1 2777 124 YOGA SPINAL FLEXION POSITIONS AND VERTEBRAL COMPRESSION FRACTURE IN OSTEOPENIA OR OSTEOPOROSIS OF SPINE: CASE SERIES. OBJECTIVE: THE OBJECTIVE OF THIS REPORT IS TO RAISE AWARENESS OF THE EFFECT OF STRENUOUS YOGA FLEXION EXERCISES ON OSTEOPENIC OR OSTEOPOROTIC SPINES. WE PREVIOUSLY DESCRIBED SUBJECTS WITH KNOWN OSTEOPOROSIS IN WHOM VERTEBRAL COMPRESSION FRACTURES (VCFS) DEVELOPED AFTER SPINAL FLEXION EXERCISE (SFE) AND RECOMMENDED THAT SFES NOT BE PRESCRIBED IN PATIENTS WITH SPINAL OSTEOPOROSIS. METHODS: THIS REPORT DESCRIBES 3 HEALTHY PERSONS WITH LOW BONE MASS AND YOGA-INDUCED PAIN OR FRACTURE. RESULTS: ALL 3 PATIENTS HAD OSTEOPENIA, WERE IN GOOD HEALTH AND PAIN-FREE, AND HAD STARTED YOGA EXERCISES TO IMPROVE THEIR MUSCULOSKELETAL HEALTH. NEW PAIN AND FRACTURE AREAS OCCURRED AFTER PARTICIPATION IN YOGA FLEXION EXERCISES. CONCLUSIONS: THE DEVELOPMENT OF PAIN AND COMPLICATIONS WITH SOME FLEXION YOGA POSITIONS IN THE PATIENTS WITH OSTEOPENIA LEADS TO CONCERN THAT FRACTURE RISK WOULD INCREASE EVEN FURTHER IN OSTEOPOROSIS. ALTHOUGH EXERCISE HAS BEEN SHOWN TO BE EFFECTIVE FOR IMPROVING BONE MINERAL DENSITY AND DECREASING FRACTURE RISK, OUR SUBJECTS HAD DEVELOPMENT OF VCFS AND NECK AND BACK PAIN WITH YOGA EXERCISES. THIS FINDING SUGGESTS THAT FACTORS OTHER THAN BONE MASS SHOULD BE CONSIDERED FOR EXERCISE COUNSELING IN PATIENTS WITH BONE LOSS. THE INCREASED TORQUE PRESSURE APPLIED TO VERTEBRAL BODIES DURING SFES MAY BE A RISK. EXERCISE IS EFFECTIVE AND IMPORTANT FOR TREATMENT OF OSTEOPENIA AND OSTEOPOROSIS AND SHOULD BE PRESCRIBED FOR PATIENTS WITH VERTEBRAL BONE LOSS. SOME YOGA POSITIONS CAN CONTRIBUTE TO EXTREME STRAIN ON SPINES WITH BONE LOSS. ASSESSMENT OF FRACTURE RISK IN OLDER PERSONS PERFORMING SFES AND OTHER HIGH-IMPACT EXERCISES IS AN IMPORTANT CLINICAL CONSIDERATION. 2013 2 443 31 CERVICAL ARTERIAL DISSECTION AND TRAUMATIC MYELOPATHY FOLLOWING YOGA: SURGICAL CASE REPORT. INTRODUCTION: CERVICAL SPONDYLOSIS CAN PREDISPOSE PATIENTS TO CENTRAL CANAL STENOSIS. IN THIS SETTING, MYELOPATHY THROUGH FURTHER FLATTENING OF THE CORD FROM EXTRINSIC COMPRESSION CAN BE PRECIPITATED BY RELATIVELY MINOR TRAUMAS. ARTERIAL DISSECTION IS SIMILARLY CONSIDERED A RESULT OF HIGH VELOCITY OR MOMENTUM DURING TRAUMA, COMMONLY ASSOCIATED WITH FRACTURES, CERVICAL HYPERFLEXION, OR DIRECT BLUNT FORCE TO THE NECK. OVERALL, PRECAUTIONS FOR BOTH ARTERIAL DISSECTION AND MYELOPATHY ARE RARELY CONSIDERED IN LOW-VELOCITY, STATIC ACTIVITIES SUCH AS YOGA. CASE PRESENTATION: THE AUTHORS REPORT THE CASE OF A 63-YEAR-OLD MAN WHO SUFFERED CONCURRENT CERVICAL MYELOPATHY FROM MULTILEVEL SPONDYLOPATHY, RIGHT VERTEBRAL ARTERY DISSECTION, AND LEFT CERVICAL CAROTID ARTERY DISSECTION FOLLOWING A YOGA SESSION. SYMPTOMATOLOGY CONSISTED OF ACUTE ONSET NECK PAIN, UPPER EXTREMITY SENSORY PARESTHESIA, WORSENING GAIT AND BALANCE, AND IMPAIRED DEXTERITY FOR SEVERAL WEEKS. CERVICAL MRI WAS OBTAINED GIVEN MYELOPATHIC SYMPTOMS AND REVEALED SPONDYLOSIS WITH COMPRESSION AND T2 SIGNAL CHANGE AT C3-C4. CT ANGIOGRAPHY OF THE NECK REVEALED AFOREMENTIONED DISSECTIONS WITHOUT FLOW LIMITING STENOSIS OR OCCLUSION. A THERAPEUTIC HEPARIN INFUSION WAS STARTED PREOPERATIVELY UNTIL THE PATIENT UNDERWENT C3-C4 ANTERIOR CERVICAL DISCECTOMY AND FUSION. ASPIRIN AND PLAVIX WERE THEN STARTED WITHOUT INCIDENCE AND THE PATIENT HAD SIGNIFICANT BUT GRADUAL IMPROVEMENT IN MYELOPATHIC SYMPTOMS AT 6-WEEK FOLLOW-UP. DISCUSSION: THE STATIC YET INTENSIVE POSES ASSOCIATED WITH YOGA PRESENT A RARE ETIOLOGY FOR ARTERIAL DISSECTION AND MYELOPATHY, BUT PATIENTS WITH PERSISTENT AND PROGRESSIVE SYMPTOMS SHOULD BE SCREENED WITH THE APPROPRIATE IMAGING MODALITY. CERVICAL DECOMPRESSION SHOULD BE EXPEDITED BEFORE INITIATING AN ANTIPLATELET MEDICATION. 2022 3 2359 57 VERTEBRAL COMPRESSION FRACTURES ASSOCIATED WITH YOGA: A CASE SERIES. BACKGROUND: THE IMPORTANCE OF EXERCISE IN SKELETAL HEALTH IS INCREASINGLY RECOGNIZED BY BOTH PATIENTS AND PROVIDERS. HOWEVER, THE SAFETY OF PRESCRIBED OR RECREATIONAL EXERCISE IN AT-RISK POPULATIONS REMAINS UNDER-REPORTED AND UNDER-PUBLICIZED. YOGA HAS GAINED WIDESPREAD POPULARITY DUE TO ITS PHYSICAL AND PSYCHOLOGICAL BENEFITS. WHEN PRACTICED IN A POPULATION AT INCREASED FRACTURE RISK, HOWEVER, SOME YOGA POSES MAY INCREASE FRACTURE RISK, PARTICULARLY AT THE SPINE, RATHER THAN INCREASING BMD AS NOTED IN RECENT POPULAR PRESS REPORTS. CASE REPORT: NINE SUBJECTS (8 WOMEN) WITH A MEDIAN AGE OF 66 YEARS (RANGE 53-87), DEVELOPED VERTEBRAL COMPRESSION FRACTURE (VCF) ONE MONTH TO SIX YEARS AFTER INITIATING YOGA-ASSOCIATED SPINAL FLEXION EXERCISES (SFE). VCF PRESENTED WITH BACK PAIN AND OCCURRED IN THE THORACICSPINE (N.=6), LUMBAR-SPINE (N.=4) AND CERVICAL-SPINE (N.=1). FOUR PATIENTS HAD OSTEOPOROSIS BY BMD CRITERIA PRIOR TO VCF AND 2 HAD OSTEOPENIA (MEDIAN T-SCORE -2.35; RANGE -3.3 TO +2.0). INTERESTINGLY, ALL PATIENTS HAD THEIR LOWEST T-SCORES AT THE SPINE. THREE PATIENTS HAD A HISTORY OF FRAGILITY FRACTURE PRIOR TO THE INDEX VCF. WHILE ONE PATIENT HAD PRIMARY HYPERPARATHYROIDISM AND ANOTHER WAS TREATED WITH HIGH DOSE PREDNISONE, NO OTHER RISK FACTORS FOR BONE LOSS INCLUDING MEDICATIONS OR SECONDARY OSTEOPOROSIS CAUSES WERE IDENTIFIED IN THE OTHER PATIENTS. CLINICAL REHABILITATION IMPACT: THIS STUDY IDENTIFIED PATIENTS IN WHOM INCREASED TORSIONAL AND COMPRESSIVE MECHANICAL LOADING PRESSURES OCCURRING DURING YOGA SFE RESULTED IN DE NOVO VCF. DESPITE THE NEED FOR SELECTIVITY IN YOGA POSES IN POPULATIONS AT INCREASED FRACTURE RISK, BOTH SCIENTIFIC AND MEDIA REPORTS CONTINUE TO ADVERTISE YOGA AS A BONE PROTECTIVE ACTIVITY. ACCORDINGLY, YOGA IS MISCONCEIVED AS A 'ONESIZE-FITS-ALL' PRESCRIPTION. INSTEAD, THE APPROPRIATE SELECTION OF PATIENTS LIKELY TO BENEFIT FROM YOGA MUST BE A CORNERSTONE OF FRACTURE PREVENTION. 2018 4 2853 48 YOGA, VERTEBRAL FRACTURES, AND OSTEOPOROSIS: RESEARCH AND RECOMMENDATIONS. BACKGROUND: OSTEOPOROSIS IS CHARACTERIZED BY DECREASED BONE DENSITY THAT LEAVES BONES FRAGILE AND HIGHLY SUSCEPTIBLE TO FRACTURE. GLOBALLY, 1 IN 3 WOMEN AND 1 IN 5 MEN OLDER THAN 50 WILL SUFFER FROM AN OSTEOPOROTIC FRACTURE, AND THOSE INDIVIDUALS WILL EXPERIENCE A CONSIDERABLY HIGHER RISK OF POSTFRACTURE MORTALITY THAN WILL THE GENERAL POPULATION. GENTLE, WEIGHT-BEARING EXERCISES SUCH AS YOGA CAN HELP PREVENT OR CEASE THE PROGRESSION OF OSTEOPOROSIS; HOWEVER, THERE IS INSUFFICIENT DATA REGARDING WHICH YOGA POSES PRESENT THE LEAST RISK AND ARE MOST BENEFICIAL TO INDIVIDUALS WITH REDUCED BONE DENSITY. OBJECTIVES: REVIEW THE EXTANT LITERATURE ABOUT THE RISKS AND BENEFITS TO THE SPINE OF PARTICULAR FORMS OF MOVEMENT AND CONSIDER RECOMMENDATIONS RELATIVE TO THE PRACTICE OF YOGA. METHODS: A REVIEW OF THE PUBMED, MEDLINE, AND COCHRANE DATABASES WAS CONDUCTED THAT IDENTIFIED MANUSCRIPTS PUBLISHED BETWEEN 1966 AND 2011 ABOUT TOPICS RELATED TO OSTEOPOROSIS AND SPINAL MOVEMENT. CONCLUSIONS: MOVEMENTS INVOLVING SPINAL FLEXION CAN INCREASE RISK FOR VERTEBRAL COMPRESSION FRACTURES; HOWEVER, A COMBINATION OF MILD SPINAL FLEXION AND EXTENSION MAY PROVE BENEFICIAL. MODERATE, WEIGHT-BEARING ACTIVITIES THAT STRENGTHEN THE MUSCLES SUPPORTING THE SPINAL COLUMN, PROMOTE BALANCE, IMPROVE POSTURE, AND ENHANCE QUALITY OF LIFE APPEAR TO BE OF GREATEST BENEFIT. AMPLE EVIDENCE SUPPORTS THE IMPORTANCE OF VARIED SPINAL MOVEMENT FOR PRESERVING THE HEALTH AND STRENGTH OF THE VERTEBRAL BODIES. EXERCISE MODIFICATIONS SUITABLE FOR HIGH-RISK INDIVIDUALS MAY BE COUNTERPRODUCTIVE FOR THOSE AT LOW RISK FOR VERTEBRAL FRACTURES. YOGA THERAPISTS ARE CAUTIONED TO NOT APPLY A ONE-SIZE-FITS-ALL APPROACH WHEN WORKING WITH THIS POPULATION. WELL-DESIGNED EMPIRICAL STUDIES ARE NEEDED TO FURTHER OUR UNDERSTANDING OF WHICH YOGA POSES PRESENT THE LEAST RISK AND ARE OF GREATEST BENEFIT TO INDIVIDUALS WITH OSTEOPOROSIS. 2013 5 2565 32 YOGA FOR CORRECTION OF LYMPHEDEMA'S IMPAIRMENT OF GAIT AS AN ADJUNCT TO LYMPHATIC DRAINAGE: A PILOT OBSERVATIONAL STUDY. INTRODUCTION: YOGA USED AS A MAJOR COMPONENT OF INTEGRATIVE TREATMENT PROTOCOL IN 14 INDIAN VILLAGE CAMPS IMPROVED QUALITY-OF-LIFE IN 425 LYMPHATIC FILARIASIS PATIENTS. THEY EXPERIENCED BETTER MOBILITY AND REDUCED DISABILITY. THIS PAPER DOCUMENTS THE GAIT ABNORMALITIES OBSERVED IN LOWER LIMB LYMPHEDEMA PATIENTS AND THE LOCOMOTOR CHANGES FOLLOWING INTEGRATIVE TREATMENT. MATERIALS AND METHODS: YOGA POSTURES WERE PERFORMED AS EXPLAINED BY TRADITIONAL YOGA PRACTICE IN TWO SESSIONS: BEFORE AYURVEDIC OIL MASSAGE WITHOUT COMPRESSION BANDAGES AND AFTER THE MASSAGE WITH COMPRESSION BANDAGES. EACH YOGA POSTURE LASTED FOR 5 MIN AND THE WHOLE SESSION ENDED IN 45 MIN. THROUGHOUT EACH SESSION, WE ADVISED PATIENTS TO DO LONG, DIAPHRAGMATIC BREATHING, CONCENTRATING ON EACH BREATH. THE FLEXION OF JOINTS WAS COORDINATED WITH EXHALATION AND EXTENSION WITH INHALATION. WE EDUCATED THE PATIENTS TO DO LONGER EXPIRATION THAN INSPIRATION. RESULTS AND DISCUSSION: A TOTAL OF 98 PATIENTS (133 LIMBS) ATTENDING THE 6(TH) MONTH FOLLOW-UP WERE EVALUATED. THE MOST COMMON GAIT ABNORMALITY WAS ANTALGIC GAIT. STRUCTURAL AND FUNCTIONAL ABNORMALITIES WERE OBSERVED IN HIP, KNEE AND ANKLE JOINTS. WE FOUND THAT YOGA AS AN ADJUNCT TO OTHER COMPONENTS IN INTEGRATIVE TREATMENT IMPROVED THE GAIT PROBLEMS. LONG STANDING LYMPHEDEMA CAUSED ALTERED GAIT AND JOINT DEFORMITIES. THIS WAS MOSTLY DUE TO INACTIVITY CAUSING MUSCLE WEAKNESS AND EDEMA WITHIN AND AROUND THE MUSCLES. BOTH LARGE AND SMALL LIMBS HAVE SHOWN SIGNIFICANT VOLUME REDUCTION (P < 0.01) DURING FOLLOW-UP AFTER 6 MONTHS. CONCLUSION: THERE CAN BE A MIXED ETIOLOGY FOR GAIT RELATED PROBLEMS IN LYMPHEDEMA PATIENTS. FURTHER STUDIES ARE RECOMMENDED TO UNDERSTAND THE CAUSES OF DEFORMITIES IN LYMPHEDEMA PATIENTS AND AN EXACT ROLE OF YOGA. 2015 6 1984 44 SOFT TISSUE AND BONY INJURIES ATTRIBUTED TO THE PRACTICE OF YOGA: A BIOMECHANICAL ANALYSIS AND IMPLICATIONS FOR MANAGEMENT. OBJECTIVE: TO ANALYZE INJURIES THAT WERE DIRECTLY ASSOCIATED WITH YOGA PRACTICE AND IDENTIFY SPECIFIC POSES THAT SHOULD BE AVOIDED IN PATIENTS WITH OSTEOPENIA OR OSTEOPOROSIS. PATIENTS AND METHODS: WE RETROSPECTIVELY REVIEWED THE MEDICAL RECORDS OF PATIENTS WITH INJURIES THAT WERE PRIMARILY CAUSED BY YOGA. PATIENTS WERE SEEN FROM JANUARY 1, 2006, THROUGH DECEMBER 31, 2018. INJURIES WERE CATEGORIZED INTO 3 GROUPS: (1) SOFT TISSUE INJURY, (2) AXIAL NONBONY INJURY, AND (3) BONY INJURY. PATIENTS UNDERWENT EVALUATION AND WERE COUNSELED TO MODIFY EXERCISE ACTIVITY. RESULTS: WE IDENTIFIED 89 PATIENTS FOR INCLUSION IN THE STUDY. WITHIN THE SOFT TISSUE GROUP, 66 PATIENTS (74.2%) HAD MECHANICAL MYOFASCIAL PAIN DUE TO OVERUSE. ROTATOR CUFF INJURY WAS SEEN IN 6 (6.7%), AND TROCHANTERIC BURSOPATHY WAS OBSERVED IN 1 (1.1%). IN THE AXIAL GROUP, EXACERBATION OF PAIN IN DEGENERATIVE JOINT DISEASE (46 PATIENTS [51.7%]) AND FACET ARTHROPATHY (N=34 [38.2%]) WERE OBSERVED. RADICULOPATHY WAS SEEN IN 5 PATIENTS (5.6%). WITHIN THE BONY INJURY CATEGORY, KYPHOSCOLIOSIS WAS SEEN ON IMAGING IN 15 PATIENTS (16.9%). SPONDYLOLISTHESIS WAS PRESENT IN 15 PATIENTS (16.9%). ANTERIOR WEDGING WAS SEEN IN 16 (18.0%), AND COMPRESSION FRACTURES WERE PRESENT IN 13 (14.6%). THE POSES THAT WERE MOST COMMONLY IDENTIFIED AS CAUSING THE INJURIES INVOLVED HYPERFLEXION AND HYPEREXTENSION OF THE SPINE. WE CORRELATED THE KINESIOLOGIC EFFECT OF SUCH EXERCISES ON SPECIFIC MUSCULOSKELETAL STRUCTURES. CONCLUSION: YOGA POTENTIALLY HAS MANY BENEFITS, BUT CARE MUST BE TAKEN WHEN PERFORMING POSITIONS WITH EXTREME SPINAL FLEXION AND EXTENSION. PATIENTS WITH OSTEOPENIA OR OSTEOPOROSIS MAY HAVE HIGHER RISK OF COMPRESSION FRACTURES OR DEFORMITIES AND WOULD BENEFIT FROM AVOIDING EXTREME SPINAL FLEXION. PHYSICIANS SHOULD CONSIDER THIS RISK WHEN DISCUSSING YOGA AS EXERCISE. 2019 7 2766 32 YOGA PROTOCOL FOR TREATMENT OF BREAST CANCER-RELATED LYMPHEDEMA. INTRODUCTION: VAQAS AND RYAN (2003) ADVOCATED YOGA AND BREATHING EXERCISES FOR LYMPHEDEMA. NARAHARI ET AL. (2007) DEVELOPED AN INTEGRATIVE MEDICINE PROTOCOL FOR LOWER-LIMB LYMPHEDEMA USING YOGA. STUDIES HAVE HYPOTHESIZED THAT YOGA PLAYS A SIMILAR ROLE AS THAT OF CENTRAL MANUAL LYMPH DRAINAGE OF FOLDI'S TECHNIQUE. THIS STUDY EXPLAINS HOW WE HAVE USED YOGA AND BREATHING AS A SELF-CARE INTERVENTION FOR BREAST CANCER-RELATED LYMPHEDEMA (BCRL). METHODS: THE STUDY OUTCOME WAS TO CREATE A YOGA PROTOCOL FOR BCRL. SELECTION OF YOGA WAS BASED ON THE ACTIONS OF MUSCLES ON JOINTS, ANATOMICAL AREAS ASSOCIATED WITH DIFFERENT GROUPS OF LYMPH NODES, STRETCHING OF SKIN, AND METHOD OF BREATHING IN EACH YOGA. THE PROTOCOL WAS PILOTED IN EIGHT BCRL PATIENTS, OBSERVED ITS DIFFICULTIES BY INTERACTING WITH PATIENTS. A LITERATURE SEARCH WAS CONDUCTED IN PUBMED AND COCHRANE LIBRARY TO IDENTIFY THE YOGA PROTOCOLS FOR BCRL. RESULTS: TWENTY YOGA AND 5 BREATHING EXERCISES WERE ADOPTED. THEY HAVE SLOW, METHODICAL JOINT MOVEMENTS WHICH HELPED PATIENTS TO TOLERATE PAIN. BREATHING WAS LONG AND DIAPHRAGMATIC. FLEXION OF JOINTS WAS COORDINATED WITH EXHALATION AND EXTENSION WITH INHALATION. ALTERNATE YOGA WAS INTRODUCED TO FACILITATE PATIENTS TO PERFORM COMPLEX MOVEMENTS. YOGA'S JOINT MOVEMENTS, INITIAL POSITIONS, AND MODE OF BREATHING WERE COMPARED TO TWO OTHER PROTOCOLS. THE VOLUME REDUCED FROM 2.4 TO 1.2 L IN EIGHT PATIENTS AFTER CONTINUOUS PRACTICE OF YOGA AND COMPRESSION AT HOME FOR 3 MONTHS. THERE WAS IMPROVEMENT IN THE RANGE OF MOVEMENT AND INTENSITY OF PAIN. DISCUSSION: YOGA EXERCISES WERE SELECTED ON THE BASIS OF THEIR ROLE IN CHEST EXPANSION, MAXIMIZING RANGE OF MOVEMENTS: FLEXION OF LARGE MUSCLES, MAXIMUM STRETCH OF SKIN, AND THUS PART-BY-PART LYMPH DRAINAGE FROM CENTER AND PERIPHERY. THIS PROTOCOL ADDRESSED FUNCTIONAL, VOLUME, AND MOVEMENT ISSUES OF BCRL AND WAS FOUND TO BE SUPERIOR TO OTHER BCRL YOGA PROTOCOLS. HOWEVER, THIS PROTOCOL NEEDS TO BE TESTED IN CENTERS ROUTINELY MANAGING BCRL. 2016 8 825 38 EFFECT OF YOGA ON HEALTH-RELATED OUTCOMES IN PEOPLE AT RISK OF FRACTURES: A SYSTEMATIC REVIEW. WE SUMMARIZED THE EFFECTS OF YOGA ON HEALTH-RELATED OUTCOMES AND ADVERSE EVENTS IN MEN AND POSTMENOPAUSAL WOMEN >/=50 YEARS-OLD AT INCREASED RISK OF FRACTURE, TO INFORM THE UPDATED OSTEOPOROSIS CANADA CLINICAL PRACTICE GUIDELINES. SIX DATABASES WERE SEARCHED FOR OBSERVATIONAL STUDIES, RANDOMIZED CONTROLLED TRIALS AND CASE SERIES. CERTAINTY OF EVIDENCE WAS ASSESSED USING THE GRADING OF RECOMMENDATIONS, ASSESSMENT, DEVELOPMENT AND EVALUATION HANDBOOK. NINE STUDIES WERE INCLUDED AND REPORTED USING NARRATIVE SYNTHESES DUE TO THE LIMITED AVAILABLE EVIDENCE. OVERALL, THE AVAILABLE EVIDENCE WAS OF VERY LOW CERTAINTY. THERE WAS NO EFFECT OF YOGA ON HEALTH-RELATED QUALITY OF LIFE IN RANDOMIZED TRIALS. EFFECTS ON OTHER HEALTH-RELATED OUTCOMES WERE MIXED OR NOT AVAILABLE IN THE LITERATURE. FIVE STUDIES REPORTED NO ADVERSE EVENTS DIRECTLY RELATED TO THE STUDY INTERVENTION, AND 2 STUDIES DID NOT REPORT WHETHER ADVERSE EVENTS OCCURRED. HOWEVER, 2 CASE SERIES REPORTED VERTEBRAL FRACTURES RELATED TO YOGA PARTICIPATION, POSSIBLY DUE TO EXCESSIVE SPINAL FLEXION. DUE TO THE LIMITED AND VERY LOW CERTAINTY EVIDENCE, GUIDELINE DEVELOPERS WILL NEED TO DRAW INDIRECT EVIDENCE FROM YOGA STUDIES AMONG MIDDLE AGED OR OLDER ADULTS THAT ARE NOT AT FRACTURE RISK. PROSPERO: CRD42019124898. NOVELTY: EVIDENCE IN GENERAL WAS OF VERY LOW CERTAINTY. YOGA HAD NO EFFECT ON HEALTH-RELATED QUALITY OF LIFE IN RANDOMIZED TRIALS. EVIDENCE WAS MIXED OR UNAVAILABLE FOR OTHER OUTCOMES. CASE STUDIES REPORTED YOGA POSES INVOLVING SPINAL FLEXION COINCIDED WITH INCIDENTS OF VERTEBRAL COMPRESSION FRACTURE AMONG OLDER ADULTS WITH INCREASED FRACTURE RISK. 2022 9 2724 12 YOGA NEUROPATHY. A SNOOZER. SCIATIC NERVE COMPRESSION VERY RARELY OCCURS BILATERALLY. THE AUTHORS PRESENT A WOMAN WITH PROFOUND LOWER EXTREMITY WEAKNESS AND SENSORY ABNORMALITY AFTER FALLING ASLEEP IN THE HEAD-TO-KNEES YOGA POSITION (ALSO CALLED "PASCHIMOTTANASANA"). CLINICAL AND ELECTRODIAGNOSTIC FINDINGS ARE DISCUSSED IN DETAIL AND A BRIEF REVIEW OF THE LITERATURE IS PRESENTED. 2005 10 322 23 ANKLE MOTION IN COMMON YOGA POSES. BACKGROUND: MOTION OF THE ANKLE IS ESSENTIAL FOR MANY YOGA POSES. AN UNDERSTANDING OF RANGE OF ANKLE MOTION DURING TYPICAL YOGA POSES MAY HELP THE CLINICIAN TO UNDERSTAND EXPECTED OUTCOMES OF PATIENTS WHEN RETURNING FROM ANKLE SURGERY OR INJURY TO YOGA. METHODS: THE BIOMECHANICS OF TWENTY HEALTHY ACTIVE YOGIS WERE COLLECTED DURING SEVEN YOGA POSES THAT ARE COMMON WITHIN THEIR PRACTICES. MOTION CAPTURE AND FORCE PLATES WERE USED TO ASSESS THE RANGE OF MOTION AND JOINT MOMENTS OF THE ANKLE FOR EACH POSE. RESULTS: ALL POSES RESULTED IN PLANTARFLEXION AND EXTERNAL ROTATION MOMENTS AT THE ANKLE JOINTS. JOINT LOADING WAS HIGHEST IN SINGLE LEG POSES. THE ARC OF MOTION USED BY THE STUDY PARTICIPANTS IN THE POSES WAS 29 DEGREES OF SAGITTAL MOTION, 20 DEGREES OF FRONTAL MOTION AND 35 DEGREES OF TRANSVERSE MOTION. DISCUSSION: ANKLE MOTION WAS EVALUATED WHEN HEALTHY YOGIS PERFORM STANDARD POSES. THESE RESULTS MAY HELP IN DISCUSSION WITH PATIENTS REGARDING EXPECTED OUTCOMES AFTER ANKLE INJURY OR SURGERY. 2019 11 2185 33 THE EFFECTS OF YOGA ON SHOULDER AND SPINAL ACTIONS FOR WOMEN WITH BREAST CANCER-RELATED LYMPHOEDEMA OF THE ARM: A RANDOMISED CONTROLLED PILOT STUDY. BACKGROUND: WE AIMED TO EVALUATE THE EFFECT OF AN 8-WEEK YOGA INTERVENTION ON THE SHOULDER AND SPINAL ACTIONS OF WOMEN WITH BREAST CANCER-RELATED ARM LYMPHOEDEMA. METHOD: A RANDOMISED CONTROLLED PILOT TRIAL. THE INTERVENTION GROUP (N = 12) COMPLETED EIGHT WEEKS OF DAILY YOGA SESSIONS WHILE THE CONTROL GROUP (N = 11) CONTINUED WITH BEST CURRENT CARE INCLUDING INFORMATION ON COMPRESSION SLEEVES, SKIN CARE, RISKS OF TEMPERATURE VARIATIONS AND RECOMMENDED SAFE USE OF AFFECTED ARM. LUMBO-PELVIC POSTURE, RANGE OF MOTION (ROM) IN THE SHOULDER AND SPINE, AND STRENGTH IN SHOULDER AND PECTORAL MAJOR AND MINOR, AND SERRATUS ANTERIOR WERE TAKEN AT BASELINE, WEEK 8 AND AFTER A 4-WEEK FOLLOW-UP. OUTCOME ASSESSORS WERE BLINDED TO ALLOCATION. RESULTS: AT WEEK EIGHT THE INTERVENTION GROUP HAD AN IMPROVEMENT IN LUMBO-PELVIC POSTURE, AS INDICATED BY A REDUCTION IN PELVIC OBLIQUITY COMPARED TO THE CONTROL GROUP (MEAN DIFFERENCE = -8.39 DEGREES , 95 % CI: -15.64 TO -1.13 DEGREES , P = 0.023). A SECONDARY FINDING WAS THAT STRENGTH IN SHOULDER ABDUCTION SIGNIFICANTLY INCREASED FOLLOWING THE YOGA INTERVENTION IN BOTH THE AFFECTED (9.5 KG; CI: 0.34 TO 18.66, P = 0.042) AND NON-AFFECTED ARM (11.58 KG; CI: 0.25 TO 22.91; P = 0.045). THERE WERE NO SIGNIFICANT BETWEEN GROUP CHANGES IN ANY ROM MEASURES AS A RESULT OF THE YOGA INTERVENTION. CONCLUSION: THIS PILOT STUDY DEMONSTRATES THAT PARTICIPATION IN YOGA MAY PROVIDE BENEFITS FOR POSTURE AND STRENGTH IN WOMEN WITH BREAST CANCER RELATED LYMPHOEDEMA. THE IMPROVEMENTS MAY BE ATTRIBUTED TO THE FOCUS OF YOGA ON OVERALL POSTURAL AND FUNCTIONAL MOVEMENT PATTERNS. FURTHER TRIALS WITH LONGER INTERVENTION THAT FOLLOW THIS METHODOLOGY ARE WARRANTED. TRIAL REGISTRATION: THE AUSTRALIAN NEW ZEALAND CLINICAL TRIALS REGISTRY ACTRN12611000202965 . 2016 12 2722 34 YOGA MIGHT BE AN ALTERNATIVE TRAINING FOR THE QUALITY OF LIFE AND BALANCE IN POSTMENOPAUSAL OSTEOPOROSIS. AIM: OSTEOPOROTIC VERTEBRA AND HIP FRACTURES ARE MAJOR CAUSES OF DYSFUNCTION, DISABILITY, MORTALITY AND IMPAIRED LIFE QUALITY IN THE AGEING POPULATION. IN THE POSTMENOPAUSAL PERIOD, EXERCISES PREVENT RAPID BONE LOSS AND INCREASE MUSCLE STRENGTH, MOBILITY AND FLEXIBILITY THEREBY DECREASING THE RISK OF FALLS AND FRACTURES. YOGA EXERCISES, WHICH HAVE BEEN AN INSEPARABLE PART OF EASTERN CULTURE FOR HUNDREDS OF YEARS, ARE NOW BEING USED IN THE FIELD OF OSTEOPOROSIS REHABILITATION. YOGA HAS A POSITIVE EFFECT ON BALANCE, POSTURE, FLEXIBILITY, AND LIFE QUALITY RESULTING FROM ITS EFFECTS ON BALANCE, STRETCHING, RELAXATION AND STRENGTHENING. THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECT OF YOGA EXERCISES IN POSTMENOPAUSAL OSTEOPOROTIC WOMEN ON BALANCE AND LIFE QUALITY AND TO COMPARE THE RESULTS WITH A CLASSIC OSTEOPOROSIS EXERCISE PROGRAM. METHODS: TWENTY-SIX POSTMENOPAUSAL OSTEOPOROTIC WOMEN OVER 55 YEARS OF AGE WERE INCLUDED IN THE STUDY. A NEUROMUSCULAR TEST BATTERY AND THE QUALEFFO AS A LIFE QUALITY INDEX WERE USED FOR THE ASSESSMENT OF BALANCE AND LIFE QUALITY, RESPECTIVELY. RESULTS: THE RESULTS SHOWED THAT YOGA EDUCATION HAS A POSITIVE EFFECT ON PAIN, PHYSICAL FUNCTIONS, SOCIAL FUNCTIONS, GENERAL CONCLUSION: IN CONCLUSION, YOGA APPEARS TO BE AN ALTERNATIVE PHYSICAL ACTIVITY FOR THE REHABILITATION OF OSTEOPOROTIC SUBJECTS. 2010 13 1047 25 EFFECTS OF YOGA ON ARM VOLUME AMONG WOMEN WITH BREAST CANCER RELATED LYMPHEDEMA: A PILOT STUDY. LYMPHEDEMA AFFECTS 3-58% OF SURVIVORS OF BREAST CANCER AND CAN RESULT IN UPPER EXTREMITY IMPAIRMENTS. EXERCISE CAN BE BENEFICIAL IN MANAGING LYMPHEDEMA. YOGA PRACTICE HAS BEEN MINIMALLY STUDIED FOR ITS EFFECTS ON BREAST CANCER RELATED LYMPHEDEMA (BCRL). THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE EFFECT OF YOGA ON ARM VOLUME, QUALITY OF LIFE (QOL), SELF-REPORTED ARM FUNCTION, AND HAND GRIP STRENGTH IN WOMEN WITH BCRL. SIX WOMEN WITH BCRL PARTICIPATED IN MODIFIED HATHA YOGA 3X/WEEK FOR 8 WEEKS. COMPRESSION SLEEVES WERE WORN DURING YOGA SESSIONS. ARM VOLUME, QOL, SELF-REPORTED ARM FUNCTION, AND HAND GRIP STRENGTH WERE MEASURED AT BASELINE, HALF-WAY, AND AT THE CONCLUSION OF YOGA PRACTICE. ARM VOLUME SIGNIFICANTLY DECREASED FROM BASELINE (2423.3 ML +/- 597.2) TO FINAL MEASURES (2370.8 ML +/- 577.2) (P = .02). NO SIGNIFICANT CHANGES IN QOL (P = .12), SELF-REPORTED ARM FUNCTION (P = .34), OR HAND GRIP STRENGTH (P = .26) WERE FOUND. YOGA MAY BE BENEFICIAL IN THE MANAGEMENT OF LYMPHEDEMA. 2014 14 2393 22 YOGA AND BONE HEALTH. OSTEOPOROSIS IS A PUBLIC HEALTH PROBLEM AFFECTING INDIVIDUALS GLOBALLY. YOGA HAS BEEN FOUND TO PREVENT AND REVERSE BONE LOSS. YOGA MAY RESULT IN BETTER BALANCE, IMPROVED POSTURE, AND GREATER RANGE OF MOTION, STRENGTH, AND COORDINATION, ALL FACTORS THAT ALSO MITIGATE THE RISK OF FALLS AND FRACTURES. A 12-MINUTE, 12-POSE YOGA REGIMEN IS DISCUSSED IN DETAIL. ONCE LEARNED, THE ONGOING USE OF YOGA IS SAFE, WITHOUT COST, AND MAY BE DONE LIFELONG. 2021 15 2306 30 TRAINING BENEFITS AND INJURY RISKS OF STANDING YOGA APPLIED IN MUSCULOSKELETAL PROBLEMS: LOWER LIMB BIOMECHANICAL ANALYSIS. STANDING YOGA POSES STRENGTHEN A PERSON'S LEGS AND HELPS TO ACHIEVE THE GOAL OF MUSCULOSKELETAL REHABILITATION, BUT INADEQUATE EXERCISE PLANNING CAN CAUSE INJURIES. THIS STUDY INVESTIGATED CHANGES IN THE ELECTROMYOGRAM AND JOINT MOMENTS OF FORCE (JMOFS) OF LOWER EXTREMITIES DURING COMMON STANDING YOGA POSES IN ORDER TO EXPLORE THE FEASIBILITY AND POSSIBLE INJURY RISK IN DEALING WITH MUSCULOSKELETAL PROBLEMS. ELEVEN YOGA INSTRUCTORS WERE RECRUITED TO EXECUTE FIVE YOGA POSES (CHAIR, TREE, WARRIOR 1, 2, AND 3). THE RESULTS REVEALED SIGNIFICANT DIFFERENCES IN HIP, KNEE, AND ANKLE JMOFS AND VARYING DEGREES OF MUSCLE ACTIVATION AMONG THE POSES. AMONG THESE POSES, RECTUS FEMORIS MUSCLE ACTIVATION DURING THE CHAIR POSE WAS THE HIGHEST, WARRIOR 2 PRODUCED THE HIGHEST MUSCLE ACTIVATION IN THE VASTUS LATERALIS OF THE FRONT LIMB, WHILE WARRIOR 1 HAD THE HIGHEST MUSCLE ACTIVATION IN THE VASTUS MEDIALIS OF THE BACK LIMB. THEREFORE, ALL THREE POSES CAN POSSIBLY BE SUGGESTED AS A THERAPEUTIC INTERVENTION FOR QUADRICEPS STRENGTHENING. WARRIOR 1 WAS POSSIBLY SUGGESTED AS A THERAPEUTIC INTERVENTION IN ORDER TO REDUCE EXCESSIVE LATERAL OVERLOAD OF THE PATELLA, BUT THE POSSIBLE ADVERSE EFFECTS OF WARRIOR 2 WITH THE HIGHEST KNEE ADDUCTOR JMOF IN THE BACK LIMB COULD RAISE JOINT REACTION FORCES ACROSS THE MEDIAL CONDYLES. IN SINGLE-LEG BALANCE POSTURES, WARRIOR 3 HAD UNIQUE TRAINING EFFECTS ON THE HAMSTRING, AND IS THEREFORE SUGGESTED AS A PART OF HAMSTRING REHABILITATION EXERCISES. THE TREE POSE INDUCED LOW LOWER-EXTREMITY JMOFS AND A LOW LEVEL OF THIGH MUSCLE ACTIVATIONS WHEN IT WAS PERFORMED BY SENIOR INSTRUCTORS WITH EXCELLENT BALANCE CONTROL; HOWEVER, FOR YOGA BEGINNERS WITH INSUFFICIENT STABILITY, IT WILL BE A USEFUL TRAINING MODE FOR STRENGTHENING THE MUSCLES THAT HELP TO KEEP ONE UPRIGHT. THIS STUDY QUANTIFIED THE PHYSICAL DEMANDS OF YOGA POSES USING BIOMECHANICAL DATA AND ELUCIDATED THE STRUCTURES AND PRINCIPLES UNDERLYING EACH YOGA MOVEMENT. THIS IS CRUCIAL FOR YOGA PRACTITIONERS. 2021 16 2015 31 SUGGESTIONS FOR ADAPTING YOGA TO THE NEEDS OF OLDER ADULTS WITH OSTEOPOROSIS. BACKGROUND: EXERCISE SUCH AS YOGA MAY HAVE HEALTH BENEFITS FOR OLDER ADULTS WITH OSTEOPOROSIS, BUT WITHOUT ATTENTION TO SAFE MOVEMENT YOGA CAN ALSO INCREASE THE RISK FOR INJURY. OBJECTIVE: THE CURRENT ARTICLE PROVIDES SUGGESTIONS FOR HOW TO ADAPT YOGA TO THE NEEDS OF OLDER ADULTS WITH OSTEOPOROSIS. SUGGESTIONS: A GENERAL GUIDELINES FOR EXERCISE IS THAT OLDER ADULTS WITH OSTEOPOROSIS SHOULD PARTICIPATE IN A MULTICOMPONENT EXERCISE PROGRAM, INCLUDING RESISTANCE AND BALANCE TRAINING. CONTRAINDICATED MOVEMENTS INCLUDE END-RANGE FLEXION/EXTENSION/ROTATION OF THE SPINE AND INTERNAL/EXTERNAL ROTATION OF THE HIP. YOGA POSTURES THAT SHOULD BE ENCOURAGED INCLUDE POSTURES EMPHASIZING SPINAL ALIGNMENT AND EXTENSION TO MID-RANGE IN STANDING AND ON THE FLOOR. OVERARCHING CONSIDERATIONS FOR PARTICIPATION IN YOGA ARE THAT CLASSES SHOULD BE DESIGNED FOR HIGHER-RISK OLDER ADULTS, LED BY AN INSTRUCTOR WHO HAS HAD PROPER TRAINING WITH INDIVIDUALS WITH OSTEOPOROSIS, SHOULD BE A NONCOMPETITIVE ENVIRONMENT, AND SHOULD GIVE ATTENTION TO WHICH POSTURES ARE SAFE AND HOW TO TRANSITION SAFELY. 2016 17 2157 28 THE EFFECTS OF UPPER LIMB EXERCISE THROUGH YOGA ON LIMB SWELLING IN CHINESE BREAST CANCER SURVIVORS - A PILOT STUDY. PURPOSE: BREAST CANCER IS THE MOST COMMON FEMALE CANCER. THE AIM OF THIS STUDY WAS TO ASSESS THE IMPACT OF YOGA ON LYMPHEDEMA IN BREAST CANCER SURVIVORS. DESIGN: REPEATED MEASURES BEFORE AND AFTER THE INTERVENTION. WE ENROLLED 15 WOMEN WITH BREAST CANCER WHO HAD NOT PREVIOUSLY WORN ELASTIC CLOTHING TO TREAT LYMPHEDEMA. METHODS: THE PROGRAM WAS LED BY A CERTIFIED TRAINER AND CONSISTED OF 60-MINUTE SESSIONS, THREE TIMES A WEEK FOR 12 WEEKS. THE VOLUMES OF THE AFFECTED AND NORMAL LIMBS WERE MEASURED. A SELF-ASSESSED EDEMA SCORE WAS ALSO RECORDED. FINDINGS: FIFTEEN PATIENTS COMPLETED THE PROGRAM, NONE OF WHOM SUFFERED FROM COMPLICATIONS RELATED TO EXERCISE. THERE WAS NO SIGNIFICANT EDEMA AFTER EXERCISE. NO SIGNIFICANT DIFFERENCES WERE NOTED IN SUBGROUP ANALYSIS BY AGE OR THE AFFECTED ARM. CONCLUSIONS: YOGA DOES NOT INDUCE LYMPHEDEMA. CLINICAL RELEVANCE: LYMPHEDEMA IS USUALLY TREATED WITH UNCOMFORTABLE ELASTIC CLOTHING, AND HIGH-RESISTANCE EXERCISE MAY INDUCE EDEMA. YOGA MAY BE SUITABLE FOR THESE PATIENTS. 2017 18 1623 40 MINDFULNESS AND MODIFIED MEDICAL YOGA AS INTERVENTION IN OLDER WOMEN WITH OSTEOPOROTIC VERTEBRAL FRACTURE. BACKGROUND: PEOPLE WITH OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES (VCFS) HAVE DECREASED HEALTH-RELATED QUALITY OF LIFE (HRQOL). YOGA AND MINDFULNESS ARE METHODS THAT CAN PROMOTE WELL-BEING. OBJECTIVE: THE AIM OF THIS ARTICLE WAS TO EXPLORE THE EFFECT OF MINDFULNESS AND MODIFIED MEDICAL YOGA ON HRQOL, STRESS, SLEEP, AND PAIN IN PEOPLE 60 YEARS OR OLDER WITH A DIAGNOSED OSTEOPOROTIC VCF. DESIGN: THE SCHOOL OF OSTEOPOROSIS IN LINKOPING (SOL) IS A PILOT STUDY WITH RANDOMIZED GROUPS. MATERIALS AND METHODS: THE SOL-STUDY WAS SCHEDULED TO ONCE A WEEK FOR 10 WEEKS. TEN PEOPLE WERE RANDOMIZED TO A THEORY (T) GROUP, AND TEN PEOPLE WERE RANDOMIZED TO A THEORY AND MINDFULNESS/MEDICAL YOGA (MMY) GROUP. THE EDUCATIONAL SESSIONS LASTED 60 MIN AND WERE SIMILAR FOR THE GROUPS, BUT THEY TOOK PLACE AT DIFFERENT FACILITIES. AN EXPERIENCED PHYSIOTHERAPIST SUPERVISED THE MMY SESSIONS FOR 60 MIN. SLEEP QUALITY AND PRESENT STRESS EXPERIENCE WERE MEASURED ON A SYMMETRIC LIKERT SCALE. THE NUMERIC RATING SCALE WAS USED FOR PAIN, AND EQ-5D, RAND-36, AND QUALEFFO-41 WERE USED FOR HRQOL. THE PATIENT ENABLEMENT INSTRUMENT (PEI) WAS USED TO REFLECT HOW THE PARTICIPANTS COPED WITH THEIR ILLNESS. RESULTS: EIGHT WOMEN IN THE MMY-GROUP AND SEVEN WOMEN IN THE T-GROUP COMPLETED THE SOL STUDY INTERVENTIONS. THE ADHERENCE TO THE INTERVENTION PROGRAM WAS 89% IN THE MMY-GROUP AND 87% IN THE T-GROUP. THERE WAS NO ADVERSE CONSEQUENCE OF THE MMY TRAINING. AFTER THE 10-WEEK INTERVENTION PERIOD, SLEEP QUALITY (P = 0.018) AND PRESENT STRESS (P = 0.043), BUT NOT PERCEIVED PAIN WERE IMPROVED IN THE MMY-GROUP. THE SOCIAL FUNCTION (SF) DOMAIN WAS IMPROVED IN THE MMY-GROUP THAT WAS MEASURED BY BOTH RAND-36 (P = 0.028) AND QUALEFFO-41 (P = 0.012). THERE WAS A TREND TOWARD A BETTER PEI-SCORE IN THE MMY-GROUP COMPARED WITH THE T-GROUP POSTINTERVENTION (P = 0.089). CONCLUSION: THIS ARTICLE SUGGESTS THAT MINDFULNESS AND MODIFIED MEDICAL YOGA SUPERVISED BY A SKILLED PHYSIOTHERAPIST MAY BE A FEASIBLE WAY TO IMPROVE SF, SLEEP, AND STRESS IN OLDER WOMEN WITH OSTEOPOROTIC VCFS. 2020 19 987 34 EFFECTS OF HATHA YOGA EXERCISES ON SPINE FLEXIBILITY IN WOMEN OVER 50 YEARS OLD. [PURPOSE] THE AIM OF THIS STUDY WAS TO ACCESS THE FLEXIBILITY OF THE SPINE IN WOMEN PRACTICING YOGA AS A PART OF THE "UNIVERSITY FOR HEALTH" PROJECT. [SUBJECTS AND METHODS] THE STUDY INCLUDED 56 WOMEN RANGING IN AGE BETWEEN 50-79 AND ATTENDING 90 MINUTES HATHA YOGA SESSIONS ONCE A WEEK. THE MEASUREMENTS WERE PERFORMED TWICE-AT THE BEGINNING OF THE PROJECT AND AFTER ITS COMPLETION, I.E., AFTER 20 WEEKS OF CLASSES. THE RANGE OF SPINE MOBILITY IN THREE PLANES WAS MEASURED USING A RIPPSTEIN PLURIMETER. THE RANGE OF MOTION IN THE SAGITTAL AND FRONTAL PLANES WAS MEASURED IN A STANDING POSITION WITH THE FEET HIP-WIDTH APART. THE TORSIONAL RANGE OF MOTION OF THE SUBJECTS WAS MEASURED WITH THE TRUNK BENT AT A RIGHT ANGLE AND THE LEGS APART. THE FLEXIBILITY RANGES OF THE SPINE AND HAMSTRINGS WERE ALSO MEASURED BY THE TOE-TOUCH TEST IN A STANDING POSITION. [RESULTS] THIS STUDY SHOWED THAT THE APPLIED YOGA EXERCISES INCREASED SPINAL MOBILITY AND FLEXIBILITY OF THE HAMSTRING MUSCLES REGARDLESS OF AGE. [CONCLUSION] YOGA EXERCISES SHOULD BE RECOMMENDED TO THE ELDERLY TO MAKE THEIR MUSCLES MORE FLEXIBLE AND TO INCREASE THE RANGE OF MOTION IN THE JOINTS, WHICH IS PARTICULARLY IMPORTANT FOR IMPROVING THEIR LIFE QUALITY. 2015 20 1655 23 MUSCULOSKELETAL INJURIES IN YOGA. WHILE YOGA HAS BEEN WIDELY STUDIED FOR ITS BENEFITS TO MANY HEALTH CONDITIONS, LITTLE RESEARCH HAS BEEN PERFORMED ON THE NATURE OF MUSCULOSKELETAL INJURIES OCCURRING DURING YOGA PRACTICE. YOGA IS CONSIDERED TO BE GENERALLY SAFE, HOWEVER, INJURY CAN OCCUR IN NEARLY ANY PART OF THE BODY-ESPECIALLY THE NECK, SHOULDERS, LUMBAR SPINE, HAMSTRINGS, AND KNEES. AS BROAD INTEREST IN YOGA GROWS, SO WILL THE NUMBER OF PATIENTS PRESENTING WITH YOGA-RELATED INJURIES. IN THIS LITERATURE REVIEW, THE PREVALENCE, TYPES OF INJURIES, FORMS OF YOGA RELATED WITH INJURY, SPECIFIC POSES (ASANAS) ASSOCIATED WITH INJURY, AND PREVENTIVE MEASURES ARE DISCUSSED IN ORDER TO FAMILIARIZE PRACTITIONERS WITH YOGA-RELATED INJURIES. 2018