1 1384 138 IMPACT OF RELAXATION TRAINING ACCORDING TO YOGA IN DAILY LIFE(R) SYSTEM ON PERCEIVED STRESS AFTER BREAST CANCER SURGERY. THE PURPOSE OF THIS PILOT STUDY WAS TO GATHER INFORMATION ON THE IMMEDIATE AND SHORT-TERM EFFECTS OF RELAXATION TRAINING ACCORDING TO YOGA IN DAILY LIFE((R)) (YIDL) SYSTEM ON THE PSYCHOLOGICAL DISTRESS OF BREAST CANCER PATIENTS. 32 PATIENTS AT THE INSTITUTE FOR ONCOLOGY OF LJUBLJANA WERE RANDOMIZED TO THE EXPERIMENTAL (N=16) AND TO THE CONTROL GROUP (N=16). BOTH GROUPS RECEIVED THE SAME STANDARD PHYSIOTHERAPY FOR 1 WEEK, WHILE THE EXPERIMENTAL GROUP ADDITIONALLY RECEIVED A GROUP RELAXATION TRAINING SESSIONS ACCORDING TO YIDL((R)) SYSTEM. AT DISCHARGE THE EXPERIMENTAL GROUP WAS ISSUED WITH AUDIOCASSETTE RECORDINGS CONTAINING THE SIMILAR INSTRUCTIONS FOR RELAXATION TRAINING TO BE PRACTICED INDIVIDUALLY AT HOME (FOR FURTHER 3 WEEKS). AN EXPERIMENTAL REPEATED MEASURES DESIGN WAS USED TO INVESTIGATE THE DIFFERENCES OVER 1 MONTH PERIOD IN STRESS LEVELS, CHANGES IN MENTAL HEALTH AND PSYCHOLOGICAL PARAMETERS. MEASURES WERE OBTAINED AT THREE TIME POINTS DURING THE STUDY PERIOD: BASELINE, AT 1 WEEK, AND AT 4 WEEKS, BY BLINDED INVESTIGATORS USING STANDARDIZED QUESTIONNAIRES GENERAL HEALTH QUESTIONNAIRE-12 (GHQ-12), ROTTERDAM SYMPTOM CHECKLIST (RSCL) PSYCHOLOGICAL SUBSCALE, PERCEIVED STRESS SCALE (PSS). PATIENTS WHO RECEIVED RELAXATION TRAINING REPORTED FEELING SIGNIFICANTLY LESS DISTRESSED DURING HOSPITALIZATION AND AFTER DISCHARGE-PERIOD THAN DID THE CONTROLS THAT DID NOT RECEIVE RELAXATION TRAINING. THE RESULTS INDICATE THAT RELAXATION TRAINING ACCORDING TO YOGA IN DAILY LIFE((R)) SYSTEM COULD BE USEFUL CLINICAL PHYSIOTHERAPY INTERVENTION FOR BREAST CANCER PATIENTS EXPERIENCING PSYCHOLOGICAL DISTRESS. ALTHOUGH THIS KIND OF RELAXATION TRAINING CAN BE APPLIED TO CLINICAL ONCOLOGY IN SLOVENIA, MORE STUDIES NEED TO BE DONE. 2011 2 1385 104 IMPACT OF RELAXATION TRAINING ACCORDING TO YOGA IN DAILY LIFE(R) SYSTEM ON SELF-ESTEEM AFTER BREAST CANCER SURGERY. OBJECTIVES: THE PURPOSE OF THIS PILOT STUDY WAS TO GATHER INFORMATION ON THE IMMEDIATE AND SHORT-TERM EFFECTS OF RELAXATION TRAINING ACCORDING TO THE YOGA IN DAILY LIFE((R)) SYSTEM ON THE SELF-ESTEEM OF PATIENTS WITH BREAST CANCER. DESIGN: THIS IS A PARALLEL-GROUPS DESIGN. SETTINGS/LOCATION: BASELINE INTERVENTIONS TOOK PLACE AT THE INSTITUTE FOR ONCOLOGY OF LJUBLJANA (SLOVENIA). AT DISCHARGE, THE EXPERIMENTAL GROUP WAS ISSUED WITH AUDIOCASSETTE RECORDINGS CONTAINING THE INSTRUCTIONS FOR RELAXATION TRAINING TO BE PRACTICED INDIVIDUALLY AT HOME FOR AN ADDITIONAL 3 WEEKS. SUBJECTS: THE CONVENIENCE SAMPLE OF 32 PATIENTS WITH BREAST CANCER WAS RECRUITED FROM AN ACCESSIBLE POPULATION OF HOSPITALIZED WOMEN. PATIENTS WERE RANDOMIZED TO THE EXPERIMENTAL (N=16) AND TO THE CONTROL GROUP (N=16). INTERVENTIONS: BOTH GROUPS RECEIVED THE SAME STANDARD PHYSIOTHERAPY FOR 1 WEEK, WHILE THE EXPERIMENTAL GROUP ADDITIONALLY RECEIVED A GROUP RELAXATION TRAINING SESSIONS ACCORDING TO THE YOGA IN DAILY LIFE((R)) SYSTEM. AT DISCHARGE, THE EXPERIMENTAL GROUP WAS ISSUED WITH AUDIOCASSETTE RECORDINGS CONTAINING SIMILAR INSTRUCTIONS FOR RELAXATION TRAINING TO BE PRACTICED INDIVIDUALLY AT HOME FOR AN ADDITIONAL 3 WEEKS. OUTCOME MEASURES: OUTCOME MEASURES WERE OBTAINED BY BLINDED INVESTIGATORS (PHYSIOTHERAPISTS) USING STANDARDIZED QUESTIONNAIRES (ROSENBERG SELF-ESTEEM SCALE) AT BASELINE (AFTER THE SURGERY); AT 1 WEEK (1 WEEK POSTATTENDANCE; AT DISCHARGE); AND AT 4 WEEKS (4 WEEKS POSTATTENDANCE); PRIOR THE COMMENCEMENT OF RADIATION. RESULTS: ANALYSIS OF VARIANCE SHOWED THAT THERE WERE STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN THE EXPERIMENTAL AND CONTROL GROUP IN ALL MEASURING SELF-ESTEEM SCORES OVER THE STUDY PERIOD (P<0.0005). AT THE SAME TIME, THE CONTROL GROUP'S SCORES REMAINED UNCHANGED OVER THE STUDY PERIOD (P>0.05). CONCLUSIONS: THE RESULTS INDICATE THAT RELAXATION TRAINING ACCORDING TO THE YOGA IN DAILY LIFE SYSTEM COULD BE A USEFUL CLINICAL PHYSIOTHERAPY INTERVENTION FOR PATIENTS WHO HAVE BREAST CANCER AND WHO ARE EXPERIENCING LOW SELF-ESTEEM. ALTHOUGH THIS KIND OF RELAXATION TRAINING CAN BE APPLIED TO CLINICAL ONCOLOGY IN SLOVENIA, MORE STUDIES NEED TO BE DONE. 2011 3 1383 81 IMPACT OF RELAXATION TRAINING ACCORDING TO THE YOGA IN DAILY LIFE(R) SYSTEM ON ANXIETY AFTER BREAST CANCER SURGERY. THE PURPOSE OF THIS PILOT STUDY WAS TO GATHER INFORMATION ON THE IMMEDIATE AND SHORT-TERM EFFECTS OF RELAXATION TRAINING ACCORDING TO THE YOGA IN DAILY LIFE(R) (YIDL(R)) SYSTEM ON ANXIETY OF BREAST CANCER PATIENTS. THE YIDL(R) SYSTEM IS A HOLISTIC SYSTEM BEING PRACTISED AND TAUGHT WORLDWIDE AND HAS BEEN PROVEN TO BE HIGHLY EFFECTIVE IN THE PREVENTION AND TREATMENT OF VARIOUS DISEASES. THE SYSTEM AIMS TO ESTABLISH PHYSICAL, MENTAL, SPIRITUAL, AND SOCIAL HEALTH. THIRTY-TWO PATIENTS AT THE INSTITUTE FOR ONCOLOGY LJUBLJANA WERE RANDOMIZED TO THE EXPERIMENTAL (N=16) AND TO THE CONTROL GROUPS (N=16). BOTH GROUPS RECEIVED THE SAME STANDARD PHYSIOTHERAPY FOR 1 WEEK, WHILE THE EXPERIMENTAL GROUP ADDITIONALLY RECEIVED 1-HOUR GROUP RELAXATION TRAINING SESSION ACCORDING TO THE YIDL(R) SYSTEM PER DAY. AT DISCHARGE, THE EXPERIMENTAL GROUP WAS ISSUED WITH AUDIOCASSETTE RECORDINGS CONTAINING SIMILAR INSTRUCTIONS FOR RELAXATION TRAINING TO BE PRACTICED FOR 3 WEEKS INDIVIDUALLY AT HOME. ANXIETY MEASURES WERE OBTAINED BY BLINDED ASSESSORS USING STANDARDIZED QUESTIONNAIRES. THE RESULTS INDICATE THAT RELAXATION TRAINING ACCORDING TO THE YIDL(R) SYSTEM COULD BE A USEFUL CLINICAL PHYSIOTHERAPY INTERVENTION FOR BREAST CANCER PATIENTS EXPERIENCING ANXIETY. 2013 4 1308 38 HATHA-YOGA AS A PSYCHOLOGICAL ADJUVANT FOR WOMEN UNDERGOING IVF: A PILOT STUDY. OBJECTIVES: TO EVALUATE THE INFLUENCE OF HATHA-YOGA (HY) PRACTICE ON DISTRESS OF WOMEN BEFORE STARTING THEIR FIRST IN VITRO FERTILIZATION (IVF) CYCLE. STUDY DESIGN: WE OFFERED 143 CONSECUTIVE WOMEN WITH COUPLE INFERTILITY THE OPPORTUNITY TO ATTEND A FREE HY COURSE LASTING 3 MONTHS AS A PSYCHOLOGICAL SUPPORT BEFORE STARTING THEIR FIRST IVF CYCLE. ALL WOMEN WERE ASKED TO COMPLETE THE STATE-TRAIT ANXIETY INVENTORY-Y1 (STAY-Y1), EDINBURGH DEPRESSION SCALE (EDS) AND GENERAL HEALTH QUESTIONNAIRE-12 (GHQ-12) AT BASELINE (T1) AND AFTER 3 MONTHS (T2), TO EVALUATE SYMPTOMS OF ANXIETY, DEPRESSION AND DISTRESS, RESPECTIVELY. RESULTS: OF THE 143 WOMEN, 120 COMPLETED ALL THREE QUESTIONNAIRES. OF THESE, 45 ATTENDED THE HY COURSE AND 75 DID NOT. AT T1, EDS AND GHQ-12 SCORES WERE SIGNIFICANTLY HIGHER IN THE HY GROUP THAN IN THE NON-HY GROUP. THERE WERE NO GROUP DIFFERENCES IN STAI-Y1 SCORES. AT T2 THERE WERE NO GROUP DIFFERENCES. WHEN, IN EACH GROUP, THE SCORE OF EACH QUESTIONNAIRE AT T1 WAS COMPARED TO THE SCORE AT T2, A SIGNIFICANT T1 TO T2 REDUCTION WAS OBSERVED IN THE HY GROUP (P<0.0001 FOR STAY-Y1 AND GHQ-12, P<0.001 FOR EDS). CONCLUSIONS: OUR DATA SUGGEST THAT WOMEN WHO ARE MORE DISTRESSED ARE MORE LIKELY TO ACCEPT PSYCHOLOGICAL SUPPORT BEFORE STARTING AN IVF CYCLE AND THAT IN THESE WOMEN HY PRACTICE IS ASSOCIATED WITH DISTRESS REDUCTION. 2014 5 511 43 COMPARATIVE STUDY OF CONVENTIONAL THERAPY AND ADDITIONAL YOGASANAS FOR KNEE REHABILITATION AFTER TOTAL KNEE ARTHROPLASTY. BACKGROUND: AMONGST VARIOUS MODALITIES OF POST OPERATIVE REHABILITATION IN A TOTAL KNEE REPLACEMENT (TKR) SURGERY, THIS STUDY FOCUSES ON EVALUATING THE EFFECT OF ADDITIONAL YOGA THERAPY ON FUNCTIONAL OUTCOME OF TKR PATIENTS. MATERIALS AND METHODS: A COMPARATIVE STUDY WAS DONE TO COMPARE THE EFFECTS OF CONVENTIONAL PHYSIOTHERAPY AND ADDITIONAL YOGA ASANAS, ON 56 PATIENTS UNDERGOING TOTAL KNEE ARTHROPLASTY DUE TO OSTEOARTHRITIS. AFTER OBTAINING WRITTEN INFORMED CONSENT, THE PATIENTS WERE ALTERNATELY ASSIGNED TO TWO GROUPS: CONVENTIONAL AND EXPERIMENTAL. BASELINE WOMAC SCORES FOR PAIN AND STIFFNESS WERE TAKEN ON THIRD POST OPERATIVE DAY. THE SUBJECTS IN CONVENTIONAL GROUP RECEIVED PHYSIOTHERAPY REHABILITATION PROGRAM OF SANCHETI INSTITUTE WHERE THE STUDY WAS CONDUCTED, THE EXPERIMENTAL GROUP RECEIVED ADDITIONAL MODIFIED YOGA ASANAS ONCE DAILY BY THE THERAPIST. AFTER DISCHARGE FROM THE HOSPITAL, PATIENTS WERE PROVIDED WITH WRITTEN INSTRUCTIONS AND PHOTOGRAPHS OF THE ASANAS, TWO SETS OF WOMAC QUESTIONNAIRE WITH STAMPED AND ADDRESSED ENVELOPES AND WERE INSTRUCTED TO PERFORM YOGA ASANAS 3 DAYS/WEEK. SUBJECTS FILLED THE QUESTIONNAIRE AFTER 6 WEEKS AND 3 MONTHS FROM THE DAY OF SURGERY AND MAILED BACK. THE PRIMARY OUTCOME MEASURE WAS WOMAC QUESTIONNAIRE WHICH CONSISTS OF 24 QUESTIONS, EACH CORRESPONDING TO A VISUAL ANALOG SCALE, DESIGNED TO MEASURE PATIENT'S PERCEPTION OF PAIN, STIFFNESS AND FUNCTION. RESULTS: THE RESULTS SUGGEST THAT THERE WAS A SIGNIFICANT CHANGE (P<0.05) FOR ALL THE GROUPS FOR PAIN, STIFFNESS AND FUNCTION SUBSCALES OF WOMAC SCALE. THE PAIN AND STIFFNESS WAS FOUND TO BE LESS IN EXPERIMENTAL GROUP RECEIVING ADDITIONAL YOGA THERAPY THAN IN CONVENTIONAL GROUP ON 3(RD) POST OPERATIVE DAY, 6 WEEKS AND 3 MONTHS AFTER THE SURGERY. CONCLUSION: A COMBINATION OF PHYSIOTHERAPY AND YOGA ASANA PROTOCOL WORKS BETTER THAN ONLY PHYSIOTHERAPY PROTOCOL. LARGER AND BLINDED STUDY IS NEEDED. 2012 6 1835 25 PSYCHOPHYSIOLOGICAL CHANGES AT THE TIME OF EXAMINATION IN MEDICAL STUDENTS BEFORE AND AFTER THE PRACTICE OF YOGA AND RELAXATION. THE EFFECT OF YOGA AND RELAXATION CHANGES IN PSYCHOPHYSIOLOGICAL PARAMETERS IN RESPONSE TO THE STRESS OF EXAMINATION IN 75 MEDICAL STUDENTS WAS STUDIED. INITIALLY FIVE PARAMETERS (ANXIETY LEVEL, HEART RATE, BLOOD PRESSURE, GALVANIC SKIN RESISTANCE AND CHOICE REACTION TIME) WERE RECORDED, A MONTH BEFORE THE EXAMINATION AND ON THE DAY OF EXAMINATION. STUDENTS WERE THEN RANDOMLY DIVIDED INTO 3 GROUP OF 25 EACH. ONE GROUP PRACTICED YOGA (GROUP- Y), AND ANOTHER GROUP PRACTICED RELAXATION (GROUP-R) REGULARLY FOR THREE MONTHS. THE THIRD GROUP WAS CONTROL GROUP (GROUP-C). ALL THE PARAMETERS WERE RECORDED AFTER THE CHANGES IN ANXIETY LEVEL, HEART RATE, BLOOD PRESSURE, AND GALVANIC SKIN RESISTANCE IN RESPONSE TO STRESS OF EXAMINATION WERE SIGNIFICANTLY ATTENUATED AND THERE WAS SIGNIFICANT IMPROVEMENT IN CHOICE REACTION TIME IN GROUP-Y AND GROUP-R AS COMPARED TO GROUP-C AFTER YOGA AND RELAXATION. 1998 7 1376 39 IMPACT OF HATHA YOGA ON THE AIRWAY RESISTANCES IN HEALTHY INDIVIDUALS AND ALLERGIC RHINITIS PATIENTS. THERE HAVE BEEN LIMITED STUDIES ON HATHA YOGA TRAINING AS A COMPLEMENTARY THERAPY TO MANAGE THE SYMPTOMS OF ALLERGIC RHINITIS. THE MAIN AIM OF THE STUDY WAS TO CHECK THE IMPACT OF HATHA YOGASANAS ON THE AIRWAY RESISTANCES IN HEALTHY VOLUNTEERS, A BASELINE DATA CAN BE ESTABLISHED AND ALSO TO STUDY THE IMPACT OF HATHA YOGASANAS ON THE AIRWAY RESISTANCES IN ALLERGIC RHINITIS PATIENTS IN BANGALORE, INDIA. THIS IS A PROSPECTIVE CASE SERIES OF 51 HEALTHY VOLUNTEERS (18 MALES AND 33 FEMALES) GROUP 1 AND 51 ALLERGIC RHINITIS PATIENTS (18 MALES AND 33 FEMALES) GROUP 2. THE OBJECTIVE ANALYSIS OF THE UPPER AIRWAY RESISTANCE WAS MEASURED USING A RHINOMANOMETER AND THE LOWER AIRWAY RESISTANCE WAS MEASURED USING A SPIROMETER. THEN THE SUBJECTS PRACTICED SPECIFIC HATHA YOGASANAS FOR THREE MONTHS. THEN THE AIRWAY RESISTANCE TESTS WERE AGAIN DONE AT 3 MONTHS INTERVAL. THE SUBJECTIVE ANALYSIS WAS DONE PRE YOGA AND POST YOGA USING THE SHORT FORM-12 (SF-12) AND SINO NASAL OUTCOME TEST (SNOT) QUESTIONNAIRES TO ASSESS THE QUALITY OF LIFE. THE DATA WAS ANALYZED BY DOING A PAIRED (2-TAILED) T TEST, USING SPSS (SOFTWARE PACKAGE FOR SOCIAL SCIENCES) VERSION 16. TOTAL NASAL AIRWAY RESISTANCE PRE YOGA AND POST YOGA IN 51 HEALTHY VOLUNTEERS HAD SIGNIFICANTLY REDUCED AT 150 PA AND THE FORCED VITAL CAPACITY(FVC) PRE YOGA AND POST YOGA HAD SIGNIFICANTLY INCREASED,FORCED EXPIRATORY VOLUME (FEV1) & % RESIDUAL STANDARD DEVIATION (%RSD) HAD INCREASED BUT NOT SIGNIFICANT. THE PHYSICAL COMPONENT SCORE (PCS) AND MENTAL COMPONENT SCORE (MCS) OF THE SF-12 HEALTH SURVEY QUESTIONNAIRE HAD SIGNIFICANTLY IMPROVED WITH AND THE SNOT QUESTIONNAIRE SCORE HAD SIGNIFICANTLY REDUCED. THE TOTAL NASAL AIRWAY RESISTANCE IN 51 ALLERGIC RHINITIS HAD SIGNIFICANTLY REDUCED AT 150 PA AND THE FVC PRE YOGA AND POST YOGA SHOWED INCREASE BUT CHANGE WAS NOT SIGNIFICANT, FEV1 PRE YOGA AND POST YOGA HAD SIGNIFICANTLY INCREASED, %RSD PRE YOGA AND POST YOGA HAD SIGNIFICANTLY INCREASED. THE PCS AND MCS OF THE SF-12 HEALTH SURVEY QUESTIONNAIRE HAD SIGNIFICANTLY INCREASED AND THE SNOT QUESTIONNAIRE SCORE HAD SIGNIFICANTLY DECREASED. THE SCIENTIFIC DOCUMENTATION OF THE IMPACT OF HATHA YOGA ON THE AIRWAY RESISTANCES CAN BE AN EYE OPENER IN THE MANAGEMENT OF SEVERAL OTHER DISEASES OF THE AIRWAYS. 2019 8 329 45 ANXIOLYTIC EFFECTS OF A YOGA PROGRAM IN EARLY BREAST CANCER PATIENTS UNDERGOING CONVENTIONAL TREATMENT: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS STUDY COMPARES THE ANXIOLYTIC EFFECTS OF A YOGA PROGRAM AND SUPPORTIVE THERAPY IN BREAST CANCER OUTPATIENTS UNDERGOING CONVENTIONAL TREATMENT AT A CANCER CENTRE. METHODS: NINETY-EIGHT STAGE II AND III BREAST CANCER OUTPATIENTS WERE RANDOMLY ASSIGNED TO RECEIVE YOGA (N=45) OR BRIEF SUPPORTIVE THERAPY (N=53) PRIOR TO THEIR PRIMARY TREATMENT I.E., SURGERY. ONLY THOSE SUBJECTS WHO RECEIVED SURGERY FOLLOWED BY ADJUVANT RADIOTHERAPY AND SIX CYCLES OF CHEMOTHERAPY WERE CHOSEN FOR ANALYSIS FOLLOWING INTERVENTION (YOGA, N=18, CONTROL, N=20). INTERVENTION CONSISTED OF YOGA SESSIONS LASTING 60MIN DAILY WHILE THE CONTROL GROUP WAS IMPARTED SUPPORTIVE THERAPY DURING THEIR HOSPITAL VISITS AS A PART OF ROUTINE CARE. ASSESSMENTS INCLUDED SPEILBERGER'S STATE TRAIT ANXIETY INVENTORY AND SYMPTOM CHECKLIST. ASSESSMENTS WERE DONE AT BASELINE, AFTER SURGERY, BEFORE, DURING, AND AFTER RADIOTHERAPY AND CHEMOTHERAPY. RESULTS: A GLM-REPEATED MEASURES ANOVA SHOWED OVERALL DECREASE IN BOTH SELF-REPORTED STATE ANXIETY (P<0.001) AND TRAIT ANXIETY (P=0.005) IN YOGA GROUP AS COMPARED TO CONTROLS. THERE WAS A POSITIVE CORRELATION BETWEEN ANXIETY STATES AND TRAITS WITH SYMPTOM SEVERITY AND DISTRESS DURING CONVENTIONAL TREATMENT INTERVALS. CONCLUSION: THE RESULTS SUGGEST THAT YOGA CAN BE USED FOR MANAGING TREATMENT-RELATED SYMPTOMS AND ANXIETY IN BREAST CANCER OUTPATIENTS. 2009 9 972 34 EFFECTS OF AN INTEGRATED YOGA PROGRAM IN MODULATING PSYCHOLOGICAL STRESS AND RADIATION-INDUCED GENOTOXIC STRESS IN BREAST CANCER PATIENTS UNDERGOING RADIOTHERAPY. EFFECTS OF AN INTEGRATED YOGA PROGRAM IN MODULATING PERCEIVED STRESS LEVELS, ANXIETY, AS WELL AS DEPRESSION LEVELS AND RADIATION-INDUCED DNA DAMAGE WERE STUDIED IN 68 BREAST CANCER PATIENTS UNDERGOING RADIOTHERAPY. TWO PSYCHOLOGICAL QUESTIONNAIRES--HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) AND PERCEIVED STRESS SCALE (PSS)--AND DNA DAMAGE ASSAY WERE USED IN THE STUDY. THERE WAS A SIGNIFICANT DECREASE IN THE HADS SCORES IN THE YOGA INTERVENTION GROUP, WHEREAS THE CONTROL GROUP DISPLAYED AN INCREASE IN THESE SCORES. MEAN PSS WAS DECREASED IN THE YOGA GROUP, WHEREAS THE CONTROL GROUP DID NOT SHOW ANY CHANGE PRE- AND POSTRADIOTHERAPY. RADIATION-INDUCED DNA DAMAGE WAS SIGNIFICANTLY ELEVATED IN BOTH THE YOGA AND CONTROL GROUPS AFTER RADIOTHERAPY, BUT THE POSTRADIOTHERAPY DNA DAMAGE IN THE YOGA GROUP WAS SLIGHTLY LESS WHEN COMPARED TO THE CONTROL GROUP. AN INTEGRATED APPROACH OF YOGA INTERVENTION MODULATES THE STRESS AND DNA DAMAGE LEVELS IN BREAST CANCER PATIENTS DURING RADIOTHERAPY. 2007 10 2602 39 YOGA FOR PATIENTS WITH EARLY BREAST CANCER AND ITS IMPACT ON QUALITY OF LIFE - A RANDOMIZED CONTROLLED TRIAL. THE AIM OF THIS PROSPECTIVE, RANDOMIZED, CONTROLLED TRIAL WAS TO INVESTIGATE THE IMPACT OF YOGA ON NEWLY DIAGNOSED PATIENTS WITH EARLY BREAST CANCER IN THE IMMEDIATE POSTOPERATIVE PHASE. 93 WOMEN NEWLY DIAGNOSED WITH EARLY BREAST CANCER WERE RANDOMIZED INTO AN INTERVENTION GROUP (IG) AND A CONTROL GROUP (WAITING GROUP, WG). THE IG STARTED YOGA IMMEDIATELY AFTER THE OPERATION. THE WG STARTED YOGA 5 WEEKS AFTER SURGERY. BOTH GROUPS ATTENDED YOGA CLASSES TWICE WEEKLY FOR 5 WEEKS. QUALITY OF LIFE (QOL) WAS EVALUATED USING THE EORTC QLQ-C30 AND EORTC QLQ-BR23 QUESTIONNAIRES BEFORE THE INTERVENTION, IMMEDIATELY AFTER THE OPERATION AND AFTER 3 MONTHS. AFTER 3 MONTHS THE PATIENTS WERE ASKED WHETHER YOGA IMPROVED THEIR PHYSICAL ACTIVITY AND WHETHER THEY WISHED TO CONTINUE WITH YOGA. THE OVERALL QOL (P = 0.002) AND THE FUNCTIONAL STATUS (P = 0.005) INCREASED SIGNIFICANTLY IN THE IG, WHILE PHYSICAL SYMPTOMS DECREASED OVER TIME IN BOTH GROUPS. 86 % OF PATIENTS IN THE IG AND ONLY 59 % OF PATIENTS IN THE WG (P = 0.04) CONFIRMED A POSITIVE CHANGE IN THEIR PHYSICAL ACTIVITY THROUGH YOGA. MORE WOMEN IN THE IG INTENDED TO CONTINUE WITH YOGA (P = 0.03). EARLY INITIATION OF YOGA AS A SUPPORTIVE TREATMENT IN CANCER HAD A POSITIVE IMPACT ON QOL. TEACHING YOGA ALLOWED PATIENTS TO PRACTICE YOGA BY THEMSELVES, ENHANCED THE PATIENTS' QOL AND WAS FOUND TO IMPROVE PHYSICAL ACTIVITY. 2013 11 214 28 A STUDY OF THE EFFECT OF YOGA TRAINING ON PULMONARY FUNCTIONS IN PATIENTS WITH BRONCHIAL ASTHMA. THE ROLE OF YOGA BREATHING EXERCISES, AS AN ADJUNCT TREATMENT FOR BRONCHIAL ASTHMA IS WELL RECOGNIZED. ONE HUNDRED TWENTY PATIENTS OF ASTHMA WERE RANDOMIZED INTO TWO GROUPS I.E GROUP A (YOGA TRAINING GROUP) AND GROUP B (CONTROL GROUP). EACH GROUP INCLUDED SIXTY PATIENTS. PULMONARY FUNCTION TESTS WERE PERFORMED ON ALL THE PATIENTS AT BASELINE, AFTER 4 WEEKS AND THEN AFTER 8 WEEKS. MAJORITY OF THE SUBJECTS IN THE TWO GROUPS HAD MILD DISEASE (34 PATIENTS IN GROUP A AND 32 IN GROUP B). GROUP A SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT INCREASING TREND (P < 0.01) IN % PREDICTED PEAK EXPIRATORY FLOW RATE (PEFR), FORCED EXPIRATORY VOLUME IN THE FIRST SECOND (FEV1), FORCED VITAL CAPACITY (FVC), FORCED MID EXPIRATORY FLOW IN 0.25-0.75 SECONDS (FEF25-75) AND FEV1/FVC% RATIO AT 4 WEEKS AND 8 WEEKS AS COMPARED TO GROUP B. THUS, YOGA BREATHING EXERCISES USED ADJUNCTIVELY WITH STANDARD PHARMACOLOGICAL TREATMENT SIGNIFICANTLY IMPROVES PULMONARY FUNCTIONS IN PATIENTS WITH BRONCHIAL ASTHMA. 2009 12 1563 35 LONGITUDINAL EFFECTS OF A COMBINED PROGRAM OF PELVIC FLOOR MUSCLE TRAINING AND YOGA ON GENITOURINARY SYMPTOMS IN ASIAN WOMEN OF OLDER AGE: A RANDOMIZED EXPERIMENTAL STUDY. THIS PARALLEL-TWO-GROUP RANDOMIZED EXPERIMENTAL STUDY INCLUDING A SUPERVISED GROUP AND AN UNSUPERVISED GROUP EXAMINED THE LONGITUDINAL EFFECTS OF PELVIC FLOOR MUSCLE TRAINING (PFMT) COMBINED WITH YOGA ON GENITOURINARY SYMPTOMS AND THE HEALTH-RELATED QUALITY OF LIFE (HRQOL), AND COMPARED PRACTICE ADHERENCE RATES OF THE TWO GROUPS. A SAMPLE OF WOMEN EXPERIENCING >/=1 GENITOURINARY SYMPTOM(S) WERE RECRUITED AND ASSIGNED TO A SUPERVISED GROUP OR AN UNSUPERVISED GROUP. THE SUPERVISED GROUP ATTENDED SUPERVISED GROUP PRACTICE SESSIONS AND PERFORMED AT-HOME PRACTICE OF PFMT AND YOGA. THE UNSUPERVISED GROUP PERFORMED AT-HOME PRACTICE OF PFMT AND YOGA. INFORMATION WAS COLLECTED AT FIVE TIME POINTS (N = 91). GENERALIZED ESTIMATING EQUATION PROCEDURES WERE USED TO EXAMINE THE INTERVENTION EFFECTS. AN INDEPENDENT T-TEST WAS CONDUCTED TO COMPARE THE PRACTICE ADHERENCE RATES. BOTH GROUPS' GENITOURINARY SYMPTOMS AND HRQOL SIGNIFICANTLY IMPROVED OVER TIME. THE SUPERVISED GROUP DISPLAYED GREATER IMPROVEMENTS IN GENITOURINARY SYMPTOMS AND HRQOL AND BETTER ADHERENCE THAN DID THE UNSUPERVISED GROUP. 2022 13 865 29 EFFECT OF YOGA PRACTICES ON PULMONARY FUNCTION TESTS INCLUDING TRANSFER FACTOR OF LUNG FOR CARBON MONOXIDE (TLCO) IN ASTHMA PATIENTS. PRANA IS THE ENERGY, WHEN THE SELF-ENERGIZING FORCE EMBRACES THE BODY WITH EXTENSION AND EXPANSION AND CONTROL, IT IS PRANAYAMA. IT MAY AFFECT THE MILIEU AT THE BRONCHIOLES AND THE ALVEOLI PARTICULARLY AT THE ALVEOLO-CAPILLARY MEMBRANE TO FACILITATE DIFFUSION AND TRANSPORT OF GASES. IT MAY ALSO INCREASE OXYGENATION AT TISSUE LEVEL. AIM OF OUR STUDY IS TO COMPARE PULMONARY FUNCTIONS AND DIFFUSION CAPACITY IN PATIENTS OF BRONCHIAL ASTHMA BEFORE AND AFTER YOGIC INTERVENTION OF 2 MONTHS. SIXTY STABLE ASTHMATIC-PATIENTS WERE RANDOMIZED INTO TWO GROUPS I.E GROUP 1 (YOGA TRAINING GROUP) AND GROUP 2 (CONTROL GROUP). EACH GROUP INCLUDED THIRTY PATIENTS. LUNG FUNCTIONS WERE RECORDED ON ALL PATIENTS AT BASELINE, AND THEN AFTER TWO MONTHS. GROUP 1 SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT (P<0.001) IN TRANSFER FACTOR OF THE LUNG FOR CARBON MONOXIDE (TLCO), FORCED VITAL CAPACITY (FVC), FORCED EXPIRATORY VOLUME IN 1ST SEC (FEV1), PEAK EXPIRATORY FLOW RATE (PEFR), MAXIMUM VOLUNTARY VENTILATION (MVV) AND SLOW VITAL CAPACITY (SVC) AFTER YOGA PRACTICE. QUALITY OF LIFE ALSO INCREASED SIGNIFICANTLY. IT WAS CONCLUDED THAT PRANAYAMA & YOGA BREATHING AND STRETCHING POSTURES ARE USED TO INCREASE RESPIRATORY STAMINA, RELAX THE CHEST MUSCLES, EXPAND THE LUNGS, RAISE ENERGY LEVELS, AND CALM THE BODY. 2012 14 699 36 EFFECT OF HATHA YOGA TRAINING ON RHINITIS SYMPTOMS AND CYTOKINES IN ALLERGIC RHINITIS PATIENTS. INTRODUCTION: ALLERGIC RHINITIS IS AN INFLAMMATION OF THE NASAL MUCOSA IN RESPONSE TO ALLERGENS. THERE IS EVIDENCE THAT YOGA CAN IMPROVE PERSONAL HEALTH AND HAS POSITIVE EFFECTS ON IMMUNE FUNCTION. HOWEVER, THE EFFECTS OF HATHA YOGA TRAINING ON RHINITIS SYMPTOMS AND CYTOKINES IN PATIENTS WITH ALLERGIC RHINITIS ARE STILL UNCLEAR. OBJECTIVE: THE PURPOSE OF THIS STUDY WAS TO INVESTIGATE THE EFFECTS OF HATHA YOGA TRAINING ON RHINITIS SYMPTOMS AND CYTOKINES IN ALLERGIC RHINITIS PATIENTS. METHODS: TWENTY-SEVEN ALLERGIC RHINITIS PATIENTS WERE RANDOMIZED INTO 2 GROUPS: A CONTROL GROUP (CON; N = 14) AND A YOGA GROUP (YOG; N = 13). THE CON GROUP CONTINUED WITH NORMAL ACTIVITIES AND THE YOG GROUP WAS REQUIRED TO COMPLETE A PROTOCOL OF HATHA YOGA TRAINING FOR 60 MINUTES PER SESSION, 3 TIMES PER WEEK FOR 8 WEEKS. PHYSIOLOGICAL CHARACTERISTICS, ALLERGIC RHINITIS SYMPTOMS, AND CYTOKINE SECRETIONS WERE COMPARATIVELY ANALYZED BEFORE AND AFTER YOGA TRAINING. RESULTS: AFTER 8 WEEKS, THE YOG GROUP HAD INCREASED PEAK NASAL INSPIRATORY FLOW (PNIF) AND EXHIBITED SIGNIFICANTLY DECREASED RHINITIS SYMPTOMS AND NASAL BLOOD FLOW (NBF) COMPARED TO PRE-TEST. MOREOVER, THE YOG GROUP HAD SIGNIFICANTLY HIGHER NASAL SECRETION OF INTERLEUKIN (IL)-2 THAN THE CON GROUP. CONCLUSION: THE PRESENT FINDINGS DEMONSTRATED THAT 8 WEEKS OF HATHA YOGA TRAINING HAD BENEFICIAL EFFECTS IN ALLERGIC RHINITIS BY IMPROVED CLINICAL ALLERGIC RHINITIS AND CYTOKINE PROFILES. 2022 15 1637 31 MODULATION OF CARDIAC AUTONOMIC BALANCE WITH ADJUVANT YOGA THERAPY IN PATIENTS WITH REFRACTORY EPILEPSY. THE PRACTICE OF YOGA REGULATES BODY PHYSIOLOGY THROUGH CONTROL OF POSTURE, BREATHING, AND MEDITATION. EFFECTS OF YOGA ON AUTONOMIC FUNCTIONS OF PATIENTS WITH REFRACTORY EPILEPSY, AS QUANTIFIED BY STANDARDIZED AUTONOMIC FUNCTION TESTS (AFTS), WERE DETERMINED. THE YOGA GROUP (N=18) RECEIVED SUPERVISED TRAINING IN YOGA, AND THE EXERCISE GROUP (N=16) PRACTICED SIMPLE ROUTINE EXERCISES. AFTS WERE REPEATED AFTER 10 WEEKS OF DAILY SESSIONS. DATA WERE COMPARED WITH THOSE OF HEALTHY VOLUNTEERS (N=142). THE YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENT IN PARASYMPATHETIC PARAMETERS AND A DECREASE IN SEIZURE FREQUENCY SCORES. THERE WAS NO IMPROVEMENT IN BLOOD PRESSURE PARAMETERS IN EITHER GROUP. TWO PATIENTS IN THE YOGA GROUP ACHIEVED NORMAL AUTONOMIC FUNCTIONS AT THE END OF 10 WEEKS OF THERAPY, WHEREAS THERE WERE NO CHANGES IN THE EXERCISE GROUP. THE DATA SUGGEST THAT YOGA MAY HAVE A ROLE AS AN ADJUVANT THERAPY IN THE MANAGEMENT OF AUTONOMIC DYSFUNCTION IN PATIENTS WITH REFRACTORY EPILEPSY. 2008 16 286 21 ADJUNCT TREATMENT WITH YOGA IN CHRONIC SEVERE AIRWAYS OBSTRUCTION. ELEVEN PATIENTS WITH SEVERE CHRONIC AIRWAYS OBSTRUCTION WERE GIVEN TRAINING IN YOGIC BREATHING EXERCISES AND POSTURES. A MATCHED GROUP OF 11 PATIENTS WERE GIVEN PHYSIOTHERAPY BREATHING EXERCISES. BOTH GROUPS OF PATIENTS WERE FOLLOWED UP AT MONTHLY INTERVALS FOR NINE MONTHS WITH PULMONARY FUNCTION TESTS, TESTS OF EXERCISE TOLERANCE, AND INQUIRY INTO THEIR SYMPTOMS. AFTER TRAINING IN YOGA THE MEAN MAXIMUM WORK INCREASED SIGNIFICANTLY BY 60.55 KPM; WHEREAS NO SUCH RISE OCCURRED AFTER TRAINING IN PHYSIOTHERAPY. THIS OBJECTIVE IMPROVEMENT WAS ASSOCIATED WITH SYMPTOMATIC IMPROVEMENT IN A SIGNIFICANTLY HIGHER NUMBER OF PATIENTS GIVEN TRAINING IN YOGA. 1978 17 353 31 ASSESSMENT OF THE QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA, BEFORE AND AFTER YOGA: A RANDOMISED TRIAL. YOGA WHICH IS USED AS AN ADJUNCT TREATMENT FOR BRONCHIAL ASTHMA IS GAINING POPULARITY THROUGHOUT THE WORLD. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFECT OF YOGA ON QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA. 120 NON-SMOKING MALE AND FEMALE PATIENTS OF ASTHMA IN THE AGE GROUP OF 17-50 YEARS WERE RANDOMIZED INTO TWO GROUPS I.E. GROUP A (YOGA GROUP) AND GROUP B (CONTROL GROUP). ALL PATIENTS REMAINED ON THEIR PRESCRIBED MEDICATION, BUT GROUP A PATIENTS PRACTICED YOGA BREATHING EXERCISES FOR 8 WEEKS. ASTHMA QUALITY OF LIFE QUESTIONNAIRE (AQLQ) AND DIARY RECORD WAS USED TO ASSESS QUALITY OF LIFE, NUMBER AND SEVERITY OF ASTHMATIC ATTACKS, AND THE DOSAGE OF THE MEDICATION REQUIRED AT BASELINE AND AFTER 8 WEEKS. GROUP A SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN "SYMPTOMS", "ACTIVITIES" AND "ENVIRONMENTAL" DOMAINS OF AQLQ AT 8 WEEKS (P<0.01) AND SIGNIFICANT REDUCTION IN DAILY NUMBER AND SEVERITY OF ATTACKS, AND THE DOSAGE OF MEDICATION REQUIRED AT 4 AND 8 WEEKS (P<0.01) COMPARED TO THE BASELINE. YOGA BREATHING EXERCISES USED ADJUNCTIVELY WITH STANDARD PHARMACOLOGICAL TREATMENT SIGNIFICANTLY IMPROVED QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA. 2014 18 360 37 ASSOCIATION OF YOGA PRACTICE AND SERUM CORTISOL LEVELS IN CHRONIC PERIODONTITIS PATIENTS WITH STRESS-RELATED ANXIETY AND DEPRESSION. AIM: REDUCING THE PSYCHOSOCIAL STRESS BY VARIOUS METHODS CAN IMPROVE OVERALL HEALTH, AND YOGA IS NOW CONSIDERED AS AN EASILY AVAILABLE ALTERNATIVE METHOD. THE PRESENT CROSS-SECTIONAL PILOT STUDY WAS CONDUCTED MAINLY TO FIND THE ASSOCIATION OF YOGA PRACTICE WITH PERIODONTAL DISEASE BY MEASURING SERUM CORTISOL LEVELS. MATERIALS AND METHODS: A TOTAL OF 70 SUBJECTS WITH AGE RANGE OF 35-60 YEARS SUFFERING WITH CHRONIC PERIODONTITIS WERE DIVIDED INTO GROUP I (WITH STRESS), GROUP II (WITHOUT STRESS), AND GROUP III (PRACTICING YOGA). PSYCHOLOGICAL EVALUATION WAS CARRIED OUT USING HAMILTON ANXIETY RATING SCALE (HAM-A) AND ZUNG SELF-RATING DEPRESSION SCALE (ZSDS). PERIODONTAL PARAMETERS LIKE PLAQUE INDEX (PI), PROBING POCKET DEPTH (PPD), AND CLINICAL ATTACHMENT LEVEL (CAL) AT 5-8 MM AND >8 MM WERE RECORDED. BLOOD SAMPLES WERE COLLECTED AND SERUM CORTISOL LEVELS WERE MEASURED. RESULTS: MEAN AGE, PLAQUE SCORES, AND NUMBER OF TEETH WITH PPD AND CAL AT 5-8 MM AND >8 MM WERE SIMILAR IN ALL THE GROUPS, EXCEPT BETWEEN GROUP I AND GROUP III WHERE A MULTIPLE COMPARISON WITH TUKEY'S POST-HOC TEST SHOWED SIGNIFICANT DIFFERENCE IN PLAQUE INDEX (P < 0.038) AND THE NUMBER OF TEETH WITH CAL 5-8 MM (P < 0.016). SERUM CORTISOL LEVELS AND HAM-A SCALE AND ZSDS SCORES SHOWED HIGHLY SIGNIFICANT VALUE (P < 0.001) IN GROUP I SUBJECTS WHEN COMPARED WITH GROUP II AND GROUP III SUBJECTS. CONCLUSION: CROSS-SECTIONAL OBSERVATION DONE AMONG THREE GROUPS SHOWED THAT INDIVIDUALS PRACTICING YOGA REGULARLY HAD LOW SERUM CORTISOL LEVELS, HAM-A SCALE AND ZSDS SCORES, AND BETTER PERIODONTAL HEALTH. 2016 19 2791 32 YOGA THERAPY FOR BREAST CANCER PATIENTS: A PROSPECTIVE COHORT STUDY. WE SOUGHT TO STUDY THE IMPACT OF YOGA THERAPY ON ANXIETY, DEPRESSION AND PHYSICAL HEALTH IN BREAST CANCER PATIENTS. STAGE I-III POST-OPERATIVE BREAST CANCER PATIENTS WERE RECRUITED WITH TWELVE 1-H WEEKLY YOGA SESSIONS COMPLETED WITH AN EXPERIENCED YOGA INSTRUCTOR. BEFORE AND AFTER EACH MODULE COMPLETION, ASSESSMENTS WERE OBTAINED WITH THE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS), THE DALLAS PAIN SCALE AND SHOULDER FLEXIBILITY MEASUREMENTS. FOURTEEN PATIENTS COMPLETED THE ENTIRE YOGA SESSION WITH 42.8% HAVING A TOTAL MASTECTOMY AND 15.4% HAVING BREAST RECONSTRUCTION. BOTH RIGHT AND LEFT SHOULDER ABDUCTION FLEXIBILITY SIGNIFICANTLY IMPROVED (P = 0.004; P = 0.015 RESPECTIVELY) AS WELL AS LEFT SHOULDER FLEXION (P = 0.046). AN IMPROVEMENT TREND IN SCORES FOR THE HADS AND DALLAS QUESTIONNAIRES PRE- AND POST-INTERVENTION WAS FOUND, ALTHOUGH IT WAS NOT STATISTICALLY SIGNIFICANT. OUR DATA INDICATES AN IMPROVEMENT IN PHYSICAL FUNCTION IN ADDITION TO A CONSISTENT AMELIORATION IN ANXIETY, DEPRESSION AND PAIN SYMPTOMS AFTER A YOGA INTERVENTION. 2013 20 2350 36 USING YOGA NIDRA RECORDINGS FOR PAIN MANAGEMENT IN PATIENTS UNDERGOING COLONOSCOPY. OBJECTIVE: THE OBJECTIVE OF THIS STUDY WAS TO COMPARE THE EFFECTS PRODUCED BY YOGA NIDRA AND RELAXATION MUSIC FOR PAIN MANAGEMENT IN PATIENTS UNDERGOING COLONOSCOPY. A QUASIEXPERIMENTAL DESIGN WAS USED. METHODS: IN TOTAL, 144 PATIENTS WHO WERE SCHEDULED TO UNDERGO COLONOSCOPY WERE ASSIGNED TO THREE DIFFERENT TREATMENT GROUPS. GROUP 1 WAS A NO TREATMENT CONTROL GROUP, GROUP 2 WAS DELIVERED RELAXING MUSIC, AND GROUP 3 WAS DELIVERED A YOGA NIDRA RECORDING. THE PRIMARY OUTCOME WAS PAIN SCORE. SECONDARY TREATMENT EFFICACY MEASURES WERE AN OVERALL PATIENT SATISFACTION SCORE, A WILLINGNESS TO REPEAT THE PROCEDURE SCORE, AND A PERCEIVED COLONOSCOPE INSERTION DIFFICULTY SCORE. SECONDARY OBJECTIVE TREATMENT EFFECT MEASURES WERE SYSTOLIC AND DIASTOLIC BLOOD PRESSURE AND TOTAL PROCEDURE DURATION. RESULTS: THE PATIENTS' PERCEPTIONS OF PAIN AND THE ENDOSCOPIST'S PERCEIVED COLONOSCOPE INSERTION DIFFICULTY WERE SIGNIFICANTLY REDUCED BY BOTH THE MUSIC AND THE YOGA NIDRA RECORDING (P < .05). OVERALL PATIENT SATISFACTION WAS SIGNIFICANTLY IMPROVED BY BOTH THE MUSIC AND THE YOGA NIDRA RECORDING (P < .05). PATIENTS' WILLINGNESS TO REPEAT THE PROCEDURE AND THE TOTAL PROCEDURE DURATION WERE SIGNIFICANTLY IMPROVED AND REDUCED, RESPECTIVELY, BY THE YOGA NIDRA RECORDING (P < .05), BUT THERE WERE NO SIGNIFICANT DIFFERENCES COMPARED TO THE MUSIC GROUP. THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES AMONG THE THREE GROUPS IN TERMS OF BLOOD PRESSURE. CONCLUSIONS: BOTH THE YOGA NIDRA RECORDING AND THE RELAXATION MUSIC HELPED REDUCE THE PAIN PARTICIPANTS UNDERGOING COLONOSCOPY EXPERIENCED. THE YOGA NIDRA RECORDING WAS THE MOST SUCCESSFUL INTERVENTION AMONG THE THREE GROUPS. 2019