1 1113 175 EFFICACY OF A BIOMECHANICALLY-BASED YOGA EXERCISE PROGRAM IN KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: CERTAIN EXERCISES COULD OVERLOAD THE OSTEOARTHRITIC KNEE. WE DEVELOPED AN EXERCISE PROGRAM FROM YOGA POSTURES WITH A MINIMAL KNEE ADDUCTION MOMENT FOR KNEE OSTEOARTHRITIS. THE PURPOSE WAS TO COMPARE THE EFFECTIVENESS OF THIS BIOMECHANICALLY-BASED YOGA EXERCISE (YE), WITH TRADITIONAL EXERCISE (TE), AND A NO-EXERCISE ATTENTION-EQUIVALENT CONTROL (NE) FOR IMPROVING PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY PERFORMANCE IN WOMEN WITH KNEE OSTEOARTHRITIS. DESIGN: SINGLE-BLIND, THREE-ARM RANDOMIZED CONTROLLED TRIAL. SETTING: COMMUNITY IN SOUTHWESTERN ONTARIO, CANADA. PARTICIPANTS: A CONVENIENCE SAMPLE OF 31 WOMEN WITH SYMPTOMATIC KNEE OSTEOARTHRITIS WAS RECRUITED THROUGH RHEUMATOLOGY, ORTHOPAEDIC AND PHYSIOTHERAPY CLINICS, NEWSPAPERS AND WORD-OF-MOUTH. INTERVENTIONS: PARTICIPANTS WERE STRATIFIED BY DISEASE SEVERITY AND RANDOMLY ALLOCATED TO ONE OF THREE 12-WEEK, SUPERVISED INTERVENTIONS. YE INCLUDED BIOMECHANICALLY-BASED YOGA EXERCISES; TE INCLUDED TRADITIONAL LEG STRENGTHENING ON MACHINES; AND NE INCLUDED MEDITATION WITH NO EXERCISE. PARTICIPANTS WERE ASKED TO ATTEND THREE 1-HOUR GROUP CLASSES/SESSIONS EACH WEEK. MEASUREMENTS: PRIMARY OUTCOMES WERE PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY PERFORMANCE. SECONDARY OUTCOMES WERE KNEE STRENGTH, DEPRESSION, AND HEALTH-RELATED QUALITY OF LIFE. ALL WERE ASSESSED BY A BLINDED ASSESSOR AT BASELINE AND IMMEDIATELY FOLLOWING THE INTERVENTION. RESULTS: THE YE GROUP DEMONSTRATED GREATER IMPROVEMENTS IN KOOS PAIN (MEAN DIFFERENCE OF 22.9 [95% CI, 6.9 TO 38.8; P = 0.003]), INTERMITTENT PAIN (MEAN DIFFERENCE OF -19.6 [95% CI, -34.8 TO -4.4; P = 0.009]) AND SELF-REPORTED PHYSICAL FUNCTION (MEAN DIFFERENCE OF 17.2 [95% CI, 5.2 TO 29.2; P = 0.003]) COMPARED TO NE. IMPROVEMENTS IN THESE OUTCOMES WERE SIMILAR BETWEEN YE AND TE. HOWEVER, TE DEMONSTRATED A GREATER IMPROVEMENT IN KNEE FLEXOR STRENGTH COMPARED TO YE (MEAN DIFFERENCE OF 0.1 [95% CI, 0.1 TO 0.2]. IMPROVEMENTS FROM BASELINE TO FOLLOW-UP WERE PRESENT IN QUALITY OF LIFE SCORE FOR YE AND KNEE FLEXOR STRENGTH FOR TE, WHILE BOTH ALSO DEMONSTRATED IMPROVEMENTS IN MOBILITY. NO IMPROVEMENT IN ANY OUTCOME WAS PRESENT IN NE. CONCLUSIONS: THE BIOMECHANICALLY-BASED YOGA EXERCISE PROGRAM PRODUCED CLINICALLY MEANINGFUL IMPROVEMENTS IN PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY IN WOMEN WITH CLINICAL KNEE OA COMPARED TO NO EXERCISE. WHILE NOT STATISTICALLY SIGNIFICANT, IMPROVEMENTS IN THESE OUTCOMES WERE LARGER THAN THOSE ELICITED FROM THE TRADITIONAL EXERCISE-BASED PROGRAM. THOUGH THIS MAY SUGGEST THAT THE YOGA PROGRAM MAY BE MORE EFFICACIOUS FOR KNEE OA, FUTURE RESEARCH STUDYING A LARGER SAMPLE IS REQUIRED. TRIAL REGISTRATION: CLINICALTRIALS.GOV (NCT02370667). 2018 2 2306 40 TRAINING BENEFITS AND INJURY RISKS OF STANDING YOGA APPLIED IN MUSCULOSKELETAL PROBLEMS: LOWER LIMB BIOMECHANICAL ANALYSIS. STANDING YOGA POSES STRENGTHEN A PERSON'S LEGS AND HELPS TO ACHIEVE THE GOAL OF MUSCULOSKELETAL REHABILITATION, BUT INADEQUATE EXERCISE PLANNING CAN CAUSE INJURIES. THIS STUDY INVESTIGATED CHANGES IN THE ELECTROMYOGRAM AND JOINT MOMENTS OF FORCE (JMOFS) OF LOWER EXTREMITIES DURING COMMON STANDING YOGA POSES IN ORDER TO EXPLORE THE FEASIBILITY AND POSSIBLE INJURY RISK IN DEALING WITH MUSCULOSKELETAL PROBLEMS. ELEVEN YOGA INSTRUCTORS WERE RECRUITED TO EXECUTE FIVE YOGA POSES (CHAIR, TREE, WARRIOR 1, 2, AND 3). THE RESULTS REVEALED SIGNIFICANT DIFFERENCES IN HIP, KNEE, AND ANKLE JMOFS AND VARYING DEGREES OF MUSCLE ACTIVATION AMONG THE POSES. AMONG THESE POSES, RECTUS FEMORIS MUSCLE ACTIVATION DURING THE CHAIR POSE WAS THE HIGHEST, WARRIOR 2 PRODUCED THE HIGHEST MUSCLE ACTIVATION IN THE VASTUS LATERALIS OF THE FRONT LIMB, WHILE WARRIOR 1 HAD THE HIGHEST MUSCLE ACTIVATION IN THE VASTUS MEDIALIS OF THE BACK LIMB. THEREFORE, ALL THREE POSES CAN POSSIBLY BE SUGGESTED AS A THERAPEUTIC INTERVENTION FOR QUADRICEPS STRENGTHENING. WARRIOR 1 WAS POSSIBLY SUGGESTED AS A THERAPEUTIC INTERVENTION IN ORDER TO REDUCE EXCESSIVE LATERAL OVERLOAD OF THE PATELLA, BUT THE POSSIBLE ADVERSE EFFECTS OF WARRIOR 2 WITH THE HIGHEST KNEE ADDUCTOR JMOF IN THE BACK LIMB COULD RAISE JOINT REACTION FORCES ACROSS THE MEDIAL CONDYLES. IN SINGLE-LEG BALANCE POSTURES, WARRIOR 3 HAD UNIQUE TRAINING EFFECTS ON THE HAMSTRING, AND IS THEREFORE SUGGESTED AS A PART OF HAMSTRING REHABILITATION EXERCISES. THE TREE POSE INDUCED LOW LOWER-EXTREMITY JMOFS AND A LOW LEVEL OF THIGH MUSCLE ACTIVATIONS WHEN IT WAS PERFORMED BY SENIOR INSTRUCTORS WITH EXCELLENT BALANCE CONTROL; HOWEVER, FOR YOGA BEGINNERS WITH INSUFFICIENT STABILITY, IT WILL BE A USEFUL TRAINING MODE FOR STRENGTHENING THE MUSCLES THAT HELP TO KEEP ONE UPRIGHT. THIS STUDY QUANTIFIED THE PHYSICAL DEMANDS OF YOGA POSES USING BIOMECHANICAL DATA AND ELUCIDATED THE STRUCTURES AND PRINCIPLES UNDERLYING EACH YOGA MOVEMENT. THIS IS CRUCIAL FOR YOGA PRACTITIONERS. 2021 3 1176 35 EVALUATION OF GANDHAKADI YOGA AS AN ADJUVANT THERAPY IN THE MANAGEMENT OF BEEJADUSHTIJANYA PANDU (THALASSEMIA MAJOR). INTRODUCTION: THALASSEMIA MAJOR IS A MALIGNANT TYPE OF GENETIC DISORDER AND IRON OVERLOAD IS THE MAIN COMPLICATION OF THE DISEASE WHICH RESULTS DUE TO FREQUENT BLOOD TRANSFUSIONS. GANDHAKADI YOGA HAS BEEN PROVED EFFECTIVE AGAINST IRON OVERLOAD IN EXPERIMENTAL STUDIES AND PILOT VOLUNTARY STUDY, HENCE, TAKEN FOR CLINICAL EVALUATION IN THE PRESENT STUDY. AIM: THE AIM OF THIS STUDY IS TO EVALUATE THE EFFICACY OF GANDHAKADI YOGA AS AN ADJUVANT THERAPY IN THE MANAGEMENT OF THALASSEMIA MAJOR. MATERIALS AND METHODS: A TOTAL OF 46 PATIENTS OF AGE GROUP 2-12 YEARS WERE REGISTERED AND RANDOMLY DIVIDED INTO TWO GROUPS. GROUP A (TRIAL GROUP-GANDHAKADI YOGA WITH BLOOD TRANSFISION (BT)) AND GROUP B (CONTROL GROUP-WITH BT AND IRON CHELATION THERAPY). THE ASSESSMENT WAS DONE BASED ON THE SUBJECTIVE AND OBJECTIVE PARAMETERS AFTER12 WEEKS OF TREATMENT, WITH A FOLLOW-UP OF 12 WEEKS. THE DATA OBTAINED IN CLINICAL STUDY WAS ANALYZED USING STUDENT'S "T" TEST. RESULTS: TRIAL DRUG PROVIDED HIGHLY SIGNIFICANT RESULT (P < 0.001) IN MOST OF THE SUBJECTIVE PARAMETERS AND BT INTERVAL WAS PROLONGED. IN GROUP A, THE MAXIMUM IMPROVEMENT WAS FOUND IN THREE PATIENTS (13.04%); MODERATE IMPROVEMENT IN 15 PATIENTS (65.22%) AND MILD IMPROVEMENT IN FIVE PATIENTS (21.74%). NO ADVERSE DRUG REACTION WAS REPORTED DURING THE CLINICAL STUDY. CONCLUSION: GANDHAKADI YOGA PROVIDED BETTER RESULTS THAN CONTROL IN SUBJECTIVE AND OBJECTIVE PARAMETERS, BT INTERVAL AND GENERAL HEALTH STATUS, HENCE, HAS AN EFFECTIVE ROLE AS AN ADJUVANT IN THE MANAGEMENT OF THALASSEMIA MAJOR. 2016 4 2925 12 [YOGA AND TALES IN MENTAL HEALTH]. BODY-MIND PRACTICES PLAY AN IMPORTANT ROLE WITHIN NURSING CARE IN PSYCHIATRY, AS WELL AS WITH PATIENTS WITH A DISABILITY. HERE, A NURSE DESCRIBES A YOGA WORKSHOP SHE RAN IN A PSYCHIATRIC CLINIC AND HOW SHE HAS SINCE CONTINUED AND DEVELOPED HER APPROACH IN A SPECIALISED CARE HOME. BODY-MIND PRACTICES ALSO GIVE MEANING TO THE WORK OF NURSES FACED WITH DIFFICULT SITUATIONS AND EMOTIONAL OVERLOAD. 2014 5 1348 37 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 0.05), RESPONSIBILITY FOR PERSONS (P > 0.05), POOR PEER RELATIONS (P > 0.05), STRENUOUS WORKING CONDITIONS (P > 0.05), AND UNPROFITABILITY (P > 0.05) AFTER YOGA TRAINING INTERVENTION. CONCLUSION: THE PRESENT STUDY SUGGESTS THAT 1 WEEK OF RESIDENTIAL YOGA TRAINING PROGRAM CAN IMPROVE OCCUPATIONAL STRESS IN PRINCIPALS. 2020 8 408 36 BIOMECHANICAL CHARACTERISTICS ON THE LOWER EXTREMITY OF THREE TYPICAL YOGA MANOEUVRES. THIS STUDY WAS AIMED AT EXPLORING THE BIOMECHANICAL CHARACTERISTICS OF THE LOWER EXTREMITY AMONGST THREE TYPICAL YOGA MANOEUVRES. A TOTAL OF THIRTEEN EXPERIENCED FEMALE YOGA PRACTITIONERS WERE RECRUITED IN THE CURRENT STUDY; THEY WERE ALL CERTIFIED WITH THE YOGA ALLIANCE. A THREE-DIMENSIONAL MOTION CAPTURE SYSTEM WITH 10 CAMERAS COMBINED WITH FOUR SYNCHRONISED FORCE PLATES WAS USED TO COLLECT KINEMATICS OF THE LOWER EXTREMITY AND GROUND REACTIVE FORCE WHILST THE PARTICIPANTS PERFORMED THE CRESCENT LUNGE POSE, WARRIOR II POSE, AND TRIANGLE POSE. ONE-WAY REPEATED ANOVA WAS USED IN EXPLORING THE DIFFERENCES AMONGST THE THREE YOGA MOVEMENTS, AND THE SIGNIFICANCE WAS SET TO ALPHA < 0.05. THE TRIANGLE POSE PERFORMED THE LARGEST RANGE OF MOTION (ROM) OF THE HIP (90.5 DEGREES +/- 22.9 DEGREES ), KNEE (68.8 DEGREES +/- 23.1 DEGREES ), AND ANKLE (46.4 DEGREES +/- 11.3 DEGREES ) IN THE SAGITTAL PLANE AND THE HIP (54.8 DEGREES +/- 6.5 DEGREES ), KNEE (42.4 DEGREES +/- 12.8 DEGREES ), AND ANKLE (4.8 DEGREES +/- 1.7 DEGREES ) IN THE FRONTAL PLANE AMONGST THE THREE MANOEUVRES (P < 0.05). NO SIGNIFICANT DIFFERENCE WAS FOUND FOR THE HIP AND ANKLE JOINT MOMENT AMONGST THE THREE MANOEUVRES (P > 0.05). KNEE JOINT TRAVELLED INTO 9.5 DEGREES OF EXTENSION AND SLIGHT ADDUCTION OF 1.94 DEGREES WHILST EXPRESSING THE LARGEST KNEE JOINT ADDUCTION MOMENTS (0.30 +/- 0.22 NM/KG) IN THE TRIANGLE POSE. THE DISTRIBUTION OF THE ANGULAR IMPULSE OF THE LOWER LIMB JOINTS INDICATED THAT THE HIP JOINT CONTRIBUTED SIGNIFICANTLY THE MOST IN THE SAGITTAL AND FRONTAL PLANES OF THE THREE YOGA MANOEUVRES (P < 0.05), RANGING FROM 51.67% TO 70.56%. RESULTS INDICATED THAT TRIANGLE POSE MAY BE SUPERIOR TO THE OTHER TWO MANOEUVRES, WHICH IMPROVED HIP JOINT ROM, STRENGTH, AND DYNAMIC STABILITY. HOWEVER, KNEE INJURIES SUCH AS OSTEOARTHRITIS (OA) SHOULD BE CONSIDERED BECAUSE OF THE LARGE KNEE EXTENSOR ANGLE AND ADDUCTOR MOMENTS. 2021 9 322 26 ANKLE MOTION IN COMMON YOGA POSES. BACKGROUND: MOTION OF THE ANKLE IS ESSENTIAL FOR MANY YOGA POSES. AN UNDERSTANDING OF RANGE OF ANKLE MOTION DURING TYPICAL YOGA POSES MAY HELP THE CLINICIAN TO UNDERSTAND EXPECTED OUTCOMES OF PATIENTS WHEN RETURNING FROM ANKLE SURGERY OR INJURY TO YOGA. METHODS: THE BIOMECHANICS OF TWENTY HEALTHY ACTIVE YOGIS WERE COLLECTED DURING SEVEN YOGA POSES THAT ARE COMMON WITHIN THEIR PRACTICES. MOTION CAPTURE AND FORCE PLATES WERE USED TO ASSESS THE RANGE OF MOTION AND JOINT MOMENTS OF THE ANKLE FOR EACH POSE. RESULTS: ALL POSES RESULTED IN PLANTARFLEXION AND EXTERNAL ROTATION MOMENTS AT THE ANKLE JOINTS. JOINT LOADING WAS HIGHEST IN SINGLE LEG POSES. THE ARC OF MOTION USED BY THE STUDY PARTICIPANTS IN THE POSES WAS 29 DEGREES OF SAGITTAL MOTION, 20 DEGREES OF FRONTAL MOTION AND 35 DEGREES OF TRANSVERSE MOTION. DISCUSSION: ANKLE MOTION WAS EVALUATED WHEN HEALTHY YOGIS PERFORM STANDARD POSES. THESE RESULTS MAY HELP IN DISCUSSION WITH PATIENTS REGARDING EXPECTED OUTCOMES AFTER ANKLE INJURY OR SURGERY. 2019 10 1741 31 PHYSICAL DEMAND PROFILES OF HATHA YOGA POSTURES PERFORMED BY OLDER ADULTS. UNDERSTANDING THE PHYSICAL DEMANDS PLACED UPON THE MUSCULOSKELETAL SYSTEM BY INDIVIDUAL POSTURES MAY ALLOW EXPERIENCED INSTRUCTORS AND THERAPISTS TO DEVELOP SAFE AND EFFECTIVE YOGA PROGRAMS WHICH REDUCE UNDESIRABLE SIDE EFFECTS. THUS, WE USED BIOMECHANICAL METHODS TO QUANTIFY THE LOWER EXTREMITY JOINT ANGLES, JOINT MOMENTS OF FORCE, AND MUSCLE ACTIVITIES OF 21 HATHA YOGA POSTURES, COMMONLY USED IN SENIOR YOGA PROGRAMS. TWENTY OLDER ADULTS, 70.7 YEARS +/- 3.8 YEARS, PARTICIPATED IN A 32-WK YOGA CLASS (2 D/WK) WHERE THEY LEARNED INTRODUCTORY AND INTERMEDIATE POSTURES (ASANAS). THEY THEN PERFORMED THE ASANAS IN A MOTION ANALYSIS LABORATORY. KINEMATIC, KINETIC, AND ELECTROMYOGRAPHIC DATA WAS COLLECTED OVER THREE SECONDS WHILE THE PARTICIPANTS HELD THE POSES STATICALLY. PROFILES ILLUSTRATING THE POSTURES AND INCLUDING THE BIOMECHANICAL DATA WERE THEN GENERATED FOR EACH ASANA. OUR FINDINGS DEMONSTRATED THAT HATHA YOGA POSTURES ENGENDERED A RANGE OF APPRECIABLE JOINT ANGLES, JMOFS, AND MUSCLE ACTIVITIES ABOUT THE ANKLE, KNEE, AND HIP, AND THAT DEMANDS ASSOCIATED WITH SOME POSTURES AND POSTURE MODIFICATIONS WERE NOT ALWAYS INTUITIVE. THEY ALSO DEMONSTRATED THAT ALL OF THE POSTURES ELICITED APPRECIABLE RECTUS ABDOMINIS ACTIVITY, WHICH WAS UP TO 70% OF THAT INDUCED DURING WALKING. 2013 11 253 68 A YOGA STRENGTHENING PROGRAM DESIGNED TO MINIMIZE THE KNEE ADDUCTION MOMENT FOR WOMEN WITH KNEE OSTEOARTHRITIS: A PROOF-OF-PRINCIPLE COHORT STUDY. UNLABELLED: PEOPLE WITH KNEE OSTEOARTHRITIS MAY BENEFIT FROM EXERCISE PRESCRIPTIONS THAT MINIMIZE KNEE LOADS IN THE FRONTAL PLANE. THE PRIMARY OBJECTIVE OF THIS STUDY WAS TO DETERMINE WHETHER A NOVEL 12-WEEK STRENGTHENING PROGRAM DESIGNED TO MINIMIZE EXPOSURE TO THE KNEE ADDUCTION MOMENT (KAM) COULD IMPROVE SYMPTOMS AND KNEE STRENGTH IN WOMEN WITH SYMPTOMATIC KNEE OSTEOARTHRITIS. A SECONDARY OBJECTIVE WAS TO DETERMINE WHETHER THE PROGRAM COULD IMPROVE MOBILITY AND FITNESS, AND DECREASE PEAK KAM DURING GAIT. THE TERTIARY OBJECTIVE WAS TO EVALUATE THE BIOMECHANICAL CHARACTERISTICS OF THIS YOGA PROGRAM. IN PARTICULAR, WE COMPARED THE PEAK KAM DURING GAIT WITH THAT DURING YOGA POSTURES AT BASELINE. WE ALSO COMPARED LOWER LIMB NORMALIZED MEAN ELECTROMYOGRAPHY (EMG) AMPLITUDES DURING YOGA POSTURES BETWEEN BASELINE AND FOLLOW-UP. PRIMARY MEASURES INCLUDED SELF-REPORTED PAIN AND PHYSICAL FUNCTION (KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE) AND KNEE STRENGTH (EXTENSOR AND FLEXOR TORQUES). SECONDARY MEASURES INCLUDED MOBILITY (SIX-MINUTE WALK, 30-SECOND CHAIR STAND, STAIR CLIMBING), FITNESS (SUBMAXIMAL CYCLE ERGOMETER TEST), AND CLINICAL GAIT ANALYSIS USING MOTION CAPTURE SYNCHRONIZED WITH ELECTROMYOGRAPHY AND FORCE MEASUREMENT. ALSO, KAM AND NORMALIZED MEAN EMG AMPLITUDES WERE COLLECTED DURING YOGA POSTURES. FORTY-FIVE WOMEN OVER AGE 50 WITH SYMPTOMATIC KNEE OSTEOARTHRITIS, CONSISTENT WITH THE AMERICAN COLLEGE OF RHEUMATOLOGY CRITERIA, ENROLLED IN OUR 12-WEEK (3 SESSIONS PER WEEK) PROGRAM. DATA FROM 38 WERE ANALYZED (SIX DROP-OUTS; ONE LOST TO CO-INTERVENTION). PARTICIPANTS EXPERIENCED REDUCED PAIN (MEAN IMPROVEMENT 10.1-20.1 NORMALIZED TO 100; P<0.001), INCREASED KNEE EXTENSOR STRENGTH (MEAN IMPROVEMENT 0.01 NM/KG; P = 0.004), AND INCREASED FLEXOR STRENGTH (MEAN IMPROVEMENT 0.01 NM/KG; P = 0.001) AT FOLLOW-UP COMPARED TO BASELINE. PARTICIPANTS IMPROVED MOBILITY ON THE SIX-MINUTE WALK (MEAN IMPROVEMENT 37.7 M; P<0.001) AND 30-SECOND CHAIR STAND (MEAN IMPROVEMENT 1.3; P = 0.006) AT FOLLOW-UP COMPARED TO BASELINE. FITNESS AND PEAK KAM DURING GAIT WERE UNCHANGED BETWEEN BASELINE AND FOLLOW-UP. AVERAGE KAM DURING THE YOGA POSTURES WERE LOWER THAN THAT OF NORMAL GAIT. NORMALIZED MEAN EMG AMPLITUDES DURING YOGA POSTURES WERE UP TO 31.0% OF MAXIMUM BUT DID NOT CHANGE BETWEEN BASELINE AND FOLLOW-UP. IN THIS COHORT STUDY, THE YOGA-BASED STRENGTHENING POSTURES THAT ELICIT LOW KAMS IMPROVED KNEE SYMPTOMS AND STRENGTH IN WOMEN WITH KNEE OA FOLLOWING A 12 WEEK PROGRAM (3 SESSIONS PER WEEK). THE PROGRAM ALSO IMPROVED MOBILITY, BUT DID NOT IMPROVE FITNESS OR REDUCE PEAK KAM DURING GAIT. THE KAM DURING THE YOGA POSTURES WERE LOWER THAN THAT OF NORMAL GAIT. OVERALL, THE PROPOSED PROGRAM MAY BE USEFUL IN IMPROVING PAIN, STRENGTH, AND MOBILITY IN WOMEN WITH KNEE OSTEOARTHRITIS. CLINICAL EFFICACY NEEDS TO BE ASSESSED USING A RANDOMIZED CONTROLLED TRIAL DESIGN. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT02146105. 2015 12 864 31 EFFECT OF YOGA PRACTICES ON PSYCHO-MOTOR ABILITIES AMONG INTELLECTUALLY DISABLED CHILDREN. THE CHILDREN WITH INTELLECTUAL DISABILITIES SHOW DISORDERS AT MOTOR DEVELOPMENT AND COORDINATION. HENCE, THE OBJECTIVE OF THIS STUDY WAS TO SEE THE EFFECT OF YOGA PRACTICES ON PSYCHO-MOTOR ABILITIES OF INTELLECTUALLY DISABLED CHILDREN. SEVENTY INTELLECTUALLY DISABLED CHILDREN WERE DIVIDED INTO EXPERIMENTAL GROUP AND CONTROL GROUP. BOTH EXPERIMENTAL AND CONTROL GROUP WERE ASSESSED ON THE FIRST DAY AND AFTER 12 WEEKS OF THE YOGA INTERVENTION FOR STATIC BALANCE, EYE HAND COORDINATION, AGILITY AND REACTION TIME. THE SUBJECTS OF EXPERIMENTAL GROUP THEN UNDERWENT A TRAINING OF YOGA PRACTICES, FOR 1 HR FOR A TOTAL PERIOD OF 12 WEEKS. THE RESULT OF WITHIN GROUP COMPARISON REVEALED SIGNIFICANT IMPROVEMENT IN STATIC BALANCE, EYE HAND COORDINATION, AGILITY, AND REACTION TIME (P< 0.001) IN SUBJECTS OF YOGA GROUP HOWEVER NO CHANGE WAS OBSERVED IN CONTROL GROUP. THE PRESENT STUDY DEMONSTRATED THAT 12 WEEKS OF YOGA IS EFFECTIVE IN IMPROVING PSYCHO-MOTOR ABILITIES OF INTELLECTUALLY DISABLED CHILDREN. 2018 13 197 28 A RARE CASE OF QUADRATUS FEMORIS MUSCLE RUPTURE AFTER YOGA EXERCISES. WE PRESENT A CASE OF A FEMALE PATIENT WITH LEFT GROIN PAIN AFTER INTENSE YOGA EXERCISES. THE PATIENT PRESENTED ABNORMAL PATTERN OF GAIT WITH NO SWELLING OVER THE GROIN, THIGH, OR BUTTOCK. MAGNETIC RESONANCE IMAGING DEMONSTRATED A TEAR OF THE QUADRATUS FEMORIS MUSCLE WITH AN ASSOCIATED EXTENSIVE HEMATOMA FORMATION. PATIENT WAS TREATED WITH A REHABILITATION PROGRAM CONSISTING OF NONSTEROIDAL ANTI-INFLAMMATORY DRUGS AND PHYSIOTHERAPY. AT THE FOLLOW-UP CONTROL, THE PATIENT HAD IMPROVED HER PAIN AND FLEXIBILITY OF THE HIP, AND GRADUALLY SHE RETURNED TO DAILY ACTIVITIES AND YOGA EXERCISES. SUCH AN ENTITY IS A RARE CAUSE OF HIP PAIN AFTER EXERCISE AND SHOULD BE KEPT IN MIND BY THE ORTHOPEDIC SURGEON, IN CASES OF GLUTEAL PAIN AFTER INTENSE PHYSICAL ACTIVITY. MOREOVER, SUCH A CONDITION SHOULD BE INCLUDED IN THE DIAGNOSTIC ALGORITHM OF UNKNOWN ORIGIN HIP PAIN. 2016 14 1743 40 PHYSICAL-PERFORMANCE OUTCOMES AND BIOMECHANICAL CORRELATES FROM THE 32-WEEK YOGA EMPOWERS SENIORS STUDY. BACKGROUND. YOGA EMPOWERS SENIORS STUDY (YESS) QUANTIFIED PHYSICAL DEMANDS ASSOCIATED WITH YOGA PERFORMANCE USING BIOMECHANICAL METHODS. THIS STUDY EVALUATED THE EFFICACY OF THE PROGRAM ON PHYSICAL FUNCTION OUTCOMES. METHODS. TWENTY COMMUNITY-DWELLING OLDER ADULTS AGED 70.7 +/- 3.8 YEARS ATTENDED BIWEEKLY 60-MINUTE HATHA YOGA CLASSES FOR 32 WEEKS. FOUR DOMAINS OF THE PHYSICAL MEASUREMENTS INCLUDING (1) FUNCTIONAL PERFORMANCE, (2) FLEXIBILITY, (3) MUSCLE STRENGTH, AND (4) BALANCE WERE TAKEN AT THE BASELINE, 16-WEEK AND 32-WEEK TIME POINTS. REPEATED-MEASURES ANOVA OMNIBUS TESTS AND TUKEY'S POST HOC TESTS WERE EMPLOYED TO EXAMINE THE DIFFERENCES IN EACH OUTCOME VARIABLE ACROSS THE 3 TIME POINTS. RESULTS. IMPROVED TIMED CHAIR STANDS (P < 0.01), 8-FOOT UP AND GO (P < 0.05), 2-MIN STEP TEST (P < 0.05), AND VERTICAL REACH (P = 0.05) PERFORMANCE WERE EVIDENT. ISOMETRIC KNEE FLEXOR STRENGTH (P < 0.05) AND REPETITIONS OF THE HEEL RISE TEST (P < 0.001) ALSO INCREASED FOLLOWING THE 32-WEEK INTERVENTION. BOTH FLEXIBILITY AND BALANCE PERFORMANCE REMAINED UNCHANGED. CONCLUSIONS. SIGNIFICANT IMPROVEMENTS IN PHYSICAL FUNCTION AND MUSCLE-SPECIFIC LOWER-EXTREMITY STRENGTH OCCUR WITH THE REGULAR PRACTICE OF A MODIFIED HATHA YOGA PROGRAM DESIGNED FOR SENIORS. THESE ADAPTATIONS CORRESPONDED WITH THE PREVIOUSLY REPORTED BIOMECHANICAL DEMANDS OF THE POSES. 2016 15 987 35 EFFECTS OF HATHA YOGA EXERCISES ON SPINE FLEXIBILITY IN WOMEN OVER 50 YEARS OLD. [PURPOSE] THE AIM OF THIS STUDY WAS TO ACCESS THE FLEXIBILITY OF THE SPINE IN WOMEN PRACTICING YOGA AS A PART OF THE "UNIVERSITY FOR HEALTH" PROJECT. [SUBJECTS AND METHODS] THE STUDY INCLUDED 56 WOMEN RANGING IN AGE BETWEEN 50-79 AND ATTENDING 90 MINUTES HATHA YOGA SESSIONS ONCE A WEEK. THE MEASUREMENTS WERE PERFORMED TWICE-AT THE BEGINNING OF THE PROJECT AND AFTER ITS COMPLETION, I.E., AFTER 20 WEEKS OF CLASSES. THE RANGE OF SPINE MOBILITY IN THREE PLANES WAS MEASURED USING A RIPPSTEIN PLURIMETER. THE RANGE OF MOTION IN THE SAGITTAL AND FRONTAL PLANES WAS MEASURED IN A STANDING POSITION WITH THE FEET HIP-WIDTH APART. THE TORSIONAL RANGE OF MOTION OF THE SUBJECTS WAS MEASURED WITH THE TRUNK BENT AT A RIGHT ANGLE AND THE LEGS APART. THE FLEXIBILITY RANGES OF THE SPINE AND HAMSTRINGS WERE ALSO MEASURED BY THE TOE-TOUCH TEST IN A STANDING POSITION. [RESULTS] THIS STUDY SHOWED THAT THE APPLIED YOGA EXERCISES INCREASED SPINAL MOBILITY AND FLEXIBILITY OF THE HAMSTRING MUSCLES REGARDLESS OF AGE. [CONCLUSION] YOGA EXERCISES SHOULD BE RECOMMENDED TO THE ELDERLY TO MAKE THEIR MUSCLES MORE FLEXIBLE AND TO INCREASE THE RANGE OF MOTION IN THE JOINTS, WHICH IS PARTICULARLY IMPORTANT FOR IMPROVING THEIR LIFE QUALITY. 2015 16 684 47 EFFECT OF AN INTEGRATED APPROACH OF YOGA THERAPY ON QUALITY OF LIFE IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROL STUDY. AIM: THIS STUDY WAS DESIGNED TO EVALUATE THE EFFICACY OF ADDITION OF INTEGRATED YOGA THERAPY TO THERAPEUTIC EXERCISES IN OSTEOARTHRITIS (OA) OF KNEE JOINTS. MATERIALS AND METHODS: THIS WAS A PROSPECTIVE RANDOMIZED ACTIVE CONTROL TRIAL. A TOTAL OF T PARTICIPANTS WITH OA OF KNEE JOINTS BETWEEN 35 AND 80 YEARS (YOGA, 59.56 +/- 9.54 AND CONTROL, 59.42 +/- 10.66) FROM THE OUTPATIENT DEPARTMENT OF DR. JOHN'S ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE YOGA OR PHYSIOTHERAPY EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT OF THE AFFECTED KNEE JOINTS. BOTH GROUPS PRACTICED SUPERVISED INTERVENTION (40 MIN PER DAY) FOR 2 WEEKS (6 DAYS PER WEEK) WITH FOLLOWUP FOR 3 MONTHS. THE MODULE OF INTEGRATED YOGA CONSISTED OF SHITHILIKARANAVYAYAMA (LOOSENING AND STRENGTHENING), ASANAS, RELAXATION TECHNIQUES, PRANAYAMA, MEDITATION AND DIDACTIC LECTURES ON YAMA, NIYAMA, JNANA YOGA, BHAKTI YOGA, AND KARMA YOGA FOR A HEALTHY LIFESTYLE CHANGE. THE CONTROL GROUP ALSO HAD SUPERVISED PHYSIOTHERAPY EXERCISES. A TOTAL OF 118 (YOGA) AND 117 (CONTROL) WERE AVAILABLE FOR FINAL ANALYSIS. RESULTS: SIGNIFICANT DIFFERENCES WERE OBSERVED WITHIN (P < 0.001, WILCOXON'S) AND BETWEEN GROUPS (P < 0.001, MANN-WHITNEY U-TEST) ON ALL DOMAINS OF THE SHORT FORM-36 (P < 0.004), WITH BETTER RESULTS IN THE YOGA GROUP THAN IN THE CONTROL GROUP, BOTH AT 15(TH) DAY AND 90(TH) DAY. CONCLUSION: AN INTEGRATED APPROACH OF YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING KNEE DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH OA KNEES. 2011 17 980 48 EFFECTS OF CHAIR YOGA THERAPY ON PHYSICAL FITNESS IN PATIENTS WITH PSYCHIATRIC DISORDERS: A 12-WEEK SINGLE-BLIND RANDOMIZED CONTROLLED TRIAL. INTRODUCTION: SINCE FALLS MAY LEAD TO FRACTURES AND HAVE SERIOUS, POTENTIALLY FATAL OUTCOMES, PREVENTION OF FALLS IS AN URGENT PUBLIC HEALTH ISSUE. WE EXAMINED THE EFFECTS OF CHAIR YOGA THERAPY ON PHYSICAL FITNESS AMONG PSYCHIATRIC PATIENTS IN ORDER TO REDUCE THE RISK OF FALLS, WHICH HAS NOT BEEN PREVIOUSLY REPORTED IN THE LITERATURE. METHODS: IN THIS 12-WEEK SINGLE-BLIND RANDOMIZED CONTROLLED TRIAL WITH A 6-WEEK FOLLOW-UP, INPATIENTS WITH MIXED PSYCHIATRIC DIAGNOSES WERE RANDOMLY ASSIGNED TO EITHER CHAIR YOGA THERAPY IN ADDITION TO ONGOING TREATMENT, OR TREATMENT-AS-USUAL. CHAIR YOGA THERAPY WAS CONDUCTED AS TWICE-WEEKLY 20-MIN SESSIONS OVER 12 WEEKS. ASSESSMENTS INCLUDED ANTEFLEXION IN SITTING, DEGREE OF MUSCLE STRENGTH, AND MODIFIED FALLS EFFICACY SCALE (MFES) AS WELL AS QOL, PSYCHOPATHOLOGY AND FUNCTIONING. RESULTS: FIFTY-SIX INPATIENTS PARTICIPATED IN THIS STUDY (36 MEN; MEAN +/- SD AGE, 55.3 +/- 13.7 YEARS; SCHIZOPHRENIA 87.5%). IN THE CHAIR YOGA GROUP, SIGNIFICANT IMPROVEMENTS WERE OBSERVED IN FLEXIBILITY, HAND-GRIP, LOWER LIMB MUSCLE ENDURANCE, AND MFES AT WEEK 12 (MEAN +/- SD: 55.1 +/- 16.6 TO 67.2 +/- 14.0 CM, 23.6 +/- 10.6 TO 26.8 +/- 9.7 KG, 4.9 +/- 4.0 TO 7.0 +/- 3.9 KG, AND 114.9 +/- 29.2 TO 134.1 +/- 11.6, RESPECTIVELY). ADDITIONALLY, THESE IMPROVEMENTS WERE OBSERVABLE SIX WEEKS AFTER THE INTERVENTION WAS OVER. THE QOL-VAS IMPROVED IN THE INTERVENTION GROUP WHILE NO DIFFERENCES WERE NOTED IN PSYCHOPATHOLOGY AND FUNCTIONING BETWEEN THE GROUPS. THE INTERVENTION APPEARED TO BE HIGHLY TOLERABLE WITHOUT ANY NOTABLE ADVERSE EFFECTS. CONCLUSIONS: THE RESULTS INDICATED SUSTAINABLE EFFECTS OF 20-MIN, 12-WEEK, 24-SESSION CHAIR YOGA THERAPY ON PHYSICAL FITNESS. CHAIR YOGA THERAPY MAY CONTRIBUTE TO REDUCE THE RISK OF FALLS AND THEIR UNWANTED CONSEQUENCES IN PSYCHIATRIC PATIENTS. 2017 18 81 23 A MATHEMATICAL MODEL OF EFFECTS ON SPECIFIC JOINTS DURING PRACTICE OF THE SUN SALUTATION--A SEQUENCE OF YOGA POSTURES. THE 'SUN SALUTATION' CONSISTS OF A SEQUENCE OF TEN YOGA POSTURES, EACH POSTURE COUNTERACTING THE PRECEDING ONE PRODUCING A BALANCE BETWEEN FLEXION AND EXTENSION, PERFORMED WITH SYNCHRONIZED BREATHING AND AEROBIC ACTIVITY. AS THIS SEQUENCE IS OFTEN PERFORMED AND RECOMMENDED BY MANY YOGA PRACTITIONERS, THERE IS A NEED FOR THE DEVELOPMENT OF A BIOMECHANICAL MODEL TO SUPPORT ITS REPORTED CLINICAL BENEFITS. THIS REQUIRES A DETAILED KNOWLEDGE OF THE NATURE OF THE FORCES AND MOMENTS AT THE VARIOUS JOINTS INVOLVED. A SIMPLE MATHEMATICAL MODEL BASED ON RIGID BODY MECHANICS IS DEVELOPED FOR EACH OF THE SUN SALUTATION POSTURES. DYNAMIC MOMENTS WITH HIGH MAGNITUDES AND RATES, APPLIED WITH UNUSUAL DISTRIBUTION PATTERNS, OPTIMAL FOR OSTEOGENESIS, ARE FOUND TO OCCUR. ALSO, THE JOINTS ARE SUBJECTED TO SUBMAXIMAL LOADINGS THUS ENSURING THAT NONE OF THE JOINTS ARE OVERSTRESSED. 2011 19 2735 33 YOGA POSE ESTIMATION AND FEEDBACK GENERATION USING DEEP LEARNING. YOGA IS A 5000-YEAR-OLD PRACTICE DEVELOPED IN ANCIENT INDIA BY THE INDUS-SARASVATI CIVILIZATION. THE WORD YOGA MEANS DEEP ASSOCIATION AND UNION OF MIND WITH THE BODY. IT IS USED TO KEEP BOTH MIND AND BODY IN EQUILIBRATION IN ALL FLIP-FLOPS OF LIFE BY MEANS OF ASANA, MEDITATION, AND SEVERAL OTHER TECHNIQUES. NOWADAYS, YOGA HAS GAINED WORLDWIDE ATTENTION DUE TO INCREASED STRESS LEVELS IN THE MODERN LIFESTYLE, AND THERE ARE NUMEROUS METHODS OR RESOURCES FOR LEARNING YOGA. YOGA CAN BE PRACTICED IN YOGA CENTERS, THROUGH PERSONAL TUTORS, AND CAN ALSO BE LEARNED ON ONE'S OWN WITH THE HELP OF THE INTERNET, BOOKS, RECORDED CLIPS, ETC. IN FAST-PACED LIFESTYLES, MANY PEOPLE PREFER SELF-LEARNING BECAUSE THE ABOVEMENTIONED RESOURCES MIGHT NOT BE AVAILABLE ALL THE TIME. BUT IN SELF-LEARNING, ONE MAY NOT FIND AN INCORRECT POSE. INCORRECT POSTURE CAN BE HARMFUL TO ONE'S HEALTH, RESULTING IN ACUTE PAIN AND LONG-TERM CHRONIC CONCERNS. IN THIS PAPER, DEEP LEARNING-BASED TECHNIQUES ARE DEVELOPED TO DETECT INCORRECT YOGA POSTURE. WITH THIS METHOD, THE USERS CAN SELECT THE DESIRED POSE FOR PRACTICE AND CAN UPLOAD RECORDED VIDEOS OF THEIR YOGA PRACTICE POSE. THE USER POSE IS SENT TO TRAIN MODELS THAT OUTPUT THE ABNORMAL ANGLES DETECTED BETWEEN THE ACTUAL POSE AND THE USER POSE. WITH THESE OUTPUTS, THE SYSTEM ADVISES THE USER TO IMPROVE THE POSE BY SPECIFYING WHERE THE YOGA POSE IS GOING WRONG. THE PROPOSED METHOD WAS COMPARED TO SEVERAL STATE-OF-THE-ART METHODS, AND IT ACHIEVED OUTSTANDING ACCURACY OF 0.9958 WHILE REQUIRING LESS COMPUTATIONAL COMPLEXITY. 2022 20 2780 48 YOGA THERAPY AND AMBULATORY MULTIPLE SCLEROSIS ASSESSMENT OF GAIT ANALYSIS PARAMETERS, FATIGUE AND BALANCE. BACKGROUND AND OBJECTIVE: GAIT IMPAIRMENT, FALLS DUE TO BALANCE PROBLEMS AND FATIGUE ARE AMONG THE MOST IMPORTANT COMPLAINTS IN PATIENTS WITH MULTIPLE SCLEROSIS (MS) AND CAUSE SIGNIFICANT FUNCTIONAL LIMITATION. USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) TO HELP SYMPTOM MANAGEMENT AND TO IMPROVE QUALITY OF LIFE IS GROWING AMONG MS PATIENTS. YOGA IS WIDELY USED AS ONE OF THESE CAM INTERVENTIONS, HOWEVER, THE NUMBER OF STUDIES THAT SHOW THE EFFICACY OF YOGA TRAINING IN MS IS INADEQUATE. IN THIS STUDY, WE AIMED TO EVALUATE THE EFFECTS OF A SHORT TERM YOGA PROGRAM ON FATIGUE, BALANCE AND GAIT IN PATIENTS WITH MS. METHOD: EIGHT VOLUNTEER AMBULATORY MS PATIENTS WITH CLINICALLY DEFINITE RELAPSING REMITTING MS WHOSE EXPANDED DISABILITY STATUS SCORE (EDSS) IS LESS THAN OR EQUAL TO 6.0, AND EIGHT HEALTHY SUBJECTS WERE INCLUDED IN THE STUDY. PATIENTS PARTICIPATED IN 12 WEEKS OF A BI-WEEKLY YOGA PROGRAM UNDER SUPERVISION. AT THEIR BASELINE AND AFTER YOGA THERAPY, THE FATIGUE SEVERITY SCALE (FSS) AND BERG BALANCE SCALE (BBS) ARE USED TO ASSESS FATIGUE AND BALANCE. THREE DIMENSIONAL GAIT ANALYSIS IS DONE USING THE VICON 612 SYSTEM WITH SIX CAMERAS AND TWO BERTEC FORCE PLATES, BEFORE AND AFTER THERAPY. RESULTS: AFTER SHORT TERM YOGA THERAPY, STATISTICALLY SIGNIFICANT ACHIEVEMENTS WERE OBTAINED IN FATIGUE, BALANCE, STEP LENGTH AND WALKING SPEED. ALTHOUGH SAGITTAL PLANE PELVIS AND HIP ANGLES, ANKLE PLANTAR FLEXOR MOMENT, POWERS GENERATED AT THE HIP AND ANKLE JOINTS AT THE PRE-SWING WERE IMPROVED, THE IMPROVEMENTS WERE NOT STATISTICALLY SIGNIFICANT. CONCLUSION: YOGA THERAPY IS A SAFE AND BENEFICIAL INTERVENTION FOR IMPROVING FATIGUE, BALANCE AND SPATIOTEMPORAL GAIT PARAMETERS IN PATIENTS WITH MS. FURTHER STUDIES WITH A LARGER SAMPLE SIZE AND LONGER FOLLOW-UP WILL BE NEEDED TO EVALUATE THE LONG TERM EFFECTS OF YOGA THERAPY. 2015