1 749 96 EFFECT OF SAHAJA YOGA PRACTICE ON SEIZURE CONTROL & EEG CHANGES IN PATIENTS OF EPILEPSY. THE EFFECT OF SAHAJA YOGA MEDITATION ON SEIZURE CONTROL AND ELECTROENCEPHALOGRAPHIC ALTERATIONS WAS ASSESSED IN 32 PATIENTS OF IDIOPATHIC EPILEPSY. THE SUBJECTS WERE RANDOMLY DIVIDED INTO 3 GROUPS. GROUP I (N = 10) PRACTISED SAHAJA YOGA FOR 6 MONTHS, GROUP II (N = 10) PRACTISED EXERCISES MIMICKING SAHAJA YOGA FOR 6 MONTHS AND GROUP III (N = 12) SERVED AS THE EPILEPTIC CONTROL GROUP. GROUP I SUBJECTS REPORTED A 62 PER CENT DECREASE IN SEIZURE FREQUENCY AT 3 MONTHS AND A FURTHER DECREASE OF 86 PER CENT AT 6 MONTHS OF INTERVENTION. POWER SPECTRAL ANALYSIS OF EEG SHOWED A SHIFT IN FREQUENCY FROM 0-8 HZ TOWARDS 8-20 HZ. THE RATIOS OF EEG POWERS IN DELTA (D), THETA (T), ALPHA (A) AND BETA (B) BANDS I.E., A/D, A/D + T, A/T AND A + B/D + T WERE INCREASED. PER CENT D POWER DECREASED AND PER CENT A INCREASED. NO SIGNIFICANT CHANGES IN ANY OF THE PARAMETERS WERE FOUND IN GROUPS II AND III, INDICATING THAT SAHAJA YOGA PRACTICE BRINGS ABOUT SEIZURE REDUCTION AND EEG CHANGES. SAHAJA YOGA COULD PROVE TO BE BENEFICIAL IN THE MANAGEMENT OF PATIENTS OF EPILEPSY. 1996 2 2564 17 YOGA FOR CONTROL OF EPILEPSY. YOGA IS AN AGE-OLD TRADITIONAL INDIAN PSYCHO-PHILOSOPHICAL-CULTURAL METHOD OF LEADING ONE'S LIFE, THAT ALLEVIATES STRESS, INDUCES RELAXATION AND PROVIDES MULTIPLE HEALTH BENEFITS TO THE PERSON FOLLOWING ITS SYSTEM. IT IS A METHOD OF CONTROLLING THE MIND THROUGH THE UNION OF AN INDIVIDUAL'S DORMANT ENERGY WITH THE UNIVERSAL ENERGY. COMMONLY PRACTICED YOGA METHODS ARE 'PRANAYAMA' (CONTROLLED DEEP BREATHING), 'ASANAS' (PHYSICAL POSTURES) AND 'DHYANA' (MEDITATION) ADMIXED IN VARYING PROPORTIONS WITH DIFFERING PHILOSOPHIC IDEAS. A REVIEW OF YOGA IN RELATION TO EPILEPSY ENCOMPASSES NOT ONLY SEIZURE CONTROL BUT ALSO MANY FACTORS DEALING WITH OVERALL QUALITY-OF-LIFE ISSUES (QOL). THIS PAPER REVIEWS ARTICLES RELATED TO YOGA AND EPILEPSY, SEIZURES, EEG, AUTONOMIC CHANGES, NEURO-PSYCHOLOGY, LIMBIC SYSTEM, AROUSAL, SLEEP, BRAIN PLASTICITY, MOTOR PERFORMANCE, BRAIN IMAGING STUDIES, AND REHABILITATION. THERE IS A DEARTH OF RANDOMIZED, BLINDED, CONTROLLED STUDIES RELATED TO YOGA AND SEIZURE CONTROL. A MULTI-CENTRE, CROSS-CULTURAL, PREFERABLY BLINDED (DIFFICULT FOR YOGA), WELL-RANDOMIZED CONTROLLED TRIAL, ESPECIALLY USING A SINGLE YOGIC TECHNIQUE IN A HOMOGENEOUS POPULATION SUCH AS JUVENILE MYOCLONIC EPILEPSY IS JUSTIFIED TO FIND OUT HOW YOGA AFFECTS SEIZURE CONTROL AND QOL OF THE PERSON WITH EPILEPSY. 2001 3 750 43 EFFECT OF SAHAJA YOGA PRACTICE ON STRESS MANAGEMENT IN PATIENTS OF EPILEPSY. AN ATTEMPT WAS MADE TO EVALUATE THE EFFECT OF SAHAJA YOGA MEDITATION IN STRESS MANAGEMENT IN PATIENTS OF EPILEPSY. THE STUDY WAS CARRIED OUT ON 32 PATIENTS OF EPILEPSY WHO WERE RENDOMLY DIVIDED INTO 3 GROUPS: GROUP I SUBJECTS PRACTISED SAHAJA YOGA MEDITATION FOR 6 MONTHS, GROUP II SUBJECTS PRACTISED POSTURAL EXERCISES MIMICKING SAHAJA YOGA AND GROUP III SERVED AS THE EPILEPTIC CONTROL GROUP. GALVANIC SKIN RESISTANCE (GSR), BLOOD LACTATE AND URINARY VINYL MANDELIC ACID (U-VMA) WERE RECORDED AT 0, 3 AND 6 MONTHS. THERE WERE SIGNIFICANT CHANGES AT 3 & 6 MONTHS AS COMPARED TO 0 MONTH VALUES IN GSR, BLOOD LACTATE AND U-VMA LEVELS IN GROUP I SUBJECTS, BUT NOT IN GROUP II AND GROUP III SUBJECTS. THE RESULTS INDICATE THAT REDUCTION IN STRESS FOLLOWING SAHAJA YOGA PRACTICE MAY BE RESPONSIBLE FOR CLINICAL IMPROVEMENT WHICH HAD BEEN EARLIER REPORTED IN PATIENTS WHO PRACTISED SAHAJA YOGA. 1995 4 2404 21 YOGA AND EPILEPSY: WHAT DO PATIENTS PERCEIVE? CONTEXT: BENEFIT OF YOGA THERAPY IN THE MANAGEMENT OF EPILEPSY IS EMERGING. HOWEVER, THERE IS NO DATA AVAILABLE ABOUT THE KNOWLEDGE, ATTITUDE AND PRACTICE (KAP) OF YOGA AMONGST PEOPLE LIVING WITH EPILEPSY (PLWE). AIMS: THIS STUDY WAS DESIGNED TO EXPLORE THE KAP ABOUT YOGA AMONG PLWE. SETTINGS AND DESIGN: THE STUDY WAS CONDUCTED ON 300 PLWE ATTENDING THE NEUROLOGY OUT-PATIENT SERVICES OF A TERTIARY CARE HOSPITAL. METHODOLOGY: THREE HUNDRED PLWE (MALE:FEMALE=173:127; AGE: 31.6+/-12.4 YEARS) ATTENDING THE NEUROLOGY OUT-PATIENT SERVICES OF A NEUROPSYCHIATRY HOSPITAL WERE ADMINISTERED A PRE-TESTED KAP QUESTIONNAIRE. RESULTS: ABOUT 87.4% WERE ON REGULAR ANTI-EPILEPTIC DRUGS AND HALF (50.3%) ON MONOTHERAPY. USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE BY THE RESPONDENTS INCLUDED: AYURVEDA (26.7%), YOGA (25.6%) AND HOMEOPATHY (16.3%) OR FOLK MEDICINE (29.1%). NEARLY 33.7% OF THE RESPONDENTS REPORTED THAT YOGA IS BENEFICIAL IN MANAGING EPILEPSY. MORE THAN HALF THE RESPONDENTS (54.8%) WERE WILLING TO PRACTICE YOGA. THOSE WHO PRACTICED YOGA OPINED THAT REGULAR PRACTICE OF YOGA MIGHT REDUCE DOSAGE OF MEDICATION (62.8%), THEIR SIDE EFFECTS (51.3%) AND FREQUENCY OF SEIZURES (54.5%). MAJORITY OF THE PATIENTS WERE WILLING TO PRACTICE YOGA, IF YOGA SERVICES WERE OFFERED. CONCLUSION: THE GAPS IN KAP IDENTIFIED IN THIS STUDY POINT TO THE NEED FOR MORE SYSTEMATIC EFFORT TO BRING ABOUT AWARENESS OF YOGA IN PATIENTS WITH EPILEPSY. 2013 5 747 40 EFFECT OF SAHAJA YOGA MEDITATION ON AUDITORY EVOKED POTENTIALS (AEP) AND VISUAL CONTRAST SENSITIVITY (VCS) IN EPILEPTICS. THE EFFECT OF SAHAJA YOGA MEDITATION ON 32 PATIENTS WITH PRIMARY IDIOPATHIC EPILEPSY ON REGULAR AND MAINTAINED ANTIEPILEPTIC MEDICATION WAS STUDIED. THE PATIENTS WERE RANDOMLY DIVIDED INTO 3 GROUPS: GROUP I PRACTICED SAHAJA YOGA MEDITATION TWICE DAILY FOR 6 MONTHS UNDER PROPER GUIDANCE; GROUP II PRACTICED POSTURAL EXERCISES MIMICKING THE MEDITATION FOR THE SAME DURATION; AND GROUP III WAS THE CONTROL GROUP. VISUAL CONTRAST SENSITIVITY (VCS), AUDITORY EVOKED POTENTIALS (AEP), BRAINSTEM AUDITORY EVOKED POTENTIALS (BAEP), AND MID LATENCY RESPONSES (MLR) WERE RECORDED INITIALLY (0 MONTH) AND AT 3 AND 6 MONTHS FOR EACH GROUP. THERE WAS A SIGNIFICANT IMPROVEMENT IN VCS FOLLOWING MEDITATION PRACTICE IN GROUP I PARTICIPANTS. NA, THE FIRST PROMINENT NEGATIVE PEAK OF MLR AND PA, THE POSITIVE PEAK FOLLOWING NA DID NOT REGISTER CHANGES IN LATENCY. THE NA-PA AMPLITUDE OF MLR ALSO SHOWED A SIGNIFICANT INCREASE. THERE WERE NO SIGNIFICANT CHANGES IN THE ABSOLUTE AND INTERPEAK LATENCIES OF BAEP. THE REDUCED LEVEL OF STRESS FOLLOWING MEDITATION PRACTICE MAY MAKE PATIENTS MORE RESPONSIVE TO SPECIFIC STIMULI. SAHAJA YOGA MEDITATION APPEARS TO BRING ABOUT CHANGES IN SOME OF THE ELECTROPHYSIOLOGICAL RESPONSES STUDIED IN EPILEPTIC PATIENTS. 2000 6 2664 32 YOGA IN CHILDREN WITH EPILEPSY: A RANDOMIZED CONTROLLED TRIAL. CONTEXT: MAJORITY OF EPILEPSY BEGINS IN CHILDHOOD. TWENTY TO THIRTY PERCENT OF PATIENTS MAY NOT RESPOND TO ANTIEPILEPTIC DRUGS. YOGA AS A COMPLEMENTARY THERAPY HAS BEEN FOUND TO BE BENEFICIAL IN ADULTS, BUT HAS NOT YET BEEN STUDIED IN CHILDREN WITH EPILEPSY. AIM: TO STUDY THE EFFECT OF YOGA ON SEIZURE AND ELECTROENCEPHALOGRAM (EEG) OUTCOME IN CHILDREN WITH EPILEPSY. SETTING AND DESIGN: A RANDOMIZED CONTROLLED TRIAL WAS CONDUCTED IN THE PEDIATRIC NEUROLOGY OUTPATIENT DEPARTMENT OF A TERTIARY CARE TEACHING HOSPITAL. MATERIALS AND METHODS: TWENTY CHILDREN AGED 8-12 YEARS WITH AN UNEQUIVOCAL DIAGNOSIS OF EPILEPSY ON REGULAR ANTIEPILEPTIC DRUGS WERE ENROLLED. YOGA THERAPY WAS PROVIDED TO 10 CHILDREN (STUDY GROUP) AND 10 CHILDREN FORMED THE CONTROL GROUP. YOGA THERAPY WAS GIVEN AS 10 SESSIONS OF 1H EACH. WE COMPARED SEIZURE FREQUENCY AND EEG AT BASELINE, 3, AND 6 MONTHS. STATISTICAL ANALYSIS WAS CARRIED OUT USING STANDARD STATISTICAL TESTS. A P VALUE OF <0.05 WAS CONSIDERED SIGNIFICANT. RESULTS: NO CHILDREN HAD SEIZURES AT THE END OF 3 AND 6 MONTHS IN THE STUDY GROUP. IN THE CONTROL GROUP, AT 3 AND 6 MONTHS, FOUR AND THREE CHILDREN, RESPECTIVELY, HAD SEIZURES. EIGHT CHILDREN EACH IN BOTH THE GROUPS HAD AN ABNORMAL EEG AT ENROLLMENT. AT THE END OF 6 MONTHS, ONE EEG IN THE STUDY GROUP AND SEVEN IN THE CONTROL GROUP WERE ABNORMAL (P = 0.020). CONCLUSION: YOGA AS AN ADDITIONAL THERAPY IN CHILDREN WITH EPILEPSY LEADS TO SEIZURE FREEDOM AND SIGNIFICANT IMPROVEMENT IN EEG AT 6 MONTHS. 2018 7 116 27 A PILOT STUDY OF A YOGA MEDITATION PROTOCOL FOR PATIENTS WITH MEDICALLY REFRACTORY EPILEPSY. OBJECTIVE: THE OBJECTIVE WAS TO ASSESS THE EFFICACY OF A YOGA MEDITATION PROTOCOL (YMP) AS AN ADJUNCTIVE TREATMENT IN PATIENTS WITH DRUG-RESISTANT CHRONIC EPILEPSY. DESIGN: THE DESIGN WAS A PROSPECTIVE, NONRANDOMIZED, OPEN-LABEL, ADD-ON TRIAL WITH A 12-WEEK BASELINE PERIOD, FOLLOWED BY A 12-WEEK SUPERVISED YMP ADMINISTRATION PHASE. THE FREQUENCY OF COMPLEX PARTIAL SEIZURES (CPS) WAS ASSESSED AT 3, 6, AND 12 MONTHS OF THE TREATMENT PERIOD. SETTING: THE SETTING WAS A COMPREHENSIVE EPILEPSY CARE CENTER ATTACHED TO A TERTIARY REFERRAL MEDICAL INSTITUTION SITUATED ON THE SOUTHWEST COAST OF THE INDIAN PENINSULA. SUBJECTS: THE SUBJECTS WERE 20 PATIENTS (14 MALES AND 6 FEMALES, AGE RANGE 15 TO 47 YEARS, MEDIAN 27 YEARS) WITH UNEQUIVOCALLY ESTABLISHED DIAGNOSES OF EPILEPSY WITH AT LEAST 4 CPS (WITH OR WITHOUT SECONDARY GENERALIZATION) DURING THE PRECEDING 3 MONTHS. INTERVENTION: INTERVENTION CONSISTED OF A YMP 20 MINUTES TWICE DAILY (MORNINGS AND EVENINGS) AT HOME, AND SUPERVISED SESSIONS OF A YMP EVERY WEEK FOR 3 MONTHS. CONTINUATION OF THE YMP BEYOND 3 MONTHS WAS OPTIONAL. OUTCOME MEASURE: THE OUTCOME MEASURE WAS THE SEIZURE FREQUENCY AT 3, 6, AND 12 MONTHS OF THE TREATMENT PERIOD. THE SUBJECTS WITH > OR = 50% REDUCTION IN MONTHLY SEIZURE RATE FROM BASELINE WERE CLASSIFIED AS RESPONDERS, AND SUBJECTS WITH <50% SEIZURE REDUCTION AS NONRESPONDERS. RESULTS: AT 3 MONTHS, A REDUCTION IN SEIZURE FREQUENCY WAS NOTED IN ALL EXCEPT 1 PATIENT, SIX OF WHOM HAD > OR = 50% SEIZURE REDUCTION. OF 16 PATIENTS WHO CONTINUED THE YMP BEYOND 3 MONTHS, 14 PATIENTS RESPONDED AT 6 MONTHS; 6 OF THEM WERE SEIZURE-FREE FOR 3 MONTHS. ALL EIGHT PATIENTS WHO CONTINUED THE YMP BEYOND 6 MONTHS RESPONDED; THREE OF THEM WERE SEIZURE FREE FOR 6 MONTHS. CONCLUSIONS: IF CONFIRMED THROUGH RANDOMIZED TRIALS INVOLVING A LARGER NUMBER OF PATIENTS, THIS YMP MAY BECOME A COST-EFFECTIVE AND ADVERSE EFFECT-FREE ADJUNCTIVE TREATMENT IN PATIENTS WITH DRUG-RESISTANT EPILEPSIES. 2006 8 1637 29 MODULATION OF CARDIAC AUTONOMIC BALANCE WITH ADJUVANT YOGA THERAPY IN PATIENTS WITH REFRACTORY EPILEPSY. THE PRACTICE OF YOGA REGULATES BODY PHYSIOLOGY THROUGH CONTROL OF POSTURE, BREATHING, AND MEDITATION. EFFECTS OF YOGA ON AUTONOMIC FUNCTIONS OF PATIENTS WITH REFRACTORY EPILEPSY, AS QUANTIFIED BY STANDARDIZED AUTONOMIC FUNCTION TESTS (AFTS), WERE DETERMINED. THE YOGA GROUP (N=18) RECEIVED SUPERVISED TRAINING IN YOGA, AND THE EXERCISE GROUP (N=16) PRACTICED SIMPLE ROUTINE EXERCISES. AFTS WERE REPEATED AFTER 10 WEEKS OF DAILY SESSIONS. DATA WERE COMPARED WITH THOSE OF HEALTHY VOLUNTEERS (N=142). THE YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENT IN PARASYMPATHETIC PARAMETERS AND A DECREASE IN SEIZURE FREQUENCY SCORES. THERE WAS NO IMPROVEMENT IN BLOOD PRESSURE PARAMETERS IN EITHER GROUP. TWO PATIENTS IN THE YOGA GROUP ACHIEVED NORMAL AUTONOMIC FUNCTIONS AT THE END OF 10 WEEKS OF THERAPY, WHEREAS THERE WERE NO CHANGES IN THE EXERCISE GROUP. THE DATA SUGGEST THAT YOGA MAY HAVE A ROLE AS AN ADJUVANT THERAPY IN THE MANAGEMENT OF AUTONOMIC DYSFUNCTION IN PATIENTS WITH REFRACTORY EPILEPSY. 2008 9 2572 13 YOGA FOR EPILEPSY: METHODOLOGICAL ISSUES. THIS ARTICLE DEALS WITH THE METHODOLOGICAL ISSUES THAT MIGHT BE ENCOUNTERED IN DESIGNING AND CONDUCTING A RANDOMIZED CONTROLLED STUDY OF THE EFFICACY OF YOGA IN THE TREATMENT OF EPILEPSY. METHODOLOGICAL ISSUES RELATING TO PATIENT SELECTION, RANDOMIZATION, BLINDING, TYPE OF INTERVENTION, OUTCOME MEASURES AND ANALYSIS ARE HIGHLIGHTED. 2001 10 260 28 ACCEPTANCE AND COMMITMENT THERAPY AND YOGA FOR DRUG-REFRACTORY EPILEPSY: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: THERE IS A NEED FOR CONTROLLED OUTCOME STUDIES ON BEHAVIORAL TREATMENT OF EPILEPSY. THE PURPOSE OF THIS STUDY WAS TO EVALUATE ACCEPTANCE AND COMMITMENT THERAPY (ACT) AND YOGA IN THE TREATMENT OF EPILEPSY. METHODS: THE DESIGN CONSISTED OF A RANDOMIZED CONTROLLED TRIAL WITH REPEATED MEASURES (N=18). ALL PARTICIPANTS HAD AN EEG-VERIFIED EPILEPSY DIAGNOSIS WITH DRUG-REFRACTORY SEIZURES. PARTICIPANTS WERE RANDOMIZED INTO ONE OF TWO GROUPS: ACT OR YOGA. THERAPEUTIC EFFECTS WERE MEASURED USING SEIZURE INDEX (FREQUENCY X DURATION) AND QUALITY OF LIFE (SATISFACTION WITH LIFE SCALE, WHOQOL-BREF). THE TREATMENT PROTOCOLS CONSISTED OF 12 HOURS OF PROFESSIONAL THERAPY DISTRIBUTED IN TWO INDIVIDUAL SESSIONS, TWO GROUP SESSIONS DURING A 5-WEEK PERIOD, AND BOOSTER SESSIONS AT 6 AND 12 MONTHS POSTTREATMENT. SEIZURE INDEX WAS CONTINUOUSLY ASSESSED DURING THE 3-MONTH BASELINE AND 12-MONTH FOLLOW-UP. QUALITY OF LIFE WAS MEASURED AFTER TREATMENT AND AT THE 6-MONTH AND 1-YEAR FOLLOW-UPS. RESULTS: THE RESULTS INDICATE THAT BOTH ACT AND YOGA SIGNIFICANTLY REDUCE SEIZURE INDEX AND INCREASE QUALITY OF LIFE OVER TIME. ACT REDUCED SEIZURE INDEX SIGNIFICANTLY MORE AS COMPARED WITH YOGA. PARTICIPANTS IN BOTH THE ACT AND YOGA GROUPS IMPROVED THEIR QUALITY OF LIFE SIGNIFICANTLY AS MEASURED BY ONE OF TWO QUALITY-OF-LIFE INSTRUMENTS. THE ACT GROUP INCREASED THEIR QUALITY OF LIFE SIGNIFICANTLY AS COMPARED WITH THE YOGA GROUP AS MEASURED BY THE WHOQOL-BREF, AND THE YOGA GROUP INCREASED THEIR QUALITY OF LIFE SIGNIFICANTLY AS COMPARED WITH THE ACT GROUP AS MEASURED BY THE SWLS. CONCLUSIONS: THE RESULTS OF THIS STUDY SUGGEST THAT COMPLEMENTARY TREATMENTS, SUCH AS ACT AND YOGA, DECREASE SEIZURE INDEX AND INCREASE QUALITY OF LIFE. 2008 11 2571 46 YOGA FOR EPILEPSY. BACKGROUND: THIS IS AN UPDATED VERSION OF THE ORIGINAL COCHRANE REVIEW PUBLISHED IN THE COCHRANE LIBRARY, ISSUE 1, 2002.YOGA MAY INDUCE RELAXATION AND STRESS REDUCTION, AND INFLUENCE THE ELECTROENCEPHALOGRAM AND THE AUTONOMIC NERVOUS SYSTEM, THEREBY CONTROLLING SEIZURES. YOGA WOULD BE AN ATTRACTIVE THERAPEUTIC OPTION FOR EPILEPSY IF PROVED EFFECTIVE. OBJECTIVES: TO ASSESS WHETHER PEOPLE WITH EPILEPSY TREATED WITH YOGA:(A) HAVE A GREATER PROBABILITY OF BECOMING SEIZURE FREE;(B) HAVE A SIGNIFICANT REDUCTION IN THE FREQUENCY OR DURATION OF SEIZURES, OR BOTH; AND(C) HAVE A BETTER QUALITY OF LIFE. SEARCH METHODS: WE SEARCHED THE COCHRANE EPILEPSY GROUP SPECIALIZED REGISTER (26 MARCH 2015), THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL, THE COCHRANE LIBRARY, 26 MARCH 2015), MEDLINE (OVID, 1946 TO 26 MARCH 2015), SCOPUS (1823 TO 9 JANUARY 2014), CLINICALTRIALS.GOV (26 MARCH 2015), THE WORLD HEALTH ORGANIZATION (WHO) INTERNATIONAL CLINICAL TRIALS REGISTRY PLATFORM ICTRP (26 MARCH 2015), AND ALSO REGISTRIES OF THE YOGA BIOMEDICAL TRUST AND THE RESEARCH COUNCIL FOR COMPLEMENTARY MEDICINE. IN ADDITION, WE SEARCHED THE REFERENCES OF ALL THE IDENTIFIED STUDIES. NO LANGUAGE RESTRICTIONS WERE IMPOSED. SELECTION CRITERIA: THE FOLLOWING STUDY DESIGNS WERE ELIGIBLE FOR INCLUSION: RANDOMISED CONTROLLED TRIALS (RCT) OF TREATMENT OF EPILEPSY WITH YOGA. ELIGIBLE PARTICIPANTS WERE ADULTS WITH UNCONTROLLED EPILEPSY COMPARING YOGA WITH NO TREATMENT OR DIFFERENT BEHAVIOURAL TREATMENTS. DATA COLLECTION AND ANALYSIS: THREE REVIEW AUTHORS INDEPENDENTLY SELECTED TRIALS FOR INCLUSION AND EXTRACTED DATA. THE FOLLOWING OUTCOMES WERE ASSESSED: (A) PERCENTAGE OF PEOPLE RENDERED SEIZURE FREE; (B) SEIZURE FREQUENCY AND DURATION; (C) QUALITY OF LIFE. ANALYSES WERE ON AN INTENTION-TO-TREAT BASIS. ODDS RATIO (OR) WITH 95% CONFIDENCE INTERVALS (95% CL) WERE ESTIMATED FOR THE OUTCOMES. MAIN RESULTS: TWO UNBLINDED TRIALS RECRUITED A TOTAL OF 50 PEOPLE (18 TREATED WITH YOGA AND 32 TO CONTROL INTERVENTIONS). ANTIEPILEPTIC DRUGS WERE CONTINUED IN ALL THE PARTICIPANTS. BASELINE PHASE LASTED 3 MONTHS IN BOTH STUDIES AND TREATMENT PHASE FROM 5 WEEKS TO 6 MONTHS IN THE TWO TRIALS. RANDOMISATION WAS BY ROLL OF A DIE IN ONE STUDY AND USING A COMPUTERISED RANDOMISATION TABLE IN THE OTHER ONE BUT NEITHER STUDY PROVIDED DETAILS OF CONCEALMENT OF ALLOCATION AND WERE RATED AS UNCLEAR RISK OF BIAS. OVERALL, THE TWO STUDIES WERE RATED AS LOW RISK OF BIAS (ALL PARTICIPANTS WERE INCLUDED IN THE ANALYSIS; ALL EXPECTED AND PRE-EXPECTED OUTCOMES WERE REPORTED; NO OTHER SOURCES OF BIAS). THE OVERALL OR WITH 95% CONFIDENCE INTERVAL (CI) WAS: (I) SEIZURE FREE FOR SIX MONTHS - FOR YOGA VERSUS SHAM YOGA ORS OF 14.54 (95% CI 0.67 TO 316.69) AND FOR YOGA VERSUS NO TREATMENT GROUP 17.31 (95% CI 0.80 TO 373.45); FOR ACCEPTANCE AND COMMITMENT THERAPY (ACT) VERSUS YOGA ORS OF 1.00 (95% CL 0.16 TO 6.42; (II) REDUCTION IN SEIZURE FREQUENCY - THE MEAN DIFFERENCE BETWEEN YOGA VERSUS SHAM YOGA GROUP WAS -2.10 (95% CI -3.15 TO -1.05) AND FOR YOGA VERSUS NO TREATMENT GROUP -1.10 (95% CI -1.80 TO -0.40); (III) MORE THAN 50% REDUCTION IN SEIZURE FREQUENCY - FOR YOGA VERSUS SHAM YOGA GROUP ORS OF 81.00 (95% CI 4.36 TO 1504.46) AND FOR THE YOGA VERSUS NO TREATMENT GROUP 158.33 (95% CI 5.78 TO 4335.63); ACT VERSUS YOGA ORS OF 0.78 (95% CL 0.04 TO 14.75); (IV) MORE THAN 50% REDUCTION IN SEIZURE DURATION - FOR YOGA VERSUS SHAM YOGA GROUP ORS OF 45.00 (95% CI 2.01 TO 1006.75) AND FOR YOGA VERSUS NO TREATMENT GROUP 53.57 (95% CI 2.42 TO 1187.26); ACT VERSUS YOGA ORS OF 0.67 (95% CL 0.10 TO 4.35). IN ADDITION IN PANJWANI 1996 THE AUTHORS REPORTED THAT THE ONE-WAY ANALYSIS OF VARIANCE REVEALED NO STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN THE THREE GROUPS. A P-LAMBDA TEST TAKING INTO ACCOUNT THE P VALUES BETWEEN THE THREE GROUPS ALSO INDICATED THAT THE DURATION OF EPILEPSY IN THE THREE GROUPS WAS NOT COMPARABLE. NO DATA WERE AVAILABLE REGARDING QUALITY OF LIFE. IN LUNDGREN 2008 THE AUTHORS REPORTED THAT THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THE YOGA AND ACT GROUPS IN SEIZURE FREE RATES, 50% OR GREATER REDUCTION IN SEIZURE FREQUENCY OR SEIZURE DURATION AT ONE YEAR FOLLOW-UP. THE YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENT IN THEIR QUALITY OF LIFE ACCORDING TO THE SATISFACTION WITH LIFE SCALE (SWLS) (P < 0.05), WHILE THE ACT GROUP HAD SIGNIFICANT IMPROVEMENT IN THE WORLD HEALTH ORGANIZATION QUALITY OF LIFE-BREF (WHOQOL-BREF) SCALE (P < 0.01). AUTHORS' CONCLUSIONS: STUDY OF 50 SUBJECTS WITH EPILEPSY FROM TWO TRIALS REVEALS POSSIBLE BENEFICIAL EFFECT IN CONTROL OF SEIZURES. RESULTS OF THE OVERALL EFFICACY ANALYSIS SHOW THAT YOGA TREATMENT WAS BETTER WHEN COMPARED WITH NO INTERVENTION OR INTERVENTIONS OTHER THAN YOGA (POSTURAL EXERCISES MIMICKING YOGA). THERE WAS NO DIFFERENCE BETWEEN YOGA AND ACCEPTANCE AND COMMITMENT THERAPY. HOWEVER NO RELIABLE CONCLUSIONS CAN BE DRAWN REGARDING THE EFFICACY OF YOGA AS A TREATMENT FOR UNCONTROLLED EPILEPSY, IN VIEW OF METHODOLOGICAL DEFICIENCIES SUCH AS LIMITED NUMBER OF STUDIES, LIMITED NUMBER OF PARTICIPANTS RANDOMISED TO YOGA, LACK OF BLINDING AND LIMITED DATA ON QUALITY-OF-LIFE OUTCOME. PHYSICIAN BLINDING WOULD NORMALLY BE TAKEN TO BE THE PERSON DELIVERING THE INTERVENTION, WHEREAS WE THINK THE 'PHYSICIAN' WOULD IN FACT BE THE OUTCOME ASSESSOR (WHO COULD BE BLINDED), SO THAT WOULD BE A REDUCTION IN DETECTION BIAS RATHER THAN PERFORMANCE BIAS. IN ADDITION, EVIDENCE TO INFORM OUTCOMES IS LIMITED AND OF LOW QUALITY. FURTHER HIGH-QUALITY RESEARCH IS NEEDED TO FULLY EVALUATE THE EFFICACY OF YOGA FOR REFRACTORY EPILEPSY. 2015 12 1186 18 EVIDENCE BASED EFFECTS OF YOGA IN NEUROLOGICAL DISORDERS. THOUGH YOGA IS ONE OF THE WIDELY USED MIND-BODY MEDICINE FOR HEALTH PROMOTION, DISEASE PREVENTION AND AS A POSSIBLE TREATMENT MODALITY FOR NEUROLOGICAL DISORDERS, THERE IS A LACK OF EVIDENCE-BASED REVIEW. HENCE, WE PERFORMED A COMPREHENSIVE SEARCH IN THE PUBMED/MEDLINE ELECTRONIC DATABASE TO REVIEW RELEVANT ARTICLES IN ENGLISH, USING KEYWORDS "YOGA AND NEUROLOGICAL DISORDER, YOGA AND MULTIPLE SCLEROSIS, YOGA AND STROKE, YOGA AND EPILEPSY, YOGA AND PARKINSON'S DISEASE, YOGA AND DEMENTIA, YOGA AND CEREBROVASCULAR DISEASE, YOGA AND ALZHEIMER DISEASE, YOGA AND NEUROPATHY, YOGA AND MYELOPATHY, AND YOGA AND GUILLAIN-BARRE SYNDROME". A TOTAL OF 700 ARTICLES PUBLISHED FROM 1963 TO 14TH DECEMBER 2016 WERE AVAILABLE. OF 700 ARTICLES, 94 ARTICLES WERE INCLUDED IN THIS REVIEW. BASED ON THE AVAILABLE LITERATURE, IT COULD BE CONCLUDED THAT YOGA MIGHT BE CONSIDERED AS AN EFFECTIVE ADJUVANT FOR THE PATIENTS WITH VARIOUS NEUROLOGICAL DISORDERS. 2017 13 1089 20 EFFECTS OF YOGA ON THE AUTONOMIC NERVOUS SYSTEM, GAMMA-AMINOBUTYRIC-ACID, AND ALLOSTASIS IN EPILEPSY, DEPRESSION, AND POST-TRAUMATIC STRESS DISORDER. A THEORY IS PROPOSED TO EXPLAIN THE BENEFITS OF YOGA PRACTICES IN DIVERSE, FREQUENTLY COMORBID MEDICAL CONDITIONS BASED ON THE CONCEPT THAT YOGA PRACTICES REDUCE ALLOSTATIC LOAD IN STRESS RESPONSE SYSTEMS SUCH THAT OPTIMAL HOMEOSTASIS IS RESTORED. IT IS HYPOTHESIZED THAT STRESS INDUCES (1) IMBALANCE OF THE AUTONOMIC NERVOUS SYSTEM (ANS) WITH DECREASED PARASYMPATHETIC NERVOUS SYSTEM (PNS) AND INCREASED SYMPATHETIC NERVOUS SYSTEM (SNS) ACTIVITY, (2) UNDERACTIVITY OF THE GAMMA AMINO-BUTYRIC ACID (GABA) SYSTEM, THE PRIMARY INHIBITORY NEUROTRANSMITTER SYSTEM, AND (3) INCREASED ALLOSTATIC LOAD. IT IS FURTHER HYPOTHESIZED THAT YOGA-BASED PRACTICES (4) CORRECT UNDERACTIVITY OF THE PNS AND GABA SYSTEMS IN PART THROUGH STIMULATION OF THE VAGUS NERVES, THE MAIN PERIPHERAL PATHWAY OF THE PNS, AND (5) REDUCE ALLOSTATIC LOAD. DEPRESSION, EPILEPSY, POST TRAUMATIC STRESS DISORDER (PTSD), AND CHRONIC PAIN EXEMPLIFY MEDICAL CONDITIONS THAT ARE EXACERBATED BY STRESS, HAVE LOW HEART RATE VARIABILITY (HRV) AND LOW GABAERGIC ACTIVITY, RESPOND TO PHARMACOLOGIC AGENTS THAT INCREASE ACTIVITY OF THE GABA SYSTEM, AND SHOW SYMPTOM IMPROVEMENT IN RESPONSE TO YOGA-BASED INTERVENTIONS. THE OBSERVATION THAT TREATMENT RESISTANT CASES OF EPILEPSY AND DEPRESSION RESPOND TO VAGAL NERVE STIMULATION CORROBORATES THE NEED TO CORRECT PNS UNDERACTIVITY AS PART OF A SUCCESSFUL TREATMENT PLAN IN SOME CASES. ACCORDING TO THE PROPOSED THEORY, THE DECREASED PNS AND GABAERGIC ACTIVITY THAT UNDERLIES STRESS-RELATED DISORDERS CAN BE CORRECTED BY YOGA PRACTICES RESULTING IN AMELIORATION OF DISEASE SYMPTOMS. THIS HAS FAR-REACHING IMPLICATIONS FOR THE INTEGRATION OF YOGA-BASED PRACTICES IN THE TREATMENT OF A BROAD ARRAY OF DISORDERS EXACERBATED BY STRESS. 2012 14 2282 22 THE THERAPEUTIC VALUE OF YOGA IN NEUROLOGICAL DISORDERS. BACKGROUND: THE ANCIENT MIND AND BODY HEALING METHODS OF YOGA RECENTLY SPARKED FERVOR IN THE SCIENTIFIC COMMUNITY AS AN ALTERNATIVE AND COMPLEMENTARY MEANS OF THERAPY. SINCE THE WORLD HEALTH ORGANIZATION OFFICIALLY BEGAN PROMOTING YOGA IN DEVELOPING COUNTRIES IN 1978, YOGA HAS BEEN CITED FOR ITS THERAPEUTIC POTENTIAL AND HAS BEEN WIDELY RECOGNIZED IN WESTERN CULTURE. HOWEVER, AS AN INCREASING NUMBER OF PEOPLE PRACTICE YOGA FOR REMEDIAL PURPOSES, RESEARCHERS RAISE TWO IMPORTANT QUESTIONS: 1) IS YOGA A VALID COMPLEMENTARY MANAGEMENT AND REHABILITATION TREATMENT MODALITY? 2) WHAT CONDITIONS SHOW PROMISE OF TREATMENT WITH THIS INTERVENTION?. OBJECTIVE: THIS REVIEW ARTICLE USES COMPREHENSIVE SCIENTIFIC, EVIDENCE-BASED STUDIES TO ANALYZE THE EFFICACY OF VARIOUS BASIC AND APPLIED ASPECTS OF YOGA IN DISEASE PREVENTION AND HEALTH PROMOTION. IT SPECIFICALLY INTENDS TO EXPOSE THE EFFECTS OF YOGA IN NEUROLOGICAL DISORDERS, PARTICULARLY EPILEPSY, STROKE, MULTIPLE SCLEROSIS, ALZHEIMER'S DISEASE, PERIPHERAL NERVOUS SYSTEM DISEASE, AND FIBROMYALGIA. MATERIALS AND METHODS: INFORMATION WAS GATHERED FROM VARIOUS RESOURCES INCLUDING PUBMED, OVID, MD-CONSULT, USC, AND U.C.L.A. LIBRARIES. STUDIES WERE SELECTED AND REVIEWED ON THE BASIS OF SAMPLE SIZE, CONTROL, RANDOMIZATION, DOUBLE-BLINDING, AND STATISTICAL ANALYSIS OF RESULTS. RESULTS: THE PRATICE OF YOGA AND MEDITATION DEMONSTRATES STATISTICALLY ENCOURAGING PHYSIOLOGICAL AND PSYCHOLOGICAL IMPROVEMENTS IN THE AFOREMENTIONED NEUROLOGICAL DISORDERS. HOWEVER, THERE WERE CERTAIN FLAWS AND INADEQUACIES IN THE STUDY DESIGNS EMPLOYED TO EVALUATE THE SAME. A CRITICAL ANALYSIS OF THESE STUDIES IS PRESENTED. CONCLUSIONS: WITH THE AIM TO FOCUS ATTENTION ON THIS WIDESPREAD YET LARGELY UNEXAMINED TREATMENT MODALITY, THIS PAPER SEEKS TO PROVIDE DIRECTION AND SUPPORT FOR FURTHER RESEARCH NECESSARY TO VALIDATE YOGA AS AN INTEGRATIVE, ALTERNATIVE, AND COMPLEMENTARY THERAPY. 2012 15 1213 24 EXPLORING PERCEIVED BENEFITS, MOTIVES, BARRIERS, AND RECOMMENDATIONS FOR PRESCRIBING YOGA EXERCISES AS A NONPHARMACOLOGICAL INTERVENTION FOR PATIENTS WITH EPILEPSY: A QUALITATIVE STUDY FROM PALESTINE. OBJECTIVES: YOGA IS BELIEVED TO PLAY A ROLE IN STABILIZING THE ELECTROENCEPHALOGRAM AND THE AUTONOMIC NERVOUS SYSTEM, THUS MIGHT HELP CONTROL SEIZURES IN PEOPLE WITH EPILEPSY (PWE). THIS QUALITATIVE STUDY WAS CONDUCTED TO EXPLORE EXPERIENCES OF PALESTINIAN PWE WITH REGARD TO BENEFITS, MOTIVES, BARRIERS, AND RECOMMENDATIONS OF PRESCRIBING YOGA EXERCISES AS A NONPHARMACOLOGICAL INTERVENTION. METHODS: PURPOSIVE AND SNOWBALL SAMPLING TECHNIQUES WERE USED TO RECRUIT PWE WHO PRACTICED YOGA. SEMI-STRUCTURED IN-DEPTH INTERVIEWS (N=18) WERE CONDUCTED WITH THE STUDY PARTICIPANTS. THE INTERPRETIVE DESCRIPTION METHOD WAS USED TO QUALITATIVELY ANALYZE THE DATA COLLECTED DURING THE INTERVIEWS. RESULTS: FOLLOWING THE THEMATIC ANALYSIS ADOPTED FOR THIS STUDY, FOUR MAJOR THEMES EMERGED. THESE THEMES WERE AS FOLLOWS: PERCEIVED BENEFITS OF YOGA, MOTIVES TO PRACTICE YOGA, BARRIERS TO PRACTICE YOGA, AND RECOMMENDATIONS ON EFFECTIVE YOGA PRACTICE FOR PWE. THE PERCEIVED BENEFITS INCLUDED IMPROVEMENTS IN MANAGEMENT OF SEIZURES, PSYCHOLOGICAL, PHYSICAL, AND SOCIAL WELL-BEING. PEOPLE WITH EPILEPSY WERE MOTIVATED BY THE HEALTH BENEFITS OF YOGA. BARRIERS OF ADHERENCE TO PRACTICE INCLUDED PERSONAL AND LOGISTIC FACTORS. THE INTERVIEWEES RECOMMENDED TAILORING YOGA SESSIONS TO THE NEEDS OF PWE. CONCLUSION: THIS EXPLORATIVE QUALITATIVE STUDY REPORTED PERCEIVED BENEFITS, MOTIVES, BARRIERS, AND RECOMMENDATIONS OF YOGA AS A NONPHARMACOLOGICAL INTERVENTION FOR PWE. PEOPLE WITH EPILEPSY USED YOGA AS A BENEFICIAL NONPHARMACOLOGICAL INTERVENTION TO IMPROVE THEIR HEALTH AND REDUCE THE NEGATIVE EFFECTS OF EPILEPSY ON THEIR PHYSICAL AND PSYCHOSOCIAL WELL-BEING. FUTURE STUDIES ARE NEEDED TO INVESTIGATE THE HEALTH BENEFITS OF YOGA WHEN SESSIONS ARE TAILORED TO THE NEEDS OF PWE. 2020 16 737 30 EFFECT OF PRANAYAMA & YOGA-ASANA ON COGNITIVE BRAIN FUNCTIONS IN TYPE 2 DIABETES-P3 EVENT RELATED EVOKED POTENTIAL (ERP). BACKGROUND & OBJECTIVES: ELECTROPHYSIOLOGICAL EVIDENCE OF DELAYED COGNITION AS MEASURED BY P300, AN EVOKED POTENTIAL IS OBSERVED IN DIABETES MELLITUS. P300 (OR P3) IS A COMPONENT OF ENDOGENOUS CEREBRAL EVOKED RESPONSE THAT ASSESSES HIGHER FUNCTIONS OF THE BRAIN. OUR STUDY AIMS TO SEE THE ROLE OF PRANAYAMA AND YOGA-ASANA ON P300 LATENCY AND AMPLITUDE IN TYPE 2 DIABETIC PATIENTS. METHODS: SIXTY PATIENTS OF TYPE 2 DIABETES WERE RECRUITED FROM DIABETIC CLINIC AND DIVIDED INTO TWO GROUPS - CONTROL GROUP ON ONLY CONVENTIONAL MEDICAL THERAPY AND YOGA-GROUP ON CONVENTIONAL MEDICAL THERAPY ALONG WITH PRANAYAMA AND YOGA-ASANA. BASAL RECORDINGS OF P300 AND BLOOD GLUCOSE WERE TAKEN AT THE TIME OF RECRUITMENT AND SECOND RECORDINGS REPEATED AFTER FORTY FIVE DAYS FOR BOTH THE GROUPS. P300 WAS RECORDED ON NIHON KOHDEN NEUROPACK MU MEB 9100 USING AUDITORY "ODD-BALL PARADIGM". THE DATA WERE ANALYSED USING REPEATED MEASURES ANALYSIS OF VARIANCE (ANOVA) FOLLOWED BY TUKEY'S TEST AT 5 PER CENT LEVEL OF SIGNIFICANCE. RESULTS: STATISTICALLY SIGNIFICANT IMPROVEMENT IN THE LATENCY AND THE AMPLITUDE OF N200, P300 WAS OBSERVED IN THE YOGA GROUP AS COMPARED TO THE CONTROL GROUP. INTERPRETATION & CONCLUSION: OUR DATA SUGGEST THAT YOGA HAS A BENEFICIAL EFFECT ON P300 AND THUS CAN BE INCORPORATED ALONG WITH THE CONVENTIONAL MEDICAL THERAPY FOR IMPROVING COGNITIVE BRAIN FUNCTIONS IN DIABETES. 2010 17 492 38 COGNITIVE BEHAVIOR EVALUATION BASED ON PHYSIOLOGICAL PARAMETERS AMONG YOUNG HEALTHY SUBJECTS WITH YOGA AS INTERVENTION. OBJECTIVE: TO INVESTIGATE THE EFFECT OF YOGA PRACTICE ON COGNITIVE SKILLS, AUTONOMIC NERVOUS SYSTEM, AND HEART RATE VARIABILITY BY ANALYZING PHYSIOLOGICAL PARAMETERS. METHODS: THE STUDY WAS CONDUCTED ON 30 NORMAL YOUNG HEALTHY ENGINEERING STUDENTS. THEY WERE RANDOMLY SELECTED INTO TWO GROUPS: YOGA GROUP AND CONTROL GROUP. THE YOGA GROUP PRACTICED YOGA ONE AND HALF HOUR PER DAY FOR SIX DAYS IN A WEEK, FOR A PERIOD OF FIVE MONTHS. RESULTS: THE YOGA PRACTISING GROUP SHOWED INCREASED ALPHA, BETA, AND DELTA EEG BAND POWERS AND SIGNIFICANT REDUCTION IN THETA AND GAMMA BAND POWERS. THE INCREASED ALPHA AND BETA POWER CAN REPRESENT ENHANCED COGNITIVE FUNCTIONS SUCH AS MEMORY AND CONCENTRATION, AND THAT OF DELTA SIGNIFIES SYNCHRONIZATION OF BRAIN ACTIVITY. THE HEART RATE INDEX THETA/ALPHA DECREASED, NEURAL ACTIVITY BETA/THETA INCREASED, ATTENTION RESOURCE INDEX BETA/(ALPHA + THETA) INCREASED, EXECUTIVE LOAD INDEX (DELTA + THETA)/ALPHA DECREASED, AND THE RATIO (DELTA + THETA)/(ALPHA + BETA) DECREASED. THE YOGA PRACTICE GROUP SHOWED IMPROVEMENT IN HEART RATE VARIABILITY, INCREASED SDNN/RMSSD, AND REDUCTION IN LF/HF RATIO. CONCLUSION: YOGA PRACTISING GROUP SHOWED SIGNIFICANT IMPROVEMENT IN VARIOUS COGNITIVE FUNCTIONS, SUCH AS PERFORMANCE ENHANCEMENT, NEURAL ACTIVITY, ATTENTION, AND EXECUTIVE FUNCTION. IT ALSO RESULTED IN INCREASE IN THE HEART RATE VARIABILITY, PARASYMPATHETIC NERVOUS SYSTEM ACTIVITY, AND BALANCED AUTONOMIC NERVOUS SYSTEM REACTIVITY. 2015 18 757 22 EFFECT OF SLOW AND DEEP BREATHING ON BRAIN WAVES IN REGULAR YOGA PRACTITIONERS. VARIOUS YOGIC PRACTICES FOCUS ON BREATHING. BREATHING MAY AFFECT BRAIN WAVES. THIS CROSS-SECTIONAL STUDY WAS CONDUCTED TO SEE THE EFFECT SLOW AND DEEP RESPIRATION ON EEG ACTIVITY IN EXPERIENCED YOGA PRACTITIONERS AT THE DEPARTMENT OF PHYSIOLOGY AT AIIMS, BHOPAL, INDIA. THE DURATION OF THE STUDY WAS ABOUT ONE YEAR. EEG WAS TAKEN AND WAS ANALYZED BY DINAMIKA - ADVANCED TEST SYSTEM, MOSCOW, RUSSIA. PAIRED T-TEST USING GRAPH PAD SOFTWARE WAS USED FOR STATISTICAL ANALYSIS. THE DELTA PERCENTAGE DECREASED AND THE OTHER WAVE'S PERCENTAGES THETA, ALPHA, AND BETA INCREASED SIGNIFICANTLY. THE PERSON BECOMES DEEPLY RELAXED AND MORE FOCUSSED ON SLOW AND DEEP BREATHING. 2021 19 889 10 EFFECT OF YOGA-BASED AND FORCED UNINOSTRIL BREATHING ON THE AUTONOMIC NERVOUS SYSTEM. SOME REPORTS HAVE DESCRIBED THE EFFECTS OF FORCED UNINOSTRIL BREATHING ON AUTONOMIC ACTIVITY AS SEX-SPECIFIC, WHILE OTHER REPORTS DESCRIBED SELECTIVE EFFECTS OF BREATHING THROUGH A SPECIFIC NOSTRIL ON THE TWO DIVISIONS OF THE AUTONOMIC NERVOUS SYSTEM, IRRESPECTIVE OF SEX. THERE ARE ALSO YOGA BREATHING TECHNIQUES WHICH INVOLVE VOLUNTARY UNINOSTRIL BREATHING. THESE TECHNIQUES ALSO INFLUENCED THE AUTONOMIC ACTIVITY BASED ON THE PATENT NOSTRIL RATHER THAN SEX. THESE DESCRIPTIONS WERE IN LINE WITH EXPERIENTIAL OBSERVATIONS OF THE ANCIENT SAGES DESCRIBED IN CLASSICAL YOGA TEXTS. THIS PAPER SUMMARIZES THESE PERSPECTIVES ON UNINOSTRIL BREATHING. 2003 20 826 23 EFFECT OF YOGA ON HEALTH-RELATED QUALITY OF LIFE IN CENTRAL NERVOUS SYSTEM DISORDERS: A SYSTEMATIC REVIEW. OBJECTIVE: INVESTIGATE THE EFFECT OF YOGA ON HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN PATIENTS WITH CENTRAL NERVOUS SYSTEM DISORDERS. METHODS: A SYSTEMATIC SEARCH WAS CONDUCTED ON THE PUBMED-NCBI, EBSCO HOST, COCHRANE LIBRARY, SCOPUS AND SCIENCEDIRECT DATABASES UNTIL 05 APRIL 2021. ONLY RANDOMIZED CONTROL TRIALS PUBLISHED IN ENGLISH OR FRENCH WERE INCLUDED AND HAD TO COMPARE YOGA TO ANOTHER INTERVENTION GROUP OR A CONTROL GROUP. THEY ALSO HAD TO CLEARLY MEASURE HRQOL. METHODOLOGICAL QUALITY WAS ASSESSED WITH THE REVISED COCHRANE RISK-OF-BIAS TOOL FOR RANDOMIZED TRIALS AND THE QUALITY OF EVIDENCE WAS EVALUATED USING THE GRADING OF RECOMMENDATIONS ASSESSMENT, DEVELOPMENT AND EVALUATION (GRADE) CRITERIA. RESULTS: SIXTEEN STUDIES WERE FOUND, INCLUDING SIX FOR MULTIPLE SCLEROSIS, FIVE FOR PARKINSON'S DISEASE, TWO FOR STROKE, ONE FOR DEMENTIA, ONE FOR EPILEPSY AND ONE FOR BRAIN TUMOUR. ONLY 12 STUDIES PERFORMED BETWEEN-GROUP STATISTICS AND 8 FOUND A SIGNIFICANT DIFFERENCE BETWEEN GROUPS AFTER TREATMENT. WHEN YOGA WAS COMPARED TO NO INTERVENTION, THE RESULTS WERE GENERALLY IN FAVOUR OF THE YOGA GROUP, BUT WHEN YOGA WAS COMPARED TO ANOTHER INTERVENTION PROGRAMME, THERE WAS GENERALLY NO SIGNIFICANT DIFFERENCE BETWEEN GROUPS. THERE WERE MANY DIFFERENT HRQOL QUESTIONNAIRES, EVEN WITHIN THE SAME DISEASE, WHICH REDUCES THE COMPARABILITY OF STUDIES. CONCLUSIONS: WITH LOW TO MODERATE QUALITY OF THE EVIDENCE, YOGA SEEMS EFFECTIVE TO IMPROVE HRQOL IN PEOPLE WITH PARKINSON'S DISEASE. FOR MULTIPLE SCLEROSIS, STROKE, DEMENTIA, EPILEPSY AND BRAIN TUMOUR, THE QUALITY OF THE EVIDENCE IS STILL INSUFFICIENT TO CONCLUDE OF THE EFFECTIVENESS OF YOGA. 2021