1 779 154 EFFECT OF YOGA AS ADD-ON THERAPY IN MIGRAINE (CONTAIN): A RANDOMIZED CLINICAL TRIAL. OBJECTIVE: TO EVALUATE THE EFFECTIVENESS OF YOGA AS AN ADJUVANT TO CONVENTIONAL MEDICAL MANAGEMENT ON CLINICAL OUTCOMES IN PATIENTS WITH MIGRAINE. METHODS: CONTAIN WAS A PROSPECTIVE, RANDOMIZED, OPEN-LABEL SUPERIORITY TRIAL WITH BLINDED ENDPOINT ASSESSMENT CARRIED OUT AT A SINGLE TERTIARY CARE ACADEMIC HOSPITAL IN NEW DELHI, INDIA. PATIENTS ENROLLED WERE AGED 18-50 YEARS WITH A DIAGNOSIS OF EPISODIC MIGRAINE AND WERE RANDOMIZED INTO MEDICAL AND YOGA GROUPS (1:1). RANDOMIZATION WAS COMPUTER-GENERATED WITH A VARIABLE BLOCK SIZE AND CONCEALED. A PREDESIGNED YOGA INTERVENTION WAS GIVEN FOR 3 MONTHS. OUTCOMES WERE RECORDED BY A BLINDED ASSESSOR. THE PRIMARY ENDPOINT WAS A DECREASE IN HEADACHE FREQUENCY, HEADACHE INTENSITY, AND HEADACHE IMPACT TEST (HIT)-6 SCORE. SECONDARY OUTCOMES INCLUDED CHANGE IN MIGRAINE DISABILITY ASSESSMENT (MIDAS) SCORE, PILL COUNT, AND PROPORTION OF HEADACHE FREE PATIENTS. RESULTS: BETWEEN APRIL 2017 AND AUGUST 2018, 160 PATIENTS WITH EPISODIC MIGRAINE WERE RANDOMLY ASSIGNED TO MEDICAL AND YOGA GROUPS. A TOTAL OF 114 PATIENTS COMPLETED THE TRIAL. BASELINE MEASURES WERE COMPARABLE EXCEPT FOR A HIGHER MEAN HEADACHE FREQUENCY IN THE YOGA GROUP. COMPARED TO MEDICAL THERAPY, THE YOGA GROUP SHOWED A SIGNIFICANT MEAN DELTA VALUE REDUCTION IN HEADACHE FREQUENCY (DELTA DIFFERENCE 3.53 [95% CONFIDENCE INTERVAL 2.52-4.54]; P < 0.0001), HEADACHE INTENSITY (1.31 [0.60-2.01]; P = 0.0004), HIT SCORE (8.0 [4.78-11.22]; P < 0.0001), MIDAS SCORE (7.85 [4.98-10.97]; P < 0.0001), AND PILL COUNT (2.28 [1.06-3.51]; P < 0.0003). CONCLUSION: YOGA AS AN ADD-ON THERAPY IN MIGRAINE IS SUPERIOR TO MEDICAL THERAPY ALONE. IT MAY BE USEFUL TO INTEGRATE A COST-EFFECTIVE AND SAFE INTERVENTION LIKE YOGA INTO THE MANAGEMENT OF MIGRAINE. CLINICALTRIALSGOV IDENTIFIER: CTRI/2017/03/008041. CLASSIFICATION OF EVIDENCE: THIS STUDY PROVIDES CLASS III EVIDENCE THAT FOR PATIENTS WITH EPISODIC MIGRAINE, YOGA AS ADJUVANT TO MEDICAL THERAPY IMPROVES HEADACHE FREQUENCY, INTENSITY, IMPACT, AND DISABILITY. 2020 2 496 32 COMBINATION OF AYURVEDA AND YOGA THERAPY REDUCES PAIN INTENSITY AND IMPROVES QUALITY OF LIFE IN PATIENTS WITH MIGRAINE HEADACHE. OBJECTIVES: TO UNDERSTAND THE EFFICACY OF AYURVEDA AND YOGA IN THE MANAGEMENT OF MIGRAINE HEADACHE. METHODS: 30 SUBJECTS RECRUITED TO AYURVEDA AND YOGA (AY) GROUP UNDERWENT TRADITIONAL PANCHAKARMA (BIO-PURIFICATORY PROCESS) USING THERAPEUTIC PURGATION FOLLOWED BY YOGA THERAPY, WHILE 30 SUBJECTS OF CONTROL (CT) GROUP CONTINUED ON SYMPTOMATIC TREATMENT (NSAID'S) FOR 90 DAYS. BODY CONSTITUTION QUESTIONNAIRE WAS ADMINISTERED TO BOTH GROUPS. THE OUTCOME MEASURES INCLUDED SYMPTOM CHECK LIST, COMPREHENSIVE HEADACHE RELATED QUALITY OF LIFE QUESTIONNAIRE AND VISUAL ANALOGUE SCALE. RESULTS: FORTY-SIX (76.6%) OUT OF 60 SUBJECTS BELONGING TO BOTH GROUPS HAD PITTA BASED BODY CONSTITUTION. FOLLOWING 90 DAYS OF INTERVENTION THE AY GROUP SHOWED SIGNIFICANT REDUCTION IN MIGRAINE SYMPTOMS INCLUDING PAIN INTENSITY (P<.001) AND IMPROVEMENT IN HEADACHE RELATED QUALITY OF LIFE (P<.001). THE CT GROUP SHOWED NO SIGNIFICANT CHANGE (P>.05). CONCLUSION: TRADITIONAL AYURVEDA ALONG WITH YOGA THERAPY REDUCES SYMPTOMS, INTENSITY OF PAIN AND IMPROVES QUALITY OF LIFE IN MIGRAINE PATIENTS. 2018 3 453 39 CHANGES IN MIDAS, PERCEIVED STRESS, FRONTALIS MUSCLE ACTIVITY AND NON-STEROIDAL ANTI-INFLAMMATORY DRUGS USAGE IN PATIENTS WITH MIGRAINE HEADACHE WITHOUT AURA FOLLOWING AYURVEDA AND YOGA COMPARED TO CONTROLS: AN OPEN LABELED NON-RANDOMIZED STUDY. BACKGROUND: THERE HAS BEEN A SIGNIFICANT INCREASE IN THE USE OF COMPLEMENTARY AND INTEGRATIVE MEDICINE TO PROVIDE LONG-TERM HEALING SOLUTIONS IN MIGRAINE HEADACHE PATIENTS. KNOWING THE LIMITATIONS OF CONVENTIONAL MEDICAL APPROACH, THE PRESENT STUDY EVALUATED THE INFLUENCE OF TWO INDIAN TRADITIONAL SYSTEMS OF MEDICINE ON MIGRAINE-RELATED DISABILITY, AUTONOMIC VARIABLES, PERCEIVED STRESS, AND MUSCLE ACTIVITY IN PATIENTS WITH MIGRAINE HEADACHE WITHOUT AURA. METHODS: THIRTY SUBJECTS RECRUITED TO THE AYURVEDA AND YOGA (AY) GROUP UNDERWENT TRADITIONAL PANCHAKARMA (BIO-PURIFICATION) USING THERAPEUTIC PURGATION FOLLOWED BY YOGA THERAPY, WHILE 30 SUBJECTS OF CONTROL (CT) GROUP CONTINUED ON SYMPTOMATIC TREATMENT (NON-STEROIDAL ANTI-INFLAMMATORY DRUGS [NSAID'S]) FOR 90 DAYS. MIGRAINE DISABILITY ASSESSMENT SCORE, PERCEIVED STRESS, HEART RATE VARIABILITY (HRV), AND SURFACE ELECTROMYOGRAPHY (EMG) OF FRONTALIS MUSCLE WERE MEASURED ON DAY 1, DAY 30, AND DAY 90 IN BOTH GROUPS. RESULTS: SIGNIFICANT REDUCTION IN MIGRAINE DISABILITY AND PERCEIVED STRESS SCORES WERE OBSERVED IN THE AY GROUP. THE LOW-FREQUENCY COMPONENT OF THE HRV DECREASED SIGNIFICANTLY, THE HIGH-FREQUENCY COMPONENT INCREASED AND THEIR RATIO SHOWED IMPROVED SYMPATHOVAGAL BALANCE. THE EMG SHOWED DECREASED ACTIVITY OF THE FRONTALIS MUSCLE IN THE AY GROUP COMPARED TO THE CONTROL GROUP. CONCLUSION: THE INTEGRATIVE APPROACH COMBINING AYURVEDA AND YOGA THERAPY REDUCES MIGRAINE-RELATED DISABILITY, PERCEIVED STRESS, SYMPATHETIC AROUSAL, AND MUSCLE TENSION. 2018 4 932 32 EFFECTIVENESS OF YOGA THERAPY FOR MIGRAINE: A META-ANALYSIS OF RANDOMIZED CONTROLLED STUDIES. INTRODUCTION: THE EFFICACY OF YOGA THERAPY FOR MIGRAINE REMAINS CONTROVERSIAL. WE CONDUCT THIS META-ANALYSIS TO EXPLORE THE INFLUENCE OF YOGA THERAPY ON THE TREATMENT EFFICACY OF MIGRAINE. METHODS: WE HAVE SEARCHED PUBMED, EMBASE, WEB OF SCIENCE, EBSCO AND COCHRANE LIBRARY DATABASES THROUGH FEBRUARY 2021, AND INCLUDED RANDOMIZED CONTROLLED TRIALS (RCTS) ASSESSING THE EFFICACY OF YOGA THERAPY FOR MIGRAINE ATTACK. RESULTS: FIVE RCTS INVOLVING 356 PATIENTS WERE INCLUDED IN THE META-ANALYSIS. OVERALL, COMPARED WITH CONTROL GROUP FOR MIGRAINE, YOGA THERAPY WAS ASSOCIATED WITH SUBSTANTIALLY REDUCED HEADACHE FREQUENCY HEADACHE FREQUENCY (SMD = -1.43; 95% CI = -2.23 TO -0.64; P = 0.0004) AND HIT-6 SCORE (SMD = -2.19; 95% CI = -4.09 TO -0.28; P = 0.02), BUT REVEALED NO OBVIOUS INFLUENCE ON PAIN INTENSITY (SMD = -1.37; 95% CI = -2.76 TO 0.01; P = 0.05) OR MCGILL PAIN QUESTIONNAIRE (SMD = -2.09; 95% CI = -6.39 TO 2.22; P = 0.34). CONCLUSIONS: YOGA THERAPY MAY BENEFIT TO REDUCE THE HEADACHE FREQUENCY OF MIGRAINE PATIENTS. 2022 5 740 36 EFFECT OF RAJYOGA MEDITATION ON CHRONIC TENSION HEADACHE. CHRONIC TENSION-TYPE HEADACHE (CTTH) IS THE MOST COMMON TYPE OF HEADACHE WITH NO TRULY EFFECTIVE TREATMENT. THIS STUDY WAS DESIGNED TO CORRELATE THE ADDITIVE EFFECT OF MEDITATION ON CTTH PATIENTS RECEIVING MEDICAL TREATMENT. 50 PATIENTS (AGED 18-58 YEARS) PRESENTING WITH A CLINICAL DIAGNOSIS OF CCTH, WERE DIVIDED IN 2 GROUPS. GROUP 1 (N=30) RECEIVED 8 LESSONS AND PRACTICAL DEMONSTRATION OF BRAHMAKUMARIS SPIRITUAL BASED MEDITATION KNOWN AS RAJYOGA MEDITATION FOR RELAXATION THERAPY, IN ADDITION TO ROUTINE MEDICAL TREATMENT (ANALGESICS AND MUSCLE RELAXANTS). GROUP 2 (N=20) PATIENTS RECEIVED ANALGESICS AND MUSCLE RELAXANTS TWICE A DAY BUT NO RELAXATION THERAPY IN THE FORM OF MEDITATION. BOTH GROUPS WERE FOLLOWED UP FOR 8 WEEKS PERIOD. THE PARAMETERS STUDIED WERE SEVERITY, FREQUENCY AND DURATION OF CCTH, AND THEIR HEADACHE INDEX CALCULATED. PATIENTS IN BOTH GROUPS SHOWED A HIGHLY SIGNIFICANT REDUCTION IN HEADACHE VARIABLES (P<0.001) AFTER 8 WEEKS. BUT THE PERCENTAGE OF PATIENTS SHOWING HIGHLY SIGNIFICANT RELIEF IN SEVERITY OF HEADACHE, DURATION & FREQUENCY IN GROUP 1 WAS 94%, 91% AND 97% RESPECTIVELY WHEREAS IN GROUP 2 IT WAS 36%, 36% AND 49% RESPECTIVELY. HEADACHE RELIEF AS CALCULATED BY HEADACHE INDEX WAS 99% IN GROUP 1 AS COMPARED TO 51% IN GROUP 2. EVEN SHORT TERM SPIRITUAL BASED RELAXATION THERAPY (RAJYOGA MEDITATION) WAS HIGHLY EFFECTIVE IN CAUSING EARLIER RELIEF IN CHRONIC TENSION HEADACHE AS MEASURED BY HEADACHE PARAMETER. 2014 6 933 46 EFFECTIVENESS OF YOGA THERAPY IN THE TREATMENT OF MIGRAINE WITHOUT AURA: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: NUMEROUS STUDIES HAVE EXPLORED THE EFFECTIVENESS OF COMPLEMENTARY AND ALTERNATIVE MEDICINE IN THE TREATMENT OF MIGRAINE BUT THERE IS NO DOCUMENTED INVESTIGATION OF THE EFFECTIVENESS OF YOGA THERAPY FOR MIGRAINE MANAGEMENT. OBJECTIVES: TO INVESTIGATE THE EFFECTIVENESS OF HOLISTIC APPROACH OF YOGA THERAPY FOR MIGRAINE TREATMENT COMPARED TO SELF-CARE. DESIGN: A RANDOMIZED CONTROLLED TRIAL. METHODS: SEVENTY-TWO PATIENTS WITH MIGRAINE WITHOUT AURA WERE RANDOMLY ASSIGNED TO YOGA THERAPY OR SELF-CARE GROUP FOR 3 MONTHS. PRIMARY OUTCOMES WERE HEADACHE FREQUENCY (HEADACHE DIARY), SEVERITY OF MIGRAINE (0-10 NUMERICAL SCALE) AND PAIN COMPONENT (MCGILL PAIN QUESTIONNAIRE). SECONDARY OUTCOMES WERE ANXIETY AND DEPRESSION (HOSPITAL ANXIETY DEPRESSION SCALE), MEDICATION SCORE. RESULTS: AFTER ADJUSTMENT FOR BASELINE VALUES, THE SUBJECTS' COMPLAINTS RELATED TO HEADACHE INTENSITY (P < .001), FREQUENCY (P < .001), PAIN RATING INDEX (P < .001), AFFECTIVE PAIN RATING INDEX (P < .001), TOTAL PAIN RATING INDEX (P < .001), ANXIETY AND DEPRESSION SCORES (P < .001), SYMPTOMATIC MEDICATION USE (P < .001) WERE SIGNIFICANTLY LOWER IN THE YOGA GROUP COMPARED TO THE SELF-CARE GROUP. CONCLUSION: THE STUDY DEMONSTRATED A SIGNIFICANT REDUCTION IN MIGRAINE HEADACHE FREQUENCY AND ASSOCIATED CLINICAL FEATURES, IN PATIENTS TREATED WITH YOGA OVER A PERIOD OF 3 MONTHS. FURTHER STUDY OF THIS THERAPEUTIC INTERVENTION APPEARS TO BE WARRANTED. 2007 7 2633 42 YOGA FOR TREATING HEADACHES: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: HEADACHE DISORDERS ARE CURRENTLY THE SIXTH LEADING CAUSE OF DISABILITY ACROSS THE GLOBE AND THEREFORE CARRY A SIGNIFICANT DISEASE BURDEN. THIS SYSTEMATIC REVIEW AND META-ANALYSIS AIMS TO INVESTIGATE THE EFFECTS OF YOGA ON HEADACHE DISORDERS. METHODS: MEDLINE/PUBMED, SCOPUS, THE COCHRANE LIBRARY, AND PSYCINFO WERE SCREENED THROUGH MAY 2019. RANDOMIZED CONTROLLED TRIALS (RCTS) WERE INCLUDED WHEN THEY ASSESSED THE EFFECTS OF YOGA IN PATIENTS WITH A DIAGNOSIS OF CHRONIC OR EPISODIC HEADACHE (TENSION-TYPE HEADACHE AND/OR MIGRAINE). USUAL CARE (NO SPECIFIC TREATMENT) OR ANY ACTIVE TREATMENTS WERE ACCEPTABLE AS CONTROL INTERVENTIONS. PRIMARY OUTCOME MEASURES WERE HEADACHE FREQUENCY, HEADACHE DURATION, AND PAIN INTENSITY. FOR EACH OUTCOME, STANDARDIZED MEAN DIFFERENCES (SMD) AND 95% CONFIDENCE INTERVALS (CI) WERE CALCULATED. RESULTS: META-ANALYSIS REVEALED A STATISTICALLY SIGNIFICANT OVERALL EFFECT IN FAVOR OF YOGA FOR HEADACHE FREQUENCY (5 RCTS; STANDARDIZED MEAN DIFFERENCE (SMD) = - 1.97; 95% CONFIDENCE INTERVAL (CI) - 2.75 TO - 1.20; I(2) = 63.0%, TAU(2) = 0.25, P = 0.03), HEADACHE DURATION (4 RCTS; SMD = - 1.45; 95% CI - 2.54 TO - 0.37; I(2) = 69.0%, TAU(2) = 0.33, P = 0.02), AND PAIN INTENSITY (5 RCTS; SMD = - 3.43; 95% CI - 6.08 TO - 0.70, I(2) = 95.0%, TAU(2) = 4.25, P < 0.01). THE SIGNIFICANT OVERALL EFFECT WAS MAINLY DUE TO PATIENTS WITH TENSION-TYPE HEADACHES. FOR PATIENTS WITH MIGRAINE, NO STATISTICALLY SIGNIFICANT EFFECT WAS OBSERVED. DISCUSSION: DESPITE DISCUSSED LIMITATIONS, THIS REVIEW FOUND PRELIMINARY EVIDENCE OF SHORT-TERM EFFICACY OF YOGA IN IMPROVING HEADACHE FREQUENCY, HEADACHE DURATION, AND PAIN INTENSITY IN PATIENTS SUFFERING FROM TENSION-TYPE HEADACHES. FURTHER STUDIES ARE URGENTLY NEEDED TO DRAW DEEPER CONCLUSIONS FROM THE AVAILABLE RESULTS. 2020 8 2702 40 YOGA INTERVENTION ON BLOOD NO IN FEMALE MIGRAINEURS. BACKGROUND: THE CURRENT SURVEY INVESTIGATES THE EFFECT OF 12 WEEKS YOGA TRAINING ON HEADACHE FREQUENCY, SEVERITY, DURATION AND BLOOD NITRIC OXIDE LEVELS AS WELL AS HEADACHE IMPACTS ON FEMALE MIGRAINEURS' LIVES. MATERIALS AND METHODS: THIRTY-TWO FEMALE PATIENTS WITH MIGRAINE TOOK PART AND WERE RANDOMLY DIVIDED INTO TWO GROUPS. THE CONTROL GROUP (N = 14) RECEIVED MEDICATION AND THE YOGA GROUP (N = 18) PARTICIPATED IN 12 WEEKS YOGA TRAINING IN ADDITION TO RECEIVING THE SAME MEDICATION AS THAT OF THE CONTROL GROUP. FREQUENCY AND DURATION OF HEADACHE WERE ASSESSED BY A QUESTIONNAIRE. VISUAL ANALOGUE SCALE WAS USED TO MEASURE THE SEVERITY OF HEADACHE, AND THE METABOLITE OF NO ALSO WAS MEASURED BY GRIESS REACTION. HEADACHE IMPACT TEST (HIT-6) WAS ALSO USED TO ASSESS THE IMPACT OF HEADACHE ON PATIENTS' LIVES. DATA WERE ANALYZED BY T-TEST MEAN VARIANCE. RESULTS: AFTER 3 MONTHS INTERVENTION, IN THE YOGA GROUP, THERE WAS A SIGNIFICANT REDUCTION IN THE IMPACT OF HEADACHE ON PATIENTS' LIVES, HEADACHE FREQUENCY, AND SEVERITY AND A NON-SIGNIFICANT REDUCTION IN HEADACHE DURATION IN THE YOGA GROUP. THERE WAS NO SIGNIFICANT DIFFERENCE IN THE PLASMA LEVELS OF NO BETWEEN YOGA AND CONTROL GROUPS BEFORE AND AFTER THE STUDY. CONCLUSION: BASED ON THE RESULTS, YOGA COULD BE RECOMMENDED AS A COMPLEMENTARY METHOD TO MIGRAINE PATIENTS. 2015 9 831 53 EFFECT OF YOGA ON MIGRAINE: A COMPREHENSIVE STUDY USING CLINICAL PROFILE AND CARDIAC AUTONOMIC FUNCTIONS. CONTEXT AND AIMS: MIGRAINE IS AN EPISODIC DISABLING HEADACHE REQUIRING LONG-TERM MANAGEMENT. MIGRAINE MANAGEMENT THROUGH YOGA THERAPY WOULD REDUCE THE MEDICATION COST WITH POSITIVE HEALTH BENEFITS. YOGA HAS SHOWN TO IMPROVE THE QUALITY OF LIFE, REDUCE THE EPISODE OF HEADACHE AND MEDICATION. THE AIM OF THE PRESENT STUDY WAS TO EVALUATE THE EFFICACY OF YOGA AS AN ADJUVANT THERAPY IN MIGRAINE PATIENTS BY ASSESSING CLINICAL OUTCOME AND AUTONOMIC FUNCTIONS TESTS. SUBJECTS AND METHODS: MIGRAINE PATIENTS WERE RANDOMLY GIVEN EITHER CONVENTIONAL CARE (N = 30) OR YOGA WITH CONVENTIONAL CARE (N = 30). YOGA GROUP RECEIVED YOGA PRACTICE SESSION FOR 5 DAYS A WEEK FOR 6 WEEKS ALONG WITH CONVENTIONAL CARE. CLINICAL ASSESSMENT (FREQUENCY, INTENSITY OF HEADACHE AND HEADACHE IMPACT) AND AUTONOMIC FUNCTION TEST WERE DONE AT BASELINE AND AT THE END OF THE INTERVENTION. RESULTS: YOGA WITH CONVENTIONAL CARE AND CONVENTION CARE GROUPS SHOWED SIGNIFICANT IMPROVEMENT IN CLINICAL VARIABLES, BUT IT WAS BETTER WITH YOGA THERAPY. IMPROVEMENT IN THE VAGAL TONE ALONG WITH REDUCED SYMPATHETIC ACTIVITY WAS OBSERVED IN PATIENTS WITH MIGRAINE RECEIVING YOGA AS ADJUVANT THERAPY. CONCLUSIONS: INTERVENTION SHOWED SIGNIFICANT CLINICAL IMPROVEMENT IN BOTH GROUPS. HEADACHE FREQUENCY AND INTENSITY WERE REDUCED MORE IN YOGA WITH CONVENTIONAL CARE THAN THE CONVENTIONAL CARE GROUP ALONE. FURTHERMORE, YOGA THERAPY ENHANCED THE VAGAL TONE AND DECREASED THE SYMPATHETIC DRIVE, HENCE IMPROVING THE CARDIAC AUTONOMIC BALANCE. THUS, YOGA THERAPY CAN BE EFFECTIVELY INCORPORATED AS AN ADJUVANT THERAPY IN MIGRAINE PATIENTS. 2014 10 2003 57 STUDY OF ADDITIVE EFFECT OF YOGA AND PHYSICAL THERAPIES TO STANDARD PHARMACOLOGIC TREATMENT IN MIGRAINE. OBJECTIVE WE AIMED TO EVALUATE AND COMPARE THE EFFECTIVENESS OF PHYSICAL AND YOGA THERAPIES AS AN ADJUVANT THERAPY ALONG WITH STANDARD PHARMACOLOGIC TREATMENT IN PATIENTS WITH MIGRAINE. MATERIALS AND METHODS A TOTAL OF 61 CONSENTING PATIENTS DIAGNOSED TO HAVE MIGRAINE WERE RANDOMIZED INTO THREE GROUPS TO RECEIVE EITHER STANDARD TREATMENT ALONE, PHYSICAL THERAPY ALONG WITH STANDARD TREATMENT, OR YOGA THERAPY ALONG WITH STANDARD TREATMENT. THE RESPECTIVE ADJUVANT INTERVENTION WAS TAUGHT TO THE RESPECTIVE GROUP OF PATIENTS AND THEY WERE ADVISED TO PERFORM IT DAILY FOR 3 MONTHS WITH WEEKLY TELEPHONIC REMINDERS AND REVIEW OF THEIR ACTIVITY LOGS. OUTCOME MEASURES ASSESSED WERE HEADACHE FREQUENCY, SHORT-FORM MCGILL PAIN QUESTIONNAIRE (SF-MPQ), AND HEADACHE IMPACT TEST-6 (HIT-6) AT RECRUITMENT AND ONCE EVERY MONTH FOR 3 MONTHS. STATISTICAL ANALYSIS STATISTICAL ANALYSIS OF THE STUDY WAS DONE BY USING STATA 14.1 SOFTWARE. ALL THE DESCRIPTIVE STATISTICS, PAIRED T -TEST WAS USED TO COMPARE THE DIFFERENCE BETWEEN PRE AND POSTINTERVENTION VALUES OF HEADACHE FREQUENCY, SF-MPQ, AND HIT-6 SCORE WITHIN ALL THE THREE GROUPS. ANALYSIS OF VARIANCE TEST AND POST HOC TEST WERE USED TO COMPARE THE DIFFERENCES BETWEEN ALL GROUPS FOR OUTCOME MEASURES ( P < 0.05). RESULTS HEADACHE FREQUENCY AND THE VISUAL ANALOG SCALE BEFORE INTERVENTION COMPARED DURING EACH MONTH INTERVALS FOR 3 MONTHS IN ALL THE THREE GROUPS WERE SIGNIFICANTLY DECREASED IN ALL THE THREE GROUPS ( P < 0.005). YOGA OR PHYSICAL THERAPY AS AN ADJUVANT TO STANDARD TREATMENT LEADS TO A HIGHER REDUCTION IN HEADACHE FREQUENCY AND SEVERITY. SENSORY AND AFFECTIVE PAIN RATINGS OF SF-MPQ AND HIT-6 ALSO SHOWED A SIGNIFICANT IMPROVEMENT AT 1 TO 3 MONTHS OF TREATMENT COMPARED WITH BASELINE IN ALL THE THREE GROUPS. CONCLUSION EITHER PHYSICAL OR YOGA THERAPY AS AN ADJUVANT TO STANDARD PHARMACOLOGIC TREATMENT MAY FURTHER IMPROVE THE QUALITY OF LIFE AND REDUCE HEADACHE FREQUENCY IN PATIENTS WITH MIGRAINE. 2021 11 1916 26 ROLE OF TEMPORALIS MUSCLE OVER ACTIVITY IN CHRONIC TENSION TYPE HEADACHE: EFFECT OF YOGA BASED MANAGEMENT. THE ROLE OF CENTRAL VERSUS PERIPHERAL MECHANISMS HAS ALWAYS BEEN QUESTIONED WHILE EXPLAINING THE ETIOPATHOGENESIS OF CHRONIC TENSION TYPE HEADACHE (CTTH). THE FOLLOWING STUDY WAS DONE TO STUDY THE ROLE OF MUSCLE SPASM IN CTTH. 15 PATIENTS OF CTTH AND 7 AGE MATCHED CONTROLS WERE INCLUDED IN THE STUDY AND THEIR M. TEMPORALIS EMG WAS RECORDED FOR ONE MINUTE EACH DURING REST, MENTAL ACTIVITY AND MAXIMAL VOLUNTARY CONTRACTION AND SUBJECTIVE PAIN SCORING WAS DONE BY VISUAL ANALOGUE SCALE. THE RESULTS REVEALED SIGNIFICANT OVERACTIVITY OF M.TEMPORALIS IN CTTH PATIENTS AT REST WHEN COMPARED WITH CONTROL SUBJECTS (P = 0.01 AND 0.03 LEFT AND RIGHT SIDE RESPECTIVELY). AFTER RESPECTIVE INTERVENTIONS NAMELY NON STEROIDAL ANTI INFLAMMATORY DRUGS, BOTULINUM TOXIN INJECTIONS AND YOGIC LIFE STYLE COURSE, THE EMG RECORDS REVEALED DECREASE IN THE MEAN EMG AMPLITUDE OF M. TEMPORALIS DURING REST AND MENTAL ACTIVITY MORE SIGNIFICANTLY AFTER YOGA BASED INTERVENTIONS (P = 0.03) AND SUBJECTIVE PAIN SCORES DECREASED FROM 7.00 +/- 2.10 TO 2.00 +/- 1.26 (P = 0.02) SUPPORTING THE BENEFICIAL EFFECT OF SUCH NON INVASIVE TECHNIQUES. 2007 12 1922 31 ROLE OF YOGA AS AN ADJUNCT IN THE MANAGEMENT OF MIGRAINE HEADACHE-CURRENT STATUS AND FUTURE INDICATIONS. MIGRAINE HEADACHE IS A PAINFUL, DISABLING CONDITION AFFLICTING 7% OF THE POPULATION. THE LONG-TERM EFFORT OF COPING WITH A CHRONIC HEADACHE DISORDER PREDISPOSES THE INDIVIDUAL TO OTHER PSYCHIATRIC ILLNESSES, ISCHEMIC CEREBROVASCULAR DISEASE AS WELL AS MEDICINE OVERUSE HEADACHE. THE USE OF NONPHARMACOLOGICAL METHODS TO REDUCE THE STRESS AND PAIN ASSOCIATED WITH HEADACHE CAN IMPROVE THE OVERALL QUALITY OF LIFE AND REDUCE THE BURDEN OF THE DISEASE. TO EXAMINE THE UTILITY OF YOGA AS AN ADJUNCT TO PHARMACOLOGICAL TREATMENT OF MIGRAINE HEADACHE. THE REVIEW ARTICLE IS BASED ON THE SECONDARY LITERATURE COLLECTED THROUGH THE GOOGLE SCHOLAR DATABASE BETWEEN THE YEARS 2010 AND 2020. SEVERAL THEMES WERE IDENTIFIED REGARDING THE BURDEN OF MIGRAINE/HEADACHE AND THE NEED FOR THE INTEGRATION OF YOGA INTO THE EXISTING HEALTHCARE SYSTEM. DESPITE THE LIMITATIONS AND THE NEED FOR GREATER SCIENTIFIC RIGOR, THERE HAVE BEEN CONSISTENT REPORTS OF THE BENEFICIAL EFFECTS OF YOGA IN THE REDUCTION OF STRESS, ANXIETY, DEPRESSION, AND AN ENHANCED QUALITY OF LIFE, AS WELL AS BETTER PAIN MANAGEMENT IN CHRONIC DISEASES. STUDIES ON THE ROLE OF YOGA IN THE TREATMENT OF MIGRAINE HAVE BEEN FEW IN NUMBER. THEY HAVE CONSISTENTLY SHOWN THAT YOGA CAN BE A VALUABLE ADJUNCT TO THE EXISTING PHARMACOLOGICAL INTERVENTIONS IN THE MANAGEMENT OF MIGRAINE HEADACHE. IN RECENT YEARS, THE INDIAN GOVERNMENT HAS MADE ENORMOUS STRIDES IN ESTABLISHING YOGA OUTREACH PROGRAMS THROUGHOUT THE COUNTRY. THE NEED OF THE HOUR IS TO INTEGRATE EVIDENCE-BASED YOGA WITH THE WELLNESS CENTERS AND NONCOMMUNICABLE DISEASES TREATMENT PLAN. IT CAN HELP TO REDUCE THE BURDEN ON THE EXISTING HEALTH CARE RESOURCES. 2022 13 2697 26 YOGA INTERVENTION AND FUNCTIONAL PAIN SYNDROMES: A SELECTIVE REVIEW. THE DEFINITION OF FUNCTIONAL PAIN SYNDROMES IS VARIED ACROSS LITERATURE. NO EFFORT HAS BEEN MADE TO SEE ALL FUNCTIONAL PAIN DISORDER GROUPS UNDER BROAD NOMENCLATURE WHICH WOULD EXCLUDE CONDITIONS FOR WHICH PATHOPHYSIOLOGY IS STRONGLY KNOWN. SINCE THESE DISORDERS ARE COMMONLY TREATED WITH ALTERNATIVE TREATMENT MODALITIES AND IMPOSE SIGNIFICANT BURDEN ON HEALTH UTILIZATION, AN EFFORT TO LOOK INTO STUDIES ON YOGA-BASED INTERVENTIONS ON 'FUNCTIONAL PAIN SYNDROMES' (FPS) WAS MADE. THIS STUDY DEFINED FPS AS 'CHRONIC RELAPSING REMITTING PAIN CONDITIONS, THE ORIGIN OF WHICH IS DIFFICULT TO TRACE WITH NO DEFINITE PHYSICAL PATHOLOGY ON CLINICAL SUSPICION OR AVAILABLE LABORATORY MEASURES AND ARE VALID BASED ON SUBJECTIVE PAIN REPORTING, ASSOCIATED DISTRESS AND SOCIO-OCCUPATIONAL DYSFUNCTION'. CHRONIC HEADACHE, NECK PAIN, BACK PAIN, FIBROMYALGIA, PELVIC PAIN, IRRITABLE BOWEL SYNDROME, CHRONIC FATIGUE SYNDROME, AND SOMATOFORM PAIN DISORDERS WERE INCLUDED FOR THIS REVIEW. THE REVIEW FOUND FOUR META-ANALYSES ON THE SELECTED TOPIC BOTH INDICATING MODEST EFFICACY AND BENEFIT OF YOGA IN THESE DISORDERS. FUTURE EFFORTS SHOULD BE DIRECTED TO DO A LARGE META-ANALYSIS OF FUNCTIONAL PAIN SYNDROMES. 2016 14 271 42 ADD-ON EFFECT OF HOT SAND FOMENTATION TO YOGA ON PAIN, DISABILITY, AND QUALITY OF LIFE IN CHRONIC NECK PAIN PATIENTS. BACKGROUND: NECK PAIN IS ONE OF THE COMMONEST COMPLAINTS AND AN IMPORTANT PUBLIC HEALTH PROBLEM ACROSS THE GLOBE. YOGA HAS REPORTED TO BE USEFUL FOR NECK PAIN AND HOT SAND HAS REPORTED TO BE USEFUL FOR CHRONIC RHEUMATISM. THE PRESENT STUDY WAS CONDUCTED TO EVALUATE THE ADD-ON EFFECT OF HOT SAND FOMENTATION (HSF) TO YOGA ON PAIN, DISABILITY, QUALITY OF SLEEP (QOS) AND QUALITY OF LIFE (QOL) OF THE PATIENTS WITH NON-SPECIFIC NECK PAIN. MATERIALS AND METHODS: A TOTAL OF 60 SUBJECTS WITH NON-SPECIFIC OR COMMON NECK PAIN WERE RECRUITED AND RANDOMLY DIVIDED INTO EITHER STUDY GROUP OR CONTROL GROUP. BOTH THE GROUPS HAVE RECEIVED YOGA AND SESAME SEED OIL (SESAMUM INDICUM L.) APPLICATION. IN ADDITION TO YOGA AND SESAME SEED OIL, STUDY GROUP RECEIVED HSF FOR 15 MIN PER DAY FOR 5-DAYS. ASSESSMENTS WERE TAKEN PRIOR TO AND AFTER THE INTERVENTION. RESULTS: RESULTS OF THE STUDY SHOWED A SIGNIFICANT REDUCTION IN THE SCORES OF VISUAL ANALOGUE SCALE FOR PAIN, NECK DISABILITY INDEX (NDI), THE PITTSBURGH SLEEP QUALITY INDEX (PSQI), AND A SIGNIFICANT INCREASE IN PHYSICAL FUNCTION, PHYSICAL HEALTH, EMOTIONAL PROBLEM, PAIN, AND GENERAL HEALTH BOTH IN STUDY AND CONTROL GROUPS. HOWEVER, REDUCTIONS IN PAIN AND NDI ALONG WITH IMPROVEMENT IN SOCIAL FUNCTIONS WERE BETTER IN THE STUDY GROUP AS COMPARED WITH CONTROL GROUP. CONCLUSION: RESULTS OF THIS STUDY SUGGEST THAT ADDITION OF HSF TO YOGA PROVIDES A BETTER REDUCTION IN PAIN AND DISABILITY ALONG WITH IMPROVEMENT IN THE SOCIAL FUNCTIONING OF THE PATIENTS WITH NON-SPECIFIC NECK PAIN THAN YOGA ALONE. 2018 15 2679 42 YOGA IN SCHOOL SPORT - A NON-RANDOMIZED CONTROLLED PILOT STUDY IN GERMANY. OBJECTIVES: DISTRESS IS AN INCREASING PUBLIC HEALTH PROBLEM FOR ADOLESCENTS AND YOUNG ADULTS. WE AIMED TO EVALUATE POTENTIAL EFFECTS OF A 10-WEEK 90-MINUTE ONCE-A-WEEK YOGA COURSE. METHODS: A NON-RANDOMIZED CONTROLLED STUDY WITH A SCHOOL SPORT CONTROL GROUP WAS IMPLEMENTED IN TWO GERMAN SECONDARY SCHOOLS. PRIMARY OUTCOME WAS STRESS ON THE PERCEIVED STRESS SCALE FROM BASELINE TO WEEK 10. SECONDARY OUTCOMES INCLUDED DEPRESSION/ANXIETY, ATTENTION, QUALITY OF LIFE, MOOD, VISUAL ANALOGUE SCALES (FOR PAIN, HEADACHE, NECK TENSION, EXHAUSTION, SLEEP), AND YOGA-EFFICACY. PARAMETERS WERE ASSESSED AT PRE-BASELINE (BEFORE HOLIDAYS), BASELINE (AFTER 3-WEEK HOLIDAYS, BEFORE INTERVENTIONS STARTED), WEEK 10, AND AT A 6-MONTHS FOLLOW-UP. AN INTENTION-TO-TREAT ANALYSIS USING ANCOVA WAS PERFORMED. RESULTS: 92 PARTICIPANTS (67 % FEMALE; 19.6+/-2.2 YEARS) WERE INCLUDED INTO THE STUDY. NO SIGNIFICANT DIFFERENCES WERE OBSERVED BETWEEN THE GROUPS WITH REGARD TO PSS, AT EITHER 10 WEEKS (DELTA=-1.4; 95 % CI: -3.6;0.8; P=0.22) OR 6 MONTHS (DELTA=2; 95 % CI: -0.2;4.2, P=0.08). ONLY VAS HEADACHE IN FAVOUR OF YOGA AND HADS-D IN FAVOUR OF SCHOOL SPORT SHOWED SIGNIFICANT GROUP DIFFERENCES AT THE 6-MONTHS FOLLOW-UP. SIGNIFICANT INTRA-GROUP MEAN CHANGES FOR THE PRIMARY OUTCOME AND SEVERAL SECONDARY OUTCOMES WERE FOUND IN THE YOGA GROUP. CONCLUSIONS: YOUNG ADULTS IN GERMAN SECONDARY SCHOOL SETTINGS MIGHT BENEFIT FROM YOGA, AS THE FOUND EFFECTS WERE MORE PROMINENT IN THE YOGA GROUP. HOWEVER, THE EFFECTS MIGHT BE ATTRIBUTED TO NON-SPECIFIC EFFECTS DUE TO THE CHOSEN STUDY DESIGN. FURTHER STUDIES ARE NEEDED, WHICH INCLUDE HIGH-QUALITY STUDY DESIGNS INCLUDING RANDOMIZATION, LONGER-TERM FOLLOW-UPS AND LARGER SAMPLE SIZES. 2020 16 1870 43 RANDOMIZED-CONTROLLED TRIAL COMPARING YOGA AND HOME-BASED EXERCISE FOR CHRONIC NECK PAIN. OBJECTIVES: CHRONIC NECK PAIN IS A SIGNIFICANT PUBLIC HEALTH PROBLEM WITH ONLY VERY FEW EVIDENCE-BASED TREATMENT OPTIONS. THERE IS GROWING EVIDENCE FOR THE EFFECTIVENESS OF YOGA FOR RELIEVING MUSCULOSKELETAL DISORDERS. THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECT OF IYENGAR YOGA COMPARED WITH EXERCISE ON CHRONIC NONSPECIFIC NECK PAIN. METHODS: PATIENTS WERE RANDOMLY ASSIGNED TO EITHER YOGA OR EXERCISE. THE YOGA GROUP ATTENDED A 9-WEEK YOGA COURSE AND THE EXERCISE GROUP RECEIVED A SELF-CARE MANUAL ON HOME-BASED EXERCISES FOR NECK PAIN RELIEF. THE MAIN OUTCOME MEASURE WAS THE PRESENT NECK PAIN INTENSITY (100 MM VISUAL ANALOG SCALE). SECONDARY OUTCOME MEASURES INCLUDED FUNCTIONAL DISABILITY (NECK DISABILITY INDEX), PAIN AT MOTION (VISUAL ANALOG SCALE), HEALTH-RELATED QUALITY OF LIFE (SHORT FORM-36 QUESTIONNAIRE), CERVICAL RANGE OF MOTION, PROPRIOCEPTIVE ACUITY, AND PRESSURE PAIN THRESHOLD. RESULTS: FIFTY-ONE PATIENTS (MEAN AGE 47.8 Y ; 82.4% FEMALE) WERE RANDOMIZED TO YOGA (N=25) AND EXERCISE (N=26) INTERVENTION. AFTER THE STUDY PERIOD, PATIENTS IN THE YOGA GROUP REPORTED SIGNIFICANTLY LESS NECK PAIN INTENSITY COMPARED WITH THE EXERCISE GROUP [MEAN DIFFERENCE: -13.9 MM (95% CI, -26.4 TO -1.4), P=0.03]. THE YOGA GROUP REPORTED LESS DISABILITY AND BETTER MENTAL QUALITY OF LIFE. RANGE OF MOTION AND PROPRIOCEPTIVE ACUITY WERE IMPROVED AND THE PRESSURE PAIN THRESHOLD WAS ELEVATED IN THE YOGA GROUP. DISCUSSION: YOGA WAS MORE EFFECTIVE IN RELIEVING CHRONIC NONSPECIFIC NECK PAIN THAN A HOME-BASED EXERCISE PROGRAM. YOGA REDUCED NECK PAIN INTENSITY AND DISABILITY AND IMPROVED HEALTH-RELATED QUALITY OF LIFE. MOREOVER, YOGA SEEMS TO INFLUENCE THE FUNCTIONAL STATUS OF NECK MUSCLES, AS INDICATED BY IMPROVEMENT OF PHYSIOLOGICAL MEASURES OF NECK PAIN. 2013 17 854 26 EFFECT OF YOGA ON THE MYOFASCIAL PAIN SYNDROME OF NECK. MYOFASCIAL PAIN SYNDROME (MPS) REFERS TO PAIN ATTRIBUTED TO MUSCLE AND ITS SURROUNDING FASCIA, WHICH IS ASSOCIATED WITH "MYOFASCIAL TRIGGER POINTS" (MTRPS). MTRPS IN THE TRAPEZIUS HAS BEEN PROPOSED AS THE MAIN CAUSE OF TEMPORAL AND CERVICOGENIC HEADACHE AND NECK PAIN. LITERATURE SHOWS THAT THE PREVALENCE OF VARIOUS MUSCULOSKELETAL DISORDERS (MSD) AMONG PHYSIOTHERAPISTS IS HIGH. YOGA HAS TRADITIONALLY BEEN USED TO TREAT MSDS IN VARIOUS POPULATIONS. BUT THERE IS SCARCITY OF LITERATURE WHICH EXPLAINS THE EFFECTS OF YOGA ON REDUCING MPS OF THE NECK IN TERMS OF VARIOUS PHYSICAL PARAMETERS AND SUBJECTIVE RESPONSES. THEREFORE, A PILOT STUDY WAS DONE AMONG EIGHT PHYSIOTHERAPISTS WITH MINIMUM SIX MONTHS OF EXPERIENCE. A STRUCTURED YOGA PROTOCOL WAS DESIGNED AND IMPLEMENTED FOR FIVE DAYS IN A WEEK FOR FOUR WEEKS. THE OUTCOME VARIABLES WERE DISABILITY OF ARM, SHOULDER AND HANDS (DASH) SCORE, NECK DISABILITY INDEX (NDI), VISUAL ANALOGUE SCALE (VAS), PRESSURE PAIN THRESHOLD (PPT) FOR TRIGGER POINTS, CERVICAL RANGE OF MOTION (CROM) - ACTIVE & PASSIVE, GRIP AND PINCH STRENGTHS. THE VARIABLES WERE COMPARED BEFORE AND AFTER THE INTERVENTION. FINALLY, THE RESULT REVEALED THAT ALL THE VARIABLES (DASH: P<0.00, NDI: P<0.00, VAS: P<0.00, PPT: LEFT: P<0.00, PPT: RIGHT: P<0.00, GRIP STRENGTH: LEFT: P<0.00, GRIP STRENGTH: RIGHT: P<0.01, KEY PINCH: LEFT: P<0.01, KEY PINCH: RIGHT: P<0.01, PALMAR PINCH: LEFT: P<0.01, PALMAR PINCH: RIGHT: P<0.00, TIP PINCH: LEFT: P<0.01, TIP PINCH: RIGHT: P<0.01) IMPROVED SIGNIFICANTLY AFTER INTERVENTION. 2014 18 1809 43 PREVENTIVE EFFECTS OF A THREE-MONTH YOGA INTERVENTION ON ENDOTHELIAL FUNCTION IN PATIENTS WITH MIGRAINE. BACKGROUND: MIGRAINE IS A NEUROVASCULAR DISORDER AND ANY INTERVENTIONS IMPROVING ENDOTHELIAL FUNCTION MAY CONTRIBUTE TO ITS TREATMENT AND PREVENTION OF VASCULAR COMPLICATIONS LIKE ISCHEMIC STROKE. YOGA HAS BEEN SHOWN TO HAVE SEVERAL BENEFICIAL EFFECTS ON CARDIOVASCULAR SYSTEMS. HOWEVER, NO RANDOMIZED CONTROLLED STUDIES TO DATE HAVE INVESTIGATED ITS EFFECTS ON ENDOTHELIAL FUNCTION OF MIGRAINEURS. METHODS: A TOTAL OF 42 WOMEN PATIENTS WITH MIGRAINE WERE ENROLLED AND RANDOMIZED INTO EITHER A YOGA EXERCISE GROUP OR A CONTROL GROUP. THE CONTROL GROUP RECEIVED ONLY MEDICATION FOR 12 WEEKS AND THE YOGA GROUP WAS PLACED IN YOGA TRAINING PROGRAM IN ADDITION TO THE SAME MEDICAL TREATMENT. BLOOD TEST WAS GIVEN FROM ALL PATIENTS IN ORDER TO MEASURE PLASMA LEVELS INTERCELLULAR ADHESION MOLECULE (ICAM) AND VASCULAR CELL ADHESION MOLECULE (VCAM) AFTER YOGA TRAINING PROGRAM. RESULTS: TOTALLY 32 PATIENTS WERE PARTICIPATED IN THE FINAL ANALYSES (YOGA: N = 18, CONTROL: N = 14). BY ANALYZING DATA BETWEEN YOGA AND CONTROL GROUPS AFTER THE TREATMENT PERIOD, THERE WAS A SIGNIFICANT DECREASED IN PLASMA LEVEL OF VCAM IN YOGA GROUP COMPARE WITH THE CONTROL GROUP (15.29 +/- 2.1 NG/ML VS. 21.70 +/- 3.0 NG/ML, P < 0.05), WHEREAS THERE WAS NO SIGNIFICANT DIFFERENCE IN ICAM LEVEL BETWEEN GROUPS (19.1 +/- 1.8 NG/ML VS. 20.97 +/- 1.9 NG/ML P > 0.05). CONCLUSIONS: IT SEEMS THAT YOGA EXERCISES, AS A COMPLEMENTARY TREATMENT BESIDE PHARMACOLOGICAL TREATMENTS, CAN BE POTENTIALLY AN EFFECTIVE WAY OF IMPROVING VASCULAR FUNCTIONS IN MIGRAINEURS. 2014 19 275 31 ADDITIONAL EFFECT OF IYENGAR YOGA AND EMG BIOFEEDBACK ON PAIN AND FUNCTIONAL DISABILITY IN CHRONIC UNILATERAL KNEE OSTEOARTHRITIS. BACKGROUND: THERE ARE LIMITED DATA ABOUT IYENGAR YOGA AND EMG BIOFEEDBACK IN KNEE OA, ALTHOUGH THE EFFICACY OF EMG BIOFEEDBACK IN THE REHABILITATION OF PATIENTS WITH QUADRICEPS MUSCLE WEAKNESS SECONDARY TO IMMOBILIZATION, CONTRACTURE, AND JOINT SURGERY HAS BEEN WELL ESTABLISHED. MATERIALS AND METHODS: THIRTY SUBJECTS WHO HAVE FULFILLED INCLUSION AND EXCLUSION CRITERIA WERE SELECTED AND DIVIDED INTO TWO GROUPS (GROUP A AND B). BOTH THE GROUPS WERE TREATED WITH EMG BIOFEEDBACK, KNEE MUSCLE STRENGTHENING EXERCISES, AND TENS. GROUP A RECEIVED ADDITIONALLY IYENGAR YOGA FOR 8 WEEKS. BOTH GROUPS WERE EVALUATED BY VISUAL ANALOG SCALE AND MODIFIED WOMAC-WESTERN ONTARIO MCMASTER UNIVERSITIES SCALE. RESULTS: PATIENTS IN BOTH GROUPS EXPERIENCED SIGNIFICANT REDUCTION IN PAIN AND IMPROVEMENT IN FUNCTIONAL ABILITY. IN VAS SCALE GROUP A SHOWED REDUCTION OF 56.83% (P = 0.001) WHEN COMPARED WITH GROUP B 38.15% (P