1 971 154 EFFECTS OF AN INTEGRATED APPROACH OF HATHA YOGA THERAPY ON FUNCTIONAL DISABILITY, PAIN, AND FLEXIBILITY IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROLLED STUDY. OBJECTIVES: THE STUDY OBJECTIVES WERE TO EVALUATE THE EFFICACY OF INTEGRATING HATHA YOGA THERAPY WITH THERAPEUTIC EXERCISES FOR OSTEOARTHRITIS (OA) OF THE KNEE JOINTS. DESIGN: THIS WAS A PROSPECTIVE, RANDOMIZED, ACTIVE CONTROLLED TRIAL. TWO HUNDRED AND FIFTY (250) PARTICIPANTS WHO HAD OA KNEES AND WHO WERE BETWEEN 35 AND 80 YEARS (YOGA 59.56+/-9.54) AND (CONTROL 59.42+/-10.66) FROM THE OUTPATIENT DEPARTMENT OF EBNEZAR ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE HATHA YOGA THERAPY OR THERAPEUTIC EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT (20 MINUTES PER DAY). BOTH OF THE GROUPS PRACTICED SUPERVISED INTERVENTIONS (40 MINUTES PER DAY) FOR 3 MONTHS. ONE HUNDRED AND EIGHTEEN (118) (YOGA) AND 117 (CONTROL) SUBJECTS WERE AVAILABLE FOR THE FINAL ANALYSIS. RESULTS: THERE WERE SIGNIFICANT DIFFERENCES WITHIN (WILCOXON'S, P<0.001) AND BETWEEN THE GROUPS (MANN-WHITNEY U, P<0.001) ON ALL THE VARIABLES, WITH BETTER IMPROVEMENTS IN THE YOGA THAN THE CONTROL GROUPS. WALKING PAIN IN THE YOGA (37.3%, 64.9%) AND CONTROL (24.9%, 42%), KNEE DISABILITY IN THE YOGA (59.7%, 83%) AND CONTROL (32.7%, 53.6%), RANGE OF KNEE FLEXION IN YOGA (12.7%, 26.5% RIGHT, 13.5%, 28% LEFT) AND CONTROL (6.9%, 13.3% RIGHT, 5.6%, 11.5% LEFT), JOINT TENDERNESS IN YOGA (52.3%, 86.1%) AND CONTROL (28%, 57.1%), SWELLING IN YOGA (55.4%, 85.9%) AND CONTROL (32.1%, 60%), CREPITUS IN YOGA (44.0%, 79.9%) AND CONTROL (27.0%, 47.8%) AND WALKING TIME IN YOGA (26.6%, 52.8%) AND CONTROL (9.3%, 21.6%), ALL IMPROVED MORE IN THE YOGA THAN THE CONTROL GROUPS ON THE 15TH AND 90TH DAY, RESPECTIVELY. CONCLUSIONS: AN INTEGRATED APPROACH OF HATHA YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING WALKING PAIN, RANGE OF KNEE FLEXION, WALKING TIME, TENDERNESS, SWELLING, CREPITUS, AND KNEE DISABILITY IN PATIENTS WITH OA KNEES. 2012 2 684 85 EFFECT OF AN INTEGRATED APPROACH OF YOGA THERAPY ON QUALITY OF LIFE IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROL STUDY. AIM: THIS STUDY WAS DESIGNED TO EVALUATE THE EFFICACY OF ADDITION OF INTEGRATED YOGA THERAPY TO THERAPEUTIC EXERCISES IN OSTEOARTHRITIS (OA) OF KNEE JOINTS. MATERIALS AND METHODS: THIS WAS A PROSPECTIVE RANDOMIZED ACTIVE CONTROL TRIAL. A TOTAL OF T PARTICIPANTS WITH OA OF KNEE JOINTS BETWEEN 35 AND 80 YEARS (YOGA, 59.56 +/- 9.54 AND CONTROL, 59.42 +/- 10.66) FROM THE OUTPATIENT DEPARTMENT OF DR. JOHN'S ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE YOGA OR PHYSIOTHERAPY EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT OF THE AFFECTED KNEE JOINTS. BOTH GROUPS PRACTICED SUPERVISED INTERVENTION (40 MIN PER DAY) FOR 2 WEEKS (6 DAYS PER WEEK) WITH FOLLOWUP FOR 3 MONTHS. THE MODULE OF INTEGRATED YOGA CONSISTED OF SHITHILIKARANAVYAYAMA (LOOSENING AND STRENGTHENING), ASANAS, RELAXATION TECHNIQUES, PRANAYAMA, MEDITATION AND DIDACTIC LECTURES ON YAMA, NIYAMA, JNANA YOGA, BHAKTI YOGA, AND KARMA YOGA FOR A HEALTHY LIFESTYLE CHANGE. THE CONTROL GROUP ALSO HAD SUPERVISED PHYSIOTHERAPY EXERCISES. A TOTAL OF 118 (YOGA) AND 117 (CONTROL) WERE AVAILABLE FOR FINAL ANALYSIS. RESULTS: SIGNIFICANT DIFFERENCES WERE OBSERVED WITHIN (P < 0.001, WILCOXON'S) AND BETWEEN GROUPS (P < 0.001, MANN-WHITNEY U-TEST) ON ALL DOMAINS OF THE SHORT FORM-36 (P < 0.004), WITH BETTER RESULTS IN THE YOGA GROUP THAN IN THE CONTROL GROUP, BOTH AT 15(TH) DAY AND 90(TH) DAY. CONCLUSION: AN INTEGRATED APPROACH OF YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING KNEE DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH OA KNEES. 2011 3 1914 26 ROLE OF INTEGRATED APPROACH OF YOGA THERAPY IN A FAILED POST-TOTAL KNEE REPLACEMENT OF BILATERAL KNEES. OA KNEE IS THE MOST COMMON ARTHRITIS. KNEE REPLACEMENT SURGERIES ARE BEING DONE INCREASINGLY IN THE PRESENT TIMES. THIS HAS LED TO THE VIOLATION OF THE STANDARD INDICATIONS AND WHEN KNEES ARE REPLACED IGNORING OTHER CO - MUSCULOSKELETAL CONDITIONS IT RESULTS IN THE SURGERY FAILING EARLY. THIS IS ABOUT A PATIENT WHO ENCOUNTERED A FAILED TKR DUE TO IMPROPER SELECTION AS PATIENT HAD BILATERAL OA HIP THAT WAS IGNORED IN THE INITIAL STAGES. TO OVERCOME THE PROBLEM SHE WAS ADVISED BILATERAL HIP REPLACEMENT WHICH WOULD LEAVE HER WITH FOUR REPLACEMENTS IN THE LOWER LIMB. SHE REFUSED SURGERY AND WAS TOLD THERE ARE NO ALTERNATIVE TREATMENT OPTIONS. THIS PATIENT UNDERWENT A 3 WEEK INTEGRATED COURSE OF IAYT AT OUR CENTER AND SHE MADE A REMARKABLE RECOVERY. IAYT IS A GOOD NON-SURGICAL TREATMENT THAT CAN BE AFFECTIVE BOTH BEFORE AND AFTER KNEE REPLACEMENT AND IT SHOULD BE CONSIDERED AS THE FIRST CHOICE OF TREATMENT BEFORE SURGERY. 2014 4 717 57 EFFECT OF INTEGRATED YOGA THERAPY ON PAIN, MORNING STIFFNESS AND ANXIETY IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROL STUDY. AIM: TO STUDY THE EFFECT OF INTEGRATED YOGA ON PAIN, MORNING STIFFNESS AND ANXIETY IN OSTEOARTHRITIS OF KNEES. MATERIALS AND METHODS: TWO HUNDRED AND FIFTY PARTICIPANTS WITH OA KNEES (35-80 YEARS) WERE RANDOMLY ASSIGNED TO YOGA OR CONTROL GROUP. BOTH GROUPS HAD TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT FOLLOWED BY INTERVENTION (40 MIN) FOR TWO WEEKS WITH FOLLOW UP FOR THREE MONTHS. THE INTEGRATED YOGA CONSISTED OF YOGIC LOOSENING AND STRENGTHENING PRACTICES, ASANAS, RELAXATION, PRANAYAMA AND MEDITATION. THE CONTROL GROUP HAD PHYSIOTHERAPY EXERCISES. ASSESSMENTS WERE DONE ON 15(TH) (POST 1) AND 90(TH) DAY (POST 2). RESULTS: RESTING PAIN (NUMERICAL RATING SCALE) REDUCED BETTER (P<0.001, MANN-WHITNEY U TEST) IN YOGA GROUP (POST 1=33.6% AND POST 2=71.8%) THAN CONTROL GROUP (POST 1=13.4% AND POST 2=37.5%). MORNING STIFFNESS DECREASED MORE (P<0.001) IN YOGA (POST 1=68.6% AND POST 2=98.1%) THAN CONTROL GROUP (POST 1=38.6% AND POST 2=71.6%). STATE ANXIETY (STAI-1) REDUCED (P<0.001) BY 35.5% (POST 1) AND 58.4% (POST 2) IN THE YOGA GROUP AND 15.6% (POST 1) AND 38.8% (POST 2) IN THE CONTROL GROUP; TRAIT ANXIETY (STAI 2) REDUCED (P<0.001) BETTER (POST 1=34.6% AND POST 2=57.10%) IN YOGA THAN CONTROL GROUP (POST 1=14.12% AND POST 2=34.73%). SYSTOLIC BLOOD PRESSURE REDUCED (P<0.001) BETTER IN YOGA GROUP (POST 1=-7.93% AND POST 2=-15.7%) THAN THE CONTROL GROUP (POST 1=-1.8% AND POST 2=-3.8%). DIASTOLIC BLOOD PRESSURE REDUCED (P<0.001) BETTER IN YOGA GROUP (POST 1=-7.6% AND POST 2=-16.4%) THAN THE CONTROL GROUP (POST 1=-2.1% AND POST 2=-5.0%). PULSE RATE REDUCED (P<0.001) BETTER IN YOGA GROUP (POST 1=-8.41% AND POST 2=-12.4%) THAN THE CONTROL GROUP (POST 1=-5.1% AND POST 2=-7.1%). CONCLUSION: INTEGRATED APPROACH OF YOGA THERAPY IS BETTER THAN PHYSIOTHERAPY EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN REDUCING PAIN, MORNING STIFFNESS, STATE AND TRAIT ANXIETY, BLOOD PRESSURE AND PULSE RATE IN PATIENTS WITH OA KNEES. 2012 5 362 28 ASSOCIATIONS BETWEEN YOGA PRACTICE AND JOINT PROBLEMS: A CROSS-SECTIONAL SURVEY AMONG 9151 AUSTRALIAN WOMEN. YOGA EXERCISES HAVE BEEN ASSOCIATED WITH JOINT PROBLEMS RECENTLY, INDICATING THAT YOGA PRACTICE MIGHT BE POTENTIALLY DANGEROUS FOR JOINT HEALTH. THIS STUDY AIMED TO ANALYSE WHETHER REGULAR YOGA PRACTICE IS ASSOCIATED WITH THE FREQUENCY OF JOINT PROBLEMS IN UPPER MIDDLE-AGED AUSTRALIAN WOMEN. WOMEN AGED 62-67 YEARS FROM THE AUSTRALIAN LONGITUDINAL STUDY ON WOMEN'S HEALTH (ALSWH) WERE QUESTIONED IN 2013 WHETHER THEY EXPERIENCED REGULAR JOINT PAIN OR PROBLEMS IN THE PAST 12 MONTHS AND WHETHER THEY REGULARLY PRACTICED YOGA. ASSOCIATIONS OF JOINT PROBLEMS WITH YOGA PRACTICE WERE ANALYSED USING CHI-SQUARED TESTS AND MULTIPLE LOGISTIC REGRESSION MODELLING. OF 9151 WOMEN, 29.8% REPORTED REGULAR PROBLEMS WITH STIFF OR PAINFUL JOINTS, AND 15.2, 11.9, 18.1 AND 15.9% REPORTED REGULAR PROBLEMS WITH SHOULDERS, HIPS, KNEES AND FEET, RESPECTIVELY, IN THE PAST 12 MONTHS. YOGA WAS PRACTICED SOMETIMES BY 10.1% AND OFTEN BY 8.4% OF WOMEN. PRACTICING YOGA WAS NOT ASSOCIATED WITH UPPER OR LOWER LIMB JOINT PROBLEMS. NO ASSOCIATION BETWEEN YOGA PRACTICE AND JOINT PROBLEMS HAS BEEN IDENTIFIED. FURTHER STUDIES ARE WARRANTED FOR CONCLUSIVE JUDGEMENT OF BENEFITS AND SAFETY OF YOGA IN RELATION TO JOINT PROBLEMS. 2017 6 1528 42 IYENGAR YOGA FOR TREATING SYMPTOMS OF OSTEOARTHRITIS OF THE KNEES: A PILOT STUDY. OBJECTIVES: THE AMERICAN COLLEGE OF RHEUMATOLOGY (ACR) GUIDELINES FOR THE MEDICAL MANAGEMENT OF OSTEOARTHRITIS (OA) EMPHASIZE THE USE OF NONPHARMACOLOGIC INTERVENTIONS INCLUDING EXERCISE. IMPLEMENTATION OF AN EXERCISE PROGRAM CAN BE DIFFICULT FOR PATIENTS, AND LITTLE IS KNOWN ABOUT THE BENEFITS OF ALTERNATIVE THERAPIES SUCH AS YOGA. THE AIM OF THIS PILOT STUDY WAS TO ASSESS THE FEASIBILITY OF USING YOGA IN THE TRADITION OF B.K.S. IYENGAR TO TREAT THE SYMPTOMS OF OSTEOARTHRITIS OF THE KNEE. DESIGN: PARTICIPANTS WERE INSTRUCTED IN MODIFIED IYENGAR YOGA POSTURES DURING 90-MINUTE CLASSES ONCE WEEKLY FOR 8 WEEKS. SUBJECTS: PARTICIPANTS MET ACR CRITERIA FOR OSTEOARTHRITIS OF THE KNEE AND COMPLETED A MEDICAL HISTORY AND PHYSICAL EXAMINATION, WESTERN ONTARIO AND MCMASTER UNIVERSITIES OSTEOARTHRITIS INDEX (WOMAC), ARTHRITIS IMPACT MEASUREMENT SCALE 2 (AIMS2), PATIENT GLOBAL ASSESSMENT (GA) BY VISUAL ANALOG SCALE (VAS), PHYSICIAN GA BY VAS, AND 50-FOOT WALK TIME BEFORE AND FOLLOWING AN 8-WEEK COURSE OF YOGA INSTRUCTION. ELEVEN (11) SUBJECTS ENROLLED, NINE COMPLETED AT LEAST ONE SESSION AND SEVEN (SIX OF WHOM WERE OBESE) HAD DATA FROM PRE- AND POST-COURSE TIME POINTS AVAILABLE FOR ANALYSIS. RESULTS: STATISTICALLY SIGNIFICANT REDUCTIONS IN WOMAC PAIN, WOMAC PHYSICAL FUNCTION, AND AIMS2 AFFECT WERE OBSERVED WHEN PARTICIPANTS' STATUS WERE COMPARED TO THEIR PRE-COURSE STATUS. WOMAC STIFFNESS, AIMS2 SYMPTOMS, SOCIAL AND ROLE, PHYSICIAN GA, AND PATIENT GA MEASURED TRENDS IN IMPROVEMENT OF SYMPTOMS. NO ADVERSE EVENTS FROM TREATMENT WERE REPORTED. CONCLUSIONS: THIS PILOT STUDY SUGGESTS THAT YOGA MAY PROVIDE A FEASIBLE TREATMENT OPTION FOR PREVIOUSLY YOGA-NAIVE, OBESE PATIENTS >50 YEARS OF AGE AND OFFERS POTENTIAL REDUCTIONS IN PAIN AND DISABILITY CAUSED BY KNEE OA. FUTURE STUDIES SHOULD COMPARE YOGA TO OTHER NONPHARMACOLOGIC INTERVENTIONS FOR KNEE OA, SUCH AS PATIENT EDUCATION OR QUADRICEPS-STRENGTHENING EXERCISES. 2005 7 2501 32 YOGA AS THERAPY FOR NEURODEGENERATIVE DISORDERS: A CASE REPORT OF THERAPEUTIC YOGA FOR ADRENOMYELONEUROPATHY. YOGA IS A PROMISING THERAPEUTIC MODALITY FOR NEURODEGENERATIVE DISEASES. THIS CASE STUDY PRESENTS A THERAPEUTIC YOGA PROTOCOL FOR ADRENOMYELONEUROPATHY (AMN) AND ITS EFFECT ON A PATIENT'S QUALITY OF LIFE (QOL), AGILITY, BALANCE, AND PERIPHERAL DEXTERITY. A 61-Y-OLD MAN DIAGNOSED WITH AMN WHO WAS EXPERIENCING (1) PERIPHERAL NEUROPATHY IN HIS LEGS AND FEET, (2) LOWER-BACK PAIN (LBP), AND (3) OSTEOARTHRITIS RECEIVED 60-MIN WEEKLY THERAPEUTIC YOGA SESSIONS FOR A 10-MO PERIOD. YOGA THERAPY INCLUDED HATHA YOGA ASANAS (POSES) AND PRANAYAMA (BREATHING EXERCISES). HATHA YOGA ASANAS WERE ALIGNED WITH 7 BERG BALANCE SCALE (BBS) INDICATORS TO MEASURE IMPROVEMENT IN BALANCE AND RANGE OF MOTION. THE 10-MO COURSE OF THERAPEUTIC YOGA RESULTED IN IMPROVED LBP; IMPROVED FLEXION OF THE PATIENT'S HIPS, KNEES, AND ANKLES; IMPROVED PROPULSION PHASE OF WALKING; AND IMPROVEMENT IN THE PATIENT'S ABILITY TO STAND AND BALANCE WITHOUT AN ASSISTIVE DEVICE. THE EFFECT OF YOGA THERAPY ON THE PATIENT IN THIS CASE STUDY ALIGNS WITH CURRENT QOL IMPROVEMENTS NOTED IN CURRENT RESEARCH ON YOGA THERAPY FOR NEUROLOGICAL DISORDERS. THE DESCRIBED CONCEPTS AND METHODS OF EMPLOYING THERAPEUTIC YOGA PROVIDE INSIGHTS FOR CLINICIANS INTO A MODALITY THAT IS LOW RISK AND LOW COST AND THAT CAN SUPPORT INDIVIDUALS WITH OTHER NEUROLOGICAL DISORDERS, SUCH AS MULTIPLE SCLEROSIS (MS), FIBROMYALGIA (FM), AND DISEASES OF THE PERIPHERAL NERVOUS SYSTEM. FURTHER STUDY IS WARRANTED TO HELP DETERMINE THE SAFETY AND EFFICACY OF YOGA THERAPY FOR THESE CONDITIONS. 2014 8 718 23 EFFECT OF INTEGRATIVE NATUROPATHY AND YOGA IN A PATIENT WITH RHEUMATOID ARTHRITIS ASSOCIATED WITH TYPE 2 DIABETES AND HYPERTENSION. A 54-YEAR OLD MARRIED WOMAN WAS DIAGNOSED WITH RHEUMATOID ARTHRITIS IN 2002, ESSENTIAL HYPERTENSION IN 2008, TYPE-2 DIABETES IN 2011 AND GANGRENE OVER 2(ND) TOE OF RIGHT FOOT. SHE UNDERWENT CONVENTIONAL MANAGEMENT IN PRIVATE HOSPITALS. HER SYMPTOMS, BEGAN WITH MODERATE TO SEVERE PAIN ASSOCIATED WITH SWELLING, STIFFNESS (MORE IN THE MORNING) IN MULTIPLE JOINTS ESPECIALLY OVER SMALL JOINTS. IN JULY-2014 SHE VISITED OUR COLLEGE HOSPITAL WITH THE COMPLAINTS OF PAIN, MILD SWELLING AND STIFFNESS OVER MULTIPLE JOINTS ASSOCIATED WITH POOR QUALITY OF SLEEP (QOS) AND QUALITY OF LIFE (QOL). SUBJECT RECEIVED INTEGRATIVE NATUROPATHY AND YOGA THERAPIES (INYT) WITH CONVENTIONAL MEDICINE DAILY FOR 10-DAYS. AFTER 10-DAYS, IMPROVEMENTS IN PAIN, BLOOD SUGAR, DEPRESSION, ANXIETY, STRESS, QOS, QOL, BLOOD ANALYSIS WITH NORMAL BLOOD PRESSURE (BP) WAS OBSERVED. THIS SUGGESTS THAT INYT COULD BE CONSIDERED AS AN ADJUVANT TO CONVENTIONAL MEDICINE IN RA ASSOCIATED WITH TYPE-2 DIABETES AND ESSENTIAL HYPERTENSION. 2017 9 1655 15 MUSCULOSKELETAL INJURIES IN YOGA. WHILE YOGA HAS BEEN WIDELY STUDIED FOR ITS BENEFITS TO MANY HEALTH CONDITIONS, LITTLE RESEARCH HAS BEEN PERFORMED ON THE NATURE OF MUSCULOSKELETAL INJURIES OCCURRING DURING YOGA PRACTICE. YOGA IS CONSIDERED TO BE GENERALLY SAFE, HOWEVER, INJURY CAN OCCUR IN NEARLY ANY PART OF THE BODY-ESPECIALLY THE NECK, SHOULDERS, LUMBAR SPINE, HAMSTRINGS, AND KNEES. AS BROAD INTEREST IN YOGA GROWS, SO WILL THE NUMBER OF PATIENTS PRESENTING WITH YOGA-RELATED INJURIES. IN THIS LITERATURE REVIEW, THE PREVALENCE, TYPES OF INJURIES, FORMS OF YOGA RELATED WITH INJURY, SPECIFIC POSES (ASANAS) ASSOCIATED WITH INJURY, AND PREVENTIVE MEASURES ARE DISCUSSED IN ORDER TO FAMILIARIZE PRACTITIONERS WITH YOGA-RELATED INJURIES. 2018 10 197 22 A RARE CASE OF QUADRATUS FEMORIS MUSCLE RUPTURE AFTER YOGA EXERCISES. WE PRESENT A CASE OF A FEMALE PATIENT WITH LEFT GROIN PAIN AFTER INTENSE YOGA EXERCISES. THE PATIENT PRESENTED ABNORMAL PATTERN OF GAIT WITH NO SWELLING OVER THE GROIN, THIGH, OR BUTTOCK. MAGNETIC RESONANCE IMAGING DEMONSTRATED A TEAR OF THE QUADRATUS FEMORIS MUSCLE WITH AN ASSOCIATED EXTENSIVE HEMATOMA FORMATION. PATIENT WAS TREATED WITH A REHABILITATION PROGRAM CONSISTING OF NONSTEROIDAL ANTI-INFLAMMATORY DRUGS AND PHYSIOTHERAPY. AT THE FOLLOW-UP CONTROL, THE PATIENT HAD IMPROVED HER PAIN AND FLEXIBILITY OF THE HIP, AND GRADUALLY SHE RETURNED TO DAILY ACTIVITIES AND YOGA EXERCISES. SUCH AN ENTITY IS A RARE CAUSE OF HIP PAIN AFTER EXERCISE AND SHOULD BE KEPT IN MIND BY THE ORTHOPEDIC SURGEON, IN CASES OF GLUTEAL PAIN AFTER INTENSE PHYSICAL ACTIVITY. MOREOVER, SUCH A CONDITION SHOULD BE INCLUDED IN THE DIAGNOSTIC ALGORITHM OF UNKNOWN ORIGIN HIP PAIN. 2016 11 275 32 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 0.05). KNEE JOINT TRAVELLED INTO 9.5 DEGREES OF EXTENSION AND SLIGHT ADDUCTION OF 1.94 DEGREES WHILST EXPRESSING THE LARGEST KNEE JOINT ADDUCTION MOMENTS (0.30 +/- 0.22 NM/KG) IN THE TRIANGLE POSE. THE DISTRIBUTION OF THE ANGULAR IMPULSE OF THE LOWER LIMB JOINTS INDICATED THAT THE HIP JOINT CONTRIBUTED SIGNIFICANTLY THE MOST IN THE SAGITTAL AND FRONTAL PLANES OF THE THREE YOGA MANOEUVRES (P < 0.05), RANGING FROM 51.67% TO 70.56%. RESULTS INDICATED THAT TRIANGLE POSE MAY BE SUPERIOR TO THE OTHER TWO MANOEUVRES, WHICH IMPROVED HIP JOINT ROM, STRENGTH, AND DYNAMIC STABILITY. HOWEVER, KNEE INJURIES SUCH AS OSTEOARTHRITIS (OA) SHOULD BE CONSIDERED BECAUSE OF THE LARGE KNEE EXTENSOR ANGLE AND ADDUCTOR MOMENTS. 2021