1 1656 63 MUSCULOSKELETAL INJURIES RELATED TO YOGA: IMAGING OBSERVATIONS. OBJECTIVE: THE PURPOSE OF THIS ARTICLE IS TO DESCRIBE THE IMAGING APPEARANCES OF MUSCULOSKELETAL INJURIES RELATED TO YOGA. WE PERFORMED AN AUTOMATED SEARCH IN THE DATABASE OF A LARGE TERTIARY CARE CENTER AND CONDUCTED A RETROSPECTIVE ANALYSIS OF THE IMAGING FINDINGS IN 38 PATIENTS OVER A 9-YEAR PERIOD. CONCLUSION: THE MOST FREQUENTLY ENCOUNTERED MUSCULOSKELETAL INJURIES WERE TENDINOUS LESIONS, INCLUDING TEARS OF THE SUPRASPINATUS, ACHILLES, AND PERONEUS BREVIS TENDONS AND FIBROCARTILAGINOUS TEARS INVOLVING THE MEDIAL MENISCUS, ACETABULAR LABRUM, GLENOID LABRUM, AND LUMBAR DISK WITH EXTRUSION. 2012 2 2710 17 YOGA IS FOUND HAZARDOUS TO THE MENISCUS FOR CHINESE WOMEN. OBJECTIVE: YOGA IS BECOMING MORE AND MORE POPULAR IN THE FEMALE SOCIETY WHILE THE CONCOMITANT SPORTS INJURY IS SELDOM MENTIONED. MANY CLINICIANS HAVE NOTED THAT YOGA MAY RESULT IN KNEE PROBLEMS, WHICH THOUGH REQUIRES MORE RESEARCHES TO CORROBORATE. THIS INVESTIGATION WAS CONDUCTED TO ASCERTAIN THE RELATIONSHIP BETWEEN YOGA AND MENISCUS INJURY AS WELL AS THE EXTENT OF IMPAIRMENT ACCORDING TO VARIANT YOGA PRACTICE PERIODS. METHODS: TOTALLY 819 WOMEN AGED 20-49 YEARS WHO PRACTICED YOGA OR OTHER POPULAR SPORTS INCLUDING BADMINTON, JOGGING, CLIMBING HILLS, ETC FOR AT LEAST ONE HOUR PER DAY WERE SELECTED TO PARTICIPATE IN THIS RESEARCH. THESE SUBJECTS WERE REQUIRED TO COMPLETE A QUESTIONNAIRE AND RECEIVE RELEVANT PHYSICAL EXAMINATION. MAGNETIC RESONANCE (MR) SCAN OF THE KNEE WAS RECOMMENDED FOR THE SUSPICIOUS SUBJECTS FOR ULTIMATE DIAGNOSIS. THE SUBJECT WITH ABNORMAL MENISCUS MR SIGNALS WAS DEFINED AS A CASE AND MATCHED WITH TWO CONTROLS IN TERMS OF AGE AND BODY MASS INDEX (BMI). ALTOGETHER THERE WERE 273 CASES AND 546 CONTROLS. THE NESTED CASE-CONTROL MODEL WAS ADOPTED TO ASSESS THE RISK OF MENISCUS INJURY BETWEEN VARIANT EXPOSURES IN PRACTICING YOGA AND SEVERAL OTHER POPULAR SPORTS. MOREOVER, THE 181 YOGA SUBJECTS WERE SUBDIVIDED INTO THREE GROUPS ACCORDING TO DIFFERENT EXERCISE DURATIONS, FOLLOWED BY FURTHER ANALYSIS WITH THE VARIABLES OF AGE, BMI AND LYSHOLM SCORE. RESULTS: YOGA WAS FOUND ASSOCIATED WITH A HIGHER RISK (P EQUAL TO 0.008, OR EQUAL TO 1.621) OF MENISCUS INJURY COMPARED WITH BADMINTON, JOGGING AND CLIMBING HILLS. THE THREE YOGA SUBGROUPS SHOWED STATISTICAL DIFFERENCE BETWEEN EACH OTHER IN TERMS OF LYSHOLM SCORE (P EQUAL TO 0.027) AND BMI (P EQUAL TO 0.003). THE SUBJECTS WITH LONGER-TERM YOGA PRACTICE HAD LIGHTER WEIGHT BUT LOWER LYSHOLM SCORES. CONCLUSIONS: YOGA PERHAPS EXERTS DESTRUCTIVE IMPACT ON THE MENISCUS FOR CHINESE WOMEN, YET IT NEEDS FURTHER VERIFICATIONS. FURTHERMORE, THE FEMALE YOGA PLAYERS WITH LONGER EXERCISE DURATION ARE MORE SUSCEPTIBLE TO MENISCUS INJURY THOUGH THEY CAN BECOME LEANER. 2012 3 1465 18 INJURIES AND OTHER ADVERSE EVENTS ASSOCIATED WITH YOGA PRACTICE: A SYSTEMATIC REVIEW OF EPIDEMIOLOGICAL STUDIES. OBJECTIVES: TO SYSTEMATICALLY ASSESS THE PREVALENCE OF YOGA-ASSOCIATED INJURIES AND OTHER ADVERSE EVENTS IN EPIDEMIOLOGICAL STUDIES. DESIGN: SYSTEMATIC REVIEW OF OBSERVATIONAL STUDIES. METHODS: MEDLINE/PUBMED, SCOPUS, THE COCHRANE LIBRARY, AND INDMED WERE SEARCHED THROUGH OCTOBER 2016 FOR EPIDEMIOLOGICAL STUDIES ASSESSING THE PREVALENCE OF ADVERSE EVENTS OF YOGA PRACTICE OR COMPARING THE RISK OF ANY ADVERSE EVENTS BETWEEN YOGA PRACTITIONERS AND NON-YOGA PRACTITIONERS. RESULTS: NINE OBSERVATIONAL STUDIES WITH A TOTAL 9129 YOGA PRACTITIONERS AND 9903 NON-YOGA PRACTITIONERS WERE INCLUDED. INCIDENCE PROPORTION OF ADVERSE EVENTS DURING A YOGA CLASS WAS 22.7% (95% CONFIDENCE INTERVAL [CI]=21.1%-24.3%); 12-MONTHS PREVALENCE WAS 4.6% (95%CI=3.8%-5.4%), AND LIFETIME PREVALENCE RANGED FROM 21.3% (95%CI=19.7%-22.9%) TO 61.8% (95%CI=52.8%-70.8%) OF YOGA PRACTITIONERS. SERIOUS ADVERSE EVENTS OCCURRED IN 1.9% (95%CI=1.4%-2.4%). THE MOST COMMON ADVERSE EVENTS RELATED TO THE MUSCULOSKELETAL SYSTEM; THE MOST COMMON INJURIES WERE SPRAINS AND STRAINS. COMPARED TO NON-YOGA PRACTITIONERS, YOGA PRACTITIONERS HAD A COMPARABLE RISK OF FALLS (ODDS RATIO [OR]=0.90; 95%CI=0.76-1.08), AND FALLS-RELATED INJURIES (OR=1.04; 95%CI=0.83-1.29), AND HIGHER RISK OF MENISCUS INJURIES (OR=1.72; 95%CI=1.23-2.41). CONCLUSIONS: A CONSIDERABLE PROPORTION OF YOGA PRACTITIONERS EXPERIENCED INJURIES OR OTHER ADVERSE EVENTS; HOWEVER MOST WERE MILD AND TRANSIENT AND RISKS WERE COMPARABLE TO THOSE OF NON-YOGA PRACTITIONERS. THERE IS NO NEED TO DISCOURAGE YOGA PRACTICE FOR HEALTHY PEOPLE. PEOPLE WITH SERIOUS ACUTE OR CHRONIC ILLNESSES SHOULD SEEK MEDICAL ADVICE BEFORE PRACTICING YOGA. 2018 4 2873 16 YOGA-INDUCED MYOSITIS OSSIFICANS TRAUMATICA OF THE SCAPHOLUNATE LIGAMENT. BACKGROUND MYOSITIS OSSIFICANS TRAUMATICA (MOT) INVOLVES THE HETEROTOPIC DEVELOPMENT OF LAMELLAR BONE AFTER A TRAUMATIC INJURY. DESPITE BEING TERMED "MYOSITIS," MOT IS NOT LIMITED TO MUSCLE BUT RATHER CAN INVOLVE TENDONS, FAT, AND FASCIA. "TRAUMATICA" REFLECTS THAT LESIONS ARE USUALLY ASSOCIATED WITH A HISTORY OF SIGNIFICANT TRAUMA, THAT IS, FRACTURES OR SURGERY; HOWEVER, MANY REPORTS SUGGEST THEY CAN ALSO BE LINKED TO REPETITIVE LOW-ENERGY INSULTS. IN BOTH CASES, THE INFLAMMATORY RESPONSE SECONDARY TO TISSUE INJURY GENERATES A PROLIFERATIVE OSTEOBLASTIC CASCADE. CASE DESCRIPTION WE PRESENT A CASE OF PERSISTENT WRIST PAIN IN A 43-YEAR-OLD WOMAN ASSOCIATED WITH YOGA ACTIVITIES. HER RADIOGRAPHIC STUDIES DEMONSTRATED PARTIAL SCAPHOLUNATE (SL) LIGAMENT TEAR AND AN ASSOCIATED MASS LESION. SURGICAL PATHOLOGY REVEALED MOT INVOLVING THE SL LIGAMENT. LITERATURE REVIEW MOT LESIONS IN THE UPPER EXTREMITY ARE USUALLY LOCALIZED AROUND THE ELBOW, AND CASES IN THE HAND ARE RELATIVELY RARE. THERE ARE NO PRIOR REPORTS OF OCCURRENCES WITHIN THE WRIST JOINT OR IN ASSOCIATION WITH THE SL LIGAMENT. HOWEVER, BIOMECHANICAL STUDIES HAVE QUANTIFIED SIGNIFICANT MECHANICAL STRAINS ACROSS THE SL INTERVAL DURING VARIOUS YOGA POSES. THIS PATTERN OF MICROTRAUMA IS CAPABLE OF GENERATING MOT. CLINICAL RELEVANCE UPPER EXTREMITY WEIGHT-BEARING POSITIONS ARE COMMON IN YOGA AND SUBJECT THE WRIST, ESPECIALLY THE SL INTERVAL, TO HIGH MECHANICAL STRAINS. THIS PATTERN OF MICROTRAUMA SHOULD LEAD THE CLINICIAN TO SUSPECT MOT WHEN ENCOUNTERING A MASS IN THE WRIST, BUT MALIGNANCY AND INFECTION MUST BE RULED OUT. 2019 5 1053 15 EFFECTS OF YOGA ON CARDIOVASCULAR DISEASE RISK FACTORS: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: THE AIM OF THIS REVIEW WAS TO SYSTEMATICALLY ASSESS AND META-ANALYZE THE EFFECTS OF YOGA ON MODIFIABLE BIOLOGICAL CARDIOVASCULAR DISEASE RISK FACTORS IN THE GENERAL POPULATION AND IN HIGH-RISK DISEASE GROUPS. METHODS: MEDLINE/PUBMED, SCOPUS, THE COCHRANE LIBRARY, AND INDMED WERE SCREENED THROUGH AUGUST 2013 FOR RANDOMIZED CONTROLLED TRIALS (RCTS) ON YOGA FOR PREDEFINED CARDIOVASCULAR RISK FACTORS IN HEALTHY PARTICIPANTS, NON-DIABETIC PARTICIPANTS WITH HIGH RISK FOR CARDIOVASCULAR DISEASE, OR PARTICIPANTS WITH TYPE 2 DIABETES MELLITUS. RISK OF BIAS WAS ASSESSED USING THE COCHRANE RISK OF BIAS TOOL. RESULTS: FORTY-FOUR RCTS WITH A TOTAL OF 3168 PARTICIPANTS WERE INCLUDED. RISK OF BIAS WAS HIGH OR UNCLEAR FOR MOST RCTS. RELATIVE TO USUAL CARE OR NO INTERVENTION, YOGA IMPROVED SYSTOLIC (MEAN DIFFERENCE (MD)=-5.85 MM HG; 95% CONFIDENCE INTERVAL (CI)=-8.81, -2.89) AND DIASTOLIC BLOOD PRESSURE (MD=-4.12 MM HG; 95%CI=-6.55, -1.69), HEART RATE (MD=-6.59 BPM; 95%CI=-12.89, -0.28), RESPIRATORY RATE (MD=-0.93 BREATHS/MIN; 95%CI=-1.70, -0.15), WAIST CIRCUMFERENCE (MD=-1.95 CM; 95%CI=-3.01, -0.89), WAIST/HIP RATIO (MD=-0.02; 95%CI=-0.03, -0.00), TOTAL CHOLESTEROL (MD=-13.09 MG/DL; 95%CI=-19.60, -6.59), HDL (MD=2.94 MG/DL; 95%CI=0.57, 5.31), VLDL (MD=-5.70 MG/DL; 95%CI=-7.36, -4.03), TRIGLYCERIDES (MD=-20.97 MG/DL; 95%CI=-28.61, -13.32), HBA1C (MD=-0.45%; 95%CI=-0.87, -0.02), AND INSULIN RESISTANCE (MD=-0.19; 95%CI=-0.30, -0.08). RELATIVE TO EXERCISE, YOGA IMPROVED HDL (MD=3.70 MG/DL; 95%CI=1.14, 6.26). CONCLUSIONS: THIS META-ANALYSIS REVEALED EVIDENCE FOR CLINICALLY IMPORTANT EFFECTS OF YOGA ON MOST BIOLOGICAL CARDIOVASCULAR DISEASE RISK FACTORS. DESPITE METHODOLOGICAL DRAWBACKS OF THE INCLUDED STUDIES, YOGA CAN BE CONSIDERED AS AN ANCILLARY INTERVENTION FOR THE GENERAL POPULATION AND FOR PATIENTS WITH INCREASED RISK OF CARDIOVASCULAR DISEASE. 2014 6 2052 14 THE ASSOCIATION BETWEEN REGULAR YOGA AND MEDITATION PRACTICE AND FALLS AND INJURIES: RESULTS OF A NATIONAL CROSS-SECTIONAL SURVEY AMONG AUSTRALIAN WOMEN. INTRODUCTION: FALLS ARE THE LEADING CAUSE OF INJURIES IN WOMEN ACROSS ALL AGES. WHILE YOGA HAS BEEN SHOWN TO INCREASE BALANCE, IT HAS ALSO BEEN ASSOCIATED WITH INJURIES DUE TO FALLS DURING PRACTICE. THIS STUDY AIMED TO ANALYSE WHETHER REGULAR YOGA OR MEDITATION PRACTICE IS ASSOCIATED WITH THE FREQUENCY OF FALLS AND FALL-RELATED INJURIES IN UPPER MIDDLE-AGED AUSTRALIAN WOMEN. METHODS: WOMEN AGED 59-64 YEARS FROM THE AUSTRALIAN LONGITUDINAL STUDY ON WOMEN'S HEALTH (ALSWH) WERE QUERIED REGARDING FALLS AND FALLS-RELATED INJURIES; AND WHETHER THEY REGULARLY PRACTICED YOGA OR MEDITATION. ASSOCIATIONS OF FALLS AND FALLS-RELATED INJURIES WITH YOGA OR MEDITATION PRACTICE WERE ANALYSED USING CHI-SQUARED TESTS AND MULTIPLE LOGISTIC REGRESSION MODELLING. RESULTS: OF 10,011 WOMEN, 4413 (44.1%) HAD SLIPPED, TRIPPED OR STUMBLED, 2770 (27.7%) HAD FALLEN TO THE GROUND, 1398 (14.0%) HAD BEEN INJURED AS A RESULT OF FALLING, AND 901 (9.0%) WOMEN HAD SOUGHT MEDICAL ATTENTION FOR A FALL-RELATED INJURY WITHIN THE PREVIOUS 12 MONTHS. YOGA OR MEDITATION WAS PRACTICED REGULARLY BY 746 (7.5%) WOMEN. NO ASSOCIATIONS OF FALLS, FALL-RELATED INJURIES AND TREATMENT DUE TO FALLS-RELATED INJURY WITH YOGA OR MEDITATION PRACTICE WERE FOUND. DISCUSSION: NO ASSOCIATION BETWEEN YOGA OR MEDITATION PRACTICE AND FALLS OR FALL-RELATED INJURIES HAVE BEEN FOUND. FURTHER STUDIES ARE WARRANTED FOR CONCLUSIVE JUDGEMENT OF BENEFITS AND SAFETY OF YOGA AND MEDITATION IN RELATION TO BALANCE, FALLS AND FALL-RELATED INJURIES. 2016 7 633 16 DISC EXTRUSIONS AND BULGES IN NONSPECIFIC LOW BACK PAIN AND SCIATICA: EXPLORATORY RANDOMISED CONTROLLED TRIAL COMPARING YOGA THERAPY AND NORMAL MEDICAL TREATMENT. BACKGROUND: PREVIOUS TRIALS OF YOGA THERAPY FOR NONSPECIFIC LOW BACK PAIN (NSLBP) (WITHOUT SCIATICA) SHOWED BENEFICIAL EFFECTS. OBJECTIVE: TO TEST EFFECTS OF YOGA THERAPY ON PAIN AND DISABILITY ASSOCIATED WITH LUMBAR DISC EXTRUSIONS AND BULGES. METHODS: PARALLEL-GROUP, RANDOMISED, CONTROLLED TRIAL. SIXTY-ONE ADULTS FROM RURAL POPULATION, AGED 20-45, WITH NSLBP OR SCIATICA, AND DISC EXTRUSIONS OR BULGES. RANDOMISED TO YOGA (N=30) AND CONTROL (N=31). YOGA: 3-MONTH YOGA COURSE OF GROUP CLASSES AND HOME PRACTICE, DESIGNED TO ENSURE SAFETY FOR DISC EXTRUSIONS. CONTROL: NORMAL MEDICAL CARE. OUTCOME MEASURES (3-4 MONTHS) PRIMARY: ROLAND MORRIS DISABILITY QUESTIONNAIRE (RMDQ); WORST PAIN IN PAST TWO WEEKS. SECONDARY: ABERDEEN LOW BACK PAIN SCALE; STRAIGHT LEG RAISE TEST; STRUCTURAL CHANGES. RESULTS: DISC PROJECTIONS PER CASE RANGED FROM ONE BULGE OR ONE EXTRUSION TO THREE BULGES PLUS TWO EXTRUSIONS. SIXTY-TWO PERCENT HAD SCIATICA. INTENTION-TO-TREAT ANALYSIS OF THE RMDQ DATA, ADJUSTED FOR AGE, SEX AND BASELINE RMDQ SCORES, GAVE A YOGA GROUP SCORE 3.29 POINTS LOWER THAN CONTROL GROUP (0.98, 5.61; P=0.006) AT 3 MONTHS. NO OTHER SIGNIFICANT DIFFERENCES IN THE ENDPOINTS OCCURRED. NO ADVERSE EFFECTS OF YOGA WERE REPORTED. CONCLUSIONS: YOGA THERAPY CAN BE SAFE AND BENEFICIAL FOR PATIENTS WITH NSLBP OR SCIATICA, ACCOMPANIED BY DISC EXTRUSIONS AND BULGES. 2015 8 264 13 ACUTE CHEST PAIN AND ESOPHAGEAL MUCOSAL INJURY FOLLOWING AN EXTREME YOGA POSITION CASE REPORT. A YOUNG LADY COMPLAINED OF THE SUDDEN ONSET OF INTENSE CHEST PAIN, IN CONSEQUENCE OF AN EXTREME HYPEREXTENSION OF THE BACK IN A YOGA POSITION. AT ENDOSCOPY A LARGE LESION OF THE ESOPHAGEAL EPITHELIUM WAS DETECTED, INVOLVING THE MIDDLE THIRD OF THE ANTERIOR WALL OF THE ESOPHAGUS. OTHER SYMPTOMS REPORTED BY THE PATIENT WERE DYSPHAGIA AND ODYNOPHAGIA, DEPICTING THE TYPICAL FEATURES OF INTRAMURAL HEMATOMA, ALSO KNOWN AS INTRAMURAL DISSECTION OR INTRAMURAL PERFORATION OF THE OESOPHAGUS. THE PATIENT WAS MANAGED CONSERVATIVELY AND SYMPTOMS DISAPPEARED WITHIN A WEEK. A BARIUM SWALLOW AT SIX MONTHS REPORTED NORMAL FINDINGS. DIFFERENT TYPES OF ACCIDENTS OCCURRING DURING YOGA PRACTICE ARE REPORTED IN THE LITERATURE, MAINLY INVOLVING MUSCULOSKELETAL OR NERVOUS SYSTEMS. VISCERAL LESIONS ARE EXCEPTIONAL AND NO SIMILAR CASES HAVE BEEN REPORTED IN THE LITERATURE. KEYWORDS: ACUTE CHEST PAIN, ESOPHAGEAL LESION, INTRAMURAL HEMATOMA, MANAGEMENT OF ESOPHAGEAL LESION. 2019 9 2356 11 VALSALVA HAEMORRHAGIC RETINOPATHY IN PREGNANCY AFTER YOGA. A 35-YEAR-OLD PREGNANT CAUCASIAN WOMAN AT 27 WEEKS GESTATION PRESENTED WITH SUDDEN ONSET PAINLESS LOSS OF VISION AND A LARGE FLOATER IN HER LEFT EYE WHILE DOING YOGA. SHE WAS FOUND TO HAVE A DENSE VITREOUS HAEMORRHAGE WITH A SMALL PRERETINAL HAEMORRHAGE. ULTRASOUND IMAGING CONFIRMED THE HAEMORRHAGE AND SHOWED NO OTHER RETINAL DAMAGE. SHE WAS DIAGNOSED WITH VALSALVA HAEMORRHAGIC RETINOPATHY AND WAS TREATED CONSERVATIVELY. AFTER 5 MONTHS OF FOLLOW-UP, THIS WOMAN HAD HAD A NORMAL DELIVERY AND HER HAEMORRHAGES AND VISION LOSS HAD RESOLVED. 2017 10 1813 16 PROGRESSION OF GLAUCOMA ASSOCIATED WITH THE SIRSASANA (HEADSTAND) YOGA POSTURE. THIS ARTICLE REPORTS A CASE OF PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY AND VISUAL FIELD LOSS THAT OCCURRED IN A PATIENT WHO PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE ON A DAILY BASIS FOR MANY YEARS. VISUAL FIELD ANALYSIS WAS PERFORMED THROUGH STANDARD AUTOMATED PERIMETRY. INTRAOCULAR PRESSURE (IOP) WAS MEASURED THROUGH PNEUMOTONOMETRY IN THE SITTING POSITION AND IN THE HEAD-DOWN POSITION. STEREO-OPTIC DISC PHOTOGRAPHS WERE OBTAINED. IOP INCREASED SIGNIFICANTLY IN THE HEAD-DOWN POSITION. OPTIC DISC EVALUATION REVEALED A NEW DISC HEMORRHAGE IN THE LEFT EYE. VISUAL FIELD ANALYSIS OVER A PERIOD OF 2 Y SHOWED PROGRESSION OF A SUPERIOR ARCUATE DEFECT IN THE LEFT EYE. TRANSIENT INCREASES IN IOP ASSOCIATED WITH THE YOGA HEADSTAND POSTURE MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NERVE DAMAGE AND VISUAL FIELD LOSS. 2006 11 647 15 DOWNWARD DOG BECOMES FIT BODY, INC.: A CONTENT ANALYSIS OF 40 YEARS OF FEMALE COVER IMAGES OF YOGA JOURNAL. THE PRESENT ANALYSIS INVESTIGATED TEMPORAL TRENDS IN PHYSICAL APPEARANCE ATTRIBUTES AND ATTIRE WORN BY FEMALE COVER MODELS OF YOGA JOURNAL MAGAZINE BETWEEN THE YEARS 1975-2015. COVERS FEATURING A SINGLE FEMALE MODEL (N=168) WERE CODED FOR: POSE ACTIVITY, AMOUNT OF BODY VISIBILITY, PERCEIVED BODY SIZE, BODY SHAPE, BREAST SIZE, SKIN EXPOSURE, AND REVEALING OR FORM-FITTING ATTIRE. WHEN COLLAPSED ACROSS ALL DECADES, THE MAJORITY OF COVER MODELS WAS ACTIVELY POSED WITH HIGH BODY VISIBILITY, RATED AS AT MOST LOW NORMAL WEIGHT, POSSESSED EITHER A "THIN/LEAN" OR "SKINNY/BONEY" BODY SHAPE, AND WERE "FLAT-CHESTED" OR "SMALL-BREASTED". GREATER BODY VISIBILITY, POSE ACTIVITY, THINNESS/LEANNESS, SKIN EXPOSURE, AND FORM-FITTING ATTIRE WERE FEATURED ON MORE RECENT YEARS' COVERS. FINDINGS SUGGEST THAT THE FEMALE "YOGA BODY" CONFORMS TO THE CONTEMPORARY THIN- AND-TONED MEDIA FITNESS IDEAL, PARTICULARLY RECENTLY, WHICH MAY PROMOTE OBJECTIFIED BODY COMPETENCE, AN UNHEALTHY DRIVE FOR LEANNESS, AND DISSUADE HIGHER WEIGHT WOMEN FROM CONSIDERING YOGA PRACTICE. 2017 12 1775 14 PRACTICE OF YOGA MAY CAUSE DAMAGE OF BOTH SCIATIC NERVES: A CASE REPORT. SCIATIC NERVE TRAUMATIC DAMAGE VERY RARELY OCCURS BILATERALLY. WE DESCRIBE THE CASE OF A 67-YEAR-OLD WOMAN WHO REPORTED A BILATERAL TRAUMATIC LESION OF THE SCIATIC NERVE DURING PRACTICE OF YOGA. NERVE CONDUCTION STUDIES SHOWED A BILATERAL SCIATIC NERVE NEUROPATHY, MOSTLY AFFECTING THE PERONEAL COMPONENT. LUMBAR PLEXUS MRI DOCUMENTED REGULAR ANATOMICAL FEATURES OF THE MAIN PRINCIPAL NERVE ROOTS WITH BILATERAL T2 SIGNAL ALTERATION OF ROOTS L4, L5 AND S1 THAT EXTENDED INTO THE SCIATIC NERVES SHOWING BOTH INCREASE IN SIZE, PROBABLY RELATED TO CHRONIC INJURY OF NERVES, AND AN ALTERATION IN DIFFUSION SIGNAL THAT SUGGESTED A RECENT ACUTE OVERLAPPED PROCESS. 2013 13 1984 22 SOFT TISSUE AND BONY INJURIES ATTRIBUTED TO THE PRACTICE OF YOGA: A BIOMECHANICAL ANALYSIS AND IMPLICATIONS FOR MANAGEMENT. OBJECTIVE: TO ANALYZE INJURIES THAT WERE DIRECTLY ASSOCIATED WITH YOGA PRACTICE AND IDENTIFY SPECIFIC POSES THAT SHOULD BE AVOIDED IN PATIENTS WITH OSTEOPENIA OR OSTEOPOROSIS. PATIENTS AND METHODS: WE RETROSPECTIVELY REVIEWED THE MEDICAL RECORDS OF PATIENTS WITH INJURIES THAT WERE PRIMARILY CAUSED BY YOGA. PATIENTS WERE SEEN FROM JANUARY 1, 2006, THROUGH DECEMBER 31, 2018. INJURIES WERE CATEGORIZED INTO 3 GROUPS: (1) SOFT TISSUE INJURY, (2) AXIAL NONBONY INJURY, AND (3) BONY INJURY. PATIENTS UNDERWENT EVALUATION AND WERE COUNSELED TO MODIFY EXERCISE ACTIVITY. RESULTS: WE IDENTIFIED 89 PATIENTS FOR INCLUSION IN THE STUDY. WITHIN THE SOFT TISSUE GROUP, 66 PATIENTS (74.2%) HAD MECHANICAL MYOFASCIAL PAIN DUE TO OVERUSE. ROTATOR CUFF INJURY WAS SEEN IN 6 (6.7%), AND TROCHANTERIC BURSOPATHY WAS OBSERVED IN 1 (1.1%). IN THE AXIAL GROUP, EXACERBATION OF PAIN IN DEGENERATIVE JOINT DISEASE (46 PATIENTS [51.7%]) AND FACET ARTHROPATHY (N=34 [38.2%]) WERE OBSERVED. RADICULOPATHY WAS SEEN IN 5 PATIENTS (5.6%). WITHIN THE BONY INJURY CATEGORY, KYPHOSCOLIOSIS WAS SEEN ON IMAGING IN 15 PATIENTS (16.9%). SPONDYLOLISTHESIS WAS PRESENT IN 15 PATIENTS (16.9%). ANTERIOR WEDGING WAS SEEN IN 16 (18.0%), AND COMPRESSION FRACTURES WERE PRESENT IN 13 (14.6%). THE POSES THAT WERE MOST COMMONLY IDENTIFIED AS CAUSING THE INJURIES INVOLVED HYPERFLEXION AND HYPEREXTENSION OF THE SPINE. WE CORRELATED THE KINESIOLOGIC EFFECT OF SUCH EXERCISES ON SPECIFIC MUSCULOSKELETAL STRUCTURES. CONCLUSION: YOGA POTENTIALLY HAS MANY BENEFITS, BUT CARE MUST BE TAKEN WHEN PERFORMING POSITIONS WITH EXTREME SPINAL FLEXION AND EXTENSION. PATIENTS WITH OSTEOPENIA OR OSTEOPOROSIS MAY HAVE HIGHER RISK OF COMPRESSION FRACTURES OR DEFORMITIES AND WOULD BENEFIT FROM AVOIDING EXTREME SPINAL FLEXION. PHYSICIANS SHOULD CONSIDER THIS RISK WHEN DISCUSSING YOGA AS EXERCISE. 2019 14 1416 10 IMPORTANCE OF MANAS TATTVA: A SEARCHLIGHT IN YOGA DARSHANA. SINCE TIME IMMEMORIAL 'MANAS' HAS BEEN THE SUBJECT OF CURIOSITY FOR SCHOLARS, SCIENTISTS AND PHILOSOPHERS. THE REASON BEHIND THIS CURIOSITY IS ITS IMPORTANCE IN THE DEVELOPMENT OF MANKIND. HUMAN BEING IS SUPERIOR TO OTHER CREATURES IN THE SERIES OF DEVELOPMENT. THIS SUPREMACY OF MAN REMAINS IN HIS QUALITY TO WORK AFTER THINKING, WHICH IS THE FUNCTION OF 'MANAS'. NO OTHER ANIMAL IS CAPABLE TO THINK LOGICALLY. THIS IS THE ONLY REASON WHICH LEADS THE MANKIND TO THE CREST OF DEVELOPMENT IN EVERY ASPECT. TO HIGHLIGHT THE CONCEPT OF MANAS IN YOGA DARSHANA, INFORMATION EXTRACTED FROM YOGA LITERATURES AND AYURVEDIC SAMHITAS. IN INDIAN CULTURE MIND HAS BEEN DESCRIBED FROM VARIOUS ANGLES. VEDIC, PHILOSOPHICAL AND AYURVEDIC LITERATURES HAVE A VAST AND EXCLUSIVE DESCRIPTION OF MANAS. PHILOSOPHERS EITHER ASTIKA OR NASTIKA HAVE DESCRIBED MANAS SIDDHANTA VIVIDLY. THOUGH MANY KINDS OF DIFFERENCE OF OPINIONS ARE THERE, YOGA DARSHANA ACCEPT THE IMPORTANCE OF MIND IN THE PROCESS OF PERCEPTION AND EVEN FOR THE BIRTH OF ANY INDIVIDUAL. 2014 15 1766 12 POSTURAL CONTROL ADAPTATIONS IN YOGA SINGLE-LEG SUPPORT POSTURES: COMPARISON BETWEEN PRACTITIONERS AND NONPRACTITIONERS. THIS PAPER INVESTIGATES WHETHER A GROUP OF REGULAR YOGA PRACTITIONERS SHOWS POSTURAL CONTROL DIFFERENCES COMPARED WITH HEALTHY CONTROLS WHILE PERFORMING SINGLE-LEG YOGA POSTURES. TEN YOGA PRACTITIONERS WERE COMPARED WITH A CONTROL GROUP OF 10 NONPRACTITIONERS PERFORMING TWO SINGLE-LEG SUPPORT YOGA POSTURES: VRKSASANA (TREE POSTURE) AND NATARAJASANA (DANCER POSTURE). RAMBLING AND TREMBLING DECOMPOSITION OF THE CENTER OF PRESSURE TRAJECTORIES WAS IMPLEMENTED USING A GENETIC ALGORITHM SPECTRAL OPTIMIZATION THAT AVOIDS USING HORIZONTAL FORCES AND WAS VALIDATED WITH BIPEDAL POSTURE DATA. ADDITIONALLY, THE CENTER OF MASS WAS ESTIMATED FROM BODY KINEMATICS USING OPENSIM AND COMPARED WITH THE RAMBLING OUTPUTS. DURING NATARAJASANA, NO POSTURAL CONTROL ADAPTATIONS WERE OBSERVED. FOR VRKSASANA, THE YOGA PRACTITIONERS SHOWED A LOWER CENTER OF PRESSURE ELLIPSE CONFIDENCE INTERVAL AREA, CENTER OF PRESSURE ANTEROPOSTERIOR SD, AND SMALLER RAMBLING SD IN THE MEDIOLATERAL DIRECTION, SUGGESTING POSSIBLE SUPRASPINAL FEED-FORWARD MOTOR ADAPTATIONS ASSOCIATED WITH YOGA TRAINING. 2022 16 2288 14 THE YOGA MAT TECHNIQUE IN POSTLESS HIP ARTHROSCOPY. HIP ARTHROSCOPY FOR THE TREATMENT OF FEMOROACETABULAR IMPINGEMENT SYNDROME WITH ANTI-SLIDING TECHNIQUES AND WITHOUT THE USE OF A PERINEAL POST TO ACHIEVE HIP DISTRACTION HAS INCREASED GREATLY IN THE PAST 5 TO 10 YEARS. TO ACCESS THE HIP JOINT, DISTRACTION IS MANDATORY TO TREAT INTRA-ARTICULAR DISORDERS SUCH AS LABRAL TEARS, ACETABULAR CARTILAGE DEFECTS, LOOSE BODIES, LIGAMENTUM TERES TEARS, AND AVASCULAR NECROSIS OF THE HIP. IN HIP DISTRACTION, COUNTER-DISTRACTION IS NEEDED, AND THIS IS ACHIEVED WITH A BULKY AND CUSHIONED PERINEAL POST. MOST OF THE DESCRIBED TECHNIQUES IN HIP ARTHROSCOPY WORLDWIDE USE A PERINEAL POST, BUT IATROGENIC PUDENDAL NERVE, GENITAL LACERATIONS, HEMATOMAS, AND GROIN COMPLICATIONS HAVE BEEN REPORTED TO OCCUR. IN LATIN AMERICAN COUNTRIES, DISPOSABLE HIP PAD DEVICES ARE EXPENSIVE, AND NOT ALL THE ARTHROSCOPIC COMPANIES PROVIDE THEM. OUR YOGA MAT TECHNIQUE PROVIDES ENOUGH COUNTERTRACTION TO ACHIEVE ADEQUATE HIP DISTRACTION. LABRAL REPAIR, LABRAL RECONSTRUCTION, AND DECOMPRESSION OF FEMOROACETABULAR IMPINGEMENT SYNDROME HAVE BEEN ACHIEVED PROPERLY, RELIABLY, AND REPRODUCIBLY, AND NO TRENDELENBURG POSITION IS NEEDED. POSTLESS HIP ARTHROSCOPY IS MADE SIMPLE, AND POSITIONING THE PATIENT IS NOT DIFFICULT. HIP SURGEONS CAN ADAPT THIS TECHNIQUE TO A FRACTURE TABLE, A HIP DISTRACTOR, AND A STANDARD OPERATING ROOM TABLE. 2021 17 2513 11 YOGA CAMP IN AYURVEDGRAMS OF CHHATTISGARH. THE CLINICAL AND EMPIRICAL HEALTH BENEFITS OF YOGA AND PRANAYAM HAVE BEEN REITERATED THROUGH RESEARCH. YOGA IS BEING ADOPTED AS A SYSTEM TO ALLEVIATE THE BURDEN OF NONCOMMUNICABLE DISEASES (NCDS) ACROSS THE GLOBE. THE DIRECTORATE OF AYUSH, GOVERNMENT OF CHHATTISGARH (DOA, GOCG) CONDUCTS ANNUAL 5-DAY-YOGA CAMP ACROSS 146 AYURVEDGRAMS IN THE STATE. THE PRESENT ARTICLE BRINGS OUT THE AYUSH INITIATIVES THE STATE IS TAKING TOWARD ACTIVE AGEING. A TOTAL OF 71,096 PEOPLE PARTICIPATED IN THE 5-DAY-YOGA CAMP ACROSS THE STATE. A MEAN PARTICIPATION OF 5079 PEOPLE OVER 5 DAYS WAS REPORTED ACROSS DISTRICTS. SUCH STATEWIDE PRACTICES NEED TO BE PROMOTED AND APPRAISED. 2012 18 1763 12 POSTERIOR VITREOUS DETACHMENT PRECIPITATED BY YOGA. YOGA HAS RECENTLY BEEN TOUTED AS A MEANS TO IMPROVE PHYSICAL AND MENTAL WELL-BEING. HOWEVER, NO FORM OF EXERCISE IS WITHOUT ITS RISKS. A 32-YEAR-OLD CHINESE FEMALE WITH MODERATE MYOPIA COMPLAINED OF RIGHT EYE SUDDEN ONSET OF FLOATERS AND MILD BLURRING OF VISION AFTER THE HEAD-DOWN POSTURE. THE VISUAL ACUITY WAS 6/12 IN THE RIGHT EYE AND 6/9 IN THE LEFT EYE. A RIGHT EYE FUNDUS EXAMINATION SHOWED POSTERIOR VITREOUS DETACHMENT, WITH A SMALL BLOOD CLOT LOCATED AT THE INFERIOR MARGIN OF THE OPTIC DISC. THE PATIENT WAS DIAGNOSED WITH RIGHT EYE VITREOUS HEMORRHAGE SECONDARY TO ACUTE POSTERIOR VITREOUS DETACHMENT AND WAS MANAGED CONSERVATIVELY. ACUTE CHANGES IN POSTURE, ESPECIALLY BETWEEN AN UPRIGHT AND A HEAD-DOWN POSITION, MAY CAUSE ACUTE POSTERIOR VITREOUS DETACHMENT. AS YOGA PRACTITIONERS MAY BE REQUIRED TO ASSUME THIS HEAD-DOWN POSITION, MYOPIC PATIENTS SHOULD BE WARNED OF THE POSSIBLE OCULAR COMPLICATIONS OF THIS EXERCISE. 2018 19 2911 12 [PSEUDOARTHROSIS OF THE FIRST RIB IN A PATIENT WHO PRACTICES YOGA. A CASE REPORT]. INTRODUCTION: PSEUDOARTHROSIS OF THE FIRST RIB IS A RARE CONDITION THAT MAY OCCUR IN ATHLETES AS A RESULT OF REPETITIVE ACTIVITIES, MAINLY OVERHEAD. THE USUAL CLINICAL PRESENTATION IS PAIN IN THE NECK OR THE IPSILATERAL SHOULDER. CASE REPORT: THIS IS THE CASE OF A 19-YEAR-OLD FEMALE PATIENT WHO HAD SUDDEN PAIN OF THE BASE OF THE NECK WHILE DOING YOGA. PSEUDOARTHROSIS OF THE FIRST RIB WAS DIAGNOSED WITH X-RAYS AND CAT SCAN. TREATMENT CONSISTED OF A REHABILITATION AND PHYSICAL THERAPY PROGRAM THAT WAS SUCCESSFUL DESPITE THE PERSISTENCE OF THE PSEUDOARTHROSIS. DISCUSSION: CASES OF FIRST RIB FRACTURES HAVE BEEN REPORTED IN ATHLETES PRACTICING MULTIPLE ACTIVITIES; HOWEVER, PSEUDOARTHROSIS CASES ARE RARE SINCE MOST OF THEM PROGRESS TO BONE HEALING. THIS IS THE FIRST REPORTED CASE OF A FRACTURE OR PSEUDOARTHROSIS IN A PATIENT PRACTICING YOGA. AS IN MOST REPORTED CASES, CONSERVATIVE TREATMENT WAS SUCCESSFUL. CONCLUSION: FRACTURES AND PSEUDOARTHROSIS OF THE FIRST RIB ARE RARE IN ATHLETES AND SHOULD BE INCLUDED IN THE DIFFERENTIAL DIAGNOSIS OF ATHLETES PRESENTING WITH SHOULDER AND NECK PAIN. CONSERVATIVE TREATMENT IS SUCCESSFUL IN MOST CASES. 2009 20 292 15 ADVERSE EVENTS ASSOCIATED WITH YOGA: A SYSTEMATIC REVIEW OF PUBLISHED CASE REPORTS AND CASE SERIES. WHILE YOGA IS GAINING INCREASED POPULARITY IN NORTH AMERICA AND EUROPE, ITS SAFETY HAS BEEN QUESTIONED IN THE LAY PRESS. THE AIM OF THIS SYSTEMATIC REVIEW WAS TO ASSESS PUBLISHED CASE REPORTS AND CASE SERIES ON ADVERSE EVENTS ASSOCIATED WITH YOGA. MEDLINE/PUBMED, SCOPUS, CAMBASE, INDMED AND THE CASES DATABASE WERE SCREENED THROUGH FEBRUARY 2013; AND 35 CASE REPORTS AND 2 CASE SERIES REPORTING A TOTAL OF 76 CASES WERE INCLUDED. TEN CASES HAD MEDICAL PRECONDITIONS, MAINLY GLAUCOMA AND OSTEOPENIA. PRANAYAMA, HATHA YOGA, AND BIKRAM YOGA WERE THE MOST COMMON YOGA PRACTICES; HEADSTAND, SHOULDER STAND, LOTUS POSITION, AND FORCEFUL BREATHING WERE THE MOST COMMON YOGA POSTURES AND BREATHING TECHNIQUES CITED. TWENTY-SEVEN ADVERSE EVENTS (35.5%) AFFECTED THE MUSCULOSKELETAL SYSTEM; 14 (18.4%) THE NERVOUS SYSTEM; AND 9 (11.8%) THE EYES. FIFTEEN CASES (19.7%) REACHED FULL RECOVERY; 9 CASES (11.3%) PARTIAL RECOVERY; 1 CASE (1.3%) NO RECOVERY; AND 1 CASE (1.3%) DIED. AS ANY OTHER PHYSICAL OR MENTAL PRACTICE, YOGA SHOULD BE PRACTICED CAREFULLY UNDER THE GUIDANCE OF A QUALIFIED INSTRUCTOR. BEGINNERS SHOULD AVOID EXTREME PRACTICES SUCH AS HEADSTAND, LOTUS POSITION AND FORCEFUL BREATHING. INDIVIDUALS WITH MEDICAL PRECONDITIONS SHOULD WORK WITH THEIR PHYSICIAN AND YOGA TEACHER TO APPROPRIATELY ADAPT POSTURES; PATIENTS WITH GLAUCOMA SHOULD AVOID INVERSIONS AND PATIENTS WITH COMPROMISED BONE SHOULD AVOID FORCEFUL YOGA PRACTICES. 2013