1 2120 87 THE EFFECT OF YOGA TRAINING ON ENHANCEMENT OF ADRENOCORTICOTROPIC HORMONE (ACTH) AND CORTISOL LEVELS IN FEMALE PATIENTS WITH MULTIPLE SCLEROSIS. THE EFFECT OF 8 WEEKS YOGA TRAINING ON CORTISOL AND ADRENOCORTICOTROPIC HORMONE (ACTH) LEVELS IN FEMALE PATIENTS WITH MULTIPLE SCLEROSIS (MS) IS EXAMINED. TWENTY FOUR MS FEMALE PATIENTS WITH EXPANDED DISABILITY STATUS SCALE (EDSS) 1 TO 5.5 PARTICIPATED IN THIS STUDY AS THE SUBJECT. THE PARTICIPANTS WERE DIVIDED INTO CONTROL (N = 10) OR TRAINING GROUP (N = 14) RANDOMLY. TRAINING GROUP PERFORMED 90 MIN YOGA TRAINING PER SESSION, 3 DAYS A WEEK FOR 8 WEEKS. ASSESSMENTS INCLUDE BODY COMPOSITION MEASUREMENT AND BLOOD SAMPLING 48 H BEFORE FIRST SESSION AND 48 H AFTER THE INTERVENTION. THE RESULTS DEMONSTRATED THAT ACTH INCREASED AND CORTISOL DECREASED COMPARED TO THE CONTROL GROUP (P < 0.05); IN CONCLUSION, IT SEEMS THAT YOGA TRAINING MODULATES ACTH LEVEL IN CONCOMITANT WITH REDUCTION IN CORTISOL LEVEL IN FEMALE PATIENTS WITH MS. 2017 2 1454 36 INFLUENCE OF SPORTS CLIMBING AND YOGA ON SPASTICITY, COGNITIVE FUNCTION, MOOD AND FATIGUE IN PATIENTS WITH MULTIPLE SCLEROSIS. OBJECTIVES: SPASTICITY, COGNITIVE IMPAIRMENT, DEPRESSION AND FATIGUE SIGNIFICANTLY REDUCE THE QUALITY OF LIFE IN MULTIPLE SCLEROSIS (MS) PATIENTS. TO FIND OUT WHETHER NONPHARMALOGICAL TREATMENT APPROACHES CAN REDUCE THESE SYMPTOMS WE INVESTIGATED EFFECTS OF SPORTS CLIMBING (SC) AND YOGA ON SPASTICITY, COGNITIVE IMPAIRMENT, MOOD CHANGE AND FATIGUE IN MS PATIENTS. SPORTS CLIMBING (SC) AND YOGA ARE AEROBIC PHYSICAL ACTIVITIES COMPRISED A SERIES OF STRETCHING TECHNIQUES, IMPLEMENTATION OF WHICH DEMANDS BODY CONTROL AND PLANNING OF COMPLEX MOVEMENTS. MATERIALS AND METHODS: 20 SUBJECTS WITH RELAPSING-REMITTING OR PROGRESSIVE MS, 26-50 YEARS OF AGE, WITH EDSS2 WERE ENROLLED IN A RANDOMIZED PROSPECTIVE STUDY. THE PARTICIPANTS WERE RANDOMLY DIVIDED INTO SC AND YOGA GROUP. WE EVALUATED SPASTICITY, COGNITIVE FUNCTION, MOOD AND FATIGUE BEFORE AND AFTER BOTH PROGRAMS, THAT LASTED 10 WEEKS, WITH STANDARDIZED ASSESSMENT METHODS. RESULTS: THERE WERE NO SIGNIFICANT IMPROVEMENTS IN SPASTICITY AFTER SC AND YOGA. IN THE SC GROUP WE FOUND A 25% REDUCTION (P=0.046) IN EDSSPYR. THERE WERE NO DIFFERENCES IN EXECUTIVE FUNCTION AFTER THE COMPLETION OF BOTH PROGRAMS. THERE WAS A 17% INCREASE IN SELECTIVE ATTENTION PERFORMANCE AFTER YOGA (P=0.005). SC REDUCED FATIGUE FOR 32.5% (P=0.015), WHILE YOGA HAD NO EFFECT. WE FOUND NO SIGNIFICANT IMPACT OF SC AND YOGA ON MOOD. CONCLUSIONS: YOGA AND SC MIGHT IMPROVE SOME OF THE MS SYMPTOMS AND SHOULD BE CONSIDERED IN THE FUTURE AS POSSIBLE COMPLEMENTARY TREATMENTS. 2010 3 2780 35 YOGA THERAPY AND AMBULATORY MULTIPLE SCLEROSIS ASSESSMENT OF GAIT ANALYSIS PARAMETERS, FATIGUE AND BALANCE. BACKGROUND AND OBJECTIVE: GAIT IMPAIRMENT, FALLS DUE TO BALANCE PROBLEMS AND FATIGUE ARE AMONG THE MOST IMPORTANT COMPLAINTS IN PATIENTS WITH MULTIPLE SCLEROSIS (MS) AND CAUSE SIGNIFICANT FUNCTIONAL LIMITATION. USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) TO HELP SYMPTOM MANAGEMENT AND TO IMPROVE QUALITY OF LIFE IS GROWING AMONG MS PATIENTS. YOGA IS WIDELY USED AS ONE OF THESE CAM INTERVENTIONS, HOWEVER, THE NUMBER OF STUDIES THAT SHOW THE EFFICACY OF YOGA TRAINING IN MS IS INADEQUATE. IN THIS STUDY, WE AIMED TO EVALUATE THE EFFECTS OF A SHORT TERM YOGA PROGRAM ON FATIGUE, BALANCE AND GAIT IN PATIENTS WITH MS. METHOD: EIGHT VOLUNTEER AMBULATORY MS PATIENTS WITH CLINICALLY DEFINITE RELAPSING REMITTING MS WHOSE EXPANDED DISABILITY STATUS SCORE (EDSS) IS LESS THAN OR EQUAL TO 6.0, AND EIGHT HEALTHY SUBJECTS WERE INCLUDED IN THE STUDY. PATIENTS PARTICIPATED IN 12 WEEKS OF A BI-WEEKLY YOGA PROGRAM UNDER SUPERVISION. AT THEIR BASELINE AND AFTER YOGA THERAPY, THE FATIGUE SEVERITY SCALE (FSS) AND BERG BALANCE SCALE (BBS) ARE USED TO ASSESS FATIGUE AND BALANCE. THREE DIMENSIONAL GAIT ANALYSIS IS DONE USING THE VICON 612 SYSTEM WITH SIX CAMERAS AND TWO BERTEC FORCE PLATES, BEFORE AND AFTER THERAPY. RESULTS: AFTER SHORT TERM YOGA THERAPY, STATISTICALLY SIGNIFICANT ACHIEVEMENTS WERE OBTAINED IN FATIGUE, BALANCE, STEP LENGTH AND WALKING SPEED. ALTHOUGH SAGITTAL PLANE PELVIS AND HIP ANGLES, ANKLE PLANTAR FLEXOR MOMENT, POWERS GENERATED AT THE HIP AND ANKLE JOINTS AT THE PRE-SWING WERE IMPROVED, THE IMPROVEMENTS WERE NOT STATISTICALLY SIGNIFICANT. CONCLUSION: YOGA THERAPY IS A SAFE AND BENEFICIAL INTERVENTION FOR IMPROVING FATIGUE, BALANCE AND SPATIOTEMPORAL GAIT PARAMETERS IN PATIENTS WITH MS. FURTHER STUDIES WITH A LARGER SAMPLE SIZE AND LONGER FOLLOW-UP WILL BE NEEDED TO EVALUATE THE LONG TERM EFFECTS OF YOGA THERAPY. 2015 4 531 34 COMPARISON OF THE EFFECT OF 8 WEEKS AEROBIC AND YOGA TRAINING ON AMBULATORY FUNCTION, FATIGUE AND MOOD STATUS IN MS PATIENTS. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS A DISEASE OF THE CENTRAL NERVOUS SYSTEM THAT RESULTS IN MANY SYMPTOMS INCLUDING MOBILITY LIMITATION AND FATIGUE. PATIENTS AND METHODS: THIRTY-ONE MS PATIENTS, ALL FEMALE WITH MEAN OF AGE OF 36.75 YEARS AND EXPANDED DISABILITY STATUS SCALE SCORES (EDSS) OF 1.0 TO 4.0 WERE RECRUITED. SUBJECTS WERE RANDOMLY ASSIGNED TO ONE OF THE THREE GROUPS: TREADMILL TRAINING, YOGA OR CONTROL GROUPS. TREADMILL TRAINING AND YOGA PRACTICE CONSISTED OF 8 WEEKS (24 SESSIONS, THRICE WEEKLY). THE CONTROL GROUP FOLLOWED THEIR OWN ROUTINE TREATMENT PROGRAM. BALANCE, SPEED AND ENDURANCE OF WALKING, FATIGUE, DEPRESSION AND ANXIETY WERE MEASURED BY BERG BALANCE SCORES, TIME FOR 10M WALK AND DISTANCE FOR A TWO MINUTE WALK, FATIGUE SEVERITY SCALE (FFS), BECK DEPRESSION INVENTORY (BDI) AND BECK ANXIETY INVENTORY (BAI), RESPECTIVELY. RESULTS: COMPARISON OF RESULTS HAVE SHOWN THAT PRE- AND POST-INTERVENTIONS PRODUCED SIGNIFICANT IMPROVEMENTS IN THE BALANCE SCORE, WALKING ENDURANCE, FFS SCORE, BDI SCORE AND BAI SCORE IN THE TREADMILL TRAINING GROUP AND YOGA GROUP. HOWEVER, 10M WALK TIME DECREASED IN THE TREADMILL TRAINING GROUP BUT DID NOT SHOW ANY CLEAR CHANGE IN THE YOGA GROUP. MOREOVER, THE ANALYSIS SHOWED SIGNIFICANT DIFFERENCES BETWEEN THE TREADMILL TRAINING GROUP AND YOGA GROUP FOR BAI SCORE. CONCLUSIONS: THESE RESULTS SUGGEST THAT TREADMILL TRAINING AND YOGA PRACTICE IMPROVED AMBULATORY FUNCTION, FATIGUE AND MOOD STATUS IN THE INDIVIDUALS WITH MILD TO MODERATE MS. 2013 5 708 36 EFFECT OF INTEGRATED YOGA AND PHYSICAL THERAPY ON AUDIOVISUAL REACTION TIME, ANXIETY AND DEPRESSION IN PATIENTS WITH CHRONIC MULTIPLE SCLEROSIS: A PILOT STUDY. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS CHARACTERIZED BY A SIGNIFICANT DETERIORATION IN AUDITORY AND VISUAL REACTION TIMES ALONG WITH ASSOCIATED DEPRESSION AND ANXIETY. YOGA AND PHYSICAL THERAPY (PT) INTERVENTIONS HAVE BEEN FOUND TO ENHANCE RECOVERY FROM THESE PROBLEMS IN VARIOUS NEUROPSYCHIATRIC ILLNESSES, BUT SUFFICIENT EVIDENCE IS LACKING IN CHRONIC MS POPULATION. THE AIM OF THIS STUDY WAS TO ASSESS THE EFFECT OF INTEGRATED YOGA AND PHYSICAL THERAPY (IYP) ON AUDIOVISUAL REACTION TIMES, DEPRESSION AND ANXIETY IN PATIENTS SUFFERING FROM CHRONIC MS. METHODS: FROM A NEURO-REHABILITATION CENTER IN GERMANY, 11 PATIENTS (SIX FEMALES) SUFFERING FROM MS FOR 19+/-7.4 YEARS WERE RECRUITED. SUBJECTS WERE IN THE AGE RANGE OF 55.45+/-10.02 YEARS AND HAD EXTENDED DISABILITY STATUS SCORES (EDSS) BELOW 7. ALL THE SUBJECTS RECEIVED MIND-BODY INTERVENTION OF INTEGRATED YOGA AND PHYSICAL THERAPY (IYP) FOR 3 WEEKS. THE INTERVENTION WAS GIVEN IN A RESIDENTIAL SETUP. PATIENTS FOLLOWED A ROUTINE INVOLVING YOGIC PHYSICAL POSTURES, PRANAYAMA, AND MEDITATIONS ALONG WITH VARIOUS PHYSICAL THERAPY (PT) TECHNIQUES FOR 21 DAYS, 5 DAYS A WEEK, 5 H/DAY. THEY WERE ASSESSED BEFORE AND AFTER INTERVENTION FOR CHANGES IN AUDIOVISUAL REACTION TIMES (USING BRAIN FIT MODEL NO. OT 400), ANXIETY, AND DEPRESSION [USING HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS)]. DATA WAS ANALYZED USING PAIRED SAMPLES TEST. RESULTS: THERE WAS SIGNIFICANT IMPROVEMENT IN VISUAL REACTION TIME (P=0.01), DEPRESSION (P=0.04), AND ANXIETY (P=0.02) SCORES AT THE END OF 3 WEEKS AS COMPARED TO THE BASELINE. AUDITORY REACTION TIME SHOWED REDUCTION WITH BORDERLINE STATISTICAL SIGNIFICANCE (P=0.058). CONCLUSIONS: THIS PILOT PROJECT SUGGESTS UTILITY OF IYP INTERVENTION FOR IMPROVING AUDIOVISUAL REACTION TIMES AND PSYCHOLOGICAL HEALTH IN CHRONIC MS PATIENTS. IN FUTURE, RANDOMIZED CONTROLLED TRIALS WITH LARGER SAMPLE SIZE SHOULD BE PERFORMED TO CONFIRM THESE FINDINGS. 2016 6 2815 40 YOGA TRAINING HAS POSITIVE EFFECTS ON POSTURAL BALANCE AND ITS INFLUENCE ON ACTIVITIES OF DAILY LIVING IN PEOPLE WITH MULTIPLE SCLEROSIS: A PILOT STUDY. CONTEXT: THERE IS A LITTLE EVIDENCE ABOUT THE INFLUENCE OF YOGA AS A COMPLEMENTARY THERAPY FOR POSTURAL BALANCE AND ITS INFLUENCE ON ACTIVITIES OF DAILY LIVING IN MULTIPLE SCLEROSIS (MS) PATIENTS. OBJECTIVE: TO EVALUATE THE INFLUENCE OF A SIX-MONTH YOGA PROGRAM ON POSTURAL BALANCE AND SUBJECTIVE IMPACT OF POSTURAL BALANCE IMPAIRMENT ON ACTIVITIES OF DAILY LIVING IN PEOPLE WITH MS. DESIGN: RANDOMIZED CONTROLLED PILOT STUDY. SETTING: PROTOCOL DEVELOPED AT THE ADAPTIVE PHYSICAL ACTIVITY STUDY DEPARTMENT, COLLEGE OF PHYSICAL EDUCATION, STATE UNIVERSITY OF CAMPINAS, BRAZIL. SUBJECTS: A TOTAL OF 12 (11 WOMEN) YOGA NAIVE PEOPLE WITH MS RANDOMLY DIVIDED INTO TWO GROUPS AS FOLLOWS: CONTROL (C-WAITING LIST, N = 6) AND YOGA (Y-YOGA TRAINING, N = 6). INTERVENTIONS: YOGA GROUP PRACTICED POSTURES, BREATHING EXERCISES, MEDITATION, AND RELAXATION ON WEEKLY 60-MIN CLASSES FOR A SIX-MONTH PERIOD. MAIN OUTCOME MEASURES: THE FOLLOWING EVALUATIONS WERE PERFORMED AT STUDY ENTRY (BASELINE), AND AFTER SIX MONTHS (SIX MONTHS): BERG BALANCE SCALE (BBS), EXPANDED DISABILITY STATUS SCALE (EDSS), AND SELF-REPORTED POSTURAL BALANCE QUALITY AND INFLUENCE OF POSTURAL BALANCE ON ACTIVITIES OF DAILY LIVING. RESULTS: THERE WAS A SIGNIFICANT IMPROVEMENT IN BBS SCORE FROM BASELINE TO SIX MONTHS ONLY IN THE YOGA GROUP, ESPECIALLY IN SUBJECTS WITH HIGHER EDSS SCORE, WITH INCREASED QUALITY OF SELF-REPORTED POSTURAL BALANCE, AND DECREASED INFLUENCE OF POSTURAL BALANCE IMPAIRMENT ON ACTIVITIES OF DAILY LIVING. IN CONCLUSION, A SIX-MONTH YOGA TRAINING IS BENEFICIAL FOR PEOPLE WITH MS, SINCE IT IMPROVES POSTURAL BALANCE AND DECREASES THE INFLUENCE OF POSTURAL BALANCE IMPAIRMENT ON ACTIVITIES OF DAILY LIVING. A GREATER SAMPLE SIZE IS NECESSARY TO INCREASE GENERALIZATION, BUT IT SEEMS THAT YOGA COULD BE INCLUDED AS A FEASIBLE COMPLEMENTARY THERAPY FOR PEOPLE WITH MS. 2016 7 1863 28 RANDOMIZED CONTROLLED TRIAL OF YOGA AND EXERCISE IN MULTIPLE SCLEROSIS. OBJECTIVE: TO DETERMINE THE EFFECT OF YOGA AND OF AEROBIC EXERCISE ON COGNITIVE FUNCTION, FATIGUE, MOOD, AND QUALITY OF LIFE IN MULTIPLE SCLEROSIS (MS). METHODS: SUBJECTS WITH CLINICALLY DEFINITE MS AND EXPANDED DISABILITY STATUS SCORE LESS THAN OR EQUAL TO 6.0 WERE RANDOMLY ASSIGNED TO ONE OF THREE GROUPS LASTING 6 MONTHS: WEEKLY IYENGAR YOGA CLASS ALONG WITH HOME PRACTICE, WEEKLY EXERCISE CLASS USING A STATIONARY BICYCLE ALONG WITH HOME EXERCISE, OR A WAITING-LIST CONTROL GROUP. OUTCOME ASSESSMENTS PERFORMED AT BASELINE AND AT THE END OF THE 6-MONTH PERIOD INCLUDED A BATTERY OF COGNITIVE MEASURES FOCUSED ON ATTENTION, PHYSIOLOGIC MEASURES OF ALERTNESS, PROFILE OF MOOD STATES, STATE-TRAIT ANXIETY INVENTORY, MULTI-DIMENSIONAL FATIGUE INVENTORY (MFI), AND SHORT FORM (SF)-36 HEALTH-RELATED QUALITY OF LIFE. RESULTS: SIXTY-NINE SUBJECTS WERE RECRUITED AND RANDOMIZED. TWELVE SUBJECTS DID NOT FINISH THE 6-MONTH INTERVENTION. THERE WERE NO ADVERSE EVENTS RELATED TO THE INTERVENTION. THERE WERE NO EFFECTS FROM EITHER OF THE ACTIVE INTERVENTIONS ON EITHER OF THE PRIMARY OUTCOME MEASURES OF ATTENTION OR ALERTNESS. BOTH ACTIVE INTERVENTIONS PRODUCED IMPROVEMENT IN SECONDARY MEASURES OF FATIGUE COMPARED TO THE CONTROL GROUP: ENERGY AND FATIGUE (VITALITY) ON THE SF-36 AND GENERAL FATIGUE ON THE MFI. THERE WERE NO CLEAR CHANGES IN MOOD RELATED TO YOGA OR EXERCISE. CONCLUSION: SUBJECTS WITH MS PARTICIPATING IN EITHER A 6-MONTH YOGA CLASS OR EXERCISE CLASS SHOWED SIGNIFICANT IMPROVEMENT IN MEASURES OF FATIGUE COMPARED TO A WAITING-LIST CONTROL GROUP. THERE WAS NO RELATIVE IMPROVEMENT OF COGNITIVE FUNCTION IN EITHER OF THE INTERVENTION GROUPS. 2004 8 2101 30 THE EFFECT OF YOGA ON BALANCE AND FEAR OF FALLING IN OLDER ADULTS. OBJECTIVE: TO DETERMINE THE EFFECT OF YOGA ON BALANCE AND FEAR OF FALLING IN OLDER ADULTS. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: JAHANDIDEGAN CENTER IN SHIRAZ, SOUTHERN IRAN. PARTICIPANTS: FORTY PERSONS (17 MEN AND 23 WOMEN) BETWEEN THE AGES OF 60-74 YEARS WITH A MODIFIED FALLS EFFICACY SCALE (MFES) SCORE <8 AND A BERG BALANCE SCALE (BBS) SCORE <45. AFTER COMPLETING THE MFES QUESTIONNAIRE AND BBS MEASUREMENT, THE PARTICIPANTS WERE DIVIDED INTO INTERVENTION AND CONTROL GROUPS. BBS MEASUREMENT AND THE MFES QUESTIONNAIRE WERE COMPLETED AGAIN IMMEDIATELY AFTER THE INTERVENTION. INTERVENTION: THE INTERVENTION GROUP PARTICIPATED IN 2 YOGA PRACTICE SESSIONS PER WEEK FOR 8 WEEKS. THE CONTROL GROUP RECEIVED NO INTERVENTION. MAIN OUTCOME MEASUREMENTS: FEAR OF FALLING WAS MEASURED WITH THE MFES AND BALANCE WAS MEASURED WITH THE BBS. RESULTS: WE FOUND SIGNIFICANT CHANGES IN BOTH VARIABLES (P < .0001). MEAN DIFFERENCES BEFORE AND AFTER THE INTERVENTION FOR THE BBS FOR YOGA AND CONTROL GROUPS WERE 10.19 AND -1.16, RESPECTIVELY. MEAN DIFFERENCES BEFORE AND AFTER THE INTERVENTION FOR THE MFES FOR YOGA AND CONTROL GROUPS WERE 1.62 AND -0.21, RESPECTIVELY. CONCLUSION: YOGA IS A POTENTIAL INTERVENTION TO REDUCE FEAR OF FALLING AND IMPROVE BALANCE IN OLDER ADULTS. 2016 9 884 30 EFFECT OF YOGA TRAINING ON ONE LEG STANDING AND FUNCTIONAL REACH TESTS IN OBESE INDIVIDUALS WITH POOR POSTURAL CONTROL. [PURPOSE] THE AIM OF THE PRESENT STUDY WAS TO INVESTIGATE THE EFFECT OF YOGA TRAINING ON STATIC AND DYNAMIC STANDING BALANCE IN OBESE INDIVIDUALS WITH POOR STANDING BALANCE. [SUBJECTS AND METHODS] SIXTEEN OBESE VOLUNTEERS WERE RANDOMLY ASSIGNED INTO YOGA AND CONTROL GROUPS. THE YOGA TRAINING PROGRAM WAS PERFORMED FOR 45 MINUTES PER DAY, 3 TIMES PER WEEK, FOR 4 WEEKS. STATIC AND DYNAMIC BALANCE WERE ASSESSED IN VOLUNTEERS WITH ONE LEG STANDING AND FUNCTIONAL REACH TESTS. OUTCOME MEASURES WERE TESTED BEFORE TRAINING AND AFTER A SINGLE WEEK OF TRAINING. TWO-WAY REPEATED MEASURE ANALYSIS OF VARIANCE WITH TUKEY'S HONESTLY SIGNIFICANT DIFFERENCE POST HOC STATISTICS WAS USED TO ANALYZE THE DATA. [RESULTS] OBESE INDIVIDUALS SHOWED SIGNIFICANTLY INCREASED STATIC STANDING BALANCE IN THE YOGA TRAINING GROUP, BUT THERE WAS NO SIGNIFICANT IMPROVEMENT OF STATIC OR DYNAMIC STANDING BALANCE IN THE CONTROL GROUP AFTER 4 WEEKS. IN THE YOGA GROUP, SIGNIFICANT INCREASES IN STATIC STANDING BALANCE WAS FOUND AFTER THE 2ND, 3RD, AND 4TH WEEKS. COMPARED WITH THE CONTROL GROUP, STATIC STANDING BALANCE IN THE YOGA GROUP WAS SIGNIFICANTLY DIFFERENT AFTER THE 2ND WEEK, AND DYNAMIC STANDING BALANCE WAS SIGNIFICANTLY DIFFERENT AFTER THE 4TH WEEK. [CONCLUSION] YOGA TRAINING WOULD BE BENEFICIAL FOR IMPROVING STANDING BALANCE IN OBESE INDIVIDUALS WITH POOR STANDING BALANCE. 2015 10 1456 34 INFLUENCE OF YOGA AND AEROBICS EXERCISE ON FATIGUE, PAIN AND PSYCHOSOCIAL STATUS IN PATIENTS WITH MULTIPLE SCLEROSIS: A RANDOMIZED TRIAL. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS AN AUTOIMMUNE DISEASE INVOLVING BRAIN AND SPINAL CORD. WEAKNESS, COGNITIVE IMPAIRMENT, PAIN, DEPRESSION AND FATIGUE, AS COMMON SYMPTOMS OF MS, MAY SIGNIFICANTLY AFFECT ON GENERAL HEALTH OF MS PATIENTS. THIS STUDY AIMED TO INVESTIGATE THE INFLUENCE OF YOGA AND AEROBIC EXERCISE ON FATIGUE, PAIN, AND PSYCHOSOCIAL STATUS AMONG THESE PATIENTS. METHODS: IN A RANDOMIZED CLINICAL TRIAL STUDY ON 90 PATIENTS WHOM WERE RANDOMLY ASSIGNED TO THREE EQUAL GROUPS OF YOGA EXERCISES, AEROBICS EXERCISES, AND CONTROL GROUP. THE EXERCISE PROGRAM WAS PERFORMED AS THREE SESSIONS PER WEEK FOR 12 WEEKS. THE EXERCISE PROGRAM INCLUDED 40 MINUTES, INCLUDING 5-10 MINUTES FOR WARM-UP, 25-30 MINUTES OF EXERCISE (WALKING), AND 5 MINUTES FOR COOLING DOWN. YOGA EXERCISES WERE SCHEDULED THREE SESSIONS A WEEK FOR 12 WEEKS AS WELL. RESULTS: THERE WAS NO SIGNIFICANT DIFFERENCE IN FATIGUE, PAIN SEVERITY AND PSYCHOLOGICAL STATUS AMONG THREE GROUPS PRIOR TO THE STUDY, BUT AFTER THE STUDY, IN YOGA AND EXERCISE GROUPS, FATIGUE PHYSICAL FUNCTION, PHYSICAL AND EMOTIONAL ROLE WHICH PATIENTS PLAY THROUGHOUT DAILY LIFE, SOCIAL FUNCTION, ENERGY, MENTAL STATUS AND OVERALL HYGIENE INCREASED, AND THE PAIN AND FATIGUE WERE RELIEVED IN THE PATIENTS. CONCLUSIONS: YOGA AND AEROBICS EXERCISE COULD DECREASE SOME OF THE MS SYMPTOMS, THERAPEUTIC COSTS, HOSPITAL STAY, AND DAYS LOST FROM WORK AS WELL AS INCREASING THE PATIENTS' EFFICIENCY. 2016 11 2081 31 THE EFFECT OF GROUP MINDFULNESS-BASED STRESS REDUCTION AND CONSCIOUSNESS YOGA PROGRAM ON QUALITY OF LIFE AND FATIGUE SEVERITY IN PATIENTS WITH MS. INTRODUCTION: THE CHRONIC NATURE OF MULTIPLE SCLEROSIS (MS), HAVE CAN LEAVE DEVASTATING EFFECTS ON QUALITY OF LIFE AND FATIGUE. THE PRESENT RESEARCH AIMED TO STUDY THE EFFECT OF GROUP MINDFULNESS-BASED STRESS REDUCTION (MBSR) AND CONSCIOUS YOGA PROGRAM ON THE QUALITY OF LIFE AND FATIGUE SEVERITY AMONG PATIENTS WITH MS. METHODS: THIS STUDY WAS QUASI-EXPERIMENTAL WITH INTERVENTION AND CONTROL GROUPS. THE STATISTICAL POPULATION INCLUDED ALL MEMBERS TO MS SOCIETY OF TEHRAN PROVINCE, 24 OF WHOM DIAGNOSED WITH MS WERE SELECTED AS THE SAMPLE BASED ON THE INCLUSION CRITERIA. THE SUBJECTS WERE RANDOMLY ASSIGNED INTO THE TEST GROUP (12 PATIENTS) AND THE CONTROL GROUP (12 PATIENTS). MS QUALITY OF LIFE-54 (MSQOL-54) AND FATIGUE SEVERITY SCALE (FSS) WERE USED FOR DATA COLLECTION. SUBJECTS IN THE TEST GROUP UNDERWENT A MBSR AND CONSCIOUS YOGA PROGRAM IN 8 TWO-HOUR SESSIONS. THE DATA WERE ANALYZED USING THE SPSS VER.13 SOFTWARE. RESULTS: THE STUDY FINDINGS SHOWED THAT THERE WAS A SIGNIFICANT DIFFERENCE BETWEEN SUBJECTS IN THE EXPERIMENTAL AND CONTROL GROUPS IN TERMS OF MEAN SCORE OF SOME SUBSCALES OF QUALITY OF LIFE INCLUDING PHYSICAL HEALTH, ROLE LIMITATIONS DUE TO PHYSICAL AND EMOTIONAL PROBLEMS, ENERGY, EMOTIONAL WELL-BEING, HEALTH DISTRESS, HEALTH PERCEPTION, AND SATISFACTION WITH SEXUAL FUNCTION, OVERALL QUALITY OF LIFE, AND FATIGUE SEVERITY. CONCLUSION: THE RESULTS SHOW THAT THE PROGRAM IS EFFECTIVE IN REDUCTION OF FATIGUE SEVERITY AND IMPROVING SOME SUBSCALES OF QUALITY OF LIFE IN MS PATIENTS. HENCE, THIS SUPPORTIVE METHOD CAN BE USED AS AN EFFECTIVE WAY FOR IMPROVING QUALITY OF LIFE AND RELIEVING FATIGUE IN MS PATIENTS. 2016 12 530 32 COMPARISON OF REGULAR AEROBIC AND YOGA ON THE QUALITY OF LIFE IN PATIENTS WITH MULTIPLE SCLEROSIS. BACKGROUND: THE PATHOPHYSIOLOGY OF MULTIPLE SCLEROSIS (MS) IS CHARACTERIZED BY FATIGUE, MOTOR WEAKNESS, AND SPASTICITY, TO NAME A FEW. MS SYMPTOMS MAY LEAD TO PHYSICAL INACTIVITY ASSOCIATED WITH THE DEVELOPMENT OF SECONDARY DISEASES. THIS STUDY WAS TO INVESTIGATE THE EFFECT OF REGULAR AEROBIC AND YOGA ON THE QUALITY OF LIFE OF PATIENTS WITH MS. METHODS: THE PRESENT QUASI-EXPERIMENTAL STUDY WAS CONDUCTED ON 90 PATIENTS WITH CHRONIC MS CHOSEN RANDOMLY AND DIVIDED INTO TWO TEST AND ONE CONTROL GROUPS. DATA WERE ANALYZED USING SPSS SOFTWARE (VERSION 11.5) THROUGH PAIRED T-TEST, ANOVA, AND TUKEY'S POST HOC. RESULTS: THERE WERE NO SIGNIFICANT DIFFERENCES AMONG THE SCORES OF QUALITY OF LIFE IN THE THREE GROUPS PRIOR TO INVESTIGATION. ALTHOUGH THEY WERE SIGNIFICANT AFTER INTERVENTION. THE MEAN SCORE OF YOGA GROUP WAS HIGHER THAN THAT OF AEROBIC GROUP, AND AEROBIC GROUP SHOWED A HIGHER MEAN SCORE COMPARED WITH THE CONTROL. CONCLUSION: YOGA AND AEROBIC EXERCISES MAY IMPROVE QUALITY OF LIFE IN PATIENTS WITH MS. IT IS HIGHLY RECOMMENDED THAT THE GOVERNOR ALONG WITH MS SOCIETIES AND OTHER ORGANIZATIONS SERVICING AND SUPPORTING PATIENTS START TO DEVELOP SPORT-REGULATED PROGRAMS TO HELP IMPROVE QUALITY OF LIFE FOR THESE PATIENTS. 2014 13 12 27 "MERGING YOGA AND OCCUPATIONAL THERAPY (MY-OT): A FEASIBILITY AND PILOT STUDY". OBJECTIVE: TO EXAMINE THE FEASIBILITY AND BENEFITS OF THE MERGING YOGA AND OCCUPATIONAL THERAPY (MY-OT) INTERVENTION. DESIGN: THIS IS THE PRIMARY ANALYSIS OF A NON-CONTROLLED PRETEST-POSTTEST PILOT STUDY TO UNDERSTAND THE FEASIBILITY AND IMPACT OF MY-OT ON BALANCE, BALANCE SELF-EFFICACY, AND FALL RISK FACTOR MANAGEMENT IN PEOPLE WITH CHRONIC STROKE. SETTING: UNIVERSITY RESEARCH LABORATORY. PARTICIPANTS: PEOPLE WITH CHRONIC STROKE WERE INCLUDED IN THE STUDY IF THEY: HAD SUSTAINED A FALL OR HAD FEAR OF FALLING, WERE ABLE TO STAND, AND HAND IMPAIRED BALANCE AND WERE AT RISK FOR FALLS ( .05). THIS STUDY SUGGESTS THAT A 6-MONTH YOGA PROGRAM CAN IMPROVE THE MENTAL DIMENSION OF HEALTH-RELATED QUALITY OF LIFE, WALKING SPEED, FATIGUE, AND DEPRESSION IN THE PERSONS WITH MS. HOWEVER, THE 6-MONTH YOGA PROGRAM DOES NOT APPEAR TO BE A FEASIBLE METHOD TO INCREASE THE TIME THAT PERSONS WITH MS SPEND TOGETHER WITH THEIR FAMILY MEMBERS. 2018 17 2134 23 THE EFFECTS OF A THERAPEUTIC YOGA PROGRAM ON POSTURAL CONTROL, MOBILITY, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS. OBJECTIVE: TO EXAMINE THE EFFECTS OF A 12-WEEK THERAPEUTIC YOGA PROGRAM ON GAIT SPEED, POSTURAL CONTROL, AND MOBILITY IN COMMUNITY-DWELLING OLDER ADULTS. DESIGN: QUASI-EXPERIMENTAL STUDY WITH A PRETEST/POST-TEST DESIGN. RESEARCHERS EVALUATED CHANGES OVER TIME (PRETEST TO POST-TEST) IN ALL OUTCOME MEASURES. PAIRED T-TESTS WERE USED TO ANALYZE NORMAL AND FAST GAIT SPEED, TIMED UP AND GO TEST, AND TIMED UP AND GO DUAL TASK. WILCOXON SIGNED-RANK TEST WAS USED TO EVALUATE SCORES FOR THE MINI-BESTEST (MBT). SETTING: YOGA CLASSES WERE PERFORMED AT A LOCAL SENIOR CENTER. BLIND EXAMINERS WHO WERE PREVIOUSLY TRAINED IN THE OUTCOME MEASURES PERFORMED ALL PRETESTS AND POST-TESTS AT THE SITE. PARTICIPANTS: THIRTEEN ADULTS (12 WOMEN AND 1 MAN, WITH A MEAN AGE+/-STANDARD DEVIATION OF 72+/-6.9 YEARS) COMPLETED THE STUDY. RESEARCH PARTICIPANTS HAD MINIMAL TO NO YOGA EXPERIENCE. INTERVENTIONS: A 12-WEEK, 60-MINUTE, BIWEEKLY KRIPALU YOGA CLASS DESIGNED SPECIFICALLY FOR COMMUNITY-DWELLING OLDER ADULTS. OUTCOME MEASURES: POSTURAL CONTROL (MBT), MOBILITY (TIMED UP AND GO TEST), AND GAIT SPEED (NORMAL AND FAST) WERE ASSESSED. RESULTS: ALL 13 PARTICIPANTS ATTENDED AT LEAST 19 OF THE 24 CLASSES (80% ATTENDANCE). STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE MBT (P=0.039), NORMAL GAIT SPEED (P=0.015), FAST GAIT SPEED (P=0.001), TIMED UP AND GO TEST (P=0.045), AND TIMED UP AND GO DUAL-TASK (P=0.05). CONCLUSIONS: IMPROVEMENTS IN POSTURAL CONTROL AND MOBILITY AS MEASURED BY THE MBT AND TIMED UP AND GO GAIT AS MEASURED BY FAST GAIT SPEED INDICATE THAT RESEARCH PARTICIPANTS BENEFITTED FROM THE THERAPEUTIC YOGA INTERVENTION. THE YOGA PROGRAM DESIGNED FOR THIS STUDY INCLUDED ACTIVITIES IN STANDING, SITTING, AND LYING ON THE FLOOR AND MAY BE EFFECTIVE IN IMPROVING MOBILITY, POSTURAL CONTROL, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS. 2014 18 165 34 A RANDOMIZED CONTROL TRIAL OF THE EFFECT OF YOGA ON VERBAL AGGRESSIVENESS IN NORMAL HEALTHY VOLUNTEERS. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON VERBAL AGGRESSIVENESS IN NORMAL HEALTHY ADULTS. METHODS: OF THE 1228 PERSONS WHO ATTENDED INTRODUCTORY LECTURES, 226 SUBJECTS OF BOTH SEXES WHO SATISFIED THE INCLUSION AND EXCLUSION CRITERIA AND WHO CONSENTED TO PARTICIPATE IN THE STUDY WERE RANDOMLY ALLOCATED INTO TWO GROUPS. THESE 226 SUBJECTS WERE BETWEEN THE AGES OF 17 AND 62 YEARS AND 173/226 COMPLETED THE EIGHT WEEKS OF INTERVENTION. THE YOGA (Y) GROUP PRACTISED AN INTEGRATED YOGA MODULE THAT INCLUDED ASANAS, PRANAYAMA, MEDITATION, NOTIONAL CORRECTION, AND DEVOTIONAL SESSIONS. THE CONTROL GROUP PRACTISED MILD TO MODERATE PHYSICAL EXERCISES (PE). BOTH GROUPS HAD SUPERVISED PRACTICES (BY TRAINED EXPERTS) FOR ONE HOUR DAILY, SIX DAYS A WEEK FOR EIGHT WEEKS. VERBAL AGGRESSIVENESS WAS ASSESSED BEFORE AND AFTER EIGHT WEEKS USING THE SELF-ADMINISTERED VERBAL AGGRESSIVE SCALE. RESULTS: THE BASELINE SCORE OF THE TWO GROUPS DID NOT DIFFER SIGNIFICANTLY (P = 0.66). THERE WAS A SIGNIFICANT DECREASE IN VERBAL AGGRESSIVENESS IN THE YOGA GROUP (P = 0.01 PAIRED SAMPLES T-TEST) WITH A NONSIGNIFICANT INCREASE IN THE PE GROUP. ANCOVA USING PRE- VALUES AS COVARIATES SHOWED A SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS (P = 0.013). RMANOVA FOR INTERACTION BETWEEN THE SEXES OR AGE GROUPS IN CHANGE SCORES WERE NOT SIGNIFICANT. CONCLUSIONS: THIS STUDY HAS DEMONSTRATED THAT AN EIGHT WEEK INTERVENTION OF AN INTEGRATED YOGA MODULE DECREASED VERBAL AGGRESSIVENESS IN THE YOGA GROUP (IN MALES AND THOSE BELOW 25 YEARS OF AGE), WITH A NONSIGNIFICANT INCREASE IN THE PE GROUP. 2008 19 550 24 CONTROLLED PILOT STUDY OF THE EFFECTS OF POWER YOGA IN PARKINSON'S DISEASE. OBJECTIVES: TO EVALUATE THE EFFECTS OF A SPECIALLY DESIGNED POWER YOGA PROGRAM (YOGA) ON BRADYKINESIA, RIGIDITY, MUSCULAR PERFORMANCE AND QUALITY OF LIFE IN OLDER PATIENTS WITH PD. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: UNIVERSITY LABORATORY, US. INTERVENTION: TWENTY-SIX PATIENTS WITH MILD TO MODERATE PD WERE RANDOMLY ASSIGNED TO A YOGA OR CONTROL GROUP (CON). THE YOGA PROGRAM WAS THREE MONTHS, INCORPORATING TWO SESSIONS/WK OF YOGA CLASSES. MAIN OUTCOME MEASURES: UPPER AND LOWER LIMB BRADYKINESIA AND RIGIDITY SCORES FROM THE UNIFIED PARKINSON'S DISEASE RATING SCALE, ONE REPETITION MAXIMUMS (1RM) AND PEAK POWERS ON BICEPS CURL, CHEST PRESS, LEG PRESS, HIP ABDUCTION AND SEATED CALF, AND QUALITY OF LIFE (PDQ-39). RESULTS: THE YOGA GROUP PRODUCED SIGNIFICANT IMPROVEMENT IN BOTH UPPER AND LOWER LIMBS BRADYKINESIA SCORES, RIGIDITY SCORE, 1RM FOR ALL 5 MACHINES AND LEG PRESS POWER (P<.05). SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE PDQ-39 OVERALL SCORE, MOBILITY AND ACTIVITIES OF DAILY LIVING DOMAIN FOR THE YOGA GROUP. CONCLUSION: THE 3-MONTH YOGA PROGRAM SIGNIFICANTLY REDUCED BRADYKINESIA AND RIGIDITY, AND INCREASED MUSCLE STRENGTH AND POWER IN OLDER PATIENTS WITH PD. POWER TRAINING IS AN EFFECTIVE TRAINING MODALITY TO IMPROVE PHYSICAL FUNCTION AND QUALITY OF LIFE FOR PD. 2016 20 2150 28 THE EFFECTS OF PRANAYAMA, HATHA AND RAJA YOGA ON PHYSICAL PAIN AND THE QUALITY OF LIFE OF WOMEN WITH MULTIPLE SCLEROSIS. IN A CLINICAL TRIAL CARRIED OUT ON 60 WOMEN WITH MULTIPLE SCLEROSIS, THE RESEARCHERS OBTAINED DATA USING SURVEY QUESTIONNAIRES. IN ADDITION TO DEMOGRAPHIC DATA, THE MULTIPLE SCLEROSIS QUALITY OF LIFE-54 (MSQOL-54) INSTRUMENT WAS USED TO DETERMINE HOW MULTIPLE SCLEROSIS INFLUENCES THE QUALITY OF LIFE OF THE STUDIED WOMEN. WITHIN THE FRAME OF THIS RANDOMIZED CONTROLLED TRIAL, THE PARTICIPANTS WERE DIVIDED INTO TWO EQUALLY SIZED GROUPS (THE CASE AND THE CONTROL GROUP) IN WHICH THE LEVEL OF PAIN AND THE QUALITY OF LIFE WERE EVALUATED. THE CASE GROUP EXERCISED PAIN-MANAGING YOGA METHODS FOR THREE MONTHS, KEEPING THE PACE OF EIGHT 90-MINUTE SESSIONS PER MONTH. THE CONTROL PARTICIPANTS WERE SUBJECTED TO NO INTERVENTION. ONE MONTH AFTER THE YOGA THERAPY, THE LEVEL OF PAIN AND THE QUALITY OF LIFE WERE EVALUATED IN BOTH GROUPS AND COMPARED TO THE BASELINE DATA. DATA WERE ANALYZED USING SPSS SOFTWARE AND PAIRED T-TESTS. AFTER THE YOGA THERAPY, THE CASE GROUP SHOWED A SIGNIFICANT IMPROVEMENT IN PHYSICAL PAIN MANAGEMENT (P=0.007) AND THE QUALITY OF LIFE (P=0.001) AS COMPARED TO THE CONTROL GROUP. THE RESULTS SHOWED THAT YOGA TECHNIQUES CAN ALLEVIATE PHYSICAL PAIN AND IMPROVE THE QUALITY OF LIFE OF MULTIPLE SCLEROSIS PATIENTS. 2012