +/- 13.1 CM) WERE RECRUITED, AND LUMBODORSAL MUSCLE, INCLUDING THE MULTIFIDUS, LONGISSIMUS, ILIOCOSTALIS, AND QUADRATUS LUMBORUM, ULTRASONIC EXAMINATIONS WERE CARRIED OUT IN THE RELAXED AND CONTRACTED STATES. THE CHANGES IN THE THICKNESS OF THE LUMBODORSAL MUSCLES IN THE RELAXED AND CONTRACTED STATES WERE DYNAMICALLY OBSERVED BY REAL-TIME ULTRASOUND WHEN SUBJECTS WERE PERFORMING THE LOCUST YOGA POSE. THEN, THE THICKNESSES OF THE MUSCLES DURING THE TWO STATES WERE MEASURED TO CALCULATE THE RATIO OF CONTRACTION OF EACH MUSCLE AND DETERMINE THE STATISTICAL SIGNIFICANCE OF THE CHANGE IN THICKNESS OF EACH MUSCLE. RESULTS: THE MEAN THICKNESS OF THE LEFT MULTIFIDUS IN THE RELAXED STATE WAS 1.32 +/- 0.27 CM (95 % CI: 1.24 ~ 1.39), THAT IN THE CONTRACTED STATE WAS 1.60 +/- 0.30 CM (95 % CI: 1.52 ~ 1.69) (OBVIOUSLY DIFFERENT BETWEEN THE RELAXED AND CONTRACTED STATES, P < 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 1.37 +/- 0.31 CM (95 % CI: 1.29 ~ 2.46) AND 1.68 +/- 0.38 CM (95 % CI: 1.58 ~ 1.79) (P < 0.001), RESPECTIVELY. THE MEAN THICKNESS OF THE LEFT QUADRATUS LUMBORUM IN THE RELAXED STATE WAS 1.38 +/- 0.32 CM (95 % CI: 1.29 ~ 1.47), THAT IN THE CONTRACTED STATE WAS 1.62 +/- 0.40 CM (95 % CI: 1.50 ~ 1.73) (P = 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 1.30 +/- 0.32 CM (95 % CI: 1.21 ~ 1.39) AND 1.55 +/- 0.41 CM (95 % CI: 1.44 ~ 1.67) (P = 0.001), RESPECTIVELY. THE MEAN THICKNESS OF THE LEFT LONGISSIMUS IN THE RELAXED WAS 2.33 +/- 0.51 CM (95 % CI: 2.19 ~ 2.47), THAT IN THE CONTRACTED STATE WAS 3.20 +/- 0.61 CM (95 % CI: 3.03 ~ 3.37) (P < 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 2.34 +/- 0.49 CM (95 % CI 2.20 ~ 2.48) AND 3.26 +/- 0.68 CM (95 % CI 3.07 ~ 3.45) (P < 0.001), RESPECTIVELY. THE MEAN THICKNESS OF THE LEFT ILIOCOSTALIS IN THE RELAXED STATE WAS 1.88 +/- 0.41 CM (95 % CI: 1.76 ~ 1.99), THAT IN THE CONTRACTED STATE WAS 2.34 +/- 0.49 CM (95 % CI: 2.00 ~ 2.47) (P < 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 1.98 +/- 0.40 CM (95 % CI: 1.87 ~ 2.09) AND 2.44 +/- 0.56 CM (95 % CI: 2.29 ~ 2.60) (P < 0.001), RESPECTIVELY. THE MEAN CONTRACTED STATE/RESTING STATE (C/R) OF THE LONGISSIMUS WAS 1.39 +/- 0.14 ON THE LEFT AND 1.40 +/- 0.16 ON THE RIGHT. THE MULTIFIDUS AND ILIOCOSTALIS HAD THE SECOND HIGHEST C/R. THE MEAN C/R OF THE MULTIFIDUS WAS 1.23 +/- 0.12 ON THE LEFT AND 1.24 +/- 0.15 ON THE RIGHT, AND THE MEAN C/R OF THE ILIOCOSTALIS WAS 1.25 +/- 0.12 ON THE LEFT AND 1.24 +/- 0.14 ON THE RIGHT. THE QUADRATUS LUMBORUM HAD THE LOWEST C/R, AND THE MEAN C/R OF THE QUADRATUS LUMBORUM WAS 1.17 +/- 0.10 ON THE LEFT AND 1.19 +/- 0.11 ON THE RIGHT. CONCLUSIONS: ULTRASOUND CAN BE USED TO DYNAMICALLY ASSESS THE CONTRACTILE FUNCTION OF THE LUMBAR MUSCLE IN THE LOCUST POSE OF YOGA, THE C/R RATIO CAN BE USED TO INDICATE THE ABILITY OF A MUSCLE TO CONTRACT, AND DYNAMIC ULTRASOUND CAN GUIDE LUMBAR EXERCISE AND FEEDBACK THE EXERCISE RESULTS. THE ESTABLISHMENT OF THIS MODEL ALLOWED DATA REGARDING THE CONTRACTION STATE OF THE LUMBAR MUSCLE TO BE OBTAINED IN A NORMAL POPULATION, AND BASED ON THIS, FUTURE STUDIES CAN FURTHER EXPLORE AND EVALUATE THE CONTRACTION STATE OF THE LUMBAR MUSCLE AFTER YOGA EXERCISE IN CLBP PATIENTS, THE EFFECT EXERCISE ON LUMBAR INSTABILITY AND ON A PATIENT POPULATION AFTER LUMBAR OPERATION. 2021
15 1906 19 RETURNING TO YOGA PRACTICE AND TEACHING AFTER TOTAL HIP ARTHROPLASTY. PATIENTS WHO PRACTICE YOGA ARE MOTIVATED TO RETURN TO PRACTICE AFTER TOTAL HIP ARTHROPLASTY (THA). WITH CASE REPORTS OF DISLOCATIONS DURING YOGA, THE SAFETY OF SUCH A RETURN IS UNCLEAR. THE PURPOSE OF THIS STUDY IS TO EXAMINE THE TIMING AND FEASIBILITY OF A RETURN IN A SUBSET OF HIGHLY EXPERIENCED AND MOTIVATED PATIENTS. BETWEEN 2010 AND 2019, A TOTAL OF 19 THA'S PERFORMED IN 14 PATIENTS WHO SELF-IDENTIFIED AS YOGA INSTRUCTORS WERE RETROSPECTIVELY REVIEWED. PATIENTS WHO PRACTICED YOGA BUT WERE NOT TEACHERS WERE EXCLUDED FROM THIS SERIES. THE PRIMARY OUTCOME MEASURES WERE THE ABILITY TO RETURN TO YOGA, TO RESUME TEACHING, AND FLUENCY WITH 14 CLASSIC POSES. SECONDARY OUTCOMES MEASURED WERE PATIENT-REPORTED HIP DISABILITY AND OSTEOARTHRITIS OUTCOME SCORE (HOOS, JR.), COMPLICATIONS, AND RADIOGRAPHIC POSITION OF THE IMPLANTS. AFTER SURGERY, ALL PATIENTS RETURNED TO PRACTICING AND TEACHING YOGA, AND THE MEAN TIME TO EACH WAS 2 MONTHS. ALL PATIENTS WERE ABLE TO PERFORM ALL 14 CLASSIC POSES. AT A MEAN FOLLOW-UP OF 5 YEARS (SD +/- 4), THERE WERE NO COMPLICATIONS, AND THE MEAN HOOS, JR SCORE WAS 92 POINTS (SD +/- 15). THIS STUDY DEMONSTRATES THAT A RETURN TO YOGA IN AN EXPERIENCED POPULATION IS NOT ONLY POSSIBLE BUT ALSO SAFE AFTER A DIRECT ANTERIOR THA. LIMITATIONS IN PERFORMING THE POSES SHOULD BE UNDERSTOOD, AND APPROPRIATE MODIFICATIONS SHOULD BE INCORPORATED WHEN NEEDED. 2021
16 1757 16 POSITION OF THE HIP IN YOGA. BACKGROUND: YOGA IS GROWING IN POPULARITY AS A FORM OF EXERCISE THROUGHOUT THE WORLD. ORTHOPEDIC PATIENTS PARTICIPATE IN YOGA, YET LITTLE IS KNOWN ABOUT THE RANGES-OF-MOTION OF THE HIP WITHIN VARIOUS YOGA POSES. ORTHOPEDIC SURGEONS ARE UNSURE ABOUT WHAT POTENTIAL POSITIONS THEIR PATIENTS ARE PLACING THEIR HIPS DURING A YOGA PRACTICE. THE AIM OF THIS STUDY IS TO QUANTIFY THE DEGREE OF HIP MOTION WITH COMMON YOGA POSES. METHODS: TWENTY HEALTHY, REGULAR PRACTITIONERS OF YOGA PERFORMED 11 DIFFERENT YOGA POSES IN A STANDARDIZED FASHION. MOTION ANALYSIS WAS USED TO CAPTURE RANGE-OF-MOTION OF THE HIP DURING EACH POSE. RESULTS: MANY YOGA POSES PUT THE HIP IN EXTREMES OF MOTION. POSES SUCH AS DOWNWARD DOG, FORWARD FOLD, SEATED TWIST, AND PIGEON STRESSED THE HIP IN FLEXION. WARRIOR 1, WARRIOR 2, CRESCENT LUNGE, PIGEON, AND TRIANGLE STRESSED THE HIP IN EXTENSION. EAGLE AND SEATED TWIST PUT THE HIP IN HIGHER ADDUCTION, WHILE HALF MOON, EAGLE, AND TRIANGLE PRODUCED MORE HIP INTERNAL ROTATION. CONCLUSION: MANY POSES WERE FOUND TO REACH EXTREMES OF HIP MOTION. THIS STUDY MAY HELP GUIDE THE ORTHOPEDIC SURGEON IN COUNSELING HIP ARTHROPLASTY AND HIP IMPINGEMENT PATIENTS ABOUT YOGA-RELATED ACTIVITY. BY KNOWING WHICH POSES POTENTIALLY STRESS THE HIP IN PARTICULAR PLANES OF MOTION, SURGEONS MAY BETTER INFORM THEIR PATIENTS WHO ARE RETURNING TO YOGA AFTER INJURY OR SURGERY. 2018
17 971 31 EFFECTS OF AN INTEGRATED APPROACH OF HATHA YOGA THERAPY ON FUNCTIONAL DISABILITY, PAIN, AND FLEXIBILITY IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROLLED STUDY. OBJECTIVES: THE STUDY OBJECTIVES WERE TO EVALUATE THE EFFICACY OF INTEGRATING HATHA YOGA THERAPY WITH THERAPEUTIC EXERCISES FOR OSTEOARTHRITIS (OA) OF THE KNEE JOINTS. DESIGN: THIS WAS A PROSPECTIVE, RANDOMIZED, ACTIVE CONTROLLED TRIAL. TWO HUNDRED AND FIFTY (250) PARTICIPANTS WHO HAD OA KNEES AND WHO WERE BETWEEN 35 AND 80 YEARS (YOGA 59.56+/-9.54) AND (CONTROL 59.42+/-10.66) FROM THE OUTPATIENT DEPARTMENT OF EBNEZAR ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE HATHA YOGA THERAPY OR THERAPEUTIC EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT (20 MINUTES PER DAY). BOTH OF THE GROUPS PRACTICED SUPERVISED INTERVENTIONS (40 MINUTES PER DAY) FOR 3 MONTHS. ONE HUNDRED AND EIGHTEEN (118) (YOGA) AND 117 (CONTROL) SUBJECTS WERE AVAILABLE FOR THE FINAL ANALYSIS. RESULTS: THERE WERE SIGNIFICANT DIFFERENCES WITHIN (WILCOXON'S, P<0.001) AND BETWEEN THE GROUPS (MANN-WHITNEY U, P<0.001) ON ALL THE VARIABLES, WITH BETTER IMPROVEMENTS IN THE YOGA THAN THE CONTROL GROUPS. WALKING PAIN IN THE YOGA (37.3%, 64.9%) AND CONTROL (24.9%, 42%), KNEE DISABILITY IN THE YOGA (59.7%, 83%) AND CONTROL (32.7%, 53.6%), RANGE OF KNEE FLEXION IN YOGA (12.7%, 26.5% RIGHT, 13.5%, 28% LEFT) AND CONTROL (6.9%, 13.3% RIGHT, 5.6%, 11.5% LEFT), JOINT TENDERNESS IN YOGA (52.3%, 86.1%) AND CONTROL (28%, 57.1%), SWELLING IN YOGA (55.4%, 85.9%) AND CONTROL (32.1%, 60%), CREPITUS IN YOGA (44.0%, 79.9%) AND CONTROL (27.0%, 47.8%) AND WALKING TIME IN YOGA (26.6%, 52.8%) AND CONTROL (9.3%, 21.6%), ALL IMPROVED MORE IN THE YOGA THAN THE CONTROL GROUPS ON THE 15TH AND 90TH DAY, RESPECTIVELY. CONCLUSIONS: AN INTEGRATED APPROACH OF HATHA YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING WALKING PAIN, RANGE OF KNEE FLEXION, WALKING TIME, TENDERNESS, SWELLING, CREPITUS, AND KNEE DISABILITY IN PATIENTS WITH OA KNEES. 2012
18 1283 24 GLUTEAL MUSCLE ACTIVATION DURING COMMON YOGA POSES. BACKGROUND: APPROXIMATELY 24% OF PHYSICAL THERAPISTS REPORT REGULARLY USING YOGA TO STRENGTHEN MAJOR MUSCLE GROUPS. ALTHOUGH CLINICIANS AND ATHLETES OFTEN USE YOGA AS A FORM OF STRENGTH TRAINING, LITTLE IS KNOWN ABOUT THE ACTIVATION OF SPECIFIC MUSCLE GROUPS DURING YOGA POSES, INCLUDING THE GLUTEUS MAXIMUS AND MEDIUS. HYPOTHESIS/PURPOSE: THE PURPOSE OF THIS STUDY WAS TO MEASURE GLUTEUS MAXIMIMUS AND GLUTEUS MEDIUS ACTIVATION VIA ELECTROMYOGRAPHY (EMG) DURING FIVE COMMON YOGA POSES. A SECONDARY PURPOSE OF THE CURRENT STUDY WAS TO EXAMINE DIFFERENCES IN MUSCLE ACTIVATION BETWEEN SEXES AND EXPERIENCE LEVELS. STUDY DESIGN: CROSS-SECTIONAL. METHODS: THIRTY-ONE HEALTHY MALES AND FEMALES AGED 18-35 YEARS WERE TESTED DURING FIVE YOGA POSES PERFORMED IN A RANDOMIZED ORDER. SURFACE EMG ELECTRODES WERE PLACED ON SUBJECTS' RIGHT GLUTEUS MAXIMUS AND GLUTEUS MEDIUS. SUBJECTS PERFORMED THE POSES ON BOTH SIDES FOLLOWING A MAXIMAL VOLUNTARY ISOMETRIC CONTRACTION (MVIC) TEST FOR EACH MUSCLE. ALL YOGA POSE EMG DATA WERE NORMALIZED TO THE CORRESPONDING MUSCLE MVIC DATA. RESULTS: HIGHEST GLUTEUS MAXIMUS ACTIVATION OCCURRED DURING HALF MOON POSE ON THE LIFTED/BACK LEG (63.3% MVIC), FOLLOWED BY THE STANCE/FRONT LEG DURING HALF MOON POSE (61.7%), THEN THE LIFTED/BACK LEG DURING WARRIOR THREE POSE (46.1%). HIGHEST GLUTEUS MEDIUS ACTIVATION OCCURRED DURING HALF MOON POSE ON THE LIFTED/BACK LEG (41.9%), FOLLOWED BY THE LIFTED/BACK LEG DURING THE WARRIOR THREE POSE (41.6%). A SIGNIFICANT DIFFERENCE WAS FOUND IN %MVIC OF GLUTEUS MEDIUS ACTIVITY BETWEEN MALE AND FEMALE SUBJECTS (P = 0.026), AND BETWEEN EXPERIENCED AND INEXPERIENCED SUBJECTS (P = 0.050), INDICATING HIGHER ACTIVATION AMONG MALES AND INEXPERIENCED SUBJECTS, RESPECTIVELY. CONCLUSION: HALF MOON POSE AND WARRIOR THREE POSE ELICITED THE HIGHEST ACTIVATION FOR BOTH THE GLUTEUS MAXIMUS AND THE GLUTEUS MEDIUS. HIGHER GLUTEUS MEDIUS ACTIVATION WAS SEEN IN MALES AND INEXPERIENCED SUBJECTS COMPARED TO THEIR FEMALE AND EXPERIENCED COUNTERPARTS. LEVEL OF EVIDENCE: 3. 2021
19 844 21 EFFECT OF YOGA ON PULMONARY FUNCTION TESTS OF HYPOTHYROID PATIENTS. AIM OF THIS STUDY WAS TO SEE ANY EFFECT ON RESPIRATORY FUNCTIONS IN HYPOTHYROID PATIENTS AFTER PRANAYAMA (YOGA). THE SUBJECTS FOR THE STUDY WERE 20 HYPOTHYROID FEMALES, 39.70 +/- 8.27 YEARS OF MEAN AGE REFERRED FROM MEDICINE DEPARTMENT OF UCMS & G.T.B. HOSPITAL. SPIRO METRIC RECORDINGS WERE TAKEN WITH HYPAIR (VERSION-1.28). BASELINE (FIRST) RECORDINGS WERE TAKEN WHEN PATIENT CAME FOR THE FIRST TIME. PATIENTS CAME TO YOGA LAB IN PHYSIOLOGY DEPARTMENT FOR 21 DAYS CONTINUOUSLY WHERE THEY WERE TRAINED BY THE YOGA INSTRUCTORS AND THEN TOLD TO DO PRANAYAMA AT HOME AND CALLED AT REGULAR INTERVALS AFTER 7 DAYS TO SEE THE COMPLIANCE. THE BREATHING EXERCISES WERE DONE FOR 45 MINUTES EVERYDAY. AFTER 6 MONTHS OF PRANAYAMA SECOND RECORDING WAS TAKEN AND COMPARED WITH THE BASELINE. THERE WERE SIGNIFICANT IMPROVEMENT IN FORCED EXPIRATORY VOLUME IN FIRST SECOND (FEV1), MAXIMUM VOLUNTARY VENTILATION (MVV) AND INSPIRATORY CAPACITY(IC). THUS PRANAYAMA AND MEDITATION HAS BENEFICIAL EFFECT ON PULMONARY FUNCTIONS OF HYPOTHYROID PATIENTS ALONG WITH CONVENTIONAL TREATMENT. 2010
20 2131 30 THE EFFECTS OF A 6-MONTH MODERATE-INTENSITY HATHA YOGA-BASED TRAINING PROGRAM ON HEALTH-RELATED FITNESS IN MIDDLE-AGED SEDENTARY WOMEN: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: THERE IS PAUCITY OF DATA EXAMINING THE EFFECTIVENESS OF LONG-TERM HATHA YOGA-BASED (HY) PROGRAMS FOCUSED ON THE HEALTH-RELATED FITNESS (H-RF) OF ASYMPTOMATIC, SEDENTARY WOMEN. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE EFFECTS OF A 6-MONTH HY-BASED TRAINING PROGRAM ON H-RF COMPONENTS IN SEDENTARY MIDDLE-AGED WOMEN. METHODS: EIGHTY SEDENTARY WOMEN WERE RANDOMLY ASSIGNED INTO EITHER THE HY GROUP (HYG) (N.=42) OR THE CONTROL GROUP (CG) (N.=38). THE 6-MONTH HYG PROGRAM INVOLVED A PROGRESSIVE SERIES OF VINYASA FLOW POSES PERFORMED 3 TIMES/WEEK FOR 60 MINUTES (40 MINUTES WITHIN THE EXERCISE ZONE OF 60-75% HRMAX). THE CG PARTICIPANTS DID NOT UNDERGO ANY PHYSICAL TRAINING OR EDUCATION. HEALTH-RELATED FITNESS PARAMETERS INCLUDED MEASURES OF PRE- AND POST-TRAINING: BODY COMPOSITION, MUSCULAR STRENGTH AND MAXIMAL VOLUNTARY ISOMETRIC TORQUES OF ELBOW FLEXORS AND KNEE EXTENSORS, CARDIO-RESPIRATORY FITNESS, LOWER BACK AND HAMSTRING FLEXIBILITY AND A STATIC-DYNAMIC BALANCE. RESULTS: TWO-WAY MIXED DESIGN ANOVA REVEALED SIGNIFICANT MAIN EFFECTS FOR ALL THE INDICATORS OF H-RF. TUKEY POST-HOC TESTS CONFIRMED THAT THE HYG DEMONSTRATED SIGNIFICANT IMPROVEMENTS IN EVERY VARIABLE TESTED. EXAMPLES OF THE BENEFITS ACHIEVED INCLUDE (ALL P<.001): AN AVERAGE LOSS OF 1.03 KG AND A 4.82% DECREASE IN BODY FAT, 14.6% AND 13.1% GAINS IN ISOMETRIC STRENGTH OF THE KNEE EXTENSORS AND ELBOW FLEXORS RESPECTIVELY, AN INCREASE IN RELATIVE VO2MAX OF 6.1% (33.12+/-5.30 TO 35.14+/-4.82 ML/KG/MIN), A 4-CM OR 10.4% INCREASE IN THEIR MSAR, AND AN AVERAGE IMPROVED BALANCE INDEX OF 5.6 MM/S. REVERSELY, THE CG SHOWED NON-SIGNIFICANT CHANGES IN H-RF VARIABLES (ALL P>0.05; PERCENT RANGE FROM -1.4% TO 1.1%). CONCLUSIONS: BY PARTICIPATING IN A MODERATE-INTENSITY 6-MONTH HY-BASED TRAINING PROGRAM, MIDDLE-AGED WOMEN CAN SIGNIFICANTLY IMPROVE THEIR HR-F STATUS. THE APPLICATION OF PROGRESSIVE TARGET HEART RATE GOALS FACILITATED GREATER THAN EXPECTED IMPROVEMENTS IN CARDIO-RESPIRATORY FITNESS AND IMPROVEMENTS IN BODY COMPOSITION. 2020