1  344 117 ASSESSING DEPRESSION FOLLOWING TWO ANCIENT INDIAN INTERVENTIONS: EFFECTS OF YOGA AND AYURVEDA ON OLDER ADULTS IN A RESIDENTIAL HOME. THE EFFECTS OF YOGA AND AYURVEDA ON GERIATRIC DEPRESSION WERE EVALUATED IN 69 PERSONS OLDER THAN 60 WHO WERE LIVING IN A RESIDENTIAL HOME. PARTICIPANTS WERE STRATIFIED BY AGE AND GENDER AND RANDOMLY ALLOCATED TO THREE GROUPS: YOGA, AYURVEDA, OR WAIT-LIST CONTROL. THE 15-ITEM GERIATRIC DEPRESSION SCALE WAS USED TO ASSESS DEPRESSIVE SYMPTOMS PRIOR TO THE INTERVENTION, AND AFTER 3 MONTHS AND 6 MONTHS POST-INTERVENTION. PARTICIPATION IN ONE OF THE THREE GROUPS LASTED 24 WEEKS. THE YOGA PROGRAM (7 HOURS 30 MINUTES PER WEEK) INCLUDED PHYSICAL POSTURES, RELAXATION TECHNIQUES, REGULATED BREATHING, DEVOTIONAL SONGS, AND LECTURES. THE AYURVEDA GROUP RECEIVED AN HERBAL PREPARATION TWICE DAILY FOR THE WHOLE PERIOD. THE DEPRESSION SYMPTOM SCORES OF THE YOGA GROUP AT BOTH 3 AND 6 MONTHS DECREASED SIGNIFICANTLY, FROM A GROUP AVERAGE BASELINE OF 10.6 TO 8.1 AND 6.7, RESPECTIVELY (P < .001, PAIRED T-TEST). THE OTHER GROUPS SHOWED NO CHANGE. HENCE, AN INTEGRATED APPROACH OF YOGA INCLUDING THE MENTAL AND PHILOSOPHICAL ASPECTS IN ADDITION TO THE PHYSICAL PRACTICES WAS USEFUL FOR INSTITUTIONALIZED OLDER PERSONS.	2007	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
2 2405  34 YOGA AND EXERCISE FOR SYMPTOMS OF DEPRESSION AND ANXIETY IN PEOPLE WITH POSTSTROKE DISABILITY: A RANDOMIZED, CONTROLLED PILOT TRIAL. CONTEXT: MOOD DISORDERS ARE PREVALENT IN PEOPLE AFTER STROKE, AND A DISORDER'S ONSET CAN EXACERBATE STROKE-RELATED DISABILITIES. WHILE EVIDENCE SUPPORTS THE MENTAL-HEALTH BENEFITS OF PARTICIPATION IN EXERCISE AND YOGA, IT IS UNKNOWN WHETHER SUCH BENEFITS EXTEND TO A POPULATION WITH POSTSTROKE HEMIPARESIS. OBJECTIVE: THE STUDY INVESTIGATED WHETHER SUPPLEMENTING EXERCISE WITH PARTICIPATION IN A YOGA PROGRAM WOULD PROVIDE FURTHER IMPROVEMENTS IN SELF-REPORTED SYMPTOMS OF DEPRESSION AND ANXIETY IN A CHRONIC POSTSTROKE POPULATION, AND IT ALSO ASSESSED TRIAL FEASIBILITY FOR FUTURE STUDIES. DESIGN: THE RESEARCH TEAM DESIGNED A RANDOMIZED, CONTROLLED PILOT TRIAL THAT INCLUDED AN EXERCISE-ONLY GROUP (EX, CONTROL) AND A YOGA-AND-EXERCISE GROUP (YEX, INTERVENTION). SETTING: THE STUDY TOOK PLACE AT THE CENTRE FOR PHYSICAL ACTIVITY IN AGEING AN EXERCISE REHABILITATION AND ACTIVITY CENTER AT THE ROYAL ADELAIDE HOSPITAL IN SOUTH AUSTRALIA. PARTICIPANTS: THE PARTICIPANTS INCLUDED 14 INDIVIDUALS WITH CHRONIC POSTSTROKE HEMIPARESIS: EIGHT IN THE INTERVENTION GROUP AND SIX IN THE CONTROL GROUP. INTERVENTIONS: THE YEX GROUP PARTICIPATED IN A 6-WEEK STANDARDIZED PROGRAM THAT INCLUDED YOGA IN WEEKLY GROUP SESSIONS AND HOME PRACTICE IN ADDITION TO EXERCISE IN A WEEKLY GROUP CLASS. THE EX GROUP PARTICIPATED ONLY IN THE GROUP EXERCISE CLASS WEEKLY FOR 6 WEEKS. OUTCOME MEASURES: THE RESEARCH TEAM ASSESSED SELF-REPORTED SYMPTOMS OF DEPRESSION USING THE GERIATRIC DEPRESSION SCALE (GDS15) AND SYMPTOMS OF ANXIETY AND NEGATIVE AFFECT USING THE STATE TRAIT ANXIETY INVENTORY (STAI). THE TEAM BASED THE FEASIBILITY EVALUATION ON RECRUITMENT OUTCOMES, RETENTION OF PARTICIPANTS, PARTICIPANTS' COMPLIANCE WITH THE INTERVENTION PROGRAM, AND THE SAFETY OF THE INTERVENTION. RESULTS: CHANGES IN DEPRESSION AND STATE AND TRAIT ANXIETY DID NOT SIGNIFICANTLY DIFFER BETWEEN INTERVENTION GROUPS (GDS15 P=.749, STAI-Y1, P=.595, STAI-Y2, P=.407). COMPARISON OF INDIVIDUALS' CASE RESULTS INDICATED CLINICALLY RELEVANT IMPROVEMENTS IN BOTH GROUPS, ALTHOUGH MEMBERS OF THE INTERVENTION GROUP HAD GREATER IMPROVEMENTS. PARTICIPANTS REPORTED NO ADVERSE EVENTS, AND THE STUDY EXPERIENCED HIGH RETENTION OF PARTICIPANTS AND HIGH COMPLIANCE IN THE YOGA PROGRAM. CONCLUSIONS: THIS PILOT STUDY PROVIDES PRELIMINARY DATA ON THE EFFECTS OF YOGA COMBINED WITH EXERCISE TO INFLUENCE MOOD POSTSTROKE. IT IS A FEASIBLE, SAFE, AND ACCEPTABLE INTERVENTION, AND THE FIELD REQUIRES ADDITIONAL INVESTIGATIONS WITH A LARGER SAMPLE SIZE.	2012	
      
3 1457  65 INFLUENCE OF YOGA AND AYURVEDA ON SELF-RATED SLEEP IN A GERIATRIC POPULATION. BACKGROUND AND OBJECTIVE: SLEEP IN OLDER PERSONS IS CHARACTERIZED BY DECREASED ABILITY TO STAY ASLEEP, RESULTING IN FRAGMENTED SLEEP AND REDUCED DAYTIME ALERTNESS. PHARMACOLOGICAL TREATMENT OF INSOMNIA IN OLDER PERSONS IS ASSOCIATED WITH HAZARDOUS SIDE EFFECTS. HENCE, THE PRESENT STUDY WAS DESIGNED TO COMPARE THE EFFECTS OF YOGA AND AYURVEDA ON THE SELF RATED SLEEP IN A GERIATRIC POPULATION. METHODS: OF THE 120 RESIDENTS FROM A HOME FOR THE AGED, 69 WERE STRATIFIED BASED ON AGE (FIVE YEAR INTERVALS) AND RANDOMLY ALLOCATED TO THREE GROUPS I.E., YOGA (PHYSICAL POSTURES, RELAXATION TECHNIQUES, VOLUNTARILY REGULATED BREATHING AND LECTURES ON YOGA PHILOSOPHY), AYURVEDA (A HERBAL PREPARATION), AND WAIT-LIST CONTROL (NO INTERVENTION). THE GROUPS WERE EVALUATED FOR SELF-ASSESSMENT OF SLEEP OVER A ONE WEEK PERIOD AT BASELINE, AND AFTER THREE AND SIX MONTHS OF THE RESPECTIVE INTERVENTIONS. RESULTS: THE YOGA GROUP SHOWED A SIGNIFICANT DECREASE IN THE TIME TAKEN TO FALL ASLEEP (APPROXIMATE GROUP AVERAGE DECREASE: 10 MIN, P<0.05), AN INCREASE IN THE TOTAL NUMBER OF HOURS SLEPT (APPROXIMATE GROUP AVERAGE INCREASE: 60 MIN, P< 0.05) AND IN THE FEELING OF BEING RESTED IN THE MORNING BASED ON A RATING SCALE (P<0.05) AFTER SIX MONTHS. THE OTHER GROUPS SHOWED NO SIGNIFICANT CHANGE. INTERPRETATION AND CONCLUSION: YOGA PRACTICE IMPROVED DIFFERENT ASPECTS OF SLEEP IN A GERIATRIC POPULATION.	2005	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
4 1078  29 EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH IN OLDER ADULTS. BACKGROUND: THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFECT OF A YOGA INTERVENTION ON PSYCHOLOGICAL HEALTH IN OLDER ADULTS. METHOD: A RANDOMIZED CONTROLLED TRIAL STUDY, CONDUCTED AT 2 NORTH FLORIDA FACILITIES FOR OLDER ADULTS. SUBJECTS WERE 98 OLDER ADULTS, AGES 65 TO 92. PARTICIPANTS WERE RANDOMLY ASSIGNED TO CHAIR YOGA, CHAIR EXERCISE, AND CONTROL GROUPS AND ASSESSED PREINTERVENTION, POSTINTERVENTION, AND 1-MONTH FOLLOW-UP ON THE STATE ANGER EXPRESSION INVENTORY, STATE ANXIETY INVENTORY, GERIATRIC DEPRESSION SCALE, LAWTON'S PGC MORALE SCALE, GENERAL SELF-EFFICACY SCALE, CHRONIC DISEASE SELF-EFFICACY SCALES, AND SELF- CONTROL SCHEDULE. RESULTS: YOGA PARTICIPANTS IMPROVED MORE THAN BOTH EXERCISE AND CONTROL PARTICIPANTS IN ANGER (COHEN'S D = 0.89 FOR YOGA VERSUS EXERCISE, AND 0.90 FOR YOGA VERSUS CONTROL, PRETEST TO POSTTEST; AND D = 0.90 AND 0.72, PRETEST TO FOLLOW-UP), ANXIETY (D = 0.27, 0.39 AND 0.62, 0.63), DEPRESSION (D = 0.47, 0.49 AND 0.53, 0.51), WELL-BEING (D = 0.14, 0.49 AND 0.25, 0.61), GENERAL SELF-EFFICACY (D = 0.63, 1.10 AND 0.30, 0.85), AND SELF-EFFICACY FOR DAILY LIVING (D = 0.52, 0.81 AND 0.27, 0.42). CHANGES IN SELF-CONTROL MODERATED CHANGES IN PSYCHOLOGICAL HEALTH. CONCLUSIONS: OVER A 6-WEEK PERIOD, OUR FINDINGS INDICATE YOGA'S POTENTIAL FOR IMPROVING PSYCHOLOGICAL HEALTH IN OLDER ADULTS.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
5 2875  29 YOGA-PLUS EXERCISE MIX PROMOTES COGNITIVE, AFFECTIVE, AND PHYSICAL FUNCTIONS IN ELDERLY PEOPLE. OBJECTIVES: INCREASED ATTENTION IS BEING PAID TO ASIAN MEDICINE IN BALANCED TOTAL HEALTH CARE. WE INVESTIGATED THE EFFECTS OF MIXED EXERCISE INCLUDING YOGA ('YOGA-PLUS') AMONG ELDERLY INDIVIDUALS. METHODS: A TOTAL OF 385 SUBJECTS (72 MALES AND 313 FEMALES, 75.5 +/- 8.7 YEARS OLD) PARTICIPATED IN A 12-MONTH (M) EXERCISE PROGRAM AT A HEALTH AND WELFARE CENTER, A DAY SERVICE CENTER, AND A NURSING HOME. COGNITIVE, AFFECTIVE, AND PHYSICAL FUNCTIONS, AND ACTIVITIES OF DAILY LIVING (ADL), WERE COMPARED AT BASELINE (0M), 6M AND 12M OF EXERCISE INTERVENTION. RESULTS: MEAN SCORES ON THE FRONTAL ASSESSMENT BATTERY, CLOCK DRAWING TEST, CUBE COPYING TEST, LETTER FLUENCY, AND CATEGORY FLUENCY SIGNIFICANTLY IMPROVED AFTER THE YOGA-PLUS INTERVENTION, WHILE MINI-MENTAL STATE EXAMINATION, HASEGAWA DEMENTIA SCORE-REVISED, AND TRAIL-MAKING TEST PERFORMANCE WERE RELATIVELY STABLE. AFFECTIVE SCORES ON THE GERIATRIC DEPRESSION SCALE (GDS), APATHY SCALE (AS) AND ABE'S BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS OF DEMENTIA WERE NOT SIGNIFICANTLY AFFECTED BY EXERCISE THERAPY, BUT SUBGROUPS WITH HIGHER BASELINE GDS (GDS >/= 5) AND AS (AS >/= 16) SCORES SHOWED A SIGNIFICANT IMPROVEMENT AFTER INTERVENTION. ONE-LEG STANDING TIME AND 3-M TIMED UP AND GO TEST PERFORMANCE SIGNIFICANTLY IMPROVED AFTER 12M INTERVENTION. DISCUSSION: YOGA-PLUS IMPROVED COGNITIVE, AFFECTIVE, ADL, AND PHYSICAL FUNCTIONS IN A LOCAL ELDERLY POPULATION, PARTICULARLY AMONG BELOW-BASELINE INDIVIDUALS, INDICATING THE BENEFITS OF DEMENTIA PREVENTION AMONG ELDERLY INDIVIDUALS.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
6 1975  38 SINGLE SESSION OF INTEGRATED "SILVER YOGA" PROGRAM IMPROVES CARDIOVASCULAR PARAMETERS IN SENIOR CITIZENS. AIM AND OBJECTIVE: THIS PILOT STUDY WAS CARRIED OUT TO DETERMINE CARDIOVASCULAR EFFECTS OF A SINGLE SESSION OF AN INTEGRATED "SILVER YOGA" PROGRAM IN SENIOR CITIZENS OF SERENE PELICAN TOWNSHIP, PONDICHERRY. MATERIALS AND METHODS: HEART RATE (HR) AND BLOOD PRESSURE (BP) MEASUREMENTS WERE RECORDED IN 124 SENIOR CITIZENS (75 FEMALE, 49 MALE) WITH MEAN AGE OF 67.19 +/- 10.61 YEAR WHO ATTENDED AN INTEGRATED "SILVER YOGA" PROGRAM AT CENTRE FOR YOGA THERAPY, EDUCATION AND RESEARCH FROM AUGUST TO OCTOBER 2014. PARTICIPANTS PRACTICED THE PROTOCOL THAT WAS SPECIALLY DESIGNED FOR SENIOR CITIZENS, KEEPING IN MIND THEIR HEALTH STATUS AND PHYSICAL LIMITATIONS. THIS INCLUDED SIMPLE WARM-UPS (JATHIS), BREATH BODY MOVEMENT COORDINATION PRACTICES (KRIYAS), STATIC STRETCHING POSTURES (ASANAS), BREATHING TECHNIQUES (PRANAYAMAS), RELAXATION AND SIMPLE CHANTING. NON-INVASIVE BP APPARATUS WAS USED TO RECORD THE HR, SYSTOLIC (SP) AND DIASTOLIC PRESSURE (DP) BEFORE AND AFTER THE 60 MIN SESSIONS. PULSE PRESSURE (PP), MEAN PRESSURE (MP), RATE-PRESSURE PRODUCT (RPP) AND DOUBLE PRODUCT (DOP) INDICES WERE DERIVED FROM THE RECORDED PARAMETERS. STUDENT'S PAIRED T-TEST WAS USED TO COMPARE DATA THAT PASSED NORMALITY TESTING BY KOLMOGOROV-SMIRNOV TEST AND WILCOXON MATCHED-PAIRS SIGNED-RANKS TEST FOR THOSE THAT DID NOT. P < 0.05 WERE ACCEPTED AS INDICATING SIGNIFICANT DIFFERENCES FOR PRE-POST COMPARISONS. RESULTS: ALL PARAMETERS WITNESSED A REDUCTION FOLLOWING THE SINGLE SESSION. THIS WAS STATISTICALLY MORE SIGNIFICANT (P < 0. 0001) IN HR, RPP AND DOP WHILE IT WAS ALSO SIGNIFICANT (P < 0.01 AND P < 0.05) IN SP AND PP, RESPECTIVELY. THE DECREASE IN MP JUST MISSED SIGNIFICANCE (P = 0.054) WHILE IT WAS NOT SIGNIFICANT IN DP. CONCLUSION: THERE IS A HEALTHY REDUCTION IN HR, BP AND DERIVED CARDIOVASCULAR INDICES FOLLOWING A SINGLE YOGA SESSION IN GERIATRIC SUBJECTS. THESE CHANGES MAY BE ATTRIBUTED TO ENHANCED HARMONY OF CARDIAC AUTONOMIC FUNCTION AS A RESULT OF COORDINATED BREATH-BODY WORK AND MIND-BODY RELAXATION DUE TO AN INTEGRATED "SILVER YOGA" PROGRAM.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
7 2134  30 THE EFFECTS OF A THERAPEUTIC YOGA PROGRAM ON POSTURAL CONTROL, MOBILITY, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS. OBJECTIVE: TO EXAMINE THE EFFECTS OF A 12-WEEK THERAPEUTIC YOGA PROGRAM ON GAIT SPEED, POSTURAL CONTROL, AND MOBILITY IN COMMUNITY-DWELLING OLDER ADULTS. DESIGN: QUASI-EXPERIMENTAL STUDY WITH A PRETEST/POST-TEST DESIGN. RESEARCHERS EVALUATED CHANGES OVER TIME (PRETEST TO POST-TEST) IN ALL OUTCOME MEASURES. PAIRED T-TESTS WERE USED TO ANALYZE NORMAL AND FAST GAIT SPEED, TIMED UP AND GO TEST, AND TIMED UP AND GO DUAL TASK. WILCOXON SIGNED-RANK TEST WAS USED TO EVALUATE SCORES FOR THE MINI-BESTEST (MBT). SETTING: YOGA CLASSES WERE PERFORMED AT A LOCAL SENIOR CENTER. BLIND EXAMINERS WHO WERE PREVIOUSLY TRAINED IN THE OUTCOME MEASURES PERFORMED ALL PRETESTS AND POST-TESTS AT THE SITE. PARTICIPANTS: THIRTEEN ADULTS (12 WOMEN AND 1 MAN, WITH A MEAN AGE+/-STANDARD DEVIATION OF 72+/-6.9 YEARS) COMPLETED THE STUDY. RESEARCH PARTICIPANTS HAD MINIMAL TO NO YOGA EXPERIENCE. INTERVENTIONS: A 12-WEEK, 60-MINUTE, BIWEEKLY KRIPALU YOGA CLASS DESIGNED SPECIFICALLY FOR COMMUNITY-DWELLING OLDER ADULTS. OUTCOME MEASURES: POSTURAL CONTROL (MBT), MOBILITY (TIMED UP AND GO TEST), AND GAIT SPEED (NORMAL AND FAST) WERE ASSESSED. RESULTS: ALL 13 PARTICIPANTS ATTENDED AT LEAST 19 OF THE 24 CLASSES (80% ATTENDANCE). STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE MBT (P=0.039), NORMAL GAIT SPEED (P=0.015), FAST GAIT SPEED (P=0.001), TIMED UP AND GO TEST (P=0.045), AND TIMED UP AND GO DUAL-TASK (P=0.05). CONCLUSIONS: IMPROVEMENTS IN POSTURAL CONTROL AND MOBILITY AS MEASURED BY THE MBT AND TIMED UP AND GO GAIT AS MEASURED BY FAST GAIT SPEED INDICATE THAT RESEARCH PARTICIPANTS BENEFITTED FROM THE THERAPEUTIC YOGA INTERVENTION. THE YOGA PROGRAM DESIGNED FOR THIS STUDY INCLUDED ACTIVITIES IN STANDING, SITTING, AND LYING ON THE FLOOR AND MAY BE EFFECTIVE IN IMPROVING MOBILITY, POSTURAL CONTROL, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
8  667  43 EFFECT OF A 12-WEEK YOGA THERAPY PROGRAM ON MENTAL HEALTH STATUS IN ELDERLY WOMEN INMATES OF A HOSPICE. AIM AND OBJECTIVES: THIS STUDY WAS UNDERTAKEN TO EVALUATE THE EFFECTIVENESS OF YOGA ON THE MENTAL HEALTH STATUS OF ELDERLY WOMEN INMATES RESIDING IN A HOSPICE IN PUDUCHERRY. MATERIALS AND METHODS: FORTY ELDERLY WOMEN WERE RANDOMLY DIVIDED INTO YOGA AND WAIT-LISTED CONTROL GROUP. A YOGA THERAPY PROGRAM OF 60 MIN WAS GIVEN TWICE A WEEK FOR 12 WEEKS. THIS PROTOCOL WAS SPECIALLY DESIGNED FOR SENIOR CITIZENS, KEEPING IN MIND THEIR HEALTH STATUS AND PHYSICAL LIMITATIONS THAT INCLUDED SIMPLE WARM-UP AND BREATH-BODY MOVEMENT COORDINATION PRACTICES (JATHIS AND KRIYAS), STATIC STRETCHING POSTURES (ASANAS), BREATHING TECHNIQUES (PRANAYAMAS), AND RELAXATION. HAMILTON ANXIETY SCALE FOR MEASURING ANXIETY, HAMILTON RATING SCALE FOR DEPRESSION, AND ROSENBERG SELF-ESTEEM SCALE TO MEASURE SELF-ESTEEM WERE ADMINISTERED TO BOTH GROUPS BEFORE AND AFTER THE 12-WEEK STUDY PERIOD. DATA WERE ASSESSED FOR NORMALITY, AND APPROPRIATE PARAMETRIC AND NONPARAMETRIC STATISTICAL METHODS WERE APPLIED FOR INTRA- AND INTER-GROUP COMPARISONS. RESULTS: OVERALL, INTRA- AND INTER-GROUP COMPARISON OF PREPOST DATA SHOWED STATISTICALLY SIGNIFICANT (P < 0.001) DIFFERENCES FOR ALL THREE PARAMETERS. THERE WAS AN OVERALL IMPROVEMENT IN THE SCORES INDICATING DECREASED LEVELS OF DEPRESSION AND ANXIETY COUPLED WITH AN INCREASE IN THE LEVEL OF SELF-ESTEEM AFTER THE YOGA THERAPY PROGRAM. DISCUSSION: THE INFLUENCE OF YOGA IN THE REDUCTION OF DEPRESSION AND ANXIETY SCORES AND IMPROVEMENT IN SELF-ESTEEM SCORES IN ELDERLY WOMEN SUBJECTS IS EVIDENT FROM THIS STUDY. AS REPORTED IN EARLIER STUDIES, THIS MAY BE ATTRIBUTED TO CHANGES IN CENTRAL NEUROTRANSMITTERS SUCH AS GAMMA-AMINOBUTYRIC-ACID COUPLED WITH INCREASED PARASYMPATHETIC TONE AND DECREASED SYMPATHO-ADRENAL ACTIVITY. CONCLUSION: IT IS RECOMMENDED THAT YOGA SHOULD BE A PART OF HEALTH-CARE FACILITIES FOR ELDERLY AS IT CAN ENHANCE THE QUALITY OF LIFE BY IMPROVING THEIR OVERALL MENTAL HEALTH STATUS. IT COULD PROVIDE A HEALTHY AND POSITIVE ALTERNATIVE FROM DEPRESSING NEGATIVE THOUGHTS, AND GIVE THEM A SENSE OF PURPOSE AND HOPE.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
9  176  30 A RANDOMIZED CONTROLLED TRIAL OF KUNDALINI YOGA IN MILD COGNITIVE IMPAIRMENT. BACKGROUND: GLOBAL POPULATION AGING WILL RESULT IN INCREASING RATES OF COGNITIVE DECLINE AND DEMENTIA. THUS, EFFECTIVE, LOW-COST, AND LOW SIDE-EFFECT INTERVENTIONS FOR THE TREATMENT AND PREVENTION OF COGNITIVE DECLINE ARE URGENTLY NEEDED. OUR STUDY IS THE FIRST TO INVESTIGATE THE EFFECTS OF KUNDALINI YOGA (KY) TRAINING ON MILD COGNITIVE IMPAIRMENT (MCI). METHODS: OLDER PARTICIPANTS (>/=55 YEARS OF AGE) WITH MCI WERE RANDOMIZED TO EITHER A 12-WEEK KY INTERVENTION OR MEMORY ENHANCEMENT TRAINING (MET; GOLD-STANDARD, ACTIVE CONTROL). COGNITIVE (I.E. MEMORY AND EXECUTIVE FUNCTIONING) AND MOOD (I.E. DEPRESSION, APATHY, AND RESILIENCE) ASSESSMENTS WERE ADMINISTERED AT BASELINE, 12 WEEKS AND 24 WEEKS. RESULTS: AT BASELINE, 81 PARTICIPANTS HAD NO SIGNIFICANT BASELINE GROUP DIFFERENCES IN CLINICAL OR DEMOGRAPHIC CHARACTERISTICS. AT 12 WEEKS AND 24 WEEKS, BOTH KY AND MET GROUPS SHOWED SIGNIFICANT IMPROVEMENT IN MEMORY; HOWEVER, ONLY KY SHOWED SIGNIFICANT IMPROVEMENT IN EXECUTIVE FUNCTIONING. ONLY THE KY GROUP SHOWED SIGNIFICANT IMPROVEMENT IN DEPRESSIVE SYMPTOMS AND RESILIENCE AT WEEK 12. CONCLUSION: KY GROUP SHOWED SHORT- AND LONG-TERM IMPROVEMENTS IN EXECUTIVE FUNCTIONING AS COMPARED TO MET, AND BROADER EFFECTS ON DEPRESSED MOOD AND RESILIENCE. THIS OBSERVATION SHOULD BE CONFIRMED IN FUTURE CLINICAL TRIALS OF YOGA INTERVENTION FOR TREATMENT AND PREVENTION OF COGNITIVE DECLINE (NCT01983930).	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
10 1864  25 RANDOMIZED CONTROLLED TRIAL OF YOGA FOR CHRONIC POSTSTROKE HEMIPARESIS: MOTOR FUNCTION, MENTAL HEALTH, AND QUALITY OF LIFE OUTCOMES. PURPOSE: TO ASSESS THE EFFICACY OF YOGA FOR MOTOR FUNCTION, MENTAL HEALTH, AND QUALITY OF LIFE OUTCOMES IN PERSONS WITH CHRONIC POSTSTROKE HEMIPARESIS. METHOD: TWENTY-TWO INDIVIDUALS PARTICIPATED IN A RANDOMIZED CONTROLLED TRIAL INVOLVING ASSESSMENT OF TASK-ORIENTATED FUNCTION, BALANCE, MOBILITY, DEPRESSION, ANXIETY, AND QUALITY OF LIFE DOMAINS BEFORE AND AFTER EITHER A 10-WEEK YOGA INTERVENTION (N = 11) OR NO TREATMENT (N = 11). RESULTS: THE YOGA INTERVENTION DID NOT RESULT IN ANY SIGNIFICANT IMPROVEMENTS IN OBJECTIVE MOTOR FUNCTION MEASURES, HOWEVER THERE WAS A SIGNIFICANT IMPROVEMENT IN QUALITY OF LIFE ASSOCIATED WITH PERCEIVED MOTOR FUNCTION (P = .0001) AND IMPROVEMENTS IN PERCEIVED RECOVERY APPROACHED SIGNIFICANCE (P = .072). MEMORY-RELATED QUALITY OF LIFE SCORES SIGNIFICANTLY IMPROVED AFTER YOGA INTERVENTION (P = .022), AND THOSE PARTICIPATING IN THE INTERVENTION EXHIBITED CLINICALLY RELEVANT DECREASES IN STATE AND TRAIT ANXIETY. CONCLUSIONS: PRELIMINARY RESULTS OFFER PROMISE FOR YOGA AS AN INTERVENTION TO ADDRESS MENTAL HEALTH AND QUALITY OF LIFE IN PERSONS WITH STROKE-RELATED ACTIVITY LIMITATIONS. THERE IS A NEED TO MORE RIGOROUSLY EVALUATE THESE YOGA BENEFITS WITH A LARGER RANDOMIZED CONTROLLED TRIAL, WHICH, BASED ON THIS PRELIMINARY TRIAL, IS FEASIBLE.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
11 2553  27 YOGA FOR CHILDREN AND ADOLESCENTS AFTER COMPLETING CANCER TREATMENT. SURVIVORS OF CHILDHOOD CANCER MAY EXPERIENCE PERSISTENT SYMPTOMS, INCLUDING FATIGUE, SLEEP DISTURBANCE, AND BALANCE IMPAIRMENT. YOGA IS A COMPLEMENTARY THERAPY THAT IMPROVES FATIGUE, SLEEP, AND QUALITY OF LIFE IN ADULT CANCER SURVIVORS. USING A ONE GROUP, REPEATED MEASURES DESIGN, WE EVALUATED THE FEASIBILITY OF A YOGA PROGRAM AND ASSESSED IF CANCER SURVIVOR PARTICIPANTS AGES 10 TO 17 YEARS (N = 13) HAD SIGNIFICANTLY LESS FATIGUE AND ANXIETY, AND BETTER BALANCE AND SLEEP, AFTER A 6-WEEK YOGA INTERVENTION COMPARED WITH A 6-WEEK PRE-INTERVENTION WAIT PERIOD. STUDY RECRUITMENT WAS CHALLENGING WITH A 32% ENROLLMENT RATE; YOGA ATTENDANCE WAS 90%. NONE OF THE SCORES FOR ANXIETY, FATIGUE, SLEEP, AND BALANCE HAD SIGNIFICANT CHANGES DURING THE WAIT PERIOD. AFTER THE 6-WEEK YOGA PROGRAM, CHILDREN (N = 7) HAD A SIGNIFICANT DECREASE IN ANXIETY SCORE (P = .04) WHILE ADOLESCENT SCORES (N = 7) SHOWED A DECREASING TREND (P = .10). SCORES FOR FATIGUE, SLEEP, AND BALANCE REMAINED STABLE POST-INTERVENTION. FATIGUE AND BALANCE SCORES WERE BELOW NORMS FOR HEALTH CHILDREN/ADOLESCENTS WHILE SLEEP AND ANXIETY SCORES WERE SIMILAR TO HEALTHY PEERS.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
12 2851  33 YOGA, PHYSICAL THERAPY, AND BACK PAIN EDUCATION FOR SLEEP QUALITY IN LOW-INCOME RACIALLY DIVERSE ADULTS WITH CHRONIC LOW BACK PAIN: A SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: POOR SLEEP IS COMMON AMONG ADULTS WITH CHRONIC LOW BACK PAIN (CLBP), BUT THE INFLUENCE OF CLBP TREATMENTS, SUCH AS YOGA AND PHYSICAL THERAPY (PT), ON SLEEP QUALITY IS UNDER STUDIED. OBJECTIVE: EVALUATE THE EFFECTIVENESS OF YOGA AND PT FOR IMPROVING SLEEP QUALITY IN ADULTS WITH CLBP. DESIGN: SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. SETTING: ACADEMIC SAFETY-NET HOSPITAL AND 7 AFFILIATED COMMUNITY HEALTH CENTERS. PARTICIPANTS: A TOTAL OF 320 ADULTS WITH CLBP. INTERVENTION: TWELVE WEEKLY YOGA CLASSES, 1-ON-1 PT SESSIONS, OR AN EDUCATIONAL BOOK. MAIN MEASURES: SLEEP QUALITY WAS MEASURED USING THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) GLOBAL SCORE (0-21) AT BASELINE, 12 WEEKS, AND 52 WEEKS. ADDITIONALLY, WE ALSO EVALUATED HOW THE PROPORTION OF PARTICIPANTS WHO ACHIEVED A CLINICALLY MEANINGFUL IMPROVEMENT IN SLEEP QUALITY (> 3-POINT REDUCTION IN PSQI) AT 12 WEEKS VARIED BY CHANGES IN PAIN AND PHYSICAL FUNCTION AT 6 WEEKS. KEY RESULTS: AMONG PARTICIPANTS (MEAN AGE = 46.0, 64% FEMALE, 82% NON-WHITE), NEARLY ALL (92%) REPORTED POOR SLEEP QUALITY (PSQI > 5) AT BASELINE. AT 12 WEEKS, MODEST IMPROVEMENTS IN SLEEP QUALITY WERE OBSERVED AMONG THE YOGA (PSQI MEAN DIFFERENCE [MD] = - 1.19, 95% CONFIDENCE INTERVAL [CI] - 1.82, - 0.55) AND PT (PSQI MD = - 0.91, 95% CI - 1.61, - 0.20) GROUPS. PARTICIPANTS WHO REPORTED A >/= 30% IMPROVEMENT IN PAIN OR PHYSICAL FUNCTION AT 6 WEEKS, COMPARED WITH THOSE WHO IMPROVED < 10%, WERE MORE LIKELY TO BE A SLEEP QUALITY RESPONDER AT 12 WEEKS (ODDS RATIO [OR] = 3.51, 95% CI 1.73, 7.11 AND OR = 2.16, 95% CI 1.18, 3.95, RESPECTIVELY). RESULTS WERE SIMILAR AT 52 WEEKS. CONCLUSION: IN A SAMPLE OF ADULTS WITH CLBP, VIRTUALLY ALL WITH POOR SLEEP QUALITY PRIOR TO INTERVENTION, MODEST BUT STATISTICALLY SIGNIFICANT IMPROVEMENTS IN SLEEP QUALITY WERE OBSERVED WITH BOTH YOGA AND PT. IRRESPECTIVE OF TREATMENT, CLINICALLY IMPORTANT SLEEP IMPROVEMENTS AT THE END OF THE INTERVENTION WERE ASSOCIATED WITH MID-INTERVENTION PAIN AND PHYSICAL FUNCTION IMPROVEMENTS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT01343927.	2020	
                                                                                                                                                                                                                                                                                                                                                                           
13  465  29 CHARACTERISTICS AND PREDICTORS OF SHORT-TERM OUTCOMES IN INDIVIDUALS SELF-SELECTING YOGA OR PHYSICAL THERAPY FOR TREATMENT OF CHRONIC LOW BACK PAIN. OBJECTIVE: TO COMPARE CLINICAL AND DEMOGRAPHIC CHARACTERISTICS OF INDIVIDUALS SELF-SELECTING YOGA OR PHYSICAL THERAPY (PT) FOR TREATMENT OF CHRONIC LOW BACK PAIN (CLBP) AND TO EXAMINE PREDICTORS OF SHORT-TERM PAIN AND FUNCTIONAL OUTCOMES. DESIGN: DESCRIPTIVE, LONGITUDINAL STUDY. SETTINGS: A HOSPITAL-BASED CLINIC THAT OFFERS MODIFIED INTEGRAL YOGA CLASSES FOR CLBP AND 2 OUTPATIENT PT CLINICS THAT OFFER EXERCISE-BASED PT. PARTICIPANTS: ADULTS (N=53) WITH CLBP>/=12 WEEKS: YOGA (N=27), PT (N=26). METHODS: YOGA PARTICIPANTS ATTENDED A 6-WEEK, ONCE WEEKLY, 2-HOUR YOGA CLASS. PT PARTICIPANTS UNDERWENT TWICE WEEKLY, 1-HOUR INDIVIDUALIZED PT. DATA WERE COLLECTED AT BASELINE AND AT 6 WEEKS. GROUPS WERE COMPARED BY USING CHI2 AND INDEPENDENT SAMPLES T-TESTS. HIERARCHICAL LINEAR REGRESSION WAS USED TO PREDICT TREATMENT OUTCOMES. MAIN OUTCOME MEASURES: DISABILITY (ROLAND MORRIS DISABILITY QUESTIONNAIRE), HEALTH STATUS (RAND SHORT FORM 36 HEALTH SURVEY 1.0), PAIN BOTHERSOMENESS (NUMERICAL RATING SCALE), BACK PAIN SELF-EFFICACY (BACK PAIN SELF-EFFICACY SCALE), AND TREATMENT SATISFACTION. RESULTS: AT BASELINE, YOGA PARTICIPANTS WERE SIGNIFICANTLY LESS DISABLED (P=.013), HAD HIGHER HEALTH STATUS (P=.023), GREATER PAIN SELF-EFFICACY (P=.012), AND LESS AVERAGE PAIN BOTHERSOMENESS (P=.001) COMPARED WITH PT PARTICIPANTS. AT 6 WEEKS, WHEN CONTROLLING FOR BASELINE GROUP DIFFERENCES, GREATER PAIN SELF-EFFICACY WAS THE STRONGEST PREDICTOR FOR REDUCED PAIN AND HIGHER FUNCTION FOR THE ENTIRE SAMPLE. A SIGNIFICANT GROUP INTERACTION BY BASELINE PAIN SELF-EFFICACY PREDICTED DISABILITY AT 6 WEEKS. PT PARTICIPANTS WITH LOW PAIN SELF-EFFICACY REPORTED SIGNIFICANTLY GREATER DISABILITY THAN THOSE WITH HIGH PAIN SELF-EFFICACY. YOGA PARTICIPANTS WITH LOW AND HIGH PAIN SELF-EFFICACY HAD SIMILAR DISABILITY OUTCOMES. CONCLUSION: THESE FINDINGS STRENGTHEN EVIDENCE THAT SELF-EFFICACY IS ASSOCIATED WITH CLBP OUTCOMES, ESPECIALLY IN INDIVIDUALS SELF-SELECTING PT. FURTHER RESEARCH TO EVALUATE OUTCOMES AFTER YOGA AND PT IN PARTICIPANTS WITH LOW PAIN SELF-EFFICACY IS NEEDED.	2010	
                                                                                                                                                                                                                                                                                                                                                                                                                                     
14  671  38 EFFECT OF A GENTLE IYENGAR YOGA PROGRAM ON GAIT IN THE ELDERLY: AN EXPLORATORY STUDY. OBJECTIVE: TO DETERMINE IF A TAILORED YOGA PROGRAM COULD IMPROVE AGE-RELATED CHANGES IN HIP EXTENSION, STRIDE LENGTH, AND ASSOCIATED INDICES OF GAIT FUNCTION IN HEALTHY ELDERS, CHANGES THAT HAVE BEEN LINKED TO INCREASED RISK FOR FALLS, DEPENDENCY, AND MORTALITY IN GERIATRIC POPULATIONS. DESIGN: SINGLE GROUP PRE-POST TEST EXPLORATORY STUDY. A 3-DIMENSIONAL QUANTITATIVE GAIT EVALUATION, INCLUDING KINEMATIC AND KINETIC MEASUREMENTS, WAS PERFORMED PRE- AND POSTINTERVENTION. CHANGES OVER TIME (BASELINE TO POSTINTERVENTION) IN PRIMARY AND SECONDARY OUTCOME VARIABLES WERE ASSESSED USING REPEATED-MEASURES ANALYSIS OF VARIANCE. SETTING: YOGA EXERCISES WERE PERFORMED IN AN ACADEMIC MEDICAL CENTER (GROUP CLASSES) AND IN THE SUBJECTS' HOMES (YOGA HOME-PRACTICE ASSIGNMENTS). PRE- AND POSTASSESSMENTS WERE PERFORMED IN A GAIT LABORATORY. PARTICIPANTS: TWENTY-THREE HEALTHY ADULTS (AGE RANGE, 62-83 Y) WHO WERE NAIVE TO YOGA WERE RECRUITED; 19 PARTICIPANTS COMPLETED THE PROGRAM. INTERVENTION: AN 8-WEEK IYENGAR HATHA YOGA PROGRAM SPECIFICALLY TAILORED TO ELDERLY PERSONS AND DESIGNED TO IMPROVE LOWER-BODY STRENGTH AND FLEXIBILITY. PARTICIPANTS ATTENDED TWO 90-MINUTE YOGA CLASSES PER WEEK, AND WERE ASKED TO COMPLETE AT LEAST 20 MINUTES OF DIRECTED HOME PRACTICE ON ALTERNATE DAYS. MAIN OUTCOME MEASURES: PEAK HIP EXTENSION, AVERAGE ANTERIOR PELVIC TILT, AND STRIDE LENGTH AT COMFORTABLE WALKING SPEED. RESULTS: PEAK HIP EXTENSION AND STRIDE LENGTH SIGNIFICANTLY INCREASED (F1,18=15.44, P<.001; F1,18=5.57, P=.03, RESPECTIVELY). WE ALSO OBSERVED A TREND TOWARD REDUCED AVERAGE PELVIC TILT (F1,18=4.10, P=.06); ADJUSTING FOR THE MODIFYING INFLUENCE OF FREQUENCY OF HOME YOGA PRACTICE STRENGTHENED THE SIGNIFICANCE OF THIS ASSOCIATION (ADJUSTED F1,17=14.30, P=.001). BOTH THE FREQUENCY AND DURATION OF YOGA HOME PRACTICE SHOWED A STRONG, LINEAR, DOSE-RESPONSE RELATIONSHIP TO CHANGES IN HIP EXTENSION AND AVERAGE PELVIC TILT. CONCLUSIONS: FINDINGS OF THIS EXPLORATORY STUDY SUGGEST THAT YOGA PRACTICE MAY IMPROVE HIP EXTENSION, INCREASE STRIDE LENGTH, AND DECREASE ANTERIOR PELVIC TILT IN HEALTHY ELDERS, AND THAT YOGA PROGRAMS TAILORED TO ELDERLY ADULTS MAY OFFER A COST-EFFECTIVE MEANS OF PREVENTING OR REDUCING AGE-RELATED CHANGES IN THESE INDICES OF GAIT FUNCTION.	2005	
                                                                                                                                                                                                                                                                                            
15  965  34 EFFECTS OF A YOGA PROGRAM ON POSTURAL CONTROL, MOBILITY, AND GAIT SPEED IN COMMUNITY-LIVING OLDER ADULTS: A PILOT STUDY. OBJECTIVES: TO EXAMINE THE IMPACT OF AN 8-WEEK THERAPEUTIC YOGA PROGRAM ON POSTURAL CONTROL, MOBILITY, RISING FROM THE FLOOR, AND GAIT SPEED IN COMMUNITY-LIVING OLDER ADULTS. DESIGN: PRETEST/POSTTEST DESIGN WITH AN EXPERIMENTAL GROUP AND AN AGE-MATCHED CONTROL GROUP. CHANGES OVER TIME (PRETEST TO POSTTEST) WERE EVALUATED IN ALL OUTCOME MEASURES USING PAIRED T TESTS. SETTING: THE YOGA CLASS WAS PERFORMED AT A LOCAL CONTINUING CARE RETIREMENT COMMUNITY. ALL TESTING WAS PERFORMED AT THE SITE. CONTROL-SUBJECT PRETESTS AND POSTTESTS WERE PERFORMED AT A SECOND CONTINUING CARE RETIREMENT COMMUNITY. PARTICIPANTS: EIGHT RESEARCH PARTICIPANTS, ALL WOMEN, WITH A MEAN AGE OF 84 (4.6) YEARS, 8 CONTROL PARTICIPANTS, 5 WOMEN AND 3 MEN, AGED 81.3 (4.9) YEARS. RESEARCH PARTICIPANTS WERE NAIVE TO YOGA. INTERVENTIONS: AN 8-WEEK, 80-MINUTE, BIWEEKLY KRIPALU YOGA CLASS DESIGNED SPECIFICALLY FOR COMMUNITY-DWELLING OLDER ADULTS. MAIN OUTCOME MEASURES: POSTURAL CONTROL (BERG BALANCE SCALE), MOBILITY (TIME TO RISE FROM THE FLOOR TO STANDING, TIMED UP AND GO), GAIT (USUAL AND FAST GAIT SPEED), AND BALANCE CONFIDENCE (ACTIVITIES-SPECIFIC BALANCE SCALE). RESULTS: ALL SUBJECTS ATTENDED AT LEAST 10 OF THE 16 CLASSES (62% ATTENDANCE). POSTTEST DIFFERENCES WERE FOUND FOR YOGA PARTICIPANTS IN BALANCE SCORES (P < .003) AND FAST WALKING SPEED (P < .031). NO OTHER SIGNIFICANT CHANGES WERE NOTED. CONCLUSIONS: IMPROVEMENTS IN POSTURAL CONTROL AS MEASURED BY THE BERG BALANCE SCALE AND GAIT AS MEASURED BY FAST GAIT SPEED INDICATE THAT RESEARCH SUBJECTS BENEFITED FROM THE YOGA INTERVENTION. THE YOGA PROGRAM DESIGNED FOR THIS STUDY INCLUDED THE ACTIVITIES OF STANDING, SITTING, AND LYING ON THE FLOOR. THEREFORE, SUBJECTS PERFORM ACTIVITIES DURING YOGA THAT CAN IMPROVE POSTURAL CONTROL, MOBILITY, AND GAIT SPEED.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
16 1072  40 EFFECTS OF YOGA ON OXIDATIVE STRESS, MOTOR FUNCTION, AND NON-MOTOR SYMPTOMS IN PARKINSON'S DISEASE: A PILOT RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO EXAMINE THE FEASIBILITY, ACCEPTABILITY, AND PRELIMINARY EFFECTS OF HATHA YOGA ON OXIDATIVE STRESS, MOTOR FUNCTION, AND NON-MOTOR SYMPTOMS AMONG INDIVIDUALS WITH PARKINSON'S DISEASE (PD). METHODS: THE STUDY HAS A PILOT RANDOMIZED CONTROLLED TRIAL DESIGN WITH TWO ARMS: AN IMMEDIATE TREATMENT GROUP AND A WAIT-LIST CONTROL GROUP. THE YOGA-FOR-PD PROGRAM WAS IMPLEMENTED VIA TWICE WEEKLY 60-MIN GROUP-BASED CLASSES FOR 12 WEEKS. PARTICIPANTS WERE ASSESSED AT BASELINE, 12 WEEKS, AND 6 MONTHS POST-INTERVENTION. OUTCOME MEASURES INCLUDED OXIDATIVE STRESS, MOTOR FUNCTION, PHYSICAL ACTIVITY, COGNITIVE FUNCTION, SLEEP QUALITY, AND QUALITY OF LIFE. DATA ON PROGRAM ACCEPTABILITY AND YOGA ADHERENCE WERE COLLECTED DURING THE INTERVENTION AND AT 6 MONTHS POST-INTERVENTION. RESULTS: PARTICIPANTS (N = 20) HAD A MEAN AGE OF 63 YEARS (SD 8, RANGE 49-75) AND DISEASE DURATION 4.8 YEARS (SD 2.9, RANGE 1-13). ALL PARTICIPANTS HAD MILD-MODERATE DISEASE SEVERITY; 18 (90%) WERE ON DOPAMINERGIC MEDICATIONS. SEVENTEEN PARTICIPANTS (85%) ATTENDED AT LEAST 75% OF THE CLASSES AND 4 (20%) ATTENDED ALL CLASSES. MOST PARTICIPANTS (N = 17) REPORTED THEY "DEFINITELY ENJOYED" THE INTERVENTION PROGRAM. NO ADVERSE EVENTS WERE REPORTED. AT 12 WEEKS, THERE WERE NO MAJOR DIFFERENCES IN BLOOD OXIDATIVE STRESS MARKERS BETWEEN THE TWO GROUPS. MOTOR FUNCTION BASED ON THE UNIFIED PARKINSON'S DISEASE RATING SCALE WAS BETTER IN THE TREATMENT GROUP, BUT THEIR SCORES ON SLEEP AND OUTLOOK IN PARKINSON'S DISEASE QUALITY OF LIFE (PDQUALIF) SCALE AND THE PHYSICAL ACTIVITY LEVELS BASED ON THE LONGITUDINAL AGING STUDY AMSTERDAM PHYSICAL ACTIVITY QUESTIONNAIRE WERE WORSE THAN THOSE OF THE CONTROL GROUP. IN WITHIN-GROUP COMPARISONS, MOTOR FUNCTION, COGNITIVE FUNCTION, AND CATALASE IMPROVED BUT THREE PDQUALIF DOMAINS (SOCIAL AND ROLE FUNCTION, SLEEP, AND OUTLOOK) AND PHYSICAL ACTIVITY LEVEL WORSENED BY THE END OF THE YOGA INTERVENTION PROGRAM COMPARED TO BASELINE. THE RESPONSE RATE FOR THE 6-MONTH FOLLOW-UP SURVEY WAS 74% (N = 14) WITH SIX PARTICIPANTS (43%) WHO SIGNED UP FOR A YOGA CLASS AND FOUR (29%) WHO PRACTICED IT INDEPENDENTLY. HEALTH PROBLEMS WERE THE MAIN BARRIER TO YOGA PRACTICE. CONCLUSION: YOGA IS FEASIBLE AND ACCEPTABLE AND MAY SERVE AS A COMPLEMENTARY METHOD FOR IMPROVING MOTOR FUNCTION IN PD. FURTHER RESEARCH USING A LARGER SAMPLE SIZE IS NEEDED TO DETERMINE ITS IMPACT ON OXIDATIVE STRESS AND NON-MOTOR SYMPTOMS. TRIAL REGISTRATION: CLINICALTRIALS.GOV REGISTRATION NUMBER: NCT02509610031.	2018	

17  550  32 CONTROLLED PILOT STUDY OF THE EFFECTS OF POWER YOGA IN PARKINSON'S DISEASE. OBJECTIVES: TO EVALUATE THE EFFECTS OF A SPECIALLY DESIGNED POWER YOGA PROGRAM (YOGA) ON BRADYKINESIA, RIGIDITY, MUSCULAR PERFORMANCE AND QUALITY OF LIFE IN OLDER PATIENTS WITH PD. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: UNIVERSITY LABORATORY, US. INTERVENTION: TWENTY-SIX PATIENTS WITH MILD TO MODERATE PD WERE RANDOMLY ASSIGNED TO A YOGA OR CONTROL GROUP (CON). THE YOGA PROGRAM WAS THREE MONTHS, INCORPORATING TWO SESSIONS/WK OF YOGA CLASSES. MAIN OUTCOME MEASURES: UPPER AND LOWER LIMB BRADYKINESIA AND RIGIDITY SCORES FROM THE UNIFIED PARKINSON'S DISEASE RATING SCALE, ONE REPETITION MAXIMUMS (1RM) AND PEAK POWERS ON BICEPS CURL, CHEST PRESS, LEG PRESS, HIP ABDUCTION AND SEATED CALF, AND QUALITY OF LIFE (PDQ-39). RESULTS: THE YOGA GROUP PRODUCED SIGNIFICANT IMPROVEMENT IN BOTH UPPER AND LOWER LIMBS BRADYKINESIA SCORES, RIGIDITY SCORE, 1RM FOR ALL 5 MACHINES AND LEG PRESS POWER (P<.05). SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE PDQ-39 OVERALL SCORE, MOBILITY AND ACTIVITIES OF DAILY LIVING DOMAIN FOR THE YOGA GROUP. CONCLUSION: THE 3-MONTH YOGA PROGRAM SIGNIFICANTLY REDUCED BRADYKINESIA AND RIGIDITY, AND INCREASED MUSCLE STRENGTH AND POWER IN OLDER PATIENTS WITH PD. POWER TRAINING IS AN EFFECTIVE TRAINING MODALITY TO IMPROVE PHYSICAL FUNCTION AND QUALITY OF LIFE FOR PD.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
18 1982  38 SLEEP QUALITY, DEPRESSION STATE, AND HEALTH STATUS OF OLDER ADULTS AFTER SILVER YOGA EXERCISES: CLUSTER RANDOMIZED TRIAL. BACKGROUND: SLEEP DISTURBANCES, DEPRESSION, AND LOW PERCEPTION OF HEALTH STATUS ARE COMMONLY SEEN IN ELDERLY POPULATION; HOWEVER, CLINICIANS TEND TO UNDERESTIMATE OR OVERLOOK THE PRESENCE OF THESE SYMPTOMS AND ASSUME THEM TO BE A PART OF NORMAL AGING. NON-PHARMACOLOGICAL METHODS THAT PROMOTE A MIND-BODY INTERACTION SHOULD BE TESTED TO ENHANCE THE MENTAL HEALTH OF OLDER ADULTS. OBJECTIVE: TO TEST THE EFFECTS OF 6 MONTHS OF SILVER YOGA EXERCISES IN PROMOTING THE MENTAL HEALTH OF OLDER ADULTS IN SENIOR ACTIVITY CENTERS, ESPECIALLY THEIR SLEEP QUALITY, DEPRESSION, AND SELF-PERCEPTION OF HEALTH STATUS. DESIGN: CLUSTER RANDOMIZED TRIAL. SETTINGS: EIGHT SENIOR ACTIVITY CENTERS, SOUTHERN TAIWAN. PARTICIPANTS: A SAMPLE OF 139 PARTICIPANTS WAS RECRUITED, AND 128 OF THEM COMPLETED THE STUDY. INCLUSION CRITERIA: (1) COMMUNITY-DWELLING OLDER ADULTS AGES 60 AND OVER, (2) NO PREVIOUS TRAINING IN YOGA, (3) ABLE TO WALK WITHOUT ASSISTANCE, (4) COGNITIVELY ALERT BASED ON THE SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE (SPMSQ) SCORE OF EIGHT OR HIGHER, AND (5) INDEPENDENT OR MILDLY DEPENDENT IN SELF-CARE BASED ON A BARTHEL INDEX (BI) SCORE OF 91 OR HIGHER. THE MEAN AGE OF THE PARTICIPANTS WAS 69.20 +/- 6.23 YEARS, AND THE AVERAGE NUMBER OF CHRONIC ILLNESS WAS 0.83 +/- 0.90. THE AVERAGE BI SCORE OF THE PARTICIPANTS WAS 99.92 +/- 0.62, AND THE MEAN SPMSQ SCORE WAS 9.90 +/- 0.30. METHODS: PARTICIPANTS WERE RANDOMLY ASSIGNED INTO EITHER THE EXPERIMENTAL (N=62) OR THE CONTROL (N=66) GROUP BASED ON ATTENDANCE AT SELECTED SENIOR ACTIVITY CENTERS. A 70-MIN SILVER YOGA EXERCISE PROGRAM WAS IMPLEMENTED THREE TIMES PER WEEK FOR 6 MONTHS AS THE INTERVENTION FOR THE PARTICIPANTS IN THE EXPERIMENTAL GROUP. RESULTS: MOST OF THE MENTAL HEALTH INDICATORS OF THE PARTICIPANTS IN THE EXPERIMENTAL GROUP HAD SIGNIFICANTLY IMPROVED AFTER THE SILVER YOGA INTERVENTIONS, AND MANY OF THE INDICATORS IMPROVED AFTER 3 MONTHS OF INTERVENTION AND WERE MAINTAINED THROUGHOUT THE 6 MONTHS STUDY. THE MENTAL HEALTH INDICATORS OF THE PARTICIPANTS IN THE EXPERIMENTAL GROUP WERE ALL BETTER THAN THE PARTICIPANTS IN THE CONTROL GROUP (ALL P<.05). CONCLUSIONS: AFTER 6 MONTHS OF SILVER YOGA EXERCISES, THE SLEEP QUALITY, DEPRESSION, AND HEALTH STATUS OF OLDER ADULTS WERE ALL IMPROVED.	2009	
                                                                                                                                                                                                                                                            
19 1863  34 RANDOMIZED CONTROLLED TRIAL OF YOGA AND EXERCISE IN MULTIPLE SCLEROSIS. OBJECTIVE: TO DETERMINE THE EFFECT OF YOGA AND OF AEROBIC EXERCISE ON COGNITIVE FUNCTION, FATIGUE, MOOD, AND QUALITY OF LIFE IN MULTIPLE SCLEROSIS (MS). METHODS: SUBJECTS WITH CLINICALLY DEFINITE MS AND EXPANDED DISABILITY STATUS SCORE LESS THAN OR EQUAL TO 6.0 WERE RANDOMLY ASSIGNED TO ONE OF THREE GROUPS LASTING 6 MONTHS: WEEKLY IYENGAR YOGA CLASS ALONG WITH HOME PRACTICE, WEEKLY EXERCISE CLASS USING A STATIONARY BICYCLE ALONG WITH HOME EXERCISE, OR A WAITING-LIST CONTROL GROUP. OUTCOME ASSESSMENTS PERFORMED AT BASELINE AND AT THE END OF THE 6-MONTH PERIOD INCLUDED A BATTERY OF COGNITIVE MEASURES FOCUSED ON ATTENTION, PHYSIOLOGIC MEASURES OF ALERTNESS, PROFILE OF MOOD STATES, STATE-TRAIT ANXIETY INVENTORY, MULTI-DIMENSIONAL FATIGUE INVENTORY (MFI), AND SHORT FORM (SF)-36 HEALTH-RELATED QUALITY OF LIFE. RESULTS: SIXTY-NINE SUBJECTS WERE RECRUITED AND RANDOMIZED. TWELVE SUBJECTS DID NOT FINISH THE 6-MONTH INTERVENTION. THERE WERE NO ADVERSE EVENTS RELATED TO THE INTERVENTION. THERE WERE NO EFFECTS FROM EITHER OF THE ACTIVE INTERVENTIONS ON EITHER OF THE PRIMARY OUTCOME MEASURES OF ATTENTION OR ALERTNESS. BOTH ACTIVE INTERVENTIONS PRODUCED IMPROVEMENT IN SECONDARY MEASURES OF FATIGUE COMPARED TO THE CONTROL GROUP: ENERGY AND FATIGUE (VITALITY) ON THE SF-36 AND GENERAL FATIGUE ON THE MFI. THERE WERE NO CLEAR CHANGES IN MOOD RELATED TO YOGA OR EXERCISE. CONCLUSION: SUBJECTS WITH MS PARTICIPATING IN EITHER A 6-MONTH YOGA CLASS OR EXERCISE CLASS SHOWED SIGNIFICANT IMPROVEMENT IN MEASURES OF FATIGUE COMPARED TO A WAITING-LIST CONTROL GROUP. THERE WAS NO RELATIVE IMPROVEMENT OF COGNITIVE FUNCTION IN EITHER OF THE INTERVENTION GROUPS.	2004	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
20 1527  34 IYENGAR YOGA FOR DISTRESSED WOMEN: A 3-ARMED RANDOMIZED CONTROLLED TRIAL. DISTRESS IS AN INCREASING PUBLIC HEALTH PROBLEM. WE AIMED TO INVESTIGATE THE EFFECTS OF AN IYENGAR YOGA PROGRAM ON PERCEIVED STRESS AND PSYCHOLOGICAL OUTCOMES IN DISTRESSED WOMEN AND EVALUATED A POTENTIAL DOSE-EFFECT RELATIONSHIP. SEVENTY-TWO FEMALE DISTRESSED SUBJECTS WERE INCLUDED INTO A 3-ARMED RANDOMIZED CONTROLLED TRIAL AND ALLOCATED TO YOGA GROUP 1 (N = 24) WITH TWELVE 90 MIN SESSIONS OVER 3 MONTHS, YOGA GROUP 2 (N = 24) WITH 24 SESSIONS OVER 3 MONTHS, OR A WAITING LIST CONTROL GROUP (N = 24). THE PRIMARY OUTCOME WAS STRESS PERCEPTION, MEASURED BY COHEN STRESS SCALE; SECONDARY OUTCOMES INCLUDED STATE TRAIT ANXIETY, DEPRESSION, PSYCHOLOGICAL AND PHYSICAL QUALITY OF LIFE (QOL), PROFILE OF MOOD STATES, WELL BEING, AND BODILY COMPLAINTS. AFTER THREE MONTHS, WOMEN IN THE YOGA GROUPS SHOWED SIGNIFICANT IMPROVEMENTS IN PERCEIVED STRESS (P = 0.003), STATE TRAIT ANXIETY (P = 0.021 AND P = 0.003), DEPRESSION (P = 0.008), PSYCHOLOGICAL QOL (P = 0.012), MOOD STATES BEING (P = 0.007), AND BODILY COMPLAINTS WELL(P = 0.012) WHEN COMPARED TO CONTROLS. BOTH YOGA PROGRAMS WERE SIMILARLY EFFECTIVE FOR THESE OUTCOMES; HOWEVER, COMPLIANCE WAS BETTER IN THE GROUP WITH FEWER SESSIONS (YOGA GROUP 1). DOSE EFFECTS WERE SEEN ONLY IN THE ANALYSIS OF GROUP-INDEPENDENT EFFECTS FOR BACK PAIN, ANXIETY, AND DEPRESSION. THESE FINDINGS SUGGEST THAT IYENGAR YOGA EFFECTIVELY REDUCES DISTRESS AND IMPROVES RELATED PSYCHOLOGICAL AND PHYSICAL OUTCOMES. FURTHERMORE, ATTENDING TWICE-WEEKLY YOGA CLASSES WAS NOT SUPERIOR TO ONCE-WEEKLY CLASSES, AS A RESULT OF LIMITED COMPLIANCE IN THE TWICE-WEEKLY GROUP.	2012