1 2408 169 YOGA AND HEALTHCARE IN THE UNITED KINGDOM. THE EMERGENCE OF YOGA THERAPY IN THE UNITED KINGDOM BEGAN ABOUT 45 YEARS AGO WITH THE EMERGENCE OF YOGA THERAPY ORGANIZATIONS THAT OFFERED BOTH TREATMENT AND TRAINING. THE INTEGRATION OF YOGA INTO THE NATIONAL HEALTH SERVICE (NHS) IS GRADUALLY HAPPENING BECAUSE: (A) YOGA RESEARCH SUPPORTS ITS EFFICACY AS A COST-EFFECTIVE, PREVENTIVE AND COMPLEMENTARY TREATMENT FOR A HOST OF NON-COMMUNICABLE DISEASES; AND (B) THE ESCALATING ECONOMIC BURDEN OF LONG-TERM CONDITIONS IS OVERWHELMING THE NHS. THE NHS IS ACTIVELY DEVELOPING 'SUSTAINABILITY AND TRANSFORMATION PLANS' THAT INCLUDE YOGA. CHIEF AMONG THESE IS 'SOCIAL PRESCRIBING,' WHICH EMPOWERS PATIENTS WITH COMPLEX HEALTH NEEDS THROUGH ACTIVITIES GROUPS. THESE ACTIVITIES REDUCE SEDENTARY HABITS AND SOCIAL ISOLATION, WHILE HELPING PATIENTS TO BE MORE SELF-RELIANT. THE NHS HAS ALLOCATED POUND450 MILLION IN FUNDING TO IMPLEMENT A VARIETY OF PROGRAMS FOR ITS OWN STAFF, IN WHICH STAFF YOGA CLASSES WERE EXPRESSLY MENTIONED. THE YOGA COMMUNITY IS MOBILIZING FORCES AND APPLYING FOR FUNDING TO PILOT RELEVANT NHS STAFF YOGA COURSES THAT CAN SUPPORT THE SERVICE IN ACHIEVING ITS VISION. RESEARCH SHOWS THAT INTEGRATING YOGA THERAPY FOR THE TREATMENT OF LOW BACK PAIN (LBP) INTO THE NHS WOULD RESULT IN SIGNIFICANT COST SAVINGS AS COMPARED WITH USUAL CARE. THE NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE (NICE) GUIDELINES ON LBP AND SCIATICA INCLUDE YOGA AS ONE OF THE RECOMMENDED TREATMENTS FOR THESE CONDITIONS. THREE GROUPS OF YOGA TEACHERS, USING DIFFERENT YOGA PRACTICES, HAVE GAINED TRACTION WITH THE NHS FOR THE APPLICATION OF YOGA THERAPY TO LBP. MANY REGIONAL HOSPITALS IN ENGLAND HAVE YOGA CLASSES. THE NHS CHOICES WEBSITE, WHICH CONVEYS INFORMATION TO THE PUBLIC REGARDING TREATMENT OPTIONS, HAS A PAGE DEDICATED TO THE HEALTH BENEFITS OF YOGA. SEVERAL INSTITUTIONS OFFER COMPREHENSIVE TRAINING PROGRAMS IN YOGA THERAPY AND YOGA THERAPY IS RECOGNIZED AS AN OFFICIAL PROFESSION. THE YOGA IN HEALTHCARE ALLIANCE HAS BEEN ESTABLISHED TO HELP INTEGRATE YOGA THERAPY INTO THE NHS. THIS CONSISTS OF PARLIAMENTARIANS, LEADERS IN THE NHS, YOGA RESEARCHERS, HEALTH PROFESSIONALS, AND REPRESENTATIVES FROM LEADING YOGA ORGANIZATIONS. 2017 2 908 29 EFFECTIVENESS OF DEEP CERVICAL FASCIAL MANIPULATION AND YOGA POSTURES ON PAIN, FUNCTION, AND OCULOMOTOR CONTROL IN PATIENTS WITH MECHANICAL NECK PAIN: STUDY PROTOCOL OF A PRAGMATIC, PARALLEL-GROUP, RANDOMIZED, CONTROLLED TRIAL. INTRODUCTION: MECHANICAL NECK PAIN (MNP) IS A COMMONLY OCCURRING MUSCULOSKELETAL CONDITION THAT IS USUALLY MANAGED USING ELECTRICAL MODALITIES, JOINT MOBILIZATION TECHNIQUES, AND THERAPEUTIC EXERCISES, BUT HAS LIMITED EVIDENCE OF THEIR EFFICACY. PATHOLOGY (DENSIFICATION) OF THE DEEP CERVICAL FASCIA THAT OCCURS DUE TO THE INCREASED VISCOSITY OF HYALURONIC ACID (HA) MAY INDUCE NECK PAIN AND ASSOCIATED PAINFUL SYMPTOMS OF THE UPPER QUARTER REGION. FASCIAL MANIPULATION (FM) AND YOGA POSES ARE CONSIDERED TO REDUCE THE THIXOTROPY OF THE GROUND SUBSTANCES OF THE DEEP FASCIA AND IMPROVE MUSCLE FUNCTION. THE PURPOSE OF THIS STUDY IS TO INVESTIGATE THE EFFECT OF FM AND SEQUENTIAL YOGA POSES (SYP) WHEN COMPARED TO THE USUAL CARE ON PAIN, FUNCTION, AND OCULOMOTOR CONTROL IN MNP. METHODS: THIS FACE-MAN TRIAL WILL RECRUIT 160 PATIENTS WITH SUBACUTE AND CHRONIC MECHANICAL NECK PAIN DIAGNOSED USING PREDEFINED CRITERIA. PARTICIPANTS WILL BE RANDOMIZED TO EITHER THE INTERVENTION GROUP OR THE USUAL CARE GROUP, USING A RANDOM ALLOCATION RATIO OF 1:1. PATIENTS IN THE INTERVENTION GROUP WILL RECEIVE FM (4 SESSIONS IN 4 WEEKS) AND SYP (12 WEEKS) WHEREAS THE STANDARD CARE GROUP WILL RECEIVE CERVICAL MOBILIZATION/ THORACIC MANIPULATION (4 SESSIONS IN 4 WEEKS) AND THERAPEUTIC EXERCISES (12 WEEKS). THE PRIMARY OUTCOME IS THE CHANGE IN THE NUMERIC PAIN RATING SCALE (NPRS). THE SECONDARY OUTCOMES INCLUDE CHANGES IN THE PATIENT-SPECIFIC FUNCTIONAL SCALE AND OCULOMOTOR CONTROL, MYOFASCIAL STIFFNESS, FEAR-AVOIDANCE BEHAVIOR QUESTIONNAIRE, AND ELBOW EXTENSION RANGE OF MOTION DURING NEURODYNAMICS TEST 1. DISCUSSION: IF FOUND EFFECTIVE, FM ALONG WITH SYP INVESTIGATED IN THIS TRIAL CAN BE CONSIDERED AS A TREATMENT STRATEGY IN THE MANAGEMENT OF MECHANICAL NECK PAIN. CONSIDERING THE MAGNITUDE OF THE PROBLEM, AND THE PRAGMATIC AND PATIENT-CENTERED APPROACH TO BE FOLLOWED, IT IS WORTH INVESTIGATING THIS TRIAL. TRIAL REGISTRATION: CLINICALTRIALS.GOV CTRI/2020/01/022934 . REGISTERED ON JANUARY 24, 2020 WITH CTRI.NIC.IN. CLINICAL TRIALS REGISTRY - INDIA. 2021 3 2662 29 YOGA IN BURN: ROLE OF PRANAYAMA BREATHING EXERCISE ON PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY AND EXERCISE TOLERANCE IN FULL-THICKNESS CIRCUMFERENTIAL BURNS OF THE CHEST. BACKGROUND: CIRCUMFERENTIAL BURN OF CHEST (CBC) IS A SIGNIFICANT TYPE OF BURN AND CONSIDERS AS A MAJOR CAUSE OF RESTRICTIVE LUNG DISEASE (RLD). PATIENT WHO HAS CBC WITH RLD LEADS TO RESPIRATORY SYMPTOMS SUCH AS BREATHING DIFFICULTY, AIRWAY OBSTRUCTION, REDUCED EXERCISE CAPACITY AND ALTERED PULMONARY FUNCTIONS. HOWEVER, STUDIES EXAMINING THE ROLE OF PRANAYAMA BREATHING EXERCISE ON PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY AND EXERCISE TOLERANCE IN FULL THICKNESS CIRCUMFERENTIAL BURN OF CHEST ARE LACKING. OBJECTIVE: TO FIND THE SHORT TERM EFFECTS OF PRANAYAMA BREATHING EXERCISE ON PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY AND EXERCISE TOLERANCE IN FULL THICKNESS CIRCUMFERENTIAL BURNS OF CHEST. METHODS: THROUGH SIMPLE RANDOM SAMPLING METHOD THIRTY SUBJECTS (N = 30) WITH RLD FOLLOWING CBC WERE ALLOCATED TO PRANAYAMA BREATHING EXERCISE GROUP (PBE-G; N = 15) AND CONVENTIONAL BREATHING EXERCISE GROUP (CBE-G; N = 15). THEY RECEIVED PRANAYAMA BREATHING EXERCISE AND CONVENTIONAL BREATHING EXERCISE FOR 4 WEEKS RESPECTIVELY. ALL THE SUBJECTS RECEIVED CHEST MOBILITY EXERCISE AS COMMON TREATMENT. PRIMARY (NUMERIC PAIN RATING SCALE - NPRS, FORCED EXPIRATORY VOLUME (FEV1), FORCED VITAL CAPACITY (FVC) AND MAXIMUM VOLUNTARY VENTILATION (MVV) AND SECONDARY (ELECTROMYOGRAM OF STERNOCLEIDOMASTOID, SCALENE, EXTERNAL INTERCOSTAL AND DIAPHRAGM MUSCLE, 6 MIN WALK TEST & GLOBAL RATING OF CHANGE - GRC) OUTCOME MEASURES WERE MEASURED AT BASELINE, AFTER FOUR WEEKS AND AFTER THREE MONTHS FOLLOW UP. RESULTS: BASELINE DEMOGRAPHIC AND CLINICAL VARIABLES SHOW HOMOGENOUS DISTRIBUTION BETWEEN THE GROUPS (P > 0.05). FOUR WEEKS FOLLOWING DIFFERENT BREATHING EXERCISES, PBE-G GROUP SHOWS MORE SIGNIFICANT CHANGES IN PAIN INTENSITY, PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY, EXERCISE TOLERANCE AND GLOBAL RATING OF CHANGE THAN CBE-G GROUP (P