1 1008 124 EFFECTS OF MODIFIED HATHA YOGA IN INDUSTRIAL REHABILITATION ON PHYSICAL FITNESS AND STRESS OF INJURED WORKERS. PURPOSE: THE PURPOSE OF THIS STUDY WAS TO ASSESS THE EFFECTS OF 8 WEEKS OF MODIFIED HATHA YOGA TRAINING ON PHYSICAL FITNESS AND STRESS LEVEL IN INJURED WORKERS. METHODS: EIGHTEEN MALE AND FEMALE INJURED WORKERS, AGE BETWEEN 18 AND 55 YEARS, PARTICIPATED IN THIS STUDY. THEY WERE DIVIDED INTO TWO GROUPS: AN ADDITIVE HATHA YOGA TRAINING TO ROUTINE INDUSTRIAL REHABILITATION PROGRAM GROUP (HYG: N = 9) AND A CONTROL GROUP WITH NO YOGA TRAINING (CG: N = 9). A MODIFIED HATHA YOGA PROTOCOL WAS DESIGNED FOR THIS POPULATION BY TWO CERTIFIED YOGA INSTRUCTORS, APPROVED BY A PHYSICAL THERAPIST, AND CONDUCTED FOR 1 H, THREE TIMES WEEKLY FOR 8 WEEKS. PHYSICAL FITNESS VARIABLES INCLUDING FLEXIBILITY OF LOWER BACK AND HAMSTRINGS, HAND GRIP STRENGTH AND LUNG CAPACITY AND SCORES OF SENSITIVITY TO STRESS WERE EVALUATED AT THE TIME OF RECRUITMENT AND AFTER 8 WEEKS OF INTERVENTION. RESULTS: THE VALUES OF ALL PHYSICAL FITNESS VARIABLES AND STRESS SCORES WERE NO SIGNIFICANT DIFFERENCE BETWEEN THE TWO GROUPS AT BASELINE. SIGNIFICANT POST-YOGA IMPROVEMENTS FOR HYG GROUP WERE NOTED IN FLEXIBILITY, HAND GRIP STRENGTH, AND VITAL CAPACITY (P < 0.05). IN CONTRAST, THERE WAS NO SIGNIFICANT CHANGE IN THE CG GROUP. STRESS SCORES DID NOT CHANGE AS A RESULT OF HATHA YOGA TRAINING. CONCLUSION: AN 8-WEEK MODIFIED HATHA YOGA TRAINING EXPERIENCE EXERTED THERAPEUTIC EFFECTS ON PHYSICAL FITNESS VARIABLES INCLUDING FLEXIBILITY OF LOWER BACK AND HAMSTRINGS, HAND GRIP STRENGTH AND VITAL CAPACITY, BUT NOT ON STRESS LEVEL IN INJURED WORKERS. THESE FINDINGS INDICATE THAT HATHA YOGA CAN BE A BENEFICIAL ADJUNCT TO ROUTINE PHYSICAL THERAPY TREATMENT IN INDUSTRIAL REHABILITATION PROGRAMS. 2015 2 941 61 EFFECTS OF 8 WEEKS OF MODIFIED HATHA YOGA TRAINING ON RESTING-STATE BRAIN ACTIVITY AND THE P300 ERP IN PATIENTS WITH PHYSICAL DISABILITY-RELATED STRESS. [PURPOSE] WE EXAMINED THE EFFECTS OF HATHA YOGA ON EEG AND ERP IN PATIENTS WITH PHYSICAL DISABILITY-RELATED STRESS. [PARTICIPANTS AND METHODS] EIGHTEEN MALE AND FEMALE INJURED WORKERS WITH HIGH STRESS LEVELS, AGED BETWEEN 18 TO 55 YEARS, WERE EVENLY DIVIDED INTO TWO GROUPS: UNTRAINED (CG) AND TRAINED (TG) MODIFIED HATHA YOGA GROUPS. A MODIFIED HATHA YOGA PROTOCOL WAS DESIGNED FOR THIS POPULATION BY TWO CERTIFIED YOGA INSTRUCTORS, APPROVED BY A PHYSICAL THERAPIST, AND CONDUCTED FOR ONE HOUR, THREE TIMES WEEKLY FOR 8 WEEKS. [RESULTS] THE RESULTS INDICATED A SIGNIFICANT INCREASE IN ALPHA EEG ACTIVITY OVER THE FRONTAL, CENTRAL, AND PARIETAL ELECTRODES AND THE DELTA EEG ACTIVITY OVER THE CENTROPARIETAL ELECTRODE FROM PRE- TO POST-TRAINING IN TG. IN ADDITION, SIGNIFICANTLY FASTER AUDITORY REACTION TIME FOR TARGET STIMULI, AS WELL AS LOWER P300 PEAK LATENCY OF ERP IN AUDITORY ODDBALL PARADIGM WERE OBTAINED IN TG AFTER 8 WEEKS OF YOGA TRAINING COMPARE TO CG. [CONCLUSION] CHANGES IN BRAIN ACTIVITY AND ERP COMPONENTS FOLLOWING YOGA TRAINING WOULD SUPPORT THE PSYCHOPHYSIOLOGICAL EFFECTS OF HATHA YOGA AS AN ADJUNCT TO ROUTINE REHABILITATION. 2018 3 1141 27 EFFICACY OF YOGA, TAI CHI AND QI GONG ON THE MAIN SYMPTOMS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A SYSTEMATIC REVIEW. INTRODUCTION: THE AIM OF THIS SYSTEMATIC REVIEW WAS TO SUMMARIZE THE EFFECTS OF YOGA, QI GONG OR TAI CHI IN COPD PATIENTS. METHODS: STUDIES EVALUATING EFFECTS OF THE SELECTED COMPLEMENTARY THERAPIES ON LUNG FUNCTION, DYSPNEA, QUALITY OF LIFE OR FUNCTIONAL EXERCISE CAPACITY IN COPD PATIENTS WERE IDENTIFIED AND REVIEWED FROM THREE DATABASES. RESULTS: EIGHTEEN STUDIES WERE INCLUDED. SIX STUDIES EVALUATED THE EFFECTS OF YOGA AND THE OTHERS FOCUSED ON TAI CHI OR QI GONG SEPARATELY OR COMBINED. THE DURATION OF THE PROGRAMS RANGED FROM 6 WEEKS TO 6 MONTHS AND THE FREQUENCY FROM 2 TO 7 TIMES A WEEK. EACH SESSION REACHED 30 TO 90 MINUTES. BENEFITS WERE OBSERVED ON LUNG FUNCTION AND FUNCTIONAL EXERCISE CAPACITY BUT BENEFIT WAS CLEARLY STATED NEITHER ON QUALITY OF LIFE NOR ON DYSPNEA. CONCLUSION: THIS SYSTEMATIC REVIEW HIGHLIGHTS THE POTENTIAL OF THESE THERAPIES AS COMPLEMENTARY THERAPEUTIC APPROACH IN COPD PATIENTS. 2019 4 1497 47 INTRADIALYTIC LAUGHTER YOGA THERAPY FOR HAEMODIALYSIS PATIENTS: A PRE-POST INTERVENTION FEASIBILITY STUDY. BACKGROUND: LAUGHTER YOGA CONSISTS OF PHYSICAL EXERCISE, RELAXATION TECHNIQUES AND SIMULATED VIGOROUS LAUGHTER. IT HAS BEEN ASSOCIATED WITH PHYSICAL AND PSYCHOLOGICAL BENEFITS FOR PEOPLE IN DIVERSE CLINICAL AND NON-CLINICAL SETTINGS, BUT HAS NOT YET BEEN TESTED IN A HAEMODIALYSIS SETTING. THE STUDY HAD THREE AIMS: 1) TO EXAMINE THE FEASIBILITY OF CONDUCTING LAUGHTER YOGA FOR PATIENTS WITH END STAGE KIDNEY DISEASE IN A DIALYSIS SETTING; 2) TO EXPLORE THE PSYCHOLOGICAL AND PHYSIOLOGICAL IMPACT OF LAUGHTER YOGA FOR THESE PATIENTS; AND 3) TO ESTIMATE THE SAMPLE SIZE REQUIRED FOR FUTURE RESEARCH. METHODS: PRE/POST INTERVENTION FEASIBILITY STUDY. EIGHTEEN PARTICIPANTS WERE RECRUITED INTO THE STUDY AND LAUGHTER YOGA THERAPISTS PROVIDED A FOUR WEEK INTRADIALYTIC PROGRAM (30-MIN INTERVENTION THREE TIMES PER WEEK). PRIMARY OUTCOMES WERE PSYCHOLOGICAL ITEMS MEASURED AT THE FIRST AND LAST LAUGHTER YOGA SESSION, INCLUDING: QUALITY OF LIFE; SUBJECTIVE WELLBEING; MOOD; OPTIMISM; CONTROL; SELF-ESTEEM; DEPRESSION, ANXIETY AND STRESS. SECONDARY OUTCOMES WERE: BLOOD PRESSURE, INTRADIALYTIC HYPOTENSIVE EPISODES AND LUNG FUNCTION (FORCED EXPIRATORY VOLUME). DIALYSIS NURSES EXPOSED TO THE INTERVENTION COMPLETED A LAUGHTER YOGA ATTITUDES AND PERCEPTIONS SURVEY (N = 11). DATA WERE ANALYSED USING IBM SPSS STATISTICS V22, INCLUDING DESCRIPTIVE AND INFERENTIAL STATISTICS, AND SAMPLE SIZE ESTIMATES WERE CALCULATED USING G*POWER. RESULTS: ONE PARTICIPANT WITHDREW FROM THE STUDY FOR MEDICAL REASONS THAT WERE UNRELATED TO THE STUDY DURING THE FIRST WEEK (94 % RETENTION RATE). THERE WERE NON-SIGNIFICANT INCREASES IN HAPPINESS, MOOD, AND OPTIMISM AND A DECREASE IN STRESS. EPISODES OF INTRADIALYTIC HYPOTENSION DECREASED FROM 19 PRE AND 19 DURING LAUGHTER YOGA TO 4 POST LAUGHTER YOGA. THERE WAS NO CHANGE IN LUNG FUNCTION OR BLOOD PRESSURE. ALL NURSES AGREED OR STRONGLY AGREED THAT LAUGHTER YOGA HAD A POSITIVE IMPACT ON PATIENTS' MOOD, IT WAS A FEASIBLE INTERVENTION AND THEY WOULD RECOMMEND LAUGHTER YOGA TO THEIR PATIENTS. SAMPLE SIZE CALCULATIONS FOR FUTURE RESEARCH INDICATED THAT A MINIMUM OF 207 PARTICIPANTS WOULD BE REQUIRED TO PROVIDE SUFFICIENT POWER TO DETECT CHANGE IN KEY PSYCHOLOGICAL VARIABLES. CONCLUSIONS: THIS STUDY PROVIDES EVIDENCE THAT LAUGHTER YOGA IS A SAFE, LOW-INTENSITY FORM OF INTRADIALYTIC PHYSICAL ACTIVITY THAT CAN BE SUCCESSFULLY IMPLEMENTED FOR PATIENTS IN DIALYSIS SETTINGS. LARGER STUDIES ARE REQUIRED, HOWEVER, TO DETERMINE THE EFFECT OF LAUGHTER YOGA ON KEY PSYCHOLOGICAL VARIABLES. TRIAL REGISTRATION: AUSTRALIAN NEW ZEALAND CLINICAL TRIALS REGISTRY - ACTRN12614001130651 . REGISTERED 23 OCTOBER 2014. 2015 5 89 40 A MIXED-METHODS EVALUATION OF COMPLEMENTARY THERAPY SERVICES IN PALLIATIVE CARE: YOGA AND DANCE THERAPY. TO INFORM SERVICE PROVISION AND FUTURE RESEARCH, WE EVALUATED TWO COMPLEMENTARY THERAPY SERVICES: YOGA CLASSES AND DANCE THERAPY [THE LEBED METHOD (TLM)]. BOTH WERE RUN AS 6-WEEK GROUP COURSES. PATIENTS COMPLETED THE MEASURE YOURSELF CONCERNS AND WELLBEING QUESTIONNAIRE PRE- AND POST-COURSE. MEAN CHANGE OVER TIME WAS CALCULATED FOR PATIENT-NOMINATED CONCERN AND WELL-BEING SCORES. QUALITATIVE DATA REGARDING FACTORS AFFECTING HEALTH OTHER THAN THE THERAPY AND BENEFITS OF THE SERVICE WERE ANALYSED USING CONTENT ANALYSIS. EIGHTEEN PATIENTS PARTICIPATED (MEAN AGE 63.8 YEARS; 16 FEMALE; 14 CANCER DIAGNOSES); 10 WERE DOING YOGA, FIVE TLM, AND THREE BOTH YOGA AND TLM; 14 COMPLETED MORE THAN ONE ASSESSED COURSE. PATIENTS' MOST PREVALENT CONCERNS WERE: MOBILITY/FITNESS (N= 20), BREATHING PROBLEMS (N= 20), ARM, SHOULDER AND NECK PROBLEMS (N= 18), DIFFICULTY RELAXING (N= 8), BACK/POSTURAL PROBLEMS (N= 8), FEAR/ANXIETY (N= 5). FACTORS AFFECTING PATIENTS' HEALTH OTHER THAN THE THERAPY WERE PREVALENT AND PREDOMINANTLY NEGATIVE (E.G. TREATMENT SIDE EFFECTS). PATIENTS REPORTED PSYCHO-SPIRITUAL, PHYSICAL AND SOCIAL BENEFITS. CONCERN SCORES IMPROVED SIGNIFICANTLY (P < 0.001) FOR BOTH THERAPIES; IMPROVED WELL-BEING WAS CLINICALLY SIGNIFICANT FOR YOGA. EVALUATIONS OF GROUP COMPLEMENTARY THERAPY SERVICES ARE FEASIBLE, CAN BE CONDUCTED EFFECTIVELY AND HAVE IMPLICATIONS FOR FUTURE RESEARCH. YOGA AND TLM MAY BE OF BENEFIT IN THIS POPULATION. 2012 6 9 36 "I'M MORE IN BALANCE": A QUALITATIVE STUDY OF YOGA FOR PATIENTS WITH CHRONIC NECK PAIN. OBJECTIVES: THIS STUDY INVESTIGATED THE PERCEIVED INFLUENCE OF YOGA ON BODY PERCEPTION AND PSYCHOSOCIAL ASPECTS OF LIFE FOR PATIENTS WITH CHRONIC NECK PAIN. DESIGN: THIS QUALITATIVE STUDY WAS CONDUCTED USING SEMISTANDARDIZED INTERVIEWS. SETTING: THE INTERVENTIONS AND INTERVIEWS TOOK PLACE IN A REFERRAL CENTER'S RESEARCH DEPARTMENT. SUBJECTS: EIGHTEEN (18) PATIENTS WITH CHRONIC NONSPECIFIC NECK PAIN WERE RECRUITED FROM A LARGER RANDOMIZED CONTROLLED TRIAL OF YOGA FOR CHRONIC NECK PAIN. INTERVENTIONS: PARTICIPANTS ATTENDED 90 MINUTES OF IYENGAR YOGA ONCE A WEEK FOR 9 WEEKS. OUTCOME MEASURES: PARTICIPANTS COMPLETED A DRAWING OF THEIR NECK AND SHOULDER REGIONS TO REFLECT THEIR SUBJECTIVE BODY PERCEPTIONS BEFORE AND AFTER THEIR YOGA PROGRAM. SEMISTANDARDIZED INTERVIEWS WERE USED TO EXPLORE THEIR BODY PERCEPTION, EMOTIONAL STATUS, EVERYDAY LIFE AND COPING SKILLS, AS WELL AS ANY PERCEIVED CHANGES IN THESE DIMENSIONS POSTPARTICIPATION. AN INTERDISCIPLINARY GROUP ANALYZED THE STUDY DATA USING CONTENT ANALYSIS TECHNIQUES. RESULTS: PARTICIPANTS REPORTED CHANGE ON FIVE DIMENSIONS OF HUMAN EXPERIENCE: PHYSICAL, COGNITIVE, EMOTIONAL, BEHAVIORAL, AND SOCIAL. PHYSICALLY, MOST PARTICIPANTS CITED RENEWED BODY AWARENESS, BOTH DURING THEIR YOGA PRACTICE AND IN THEIR DAILY LIVES. SUCH CHANGE WAS ECHOED IN THEIR POSTPARTICIPATION BODY DRAWINGS. COGNITIVELY, PARTICIPANTS REPORTED INCREASED PERCEIVED CONTROL OVER THEIR HEALTH. EMOTIONALLY, THEY NOTED GREATER ACCEPTANCE OF THEIR PAIN AND LIFE BURDENS. BEHAVIORALLY, THEY DESCRIBED ENHANCED USE OF ACTIVE COPING STRATEGIES. FINALLY, SOCIALLY, THEY REPORTED RENEWED PARTICIPATION IN AN ACTIVE LIFE. CONCLUSIONS: PARTICIPANTS LINKED YOGA TO CHANGE ON ALL DIMENSIONS OF HUMAN EXPERIENCE, ATTRIBUTING REDUCED PAIN LEVELS, INCREASED COPING ABILITY, BETTER PAIN ACCEPTANCE AND INCREASED CONTROL TO IT. BODY AWARENESS APPEARED A KEY MECHANISM IN THESE CHANGES. 2013 7 1204 34 EXPERIENCE OF ELDERLY PEOPLE REGARDING THE EFFECT OF YOGA/LIGHT EXERCISE ON SEDENTARY BEHAVIOR: A LONGITUDINAL QUALITATIVE STUDY IN MADHYA PRADESH, INDIA. THIS STUDY IS SET ON THE BACKGROUND OF A RANDOMIZED CONTROL TRIAL (RCT) IN WHICH INTERVENTION WAS CARRIED TO OBSERVE THE EFFECTS OF YOGA/LIGHT EXERCISE ON THE IMPROVEMENT IN HEALTH AND WELL-BEING AMONG THE ELDERLY POPULATION. A LONGITUDINAL QUALITATIVE STUDY WAS CONDUCTED AS PART OF RCT INTERVENTIONS TO EXPLORE THE EXPERIENCE OF THE ELDERLY PRACTICING YOGA/LIGHT EXERCISE IN RELATION TO SEDENTARY BEHAVIOR IN THE UJJAIN DISTRICT OF MADHYA PRADESH, INDIA. PARTICIPANTS OF THE RCT WERE SELECTED FOR THIS STUDY. EIGHTEEN FOCUS GROUP DISCUSSIONS WERE CONDUCTED-SIX DURING EACH PHASE OF RCT INTERVENTIONS (BEFORE, DURING, AND AFTER). THE FINDINGS REGARDING MOTIVATING AND DEMOTIVATING FACTORS IN VARIOUS PHASES OF INTERVENTION WERE PRESENTED IN THREE CATEGORIES: EXPERIENCE AND PERCEPTION OF THE EFFECTS OF YOGA/LIGHT EXERCISE ON SEDENTARY BEHAVIOR (1) BEFORE, (2) DURING, AND (3) AFTER INTERVENTION. THIS STUDY EXPLORES THE POSITIVE EFFECT OF YOGA/LIGHT EXERCISE ON SEDENTARY BEHAVIOR AND SUBJECTIVE WELL-BEING ON THE ELDERLY POPULATION. THEY WERE RECOGNIZED TO HAVE UNDERGONE CHANGES IN THEIR PHYSICAL AND EMOTIONAL WELL-BEING BY CONSISTENTLY PRACTICING YOGA/LIGHT EXERCISE. THE MAIN DRIVING FACTORS WERE PERIODIC HEALTH CHECK-UPS AND THE ENCOURAGEMENT OF QUALIFIED TRAINERS WITHOUT ANY COST. THIS STUDY CONCLUDES WITH THE NOTION THAT THESE INTERVENTIONS SHOULD BE ENCOURAGED IN THE COMMUNITY TO USE PHYSICAL EXERCISE AS A METHOD TO BETTER CONTROL THE PHYSICAL AND SOCIAL EFFECTS OF AGING. 2020 8 2318 45 TREATING MAJOR DEPRESSION WITH YOGA: A PROSPECTIVE, RANDOMIZED, CONTROLLED PILOT TRIAL. BACKGROUND: CONVENTIONAL PHARMACOTHERAPIES AND PSYCHOTHERAPIES FOR MAJOR DEPRESSION ARE ASSOCIATED WITH LIMITED ADHERENCE TO CARE AND RELATIVELY LOW REMISSION RATES. YOGA MAY OFFER AN ALTERNATIVE TREATMENT OPTION, BUT RIGOROUS STUDIES ARE FEW. THIS RANDOMIZED CONTROLLED TRIAL WITH BLINDED OUTCOME ASSESSORS EXAMINED AN 8-WEEK HATHA YOGA INTERVENTION AS MONO-THERAPY FOR MILD-TO-MODERATE MAJOR DEPRESSION. METHODS: INVESTIGATORS RECRUITED 38 ADULTS IN SAN FRANCISCO MEETING CRITERIA FOR MAJOR DEPRESSION OF MILD-TO-MODERATE SEVERITY, PER STRUCTURED PSYCHIATRIC INTERVIEW AND SCORES OF 14-28 ON BECK DEPRESSION INVENTORY-II (BDI). AT SCREENING, INDIVIDUALS ENGAGED IN PSYCHOTHERAPY, ANTIDEPRESSANT PHARMACOTHERAPY, HERBAL OR NUTRACEUTICAL MOOD THERAPIES, OR MIND-BODY PRACTICES WERE EXCLUDED. PARTICIPANTS WERE 68% FEMALE, WITH MEAN AGE 43.4 YEARS (SD = 14.8, RANGE = 22-72), AND MEAN BDI SCORE 22.4 (SD = 4.5). TWENTY PARTICIPANTS WERE RANDOMIZED TO 90-MINUTE HATHA YOGA PRACTICE GROUPS TWICE WEEKLY FOR 8 WEEKS. EIGHTEEN PARTICIPANTS WERE RANDOMIZED TO 90-MINUTE ATTENTION CONTROL EDUCATION GROUPS TWICE WEEKLY FOR 8 WEEKS. CERTIFIED YOGA INSTRUCTORS DELIVERED BOTH INTERVENTIONS AT A UNIVERSITY CLINIC. PRIMARY OUTCOME WAS DEPRESSION SEVERITY, MEASURED BY BDI SCORES EVERY 2 WEEKS FROM BASELINE TO 8 WEEKS. SECONDARY OUTCOMES WERE SELF-EFFICACY AND SELF-ESTEEM, MEASURED BY SCORES ON THE GENERAL SELF-EFFICACY SCALE (GSES) AND ROSENBERG SELF-ESTEEM SCALE (RSES) AT BASELINE AND AT 8 WEEKS. RESULTS: IN INTENT-TO-TREAT ANALYSIS, YOGA PARTICIPANTS EXHIBITED SIGNIFICANTLY GREATER 8-WEEK DECLINE IN BDI SCORES THAN CONTROLS (P-VALUE = 0.034). IN SUB-ANALYSES OF PARTICIPANTS COMPLETING FINAL 8-WEEK MEASURES, YOGA PARTICIPANTS WERE MORE LIKELY TO ACHIEVE REMISSION, DEFINED PER FINAL BDI SCORE 75% OF PARTICIPANTS IN AGREEMENT) WAS ACHIEVED ON PARAMETERS OF PRACTICE (DOSAGE): AN AVERAGE OF 30 TO 40 MINUTES, TO BE DONE 5 TIMES PER WEEK, OVER A PERIOD OF 6 WEEKS. NUMEROUS RECOMMENDATIONS FOR YOGA TECHNIQUES TO INCLUDE OR AVOID WERE COLLECTED IN THE FIRST ROUND. THE SECOND ROUND PRODUCED A CONSENSUS STATEMENT ON THOSE RECOMMENDATIONS. BREATH REGULATION AND POSTURES WERE CONSIDERED VERY IMPORTANT OR ESSENTIAL FOR PEOPLE WITH DEPRESSION; AND RELAXATION, BREATH REGULATION AND MEDITATION BEING VERY IMPORTANT OR ESSENTIAL FOR PEOPLE WITH ANXIETY. OTHER RECOMMENDED COMPONENTS ALSO ACHIEVED CONSENSUS. THERE WAS ALSO GENERAL CONSENSUS THAT IT IS VERY IMPORTANT OR ESSENTIAL FOR TEACHERS TO HAVE A MINIMUM OF 500 TRAINING HOURS OVER 2 YEARS, AT LEAST 2 YEARS TEACHING EXPERIENCE, TRAINING IN DEVELOPING PERSONALISED YOGA PRACTICES, TRAINING IN YOGA FOR MENTAL HEALTH, AND PROFESSIONAL SUPERVISION OR MENTORING. CONCLUSIONS: THE DELPHI PROCESS HAS ACHIEVED A CONSENSUS STATEMENT ON THE APPLICATION OF YOGA FOR REDUCING ANXIETY AND DEPRESSION. THIS CONSENSUS PROVIDES A CHECKLIST FOR IDENTIFICATION OF COMMONALITIES AND EVALUATION OF PAST RESEARCH. FUTURE RESEARCH CAN PROCEED TO DEVELOP AND EVALUATE CONSENSUS-BASED YOGA INTERVENTION PROTOCOLS FOR THE REDUCTION OF ANXIETY AND DEPRESSION, AND IMPROVEMENTS IN WELL-BEING. 2015 16 48 34 A COMBINATION OF FOCUSING AND DEFOCUSING THROUGH YOGA REDUCES OPTICAL ILLUSION MORE THAN FOCUSING ALONE. THE DEGREE OF OPTICAL ILLUSION WAS ASSESSED USING STANDARD MULLER-LYER LINES IN TWO GROUPS (YOGA AND CONTROL) OF THIRTY SUBJECTS EACH. ALL SUBJECTS WERE BETWEEN EIGHTEEN AND FORTY TWO YEARS OF AGE. THE DIFFERENCE BETWEEN THE READING AT WHICH THE LINES WERE ACTUALLY EQUAL AND THE READING AT WHICH THE SUBJECT FELT THEM TO BE EQUAL, WAS NOTED AS THE DEGREE OF ILLUSION ("DI"). EACH SUBJECT WAS ASSESSED AT THE BEGINNING AND END OF A MONTH. DURING THE MONTH THE YOGA GROUP RECEIVED TRAINING IN YOGA, WHILE THE CONTROL GROUP CARRIED ON WITH THEIR USUAL ROUTINE. AT THE END OF THE MONTH THE YOGA GROUP SHOWED A SIGNIFICANT (TWO FACTOR ANOVA, TUKEY TEST, P < .001) DECREASE IN THE "DI" (86%), WHEREAS THE CONTROL GROUP SHOWED NO CHANGE. THE IMPROVEMENT FOLLOWING YOGA COULD BE ATTRIBUTED TO THE COMBINATION OF FOCUSING AND DEFOCUSING INVOLVED IN YOGA PRACTICE, AS THESE FACTORS ARE KNOWN TO INFLUENCE THE "DI". PREVIOUS RESULTS WHICH MENTIONED A 79% DECREASE IN "DI" WITH FOCUSING ALONE, PROVIDED A COMPARISON. 1997 17 870 39 EFFECT OF YOGA THERAPY ON ANXIETY AND DEPRESSIVE SYMPTOMS AND QUALITY-OF-LIFE AMONG CAREGIVERS OF IN-PATIENTS WITH NEUROLOGICAL DISORDERS AT A TERTIARY CARE CENTER IN INDIA: A RANDOMIZED CONTROLLED TRIAL. CONTEXT: THE CONCERNS OF CAREGIVERS OF PATIENTS WITH NEUROLOGICAL DISORDERS HAVE BEEN A FELT NEED FOR A LONG TIME, WITH MANY OF THEM EXPERIENCING SIGNIFICANT PSYCHIATRIC MORBIDITY. AIMS: THIS STUDY AIMED TO FIND THE EFFECT OF YOGA IN REDUCING ANXIETY AND DEPRESSION, AS WELL AS IMPROVING QUALITY-OF-LIFE IN CAREGIVERS OF PATIENTS WITH NEUROLOGICAL DISORDERS. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED USING A RANDOMIZED CONTROLLED DESIGN, WITH YOGA INTERVENTION AND WAITLISTED CONTROLS. METHODOLOGY: SIXTY CONSENTING CAREGIVERS OF INPATIENTS IN NEUROLOGY WARDS WERE RANDOMIZED INTO TWO GROUPS: YOGA AND CONTROL. DEMOGRAPHIC VARIABLES EXCEPT YEARS OF EDUCATION AND LENGTH OF CARETAKING WERE COMPARABLE IN THE TWO GROUPS, AS ALSO BASELINE SCORES OF ANXIETY, DEPRESSION AND QUALITY-OF-LIFE. A SPECIFIC YOGA MODULE COMPRISING YOGASANAS, PRANAYAMA, AND CHANTING WAS TAUGHT TO THE PARTICIPANTS IN THE YOGA GROUP BY THE RESEARCHER. AT FOLLOW-UP 43 PATIENTS (YOGA N=20 AND CONTROL GROUP N=23) WERE AVAILABLE. TWO-WAY REPEATED MEASURES ANALYSIS OF VARIANCE WAS USED TO TEST THE CHANGE FROM PRE-TEST TO POST-TEST SCORES WITHIN AND BETWEEN GROUPS. ANALYSIS OF COVARIANCE WAS PERFORMED TO COMPARE THE POST-TEST SCORES BETWEEN THE GROUPS ADJUSTING FOR EDUCATION AND LENGTH OF CARETAKING. RESULTS: FOLLOWING ONE MONTH INTERVENTION OF YOGA THERAPY, THERE WAS A SIGNIFICANT (P<0.001) DECREASE IN ANXIETY AND DEPRESSION SCORES, AS WELL AS IMPROVED QUALITY-OF-LIFE AMONG THE PARTICIPANTS IN THE YOGA GROUP AS COMPARED WITH THE CONTROL GROUP. CONCLUSION: THIS STUDY HIGHLIGHTS THE USEFULNESS OF A YOGA INTERVENTION FOR CAREGIVERS OF INPATIENTS WITH NEUROLOGICAL PROBLEMS. THE SMALL SAMPLE SIZE AND LACK OF BLINDING WERE SOME OF THE LIMITATIONS OF THIS STUDY. 2013 18 1299 35 HATHA YOGA FOR ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: THE AIM OF THIS STUDY WAS TO SYSTEMATICALLY INVESTIGATE THE EFFECTIVENESS OF HATHA YOGA IN TREATING ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS. METHODS: MEDLINE, COCHRANE LIBRARY, CURRENT CONTROLLED TRIALS, CLINICAL TRIALS.GOV, NHR CENTRE FOR REVIEWS AND DISSEMINATION, PSYCINFO AND CINAHL WERE SEARCHED THROUGH JUNE 2018. RANDOMIZED CONTROLLED TRIALS WITH PATIENTS WITH MOOD AND ANXIETY DISORDERS WERE INCLUDED. MAIN OUTCOMES WERE CONTINUOUS MEASURES OF SEVERITY OF MOOD AND ANXIETY SYMPTOMS. COHEN'S D WAS CALCULATED AS A MEASURE OF EFFECT SIZE. META-ANALYSES USING A RANDOM EFFECTS MODEL WAS APPLIED TO ESTIMATE DIRECT COMPARISONS BETWEEN YOGA AND CONTROL CONDITIONS FOR DEPRESSION AND ANXIETY OUTCOMES. PUBLICATION BIAS WAS VISUALLY INSPECTED USING FUNNEL PLOTS. RESULTS: EIGHTEEN STUDIES WERE FOUND, FOURTEEN IN ACUTE PATIENTS AND FOUR IN CHRONIC PATIENTS. MOST STUDIES WERE OF LOW QUALITY. FOR DEPRESSION OUTCOMES, HATHA YOGA DID NOT SHOW A SIGNIFICANT EFFECT WHEN COMPARED TO TREATMENT AS USUAL, AN OVERALL EFFECT SIZE OF COHEN'S D -0.64 (95% CI = -1.41, 0.13) OR TO ALL ACTIVE CONTROL GROUPS, COHEN'S D -0.13 (95% CI = -0.49, 0.22). A SUB-ANALYSIS SHOWED THAT YOGA HAD A SIGNIFICANT EFFECT ON THE REDUCTION OF DEPRESSION COMPARED TO PSYCHOEDUCATION CONTROL GROUPS, COHEN'S D -0.52 (95% CI = -0.96, -0.08) BUT NOT TO OTHER ACTIVE CONTROL GROUPS, COHEN'S D 0.28 (95% CI = -0.07, 0.63) FOR STUDIES USING A FOLLOW-UP OF SIX MONTHS OR MORE, HATHA YOGA HAD NO EFFECT ON THE REDUCTION OF DEPRESSION COMPARED TO ACTIVE CONTROL GROUPS, COHEN'S D -0.14 (95% CI = -0.60, 0.33). REGARDING ANXIETY, HATHA YOGA HAD NO SIGNIFICANT EFFECT WHEN COMPARED TO ACTIVE CONTROL GROUPS, COHEN'S D -0.09 (95% CI = -0.47, 0.30). THE I2 AND Q-STATISTIC REVEALED HETEROGENEITY AMONGST COMPARISONS. QUALITATIVE ANALYSES SUGGEST SOME PROMISE OF HATHA YOGA FOR CHRONIC POPULATIONS. CONCLUSIONS: THE ABILITY TO DRAW FIRM CONCLUSIONS IS LIMITED BY THE NOTABLE HETEROGENEITY AND LOW QUALITY OF MOST OF THE INCLUDED STUDIES. WITH THIS CAVEAT IN MIND, THE RESULTS OF THE CURRENT META-ANALYSIS SUGGEST THAT HATHA YOGA DOES NOT HAVE EFFECTS ON ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS COMPARED TO TREATMENT AS USUAL OR ACTIVE CONTROL GROUPS. HOWEVER, WHEN COMPARED TO PSYCHOEDUCATION, HATHA YOGA SHOWED MORE REDUCTIONS IN DEPRESSION. IT IS CLEAR THAT MORE HIGH-QUALITY STUDIES ARE NEEDED TO ADVANCE THE FIELD. 2018 19 2222 54 THE IMPACT OF MODIFIED HATHA YOGA ON CHRONIC LOW BACK PAIN: A PILOT STUDY. PURPOSE: THE PURPOSE OF THIS RANDOMIZED PILOT STUDY WAS TO EVALUATE A POSSIBLE DESIGN FOR A 6-WEEK MODIFIED HATHA YOGA PROTOCOL TO STUDY THE EFFECTS ON PARTICIPANTS WITH CHRONIC LOW BACK PAIN. PARTICIPANTS: TWENTY-TWO PARTICIPANTS (M = 4; F = 17), BETWEEN THE AGES OF 30 AND 65, WITH CHRONIC LOW BACK PAIN (CLBP) WERE RANDOMIZED TO EITHER AN IMMEDIATE YOGA BASED INTERVENTION, OR TO A CONTROL GROUP WITH NO TREATMENT DURING THE OBSERVATION PERIOD BUT RECEIVED LATER YOGA TRAINING. METHODS: A SPECIFIC CLBP YOGA PROTOCOL DESIGNED AND MODIFIED FOR THIS POPULATION BY A CERTIFIED YOGA INSTRUCTOR WAS ADMINISTERED FOR ONE HOUR, TWICE A WEEK FOR 6 WEEKS. PRIMARY FUNCTIONAL OUTCOME MEASURES INCLUDED THE FORWARD REACH (FR) AND SIT AND REACH (SR) TESTS. ALL PARTICIPANTS COMPLETED OSWESTRY DISABILITY INDEX (ODI) AND BECK DEPRESSION INVENTORY (BDI) QUESTIONNAIRES. GUIDING QUESTIONS WERE USED FOR QUALITATIVE DATA ANALYSIS TO ASCERTAIN HOW YOGA PARTICIPANTS PERCEIVED THE INSTRUCTOR, GROUP DYNAMICS, AND THE IMPACT OF YOGA ON THEIR LIFE. ANALYSIS: TO ACCOUNT FOR DROP OUTS, THE DATA WERE DIVIDED INTO BETTER OR NOT CATEGORIES, AND ANALYZED USING CHI-SQUARE TO EXAMINE DIFFERENCES BETWEEN THE GROUPS. QUALITATIVE DATA WERE ANALYZED THROUGH FREQUENCY OF POSITIVE RESPONSES. RESULTS: POTENTIALLY IMPORTANT TRENDS IN THE FUNCTIONAL MEASUREMENT SCORES SHOWED IMPROVED BALANCE AND FLEXIBILITY AND DECREASED DISABILITY AND DEPRESSION FOR THE YOGA GROUP BUT THIS PILOT WAS NOT POWERED TO REACH STATISTICAL SIGNIFICANCE. SIGNIFICANT LIMITATIONS INCLUDED A HIGH DROPOUT RATE IN THE CONTROL GROUP AND LARGE BASELINE DIFFERENCES IN THE SECONDARY MEASURES. IN ADDITION, ANALYSIS OF THE QUALITATIVE DATA REVEALED THE FOLLOWING FREQUENCY OF RESPONSES (1) GROUP INTERVENTION MOTIVATED THE PARTICIPANTS AND (2) YOGA FOSTERED RELAXATION AND NEW AWARENESS/LEARNING. CONCLUSION: A MODIFIED YOGA-BASED INTERVENTION MAY BENEFIT INDIVIDUALS WITH CLB, BUT A LARGER STUDY IS NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. ALSO, THE IMPACT ON DEPRESSION AND DISABILITY COULD BE CONSIDERED AS IMPORTANT OUTCOMES FOR FURTHER STUDY. ADDITIONAL FUNCTIONAL OUTCOME MEASURES SHOULD BE EXPLORED. THIS PILOT STUDY SUPPORTS THE NEED FOR MORE RESEARCH INVESTIGATING THE EFFECT OF YOGA FOR THIS POPULATION. 2004 20 1958 31 SELF-MANAGEMENT AND YOGA FOR OLDER ADULTS WITH CHRONIC STROKE: A MIXED-METHODS STUDY OF PHYSICAL FITNESS AND PHYSICAL ACTIVITY. OBJECTIVE: THIS STUDY INVESTIGATED CHANGES IN PHYSICAL FITNESS AND PHYSICAL ACTIVITY AMONG OLDER PATIENTS WITH CHRONIC STROKE (STROKE >/= 6 MONTHS PREVIOUS) AFTER PARTICIPATION IN A YOGA INFUSED SELF-MANAGEMENT INTERVENTION. METHODS: A MIXED-METHODS SECONDARY DATA ANALYSIS EXAMINED QUANTITATIVE MEASURES OF ENDURANCE, STRENGTH, AND GAIT SPEED AND QUALITATIVE PERSPECTIVES OF INTERVENTION PARTICIPANTS. RESULTS: BASED ON WILCOXON ANALYSIS, PHYSICAL FITNESS OUTCOME MEASURES INCLUDING ENDURANCE AND LOWER AND UPPER BODY STRENGTH SIGNIFICANTLY (P < .02) IMPROVED. BASED ON QUALITATIVE RESULTS OF 2 FOCUS GROUPS AND 14 INDIVIDUAL INTERVIEWS, PARTICIPANTS EXPRESSED POSITIVE CHANGES IN ENDURANCE, STRENGTH, GAIT SPEED, FLEXIBILITY, AND BALANCE. THEY ALSO REPORTED IMPROVEMENTS IN WALKING ABILITY AND DURATION, AND EXPRESSED A DESIRE TO CONTINUE YOGA AND INCREASE LEVELS OF EXERCISE. CONCLUSIONS: WITH THE OBJECTIVE OF IMPROVING PHYSICAL FITNESS AND EXERCISE FOR OLDER ADULTS WITH CHRONIC STROKE, IT IS IMPORTANT FOR SELF-MANAGEMENT INTERVENTIONS TO PROVIDE SPECIFIC SAFE AND FEASIBLE PHYSICAL ACTIVITY COMPONENTS, SUCH AS YOGA. CLINICAL IMPLICATIONS: HEALTH PROFESSIONALS MAY IMPROVE OFFERED CHRONIC STROKE SELF-MANAGEMENT INTERVENTIONS BY INCORPORATING YOGA. 2018