1 498 108 COMBINED PELVIC MUSCLE EXERCISE AND YOGA PROGRAM FOR URINARY INCONTINENCE IN MIDDLE-AGED WOMEN. AIM: URINARY INCONTINENCE IS A MAJOR HEALTH PROBLEM AMONG MIDDLE-AGED WOMEN. PELVIC MUSCLE EXERCISE IS ONE OF THE PRIMARY INTERVENTIONS, BUT DIFFICULTY PERFORMING THIS EXERCISE HAS LED RESEARCHERS TO SEEK ALTERNATIVE OR CONJUNCTIVE EXERCISE. THIS STUDY AIMED TO EXAMINE THE EFFECT OF A COMBINED PELVIC MUSCLE EXERCISE AND YOGA INTERVENTION PROGRAM ON URINARY INCONTINENCE. METHODS: A SINGLE GROUP PRE-/POST-TEST DESIGN WAS USED. SUBJECTS WERE RECRUITED FROM A COMMUNITY HEALTH CENTER IN SEOUL, KOREA, AND A QUESTIONNAIRE SURVEY WAS CONDUCTED. FIFTY-FIVE WOMEN PARTICIPATED IN THE FIRST DAY OF THE PROGRAM, 34 OF WHOM COMPLETED THE 8 WEEK, TWICE WEEKLY INTERVENTION PROGRAM. URINARY INCONTINENCE WAS MEASURED BY FIVE DOMAINS OF URINARY TRACT SYMPTOMS: FILLING FACTOR, VOIDING FACTOR, INCONTINENCE FACTOR, SEXUAL FUNCTION, AND QUALITY OF LIFE. ALSO MEASURED WERE ATTITUDE TOWARD PELVIC MUSCLE EXERCISE AND PELVIC MUSCLE STRENGTH. RESULTS: SIGNIFICANT IMPROVEMENTS WERE FOUND IN ATTITUDE TOWARD PELVIC MUSCLE EXERCISE, PELVIC MUSCLE STRENGTH, AND INCONTINENCE FACTOR. DAILY PERFORMANCE OF PELVIC MUSCLE EXERCISE WAS POSITIVELY CORRELATED WITH IMPROVED INCONTINENCE FACTOR AND WITH QUALITY OF LIFE RELATED TO URINARY TRACT SYMPTOMS. CONCLUSION: A COMBINED PELVIC MUSCLE EXERCISE AND YOGA PROGRAM WAS EFFECTIVE FOR IMPROVING OVERALL URINARY INCONTINENCE IN COMMUNITY HEALTH CENTER ATTENDEES IN KOREA. FURTHER STUDY IS NEEDED WITH A CONTROL GROUP, DIFFERENT POPULATIONS, AND A LONGER INTERVENTION PERIOD. 2015 2 733 41 EFFECT OF MULA BANDHA YOGA IN MILD GRADE PELVIC ORGAN PROLAPSE: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: PELVIC ORGAN PROLAPSE IS THE GROWING HEALTH ISSUE RELATED TO WOMEN OF THE REPRODUCTIVE AND POSTMENOPAUSAL AGE GROUP IN INDIA AND ACROSS THE GLOBE. TREATMENT OPTION FOR PELVIC ORGAN PROLAPSE INCLUDES BOTH SURGICAL AND NON-SURGICAL INTERVENTION. THE DEVELOPMENT OF PELVIC ORGAN PROLAPSE IS AN INDICATION FOR MAJOR SURGERY AMONG 20% OF ALL WOMEN. NEVERTHELESS, THE RECURRENCE OF PELVIC ORGAN PROLAPSE IS DETECTED AMONG 58% OF THE PATIENT AFTER SURGERY. THIS HIGHLIGHTS THE NEED FOR PREVENTIVE MEASURES FOR REDUCING THE IMPACT OF PELVIC ORGAN PROLAPSE. AIMS AND OBJECTIVE: TO STUDY THE EFFECT OF 3 MONTHS YOGA THERAPY IN FEMALE PATIENTS SUFFERING FROM MILD PELVIC ORGAN PROLAPSE. MATERIAL AND METHODS: 50 PARTICIPANTS WERE ALLOCATED INTO TWO GROUPS (25 IN EACH GROUP) BY GENERATING RANDOM ALLOCATION SEQUENCE. WOMEN AGED 20-60 WITH SYMPTOMATIC MILD PELVIC ORGAN PROLAPSE IN THE YOGA GROUP WERE OFFERED MULABANDHA YOGA THERAPY ALONG WITH OTHER CONVENTIONAL TREATMENT MODALITIES, WHILE THE CONTROL GROUP WAS ONLY ON CONVENTIONAL TREATMENT. ALL PARTICIPANTS GAVE WRITTEN INFORMED CONSENT. AN ASSESSMENT WAS DONE BY IMPROVEMENT IN CHIEF COMPLAINTS AND PELVIC FLOOR DISTRESS INVENTORY-20 (PFDI-20) & PELVIC FLOOR IMPACT QUESTIONNAIRE-7 (PFIQ-7) AT BASELINE AND AT THE END OF 4, 8 & 12 WEEKS. RESULTS AT THE END OF 12 WEEKS, POST-STUDY COMPARISON BETWEEN THE TWO GROUPS SHOWED A SIGNIFICANT IMPROVEMENT IN CHIEF COMPLAINTS LIKE PERENNIAL PAIN, P/V DISCHARGE, PERINEAL MUSCLE LAXITY AND FEELING OF SOMETHING COMING OUT P/V (P < 0.001). PARTICIPANTS IN THE YOGA GROUP IMPROVED BY (ON AVERAGE) 5.7 (95% CONFIDENCE INTERVAL 3.1 TO 14.7) POINTS MORE ON THE PFDI-20 THAN DID PARTICIPANTS IN THE CONTROL GROUP (P = 0.1) AND A MEAN SCORE OF PFIQ-7 WAS ALSO IMPROVED SIGNIFICANTLY. CONCLUSIONS: ALTHOUGH MULABANDHA (ROOT LOCK) YOGA THERAPY LED TO A SIGNIFICANTLY GREATER IMPROVEMENT IN PFDI-20 & PFIQ-7 SCORES THE DIFFERENCE BETWEEN THE GROUPS WAS BELOW THE PRESUMED LEVEL OF CLINICAL RELEVANCE (15 POINTS). MORE STUDIES ARE NEEDED TO IDENTIFY FACTORS RELATED TO THE SUCCESS OF MULABANDHA (ROOT LOCK) YOGA THERAPY AND TO INVESTIGATE LONG-TERM EFFECTS. 2018 3 2432 36 YOGA AND PILATES COMPARED TO PELVIC FLOOR MUSCLE TRAINING FOR URINARY INCONTINENCE IN ELDERLY WOMEN: A RANDOMISED CONTROLLED PILOT TRIAL. BACKGROUND: AND PURPOSE: THERE IS LIMITED EVIDENCE FROM RANDOMISED CONTROLLED TRIALS (RCTS) REGARDING THE USE OF YOGA AND PILATES FOR THE MANAGEMENT OF URINARY INCONTINENCE (UI) IN WOMEN. THIS STUDY AIMS TO INVESTIGATE THE PRELIMINARY EFFECTS OF USING PILATES AND YOGA TO MANAGE UI. MATERIALS AND METHODS: AN ASSESSOR-BLINDED, PROSPECTIVE, THREE-ARM PARALLEL-GROUP RANDOMISED CONTROLLED PILOT TRIAL WAS CONDUCTED IN THREE ELDERLY CARE CENTRES IN HONG KONG. THIRTY WOMEN AGED 60 YEARS OR ABOVE WERE INCLUDED IN THE STUDY. STUDY CENTRES WERE RANDOMLY ASSIGNED TO EACH OF THE THREE INTERVENTIONS (YOGA, PILATES AND PELVIC FLOOR MUSCLE TRAINING [PFMT; STANDARD CARE CONTROL]). STUDY INTERVENTIONS WERE PROVIDED ONCE A WEEK FOR FOUR WEEKS, FOLLOWED BY UNSUPERVISED CD-GUIDED HOME EXERCISES FOR EIGHT WEEKS. OUTCOMES INCLUDED THE INTERNATIONAL CONSULTATION ON INCONTINENCE QUESTIONNAIRE-SHORT FORM (ICIQ-SF), 1-H PAD TEST, AND FEASIBILITY MEASURES SUCH AS ADHERENCE TO THE INTERVENTION PROGRAMME, RECRUITMENT AND RETENTION RATES AND SAFETY. OUTCOMES WERE ASSESSED AT BASELINE, 4 AND 12 WEEKS. STATISTICAL ANALYSIS WAS PERFORMED USING TWO-WAY REPEATED MEASURES ANALYSIS OF COVARIANCE. RESULTS: ALL THREE INTERVENTIONS DEMONSTRATED A STATISTICALLY SIGNIFICANT EFFECT ON ICIQ-SF SCORES FROM BASELINE TO WEEKS 4 AND 12. SIGNIFICANT EFFECTS IN UI WERE REPORTED FOR YOGA COMPARED WITH PILATES (MEAN: -2.93, 95% CI -5.35, -0.51; P = 0.02). CONCLUSION: YOGA POSES INTENDED TO ADDRESS THE PELVIC FLOOR AND CORE MUSCLES WERE FOUND TO HAVE SUPERIOR BENEFITS OVER PILATES EXERCISES IN TERMS OF IMPROVED CONTINENCE MEASURED WITH THE ICIQ-SF. 2022 4 352 38 ASSESSMENT OF THE EFFECT OF MULABANDHA YOGA THERAPY IN HEALTHY WOMEN, STIGMATIZED FOR PELVIC FLOOR DYSFUNCTIONS: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: IN DEVELOPING COUNTRIES, WOMEN DO NOT REVEAL THEIR PERINEUM RELATED HEALTH ISSUES BECAUSE MOST OF THE TIME THEY ARE STIGMATIZED BY THE SOCIETY. MULTIPARITY, MOSTLY FOUND IN WOMEN OF RURAL AREAS IS ONE OF THE MAJOR CAUSES OF PELVIC FLOOR DYSFUNCTIONS (PFDS) LIKE PELVIC ORGAN PROLAPSE, URINARY INCONTINENCE, RECTAL INCONTINENCE, ETC. USUALLY, THEY VISIT HEALTH CENTRES IN THE ADVANCED STAGE OF DISEASES, AND THEN MEDICAL TREATMENT IS NOT THE ONLY CHOICE LEFT. MANY RESEARCH STUDIES SHOW THAT YOGA PRACTICES PROMOTE HEALTH CONDITIONS, CONTRIBUTE TO ENHANCING ENDURANCE, FLEXIBILITY, AND MUSCULAR STRENGTH, AND IMPROVING QUALITY OF LIFE. OBJECTIVE(S): THE STUDY WAS CONDUCTED TO ASSESS THE IMPACT OF MULABANDHA YOGA THERAPY (MYT) IN HEALTHY WOMAN PARTICIPANTS AS A PREVENTIVE MEASURE. MATERIAL AND METHODS: THE STUDY WAS A PROSPECTIVE AND RANDOMIZED CONTROLLED TRIAL. FIFTY HEALTHY WOMAN PARTICIPANTS WERE ALLOCATED IN TWO GROUPS VIZ., MYT GROUP AND NO MYT GROUP. MULABANDHA YOGA WAS CONDUCTED FOR THE MYT GROUP FOR 12 WEEKS. NO MYT GROUP WAS ADVISED NOT TO DO YOGA. PELVIC FLOOR MUSCLE STRENGTH WAS INTERNALLY EVALUATED BY EMPLOYING THE PERFECT SCHEME SCORE (P = POWER, E = ENDURANCE, R = REPETITIONS, F = FAST CONTRACTIONS, ECT = EVERY CONTRACTION TIMED). FOR ELIGIBLE SAMPLES, MYT SESSIONS WERE HELD FOR 12 WEEKS. DATA INTERPRETATION WAS DONE WITH SPSS SOFTWARE 20.0 (IBM CORP. RELEASED 2011. IBM SPSS STATISTICS FOR WINDOWS, VERSION 20.0. ARMONK, NY, USA). RESULTS: FIFTY HEALTHY WOMAN PARTICIPANTS WERE ALLOCATED FOR ANALYSIS. THERE WAS NO STATISTICALLY SIGNIFICANT DIFFERENCE IN BETWEEN THE GROUPS COMPARISON IN TERMS OF AGE, SOCIO-ECONOMIC STATUS, OCCUPATION, EDUCATION, PARITY AND MODE OF DELIVERY. PERFECT SCHEME SCORE SIGNIFICANTLY IMPROVED IN PARTICIPANTS AFTER 12 WEEKS OF REGULAR MYT. NO STATISTICALLY SIGNIFICANT DIFFERENCES WERE OBSERVED BETWEEN THE GROUPS COMPARISON IN TERMS OF PERFECT SCHEME SCORE. CONCLUSION: THE CURRENT STUDY SHOWS THAT REGULAR PRACTICE OF MYT FOR 12 WEEKS IS A BETTER MEANS TO REINFORCE THE STRENGTH OF PELVIC FLOOR MUSCLES IN WOMEN. THIS MYT PROCEDURE WILL ESTABLISH EVIDENCE FOR WOMEN WHO ARE RELUCTANT TOWARDS THEIR PELVIC ORGAN-RELATED ISSUES. WOMEN MUST INCORPORATE THE MYT PRACTICE IN THEIR ROUTINE LIFE AS A PREVENTIVE MEASURE TO REFRAIN FROM PELVIC FLOOR DYSFUNCTIONS. 2021 5 74 37 A GROUP-BASED YOGA THERAPY INTERVENTION FOR URINARY INCONTINENCE IN WOMEN: A PILOT RANDOMIZED TRIAL. OBJECTIVE: THE AIM OF THIS STUDY IS TO EXAMINE THE FEASIBILITY, EFFICACY, AND SAFETY OF A GROUP-BASED YOGA THERAPY INTERVENTION FOR MIDDLE-AGED AND OLDER WOMEN WITH URINARY INCONTINENCE. METHODS: WE CONDUCTED A PILOT RANDOMIZED TRIAL OF AMBULATORY WOMEN AGED 40 YEARS AND OLDER WITH STRESS, URGENCY, OR MIXED-TYPE INCONTINENCE. WOMEN WERE RANDOMIZED TO A 6-WEEK YOGA THERAPY PROGRAM (N = 10) CONSISTING OF TWICE WEEKLY GROUP CLASSES AND ONCE WEEKLY HOME PRACTICE OR A WAIT-LIST CONTROL GROUP (N = 9). ALL PARTICIPANTS ALSO RECEIVED WRITTEN PAMPHLETS ABOUT STANDARD BEHAVIORAL SELF-MANAGEMENT STRATEGIES FOR INCONTINENCE. CHANGES IN INCONTINENCE WERE ASSESSED WITH 7-DAY VOIDING DIARIES. RESULTS: THE MEAN (SD) AGE WAS 61.4 (8.2) YEARS, AND THE MEAN BASELINE FREQUENCY OF INCONTINENCE WAS 2.5 (1.3) EPISODES/D. AFTER 6 WEEKS, THE TOTAL INCONTINENCE FREQUENCY DECREASED BY 70% (1.8 [0.9] FEWER EPISODES/D) IN THE YOGA THERAPY VERSUS 13% (0.3 [1.7] FEWER EPISODES/D) IN THE CONTROL GROUP (P = 0.049). PARTICIPANTS IN THE YOGA THERAPY GROUP ALSO REPORTED AN AVERAGE OF 71% DECREASE IN STRESS INCONTINENCE FREQUENCY (0.7 [0.8] FEWER EPISODES/D) COMPARED WITH A 25% INCREASE IN CONTROLS (0.2 [1.1] MORE EPISODES/D) (P = 0.039). NO SIGNIFICANT DIFFERENCES IN REDUCTION IN URGENCY INCONTINENCE WERE DETECTED BETWEEN THE YOGA THERAPY VERSUS CONTROL GROUPS (1.0 [1.0] VERSUS 0.5 [0.5] FEWER EPISODES/D; P = 0.20). ALL WOMEN STARTING THE YOGA THERAPY PROGRAM COMPLETED AT LEAST 90% OF THE GROUP CLASSES AND PRACTICE SESSIONS. TWO PARTICIPANTS IN EACH GROUP REPORTED ADVERSE EVENTS UNRELATED TO THE INTERVENTION. CONCLUSIONS: FINDINGS PROVIDE PRELIMINARY EVIDENCE TO SUPPORT THE FEASIBILITY, EFFICACY, AND SAFETY OF A GROUP-BASED YOGA THERAPY INTERVENTION TO IMPROVE URINARY INCONTINENCE IN WOMEN. 2014 6 73 44 A GROUP-BASED YOGA PROGRAM FOR URINARY INCONTINENCE IN AMBULATORY WOMEN: FEASIBILITY, TOLERABILITY, AND CHANGE IN INCONTINENCE FREQUENCY OVER 3 MONTHS IN A SINGLE-CENTER RANDOMIZED TRIAL. BACKGROUND: BECAUSE OF THE LIMITATIONS OF EXISTING CLINICAL TREATMENTS FOR URINARY INCONTINENCE, MANY WOMEN WITH INCONTINENCE ARE INTERESTED IN COMPLEMENTARY STRATEGIES FOR MANAGING THEIR SYMPTOMS. YOGA HAS BEEN RECOMMENDED AS A BEHAVIORAL SELF-MANAGEMENT STRATEGY FOR INCONTINENCE, BUT EVIDENCE OF ITS FEASIBILITY, TOLERABILITY, AND EFFICACY IS LACKING. OBJECTIVE: TO EVALUATE THE FEASIBILITY AND TOLERABILITY OF A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR AMBULATORY MIDDLE-AGED AND OLDER WOMEN WITH INCONTINENCE, AND TO EXAMINE PRELIMINARY CHANGES IN INCONTINENCE FREQUENCY AS THE PRIMARY EFFICACY OUTCOME AFTER 3 MONTHS. MATERIALS AND METHODS: AMBULATORY WOMEN AGED 50 YEARS OR OLDER WHO REPORTED AT LEAST DAILY STRESS-, URGENCY-, OR MIXED-TYPE INCONTINENCE, WERE NOT ALREADY ENGAGED IN YOGA, AND WERE WILLING TO TEMPORARILY FORGO CLINICAL INCONTINENCE TREATMENTS WERE RECRUITED INTO A RANDOMIZED TRIAL IN THE SAN FRANCISCO BAY AREA. WOMEN WERE RANDOMLY ASSIGNED TO TAKE PART IN A PROGRAM OF TWICE-WEEKLY GROUP CLASSES AND ONCE-WEEKLY HOME PRACTICE FOCUSED ON IYENGAR-BASED YOGA TECHNIQUES SELECTED BY AN EXPERT YOGA PANEL (YOGA GROUP), OR A NONSPECIFIC MUSCLE STRETCHING AND STRENGTHENING PROGRAM DESIGNED TO PROVIDE A RIGOROUS TIME-AND-ATTENTION CONTROL (CONTROL GROUP) FOR 3 MONTHS. ALL PARTICIPANTS ALSO RECEIVED WRITTEN, EVIDENCE-BASED INFORMATION ABOUT BEHAVIORAL INCONTINENCE SELF-MANAGEMENT TECHNIQUES (PELVIC FLOOR EXERCISES, BLADDER TRAINING) CONSISTENT WITH USUAL FIRST-LINE CARE. INCONTINENCE FREQUENCY AND TYPE WERE ASSESSED BY VALIDATED VOIDING DIARIES. ANALYSIS OF COVARIANCE MODELS EXAMINED WITHIN- AND BETWEEN-GROUP CHANGES IN INCONTINENCE FREQUENCY AS THE PRIMARY EFFICACY OUTCOME OVER 3 MONTHS. RESULTS: OF THE 56 WOMEN RANDOMIZED (28 TO YOGA, 28 TO CONTROL), THE MEAN AGE WAS 65.4 (+/-8.1) YEARS (RANGE, 55-83 YEARS), THE MEAN BASELINE INCONTINENCE FREQUENCY WAS 3.5 (+/-2.0) EPISODES/D, AND 37 WOMEN (66%) HAD URGENCY-PREDOMINANT INCONTINENCE. A TOTAL OF 50 WOMEN COMPLETED THEIR ASSIGNED 3-MONTH INTERVENTION PROGRAM (89%), INCLUDING 27 IN THE YOGA AND 23 IN THE CONTROL GROUP (P = .19). OF THOSE, 24 (89%) IN THE YOGA AND 20 (87%) IN THE CONTROL GROUP ATTENDED AT LEAST 80% OF GROUP CLASSES. OVER 3 MONTHS, TOTAL INCONTINENCE FREQUENCY DECREASED BY AN AVERAGE OF 76% FROM BASELINE IN THE YOGA AND 56% IN THE CONTROL GROUP (P = .07 FOR BETWEEN-GROUP DIFFERENCE). STRESS INCONTINENCE FREQUENCY ALSO DECREASED BY AN AVERAGE OF 61% IN THE YOGA GROUP AND 35% IN CONTROLS (P = .045 FOR BETWEEN-GROUP DIFFERENCE), BUT CHANGES IN URGENCY INCONTINENCE FREQUENCY DID NOT DIFFER SIGNIFICANTLY BETWEEN GROUPS. A TOTAL OF 48 NONSERIOUS ADVERSE EVENTS WERE REPORTED, INCLUDING 23 IN THE YOGA AND 25 IN THE CONTROL GROUP, BUT NONE WERE DIRECTLY ATTRIBUTABLE TO YOGA OR CONTROL PROGRAM PRACTICE. CONCLUSION: FINDINGS DEMONSTRATE THE FEASIBILITY OF RECRUITING AND RETAINING INCONTINENT WOMEN ACROSS THE AGING SPECTRUM INTO A THERAPEUTIC YOGA PROGRAM, AND PROVIDE PRELIMINARY EVIDENCE OF REDUCTION IN TOTAL AND STRESS-TYPE INCONTINENCE FREQUENCY AFTER 3 MONTHS OF YOGA PRACTICE. WHEN TAUGHT WITH ATTENTION TO WOMEN'S CLINICAL NEEDS, YOGA MAY OFFER A POTENTIAL COMMUNITY-BASED BEHAVIORAL SELF-MANAGEMENT STRATEGY FOR INCONTINENCE TO ENHANCE CLINICAL TREATMENT, ALTHOUGH FUTURE RESEARCH SHOULD ASSESS WHETHER YOGA OFFERS UNIQUE BENEFITS FOR INCONTINENCE ABOVE AND BEYOND OTHER PHYSICAL ACTIVITY-BASED INTERVENTIONS. 2019 7 2636 50 YOGA FOR TREATING URINARY INCONTINENCE IN WOMEN. BACKGROUND: URINARY INCONTINENCE IN WOMEN IS ASSOCIATED WITH POOR QUALITY OF LIFE AND DIFFICULTIES IN SOCIAL, PSYCHOLOGICAL AND SEXUAL FUNCTIONING. THE CONDITION MAY AFFECT UP TO 15% OF MIDDLE-AGED OR OLDER WOMEN IN THE GENERAL POPULATION. CONSERVATIVE TREATMENTS SUCH AS LIFESTYLE INTERVENTIONS, BLADDER TRAINING AND PELVIC FLOOR MUSCLE TRAINING (USED EITHER ALONE OR IN COMBINATION WITH OTHER INTERVENTIONS) ARE THE INITIAL APPROACHES TO THE MANAGEMENT OF URINARY INCONTINENCE. MANY WOMEN ARE INTERESTED IN ADDITIONAL TREATMENTS SUCH AS YOGA, A SYSTEM OF PHILOSOPHY, LIFESTYLE AND PHYSICAL PRACTICE THAT ORIGINATED IN ANCIENT INDIA. OBJECTIVES: TO ASSESS THE EFFECTS OF YOGA FOR TREATING URINARY INCONTINENCE IN WOMEN. SEARCH METHODS: WE SEARCHED THE COCHRANE INCONTINENCE AND COCHRANE COMPLEMENTARY MEDICINE SPECIALISED REGISTERS. WE SEARCHED THE WORLD HEALTH ORGANIZATION INTERNATIONAL CLINICAL TRIALS REGISTRY PLATFORM (WHO ICTRP) AND CLINICALTRIALS.GOV TO IDENTIFY ANY ONGOING OR UNPUBLISHED STUDIES. WE HANDSEARCHED PROCEEDINGS OF THE INTERNATIONAL CONGRESS ON COMPLEMENTARY MEDICINE RESEARCH AND THE EUROPEAN CONGRESS FOR INTEGRATIVE MEDICINE. WE SEARCHED THE NHS ECONOMIC EVALUATION DATABASE FOR ECONOMIC STUDIES, AND SUPPLEMENTED THIS SEARCH WITH SEARCHES FOR ECONOMICS STUDIES IN MEDLINE AND EMBASE FROM 2015 ONWARDS. DATABASE SEARCHES ARE UP-TO-DATE AS OF 21 JUNE 2018. SELECTION CRITERIA: RANDOMISED CONTROLLED TRIALS IN WOMEN DIAGNOSED WITH URINARY INCONTINENCE IN WHICH ONE GROUP WAS ALLOCATED TO TREATMENT WITH YOGA. DATA COLLECTION AND ANALYSIS: TWO REVIEW AUTHORS INDEPENDENTLY SCREENED TITLES AND ABSTRACTS OF ALL RETRIEVED ARTICLES, SELECTED STUDIES FOR INCLUSION, EXTRACTED DATA, ASSESSED RISK OF BIAS AND EVALUATED THE CERTAINTY OF THE EVIDENCE FOR EACH REPORTED OUTCOME. ANY DISAGREEMENTS WERE RESOLVED BY CONSENSUS. WE PLANNED TO COMBINE CLINICALLY COMPARABLE STUDIES IN REVIEW MANAGER 5 USING RANDOM-EFFECTS META-ANALYSIS AND TO CARRY OUT SENSITIVITY AND SUBGROUP ANALYSES. WE PLANNED TO CREATE A TABLE LISTING ECONOMIC STUDIES ON YOGA FOR INCONTINENCE BUT NOT CARRY OUT ANY ANALYSES ON THESE STUDIES. MAIN RESULTS: WE INCLUDED TWO STUDIES (INVOLVING A TOTAL OF 49 WOMEN). EACH STUDY COMPARED YOGA TO A DIFFERENT COMPARATOR, THEREFORE WE WERE UNABLE TO COMBINE THE DATA IN A META-ANALYSIS. A THIRD STUDY THAT HAS BEEN COMPLETED BUT NOT YET FULLY REPORTED IS AWAITING ASSESSMENT.ONE INCLUDED STUDY WAS A SIX-WEEK STUDY COMPARING YOGA TO A WAITING LIST IN 19 WOMEN WITH EITHER URGENCY URINARY INCONTINENCE OR STRESS URINARY INCONTINENCE. WE JUDGED THE CERTAINTY OF THE EVIDENCE FOR ALL REPORTED OUTCOMES AS VERY LOW DUE TO PERFORMANCE BIAS, DETECTION BIAS, AND IMPRECISION. THE NUMBER OF WOMEN REPORTING CURE WAS NOT REPORTED. WE ARE UNCERTAIN WHETHER YOGA RESULTS IN SATISFACTION WITH CURE OR IMPROVEMENT OF INCONTINENCE (RISK RATIO (RR) 6.33, 95% CONFIDENCE INTERVAL (CI) 1.44 TO 27.88; AN INCREASE OF 592 FROM 111 PER 1000, 95% CI 160 TO 1000). WE ARE UNCERTAIN WHETHER THERE IS A DIFFERENCE BETWEEN YOGA AND WAITING LIST IN CONDITION-SPECIFIC QUALITY OF LIFE AS MEASURED ON THE INCONTINENCE IMPACT QUESTIONNAIRE SHORT FORM (MEAN DIFFERENCE (MD) 1.74, 95% CI -33.02 TO 36.50); THE NUMBER OF MICTURITIONS (MD -0.77, 95% CI -2.13 TO 0.59); THE NUMBER OF INCONTINENCE EPISODES (MD -1.57, 95% CI -2.83 TO -0.31); OR THE BOTHERSOMENESS OF INCONTINENCE AS MEASURED ON THE UROGENITAL DISTRESS INVENTORY 6 (MD -0.90, 95% CI -1.46 TO -0.34). THERE WAS NO EVIDENCE OF A DIFFERENCE IN THE NUMBER OF WOMEN WHO EXPERIENCED AT LEAST ONE ADVERSE EVENT (RISK DIFFERENCE 0%, 95% CI -38% TO 38%; NO DIFFERENCE FROM 222 PER 1000, 95% CI 380 FEWER TO 380 MORE).THE SECOND INCLUDED STUDY WAS AN EIGHT-WEEK STUDY IN 30 WOMEN WITH URGENCY URINARY INCONTINENCE THAT COMPARED MINDFULNESS-BASED STRESS REDUCTION (MBSR) TO AN ACTIVE CONTROL INTERVENTION OF YOGA CLASSES. THE STUDY WAS UNBLINDED, AND THERE WAS HIGH ATTRITION FROM BOTH STUDY ARMS FOR ALL OUTCOME ASSESSMENTS. WE JUDGED THE CERTAINTY OF THE EVIDENCE FOR ALL REPORTED OUTCOMES AS VERY LOW DUE TO PERFORMANCE BIAS, ATTRITION BIAS, IMPRECISION AND INDIRECTNESS. THE NUMBER OF WOMEN REPORTING CURE WAS NOT REPORTED. WE ARE UNCERTAIN WHETHER WOMEN IN THE YOGA GROUP WERE LESS LIKELY TO REPORT IMPROVEMENT IN INCONTINENCE AT EIGHT WEEKS COMPARED TO WOMEN IN THE MBSR GROUP (RR 0.09, 95% CI 0.01 TO 1.43; A DECREASE OF 419 FROM 461 PER 1000, 95% CI 5 TO 660). WE ARE UNCERTAIN ABOUT THE EFFECT OF MBSR COMPARED TO YOGA ON REPORTS OF CURE OR IMPROVEMENT IN INCONTINENCE, IMPROVEMENT IN CONDITION-SPECIFIC QUALITY OF LIFE MEASURED ON THE OVERACTIVE BLADDER HEALTH-RELATED QUALITY OF LIFE SCALE, REDUCTION IN INCONTINENCE EPISODES OR REDUCTION IN BOTHERSOMENESS OF INCONTINENCE AS MEASURED ON THE OVERACTIVE BLADDER SYMPTOM AND QUALITY OF LIFE-SHORT FORM AT EIGHT WEEKS. THE STUDY DID NOT REPORT ON ADVERSE EFFECTS. AUTHORS' CONCLUSIONS: WE IDENTIFIED FEW TRIALS ON YOGA FOR INCONTINENCE, AND THE EXISTING TRIALS WERE SMALL AND AT HIGH RISK OF BIAS. IN ADDITION, WE DID NOT FIND ANY STUDIES OF ECONOMIC OUTCOMES RELATED TO YOGA FOR URINARY INCONTINENCE. DUE TO THE LACK OF EVIDENCE TO ANSWER THE REVIEW QUESTION, WE ARE UNCERTAIN WHETHER YOGA IS USEFUL FOR WOMEN WITH URINARY INCONTINENCE. ADDITIONAL, WELL-CONDUCTED TRIALS WITH LARGER SAMPLE SIZES ARE NEEDED. 2019 8 1563 32 LONGITUDINAL EFFECTS OF A COMBINED PROGRAM OF PELVIC FLOOR MUSCLE TRAINING AND YOGA ON GENITOURINARY SYMPTOMS IN ASIAN WOMEN OF OLDER AGE: A RANDOMIZED EXPERIMENTAL STUDY. THIS PARALLEL-TWO-GROUP RANDOMIZED EXPERIMENTAL STUDY INCLUDING A SUPERVISED GROUP AND AN UNSUPERVISED GROUP EXAMINED THE LONGITUDINAL EFFECTS OF PELVIC FLOOR MUSCLE TRAINING (PFMT) COMBINED WITH YOGA ON GENITOURINARY SYMPTOMS AND THE HEALTH-RELATED QUALITY OF LIFE (HRQOL), AND COMPARED PRACTICE ADHERENCE RATES OF THE TWO GROUPS. A SAMPLE OF WOMEN EXPERIENCING >/=1 GENITOURINARY SYMPTOM(S) WERE RECRUITED AND ASSIGNED TO A SUPERVISED GROUP OR AN UNSUPERVISED GROUP. THE SUPERVISED GROUP ATTENDED SUPERVISED GROUP PRACTICE SESSIONS AND PERFORMED AT-HOME PRACTICE OF PFMT AND YOGA. THE UNSUPERVISED GROUP PERFORMED AT-HOME PRACTICE OF PFMT AND YOGA. INFORMATION WAS COLLECTED AT FIVE TIME POINTS (N = 91). GENERALIZED ESTIMATING EQUATION PROCEDURES WERE USED TO EXAMINE THE INTERVENTION EFFECTS. AN INDEPENDENT T-TEST WAS CONDUCTED TO COMPARE THE PRACTICE ADHERENCE RATES. BOTH GROUPS' GENITOURINARY SYMPTOMS AND HRQOL SIGNIFICANTLY IMPROVED OVER TIME. THE SUPERVISED GROUP DISPLAYED GREATER IMPROVEMENTS IN GENITOURINARY SYMPTOMS AND HRQOL AND BETTER ADHERENCE THAN DID THE UNSUPERVISED GROUP. 2022 9 2273 40 THE ROLE OF YOGA IN THE MANAGEMENT OF BLADDER PAIN SYNDROME: A SINGLE-ARM PILOT STUDY. BACKGROUND: BLADDER PAIN SYNDROME (BPS) IS A DEVASTATING UROLOGIC CONDITION CHARACTERIZED BY IRRITATIVE BLADDER SYMPTOMS, PELVIC PAIN, AND DYSPAREUNIA. FIRST-LINE TREATMENT INCLUDES DIETARY, SELF-CARE AND BEHAVIORAL MODIFICATIONS. THE ANCIENT PRACTICE OF YOGA IS WELL SUITED TO TREAT BPS, BUT EVIDENCE IS LACKING ON ITS USE. AIMS: TO INVESTIGATE THE FEASIBILITY AND EFFICACY OF AN INTEGRATED YOGA MODULE ON BPS OUTCOMES AS MEASURED BY SELF-REPORTED QUESTIONNAIRES FROM BASELINE TO 3 MONTHS AFTER THERAPY. METHODS AND MATERIALS: THIS WAS A PROSPECTIVE SINGLE-ARM STUDY OF 8 PATIENTS WHO UNDERWENT 3 MONTHS OF INTEGRATED YOGA THERAPY. THE TREATMENT MODULE WAS PERFORMED 3 TO 4 TIMES WEEKLY AT HOME WITH 1 SESSION PERFORMED WEEKLY IN-OFFICE DURING THE FIRST MONTH TO ENSURE PROPER PERFORMANCE OF POSTURES. PATIENTS COMPLETED QUESTIONNAIRES (PELVIC PAIN AND URGENCY/FREQUENCY PATIENT SYMPTOM SCALE [PUF], PELVIC FLOOR IMPACT QUESTIONNAIRE - SHORT FORM 7 [PFIQ-7], SHORT FORM 36 QUESTIONNAIRE [SF-36], PITTSBURGH SLEEP QUALITY INDEX [PSQI]) AT BASELINE AND 3 MONTHS, INCLUDING PATIENT GLOBAL IMPRESSION OF IMPROVEMENT (PGI-I) AT THE 3-MONTH FOLLOW-UP VISIT. VOIDING DIARIES WERE ALSO REQUESTED AT BASELINE AND AT THE 3-MONTH ASSESSMENT. RESULTS: THERE WAS A TREND TOWARD IMPROVEMENT REGARDING PATIENTS' RESPONSES TO ALL QUESTIONNAIRES 3 MONTHS AFTER YOGA THERAPY, WITH THE ONLY STATISTICALLY SIGNIFICANT IMPROVEMENTS NOTED IN SOCIAL FUNCTION AND PAIN COMPONENTS OF THE SF-36. THERE WERE NO SIGNIFICANT CHANGES NOTED ON THE VOIDING DIARIES EXCEPT A NON-STATISTICALLY SIGNIFICANT TREND TOWARD INCREASED VOIDED VOLUMES. PATIENTS RATED THEIR EXPERIENCES WITH YOGA THERAPY POSITIVELY. CONCLUSIONS: YOGA THERAPY FOR BPS SHOWED EVIDENCE OF BENEFIT FOR IMPROVING BOTHERSOME BLADDER SYMPTOMS, PAIN AND VOIDING. A RANDOMIZED CONTROLLED TRIAL WILL FOLLOW TO INVESTIGATE THE EFFICACY OF THIS YOGA MODULE AGAINST A CONTROL GROUP. 2020 10 2832 31 YOGA'S BIOPHYSIOLOGICAL EFFECTS ON LOWER URINARY TRACT SYMPTOMS: A SCOPING REVIEW. BACKGROUND AND OBJECTIVES: YOGA IS A MIND AND BODY PRACTICE THAT INCLUDES RELAXATION, MEDITATION, BREATHING EXERCISES, AND BODY POSTURES. IT CAN BE EFFECTIVE IN ENHANCING THE FUNCTIONING OF SEVERAL BODY SYSTEMS, INCLUDING THE LOWER URINARY TRACT. NORMAL LOWER URINARY TRACT FUNCTIONING DEPENDS IN PART ON THE COORDINATION OF THE BLADDER, URETHRA, PELVIC FLOOR AND OTHER MUSCLES, AND THE NERVES THAT CONTROL THEM. LOWER URINARY TRACT DYSFUNCTION CAN LEAD TO SYMPTOMS, THAT IS, STRESS URINARY INCONTINENCE (UI), URINARY FREQUENCY, NOCTURIA, URINARY URGENCY WITH AND WITHOUT INCONTINENCE, AND MIXED UI. RECENT EVIDENCE SUGGESTS THAT YOGA CAN IMPROVE LOWER URINARY TRACT SYMPTOMS (LUTS). THUS, WE PERFORMED A SCOPING REVIEW OF THE LITERATURE WITH REGARD TO THE EVIDENCE FOR THE EFFECTS OF YOGA ON LUTS AND FACTORS THAT MAY MEDIATE YOGA'S EFFECTS ON LUTS WITH THE GOAL TO IDENTIFY GAPS IN KNOWLEDGE REGARDING THE RELATIONSHIP BETWEEN YOGA PRACTICE AND LUTS. METHODS: THE AUTHORS EMPLOYED THE PRISMA EXTENSION FOR SCOPING REVIEWS (PRISMA-SCR) METHODOLOGICAL APPROACH, PROPOSED BY TRICCO ET AL., BY SEARCHING THE ELECTRONIC DATABASES, PUBMED, EMBASE, AND PSYCINFO, FOR ARTICLES USING THE FOLLOWING KEYWORDS: YOGA, URINARY INCONTINENCE, URINARY TRACT, BLADDER, AND URETHRA. WE ASSESSED THE QUALITY OF THE STUDIES USING THE JOANNA BRIGGS INSTITUTE CRITICAL APPRAISAL CHECKLIST. RESULTS: OF THE 172 ARTICLES WE FOUND, 8 ARTICLES MET THE INCLUSION CRITERIA AND WERE REVIEWED. WE FOUND THAT, DESPITE THE USE OF DIFFERENT PROTOCOLS, YOGA MAY REDUCE CERTAIN LUTS BY INCREASING THE STRENGTH OF PELVIC FLOOR MUSCLE AND/OR REGULATING THE AUTONOMIC NERVOUS SYSTEM AND ACTIVATING THE CENTRAL NERVOUS SYSTEM. CONCLUSIONS: YOGA IS A NONINVASIVE PRACTICE THAT MAY IMPROVE SOME LUTS. RIGOROUS STUDIES ARE NEEDED TO DETERMINE THE SPECIFIC MECHANISMS THROUGH WHICH YOGA MAY AFFECT LUTS. 2019 11 2644 35 YOGA FOR WOMEN WITH URGENCY URINARY INCONTINENCE: A PILOT STUDY. OBJECTIVES: THE OBJECTIVE OF THIS STUDY WAS TO EVALUATE THE FEASIBILITY OF A GENTLE YOGA PROGRAM FOR WOMEN WITH URGENCY URINARY INCONTINENCE (UUI). ALSO, THESE PRELIMINARY DATA CAN EVALUATE IF YOGA IMPROVES SYMPTOM BURDEN, QUALITY OF LIFE, AND INFLAMMATORY BIOMARKERS FOR WOMEN WITH UUI. METHODS: THIS PROSPECTIVE NONRANDOMIZED SINGLE-ARM PILOT STUDY EVALUATED THE EFFECTIVENESS OF A TWICE-WEEKLY, 8-WEEK GENTLE YOGA INTERVENTION TO REDUCE UUI SYMPTOM BURDEN. CHANGES IN SYMPTOM BURDEN WERE MEASURED USING THE PELVIC FLOOR DISTRESS INVENTORY 20. SECONDARY MEASURES INCLUDED QUALITY OF LIFE, DEPRESSIVE SYMPTOMS, SLEEP, STRESS, ANXIETY, AND INFLAMMATORY BIOMARKERS. OUTCOMES WERE EVALUATED WITH PAIRED T TESTING. RESULTS: TWELVE WOMEN COMPLETED THE YOGA INTERVENTION WITH NO ADVERSE OUTCOMES NOTED. URGENCY SYMPTOM BURDEN WAS SIGNIFICANTLY IMPROVED AFTER THE INTERVENTION (P = 0.01), AND WOMEN REPORTED AN INCREASE IN QUALITY OF LIFE (P = 0.04) AFTER THE YOGA INTERVENTION. FOLLOWING THE YOGA INTERVENTION, THE MAJORITY OF WOMEN REPORTED SYMPTOMS AS "MUCH BETTER" (N = 4 [33%]) AND "A LITTLE BETTER" (N = 5 [42%]), WITH 3 WOMEN (25%) REPORTING "NO CHANGE." WOMEN ALSO REPORTED SIGNIFICANT REDUCTION IN DEPRESSIVE SYMPTOMS (P = 0.03) AND BETTER QUALITY OF SLEEP (P = 0.03). NO SIGNIFICANT CHANGES WERE FOUND IN ANXIETY OR STRESS PERCEPTION. PLASMA LEVELS OF THE INFLAMMATORY BIOMARKER TUMOR NECROSIS FACTOR ALPHA WERE REDUCED AFTER YOGA INTERVENTION (P = 0.009); HOWEVER, NO SIGNIFICANT POSTYOGA CHANGES WERE FOUND FOR INTERLEUKIN 6 OR C-REACTIVE PROTEIN. CONCLUSIONS: THIS STUDY PROVIDES PRELIMINARY EVIDENCE THAT YOGA IS A FEASIBLE COMPLEMENTARY THERAPY THAT REDUCES INCONTINENCE SYMPTOM BURDEN, ALONG WITH IMPROVING QUALITY OF LIFE, DEPRESSIVE SYMPTOMS, AND SLEEP QUALITY. ADDITIONALLY, YOGA MAY LOWER INFLAMMATORY BIOMARKERS ASSOCIATED WITH INCONTINENCE. 2021 12 2326 33 TREATMENT OF PREGNANCY-RELATED LUMBAR AND PELVIC GIRDLE PAIN BY THE YOGA METHOD: A RANDOMIZED CONTROLLED STUDY. OBJECTIVE: PREGNANCY-RELATED LUMBOPELVIC PAIN IS A MAJOR PROBLEM FOR THE MAJORITY OF PREGNANT WOMEN. COMPLEMENTARY MEDICINE HAS BEEN USED TO ALLEVIATE PAIN, AND YOGA IS ONE OF THE MOST COMMONLY CHOSEN ALTERNATIVE METHODS. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFECTIVENESS OF HATHA YOGA IN THE REDUCTION OF LUMBOPELVIC PAIN IN PREGNANCY. METHODS: A RANDOMIZED CONTROLLED TRIAL WITH 60 PREGNANT WOMEN (AGE RANGE, 14-40 YEARS) WHO REPORTED LUMBOPELVIC PAIN AT 12 TO 32 WEEKS OF GESTATION WAS CONDUCTED FROM JUNE 2009 TO JUNE 2011. PREGNANT WOMEN WHO HAD TWIN PREGNANCIES, HAD MEDICAL RESTRICTIONS FOR EXERCISE, USED ANALGESICS, AND PARTICIPATED IN PHYSICAL THERAPY WERE EXCLUDED FROM THE STUDY. PREGNANT WOMEN WERE DIVIDED INTO TWO GROUPS: THE YOGA GROUP, PRACTICING EXERCISES GUIDED BY THIS METHOD, AND THE POSTURAL ORIENTATION GROUP, PERFORMING STANDARDIZED POSTURE ORIENTATION ACCORDING TO INSTRUCTIONS PROVIDED IN A PAMPHLET. TREATMENT IN EACH GROUP LASTED 10 WEEKS. A VISUAL ANALOG SCALE (VAS) WAS USED TO MEASURE PAIN INTENSITY. LUMBAR PAIN AND POSTERIOR PELVIC PAIN PROVOCATION TESTS WERE USED TO CONFIRM THE PRESENCE OF PAIN. STATISTICAL ANALYSIS INCLUDED THE MANN-WHITNEY TEST, THE MCNEMAR TEST, A PAIRED WILCOXON TEST, AND ANALYSIS OF COVARIANCE. RESULTS: THE MEDIAN PAIN SCORE WAS LOWER IN THE YOGA GROUP (P<.0058) THAN THE POSTURAL ORIENTATION GROUP. LUMBAR PAIN PROVOCATION TESTS SHOWED A DECREASED RESPONSE IN RELATION TO POSTERIOR PELVIC PAIN PROVOCATION TESTS AND A GRADUAL REDUCTION IN PAIN INTENSITY DURING 10 YOGA SESSIONS (P<.024). CONCLUSIONS: THE YOGA METHOD WAS MORE EFFECTIVE AT REDUCING LUMBOPELVIC PAIN INTENSITY COMPARED WITH POSTURAL ORIENTATION. 2014 13 2185 39 THE EFFECTS OF YOGA ON SHOULDER AND SPINAL ACTIONS FOR WOMEN WITH BREAST CANCER-RELATED LYMPHOEDEMA OF THE ARM: A RANDOMISED CONTROLLED PILOT STUDY. BACKGROUND: WE AIMED TO EVALUATE THE EFFECT OF AN 8-WEEK YOGA INTERVENTION ON THE SHOULDER AND SPINAL ACTIONS OF WOMEN WITH BREAST CANCER-RELATED ARM LYMPHOEDEMA. METHOD: A RANDOMISED CONTROLLED PILOT TRIAL. THE INTERVENTION GROUP (N = 12) COMPLETED EIGHT WEEKS OF DAILY YOGA SESSIONS WHILE THE CONTROL GROUP (N = 11) CONTINUED WITH BEST CURRENT CARE INCLUDING INFORMATION ON COMPRESSION SLEEVES, SKIN CARE, RISKS OF TEMPERATURE VARIATIONS AND RECOMMENDED SAFE USE OF AFFECTED ARM. LUMBO-PELVIC POSTURE, RANGE OF MOTION (ROM) IN THE SHOULDER AND SPINE, AND STRENGTH IN SHOULDER AND PECTORAL MAJOR AND MINOR, AND SERRATUS ANTERIOR WERE TAKEN AT BASELINE, WEEK 8 AND AFTER A 4-WEEK FOLLOW-UP. OUTCOME ASSESSORS WERE BLINDED TO ALLOCATION. RESULTS: AT WEEK EIGHT THE INTERVENTION GROUP HAD AN IMPROVEMENT IN LUMBO-PELVIC POSTURE, AS INDICATED BY A REDUCTION IN PELVIC OBLIQUITY COMPARED TO THE CONTROL GROUP (MEAN DIFFERENCE = -8.39 DEGREES , 95 % CI: -15.64 TO -1.13 DEGREES , P = 0.023). A SECONDARY FINDING WAS THAT STRENGTH IN SHOULDER ABDUCTION SIGNIFICANTLY INCREASED FOLLOWING THE YOGA INTERVENTION IN BOTH THE AFFECTED (9.5 KG; CI: 0.34 TO 18.66, P = 0.042) AND NON-AFFECTED ARM (11.58 KG; CI: 0.25 TO 22.91; P = 0.045). THERE WERE NO SIGNIFICANT BETWEEN GROUP CHANGES IN ANY ROM MEASURES AS A RESULT OF THE YOGA INTERVENTION. CONCLUSION: THIS PILOT STUDY DEMONSTRATES THAT PARTICIPATION IN YOGA MAY PROVIDE BENEFITS FOR POSTURE AND STRENGTH IN WOMEN WITH BREAST CANCER RELATED LYMPHOEDEMA. THE IMPROVEMENTS MAY BE ATTRIBUTED TO THE FOCUS OF YOGA ON OVERALL POSTURAL AND FUNCTIONAL MOVEMENT PATTERNS. FURTHER TRIALS WITH LONGER INTERVENTION THAT FOLLOW THIS METHODOLOGY ARE WARRANTED. TRIAL REGISTRATION: THE AUSTRALIAN NEW ZEALAND CLINICAL TRIALS REGISTRY ACTRN12611000202965 . 2016 14 2166 29 THE EFFECTS OF YOGA EXERCISE ON PELVIC FLOOR REHABILITATION OF POSTPARTUM WOMEN. REHABILITATION OF THE PELVIC FLOOR AFTER DELIVERY IS VERY IMPORTANT FOR WOMEN. PELVIC FLOOR REHABILITATION CAN SPEED UP THE RECOVERY OF THE POSTPARTUM VAGINA AND PELVIC FLOOR MUSCLE TENSION AND ELASTICITY AND HAVE A GOOD EFFECT ON THE PREVENTION AND TREATMENT OF POSTPARTUM VAGINAL PROLAPSE AND RELAXATION, URINARY INCONTINENCE AND OTHER PELVIC FLOOR DISORDERS. THUS, THIS ARTICLE FOCUSES ON YOGA EXERCISE TO EXPLORE ITS IMPACT ON POSTPARTUM PELVIC FLOOR REHABILITATION. THIS ARTICLE USES ELECTRICAL STIMULATION AND THE TREATMENT OF PELVIC FLOOR MUSCLES COMBINED WITH THE POSTURE RECOGNITION ALGORITHM, THE YOGA REHABILITATION TRAINING PROGRAM THAT HAS THE BEST EFFECT ON THE PARTURIENT IS OBTAINED, AND THE YOGA MYOELECTRIC STIMULATION COMBINED METHOD AND THE TRADITIONAL MYOELECTRIC STIMULATION METHOD ARE DESIGNED FOR COMPARISON EXPERIMENTS. THE EXPERIMENTAL RESULTS SHOW THAT THE PARTURIENTS WHO HAVE UNDERGONE THE COMBINED METHOD OF YOGA MYOELECTRIC STIMULATION, IN THE RESTING STATE, CONTRACTION STATE, AND VALSALVA STATE, THE POSITION OF THE BLADDER MERIDIAN, THE POSITION OF THE UTERUS, AND THE POSITION OF THE RECTAL AMPULLA OF THE PARTURIENT HAVE A SIGNIFICANT RECOVERY COMPARED THOSE WHO HAVE UNDERGONE THE TRADITIONAL ELECTROMYOGRAPHY TREATMENT. IN ADDITION, THE AVERAGE AREA OF HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE CONTROL GROUP 42 DAYS POSTPARTUM WAS 12.2605 CM(2), WHILE THE AVERAGE AREA OF THE HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE EXPERIMENTAL GROUP 42 DAYS POSTPARTUM WAS 10.788 CM(2); THE AVERAGE AREA OF HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE CONTROL GROUP AT 3 MONTHS POSTPARTUM WAS 11.4805 CM(2), AND THE AVERAGE AREA OF HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE EXPERIMENTAL GROUP AT 3 MONTHS POSTPARTUM WAS 8.9475 CM(2). TO SUM UP, YOGA HAD A VERY SIGNIFICANT IMPROVEMENT ON THE PHYSICAL INDICATORS AND MENTAL HEALTH OF POSTPARTUM WOMEN. 2022 15 594 42 DEVELOPMENT AND FEASIBILITY OF A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR WOMEN WITH CHRONIC PELVIC PAIN. OBJECTIVE: TO DEVELOP A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR WOMEN WITH CHRONIC PELVIC PAIN (CPP) AND EXPLORE THE EFFECTS OF THIS PROGRAM ON PAIN SEVERITY, SEXUAL FUNCTION, AND WELL-BEING. METHODS: A YOGA THERAPY PROGRAM FOR CPP WAS DEVELOPED BY A MULTIDISCIPLINARY PANEL OF CLINICIANS, RESEARCHERS, AND YOGA CONSULTANTS. WOMEN REPORTING MODERATE TO SEVERE PELVIC PAIN FOR AT LEAST SIX MONTHS WERE RECRUITED INTO A SINGLE-ARM TRIAL. PARTICIPANTS ATTENDED TWICE WEEKLY GROUP CLASSES FOCUSING ON IYENGAR-BASED YOGA TECHNIQUES AND WERE INSTRUCTED TO PRACTICE YOGA AT HOME AN HOUR A WEEK FOR SIX WEEKS. PARTICIPANTS SELF-RATED THE SEVERITY OF THEIR PELVIC PAIN USING DAILY LOGS. THE IMPACT OF PARTICIPANTS' PAIN ON EVERYDAY ACTIVITIES, EMOTIONAL WELL-BEING, AND SEXUAL FUNCTION WAS ASSESSED USING AN IMPACT OF PELVIC PAIN (IPP) QUESTIONNAIRE. SEXUAL FUNCTION WAS FURTHER ASSESSED USING THE SEXUAL HEALTH OUTCOMES IN WOMEN QUESTIONNAIRE (SHOW-Q). RESULTS: AMONG THE 16 PARTICIPANTS (AGE RANGE = 31-64 YEARS), AVERAGE RATINGS OF THE SEVERITY OF PAIN "AT ITS WORST," "AT ITS BEST," AND "ON AVERAGE" DECREASED BY 29%, 32%, AND 34%, RESPECTIVELY, FROM START TO SIX WEEKS (P < 0.05 FOR ALL). WOMEN DEMONSTRATED IMPROVEMENTS IN SCORES ON IPP SUBSCALES FOR DAILY ACTIVITIES (1.8 +/- 0.7 TO 0.9 +/- 0.7, P < 0.001), EMOTIONAL WELL-BEING (1.7 +/- 0.9 TO 0.9 +/- 0.7, P = 0.005), AND SEXUAL FUNCTION (1.9 +/- 1.1 TO 1.0 +/- 0.9, P = 0.04). SCORES ON THE SHOW-Q "PELVIC PROBLEM INTERFERENCE" SCALE ALSO IMPROVED OVER SIX WEEKS (53 +/- 23 TO 27 +/- 23, P = 0.002). CONCLUSIONS: FINDINGS PROVIDE PRELIMINARY EVIDENCE OF THE FEASIBILITY OF TEACHING WOMEN WITH CPP TO PRACTICE YOGA TO SELF-MANAGE PAIN AND IMPROVE QUALITY OF LIFE AND SEXUAL FUNCTION. 2017 16 2637 21 YOGA FOR TREATMENT OF URINARY INCONTINENCE IN WOMEN. THIS IS A PROTOCOL FOR A COCHRANE REVIEW (INTERVENTION). THE OBJECTIVES ARE AS FOLLOWS: TO ASSESS THE EFFECTIVENESS AND SAFETY OF YOGA FOR TREATMENT OF URINARY INCONTINENCE IN WOMEN, COMPARED TO NO SPECIFIC TREATMENT, TO ANOTHER ACTIVE TREATMENT, OR TO AN ACTIVE TREATMENT WITHOUT ADJUVANT YOGA, WITH A FOCUS ON PATIENT SYMPTOMS AND QUALITY OF LIFE. 2017 17 688 35 EFFECT OF ANTENATAL EXERCISES, INCLUDING YOGA, ON THE COURSE OF LABOR, DELIVERY AND PREGNANCY: A RETROSPECTIVE STUDY. BACKGROUND: DELIVERING A CHILD IS A VERY STRESSFUL EXPERIENCE FOR WOMEN. PREGNANCY AND LABOR ENTAIL COMPLEX EVENTS THAT ARE UNIQUE TO EACH INDIVIDUAL FEMALE. THE MANAGEMENT OF LABOR PAIN IS OFTEN DONE USING ANALGESICS AND ANESTHESIA, WHICH HAVE BEEN SHOWN TO HAVE SOME SIDE EFFECTS. MORE COMPREHENSIVE DATA ARE NEEDED TO PROVIDE CLINICALLY SIGNIFICANT EVIDENCE FOR CLINICIANS TO CONFIDENTLY PRESCRIBE EXERCISES TO PATIENTS. THIS STUDY WAS DONE TO EVALUATE THE EFFECT OF ANTENATAL EXERCISES, INCLUDING YOGA, ON THE COURSE OF LABOR, DELIVERY, AND PREGNANCY OUTCOMES. METHODS: A RETROSPECTIVE STUDY WAS CONDUCTED AMONG 200 PRIMIPAROUS SUBJECTS (AGED 20-40). A QUESTIONNAIRE WAS PROVIDED TO THE SUBJECTS TO OBTAIN THEIR DEMOGRAPHIC AND OBSTETRICAL INFORMATION 6 WEEKS AFTER DELIVERY, AND THEIR HOSPITAL RECORDS WERE ALSO ASSESSED FOR FURTHER DETAILS. BASED ON THE NATURE AND DETAILS OBTAINED FOR THE ANTENATAL EXERCISES, SUBJECTS WERE DIVIDED INTO TWO GROUPS: CONTROL AND EXERCISE. OUTCOME MEASURES INCLUDED THE NEED FOR LABOR INDUCTION, SELF-PERCEIVED PAIN AND PERCEIVED EXERTION DURING LABOR, DURATION AND NATURE OF THE DELIVERY, NEWBORN INFANT WEIGHT, MATERNAL WEIGHT GAIN, HISTORY OF BACK PAIN, AND POST-PARTUM RECOVERY. THE TOTAL MATERNAL WEIGHT GAIN (IN KILOGRAMS) WAS CALCULATED FROM WEIGHT AT 6 WEEKS AFTER DELIVERY MINUS THE WEIGHT AT 12-14 WEEKS OF GESTATION. BACK PAIN DURING PREGNANCY AND SELF-PERCEIVED LABOR PAIN WERE MEASURED USING A VISUAL ANALOG SCALE (VAS). THE OVERALL PERCEIVED EXERTION DURING LABOR WAS MEASURED USING AN ADAPTED BORG SCALE FOR PERCEIVED EFFORT. RESULTS: THE SUBJECTS WHO FOLLOWED REGULAR ANTENATAL EXERCISES, INCLUDING YOGA, HAD SIGNIFICANTLY LOWER RATES OF CESAREAN SECTION, LOWER WEIGHT GAIN, HIGHER NEWBORN INFANT WEIGHT, LOWER PAIN AND OVERALL DISCOMFORT DURING LABOR, LOWER BACK PAIN THROUGHOUT PREGNANCY, AND EARLIER POST-PARTUM RECOVERY COMPARED TO THOSE WHO DID NO SPECIFIC EXERCISES OR ONLY WALKED DURING PREGNANCY. CONCLUSIONS: THIS RETROSPECTIVE STUDY SHOWED THAT REGULAR ANTENATAL EXERCISES, INCLUDING YOGA, RESULT IN BETTER OUTCOMES RELATED TO THE COURSE OF LABOR, DELIVERY, AND PREGNANCY. THESE RESULTS NOTABLY INDICATED THAT PREGNANT WOMEN SHOULD BE ACTIVE THROUGHOUT PREGNANCY AND FOLLOW A SUPERVISED EXERCISE PROGRAM THAT INCLUDES YOGA UNLESS CONTRAINDICATED. WE REQUIRE FURTHER LARGE-SCALE PROSPECTIVE STUDIES AND QUASI-EXPERIMENTAL TRIALS TO CONFIRM THE OBSERVED FINDINGS. 2020 18 528 33 COMPARISON OF MINDFULNESS-BASED STRESS REDUCTION VERSUS YOGA ON URINARY URGE INCONTINENCE: A RANDOMIZED PILOT STUDY. WITH 6-MONTH AND 1-YEAR FOLLOW-UP VISITS. OBJECTIVES: THE OBJECTIVE OF THIS STUDY IS TO COMPARE THE EFFECTS OF MINDFULNESS-BASED STRESS REDUCTION (MBSR) VERSUS YOGA ON URINARY URGE INCONTINENCE (UI) AT 8 WEEKS, 6 MONTHS, AND 1 YEAR AFTER BEGINNING AN 8-WEEK PROGRAM. MATERIALS AND METHODS: PARTICIPANTS IN THIS PROSPECTIVE RANDOMIZED SINGLE-MASKED PILOT STUDY WERE WOMEN AGED 18 YEARS OR OLDER WITH URGE-PREDOMINANT INCONTINENCE, 5 OR MORE UI EPISODES (UIES) ON A 3-DAY VOIDING DIARY, AND NO RECENT ANTICHOLINERGIC USE. WOMEN WERE RANDOMIZED TO MBSR OR YOGA. THE PRIMARY OUTCOME WAS THE PERCENT CHANGE OF UIE. RESULTS: OF 30 ENROLLEES (15 IN MBSR, 15 IN YOGA), 24 COMPLETED AT LEAST 5 OF 8 SESSIONS (13 IN MBSR AND 11 IN YOGA). TWENTY AND 21 WOMEN COMPLETED THE 6-MONTH AND 12-MONTH FOLLOW-UP VISITS, RESPECTIVELY. AT 8 WEEKS, 6 MONTHS, AND 12 MONTHS, THE MEDIAN PERCENT CHANGE FROM THE BASELINE IN UIE ON THE INTENTION-TO-TREAT ANALYSIS WAS GREATER FOR THE MBSR GROUP (-55.6, -71.4, AND -66.7, RESPECTIVELY) COMPARED WITH THAT FOR THE YOGA GROUP (-33.3, -11.8, AND -16.7, RESPECTIVELY), WITH P VALUES RANGING FROM 0.01 TO 0.08. ON INTENTION-TO-TREAT ANALYSIS, THE MEDIAN PERCENT CHANGE IN THE OVERACTIVE BLADDER SYMPTOM AND QUALITY OF LIFE-SHORT FORM AND THE HEALTH-RELATED QUALITY OF LIFE WAS GREATER AT EACH TIME POINT FOR MBSR THAN FOR YOGA BUT WAS STATISTICALLY SIGNIFICANT ONLY AT 8 WEEKS (P = 0.003 AND 0.02, RESPECTIVELY). AS PER PROTOCOL ANALYSIS, AT 8 WEEKS, 6/13 AND 0/11 WOMEN IN MBSR AND YOGA, RESPECTIVELY, REPORTED THEY WERE VERY MUCH OR MUCH BETTER (P = 0.02), WHEREAS AT 1 YEAR, 6/12 AND 1/9 WOMEN IN MBSR AND YOGA, RESPECTIVELY, DID SO (P = 0.16). DISCUSSION: THESE RESULTS SUPPORT LARGER SCALE TRIALS TO EVALUATE MBSR, WHICH SEEMS TO BE A PROMISING TREATMENT OF UI. 2014 19 2439 30 YOGA AND QUALITY OF LIFE IN WOMEN WITH PRIMARY DYSMENORRHEA: A SYSTEMATIC REVIEW. INTRODUCTION: PRIMARY DYSMENORRHEA IS A PREVALENT CONDITION CAUSING QUALITY OF LIFE (QOL) REDUCTION FOR MANY WOMEN, RESULTING FROM PAIN AS WELL AS PARALLEL SOCIAL AND PSYCHOLOGICAL DISTRESS. YOGA REDUCES PAIN AND SYMPATHETIC REACTIVITY, THUS PROMOTING QOL. THIS ARTICLE REPORTS A SYSTEMATIC REVIEW OF THE EVIDENCE FOR THE EFFECTIVENESS OF YOGA AS A QOL IMPROVEMENT METHOD FOR WOMEN WITH PRIMARY DYSMENORRHEA. METHODS: THE PRISMA GUIDELINES WERE USED IN PREPARATION OF THIS REVIEW. OVID MEDLINE, PSYCINFO, CINAHL, SCOPUS, PUBMED, SCIENCEDIRECT, COCHRANE DATABASE OF SYSTEMATIC REVIEWS (CDSR), AND COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL) WERE SCREENED THROUGH JANUARY 2017 USING THE KEYWORDS YOGA, MEDITATION, MENSTRUAL CYCLE, DYSMENORRHEA, PELVIC PAIN, AND PROSTAGLANDINS. ENGLISH-LANGUAGE RANDOMIZED CONTROLLED TRIALS (RCTS) AND QUASI-EXPERIMENTAL STUDIES REGARDING YOGA, PRIMARY DYSMENORRHEA, AND QOL WERE ELIGIBLE; ALL YOGA STYLES WERE INCLUDED. TWO INDEPENDENT REVIEWERS RATED THE METHODOLOGICAL QUALITY OF EACH STUDY SELECTED FOR REVIEW USING THE DOWNS AND BLACK CHECKLIST; POSSIBLE SCORES RANGED FROM 0 TO 32. RATINGS WERE ESTABLISHED THROUGH CONSENSUS. RESULTS: THE SEARCH YIELDED A TOTAL OF 378 ARTICLES, OF WHICH 14 (AGE RANGE 13-45 YEARS, N = 1409) MET THE CRITERIA FOR FINAL REVIEW: 8 RCTS AND 6 QUASI-EXPERIMENTAL STUDIES. DOWNS AND BLACK RATINGS WERE PREDOMINANTLY MODERATE IN QUALITY WITH MODERATE RISK OF BIAS, RANGING FROM 15 TO 23 (RCTS) AND 10 TO 17 (QUASI-EXPERIMENTAL STUDIES). STATISTICALLY SIGNIFICANT IMPROVEMENTS ALONG MOST QOL DOMAINS, INCLUDING PHYSICAL PAIN, SLEEP, CONCENTRATION, NEGATIVE FEELINGS, SOCIAL RELATIONSHIPS, WORK CAPACITY, AND OVERALL QOL, WERE IDENTIFIED AFTER A YOGA INTERVENTION. RESULTS INDICATE PRELIMINARY EVIDENCE FOR YOGA AS A SAFE AND EFFECTIVE QOL IMPROVEMENT METHOD FOR WOMEN WITH PRIMARY DYSMENORRHEA. DISCUSSION: PRACTITIONERS MAY CONSIDER YOGA FOR MANAGEMENT OF PRIMARY DYSMENORRHEA. HOWEVER, FUTURE RESEARCH USING LARGER RCTS OF HIGH METHODOLOGICAL QUALITY IS NEEDED TO ASCERTAIN THE MAGNITUDE OF YOGA'S CLINICAL SIGNIFICANCE. 2018 20 1482 22 INTEGRATING YOGA THERAPY IN THE MANAGEMENT OF URINARY INCONTINENCE: A CASE REPORT. A 63-YEAR-OLD OVERWEIGHT FEMALE PREDIAGNOSED OF STRESS URINARY INCONTINENCE PRESENTED WITH EXACERBATED EVENTS OF URINE LEAKAGE. SHE WAS ADVISED A RESIDENTIAL LIFESTYLE AND BEHAVIORAL PROGRAM, PRIMARILY CONSISTING OF A MONITORED YOGA THERAPY MODULE, APART FROM HER ONGOING ANTICHOLINERGIC MEDICINE, FOR 21 DAYS. ASSESSMENTS WERE BASED ON A FREQUENCY VOLUME CHART, A BLADDER DIARY FOR THE ENTIRE DURATION OF TREATMENT, AND THE INTERNATIONAL CONSULTATION ON INCONTINENCE MODULAR QUESTIONNAIRE-URINARY INCONTINENCE SHORT FORM QUESTIONNAIRE ON THE DAYS OF ADMISSION AND DISCHARGE. A TOTAL OF 1.9 KG OF WEIGHT LOSS WAS OBSERVED DURING HER STAY. USAGE OF PAD, AS REPORTED IN HER DIARY, REDUCED FROM 3 TO 1 PER DAY. HER INTERNATIONAL CONSULTATION ON INCONTINENCE MODULAR QUESTIONNAIRE-URINARY INCONTINENCE SHORT FORM SCORE REDUCED FROM 16 TO 9, INDICATING BETTER CONTINENCE. SHE EXPRESSED SUBJECTIVE WELL-BEING AND CONFIDENCE IN HER SOCIAL INTERACTIONS. THIS IS PROBABLY THE FIRST CASE REPORT DEMONSTRATING FEASIBILITY OF INTEGRATION OF YOGA THERAPY IN THE MANAGEMENT OF URINARY INCONTINENCE. 2015