1 2820 318 YOGA TREATMENT FOR CHRONIC NON-SPECIFIC LOW BACK PAIN (2017). WIELAND LS, SKOETZ N, PILKINGTON K, VEMPATI R, DADAMO CR, BERMAN BM. YOGA TREATMENT FOR CHRONIC NON-SPECIFIC LOW BACK PAIN.COCHRANE DATABASE SYST REV2017, ISSUE 1. ART. NO.: CD010671. DOI: 10.1002/14651858.CD010671.PUB2. BACKGROUND: NON-SPECIFIC LOW BACK PAIN IS A COMMON, POTENTIALLY DISABLING CONDITION USUALLY TREATED WITH SELF-CARE AND NON-PRESCRIPTION MEDICATION. FOR CHRONIC LOW BACK PAIN, CURRENT GUIDELINES STATE THAT EXERCISE THERAPY MAY BE BENEFICIAL. YOGA IS A MIND-BODY EXERCISE SOMETIMES USED FOR NON-SPECIFIC LOW BACK PAIN. OBJECTIVES: TO ASSESS THE EFFECTS OF YOGA FOR TREATING CHRONIC NON-SPECIFIC LOW BACK PAIN, COMPARED TO NO SPECIFIC TREATMENT, A MINIMAL INTERVENTION (E.G., EDUCATION), OR ANOTHER ACTIVE TREATMENT, WITH A FOCUS ON PAIN, FUNCTION, AND ADVERSE EVENTS. SEARCH METHODS: WE SEARCHED CENTRAL, MEDLINE, EMBASE, FIVE OTHER DATABASES, AND FOUR TRIALS REGISTERS TO 11 MARCH 2016 WITHOUT RESTRICTION OF LANGUAGE OR PUBLICATION STATUS. WE SCREENED REFERENCE LISTS AND CONTACTED EXPERTS IN THE FIELD TO IDENTIFY ADDITIONAL STUDIES. SELECTION CRITERIA: WE INCLUDED RANDOMIZED CONTROLLED TRIALS OF YOGA TREATMENT IN PEOPLE WITH CHRONIC NON-SPECIFIC LOW BACK PAIN. WE INCLUDED STUDIES COMPARING YOGA TO ANY OTHER INTERVENTION OR TO NO INTERVENTION. WE ALSO INCLUDED STUDIES COMPARING YOGA AS AN ADJUNCT TO OTHER THERAPIES, VERSUS THOSE OTHER THERAPIES ALONE. DATA COLLECTION AND ANALYSIS: TWO AUTHORS INDEPENDENTLY SCREENED AND SELECTED STUDIES, EXTRACTED OUTCOME DATA, AND ASSESSED RISK OF BIAS. WE CONTACTED STUDY AUTHORS TO OBTAIN MISSING OR UNCLEAR INFORMATION. WE EVALUATED THE OVERALL CERTAINTY OF EVIDENCE USING THE GRADE APPROACH. MAIN RESULTS: WE INCLUDED 12 TRIALS (1080 PARTICIPANTS) CARRIED OUT IN THE USA (SEVEN TRIALS), INDIA (THREE TRIALS), AND THE UK (TWO TRIALS). STUDIES WERE UNFUNDED (ONE TRIAL), FUNDED BY A YOGA INSTITUTION (ONE TRIAL), FUNDED BY NON-PROFIT OR GOVERNMENT SOURCES (SEVEN TRIALS), OR DID NOT REPORT ON FUNDING (THREE TRIALS). MOST TRIALS USED IYENGAR, HATHA, OR VINIYOGA FORMS OF YOGA. THE TRIALS COMPARED YOGA TO NO INTERVENTION OR A NON-EXERCISE INTERVENTION SUCH AS EDUCATION (SEVEN TRIALS), AN EXERCISE INTERVENTION (THREE TRIALS), OR BOTH EXERCISE AND NON-EXERCISE INTERVENTIONS (TWO TRIALS). ALL TRIALS WERE AT HIGH RISK OF PERFORMANCE AND DETECTION BIAS BECAUSE PARTICIPANTS AND PROVIDERS WERE NOT BLINDED TO TREATMENT ASSIGNMENT, AND OUTCOMES WERE SELF-ASSESSED. THEREFORE, WE DOWNGRADED ALL OUTCOMES TO "MODERATE" CERTAINTY EVIDENCE BECAUSE OF RISK OF BIAS, AND WHEN THERE WAS ADDITIONAL SERIOUS RISK OF BIAS, UNEXPLAINED HETEROGENEITY BETWEEN STUDIES, OR THE ANALYSES WERE IMPRECISE, WE DOWNGRADED THE CERTAINTY OF THE EVIDENCE FURTHER. FOR YOGA COMPARED TO NON-EXERCISE CONTROLS (9 TRIALS; 810 PARTICIPANTS), THERE WAS LOW-CERTAINTY EVIDENCE THAT YOGA PRODUCED SMALL TO MODERATE IMPROVEMENTS IN BACK-RELATED FUNCTION AT THREE TO FOUR MONTHS [STANDARDIZED MEAN DIFFERENCE (SMD) = -0.40, 95% CI: -0.66 TO -0.14; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MEAN DIFFERENCE (MD) = -2.18, 95% CI: -3.60 TO -0.76], MODERATE-CERTAINTY EVIDENCE FOR SMALL TO MODERATE IMPROVEMENTS AT SIX MONTHS (SMD = -0.44, 95% CI: -0.66 TO -0.22; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD = -2.15, 95% CI: -3.23 TO -1.08), AND LOW-CERTAINTY EVIDENCE FOR SMALL IMPROVEMENTS AT 12 MONTHS (SMD = -0.26, 95% CI: -0.46 TO -0.05; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD = -1.36, 95% CI: -2.41 TO -0.26). ON A 0-100 SCALE THERE WAS VERY LOW- TO MODERATE-CERTAINTY EVIDENCE THAT YOGA WAS SLIGHTLY BETTER FOR PAIN AT THREE TO FOUR MONTHS (MD = -4.55, 95% CI: -7.04 TO -2.06), SIX MONTHS (MD = -7.81, 95% CI: -13.37 TO -2.25), AND 12 MONTHS (MD = -5.40, 95% CI: -14.50 TO -3.70); HOWEVER, WE PRE-DEFINED CLINICALLY SIGNIFICANT CHANGES IN PAIN AS 15 POINTS OR GREATER AND THIS THRESHOLD WAS NOT MET. BASED ON INFORMATION FROM SIX TRIALS, THERE WAS MODERATE-CERTAINTY EVIDENCE THAT THE RISK OF ADVERSE EVENTS, PRIMARILY INCREASED BACK PAIN, WAS HIGHER IN YOGA THAN IN NON-EXERCISE CONTROLS [RISK DIFFERENCE (RD) = 5%, 95% CI: 2-8%]. FOR YOGA COMPARED TO NON-YOGA EXERCISE CONTROLS (4 TRIALS; 394 PARTICIPANTS), THERE WAS VERY-LOW-CERTAINTY EVIDENCE FOR LITTLE OR NO DIFFERENCE IN BACK-RELATED FUNCTION AT THREE MONTHS (SMD = -0.22, 95% CI: -0.65 TO 0.20; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD = -0.99, 95% CI: -2.87 TO 0.90) AND SIX MONTHS (SMD = -0.20, 95% CI: -0.59 TO 0.19; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD = -0.90, 95% CI: -2.61 TO 0.81), AND NO INFORMATION ON BACK-RELATED FUNCTION AFTER SIX MONTHS. THERE WAS VERY LOW-CERTAINTY EVIDENCE FOR LOWER PAIN ON A 0-100 SCALE AT SEVEN MONTHS (MD = -20.40, 95% CI: -25.48 TO -15.32), AND NO INFORMATION ON PAIN AT THREE MONTHS OR AFTER SEVEN MONTHS. BASED ON INFORMATION FROM THREE TRIALS, THERE WAS LOW-CERTAINTY EVIDENCE FOR NO DIFFERENCE IN THE RISK OF ADVERSE EVENTS BETWEEN YOGA AND NON-YOGA EXERCISE CONTROLS (RD = 1%, 95% CI: -4% TO 6%). FOR YOGA ADDED TO EXERCISE COMPARED TO EXERCISE ALONE (1 TRIAL; 24 PARTICIPANTS), THERE WAS VERY-LOW-CERTAINTY EVIDENCE FOR LITTLE OR NO DIFFERENCE AT 10 WEEKS IN BACK-RELATED FUNCTION (SMD = -0.60, 95% CI: -1.42 TO 0.22; CORRESPONDING TO A CHANGE IN THE OSWESTRY DISABILITY INDEX OF MD = -17.05, 95% CI: -22.96 TO 11.14) OR PAIN ON A 0-100 SCALE (MD = -3.20, 95% CI: -13.76 TO 7.36). THERE WAS NO INFORMATION ON OUTCOMES AT OTHER TIME POINTS. THERE WAS NO INFORMATION ON ADVERSE EVENTS. STUDIES PROVIDED LIMITED EVIDENCE ON RISK OF CLINICAL IMPROVEMENT, MEASURES OF QUALITY OF LIFE, AND DEPRESSION. THERE WAS NO EVIDENCE ON WORK-RELATED DISABILITY. 2017
2 2821 295 YOGA TREATMENT FOR CHRONIC NON-SPECIFIC LOW BACK PAIN. BACKGROUND: NON-SPECIFIC LOW BACK PAIN IS A COMMON, POTENTIALLY DISABLING CONDITION USUALLY TREATED WITH SELF-CARE AND NON-PRESCRIPTION MEDICATION. FOR CHRONIC LOW BACK PAIN, CURRENT GUIDELINES STATE THAT EXERCISE THERAPY MAY BE BENEFICIAL. YOGA IS A MIND-BODY EXERCISE SOMETIMES USED FOR NON-SPECIFIC LOW BACK PAIN. OBJECTIVES: TO ASSESS THE EFFECTS OF YOGA FOR TREATING CHRONIC NON-SPECIFIC LOW BACK PAIN, COMPARED TO NO SPECIFIC TREATMENT, A MINIMAL INTERVENTION (E.G. EDUCATION), OR ANOTHER ACTIVE TREATMENT, WITH A FOCUS ON PAIN, FUNCTION, AND ADVERSE EVENTS. SEARCH METHODS: WE SEARCHED CENTRAL, MEDLINE, EMBASE, FIVE OTHER DATABASES AND FOUR TRIALS REGISTERS TO 11 MARCH 2016 WITHOUT RESTRICTION OF LANGUAGE OR PUBLICATION STATUS. WE SCREENED REFERENCE LISTS AND CONTACTED EXPERTS IN THE FIELD TO IDENTIFY ADDITIONAL STUDIES. SELECTION CRITERIA: WE INCLUDED RANDOMIZED CONTROLLED TRIALS OF YOGA TREATMENT IN PEOPLE WITH CHRONIC NON-SPECIFIC LOW BACK PAIN. WE INCLUDED STUDIES COMPARING YOGA TO ANY OTHER INTERVENTION OR TO NO INTERVENTION. WE ALSO INCLUDED STUDIES COMPARING YOGA AS AN ADJUNCT TO OTHER THERAPIES, VERSUS THOSE OTHER THERAPIES ALONE. DATA COLLECTION AND ANALYSIS: TWO AUTHORS INDEPENDENTLY SCREENED AND SELECTED STUDIES, EXTRACTED OUTCOME DATA, AND ASSESSED RISK OF BIAS. WE CONTACTED STUDY AUTHORS TO OBTAIN MISSING OR UNCLEAR INFORMATION. WE EVALUATED THE OVERALL CERTAINTY OF EVIDENCE USING THE GRADE APPROACH. MAIN RESULTS: WE INCLUDED 12 TRIALS (1080 PARTICIPANTS) CARRIED OUT IN THE USA (SEVEN TRIALS), INDIA (THREE TRIALS), AND THE UK (TWO TRIALS). STUDIES WERE UNFUNDED (ONE TRIAL), FUNDED BY A YOGA INSTITUTION (ONE TRIAL), FUNDED BY NON-PROFIT OR GOVERNMENT SOURCES (SEVEN TRIALS), OR DID NOT REPORT ON FUNDING (THREE TRIALS). MOST TRIALS USED IYENGAR, HATHA, OR VINIYOGA FORMS OF YOGA. THE TRIALS COMPARED YOGA TO NO INTERVENTION OR A NON-EXERCISE INTERVENTION SUCH AS EDUCATION (SEVEN TRIALS), AN EXERCISE INTERVENTION (THREE TRIALS), OR BOTH EXERCISE AND NON-EXERCISE INTERVENTIONS (TWO TRIALS). ALL TRIALS WERE AT HIGH RISK OF PERFORMANCE AND DETECTION BIAS BECAUSE PARTICIPANTS AND PROVIDERS WERE NOT BLINDED TO TREATMENT ASSIGNMENT, AND OUTCOMES WERE SELF-ASSESSED. THEREFORE, WE DOWNGRADED ALL OUTCOMES TO 'MODERATE' CERTAINTY EVIDENCE BECAUSE OF RISK OF BIAS, AND WHEN THERE WAS ADDITIONAL SERIOUS RISK OF BIAS, UNEXPLAINED HETEROGENEITY BETWEEN STUDIES, OR THE ANALYSES WERE IMPRECISE, WE DOWNGRADED THE CERTAINTY OF THE EVIDENCE FURTHER.FOR YOGA COMPARED TO NON-EXERCISE CONTROLS (9 TRIALS; 810 PARTICIPANTS), THERE WAS LOW-CERTAINTY EVIDENCE THAT YOGA PRODUCED SMALL TO MODERATE IMPROVEMENTS IN BACK-RELATED FUNCTION AT THREE TO FOUR MONTHS (STANDARDIZED MEAN DIFFERENCE (SMD) -0.40, 95% CONFIDENCE INTERVAL (CI) -0.66 TO -0.14; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MEAN DIFFERENCE (MD) -2.18, 95% -3.60 TO -0.76), MODERATE-CERTAINTY EVIDENCE FOR SMALL TO MODERATE IMPROVEMENTS AT SIX MONTHS (SMD -0.44, 95% CI -0.66 TO -0.22; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -2.15, 95% -3.23 TO -1.08), AND LOW-CERTAINTY EVIDENCE FOR SMALL IMPROVEMENTS AT 12 MONTHS (SMD -0.26, 95% CI -0.46 TO -0.05; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -1.36, 95% -2.41 TO -0.26). ON A 0-100 SCALE THERE WAS VERY LOW- TO MODERATE-CERTAINTY EVIDENCE THAT YOGA WAS SLIGHTLY BETTER FOR PAIN AT THREE TO FOUR MONTHS (MD -4.55, 95% CI -7.04 TO -2.06), SIX MONTHS (MD -7.81, 95% CI -13.37 TO -2.25), AND 12 MONTHS (MD -5.40, 95% CI -14.50 TO -3.70), HOWEVER WE PRE-DEFINED CLINICALLY SIGNIFICANT CHANGES IN PAIN AS 15 POINTS OR GREATER AND THIS THRESHOLD WAS NOT MET. BASED ON INFORMATION FROM SIX TRIALS, THERE WAS MODERATE-CERTAINTY EVIDENCE THAT THE RISK OF ADVERSE EVENTS, PRIMARILY INCREASED BACK PAIN, WAS HIGHER IN YOGA THAN IN NON-EXERCISE CONTROLS (RISK DIFFERENCE (RD) 5%, 95% CI 2% TO 8%).FOR YOGA COMPARED TO NON-YOGA EXERCISE CONTROLS (4 TRIALS; 394 PARTICIPANTS), THERE WAS VERY-LOW-CERTAINTY EVIDENCE FOR LITTLE OR NO DIFFERENCE IN BACK-RELATED FUNCTION AT THREE MONTHS (SMD -0.22, 95% CI -0.65 TO 0.20; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -0.99, 95% -2.87 TO 0.90) AND SIX MONTHS (SMD -0.20, 95% CI -0.59 TO 0.19; CORRESPONDING TO A CHANGE IN THE ROLAND-MORRIS DISABILITY QUESTIONNAIRE OF MD -0.90, 95% -2.61 TO 0.81), AND NO INFORMATION ON BACK-RELATED FUNCTION AFTER SIX MONTHS. THERE WAS VERY LOW-CERTAINTY EVIDENCE FOR LOWER PAIN ON A 0-100 SCALE AT SEVEN MONTHS (MD -20.40, 95% CI -25.48 TO -15.32), AND NO INFORMATION ON PAIN AT THREE MONTHS OR AFTER SEVEN MONTHS. BASED ON INFORMATION FROM THREE TRIALS, THERE WAS LOW-CERTAINTY EVIDENCE FOR NO DIFFERENCE IN THE RISK OF ADVERSE EVENTS BETWEEN YOGA AND NON-YOGA EXERCISE CONTROLS (RD 1%, 95% CI -4% TO 6%).FOR YOGA ADDED TO EXERCISE COMPARED TO EXERCISE ALONE (1 TRIAL; 24 PARTICIPANTS), THERE WAS VERY-LOW-CERTAINTY EVIDENCE FOR LITTLE OR NO DIFFERENCE AT 10 WEEKS IN BACK-RELATED FUNCTION (SMD -0.60, 95% CI -1.42 TO 0.22; CORRESPONDING TO A CHANGE IN THE OSWESTRY DISABILITY INDEX OF MD -17.05, 95% -22.96 TO 11.14) OR PAIN ON A 0-100 SCALE (MD -3.20, 95% CI -13.76 TO 7.36). THERE WAS NO INFORMATION ON OUTCOMES AT OTHER TIME POINTS. THERE WAS NO INFORMATION ON ADVERSE EVENTS.STUDIES PROVIDED LIMITED EVIDENCE ON RISK OF CLINICAL IMPROVEMENT, MEASURES OF QUALITY OF LIFE, AND DEPRESSION. THERE WAS NO EVIDENCE ON WORK-RELATED DISABILITY. AUTHORS' CONCLUSIONS: THERE IS LOW- TO MODERATE-CERTAINTY EVIDENCE THAT YOGA COMPARED TO NON-EXERCISE CONTROLS RESULTS IN SMALL TO MODERATE IMPROVEMENTS IN BACK-RELATED FUNCTION AT THREE AND SIX MONTHS. YOGA MAY ALSO BE SLIGHTLY MORE EFFECTIVE FOR PAIN AT THREE AND SIX MONTHS, HOWEVER THE EFFECT SIZE DID NOT MEET PREDEFINED LEVELS OF MINIMUM CLINICAL IMPORTANCE. IT IS UNCERTAIN WHETHER THERE IS ANY DIFFERENCE BETWEEN YOGA AND OTHER EXERCISE FOR BACK-RELATED FUNCTION OR PAIN, OR WHETHER YOGA ADDED TO EXERCISE IS MORE EFFECTIVE THAN EXERCISE ALONE. YOGA IS ASSOCIATED WITH MORE ADVERSE EVENTS THAN NON-EXERCISE CONTROLS, BUT MAY HAVE THE SAME RISK OF ADVERSE EVENTS AS OTHER BACK-FOCUSED EXERCISE. YOGA IS NOT ASSOCIATED WITH SERIOUS ADVERSE EVENTS. THERE IS A NEED FOR ADDITIONAL HIGH-QUALITY RESEARCH TO IMPROVE CONFIDENCE IN ESTIMATES OF EFFECT, TO EVALUATE LONG-TERM OUTCOMES, AND TO PROVIDE ADDITIONAL INFORMATION ON COMPARISONS BETWEEN YOGA AND OTHER EXERCISE FOR CHRONIC NON-SPECIFIC LOW BACK PAIN. 2017
3 405 31 BIOENERGY AND ITS IMPLICATION FOR YOGA THERAPY. ELECTRO PHOTONIC IMAGING (EPI) IS BEING RESEARCHED RELATIVE TO ITS APPLICATION FOR YOGA THERAPY. THREE PARAMETERS OF INTEREST IN EPI MEASUREMENTS ARE AS FOLLOWS: COMMUNICATION ENERGY (C), INTEGRAL OR NORMALIZED AREA (IA), AND ENTROPY (E). IT IS IMPORTANT TO NOTE THAT C INDICATES THE TOTAL ENERGY OF COMMUNICATION FOR THE ORGAN SYSTEM; IA IS AN INDICATION OF TOTAL AMOUNT OF ENERGY THAT IS AVAILABLE FOR THE ORGAN SYSTEM WHILE ENTROPY IS AN INDICATION OF THE AMOUNT OF COHERENCE OF THE ENERGY. COHERENCE AND ENTROPY ARE INVERSELY RELATED; THIS MEANS LESS THE ENTROPY, MORE THE COHERENCE AND VICE VERSA. ILLUSTRATIVE CASES OF SUCCESSFUL THERAPY WITH YOGA PRACTICES IN A WIDE VARIETY OF ABNORMAL CONDITIONS ARE EXAMINED, AND IN EVERY CASE, ENTROPY IS SHOWN TO DECREASE FOR THE AFFECTED ORGAN SYSTEM WHILE COMMUNICATION ENERGY STAYS WITHIN STABLE RANGE. RELATIVE TO THE ELECTROMAGNETIC (RUBIK) AND LIVING MATRIX (OSCHMAN) MODELS, IT IS SUGGESTED THAT THE REGULATION OF ENERGY, ITS COHERENCE IN THE BIOLOGICAL SYSTEM AND INTERACTION WITH LIFE PROCESSES PROVIDE THE BASIS FOR MODEL BUILDING AND DESIGN OF HEALTH-PROMOTING PROCEDURES. FURTHER, THIS APPROACH IS EXAMINED RELATIVE TO YOGA THEORY, TRADITIONAL MEDICINE SYSTEMS, AND SCIENTIFIC DEVELOPMENTS IN THE FIELD OF GENE EXPRESSION AND NEUROPLASTICITY AND A GENERALIZED MODEL THAT WE CALL UNIFIED SYSTEM OF MEDICINE IS PROPOSED. THIS MODEL HAS DIRECT IMPLICATIONS ON METHODS USED TO CONTROL THE ENVIRONMENTAL FACTORS TO GET ROBUST RESULTS FROM EPI APPLICATION FOR THERAPEUTIC PURPOSES. IMPLICATIONS FOR FURTHERING RESEARCH IN YOGA THERAPY USING EPI AND IMPLICATIONS OF EPI AS A TRANSLATIONAL TECHNOLOGY BETWEEN TRADITIONAL MEDICINE SYSTEMS AND MODERN MEDICINE IS DISCUSSED. 2018
4 334 17 APPLICATIONS OF YOGA IN PSYCHIATRY: WHAT WE KNOW. YOGA HAS BEEN IN USE FOR THOUSANDS OF YEARS IN THE EAST AS A HEALING MODALITY. WESTERN PRACTITIONERS ARE NOW STARTING TO RECOGNIZE THE POTENTIAL OF YOGA-BASED TREATMENTS. THE PURPOSE OF THIS ARTICLE IS TO EXPLORE THE EVIDENCE-BASE OF YOGA-BASED TREATMENTS FOR DEPRESSION AND ANXIETY WITH THE PURPOSE OF FURTHERING THE INTEGRATION OF YOGA INTO CONVENTIONAL WESTERN MENTAL HEALTH TREATMENT PLANS. 2018
5 2497 97 YOGA AS PART OF A PACKAGE OF CARE VERSUS STANDARD CARE FOR SCHIZOPHRENIA. BACKGROUND: YOGA IS AN ANCIENT SPIRITUAL PRACTICE THAT ORIGINATED IN INDIA AND IS CURRENTLY ACCEPTED IN THE WESTERN WORLD AS A FORM OF RELAXATION AND EXERCISE. IT HAS BEEN OF INTEREST FOR PEOPLE WITH SCHIZOPHRENIA TO DETERMINE THE EFFICACY OF YOGA DELIVERED AS A PACKAGE OF CARE VERSUS STANDARD CARE. OBJECTIVES: TO EXAMINE THE EFFECTS OF YOGA AS A PACKAGE OF CARE VERSUS STANDARD CARE. SEARCH METHODS: WE SEARCHED THE COCHRANE SCHIZOPHRENIA GROUP TRIALS REGISTER (LATEST 30 MARCH 2017) WHICH IS BASED ON REGULAR SEARCHES OF MEDLINE, PUBMED, EMBASE, CINAHL, BIOSS, AMED, PSYCHINFO, AND REGISTRIES OF CLINICAL TRIALS. WE SEARCHED THE REFERENCES OF ALL INCLUDED STUDIES. THERE ARE NO LANGUAGE, DATE, DOCUMENT TYPE, OR PUBLICATION STATUS LIMITATIONS FOR INCLUSION OF RECORDS IN THE REGISTER. SELECTION CRITERIA: ALL RANDOMISED CONTROLLED TRIALS (RCTS) INCLUDING PEOPLE WITH SCHIZOPHRENIA COMPARING YOGA AS A PACKAGE OF CARE WITH STANDARD-CARE CONTROL. DATA COLLECTION AND ANALYSIS: THE REVIEW AUTHORS INDEPENDENTLY SELECTED STUDIES, QUALITY RATED THESE, AND EXTRACTED DATA. FOR BINARY OUTCOMES, WE CALCULATED RISK DIFFERENCE (RD) AND ITS 95% CONFIDENCE INTERVAL (CI), ON AN INTENTION-TO-TREAT (ITT) BASIS. FOR CONTINUOUS DATA, WE ESTIMATED THE MEAN DIFFERENCE (MD) BETWEEN GROUPS AND ITS CI. WE EMPLOYED MIXED-EFFECT AND FIXED-EFFECT MODELS FOR ANALYSIS. WE EXAMINED HETEROGENEITY (I(2) TECHNIQUE), ASSESSED RISK OF BIAS FOR INCLUDED STUDIES, AND CREATED A 'SUMMARY OF FINDINGS' TABLE USING GRADE (GRADING OF RECOMMENDATIONS ASSESSMENT, DEVELOPMENT AND EVALUATION). MAIN RESULTS: THREE STUDIES ARE INCLUDED IN THIS REVIEW. ALL OUTCOMES WERE SHORT TERM (LESS THAN EIGHT WEEKS). USEABLE DATA WERE REPORTED FOR TWO OUTCOMES ONLY; LEAVING THE STUDY EARLY AND QUALITY OF LIFE. NONE OF THE PARTICIPANTS LEFT THE STUDIES EARLY AND THERE WAS SOME EVIDENCE IN FAVOUR OF THE YOGA PACKAGE FOR QUALITY OF LIFE ENDPOINT SCORES (1 RCT, N=80, MD 22.93 CI 19.74 TO 26.12, LOW-QUALITY EVIDENCE). LEAVING THE STUDY EARLY DATA WERE EQUIVOCAL BETWEEN THE TREATMENT GROUPS (3 RCTS, N=193, RD 0.06 CI -0.01 TO 0.13, MEDIUM-QUALITY EVIDENCE, HIGH HETEROGENEITY). OVERALL, THIS REVIEW HAS AN INORDINATE NUMBER OF MISSING KEY OUTCOMES, WHICH INCLUDED MENTAL AND GLOBAL STATE, SOCIAL FUNCTIONING, PHYSICAL HEALTH, ADVERSE EFFECTS AND COSTS OF CARE. AUTHORS' CONCLUSIONS: A SMALL NUMBER OF SMALL STUDIES WERE INCLUDED IN THIS REVIEW AND THESE LACKED MANY KEY OUTCOMES. THE SPARSE DATA MEANS WE CANNOT STATE WITH ANY DEGREE OF CERTAINTY IF YOGA DELIVERED AS A PACKAGE OF CARE IS BENEFICIAL IN COMPARISON TO STANDARD CARE. 2017
6 1189 62 EVIDENCE ON YOGA FOR HEALTH: A BIBLIOMETRIC ANALYSIS OF SYSTEMATIC REVIEWS. OBJECTIVE: TO SUPPORT THE RESEARCH AGENDA IN YOGA FOR HEALTH BY COMPREHENSIVELY IDENTIFYING SYSTEMATIC REVIEWS OF YOGA FOR HEALTH OUTCOMES AND CONDUCTING A BIBLIOMETRIC ANALYSIS TO DESCRIBE THEIR PUBLICATION CHARACTERISTICS AND TOPIC COVERAGE. METHODS: WE SEARCHED 7 DATABASES (MEDLINE/PUBMED, EMBASE, PSYCINFO, CINAHL, AMED, THE COCHRANE DATABASE OF SYSTEMATIC REVIEWS, AND PROSPERO) FROM THEIR INCEPTION TO NOVEMBER 2019 AND 1 DATABASE (INDMED) FROM INCEPTION TO JANUARY 2017. TWO AUTHORS INDEPENDENTLY SCREENED EACH RECORD FOR INCLUSION AND ONE AUTHOR EXTRACTED PUBLICATION CHARACTERISTICS AND TOPICS OF INCLUDED REVIEWS. RESULTS: WE RETRIEVED 2710 RECORDS AND INCLUDED 322 SYSTEMATIC REVIEWS. 157 REVIEWS WERE EXCLUSIVELY ON YOGA, AND 165 WERE ON YOGA AS ONE OF A LARGER CLASS OF INTERVENTIONS (E.G., EXERCISE). MOST REVIEWS WERE PUBLISHED IN 2012 OR LATER (260/322; 81 %). FIRST/CORRESPONDING AUTHORS WERE FROM 32 DIFFERENT COUNTRIES; THREE-QUARTERS WERE FROM THE USA, GERMANY, CHINA, AUSTRALIA, THE UK OR CANADA (240/322; 75 %). REVIEWS WERE MOST FREQUENTLY PUBLISHED IN SPECIALITY JOURNALS (161/322; 50 %) COMPLEMENTARY MEDICINE JOURNALS (66/322; 20 %) OR SYSTEMATIC REVIEW JOURNALS (59/322; 18 %). ALMOST ALL WERE PRESENT IN MEDLINE (296/322; 92 %). REVIEWS WERE MOST OFTEN FUNDED BY GOVERNMENT OR NON-PROFITS (134/322; 42 %), UNFUNDED (74/322; 23 %), OR NOT EXPLICIT ABOUT FUNDING (111/322; 34 %). COMMON HEALTH TOPICS WERE PSYCHIATRIC/COGNITIVE (N = 56), CANCER (N = 39) AND MUSCULOSKELETAL CONDITIONS (N = 36). MULTIPLE REVIEWS COVERED SIMILAR TOPICS, PARTICULARLY DEPRESSION/ANXIETY (N = 18), BREAST CANCER (N = 21), AND LOW BACK PAIN (N = 16). CONCLUSIONS: FURTHER RESEARCH SHOULD EXPLORE THE OVERALL QUALITY OF REPORTING AND CONDUCT OF SYSTEMATIC REVIEWS OF YOGA, THE DIRECTION AND CERTAINTY OF SPECIFIC CONCLUSIONS, AND DUPLICATION OR GAPS IN REVIEW COVERAGE OF TOPICS. 2021
7 2420 32 YOGA AND MENTAL HEALTH: A DIALOGUE BETWEEN ANCIENT WISDOM AND MODERN PSYCHOLOGY. BACKGROUND: MANY YOGA TEXTS MAKE REFERENCE TO THE IMPORTANCE OF MENTAL HEALTH AND THE USE OF SPECIFIC TECHNIQUES IN THE TREATMENT OF MENTAL DISORDERS. DIFFERENT CONCEPTS UTILIZED IN MODERN PSYCHOLOGY MAY NOT COME WITH CONTEMPORARY IDEAS, INSTEAD, THEY SEEM TO SHARE A COMMON ROOT WITH ANCIENT WISDOM. AIMS: THE GOAL OF THIS PERSPECTIVE ARTICLE IS TO CORRELATE MODERN TECHNIQUES USED IN PSYCHOLOGY AND PSYCHIATRY WITH YOGIC PRACTICES, IN THE TREATMENT OF MENTAL DISORDERS. MATERIALS AND METHODS: THE CURRENT ARTICLE PRESENTED A DIALOGUE BETWEEN THE YOGIC APPROACH FOR THE TREATMENT OF MENTAL DISORDER AND CONCEPTS USED IN MODERN PSYCHOLOGY, SUCH AS META-COGNITION, DISIDENTIFICATION, DECONDITIONING AND INTEROCEPTIVE EXPOSURE. CONCLUSIONS: CONTEMPLATIVE RESEARCH FOUND OUT THAT MODERN INTERVENTIONS IN PSYCHOLOGY MIGHT NOT COME FROM MODERN CONCEPTS AFTER ALL, BUT SHARE GREAT SIMILARITY WITH ANCIENT YOGIC KNOWLEDGE, GIVING US THE OPPORTUNITY TO INTEGRATE THE PSYCHOLOGICAL WISDOM OF BOTH EAST AND WEST. 2016
8 1487 15 INTENTIONALITY AND HATHA YOGA: AN EXPLORATION OF THE THEORY OF INTENTIONALITY, THE MATRIX OF HEALING--A GROWTH MODEL. HATHA YOGA INCREASES SELF-AWARENESS AND WELL-BEING. INTENTIONALITY IS CREATING MOTIVATION AND THEN ACTION. THIS QUALITATIVE STUDY EXPLORED INTENTIONALITY DURING HATHA YOGA SESSIONS USING NARRATIVE ANALYSIS. THE RESULTS SUPPORTED AND EXPANDED ZAHOUREK'S THEORY OF INTENTIONALITY, THE MATRIX OF HEALING, AND PROVIDE NEW INSIGHTS INTO INTENTIONALITY IN HEALING. 2011
9 424 23 BUILDING BRIDGES FOR YOGA THERAPY RESEARCH: THE AETNA, INC. MIND-BODY PILOT STUDY ON CHRONIC AND HIGH STRESS. IN 2009, AETNA, INC., INVITED GARY KRAFTSOW AND THE AMERICAN VINIYOGA INSTITUTE (AVI) TO CONTRIBUTE TO A RESEARCH STUDY ON MODULATING STRESS. THIS PARTNERSHIP REPRESENTED THE FIRST FORMAL RECOGNITION OF THE POTENTIAL ROLE OF YOGA THERAPY IN MODERN HEALTHCARE BY AN INSURANCE COMPANY. THIS PROJECT EXEMPLIFIED THE POWER AND VALUE OF A COLLABORATION IN WHICH YOGA THERAPISTS MADE THE ANCIENT YOGA TEACHINGS RELEVANT TO HEALTHCARE RESEARCH. WE MUST UNDER-STAND OUR OWN ANCIENT TRADITIONS, LEARN THE LANGUAGE OF WESTERN MEDICINE, AND RECOGNIZE OPPORTUNITIES TO BUILD BRIDGES TO MEDICAL DISCIPLINES, ACADEMIC PARTNERS, INSURERS, FUNDERS, AND POLICY MAKERS. 2012
10 2304 31 TOWARD AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY INFORMED BY PHILOSOPHICAL AND ETHICAL PERSPECTIVES. CONTEXT * YOGA THERAPY IS AN EMERGING COMPLEMENTARY AND INTEGRATIVE HEALTH PRACTICE FOR WHICH THERE IS INCREASING INTEREST FROM BOTH CLINICAL AND RESEARCH PERSPECTIVES. CURRENTLY MISSING, HOWEVER, IS AN EXPLANATORY FRAMEWORK FOR THE PROFESSION THAT PROVIDES PRACTITIONERS, CLIENTS, AND THE PUBLIC WITH AN UNDERSTANDING OF HOW VARIOUS YOGIC TRADITIONS AND PRINCIPLES CAN BE UNDERSTOOD IN MODERN HEALTH CARE CONTEXTS. OBJECTIVE * THIS STUDY PROPOSES AN EXPLANATORY FRAMEWORK FOR YOGA THERAPY, INFORMED BY PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY. CONCLUSIONS * THESE 4 PHILOSOPHICAL PERSPECTIVES-PHENOMENOLOGY, EUDAIMONIA, VIRTUE ETHICS, AND FIRST-PERSON ETHICAL INQUIRY-PROVIDE A LENS THROUGH WHICH TO UNDERSTAND HOW YOGIC PRACTICES SUPPORT THE INDIVIDUAL'S TRANSFORMATION IN THE EXPERIENCE OF ILLNESS, PAIN, OR DISABILITY. WE PROPOSE THAT THIS TRANSFORMATION OCCURS THROUGH FACILITATING A REHARMONIZATION OF BODY, MIND, AND ENVIRONMENT TOWARD THE EXPERIENCE OF EUDAIMONIC WELL-BEING. 2018
11 1987 33 SPATIAL-TEMPORAL GRAPH CONVOLUTIONAL FRAMEWORK FOR YOGA ACTION RECOGNITION AND GRADING. THE RAPID DEVELOPMENT OF THE INTERNET HAS CHANGED OUR LIVES. MANY PEOPLE GRADUALLY LIKE ONLINE VIDEO YOGA TEACHING. HOWEVER, YOGA BEGINNERS CANNOT MASTER THE STANDARD YOGA POSES JUST BY LEARNING THROUGH VIDEOS, AND HIGH YOGA POSES CAN BRING GREAT DAMAGE OR EVEN DISABILITY TO THE BODY IF THEY ARE NOT STANDARD. TO ADDRESS THIS PROBLEM, WE PROPOSE A YOGA ACTION RECOGNITION AND GRADING SYSTEM BASED ON SPATIAL-TEMPORAL GRAPH CONVOLUTIONAL NEURAL NETWORK. FIRSTLY, WE CAPTURE YOGA MOVEMENT DATA USING A DEPTH CAMERA. THEN WE LABEL THE YOGA EXERCISE VIDEOS FRAME BY FRAME USING LONG SHORT-TERM MEMORY NETWORK; THEN WE EXTRACT THE SKELETAL JOINT POINT FEATURES SEQUENTIALLY USING GRAPH CONVOLUTION; THEN WE ARRANGE EACH VIDEO FRAME FROM SPATIAL-TEMPORAL DIMENSION AND CORRELATE THE JOINT POINTS IN EACH FRAME AND NEIGHBORING FRAMES WITH SPATIAL-TEMPORAL INFORMATION TO OBTAIN THE CONNECTION BETWEEN JOINTS. FINALLY, THE IDENTIFIED YOGA MOVEMENTS ARE PREDICTED AND GRADED. EXPERIMENT PROVES THAT OUR METHOD CAN ACCURATELY IDENTIFY AND CLASSIFY YOGA POSES; IT ALSO CAN IDENTIFY WHETHER YOGA POSES ARE STANDARD OR NOT AND GIVE FEEDBACK TO YOGIS IN TIME TO PREVENT BODY DAMAGE CAUSED BY NONSTANDARD POSES. 2022
12 2587 129 YOGA FOR IMPROVING HEALTH-RELATED QUALITY OF LIFE, MENTAL HEALTH AND CANCER-RELATED SYMPTOMS IN WOMEN DIAGNOSED WITH BREAST CANCER. BACKGROUND: BREAST CANCER IS THE CANCER MOST FREQUENTLY DIAGNOSED IN WOMEN WORLDWIDE. EVEN THOUGH SURVIVAL RATES ARE CONTINUALLY INCREASING, BREAST CANCER IS OFTEN ASSOCIATED WITH LONG-TERM PSYCHOLOGICAL DISTRESS, CHRONIC PAIN, FATIGUE AND IMPAIRED QUALITY OF LIFE. YOGA COMPRISES ADVICE FOR AN ETHICAL LIFESTYLE, SPIRITUAL PRACTICE, PHYSICAL ACTIVITY, BREATHING EXERCISES AND MEDITATION. IT IS A COMPLEMENTARY THERAPY THAT IS COMMONLY RECOMMENDED FOR BREAST CANCER-RELATED IMPAIRMENTS AND HAS BEEN SHOWN TO IMPROVE PHYSICAL AND MENTAL HEALTH IN PEOPLE WITH DIFFERENT CANCER TYPES. OBJECTIVES: TO ASSESS EFFECTS OF YOGA ON HEALTH-RELATED QUALITY OF LIFE, MENTAL HEALTH AND CANCER-RELATED SYMPTOMS AMONG WOMEN WITH A DIAGNOSIS OF BREAST CANCER WHO ARE RECEIVING ACTIVE TREATMENT OR HAVE COMPLETED TREATMENT. SEARCH METHODS: WE SEARCHED THE COCHRANE BREAST CANCER SPECIALISED REGISTER, MEDLINE (VIA PUBMED), EMBASE, THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL; 2016, ISSUE 1), INDEXING OF INDIAN MEDICAL JOURNALS (INDMED), THE WORLD HEALTH ORGANIZATION (WHO) INTERNATIONAL CLINICAL TRIALS REGISTRY PLATFORM (ICTRP) SEARCH PORTAL AND CLINICALTRIALS.GOV ON 29 JANUARY 2016. WE ALSO SEARCHED REFERENCE LISTS OF IDENTIFIED RELEVANT TRIALS OR REVIEWS, AS WELL AS CONFERENCE PROCEEDINGS OF THE INTERNATIONAL CONGRESS ON COMPLEMENTARY MEDICINE RESEARCH (ICCMR), THE EUROPEAN CONGRESS FOR INTEGRATIVE MEDICINE (ECIM) AND THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO). WE APPLIED NO LANGUAGE RESTRICTIONS. SELECTION CRITERIA: RANDOMISED CONTROLLED TRIALS WERE ELIGIBLE WHEN THEY (1) COMPARED YOGA INTERVENTIONS VERSUS NO THERAPY OR VERSUS ANY OTHER ACTIVE THERAPY IN WOMEN WITH A DIAGNOSIS OF NON-METASTATIC OR METASTATIC BREAST CANCER, AND (2) ASSESSED AT LEAST ONE OF THE PRIMARY OUTCOMES ON PATIENT-REPORTED INSTRUMENTS, INCLUDING HEALTH-RELATED QUALITY OF LIFE, DEPRESSION, ANXIETY, FATIGUE OR SLEEP DISTURBANCES. DATA COLLECTION AND ANALYSIS: TWO REVIEW AUTHORS INDEPENDENTLY COLLECTED DATA ON METHODS AND RESULTS. WE EXPRESSED OUTCOMES AS STANDARDISED MEAN DIFFERENCES (SMDS) WITH 95% CONFIDENCE INTERVALS (CIS) AND CONDUCTED RANDOM-EFFECTS MODEL META-ANALYSES. WE ASSESSED POTENTIAL RISK OF PUBLICATION BIAS THROUGH VISUAL ANALYSIS OF FUNNEL PLOT SYMMETRY AND HETEROGENEITY BETWEEN STUDIES BY USING THE CHI(2) TEST AND THE I(2) STATISTIC. WE CONDUCTED SUBGROUP ANALYSES FOR CURRENT TREATMENT STATUS, TIME SINCE DIAGNOSIS, STAGE OF CANCER AND TYPE OF YOGA INTERVENTION. MAIN RESULTS: WE INCLUDED 24 STUDIES WITH A TOTAL OF 2166 PARTICIPANTS, 23 OF WHICH PROVIDED DATA FOR META-ANALYSIS. THIRTEEN STUDIES HAD LOW RISK OF SELECTION BIAS, FIVE STUDIES REPORTED ADEQUATE BLINDING OF OUTCOME ASSESSMENT AND 15 STUDIES HAD LOW RISK OF ATTRITION BIAS.SEVENTEEN STUDIES THAT COMPARED YOGA VERSUS NO THERAPY PROVIDED MODERATE-QUALITY EVIDENCE SHOWING THAT YOGA IMPROVED HEALTH-RELATED QUALITY OF LIFE (POOLED SMD 0.22, 95% CI 0.04 TO 0.40; 10 STUDIES, 675 PARTICIPANTS), REDUCED FATIGUE (POOLED SMD -0.48, 95% CI -0.75 TO -0.20; 11 STUDIES, 883 PARTICIPANTS) AND REDUCED SLEEP DISTURBANCES IN THE SHORT TERM (POOLED SMD -0.25, 95% CI -0.40 TO -0.09; SIX STUDIES, 657 PARTICIPANTS). THE FUNNEL PLOT FOR HEALTH-RELATED QUALITY OF LIFE WAS ASYMMETRICAL, FAVOURING NO THERAPY, AND THE FUNNEL PLOT FOR FATIGUE WAS ROUGHLY SYMMETRICAL. THIS HINTS AT OVERALL LOW RISK OF PUBLICATION BIAS. YOGA DID NOT APPEAR TO REDUCE DEPRESSION (POOLED SMD -0.13, 95% CI -0.31 TO 0.05; SEVEN STUDIES, 496 PARTICIPANTS; LOW-QUALITY EVIDENCE) OR ANXIETY (POOLED SMD -0.53, 95% CI -1.10 TO 0.04; SIX STUDIES, 346 PARTICIPANTS; VERY LOW-QUALITY EVIDENCE) IN THE SHORT TERM AND HAD NO MEDIUM-TERM EFFECTS ON HEALTH-RELATED QUALITY OF LIFE (POOLED SMD 0.10, 95% CI -0.23 TO 0.42; TWO STUDIES, 146 PARTICIPANTS; LOW-QUALITY EVIDENCE) OR FATIGUE (POOLED SMD -0.04, 95% CI -0.36 TO 0.29; TWO STUDIES, 146 PARTICIPANTS; LOW-QUALITY EVIDENCE). INVESTIGATORS REPORTED NO SERIOUS ADVERSE EVENTS.FOUR STUDIES THAT COMPARED YOGA VERSUS PSYCHOSOCIAL/EDUCATIONAL INTERVENTIONS PROVIDED MODERATE-QUALITY EVIDENCE INDICATING THAT YOGA CAN REDUCE DEPRESSION (POOLED SMD -2.29, 95% CI -3.97 TO -0.61; FOUR STUDIES, 226 PARTICIPANTS), ANXIETY (POOLED SMD -2.21, 95% CI -3.90 TO -0.52; THREE STUDIES, 195 PARTICIPANTS) AND FATIGUE (POOLED SMD -0.90, 95% CI -1.31 TO -0.50; TWO STUDIES, 106 PARTICIPANTS) IN THE SHORT TERM. VERY LOW-QUALITY EVIDENCE SHOWED NO SHORT-TERM EFFECTS ON HEALTH-RELATED QUALITY OF LIFE (POOLED SMD 0.81, 95% CI -0.50 TO 2.12; TWO STUDIES, 153 PARTICIPANTS) OR SLEEP DISTURBANCES (POOLED SMD -0.21, 95% CI -0.76 TO 0.34; TWO STUDIES, 119 PARTICIPANTS). NO TRIAL ADEQUATELY REPORTED SAFETY-RELATED DATA.THREE STUDIES THAT COMPARED YOGA VERSUS EXERCISE PRESENTED VERY LOW-QUALITY EVIDENCE SHOWING NO SHORT-TERM EFFECTS ON HEALTH-RELATED QUALITY OF LIFE (POOLED SMD -0.04, 95% CI -0.30 TO 0.23; THREE STUDIES, 233 PARTICIPANTS) OR FATIGUE (POOLED SMD -0.21, 95% CI -0.66 TO 0.25; THREE STUDIES, 233 PARTICIPANTS); NO TRIAL PROVIDED SAFETY-RELATED DATA. AUTHORS' CONCLUSIONS: MODERATE-QUALITY EVIDENCE SUPPORTS THE RECOMMENDATION OF YOGA AS A SUPPORTIVE INTERVENTION FOR IMPROVING HEALTH-RELATED QUALITY OF LIFE AND REDUCING FATIGUE AND SLEEP DISTURBANCES WHEN COMPARED WITH NO THERAPY, AS WELL AS FOR REDUCING DEPRESSION, ANXIETY AND FATIGUE, WHEN COMPARED WITH PSYCHOSOCIAL/EDUCATIONAL INTERVENTIONS. VERY LOW-QUALITY EVIDENCE SUGGESTS THAT YOGA MIGHT BE AS EFFECTIVE AS OTHER EXERCISE INTERVENTIONS AND MIGHT BE USED AS AN ALTERNATIVE TO OTHER EXERCISE PROGRAMMES. 2017
13 2772 43 YOGA RESEARCH AND PUBLIC HEALTH: IS RESEARCH ALIGNED WITH THE STAKEHOLDERS' NEEDS? RESEARCH ON YOGA IS WITNESSING AN UNPRECEDENTED PROLIFERATION CURRENTLY, PARTLY BECAUSE OF GREAT INTEREST IN YOGA'S HEALTH UTILITY. HOWEVER, YOGA RESEARCH DOES NOT SEEM TO BE SUFFICIENTLY PUBLIC HEALTH ORIENTED, OR ITS QUALITY CORRESPONDING TO ITS QUANTITY. YOGA RESEARCH IS FALLING SHORT TO ENABLE KEY STAKEHOLDERS LIKE END USERS, PRESCRIBERS, AND PAYERS TO MEANINGFULLY, CONFIDENTLY, AND FRUITFULLY ANSWER THE QUESTIONS LIKE: IS IT GENERALIZABLE? IS IT STANDARDIZABLE? WHICH YOGA STYLE SHOULD BE USED/RECOMMENDED/PAID FOR? OR WILL IT BE WORTH THE MONEY? THEREFORE, IT IS IMPORTANT TO EXAMINE THE ALIGNMENT TO PURPOSE OR VALUE OF YOGA RESEARCH FROM A PUBLIC HEALTH POINT OF VIEW SO AS TO MAKE IT MORE PRACTICAL. THE ISSUES SUCH AS LACK OF CLEAR DEFINITION OF YOGA, WIDE VARIATION IN ITS DOSAGE, CACOPHONY OF LINEAGE-BASED STYLES, NO DATA ABOUT COMPARATIVE EFFECTIVENESS BETWEEN THE YOGA COMPONENTS, CONFOUNDERS AND BIASES CLOUDING THE EVIDENCE REGARDING ITS BENEFITS, TOO LITTLE DATA ON LONG-TERM ADHERENCE, EQUIVOCAL RESULTS ABOUT ITS COST EFFECTIVENESS, DISCUSSIONS LACKING EMBRACE OF BETTER METHODS IN RESEARCH, AND ABSENCE OF A THEORY OF YOGA ARE EXAMINED. THIS IS NOT A DETAILED DISCUSSION OF EVERY ISSUE YOGA RESEARCH FACES, BUT A HIGH-LEVEL OVERVIEW OF THOSE THAT HAVE DIRECT PRACTICAL BEARING. IN THE END, A FEW PRAGMATIC APPROACHES ARE OFFERED. THE ARTICLE SUGGESTS THAT YOGA-COMPONENT ANALYSIS, DEVELOPMENT OF A THEORY OF YOGA, ADOPTION OF A HEALTH-ALIGNED FUNCTIONAL TYPOLOGY OF YOGA, DEVELOPMENT AND TESTING OF A SIMPLE UNIVERSAL BASIC PROTOTYPE OF YOGA INTERVENTION, EMPHASIS ON RESEARCH ABOUT LONG-TERM ADHERENCE, AND DISCOURAGEMENT FOR MERE PROOF OF CONCEPT RESEARCH MIGHT MAKE YOGA RESEARCH SERVE THE STAKEHOLDERS BETTER. IT URGES THE RESEARCH COMMUNITY TO PRACTICE "CONTEXT COGNIZANT SCHOLARSHIP" TO DISENTANGLE HEALTH COMPATIBLE YOGA FROM ITS HISTORICAL-CULTURAL-SOCIAL BODY BEFORE EXAMINING IT FOR HEALTH OR MEDICAL APPLICATION. 2017
14 2211 29 THE HEALTH IMAGINARY OF POSTURAL YOGA. THIS PAPER EXPLORES THE CAPACITY OF YOGA NARRATIVES AND PRACTICES TO CONTRIBUTE TO AND RELATE IDEAS ABOUT HEALTH. IT ADDS THEORETICALLY TO EXISTING LITERATURE ON YOGA BY INTRODUCING THE CONCEPT OF THE 'HEALTH IMAGINARY' AS AN ANALYTIC LENS FOR CONSIDERING YOGA DISCOURSES IN LATE MODERN TIMES, WHERE PERSONAL HEALTH CARE AND SPIRITUAL AMBITIONS ARE ONCE AGAIN BECOMING BLURRED. WITH THIS PERSPECTIVE, THE PAPER PROVIDES A THOROUGH ANALYSIS OF HOW YOGA POSTURES (ASANAS) ARE CONCEIVED TO WORK THERAPEUTICALLY, IN YOGA'S RECENT HISTORY AND IN PRESENT-DAY YOGA THERAPY. TAKING CASE STUDIES FROM INDIA AND GERMANY, IT IS SHOWN EMPIRICALLY HOW THE APPLICATION OF ASANAS IS RATIONALIZED DIFFERENTLY IN SPECIFIC GEOGRAPHICAL AND THERAPEUTIC ENVIRONMENTS - PARTICULARLY REGARDING THE PRESUMED THEORY OF THE BODY. THUS, THE CONCEPT OF THE HEALTH IMAGINARY NOT ONLY PROVIDES ANALYTIC SPACE TO EXPLORE THE IMPLICIT LOGICS AND GOALS OF HEALING IN DIFFERENT CONTEXTS, BUT ALSO OFFERS CLUES ABOUT THE DISTINCT SOCIAL, CULTURAL/RELIGIOUS, AND LOCAL INFLUENCES THAT DRAW PEOPLE INTO YOGA AND CONTRIBUTE TO ITS SELECTIVE APPROPRIATION ACROSS THE GLOBE. 2021
15 2794 38 YOGA THERAPY FOR MEDICALLY UNEXPLAINED PHYSICAL SYMPTOMS. MEDICALLY UNEXPLAINED PHYSICAL SYMPTOMS (MUPS) IS A COMMON, YET NEGLECTED DISEASE WITH A PREVALENCE OF AROUND 25% IN PRIMARY CARE SETTING. THESE PATIENTS PRESENT WITH MULTIPLE PHYSICAL AND PSYCHOLOGICAL SYMPTOMS, WITHOUT AN UNDERLYING DIAGNOSIS, HAMPERING THEIR FUNCTIONAL AND MENTAL WELLBEING. THE MANAGEMENT OF THESE UNDIAGNOSED SYMPTOMS THROUGH CONVENTIONAL TREATMENT HAS NOT BEEN ENCOURAGING. PATIENTS SHUTTLE BETWEEN DIFFERENT SPECIALITIES, SEEKING A DIAGNOSIS FOR THEIR SYMPTOMS, MAKING THEM DISSATISFIED AND INCREASING HEALTHCARE BURDEN. YOGA, AS AN ADJUNCT THERAPY HAS SHOWN TO BE EFFECTIVE IN THE MANAGEMENT OF MUPS RELATED DISORDERS SUCH AS SOMATOFORM DISORDER, IRRITABLE BOWEL SYNDROME (IBS) AND DEPRESSION AND ANXIETY. THUS, WE SUGGEST AN INTEGRATED YOGA MODULE WHICH MIGHT HELP IN IMPROVING BOTH PHYSICAL AND PSYCHOLOGICAL VARIABLE IN MUPS PATIENTS AND IMPROVING THEIR OVERALL QUALITY OF LIFE. FURTHERMORE, THE GAP IN THE LITERATURE ON THE EFFICACY OF YOGA IN IMPROVING MUPS, CAN BE ADDRESSED BY PLANNING A RANDOMISED CONTROLLED TRIAL BASED ON THE SUGGESTED YOGA MODULE. 2020
16 1502 17 INVEST IN YOURSELF. YOGA AS A SELF-CARE STRATEGY. A WIDENING RECOGNITION OF THE MIND-BODY-SPIRIT CONNECTION IN WESTERN MEDICINE HAS RESULTED IN A GROWING INTEREST IN ANCIENT HEALTH PRACTICES SUCH AS YOGA. AS COMPLEMENTARY THERAPIES ENTER MAINSTREAM MEDICAL SETTINGS, NURSES AND OTHER HEALTHCARE PROVIDERS NEED A FUNDAMENTAL UNDERSTANDING OF THESE MODALITIES TO BE ABLE TO ADVISE PATIENTS EFFECTIVELY. THIS ARTICLE PROVIDES AN OVERVIEW OF YOGA AND DETAILS THE BENEFITS OF YOGA PRACTICE. 2000
17 308 79 AN EVIDENCE MAP OF YOGA FOR LOW BACK PAIN. OBJECTIVE: YOGA IS BEING INCREASINGLY STUDIED AS A TREATMENT STRATEGY FOR A VARIETY OF DIFFERENT CLINICAL CONDITIONS, INCLUDING LOW BACK PAIN (LBP). WE SET OUT TO CONDUCT AN EVIDENCE MAP OF YOGA FOR THE TREATMENT, PREVENTION AND RECURRENCE OF ACUTE OR CHRONIC LOW BACK PAIN (CLBP). METHODS: WE SEARCHED MEDLINE, COCHRANE DATABASE OF SYSTEMATIC REVIEWS, EMBASE, ALLIED AND COMPLEMENTARY MEDICINE DATABASE AND CLINICALTRIALS.GOV FOR RANDOMIZED CONTROLLED TRIALS (RCT), SYSTEMATIC REVIEWS OR PLANNED STUDIES ON THE TREATMENT OR PREVENTION OF ACUTE BACK PAIN OR CLBP. TWO INDEPENDENT REVIEWERS SCREENED PAPERS FOR INCLUSION, EXTRACTED DATA AND ASSESSED THE QUALITY OF INCLUDED STUDIES. RESULTS: THREE ELIGIBLE SYSTEMATIC REVIEWS WERE IDENTIFIED THAT INCLUDED 10 RCTS (N=956) THAT EVALUATED YOGA FOR NON-SPECIFIC CLBP. WE DID NOT IDENTIFY ADDITIONAL RCTS BEYOND THOSE INCLUDED IN THE SYSTEMATIC REVIEWS. OUR SEARCH OF CLINICALTRIALS.GOV IDENTIFIED ONE SMALL (N=10) UNPUBLISHED TRIAL AND ONE LARGE (N=320) PLANNED CLINICAL TRIAL. THE MOST RECENT GOOD QUALITY SYSTEMATIC REVIEW INDICATED SIGNIFICANT EFFECTS FOR SHORT- AND LONG-TERM PAIN REDUCTION (N=6 TRIALS; STANDARDIZED MEAN DIFFERENCE [SMD] -0.48; 95% CI, -0.65 TO -0.31; I(2)=0% AND N=5; SMD -0.33; 95% CI, -0.59 TO -0.07; I(2)=48%, RESPECTIVELY). LONG-TERM EFFECTS FOR BACK SPECIFIC DISABILITY WERE ALSO IDENTIFIED (N=5; SMD -0.35; 95% CI, -0.55 TO -0.15; I(2)=20%). NO STUDIES WERE IDENTIFIED EVALUATING YOGA FOR PREVENTION OR TREATMENT OF ACUTE LBP. CONCLUSION: EVIDENCE SUGGESTS BENEFIT OF YOGA IN MIDLIFE ADULTS WITH NON-SPECIFIC CLBP FOR SHORT- AND LONG-TERM PAIN AND BACK-SPECIFIC DISABILITY, BUT THE EFFECTS OF YOGA FOR HEALTH-RELATED QUALITY OF LIFE, WELL- BEING AND ACUTE LBP ARE UNCERTAIN. WITHOUT ADDITIONAL STUDIES, FURTHER SYSTEMATIC REVIEWS ARE UNLIKELY TO BE INFORMATIVE. 2016
18 398 34 BEYOND SCIENTIFIC MECHANISMS: SUBJECTIVE PERCEPTIONS WITH VINIYOGA MEDITATION. HEALTHCARE PROFESSIONALS AND RESEARCH SCIENTISTS GENERALLY RECOGNIZE THE POTENTIAL VALUE OF MIND-BODY PRACTICES GROUNDED IN ANCIENT WISDOM, BUT OFTEN HAVE LIMITED DIRECT EXPERIENCE WITH SUCH PRACTICES. MEDITATION PARTICIPANT SELF-REPORTS PROVIDE A WINDOW INTO SUBJECTIVE EXPERIENCES OF THREE VINIYOGA MEDITATIONS AND HOW AND WHY THOSE MEDITATIONS COULD CONTRIBUTE TO HEALTH AND WELL-BEING OUTCOMES. EACH OF THE MEDITATIONS IN THIS ANALYSIS HAD A UNIQUE STRUCTURE AND USED A DIFFERENT ASPECT OF THE OCEAN AS A MEDITATION OBJECT. YOGA PHILOSOPHY AND YOGA ANATOMY MODELS OF THE HUMAN SYSTEM ARE USED TO HELP EXPLAIN PARTICIPANTS' EXPERIENCES AND ASSOCIATED PERSONAL BENEFITS AND INSIGHTS. FOUR ASPECTS OF THE INDIVIDUAL THAT CAN INFLUENCE WHAT HAPPENS FOR THEM IN MEDITATION ARE ILLUSTRATED WITH TANGIBLE EXAMPLES: (1) WHAT IS HAPPENING IN GENERALLY IN SOMEONE'S LIFE; (2) THE STATE OF THEIR SYSTEM (MIND, BODY, BREATH) AROUND THE TIME OF THE MEDITATION; (3) REACTIONS TO THE MEDITATION STEPS AND INSTRUCTIONS; AND (4) THEIR PRIOR EXPERIENCES WITH THE OBJECT OF MEDITATION. SUMMARIES OF THE PRACTICES, AND WHY AND FOR WHOM EACH MEDITATION MIGHT BE BENEFICIAL ARE DISCUSSED. THE AUTHORS' PERSPECTIVES ARE GROUNDED IN VINIYOGA AND YOGA THERAPY. 2019
19 475 30 CLARIFY 2021: EXPLANATION AND ELABORATION OF THE DELPHI-BASED GUIDELINES FOR THE REPORTING OF YOGA RESEARCH. BACKGROUND: REPORTING OF YOGA RESEARCH OFTEN LACKS THE DETAIL REQUIRED FOR CLINICAL APPLICATION, STUDY REPLICATION, SUMMARY RESEARCH AND COMPARATIVE EFFECTIVENESS STUDIES. METHODS: TO IMPROVE THE TRANSPARENCY OF REPORTING YOGA INTERVENTIONS, AND BUILDING ON THE DEVELOPMENT OF PREVIOUS REPORTING GUIDELINES, A GROUP OF INTERNATIONAL YOGA RESEARCH STAKEHOLDERS DEVELOPED THE CONSENSUS-BASED CHECKLIST STANDARDISING THE REPORTING OF INTERVENTIONS FOR YOGA (CLARIFY) GUIDELINES. RESULTS: THE 21-ITEM CLARIFY CHECKLIST OUTLINES THE MINIMUM DETAILS CONSIDERED NECESSARY FOR HIGH-QUALITY REPORTING OF YOGA RESEARCH. THIS PAPER PROVIDES A DETAILED EXPLANATION OF EACH OF THE 21 ITEMS OF THE CLARIFY CHECKLIST, TOGETHER WITH MODEL EXAMPLES OF HOW TO INTEGRATE EACH ITEM INTO PUBLICATIONS OF YOGA RESEARCH. THE CLARIFY GUIDELINE SERVES AS AN EXTENSION FOR EXISTING RESEARCH REPORTING GUIDELINES, AND IS FLEXIBLE FOR USE ACROSS ALL STUDY DESIGNS. CONCLUSION: WE STRONGLY ENCOURAGE THE UPTAKE OF THESE REPORTING GUIDELINES BY RESEARCHERS AND JOURNALS, TO FACILITATE IMPROVEMENTS IN THE TRANSPARENCY AND UTILITY OF YOGA RESEARCH. 2021
20 2807 37 YOGA THERAPY RESEARCH: A WHOLE-SYSTEMS PERSPECTIVE ON COMPARATIVE EFFECTIVENESS AND PATIENT-CENTERED OUTCOMES. FOR THE YOGA RESEARCH COMMUNITY TO CAPITALIZE ON ITS CURRENT MOMENTUM, IT IS CRITICAL TO CONSIDER CERTAIN DEVELOPMENTS IN RESEARCH THEORY AND INNOVATIVE METHODOLOGIES. THE CONCEPT OF MODEL VALIDITY MUST BE INCORPORATED IN YOGA THERAPY RESEARCH SO THAT EXPLANATORY CONSTRUCTS EMPLOYED AND OUTCOME MEASURES CHOSEN REFLECT THE PRINCIPLES OF TRADITIONAL YOGIC SCIENCE. FOCUSING ON EFFECTIVENESS RESEARCH WILL ENSURE MAXIMUM GENERALIZABILITY OF STUDY RESULTS AND REFLECT REAL-WORLD THERAPY DELIVERY SETTINGS, THEREBY INCREASING THE RELEVANCE OF OUTCOMES. WHOLE SYSTEMS OF HEALING REQUIRE RESEARCH METHODOLOGIES THAT ADDRESS COMPLEX RELATIONSHIPS BETWEEN MULTI-TARGET THERAPIES WITH MULTIPLE POTENTIAL TREATMENT RESULTS. COMPLEX, DYNAMIC SYSTEMS THEORY PROVIDES THE THEORETICAL AND METHODOLOGICAL INNOVATIONS NECESSARY TO DESIGN STUDIES, CHOOSE OUTCOMES, AND ANALYZE DATA IN A WAY THAT CAN ACCOUNT FOR CHARTING COMPLEX, CYCLICAL, THERAPEUTIC TRAJECTORIES ACROSS TIME. EMPHASIZING PATIENT-CENTERED OUTCOMES IS ALIGNED WITH THE PATENT-ORIENTED AND TAILORED NATURED OF YOGA THERAPY DELIVERY. INCREASING THE QUALITY AND QUANTITY OF COMPARATIVE EFFECTIVENESS RESEARCH TO ANALYZE THE HARMS AND BENEFITS OF CONTRASTING THERAPIES CAN PROVIDE AN INFRASTRUCTURE FOR DESIGNING STUDIES THAT CAN HAVE SIGNIFICANT PRACTICAL IMPACT. THE CREATION OF PRACTICE-BASED RESEARCH NETWORKS WITHIN THE YOGA RESEARCH COMMUNITY WILL INCENTIVIZE LINKS BETWEEN MAINSTREAM CLINICAL RESEARCHERS AND YOGA THERAPY DELIVERY SETTINGS, ULTIMATELY DEVELOPING COLLABORATIVE NETWORKS. YOGA THERAPY CENTERS CAN FACILITATE PATIENT RECRUITMENT FOR STUDIES AND INFORM STANDARDS FOR YOGA RESEARCHERS. COLLABORATIVE EFFORTS BETWEEN THE YOGA AND AYURVEDIC RESEARCH COMMUNITIES WILL STREAMLINE EFFORTS, SOLIDIFY EXPERTISE, CROSS-POLLINATE THEORETICAL AND METHODOLOGICAL INNOVATION, AND CONSOLIDATE EFFORTS TO SECURE RESEARCH FUNDING AND INCREASE PUBLICATION AND DISSEMINATION OF STUDY FINDINGS. 2015