1 1948 120 SCAPULAR MUSCLE ACTIVITY DURING STATIC YOGA POSTURES. STUDY DESIGN CONTROLLED, CROSS-SECTIONAL LABORATORY STUDY. BACKGROUND DESPITE THE GROWING POPULARITY OF YOGA, LITTLE IS KNOWN ABOUT THE MUSCLE ACTIVITY OF THE SCAPULAR STABILIZERS DURING ISOMETRIC YOGA POSTURES AND THEIR POTENTIAL UTILITY IN SHOULDER REHABILITATION. OBJECTIVES TO EXAMINE SCAPULAR STABILIZER MUSCLE ACTIVATION DURING VARIOUS YOGA POSTURES. METHODS TWENTY WOMEN WITH YOGA EXPERIENCE AND NO SHOULDER PAIN OR INJURY PARTICIPATED. ELECTROMYOGRAPHY WAS USED TO RECORD THE MUSCLE ACTIVITY OF THE UPPER, MIDDLE, AND LOWER TRAPEZIUS, AS WELL AS OF THE SERRATUS ANTERIOR, DURING 15 YOGA POSTURES. RESULTS MUSCLE ACTIVITY VARIED BETWEEN YOGA POSTURES (3%-57% MAXIMUM VOLUNTARY ISOMETRIC CONTRACTION [MVIC]). OVERALL, THE "LOCUST ARMS FORWARD" POSTURE ELICITED THE HIGHEST ACTIVITY FROM THE UPPER (22.4% MVIC), MIDDLE (41.8% MVIC), AND LOWER (56.8% MVIC) TRAPEZIUS, WHILE SEVERAL POSTURES ELICITED MODERATE ACTIVITY (GREATER THAN 20% MVIC) FROM THE SERRATUS ANTERIOR. CONVERSELY, THE "DANCER'S POSE RIGHT," "REVERSE TABLETOP," AND "WARRIOR II" POSTURES DEMONSTRATED LOW ACTIVITY (LESS THAN OR EQUAL TO 15.7% MVIC) OF THE SCAPULAR STABILIZERS. CONCLUSION STRENGTHENING THE SCAPULAR STABILIZER MUSCLES IS AN IMPORTANT COMPONENT OF SHOULDER REHABILITATION. YOGA POSTURES HAVE BEEN IDENTIFIED THAT ACTIVATE THE SCAPULAR STABILIZER MUSCLES AT VARYING LEVELS OF ACTIVITY. J ORTHOP SPORTS PHYS THER 2018;48(6):504-509. EPUB 6 APR 2018. DOI:10.2519/JOSPT.2018.7311.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
2  638  29 DO PHYSICAL THERAPY AND YOGA IMPROVE PAIN AND DISABILITY THROUGH PSYCHOLOGICAL MECHANISMS? A CAUSAL MEDIATION ANALYSIS OF ADULTS WITH CHRONIC LOW BACK PAIN. OBJECTIVE: TO INVESTIGATE WHETHER INDIRECT EFFECTS VIA PSYCHOLOGICAL MECHANISMS EXPLAIN THE EFFECTS OF PHYSICAL THERAPY (PT) OR YOGA, VERSUS EDUCATION, ON BACK-RELATED OUTCOMES. DESIGN: MEDIATION ANALYSES USING DATA FROM A RANDOMIZED CONTROLLED TRIAL OF PT, YOGA, AND EDUCATION INTERVENTIONS FOR CHRONIC LOW BACK PAIN. METHODS: PRIMARY OUTCOMES WERE CHANGES IN BACK-RELATED PAIN ON THE 11-POINT NUMERICAL RATING SCALE AND DISABILITY ON THE MODIFIED 23-POINT ROLAND MORRIS DISABILITY QUESTIONNAIRE, MEASURED AT 52-WEEKS POST-RANDOMIZATION. HYPOTHESIZED MEDIATORS WERE 12-WEEK CHANGES IN PAIN SELF-EFFICACY, FEAR AVOIDANCE BELIEFS, DEPRESSION, ANXIETY, PERCEIVED STRESS, AND SLEEP QUALITY. WE USED CAUSAL MEDIATION ANALYSIS TO ESTIMATE THE TOTAL EFFECT, DIRECT EFFECT, INDIRECT EFFECT, AND PROPORTION MEDIATED. RESULTS: WE ANALYZED DATA FROM 230 ADULTS (MEAN AGE = 46.2 YEARS, 69.6% FEMALE, 79.6% NON-WHITE). IN THE PT VERSUS EDUCATION MODEL, WHEN THE MEDIATOR WAS PERCEIVED STRESS, THE TOTAL EFFECT ON DISABILITY WAS 2.6 POINTS (95% CI: 0.3, 4.9) AND DECOMPOSED INTO A DIRECT EFFECT OF 1.7 POINTS (95% CI: -0.4, 3.8) AND AN INDIRECT EFFECT 0.9 POINTS (95% CI: 0.1, 2.0; PROPORTION MEDIATED 34%). NO OTHER PSYCHOLOGICAL CONSTRUCT WAS A SIGNIFICANT MEDIATOR. CONCLUSION: IMPROVEMENTS IN PERCEIVED STRESS MEDIATED IMPROVEMENTS IN DISABILITY AFTER PT TREATMENT COMPARED TO EDUCATION. OTHER PSYCHOLOGICAL OUTCOMES DID NOT MEDIATE THE EFFECT OF YOGA OR PT ON PAIN OR DISABILITY OUTCOMES COMPARED TO EDUCATION. J ORTHOP SPORTS PHYS THER, EPUB 18 MAY 2022. DOI:10.2519/JOSPT.2022.10813.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
3 1283  40 GLUTEAL MUSCLE ACTIVATION DURING COMMON YOGA POSES. BACKGROUND: APPROXIMATELY 24% OF PHYSICAL THERAPISTS REPORT REGULARLY USING YOGA TO STRENGTHEN MAJOR MUSCLE GROUPS. ALTHOUGH CLINICIANS AND ATHLETES OFTEN USE YOGA AS A FORM OF STRENGTH TRAINING, LITTLE IS KNOWN ABOUT THE ACTIVATION OF SPECIFIC MUSCLE GROUPS DURING YOGA POSES, INCLUDING THE GLUTEUS MAXIMUS AND MEDIUS. HYPOTHESIS/PURPOSE: THE PURPOSE OF THIS STUDY WAS TO MEASURE GLUTEUS MAXIMIMUS AND GLUTEUS MEDIUS ACTIVATION VIA ELECTROMYOGRAPHY (EMG) DURING FIVE COMMON YOGA POSES. A SECONDARY PURPOSE OF THE CURRENT STUDY WAS TO EXAMINE DIFFERENCES IN MUSCLE ACTIVATION BETWEEN SEXES AND EXPERIENCE LEVELS. STUDY DESIGN: CROSS-SECTIONAL. METHODS: THIRTY-ONE HEALTHY MALES AND FEMALES AGED 18-35 YEARS WERE TESTED DURING FIVE YOGA POSES PERFORMED IN A RANDOMIZED ORDER. SURFACE EMG ELECTRODES WERE PLACED ON SUBJECTS' RIGHT GLUTEUS MAXIMUS AND GLUTEUS MEDIUS. SUBJECTS PERFORMED THE POSES ON BOTH SIDES FOLLOWING A MAXIMAL VOLUNTARY ISOMETRIC CONTRACTION (MVIC) TEST FOR EACH MUSCLE. ALL YOGA POSE EMG DATA WERE NORMALIZED TO THE CORRESPONDING MUSCLE MVIC DATA. RESULTS: HIGHEST GLUTEUS MAXIMUS ACTIVATION OCCURRED DURING HALF MOON POSE ON THE LIFTED/BACK LEG (63.3% MVIC), FOLLOWED BY THE STANCE/FRONT LEG DURING HALF MOON POSE (61.7%), THEN THE LIFTED/BACK LEG DURING WARRIOR THREE POSE (46.1%). HIGHEST GLUTEUS MEDIUS ACTIVATION OCCURRED DURING HALF MOON POSE ON THE LIFTED/BACK LEG (41.9%), FOLLOWED BY THE LIFTED/BACK LEG DURING THE WARRIOR THREE POSE (41.6%). A SIGNIFICANT DIFFERENCE WAS FOUND IN %MVIC OF GLUTEUS MEDIUS ACTIVITY BETWEEN MALE AND FEMALE SUBJECTS (P = 0.026), AND BETWEEN EXPERIENCED AND INEXPERIENCED SUBJECTS (P = 0.050), INDICATING HIGHER ACTIVATION AMONG MALES AND INEXPERIENCED SUBJECTS, RESPECTIVELY. CONCLUSION: HALF MOON POSE AND WARRIOR THREE POSE ELICITED THE HIGHEST ACTIVATION FOR BOTH THE GLUTEUS MAXIMUS AND THE GLUTEUS MEDIUS. HIGHER GLUTEUS MEDIUS ACTIVATION WAS SEEN IN MALES AND INEXPERIENCED SUBJECTS COMPARED TO THEIR FEMALE AND EXPERIENCED COUNTERPARTS. LEVEL OF EVIDENCE: 3.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                   
4  460  23 CHANGES IN PAIN SELF-EFFICACY, COPING SKILLS, AND FEAR-AVOIDANCE BELIEFS IN A RANDOMIZED CONTROLLED TRIAL OF YOGA, PHYSICAL THERAPY, AND EDUCATION FOR CHRONIC LOW BACK PAIN. OBJECTIVE: WE EVALUATED EXERCISE INTERVENTIONS FOR COGNITIVE APPRAISAL OF CHRONIC LOW BACK PAIN (CLBP) IN AN UNDERSERVED POPULATION. METHODS: WE CONDUCTED A SECONDARY ANALYSIS OF THE BACK TO HEALTH TRIAL, SHOWING YOGA TO BE NONINFERIOR TO PHYSICAL THERAPY (PT) FOR PAIN AND FUNCTION OUTCOMES AMONG ADULTS WITH CLBP (N = 320) RECRUITED FROM PRIMARY CARE CLINICS WITH PREDOMINANTLY LOW-INCOME PATIENTS. PARTICIPANTS WERE RANDOMIZED TO 12 WEEKS OF YOGA, PT, OR EDUCATION. COGNITIVE APPRAISAL WAS ASSESSED WITH THE PAIN SELF-EFFICACY QUESTIONNAIRE (PSEQ), COPING STRATEGIES QUESTIONNAIRE (CSQ), AND FEAR-AVOIDANCE BELIEFS QUESTIONNAIRE (FABQ). USING MULTIPLE IMPUTATION AND LINEAR REGRESSION, WE ESTIMATED WITHIN- AND BETWEEN-GROUP CHANGES IN COGNITIVE APPRAISAL AT 12 AND 52 WEEKS, WITH BASELINE AND THE EDUCATION GROUP AS REFERENCES. RESULTS: PARTICIPANTS (MEAN AGE = 46 YEARS) WERE MAJORITY FEMALE (64%) AND MAJORITY BLACK (57%), AND 54% HAD AN ANNUAL HOUSEHOLD INCOME <$30,000. ALL THREE GROUPS SHOWED IMPROVEMENTS IN PSEQ (RANGE 0-60) AT 12 WEEKS (YOGA, MEAN DIFFERENCE [MD] = 7.0, 95% CONFIDENCE INTERVAL [CI]: 4.9, 9.0; PT, MD = 6.9, 95% CI: 4.7 TO 9.1; AND EDUCATION, MD = 3.4, 95% CI: 0.54 TO 6.3), WITH YOGA AND PT IMPROVEMENTS BEING CLINICALLY MEANINGFUL. AT 12 WEEKS, IMPROVEMENTS IN CATASTROPHIZING (CSQ, RANGE 0-36) WERE LARGEST IN THE YOGA AND PT GROUPS (MD = -3.0, 95% CI: -4.4 TO -1.6; MD = -2.7, 95% CI: -4.2 TO -1.2, RESPECTIVELY). CHANGES IN FABQ WERE SMALL. NO STATISTICALLY SIGNIFICANT BETWEEN-GROUP DIFFERENCES WERE OBSERVED ON PSEQ, CSQ, OR FABQ AT EITHER TIME POINT. MANY OF THE CHANGES OBSERVED AT 12 WEEKS WERE SUSTAINED AT 52 WEEKS. CONCLUSION: ALL THREE INTERVENTIONS WERE ASSOCIATED WITH IMPROVEMENTS IN SELF-EFFICACY AND CATASTROPHIZING AMONG LOW-INCOME, RACIALLY DIVERSE ADULTS WITH CLBP. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER NCT01343927.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                          
5 2328  30 TRUNK AND HIP MUSCLE ACTIVATION DURING YOGA POSES: DO SEX-DIFFERENCES EXIST? OBJECTIVE: TO COMPARE CORE ACTIVATION DURING YOGA BETWEEN MALES AND FEMALES. METHODS: SURFACE ELECTROMYOGRAPHY WAS USED TO QUANTIFY RECTUS ABDOMINIS (RA), ABDOMINAL OBLIQUES (AO), LUMBAR EXTENSORS (LE), AND GLUTEUS MAXIMUS (GMX) ACTIVATION DURING FOUR YOGA POSES. DATA WERE EXPRESSED AS 100% OF A MAXIMUM VOLUNTARY ISOMETRIC CONTRACTION. MIXED-MODEL 2X2 ANALYSES OF VARIANCE WITH REPEATED MEASURES WERE USED TO DETERMINE BETWEEN-SEX DIFFERENCES IN MUSCLE ACTIVITY. RESULTS: FEMALES GENERATED GREATER RA ACTIVITY THAN MALES DURING THE HIGH PLANK (P<0.0001) AND DOMINANT-SIDE WARRIOR 1 (P=0.017). THEY GENERATED GREATER AO (P<0.0001) AND GMX (P=0.004) ACTIVITY DURING THE HIGH PLANK (P<0.0001). NO BETWEEN-SEX EMG ACTIVITY DIFFERENCES EXISTED FOR THE CHAIR AND UPWARD FACING DOG. CONCLUSION: FINDINGS HAVE PROVIDED PRELIMINARY EVIDENCE FOR BETWEEN-SEX DIFFERENCES IN MUSCLE ACTIVATION DURING YOGA POSES. CLINICIANS SHOULD CONSIDER SUCH DIFFERENCES WHEN PRESCRIBING YOGA TO IMPROVE MUSCLE STRENGTH AND ENDURANCE.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
6 1348  30 IDENTIFYING YOGA-BASED KNEE STRENGTHENING EXERCISES USING THE KNEE ADDUCTION MOMENT. BACKGROUND: THIS STUDY AIMED TO COMPARE MUSCLE ACTIVATIONS, CO-CONTRACTION INDICES, AND THE KNEE ADDUCTION MOMENT BETWEEN STATIC STANDING YOGA POSTURES TO IDENTIFY APPROPRIATE EXERCISES FOR KNEE OSTEOARTHRITIS. METHODS: HEALTHY YOUNG WOMEN (24.4 (5.4) YEARS, 23.1 (3.7) KG/M(2)) PARTICIPATED. PRIMARY OUTCOME VARIABLES WERE ELECTROMYOGRAPHIC ACTIVATIONS OF THE VASTUS LATERALIS, RECTUS FEMORIS, VASTUS MEDIALIS, BICEPS FEMORIS, AND SEMITENDINOSUS; CO-CONTRACTION BETWEEN THE BICEPS FEMORIS AND RECTUS FEMORIS, AND VASTUS LATERALIS AND VASTUS MEDIALIS; AND KNEE ADDUCTION MOMENTS OF BOTH LEGS DURING SIX STATIC, STANDING YOGA POSTURES (TWO SQUATTING POSTURES, TWO LUNGING POSTURES, A HAMSTRING STRETCH, AND A SINGLE-LEG BALANCE POSTURE). A TWO-FACTOR REPEATED MEASURES ANALYSIS OF VARIANCE WAS USED TO IDENTIFY DIFFERENCES IN MUSCLE AMPLITUDES, CO-CONTRACTIONS, AND KNEE ADDUCTION MOMENT BETWEEN POSTURES AND LEGS. FINDINGS: QUADRICEPS ACTIVATIONS WERE HIGHEST DURING SQUAT AND LUNGE POSTURES (P</=0.001). HAMSTRING ACTIVATIONS WERE HIGHEST DURING THE HAMSTRING STRETCH (P</=0.003). SQUAT AND LUNGE POSTURES PRODUCED HIGHER CO-CONTRACTION INDICES THAN OTHER POSTURES (P</=0.011). THE WIDE LEGGED SQUAT (GODDESS) AND LUNGE WITH TRUNK UPRIGHT (WARRIOR) PRODUCED THE LOWEST KNEE ADDUCTION MOMENTS (P</=0.006), WHILE THE SINGLE-LEG BALANCE POSTURE ELICITED A HIGHER KNEE ADDUCTION MOMENT THAN ALL OTHER POSTURES (P<0.05). INTERPRETATION: SQUATTING AND LUNGING POSTURES COULD IMPROVE LEG STRENGTH WHILE POTENTIALLY MINIMIZING EXPOSURE TO HIGH KNEE ADDUCTION MOMENTS. FUTURE WORK SHOULD EVALUATE WHETHER THESE EXERCISES ARE USEFUL IN PEOPLE WITH KNEE OSTEOARTHRITIS.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
7 2374  30 WHICH CHRONIC LOW BACK PAIN PATIENTS RESPOND FAVORABLY TO YOGA, PHYSICAL THERAPY, AND A SELF-CARE BOOK? RESPONDER ANALYSES FROM A RANDOMIZED CONTROLLED TRIAL. PURPOSE: TO IDENTIFY BASELINE CHARACTERISTICS OF ADULTS WITH CHRONIC LOW BACK PAIN (CLBP) THAT PREDICT RESPONSE (I.E., A CLINICALLY IMPORTANT IMPROVEMENT) AND/OR MODIFY TREATMENT EFFECT ACROSS THREE NONPHARMACOLOGIC INTERVENTIONS. DESIGN: SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. SETTING: ACADEMIC SAFETY NET HOSPITAL AND SEVEN FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS. SUBJECTS: ADULTS WITH CLBP (N = 299). METHODS: WE REPORT PATIENT CHARACTERISTICS THAT WERE PREDICTORS OF RESPONSE AND/OR MODIFIED TREATMENT EFFECT ACROSS THREE 12-WEEK TREATMENTS: YOGA, PHYSICAL THERAPY [PT], AND A SELF-CARE BOOK. USING PRESELECTED CHARACTERISTICS, WE USED LOGISTIC REGRESSION TO IDENTIFY PREDICTORS OF "RESPONSE," DEFINED AS A >/=30% IMPROVEMENT IN THE ROLAND MORRIS DISABILITY QUESTIONNAIRE. THEN, USING "RESPONSE" AS OUR OUTCOME, WE IDENTIFIED BASELINE CHARACTERISTICS THAT WERE TREATMENT EFFECT MODIFIERS BY TESTING FOR STATISTICAL INTERACTION (P < 0.05) ACROSS TWO COMPARISONS: 1) YOGA-OR-PT VS SELF-CARE AND 2) YOGA VS PT. RESULTS: OVERALL, 39% (116/299) OF PARTICIPANTS WERE RESPONDERS, WITH MORE RESPONDERS IN THE YOGA-OR-PT GROUP (42%) THAN THE SELF-CARE (23%) GROUP. THERE WAS NO DIFFERENCE IN PROPORTION RESPONDING TO YOGA (48%) VS PT (37%, ODDS RATIO [OR] = 1.5, 95% CONFIDENCE INTERVAL = 0.88 - 2.6). PREDICTORS OF RESPONSE INCLUDED HAVING MORE THAN A HIGH SCHOOL EDUCATION, A HIGHER INCOME, EMPLOYMENT, FEW DEPRESSIVE SYMPTOMS, LOWER PERCEIVED STRESS, FEW WORK-RELATED FEAR AVOIDANCE BELIEFS, HIGH PAIN SELF-EFFICACY, AND BEING A NONSMOKER. EFFECT MODIFIERS INCLUDED USE OF PAIN MEDICATION AND FEAR AVOIDANCE BELIEFS RELATED TO PHYSICAL ACTIVITY (BOTH P = 0.02 FOR INTERACTION). WHEN COMPARING YOGA OR PT WITH SELF-CARE, A GREATER PROPORTION WERE RESPONDERS AMONG THOSE USING PAIN MEDS (OR = 5.3), WHICH DIFFERED FROM THOSE NOT TAKING PAIN MEDS (OR = 0.94) AT BASELINE. WE ALSO FOUND GREATER TREATMENT RESPONSE AMONG THOSE WITH LOWER (OR = 7.0), BUT NOT HIGH (OR = 1.3), FEAR AVOIDANCE BELIEFS AROUND PHYSICAL ACTIVITY. CONCLUSIONS: OUR FINDINGS REVEALED IMPORTANT SUBGROUPS FOR WHOM REFERRAL TO YOGA OR PT MAY IMPROVE CLBP OUTCOMES.	2021	
                                                                                                                                                                          
8  465  29 CHARACTERISTICS AND PREDICTORS OF SHORT-TERM OUTCOMES IN INDIVIDUALS SELF-SELECTING YOGA OR PHYSICAL THERAPY FOR TREATMENT OF CHRONIC LOW BACK PAIN. OBJECTIVE: TO COMPARE CLINICAL AND DEMOGRAPHIC CHARACTERISTICS OF INDIVIDUALS SELF-SELECTING YOGA OR PHYSICAL THERAPY (PT) FOR TREATMENT OF CHRONIC LOW BACK PAIN (CLBP) AND TO EXAMINE PREDICTORS OF SHORT-TERM PAIN AND FUNCTIONAL OUTCOMES. DESIGN: DESCRIPTIVE, LONGITUDINAL STUDY. SETTINGS: A HOSPITAL-BASED CLINIC THAT OFFERS MODIFIED INTEGRAL YOGA CLASSES FOR CLBP AND 2 OUTPATIENT PT CLINICS THAT OFFER EXERCISE-BASED PT. PARTICIPANTS: ADULTS (N=53) WITH CLBP>/=12 WEEKS: YOGA (N=27), PT (N=26). METHODS: YOGA PARTICIPANTS ATTENDED A 6-WEEK, ONCE WEEKLY, 2-HOUR YOGA CLASS. PT PARTICIPANTS UNDERWENT TWICE WEEKLY, 1-HOUR INDIVIDUALIZED PT. DATA WERE COLLECTED AT BASELINE AND AT 6 WEEKS. GROUPS WERE COMPARED BY USING CHI2 AND INDEPENDENT SAMPLES T-TESTS. HIERARCHICAL LINEAR REGRESSION WAS USED TO PREDICT TREATMENT OUTCOMES. MAIN OUTCOME MEASURES: DISABILITY (ROLAND MORRIS DISABILITY QUESTIONNAIRE), HEALTH STATUS (RAND SHORT FORM 36 HEALTH SURVEY 1.0), PAIN BOTHERSOMENESS (NUMERICAL RATING SCALE), BACK PAIN SELF-EFFICACY (BACK PAIN SELF-EFFICACY SCALE), AND TREATMENT SATISFACTION. RESULTS: AT BASELINE, YOGA PARTICIPANTS WERE SIGNIFICANTLY LESS DISABLED (P=.013), HAD HIGHER HEALTH STATUS (P=.023), GREATER PAIN SELF-EFFICACY (P=.012), AND LESS AVERAGE PAIN BOTHERSOMENESS (P=.001) COMPARED WITH PT PARTICIPANTS. AT 6 WEEKS, WHEN CONTROLLING FOR BASELINE GROUP DIFFERENCES, GREATER PAIN SELF-EFFICACY WAS THE STRONGEST PREDICTOR FOR REDUCED PAIN AND HIGHER FUNCTION FOR THE ENTIRE SAMPLE. A SIGNIFICANT GROUP INTERACTION BY BASELINE PAIN SELF-EFFICACY PREDICTED DISABILITY AT 6 WEEKS. PT PARTICIPANTS WITH LOW PAIN SELF-EFFICACY REPORTED SIGNIFICANTLY GREATER DISABILITY THAN THOSE WITH HIGH PAIN SELF-EFFICACY. YOGA PARTICIPANTS WITH LOW AND HIGH PAIN SELF-EFFICACY HAD SIMILAR DISABILITY OUTCOMES. CONCLUSION: THESE FINDINGS STRENGTHEN EVIDENCE THAT SELF-EFFICACY IS ASSOCIATED WITH CLBP OUTCOMES, ESPECIALLY IN INDIVIDUALS SELF-SELECTING PT. FURTHER RESEARCH TO EVALUATE OUTCOMES AFTER YOGA AND PT IN PARTICIPANTS WITH LOW PAIN SELF-EFFICACY IS NEEDED.	2010	
                                                                                                                                                                                                                                                                          
9  518  24 COMPARING ONCE- VERSUS TWICE-WEEKLY YOGA CLASSES FOR CHRONIC LOW BACK PAIN IN PREDOMINANTLY LOW INCOME MINORITIES: A RANDOMIZED DOSING TRIAL. BACKGROUND. PREVIOUS STUDIES HAVE DEMONSTRATED THAT ONCE-WEEKLY YOGA CLASSES ARE EFFECTIVE FOR CHRONIC LOW BACK PAIN (CLBP) IN WHITE ADULTS WITH HIGH SOCIOECONOMIC STATUS. THE COMPARATIVE EFFECTIVENESS OF TWICE-WEEKLY CLASSES AND GENERALIZABILITY TO RACIALLY DIVERSE LOW INCOME POPULATIONS ARE UNKNOWN. METHODS. WE CONDUCTED A 12-WEEK RANDOMIZED, PARALLEL-GROUP, DOSING TRIAL FOR 95 ADULTS RECRUITED FROM AN URBAN SAFETY-NET HOSPITAL AND FIVE COMMUNITY HEALTH CENTERS COMPARING ONCE-WEEKLY (N = 49) VERSUS TWICE-WEEKLY (N = 46) STANDARDIZED YOGA CLASSES SUPPLEMENTED BY HOME PRACTICE. PRIMARY OUTCOMES WERE CHANGE FROM BASELINE TO 12 WEEKS IN PAIN (11-POINT SCALE) AND BACK-RELATED FUNCTION (23-POINT MODIFIED ROLAND-MORRIS DISABILITY QUESTIONNAIRE). RESULTS. 82% OF PARTICIPANTS WERE NONWHITE; 77% HAD ANNUAL HOUSEHOLD INCOMES <$40,000. THE SAMPLE'S BASELINE MEAN PAIN INTENSITY [6.9 (SD 1.6)] AND FUNCTION [13.7 (SD 5.0)] REFLECTED MODERATE TO SEVERE BACK PAIN AND IMPAIRMENT. PAIN AND BACK-RELATED FUNCTION IMPROVED WITHIN BOTH GROUPS (P < 0.001). HOWEVER, THERE WERE NO DIFFERENCES BETWEEN ONCE-WEEKLY AND TWICE-WEEKLY GROUPS FOR PAIN REDUCTION [-2.1 (95% CI -2.9, -1.3) VERSUS -2.4 (95% CI -3.1, -1.8), P = 0.62] OR BACK-RELATED FUNCTION [-5.1 (95% CI -7.0, -3.2) VERSUS -4.9 (95% CI -6.5, -3.3), P = 0.83]. CONCLUSIONS. TWELVE WEEKS OF ONCE-WEEKLY OR TWICE-WEEKLY YOGA CLASSES WERE SIMILARLY EFFECTIVE FOR PREDOMINANTLY LOW INCOME MINORITY ADULTS WITH MODERATE TO SEVERE CHRONIC LOW BACK PAIN. THIS TRIAL IS REGISTERED WITH CLINICALTRIALS.GOV NCT01761617.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
10  461  25 CHANGES IN PERCEIVED STRESS AFTER YOGA, PHYSICAL THERAPY, AND EDUCATION INTERVENTIONS FOR CHRONIC LOW BACK PAIN: A SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: PERCEIVED STRESS AND MUSCULOSKELETAL PAIN ARE COMMON, ESPECIALLY IN LOW-INCOME POPULATIONS. STUDIES EVALUATING TREATMENTS TO REDUCE STRESS IN PATIENTS WITH CHRONIC PAIN ARE LACKING. WE AIMED TO QUANTIFY THE EFFECT OF TWO EVIDENCE-BASED INTERVENTIONS FOR CHRONIC LOW BACK PAIN (CLBP), YOGA AND PHYSICAL THERAPY (PT), ON PERCEIVED STRESS IN ADULTS WITH CLBP. METHODS: WE USED DATA FROM AN ASSESSOR-BLINDED, PARALLEL-GROUP RANDOMIZED CONTROLLED TRIAL, WHICH RECRUITED PREDOMINANTLY LOW-INCOME AND RACIALLY DIVERSE ADULTS WITH CLBP. PARTICIPANTS (N = 320) WERE RANDOMLY ASSIGNED TO 12 WEEKS OF YOGA, PT, OR BACK PAIN EDUCATION. WE COMPARED CHANGES IN THE 10-ITEM PERCEIVED STRESS SCALE (PSS-10) FROM BASELINE TO 12- AND 52-WEEK FOLLOW-UP AMONG YOGA AND PT PARTICIPANTS WITH THOSE RECEIVING EDUCATION. SUBANALYSES WERE CONDUCTED FOR PARTICIPANTS WITH ELEVATED PRE-INTERVENTION PERCEIVED STRESS (PSS-10 SCORE >/=17). WE CONDUCTED SENSITIVITY ANALYSES USING VARIOUS IMPUTATION METHODS TO ACCOUNT FOR POTENTIAL BIASES IN OUR ESTIMATES DUE TO MISSING DATA. RESULTS: AMONG 248 PARTICIPANTS (MEAN AGE = 46.4 YEARS, 80% NONWHITE) COMPLETING ALL THREE SURVEYS, YOGA AND PT SHOWED GREATER REDUCTIONS IN PSS-10 SCORES COMPARED WITH EDUCATION AT 12 WEEKS (MEAN BETWEEN-GROUP DIFFERENCE = -2.6, 95% CONFIDENCE INTERVAL [CI] = -4.5 TO -0.66, AND MEAN BETWEEN-GROUP DIFFERENCE = -2.4, 95% CI = -4.4 TO -0.48, RESPECTIVELY). THIS EFFECT WAS STRONGER AMONG PARTICIPANTS WITH ELEVATED PRE-INTERVENTION PERCEIVED STRESS. BETWEEN-GROUP EFFECTS HAD ATTENUATED BY 52 WEEKS. RESULTS WERE SIMILAR IN SENSITIVITY ANALYSES. CONCLUSIONS: YOGA AND PT WERE MORE EFFECTIVE THAN BACK PAIN EDUCATION FOR REDUCING PERCEIVED STRESS AMONG LOW-INCOME ADULTS WITH CLBP.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
11 2852  31 YOGA, PHYSICAL THERAPY, OR EDUCATION FOR CHRONIC LOW BACK PAIN: A RANDOMIZED NONINFERIORITY TRIAL. BACKGROUND: YOGA IS EFFECTIVE FOR MILD TO MODERATE CHRONIC LOW BACK PAIN (CLBP), BUT ITS COMPARATIVE EFFECTIVENESS WITH PHYSICAL THERAPY (PT) IS UNKNOWN. MOREOVER, LITTLE IS KNOWN ABOUT YOGA'S EFFECTIVENESS IN UNDERSERVED PATIENTS WITH MORE SEVERE FUNCTIONAL DISABILITY AND PAIN. OBJECTIVE: TO DETERMINE WHETHER YOGA IS NONINFERIOR TO PT FOR CLBP. DESIGN: 12-WEEK, SINGLE-BLIND, 3-GROUP RANDOMIZED NONINFERIORITY TRIAL AND SUBSEQUENT 40-WEEK MAINTENANCE PHASE. (CLINICALTRIALS.GOV: NCT01343927). SETTING: ACADEMIC SAFETY-NET HOSPITAL AND 7 AFFILIATED COMMUNITY HEALTH CENTERS. PARTICIPANTS: 320 PREDOMINANTLY LOW-INCOME, RACIALLY DIVERSE ADULTS WITH NONSPECIFIC CLBP. INTERVENTION: PARTICIPANTS RECEIVED 12 WEEKLY YOGA CLASSES, 15 PT VISITS, OR AN EDUCATIONAL BOOK AND NEWSLETTERS. THE MAINTENANCE PHASE COMPARED YOGA DROP-IN CLASSES VERSUS HOME PRACTICE AND PT BOOSTER SESSIONS VERSUS HOME PRACTICE. MEASUREMENTS: PRIMARY OUTCOMES WERE BACK-RELATED FUNCTION, MEASURED BY THE ROLAND MORRIS DISABILITY QUESTIONNAIRE (RMDQ), AND PAIN, MEASURED BY AN 11-POINT SCALE, AT 12 WEEKS. PRESPECIFIED NONINFERIORITY MARGINS WERE 1.5 (RMDQ) AND 1.0 (PAIN). SECONDARY OUTCOMES INCLUDED PAIN MEDICATION USE, GLOBAL IMPROVEMENT, SATISFACTION WITH INTERVENTION, AND HEALTH-RELATED QUALITY OF LIFE. RESULTS: ONE-SIDED 95% LOWER CONFIDENCE LIMITS WERE 0.83 (RMDQ) AND 0.97 (PAIN), DEMONSTRATING NONINFERIORITY OF YOGA TO PT. HOWEVER, YOGA WAS NOT SUPERIOR TO EDUCATION FOR EITHER OUTCOME. YOGA AND PT WERE SIMILAR FOR MOST SECONDARY OUTCOMES. YOGA AND PT PARTICIPANTS WERE 21 AND 22 PERCENTAGE POINTS LESS LIKELY, RESPECTIVELY, THAN EDUCATION PARTICIPANTS TO USE PAIN MEDICATION AT 12 WEEKS. IMPROVEMENTS IN YOGA AND PT GROUPS WERE MAINTAINED AT 1 YEAR WITH NO DIFFERENCES BETWEEN MAINTENANCE STRATEGIES. FREQUENCY OF ADVERSE EVENTS, MOSTLY MILD SELF-LIMITED JOINT AND BACK PAIN, DID NOT DIFFER BETWEEN THE YOGA AND PT GROUPS. LIMITATIONS: PARTICIPANTS WERE NOT BLINDED TO TREATMENT ASSIGNMENT. THE PT GROUP HAD DISPROPORTIONATE LOSS TO FOLLOW-UP. CONCLUSION: A MANUALIZED YOGA PROGRAM FOR NONSPECIFIC CLBP WAS NONINFERIOR TO PT FOR FUNCTION AND PAIN. PRIMARY FUNDING SOURCE: NATIONAL CENTER FOR COMPLEMENTARY AND INTEGRATIVE HEALTH OF THE NATIONAL INSTITUTES OF HEALTH.	2017	
                                                                                                                               
12 2656  29 YOGA IMPROVES UPPER-EXTREMITY FUNCTION AND SCAPULAR POSTURING IN PERSONS WITH HYPERKYPHOSIS. OBJECTIVE: HYPERKYPHOSIS (EXCESS THORACIC SPINE CURVATURE) IS ASSOCIATED WITH UPPER-EXTREMITY FUNCTIONAL LIMITATIONS AND ALTERED SCAPULAR POSTURING. THE PURPOSE OF THIS STUDY WAS TO QUANTIFY THE CHANGES IN UPPER-EXTREMITY FUNCTION AND SCAPULAR POSTURING FOLLOWING A 6-MONTH YOGAINTERVENTION IN PERSONS WITH HYPERKYPHOSIS. METHODS: TWENTY-ONE OLDER ADULTS WITH HYPERKYPHOSIS (75.5+7.4 YRS) ENROLLED IN THE UCLA YOGA FOR KYPHOSIS RANDOMIZED CONTROLLED TRIAL, ELECTED TO PARTICIPATE IN THIS UNCONTROLLED, PREPOST SUBSTUDY OF UPPER-EXTREMITY FUNCTION. THEY WERE MEASURED AT BASELINE AND AFTER A 24-WEEK YOGA INTERVENTION. MAXIMUM VERTICAL REACH AND TIMED BOOK TESTS WERE USED TO EVALUATE UPPER-EXTREMITY FUNCTION. SCAPULAR POSTURING WAS QUANTIFIED USING A MOTION ANALYSIS SYSTEM AND DATA WAS OBTAINED UNDER 4 CONDITIONS: 1) QUIET-STANDING, 2) NORMAL WALKING, 3) FAST WALKING, AND 4) SEATED. PAIRED T-TESTS WERE USED TO TEST FOR CHANGES BETWEEN BASELINE AND 6-MONTH FOLLOW-UP MEASURES AND COHEN'S D WAS CALCULATED TO EXAMINE EFFECT SIZES. RESULTS: FOLLOWING THE 6-MONTH YOGA INTERVENTION, PARTICIPANTS IMPROVED THEIR BOOK TEST PERFORMANCE BY 26.4% (P < 0.001; D = 1.5). SCAPULAR PROTRACTION DECREASED BY 2.9% DURING THE STATIC-SITTING CONDITION (P < 0.001; D = 0.5) AND THE OVERALL EXCURSION OF THE SCAPULAE DECREASED FOR BOTH FAST (25.0%, P < 0.05; D = 0.6) AND SELF-SELECTED WALKING (29.4%, P < 0.01; D = 0.9). THERE WERE NO CHANGES IN MAXIMUM VERTICAL REACH. CONCLUSION: SUBJECTS DEMONSTRATED SIGNIFICANT IMPROVEMENTS WITH SMALL TO LARGE EFFECT SIZES IN THE TIMED BOOK TEST AND SCAPULAR POSTURING TO A LESS PROTRACTED POSITION DURING BOTH STATIC AND DYNAMIC CONDITIONS AFTER THE INTERVENTION. THESE ADAPTATIONS ARE LIKELY TO REDUCE THE RISK OF SCAPULAR IMPINGEMENT AND HELP PRESERVE FUNCTIONAL INDEPENDENCE IN OLDER ADULTS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
13  430  26 CAN YOGA OR PHYSICAL THERAPY FOR CHRONIC LOW BACK PAIN IMPROVE DEPRESSION AND ANXIETY AMONG ADULTS FROM A RACIALLY DIVERSE, LOW-INCOME COMMUNITY? A SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO DETERMINE AND COMPARE THE EFFECT OF YOGA, PHYSICAL THERAPY (PT), AND EDUCATION ON DEPRESSIVE AND ANXIOUS SYMPTOMS IN PATIENTS WITH CHRONIC LOW BACK PAIN (CLBP). DESIGN: SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. SETTING: ACADEMIC SAFETY NET HOSPITAL AND 7 COMMUNITY HEALTH CENTERS. PARTICIPANTS: A TOTAL OF 320 ADULTS WITH CLBP. INTERVENTION: YOGA CLASSES, PT SESSIONS, OR AN EDUCATIONAL BOOK. OUTCOME MEASURE: DEPRESSION AND ANXIETY WERE MEASURED USING THE PATIENT HEALTH QUESTIONNAIRE AND GENERALIZED ANXIETY DISORDER 7-ITEM SCALE, RESPECTIVELY, AT BASELINE, 12, AND 52 WEEKS. WE IDENTIFIED BASELINE AND MIDTREATMENT (6-WK) FACTORS ASSOCIATED WITH CLINICALLY MEANINGFUL IMPROVEMENTS IN DEPRESSIVE (>/=3 POINTS) OR ANXIOUS (>/=2 POINTS) SYMPTOMS AT 12 WEEKS. RESULTS: PARTICIPANTS (FEMALE=64%; MEAN AGE, 46.0+/-10.7 YEARS) WERE PREDOMINANTLY NON-WHITE (82%), LOW-INCOME (<$30,000/YEAR, 59%), AND HAD NOT RECEIVED A COLLEGE DEGREE (71%). MOST PARTICIPANTS HAD MILD OR WORSE DEPRESSIVE (60%) AND ANXIOUS (50%) SYMPTOMS. AT 12 WEEKS, YOGA AND PT PARTICIPANTS EXPERIENCED MODEST WITHIN-GROUP IMPROVEMENTS IN DEPRESSIVE SYMPTOMS (MEAN DIFFERENCE [MD]=-1.23 [95% CI, -2.18 TO -0.28]; MD=-1.01 [95% CI, -2.05 TO -0.03], RESPECTIVELY). COMPARED WITH THE EDUCATION GROUP, 12-WEEK DIFFERENCES WERE NOT STATISTICALLY SIGNIFICANT, ALTHOUGH TRENDS FAVORED YOGA (MD=-0.71 [95% CI, -2.22 TO 0.81]) AND PT (MD= -0.32 [95% CI, -1.82 TO 1.18]). AT 12 WEEKS, IMPROVEMENTS IN ANXIOUS SYMPTOMS WERE ONLY FOUND IN PARTICIPANTS WHO HAD MILD OR MODERATE ANXIETY AT BASELINE. INDEPENDENT OF TREATMENT ARM, PARTICIPANTS WHO HAD 30% OR GREATER IMPROVEMENT IN PAIN OR FUNCTION MIDTREATMENT WERE MORE LIKELY TO HAVE A CLINICALLY MEANINGFUL IMPROVEMENT IN DEPRESSIVE SYMPTOMS (ODDS RATIO [OR], 1.82 [95% CI, 1.03-3.22]; OR, 1.79 [95% CI, 1.06-3.04], RESPECTIVELY). CONCLUSIONS: IN OUR SECONDARY ANALYSIS WE FOUND THAT DEPRESSION AND ANXIETY, COMMON IN THIS SAMPLE OF UNDERSERVED ADULTS WITH CLBP, MAY IMPROVE MODESTLY WITH PT AND YOGA. HOWEVER, EFFECTS WERE NOT SUPERIOR TO EDUCATION. IMPROVEMENTS IN PAIN AND FUNCTION ARE ASSOCIATED WITH A DECREASE IN DEPRESSIVE SYMPTOMS. MORE RESEARCH IS NEEDED TO OPTIMIZE THE INTEGRATION OF PHYSICAL AND PSYCHOLOGICAL WELL-BEING IN PT AND YOGA.	2021	

14  552  35 CORE MUSCLE FUNCTION DURING SPECIFIC YOGA POSES. OBJECTIVE: TO ASSESS THE POTENTIAL USE OF 11 YOGA POSES IN SPECIFIC TRAINING AND REHABILITATION PROGRAMS VIA EXAMINATION OF THE MUSCLE ACTIVATION PATTERNS IN SELECTED TRUNK AND HIP MUSCLES. DESIGN: REPEATED-MEASURES DESCRIPTIVE STUDY. SETTING: UNIVERSITY LABORATORY, US. PARTICIPANTS: THIRTY HEALTHY YOGA PRACTITIONERS WITH MORE THAN 3 MONTHS YOGA PRACTICE EXPERIENCE (MEAN AGE+/-SD, 32.0+/-12.3 Y; 8 M/22 F) PARTICIPATED. INTERVENTIONS: SURFACE ELECTROMYOGRAPHIC SIGNALS OF UPPER RECTUS ABDOMINIS, LOWER RECTUS ABDOMINIS, LONGISSIMUS THORACIS, EXTERNAL OBLIQUE ABDOMINIS AND GLUTEUS MAXIMUM MUSCLE WERE RECORDED IN 11 YOGA POSES: HALFWAY LIFT, FORWARD FOLD, DOWNWARD FACING DOG, UPWARD FACING DOG, HIGH PLANK, LOW PLANK, CHAIR, MOUNTAIN WITH ARMS DOWN, MOUNTAIN WITH ARMS UP, WARRIOR 1 (BOTH SIDES). MAIN OUTCOME MEASURES: ROOT MEAN SQUARE VALUES OF EACH MUSCLE DURING EACH POSE, NORMALIZED BY THE MAXIMAL VOLUNTARY CONTRACTION. RESULTS: THERE WERE SIGNIFICANT MAIN EFFECTS OF POSE (P<.001) AND MUSCLE (P<.001), AND A SIGNIFICANT POSEXMUSCLE INTERACTION (P=.001). THE POST HOC ANALYSIS REVEALED UNIQUE PATTERNS FOR THE FIVE MUSCLES OF INTEREST FOR EACH OF THE 11 POSES (P<.024). CONCLUSIONS: VARIATIONS IN CORE MUSCLE FIRING PATTERNS DEPEND ON THE TRUNK AND PELVIC POSITIONS DURING THESE POSES. TRAINING PROGRAMS CAN BE DEVELOPED BY CHOOSING PARTICULAR POSES TO TARGET SPECIFIC CORE MUSCLES FOR ADDRESSING LOW BACK PAIN AND DECLINES IN PERFORMANCE. THE HIGH PLANK, LOW PLANK AND DOWNWARD FACING DOG POSES ARE EFFECTIVE FOR STRENGTHENING EXTERNAL OBLIQUE ABDOMINIS, CHAIR AND WARRIOR 1 POSES FOR TARGETING GLUTEUS MAXIMUM, AND CHAIR AND HALFWAY LIFT POSES FOR STRENGTHENING LONGISSIMUS THORACIS. AND THESE THREE MUSCLES COULD BE STRENGTHENED BY THE UPWARD FACING DOG POSE.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
15 2329  28 TRUNK AND HIP MUSCLE ACTIVATION DURING YOGA POSES: IMPLICATIONS FOR PHYSICAL THERAPY PRACTICE. OBJECTIVE: TO DETERMINE AND COMPARE ACTIVATION OF CORE MUSCLES DURING YOGA TO TRADITIONAL BACK EXERCISES. METHODS: SURFACE ELECTROMYOGRAPHY WAS USED TO QUANTIFY ACTIVATION OF THE RECTUS ABDOMINIS (RA), ABDOMINAL OBLIQUES (AO), LUMBAR EXTENSORS (LE), AND GLUTEUS MAXIMUS (GMX) DURING FOUR YOGA POSES. DATA WERE EXPRESSED AS 100% OF A MAXIMUM VOLUNTARY ISOMETRIC CONTRACTION. SEPARATE ANALYSES OF VARIANCE WITH REPEATED MEASURES WERE USED TO COMPARE MUSCLE ACTIVITY ACROSS EACH EXERCISE. RESULTS: SUBJECTS GENERATED GREATER RA (P < 0.0001) AND AO (P < 0.0001) ACTIVITY DURING THE PLANK. THEY GENERATED GREATER AO ACTIVITY (P < 0.0001) DURING THE UPWARD-FACING DOG THAN THE CHAIR AND DOMINANT-SIDE WARRIOR 1. LE ACTIVITY WAS GREATEST (P < 0.0001) DURING THE CHAIR. GMX ACTIVITY WAS SIMILAR (P = 0.09) DURING ALL EXERCISES. CONCLUSION: YOGA POSES MAY HELP IMPROVE CORE ENDURANCE AND STRENGTH. CLINICIANS MAY USE THESE DATA WHEN DEVELOPING AND IMPLEMENTING AN EVIDENCE-BASED CORE EXERCISE PROGRAM FOR INDIVIDUALS WHO PREFER A YOGA TREATMENT STRATEGY.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
16  910  25 EFFECTIVENESS OF HATHA YOGA VERSUS CONVENTIONAL THERAPEUTIC EXERCISES FOR CHRONIC NONSPECIFIC LOW-BACK PAIN. OBJECTIVE: TO DETERMINE WHETHER THE EFFECTIVENESS OF HATHA YOGA THERAPY IS COMPARABLE TO CONVENTIONAL THERAPEUTIC EXERCISES (CTES) FOR REDUCING BACK PAIN INTENSITY AND BACK-RELATED DYSFUNCTION IN PATIENTS WITH CHRONIC NONSPECIFIC LOW-BACK PAIN (CNLBP). DESIGN: THE STUDY WAS A PROSPECTIVE RANDOMIZED COMPARATIVE TRIAL, DIVIDED INTO TWO PHASES: AN INITIAL 6-WEEKLY SUPERVISED INTERVENTION PERIOD FOLLOWED BY A 6-WEEK FOLLOW-UP PERIOD. SETTINGS: THIS STUDY WAS CONDUCTED AT DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION AND CENTRE FOR INTEGRATIVE MEDICINE AND RESEARCH OF A TERTIARY CARE HOSPITAL. SUBJECTS: PATIENTS BETWEEN 18 AND 55 YEARS OF AGE WITH COMPLAINT OF CNLBP PERSISTING >/=12 WEEKS WITH PAIN RATING >/=4 ON A NUMERICAL RATING SCALE (0-10). INTERVENTION: A TOTAL OF SIX STANDARDIZED 35-MIN WEEKLY HATHA YOGA SESSIONS (YOGA GROUP) AND SIMILARLY 35-MIN WEEKLY SESSIONS OF CTES (CTE GROUP), DESIGNED FOR PEOPLE WITH CNLBP UNACCUSTOMED TO STRUCTURED YOGA OR CTE PROGRAM. PARTICIPANTS WERE ASKED TO PRACTICE ON NONCLASS DAYS AT HOME. OUTCOME MEASURES: THE PRIMARY OUTCOME MEASURES WERE DEFENSE AND VETERANS PAIN RATING SCALE (DVPRS) (0-10) AND 24-POINT ROLAND MORRIS DISABILITY QUESTIONNAIRE (RDQ). SECONDARY OUTCOMES WERE PAIN MEDICATION USAGE PER WEEK AND A POSTINTERVENTION PERCEIVED RECOVERY (LIKERT SEVEN-POINT SCALE) OF BACK-RELATED DYSFUNCTION. OUTCOMES WERE RECORDED AT THE BASELINE, 6-WEEK FOLLOW-UP, AND 12-WEEK FOLLOW-UP. RESULTS: SEVENTY SUBJECTS WERE RANDOMIZED TO EITHER YOGA (N = 35) OR CTE GROUP (N = 35). DATA WERE ANALYZED USING INTENTION-TO-TREAT, WITH LAST OBSERVATION CARRIED FORWARD. BOTH YOGA AND THE CTE GROUP HAVE SHOWN SIGNIFICANT IMPROVEMENT IN BACK PAIN INTENSITY AND BACK-RELATED DYSFUNCTION WITHIN BOTH THE GROUPS AT 6- AND 12-WEEK FOLLOW-UPS COMPARED TO BASELINE. NO STATISTICALLY SIGNIFICANT DIFFERENCES IN THE PAIN INTENSITY (DVPRS; AT 6 WEEKS: N = 35, DIFFERENCE OF MEDIANS 1.0, 95% CONFIDENCE INTERVAL [-5.3 TO 3.0], P = 0.5; AT 12 WEEKS: N = 35, 0.0 [-4.2 TO 5.0], 0.7) AND BACK-RELATED DYSFUNCTION (RDQ; AT 6 WEEKS: N = 35, 1.0 [-9.6 TO 10.6], 0.4; AT 12 WEEKS: N = 35, 0.0 [-8.8 TO 10.6], 0.3) WERE NOTED BETWEEN TWO GROUPS. IMPROVEMENTS IN PILL CONSUMPTION AND PERCEIVED RECOVERY WERE ALSO COMPARABLE BETWEEN THE GROUPS. CONCLUSION: YOGA PROVIDED SIMILAR IMPROVEMENT COMPARED WITH CTES, IN PATIENTS WITH CNLBP.	2019	
          
17 1654  33 MUSCLE UTILIZATION PATTERNS VARY BY SKILL LEVELS OF THE PRACTITIONERS ACROSS SPECIFIC YOGA POSES (ASANAS). OBJECTIVE: TO COMPARE MUSCLE ACTIVATION PATTERNS IN 14 DOMINANT SIDE MUSCLES DURING DIFFERENT YOGA POSES ACROSS THREE SKILL LEVELS. DESIGN: MIXED REPEATED-MEASURES DESCRIPTIVE STUDY. SETTING: UNIVERSITY NEUROMUSCULAR RESEARCH LABORATORY, MIAMI, US. PARTICIPANTS: A GROUP OF 36 YOGA PRACTITIONERS (9 M/27 F; MEAN +/- SD, 31.6 +/- 12.6 YEARS) WITH AT LEAST 3 MONTHS YOGA PRACTICE EXPERIENCE. INTERVENTIONS: EACH OF THE 11 SURYA NAMASKAR POSES A AND B WAS PERFORMED SEPARATELY FOR 15S AND THE SURFACE ELECTROMYOGRAPHY FOR 14 MUSCLES WERE RECORDED. MAIN OUTCOME MEASURES: NORMALIZED ROOT MEAN SQUARE OF THE ELECTROMYOGRAPHIC SIGNAL (NRMSEMG) FOR 14 MUSCLES (5 UPPER BODY, 4 TRUNK, 5 LOWER BODY). RESULTS: THERE WERE SIGNIFICANT MAIN EFFECTS OF POSE FOR ALL FOURTEEN MUSCLES EXCEPT MIDDLE TRAPEZIUS (P<.02) AND OF SKILL LEVEL FOR THE VASTUS MEDIALIS; P=.027). A SIGNIFICANT SKILL LEVEL X POSE INTERACTION EXISTED FOR FIVE MUSCLES (PECTORALIS MAJOR STERNAL HEAD, ANTERIOR DELTOID, MEDIAL DELTOID, UPPER RECTUS ABDOMINIS AND GASTROCNEMIUS LATERALIS; P<.05). POST HOC ANALYSES USING BONFERRONI COMPARISONS INDICATED THAT DIFFERENT POSES ACTIVATED SPECIFIC MUSCLE GROUPS; HOWEVER, THIS VARIED BY SKILL LEVEL. CONCLUSION: OUR RESULTS INDICATE THAT DIFFERENT POSES CAN PRODUCE SPECIFIC MUSCLE ACTIVATION PATTERNS WHICH MAY VARY DUE TO PRACTITIONERS' SKILL LEVELS. THIS INFORMATION CAN BE USED IN DESIGNING REHABILITATION AND TRAINING PROGRAMS AND FOR CUING DURING YOGA TRAINING.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
18  626  34 DIFFERENCE IN MUSCLE ACTIVATION PATTERNS DURING HIGH-SPEED VERSUS STANDARD-SPEED YOGA: A RANDOMIZED SEQUENCE CROSSOVER STUDY. OBJECTIVES: TO COMPARE THE DIFFERENCE IN MUSCLE ACTIVATION BETWEEN HIGH-SPEED YOGA AND STANDARD-SPEED YOGA AND TO COMPARE MUSCLE ACTIVATION OF THE TRANSITIONS BETWEEN POSES AND THE HELD PHASES OF A YOGA POSE. DESIGN: RANDOMIZED SEQUENCE CROSSOVER TRIAL SETTING: A LABORATORY OF NEUROMUSCULAR RESEARCH AND ACTIVE AGING INTERVENTIONS: EIGHT MINUTES OF CONTINUOUS SUN SALUTATION B WAS PERFORMED, AT A HIGH SPEED VERSUS A STANDARD-SPEED, SEPARATELY. ELECTROMYOGRAPHY WAS USED TO QUANTIFY NORMALIZED MUSCLE ACTIVATION PATTERNS OF EIGHT UPPER AND LOWER BODY MUSCLES (PECTORALIS MAJOR, MEDIAL DELTOIDS, LATERAL HEAD OF THE TRICEPS, MIDDLE FIBERS OF THE TRAPEZIUS, VASTUS MEDIALIS, MEDIAL GASTROCNEMIUS, THORACIC EXTENSOR SPINAE, AND EXTERNAL OBLIQUES) DURING THE HIGH-SPEED AND STANDARD-SPEED YOGA PROTOCOLS. MAIN OUTCOME MEASURES: DIFFERENCE IN NORMALIZED MUSCLE ACTIVATION BETWEEN HIGH-SPEED YOGA AND STANDARD-SPEED YOGA. RESULTS: NORMALIZED MUSCLE ACTIVITY SIGNALS WERE SIGNIFICANTLY HIGHER IN ALL EIGHT MUSCLES DURING THE TRANSITION PHASES OF POSES COMPARED TO THE HELD PHASES (P<0.01). THERE WAS NO SIGNIFICANT INTERACTION BETWEEN SPEEDXPHASE; HOWEVER, GREATER NORMALIZED MUSCLE ACTIVITY WAS SEEN FOR HIGHSPEED YOGA ACROSS THE ENTIRE SESSION. CONCLUSIONS: OUR RESULTS SHOW THAT TRANSITIONS FROM ONE HELD PHASE OF A POSE TO ANOTHER PRODUCES HIGHER NORMALIZED MUSCLE ACTIVITY THAN THE HELD PHASES OF THE POSES AND THAT OVERALL ACTIVITY IS GREATER DURING HIGHSPEED YOGA THAN STANDARD-SPEED YOGA. THEREFORE, THE TRANSITION SPEED AND ASSOCIATED NUMBER OF POSES SHOULD BE CONSIDERED WHEN TARGETING SPECIFIC IMPROVEMENTS IN PERFORMANCE.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
19  193  24 A RANDOMIZED TRIAL COMPARING YOGA, STRETCHING, AND A SELF-CARE BOOK FOR CHRONIC LOW BACK PAIN. BACKGROUND: CHRONIC LOW BACK PAIN IS A COMMON PROBLEM LACKING HIGHLY EFFECTIVE TREATMENT OPTIONS. SMALL TRIALS SUGGEST THAT YOGA MAY HAVE BENEFITS FOR THIS CONDITION. THIS TRIAL WAS DESIGNED TO DETERMINE WHETHER YOGA IS MORE EFFECTIVE THAN CONVENTIONAL STRETCHING EXERCISES OR A SELF-CARE BOOK FOR PRIMARY CARE PATIENTS WITH CHRONIC LOW BACK PAIN. METHODS: A TOTAL OF 228 ADULTS WITH CHRONIC LOW BACK PAIN WERE RANDOMIZED TO 12 WEEKLY CLASSES OF YOGA (92 PATIENTS) OR CONVENTIONAL STRETCHING EXERCISES (91 PATIENTS) OR A SELF-CARE BOOK (45 PATIENTS). BACK-RELATED FUNCTIONAL STATUS (MODIFIED ROLAND DISABILITY QUESTIONNAIRE, A 23-POINT SCALE) AND BOTHERSOMENESS OF PAIN (AN 11-POINT NUMERICAL SCALE) AT 12 WEEKS WERE THE PRIMARY OUTCOMES. OUTCOMES WERE ASSESSED AT BASELINE, 6, 12, AND 26 WEEKS BY INTERVIEWERS UNAWARE OF TREATMENT GROUP. RESULTS: AFTER ADJUSTMENT FOR BASELINE VALUES, 12-WEEK OUTCOMES FOR THE YOGA GROUP WERE SUPERIOR TO THOSE FOR THE SELF-CARE GROUP (MEAN DIFFERENCE FOR FUNCTION, -2.5 [95% CI, -3.7 TO -1.3]; P < .001; MEAN DIFFERENCE FOR SYMPTOMS, -1.1 [95% CI, -1.7 TO -0.4]; P < .001). AT 26 WEEKS, FUNCTION FOR THE YOGA GROUP REMAINED SUPERIOR (MEAN DIFFERENCE, -1.8 [95% CI, -3.1 TO -0.5]; P < .001). YOGA WAS NOT SUPERIOR TO CONVENTIONAL STRETCHING EXERCISES AT ANY TIME POINT. CONCLUSION: YOGA CLASSES WERE MORE EFFECTIVE THAN A SELF-CARE BOOK, BUT NOT MORE EFFECTIVE THAN STRETCHING CLASSES, IN IMPROVING FUNCTION AND REDUCING SYMPTOMS DUE TO CHRONIC LOW BACK PAIN, WITH BENEFITS LASTING AT LEAST SEVERAL MONTHS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT00447668.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
20 2851  26 YOGA, PHYSICAL THERAPY, AND BACK PAIN EDUCATION FOR SLEEP QUALITY IN LOW-INCOME RACIALLY DIVERSE ADULTS WITH CHRONIC LOW BACK PAIN: A SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: POOR SLEEP IS COMMON AMONG ADULTS WITH CHRONIC LOW BACK PAIN (CLBP), BUT THE INFLUENCE OF CLBP TREATMENTS, SUCH AS YOGA AND PHYSICAL THERAPY (PT), ON SLEEP QUALITY IS UNDER STUDIED. OBJECTIVE: EVALUATE THE EFFECTIVENESS OF YOGA AND PT FOR IMPROVING SLEEP QUALITY IN ADULTS WITH CLBP. DESIGN: SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL. SETTING: ACADEMIC SAFETY-NET HOSPITAL AND 7 AFFILIATED COMMUNITY HEALTH CENTERS. PARTICIPANTS: A TOTAL OF 320 ADULTS WITH CLBP. INTERVENTION: TWELVE WEEKLY YOGA CLASSES, 1-ON-1 PT SESSIONS, OR AN EDUCATIONAL BOOK. MAIN MEASURES: SLEEP QUALITY WAS MEASURED USING THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) GLOBAL SCORE (0-21) AT BASELINE, 12 WEEKS, AND 52 WEEKS. ADDITIONALLY, WE ALSO EVALUATED HOW THE PROPORTION OF PARTICIPANTS WHO ACHIEVED A CLINICALLY MEANINGFUL IMPROVEMENT IN SLEEP QUALITY (> 3-POINT REDUCTION IN PSQI) AT 12 WEEKS VARIED BY CHANGES IN PAIN AND PHYSICAL FUNCTION AT 6 WEEKS. KEY RESULTS: AMONG PARTICIPANTS (MEAN AGE = 46.0, 64% FEMALE, 82% NON-WHITE), NEARLY ALL (92%) REPORTED POOR SLEEP QUALITY (PSQI > 5) AT BASELINE. AT 12 WEEKS, MODEST IMPROVEMENTS IN SLEEP QUALITY WERE OBSERVED AMONG THE YOGA (PSQI MEAN DIFFERENCE [MD] = - 1.19, 95% CONFIDENCE INTERVAL [CI] - 1.82, - 0.55) AND PT (PSQI MD = - 0.91, 95% CI - 1.61, - 0.20) GROUPS. PARTICIPANTS WHO REPORTED A >/= 30% IMPROVEMENT IN PAIN OR PHYSICAL FUNCTION AT 6 WEEKS, COMPARED WITH THOSE WHO IMPROVED < 10%, WERE MORE LIKELY TO BE A SLEEP QUALITY RESPONDER AT 12 WEEKS (ODDS RATIO [OR] = 3.51, 95% CI 1.73, 7.11 AND OR = 2.16, 95% CI 1.18, 3.95, RESPECTIVELY). RESULTS WERE SIMILAR AT 52 WEEKS. CONCLUSION: IN A SAMPLE OF ADULTS WITH CLBP, VIRTUALLY ALL WITH POOR SLEEP QUALITY PRIOR TO INTERVENTION, MODEST BUT STATISTICALLY SIGNIFICANT IMPROVEMENTS IN SLEEP QUALITY WERE OBSERVED WITH BOTH YOGA AND PT. IRRESPECTIVE OF TREATMENT, CLINICALLY IMPORTANT SLEEP IMPROVEMENTS AT THE END OF THE INTERVENTION WERE ASSOCIATED WITH MID-INTERVENTION PAIN AND PHYSICAL FUNCTION IMPROVEMENTS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT01343927.	2020