1 507 152 COMPARATIVE EFFECTIVENESS OF PILATES AND YOGA GROUP EXERCISE INTERVENTIONS FOR CHRONIC MECHANICAL NECK PAIN: QUASI-RANDOMISED PARALLEL CONTROLLED STUDY. OBJECTIVES: TO DETERMINE THE EFFECTIVENESS OF PILATES AND YOGA GROUP EXERCISE INTERVENTIONS FOR INDIVIDUALS WITH CHRONIC NECK PAIN (CNP). DESIGN: QUASI-RANDOMISED PARALLEL CONTROLLED STUDY. SETTING: COMMUNITY, UNIVERSITY AND PRIVATE PRACTICE SETTINGS IN FOUR LOCATIONS. PARTICIPANTS: FIFTY-SIX INDIVIDUALS WITH CNP SCORING >/=3/10 ON THE NUMERIC PAIN RATING SCALE FOR >3 MONTHS (CONTROLS N=17, PILATES N=20, YOGA N=19). INTERVENTIONS: EXERCISE PARTICIPANTS COMPLETED 12 SMALL-GROUP SESSIONS WITH MODIFICATIONS AND PROGRESSIONS SUPERVISED BY A PHYSIOTHERAPIST. MAIN OUTCOME MEASURES: THE PRIMARY OUTCOME MEASURE WAS THE NECK DISABILITY INDEX (NDI). SECONDARY OUTCOMES WERE PAIN RATINGS, RANGE OF MOVEMENT AND POSTURAL MEASUREMENTS COLLECTED AT BASELINE, 6 WEEKS AND 12 WEEKS. FOLLOW-UP WAS PERFORMED 6 WEEKS AFTER COMPLETION OF THE EXERCISE CLASSES (WEEK 18). RESULTS: NDI DECREASED SIGNIFICANTLY IN THE PILATES {BASELINE: 11.1 [STANDARD DEVIATION (SD) 4.3] VS WEEK 12: 6.8 (SD 4.3); MEAN DIFFERENCE -4.3 (95% CONFIDENCE INTERVAL -1.64 TO -6.7); P<0.001} AND YOGA GROUPS [BASELINE: 12.8 (SD 7.4) VS WEEK 12: 8.1 (SD 5.6); MEAN DIFFERENCE -4.7 (95% CONFIDENCE INTERVAL -2.1 TO -7.4); P<0.00], WITH NO CHANGE IN THE CONTROL GROUP. PAIN RATINGS ALSO IMPROVED SIGNIFICANTLY. MODERATE-TO-LARGE EFFECT SIZES (0.7 TO 1.8) AND LOW NUMBERS NEEDED TO TREAT WERE FOUND. THERE WERE NO DIFFERENCES IN OUTCOMES BETWEEN THE EXERCISE GROUPS OR ASSOCIATED ADVERSE EFFECTS. NO IMPROVEMENTS IN RANGE OF MOVEMENT OR POSTURE WERE FOUND. CONCLUSIONS: PILATES AND YOGA GROUP EXERCISE INTERVENTIONS WITH APPROPRIATE MODIFICATIONS AND SUPERVISION WERE SAFE AND EQUALLY EFFECTIVE FOR DECREASING DISABILITY AND PAIN COMPARED WITH THE CONTROL GROUP FOR INDIVIDUALS WITH MILD-TO-MODERATE CNP. PHYSIOTHERAPISTS MAY CONSIDER INCLUDING THESE APPROACHES IN A PLAN OF CARE. CLINICAL TRIAL REGISTRATION NUMBER: CLINICALTRIALS.GOV NCT01999283. 2016 2 2339 24 URINARY INCONTINENCE AMONG GROUP FITNESS INSTRUCTORS INCLUDING YOGA AND PILATES TEACHERS. AIMS: CONTROVERSIES EXIST ON THE ROLE OF PHYSICAL ACTIVITY ON URINARY INCONTINENCE (UI), AND SEARCH ON PUBMED REVEALED NO STUDIES ON UI IN FITNESS INSTRUCTORS. THE AIM OF THIS STUDY WAS TO INVESTIGATE THE PREVALENCE OF UI AMONG FEMALE GROUP FITNESS INSTRUCTORS, INCLUDING PILATES AND YOGA TEACHERS. METHODS: THIS WAS A CROSS-SECTIONAL STUDY OF 1,473 INSTRUCTORS REPRESENTING THREE OF THE LARGEST FITNESS COMPANIES RECRUITED FROM 59 FITNESS CENTERS IN NORWAY. THEY FILLED IN AN ONLINE SURVEY (QUESTBACK) ABOUT GENERAL HEALTH, EDUCATIONAL BACKGROUND, AND NUMBER OF HOURS TEACHING PER WEEK. PREVALENCE OF UI WAS EVALUATED BY THE INTERNATIONAL CONSENSUS ON INCONTINENCE QUESTIONNAIRE, SHORT FORM (ICIQ-UI SF). RESULTS: THREE OUT OF 152 MEN (2%) REPORTED UI. SIX HUNDRED EIGHTY-FIVE WOMEN, MEAN AGE 32.7 YEARS (RANGE 18-68) ANSWERED THE QUESTIONNAIRE. 26.3% OF ALL THE FEMALE INSTRUCTORS REPORTED TO HAVE UI, WITH 21.4% REPORTING LEAKAGE >/= ONCE A WEEK, 3.2% 2-3 TIMES/WEEK AND 1.7% >/= ONCE PER DAY. 24.4% REPORTED THE LEAKAGE TO BE SMALL TO MODERATE AND THE BOTHER SCORE WAS 4.6 (SD 2.4) OUT OF 21. 15.3% REPORTED LEAKAGE DURING PHYSICAL ACTIVITY AND 10.9% WHEN COUGHING/SNEEZING. 25.9% OF YOGA AND PILATES INSTRUCTORS REPORTED UI. CONCLUSIONS: THIS IS THE FIRST REPORT ON UI AMONG FITNESS INSTRUCTORS AND THE RESULTS INDICATE THAT UI IS PREVALENT AMONG FEMALE FITNESS INSTRUCTORS, INCLUDING YOGA AND PILATES TEACHERS. MORE INFORMATION ABOUT THIS TOPIC SEEMS TO BE IMPORTANT IN THE BASIC EDUCATION OF FITNESS INSTRUCTORS. 2011 3 1074 47 EFFECTS OF YOGA ON PATIENTS WITH CHRONIC NONSPECIFIC NECK PAIN: A PRISMA SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: CHRONIC NONSPECIFIC NECK PAIN (CNNP) HAS A HIGH PREVALENCE AND IS MORE COMMON AMONG YOUNGER PEOPLE. CLINICAL PRACTICE SUGGESTS THAT YOGA IS EFFECTIVE IN RELIEVING CHRONIC PAIN. OBJECTIVES: THIS META-ANALYSIS AIMED TO QUANTITATIVELY SUMMARIZE THE EFFICACY OF YOGA FOR TREATING CNNP. DATA SOURCES: WE SEARCHED FOR TRIALS IN THE ELECTRONIC DATABASES FROM THEIR INCEPTION TO JANUARY 2019. ENGLISH DATABASES INCLUDING PUBMED, MEDLINE, COCHRANE LIBRARY, EMBASE, SCOPUS, THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS, AND IND MED; CHINESE DATABASES INCLUDING CHINA NATIONAL KNOWLEDGE INFRASTRUCTURE (CNKI), WANFANG DATABASE, AND VIP INFORMATION. WE ALSO CONDUCTED A MANUAL SEARCH OF KEY JOURNALS AND THE REFERENCE LISTS OF ELIGIBLE PAPERS TO IDENTIFY ANY POTENTIALLY RELEVANT STUDIES WE MAY HAVE MISSED. WE PLACED NO LIMITATIONS ON LANGUAGE OR DATE OF PUBLICATION. STUDY ELIGIBILITY CRITERIA: WE INCLUDED ONLY RANDOMIZED CONTROLLED TRIALS (RCTS) AND Q-RCTS EVALUATING THE EFFECTS OF YOGA ON PATIENTS WITH CNNP. THE PRIMARY OUTCOMES FOR THIS REVIEW WERE PAIN AND DISABILITY, AND THE SECONDARY OUTCOMES WERE CERVICAL RANGE OF MOTION (CROM), QUALITY OF LIFE (QOL), AND MOOD. PARTICIPANTS AND INTERVENTIONS: TRAILS THAT EXAMINED THE CLINICAL OUTCOMES OF YOGA INTERVENTION IN ADULTS WITH CNNP COMPARED WITH THOSE OF OTHER THERAPIES EXCEPT YOGA (E.G., EXERCISE, PILATES, USUAL CARE, ET AL) WERE INCLUDED. STUDY APPRAISAL AND SYNTHESIS METHODS: COCHRANE RISK-OF-BIAS CRITERIA WERE USED TO ASSESS THE METHODOLOGICAL QUALITY, AND REVMAN 5.3 SOFTWARE WAS USED TO CONDUCT THE META-ANALYSIS. RESULTS: A TOTAL OF 10 TRIALS (N = 686) COMPARING YOGA AND INTERVENTIONS OTHER THAN YOGA WERE INCLUDED IN THE META-ANALYSIS. THE RESULTS SHOW THAT YOGA HAD A POSITIVE EFFECTS ON NECK PAIN INTENSITY (TOTAL EFFECT: SMD = -1.13, 95% CI [-1.60, -0.66], Z = 4.75, P < .00001), NECK PAIN-RELATED FUNCTIONAL DISABILITY (TOTAL EFFECT: SMD = -0.92, 95% CI [-1.38, -0.47], Z = 3.95, P < .0001), CROM (TOTAL EFFECT: SMD = 1.22, 95% CI [0.87, 1.57], Z = 6.83, P < .00001), QOL (TOTAL EFFECT: MD = 3.46, 95% CI [0.75, 6.16], Z = 2.51, P = .01), AND MOOD (TOTAL EFFECT: SMD = -0.61, 95% CI [-0.95, -0.27], Z = 3.53, P = .0004). CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: IT WAS DIFFICULT TO MAKE A COMPREHENSIVE SUMMARY OF ALL THE EVIDENCE DUE TO THE DIFFERENT SESSION AND DURATION OF THE YOGA INTERVENTIONS, AND THE DIFFERENT OUTCOME MEASUREMENT TOOLS IN THE STUDY, WE DRAW A VERY CAUTIOUS CONCLUSION THAT YOGA CAN RELIEVE NECK PAIN INTENSITY, IMPROVE PAIN-RELATED FUNCTION DISABILITY, INCREASE CROM, IMPROVE QOL, AND BOOST MOOD. THIS SUGGESTS THAT YOGA MIGHT BE AN IMPORTANT ALTERNATIVE IN THE TREATMENT OF CNNP. SYSTEMATIC REVIEW REGISTRATION NUMBER: DETAILS OF THE PROTOCOL FOR THIS SYSTEMATIC REVIEW AND META-ANALYSIS WERE REGISTERED ON PROSPERO AND CAN BE ACCESSED AT WWW.CRD.YORK.AC.UK/PROSPERO/DISPLAY_RECORD.ASP?ID=CRD42018108992. 2019 4 2432 42 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 5 1014 48 EFFECTS OF PILATES AND YOGA IN PATIENTS WITH CHRONIC NECK PAIN: A SONOGRAPHIC STUDY. BACKGROUND: VARIOUS STUDIES HAVE SHOWN THE EFFICACY OF CONVENTIONAL ISOMETRIC, PILATES AND YOGA EXERCISES. HOWEVER, DATA ON THE EFFECTS AND COMPARISON OF THESE SPECIFIC EXERCISES ON THE CERVICAL MUSCLE MORPHOLOGY ARE INSUFFICIENT OR LACKING. OBJECTIVE: TO INVESTIGATE THE EFFECTS OF DIFFERENT EXERCISE TREATMENTS ON NECK MUSCLES IN PATIENTS WITH CHRONIC NECK PAIN. DESIGN: A RANDOMIZED STUDY. METHODS: FIFTY-SIX PATIENTS WITH CHRONIC NECK PAIN WERE RANDOMIZED INTO 3 GROUPS AS FOLLOWS: PILATES GROUP (N = 20), YOGA GROUP (N = 18) AND ISOMETRIC GROUP (N = 18). DEMOGRAPHICS AND BACKGROUND INFORMATION WERE RECORDED. THE THICKNESS AND CROSS-SECTIONAL AREA OF NECK MUSCLES WERE EVALUATED BY ULTRASOUND IMAGING. CERVICAL MOTIONS WERE MEASURED WITH A GONIOMETER. PAIN SEVERITY WAS EVALUATED WITH THE MCGILL PAIN SCALE, DISABILITY WITH THE NECK DISABILITY INDEX, QUALITY OF LIFE WITH THE NOTTINGHAM HEALTH PROFILE, AND EMOTIONAL STATUS WITH THE BECK DEPRESSION INVENTORY. IN ADDITION TO A CONVENTIONAL PHYSIO-THERAPY PROGRAMME, 15 SESSIONS OF PHYSICAL THERAPY, INCLUDING HOT PACK, ULTRASOUND, AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS), WERE PROVIDED TO ALL PATIENTS. ALL GROUPS PERFORMED THE EXERCISES FOR 6 WEEKS. THE AFOREMENTIONED ASSESSMENTS WERE PERFORMED BEFORE AND 6 WEEKS AFTER THE TREATMENT. RESULTS: ALTHOUGH PAIN, DISABILITY, DEPRESSION AND QUALITY OF LIFE IMPROVED SIMILARLY WITHIN ALL GROUPS (ALL P < 0.05), MUSCLE THICKNESS VALUES AS REGARDS THE SEMISPINALIS CAPITIS WERE INCREASED ONLY IN THE PILATES GROUP (P = 0.022). STUDY LIMITATIONS: THE LACK OF COMPLEX (PROGRESSIVE RESISTIVE) EXERCISE TREATMENT PROTOCOLS, SHORT TREATMENT DURATION AND PARTIAL SUPERVISION. CONCLUSION: ALL 3 TYPES OF EXERCISE HAD FAVOURABLE EFFECTS ON PAIN AND FUNCTIONAL SCORES, BUT NO DIFFERENCES WERE FOUND AMONG THE GROUPS, EXCEPT FOR THE PILATES GROUP, IN WHICH THE SEMISPINALIS CAPITIS MUSCLE INCREASED IN THICKNESS. 2018 6 2148 38 THE EFFECTS OF PILATES AND YOGA PARTICIPANT'S ON ENGAGEMENT IN FUNCTIONAL MOVEMENT AND INDIVIDUAL HEALTH LEVEL. THIS STUDY WAS CONDUCTED TO INVESTIGATE THE EFFECT OF PILATES AND YOGA PARTICIPATING IN THEIR FUNCTIONAL MOVEMENT AND INDIVIDUAL HEALTH LEVEL. NINETY VOLUNTEERS WERE RANDOMLY DIVIDED INTO THREE GROUPS AND EVENLY RECRUITED FEMALE AND MALE PARTICIPANTS IN EACH GROUP THROUGH A RELIABLE ORGANIZATION. THEIR AGE GROUP WAS BETWEEN THE 30S AND 40S. THEY WERE INFORMED THE RESEARCH PROCESS AND ASSIGNED TO THE CONSENT FORM. PILATES GROUP (N=30), YOGA GROUP (N=30), AND CONTROL GROUP (N=30) WERE ASSIGNED TO FULFILL SHORT FORM OF RAND 36-ITEM HEALTH SURVEY (SF-36) SURVEY FORM BASED ON SELF-ADMINISTRATION METHOD AND WERE SCORED FUNCTIONAL MOVEMENT SCREEN (FMS) TEST BEFORE THE INTERVENTION. PILATES AND YOGA GROUP WERE CARRIED OUT CERTAIN EXERCISE PROGRAM 1-HR DURATION 3 TIMES PER WEEK FOR 8 WEEKS. AND CONTROL GROUP DID NOT PERFORM ANY EXERCISE DURING EXPERIMENTAL PERIOD. AFTER COMPLETION OF THE 8-WEEK PILATES AND YOGA PROGRAM, THEY RECORDED SF-36 AND WERE SCORED FMS SCORE FOR POSTTEST IN SAME WAY. WHEN WE COMPARED THE DIFFERENCES BETWEEN PRE- AND POSTTREATMENT SCORES, WE FOUND THAT THERE WAS STATISTICALLY SIGNIFICANT DIFFERENCE AMONG THREE GROUPS ON FMS (F [2,89]=15.56, P<0.001) AND THERE WAS SIGNIFICANT CHANGE IN FAVOR OF PILATES GROUP GROUPS (F [2,89]=52.36, P<0.001) ON SF-36. TO CONCLUDE, PILATES GROUP WAS MORE EFFECTIVE FOR IMPROVING FUNCTIONAL MOVEMENT AND INDIVIDUAL HEALTH LEVEL TO ASSESS QUALITY OF LIFE THAN YOGA GROUP AND CONTROL GROUP. 2019 7 2299 39 THERAPEUTIC YOGA FOR THE MANAGEMENT OF CHRONIC NONSPECIFIC NECK PAIN: CURRENT EVIDENCE AND MECHANISMS. CHRONIC NONSPECIFIC NECK PAIN (CNNP), WHICH IS NECK PAIN IN THE ABSENCE OF ATTRIBUTABLE STRUCTURAL AND NEUROLOGICAL FINDINGS, IS OFTEN CHALLENGING FOR MEDICAL AND REHABILITATION PROFESSIONALS TO TREAT. CONVENTIONAL TREATMENTS SUCH AS MEDICATIONS AND PHYSICAL THERAPY OFTEN FAIL TO PROVIDE LASTING RELIEF, WHICH LEADS PATIENTS TO PURSUE COMPLEMENTARY THERAPIES SUCH AS YOGA. THIS REVIEW DISCUSSES THE EVIDENCE FROM NINE STUDIES, INCLUDING FOUR RANDOMIZED CONTROLLED TRIALS, WHICH SUGGESTS THAT A SUPERVISED YOGA PROGRAM MAY DECREASE PAIN INTENSITY, DISABILITY, AND MOOD SYMPTOMS IN ADULTS WITH CNNP. CERVICAL RANGE OF MOTION AND QUALITY OF LIFE (BOTH PHYSICAL AND MENTAL) MAY ALSO IMPROVE WITH YOGA INTERVENTION, ALTHOUGH THIS IS LESS CONSISTENT ACROSS STUDIES. EVIDENCE OF YOGA'S SUPERIORITY TO OTHER EXERCISE-BASED PRACTICES SUCH AS PILATES WAS CONFLICTING. ADVERSE EFFECTS OF YOGA, SUCH AS EXACERBATION OF NECK PAIN, WERE RELATIVELY UNCOMMON, MINOR, AND OFTEN TRANSIENT. THIS ARTICLE ALSO COMPREHENSIVELY REVIEWS THE PATHOPHYSIOLOGY OF CNNP, THERAPEUTIC MECHANISMS OF YOGA, AND LIMITATIONS IN THE EVIDENCE (INCLUDING RISK-OF-BIAS ASSESSMENT). FUTURE STUDIES SHOULD ATTEMPT TO: (1) COMPARE THE EFFECTIVENESS OF DIFFERENT LINEAGES OF YOGA FOR INDIVIDUALS WITH CNNP, (2) DETERMINE THE OPTIMAL LENGTH AND DURATION OF THESE YOGA INTERVENTIONS, (3) BETTER CHARACTERIZE THE PHYSICAL AND PSYCHOLOGICAL MECHANISMS OF YOGA, (4) COMPARE YOGA TO OTHER EXERCISE- AND MINDFULNESS-BASED PRACTICES, (5) EVALUATE THE EFFECT OF YOGA ON SLEEP IN THE CNNP POPULATION, AND (6) EXPLORE THE APPLICABILITY/EFFICACY OF VIRTUAL YOGA INSTRUCTION. 2022 8 914 43 EFFECTIVENESS OF PILATES AND YOGA TO IMPROVE BONE DENSITY IN ADULT WOMEN: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: THE AGEING POPULATION BRINGS ABOUT THE APPEARANCE OF AGE-RELATED HEALTH DISORDERS, SUCH AS OSTEOPOROSIS OR OSTEOPENIA. THESE DISORDERS ARE ASSOCIATED WITH FRAGILITY FRACTURES. THE IMPACT IS GREATER AMONG POSTMENOPAUSAL WOMEN DUE TO AN ACCELERATION OF BONE MINERAL DENSITY (BMD) LOSS. OBJECTIVE: TO ESTIMATE THE EFFECTIVENESS OF PILATES OR YOGA ON BMD IN ADULT WOMEN. METHODS: FIVE ELECTRONICS DATABASES WERE SEARCHED UP TO APRIL 2021. RANDOMIZED CONTROLLED TRIALS (RCTS), NON-RCTS AND PRE-POST STUDIES WERE INCLUDED. THE MAIN OUTCOME WAS BMD. RISK OF BIAS WAS EVALUATED USING THE COCHRANE RISK OF BIAS TOOL. A RANDOM EFFECTS MODEL WAS USED TO POOL DATA FROM PRIMARY STUDIES. SUBGROUP ANALYSES BASED ON THE TYPE OF EXERCISE WERE CONDUCTED. RESULTS: ELEVEN STUDIES INCLUDING 591 PARTICIPANTS AGED BETWEEN 45 AND 78 YEARS WERE INCLUDED. THE MEAN LENGTH OF THE INTERVENTIONS RANGED FROM 12 TO 32 WEEKS, AND TWO STUDIES WERE PERFORMED FOR A PERIOD OF AT LEAST ONE YEAR. THE POOLED EFFECT SIZE FOR THE EFFECT OF THE INTERVENTION (PILATES/YOGA) VS THE CONTROL GROUP WAS 0.07 (95% CONFIDENCE INTERVAL [CI]: -0.05 TO 0.19; I2 = 0.0%), AND 0.10 (95% CI: 0.01 TO 0.18; I2 = 18.4%) FOR THE SECONDARY ANALYSIS OF THE PRE-POST INTERVENTION. CONCLUSIONS: DESPITE OF THE NON-SIGNIFICANT RESULTS, THE BMD MAINTENANCE IN THE POSTMENOPAUSAL POPULATION, WHEN BMD DETRIMENTAL IS EXPECTED, COULD BE UNDERSTOOD AS A POSITIVE RESULT ADDED TO THE BENEFICIAL IMPACT OF PILATES-YOGA IN MULTIPLE FRACTURE RISK FACTORS, INCLUDING BUT NOT LIMITED TO, STRENGTH AND BALANCE. 2021 9 2427 25 YOGA AND OTHER MEDITATIVE MOVEMENT THERAPIES TO REDUCE CHRONIC PAIN. CLINICAL QUESTION: IN ADULTS WITH CHRONIC PAIN, DO YOGA AND OTHER MEDITATIVE MOVEMENT THERAPIES TO IMPROVEMENT IN CHRONIC PAIN SYMPTOMS? ANSWER: YES. HOWEVER, IN EACH OF THE STUDIES REVIEWED, YOGA CLASSES WERE INCLUDED AS PART OF THE PAIN MANAGEMENT REGIME, SOMETIMES ALONE AND SOMETIMES IN TANDEM WITH DVDS OR AUDIOTAPES. WE FEEL THAT NO EXERCISE THERAPY PROGRAM SHOULD BE UNDERTAKEN WITHOUT PROFESSIONAL COACHING FROM CERTIFIED, REGISTERED AND QUALIFIED INSTRUCTORS. DATE ANSWER WAS DETERMINED: AUGUST 2014, JUNE, 2015, AUGUST 2015. LEVEL OF EVIDENCE FOR THE ANSWER: A. SEARCH TERMS: CHRONIC PAIN, YOGA, EXERCISE THERAPY, MEDITATIVE MOVEMENT THERAPY. INCLUSION CRITERIA: ADULTS; META-ANALYSES; SYSTEMATIC REVIEWS; COHORT STUDIES; RANDOMIZED CONTROLLED TRIALS; PRACTICE GUIDELINES; ARTICLES FROM 2010 TO PRESENT. EXCLUSION CRITERIA: CHILDREN YOUNGER THAN 18 YEARS OF AGE, PILATES. 2017 10 2237 44 THE IMPACTS OF PILATES AND YOGA ON HEALTH-PROMOTING BEHAVIORS AND SUBJECTIVE HEALTH STATUS. THIS STUDY INVESTIGATES WHETHER PILATES AND YOGA LEAD PEOPLE TO ADOPT GENERALLY HEALTH-PROMOTING LIFESTYLE ELEMENTS AND FEEL BETTER ABOUT THEIR PHYSICAL AND MENTAL FITNESS. TO THIS END, WE DESIGNED AN 8 WEEK EXERCISE PROGRAM OF PILATES AND YOGA REVIEWED BY VETERAN PRACTITIONERS AND CONDUCTED AN EXPERIMENTAL STUDY THROUGH WHICH WE COLLECTED THE DATA FROM 90 VOLUNTEERED ADULT SUBJECTS BETWEEN AGES 30 AND 49 (MEAN AGE = 35.47), EQUALLY REPRESENTED BY WOMEN AND MEN WITHOUT PREVIOUS EXPERIENCE WITH PILATES OR YOGA. IN THE 8 WEEK LONG EXPERIMENT, WE ASSIGNED THE SUBJECTS TO THREE GROUPS, WHERE SUBJECTS IN THE TWO EXERCISE GROUPS REGULARLY TOOK PART IN EITHER PILATES OR YOGA CLASSES, AND THE CONTROL GROUP PARTICIPATED IN NEITHER EXERCISE CLASSES. ALL PARTICIPANTS COMPLETED TWO SURVEYS, THE HEALTH-PROMOTING LIFESTYLE PROFILE (HPLP II) AND THE HEALTH SELF-RATING SCALE (HSRS), BEFORE AND AFTER THEIR ASSIGNED PROGRAM. IN OUR ANALYSIS OF PRE- AND POST-TREATMENT DIFFERENCES ACROSS THE THREE GROUPS, WE RAN ANOVA, ANCOVA, AND SHEFFE TEST, IMPLEMENTED USING SPSS PASW STATISTICS 18.00. OUR RESULTS INDICATE THAT PILATES AND YOGA GROUPS EXHIBITED A HIGHER ENGAGEMENT IN HEALTH-PROMOTING BEHAVIORS THAN THE CONTROL GROUP AFTER THE PROGRAM. SUBJECTIVE HEALTH STATUS, MEASURED WITH HSRS, ALSO IMPROVED SIGNIFICANTLY AMONG PILATES AND YOGA PARTICIPANTS COMPARED TO THOSE IN THE CONTROL GROUP AFTER THE PROGRAM. THE SUPPLEMENTARY ANALYSIS FINDS NO SIGNIFICANT GENDER-BASED DIFFERENCE IN THESE IMPACTS. OVERALL, OUR RESULTS CONFIRM THAT PILATES AND YOGA HELP RECRUIT HEALTH-PROMOTING BEHAVIORS IN PARTICIPANTS AND ENGENDER POSITIVE BELIEFS ABOUT THEIR SUBJECTIVE HEALTH STATUS, THEREBY SETTING A POSITIVE REINFORCEMENT CYCLE IN MOTION. BY PROVIDING CLEAR EVIDENCE THAT THE PROMOTION OF PILATES OR YOGA CAN SERVE AS AN EFFECTIVE INTERVENTION STRATEGY THAT HELPS INDIVIDUALS CHANGE BEHAVIORS ADVERSE TO THEIR HEALTH, THIS STUDY OFFERS PRACTICAL IMPLICATIONS FOR HEALTHCARE PROFESSIONALS AND PUBLIC HEALTH OFFICIALS ALIKE. 2021 11 2433 26 YOGA AND PILATES IN THE MANAGEMENT OF LOW BACK PAIN. MANY INTERVENTIONS FOR THE MANAGEMENT OF LOW BACK PAIN EXIST, HOWEVER MOST HAVE MODEST EFFICACY AT BEST, AND THERE ARE FEW WITH CLEARLY DEMONSTRATED BENEFITS ONCE PAIN BECOMES CHRONIC. THERAPEUTIC EXERCISE, ON THE OTHER HAND, DOES APPEAR TO HAVE SIGNIFICANT BENEFITS FOR MANAGING PATIENTS WITH CHRONIC LOW BACK PAIN (CLBP) IN TERMS OF DECREASING PAIN AND IMPROVING FUNCTION. IN ADDITION, BECAUSE CHRONIC PAIN IS COMPLEX AND DOES NOT FIT A SIMPLE MODEL, THERE HAVE ALSO BEEN NUMEROUS TRIALS INVESTIGATING AND DEMONSTRATING THE EFFICACY OF MULTIDISCIPLINARY PAIN PROGRAMS FOR CLBP. IT FOLLOWS THAT INTERVENTIONS THAT TREAT MORE THAN ONE ASPECT OF LBP WOULD HAVE SIGNIFICANT BENEFITS FOR THIS PATIENT POPULATION. YOGA AND PILATES WHICH HAVE, BOTH BEEN GAINING IN POPULARITY OVER THE LAST DECADE ARE TWO MIND-BODY EXERCISE INTERVENTIONS THAT ADDRESS BOTH THE PHYSICAL AND MENTAL ASPECTS OF PAIN WITH CORE STRENGTHENING, FLEXIBILITY, AND RELAXATION. THERE HAS BEEN A SLOW EVOLUTION OF THESE NONTRADITIONAL EXERCISE REGIMENS INTO TREATMENT PARADIGMS FOR LBP, ALTHOUGH FEW STUDIES EXAMINING THEIR EFFECTS HAVE BEEN PUBLISHED. THE FOLLOWING ARTICLE WILL FOCUS ON THE SCIENTIFIC AND THEORETICAL BASIS OF USING YOGA AND PILATES IN THE MANAGEMENT OF CLBP. 2008 12 2330 32 TWELVE WEEKS OF YOGA FOR CHRONIC NONSPECIFIC LOWER BACK PAIN: A META-ANALYSIS. OBJECTIVES: TO INVESTIGATE THE OVERALL EFFECTS OF 12 WEEKS OF YOGA PRACTICE ON CHRONIC NONSPECIFIC LOWER BACK PAIN. METHODS: PUBMED, EMBASE, PSYCINFO, WEB OF SCIENCE, AND THE COCHRANE LIBRARY DATABASES WERE SEARCHED FROM INCEPTION TO FEBRUARY 9, 2019, AND SIX RANDOMIZED CONTROLLED TRIALS WERE SELECTED FOR THIS META-ANALYSIS. RESULTS: THE POOLED FIXED-EFFECT SIZE OF SIX TRIALS SHOWED THAT 12 WEEKS OF YOGA PROGRAMS COULD SIGNIFICANTLY REDUCE CHRONIC NONSPECIFIC LOWER BACK PAIN BY 0.41 WITHIN THE TRIALS (STANDARDIZED MEAN DIFFERENCE; 95% CONFIDENCE INTERVAL: -0.58 TO -0.23; P < .0001). SUBGROUP ANALYSES ALSO SHOWED THAT SIGNIFICANT PAIN REDUCTION WAS RELATED TO TYPE OF YOGA, LENGTH OF SESSION, STUDY QUALITY, AND TIMING OF PAIN ASSESSMENT. CONCLUSIONS: THESE FINDINGS REVEAL THAT 12 WEEKS OF YOGA CAN HELP ALLEVIATE PAIN, AND YOGA PROGRAMS SHOULD TAKE INTO ACCOUNT THE SUBGROUP FACTORS TO INCREASE INDIVIDUALS' RELIEF FROM CHRONIC NONSPECIFIC LOWER BACK PAIN. 2020 13 53 38 A COMPARATIVE STUDY OF THE EFFECTS OF YOGA AND CLINICAL PILATES TRAINING ON WALKING, COGNITION, RESPIRATORY FUNCTIONS, AND QUALITY OF LIFE IN PERSONS WITH MULTIPLE SCLEROSIS: A QUASI-EXPERIMENTAL STUDY. OBJECTIVE: THE PURPOSE WAS TO INVESTIGATE THE EFFECTS OF YOGA AND CLINICAL PILATES TRAINING ON WALKING, RESPIRATORY MUSCLE STRENGTH, COGNITION, AND QUALITY OF LIFE AND COMPARE THE EFFECTS OF TWO POPULAR EXERCISE METHODS IN PERSONS WITH MULTIPLE SCLEROSIS (PWMS). METHODS: TWENTY-EIGHT PWMS (PILATES GROUP = 16, YOGA GROUP = 12) RECEIVED THE PROGRAM ONCE A WEEK FOR EIGHT WEEKS IN ADDITION TO HOME EXERCISES. AT BASELINE AND THE END OF THE TRAINING, PARTICIPANTS UNDERWENT ASSESSMENTS. THE OUTCOME MEASURES WERE WALKING SPEED, MOBILITY, BALANCE CONFIDENCE, RESPIRATORY MUSCLE STRENGTH, COGNITION, AND QUALITY OF LIFE. RESULTS: FOLLOWING THE PROGRAM, THERE WAS NO SIGNIFICANT DIFFERENCE IN MOBILITY (P = 0.482), PERCEIVED WALKING QUALITY (P = 0.325), RESPIRATORY MUSCLE STRENGTH (MAXIMUM INSPIRATORY PRESSURE: P = 0.263, MAXIMUM EXPIRATORY PRESSURE: P = 0.866), AND COGNITION (SYMBOL DIGIT MODALITIES TEST: P = 0.324, CALIFORNIA VERBAL LEARNING TEST-II: P = 0.514, BRIEF VISUOSPATIAL MEMORY TEST-REVISED: P = 0.279) BETWEEN THE TWO GROUPS. IMPROVEMENTS WERE HIGHER IN BALANCE CONFIDENCE (P = 0.006), WALKING SPEED (P = 0.004), AND QUALITY OF LIFE (P = 0.019) IN THE CLINICAL PILATES GROUP COMPARED TO THE YOGA GROUP. CONCLUSION: THIS STUDY SHOWED POSITIVE EFFECTS IN WALKING AND RESPIRATORY ASPECTS IN PWMS WHO RECEIVED YOGA AND CLINICAL PILATES TRAINING. PILATES TRAINING WAS SUPERIOR IN IMPROVING WALKING SPEED, QUALITY OF LIFE, AND BALANCE CONFIDENCE COMPARED TO YOGA TRAINING. 2021 14 1870 44 RANDOMIZED-CONTROLLED TRIAL COMPARING YOGA AND HOME-BASED EXERCISE FOR CHRONIC NECK PAIN. OBJECTIVES: CHRONIC NECK PAIN IS A SIGNIFICANT PUBLIC HEALTH PROBLEM WITH ONLY VERY FEW EVIDENCE-BASED TREATMENT OPTIONS. THERE IS GROWING EVIDENCE FOR THE EFFECTIVENESS OF YOGA FOR RELIEVING MUSCULOSKELETAL DISORDERS. THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECT OF IYENGAR YOGA COMPARED WITH EXERCISE ON CHRONIC NONSPECIFIC NECK PAIN. METHODS: PATIENTS WERE RANDOMLY ASSIGNED TO EITHER YOGA OR EXERCISE. THE YOGA GROUP ATTENDED A 9-WEEK YOGA COURSE AND THE EXERCISE GROUP RECEIVED A SELF-CARE MANUAL ON HOME-BASED EXERCISES FOR NECK PAIN RELIEF. THE MAIN OUTCOME MEASURE WAS THE PRESENT NECK PAIN INTENSITY (100 MM VISUAL ANALOG SCALE). SECONDARY OUTCOME MEASURES INCLUDED FUNCTIONAL DISABILITY (NECK DISABILITY INDEX), PAIN AT MOTION (VISUAL ANALOG SCALE), HEALTH-RELATED QUALITY OF LIFE (SHORT FORM-36 QUESTIONNAIRE), CERVICAL RANGE OF MOTION, PROPRIOCEPTIVE ACUITY, AND PRESSURE PAIN THRESHOLD. RESULTS: FIFTY-ONE PATIENTS (MEAN AGE 47.8 Y ; 82.4% FEMALE) WERE RANDOMIZED TO YOGA (N=25) AND EXERCISE (N=26) INTERVENTION. AFTER THE STUDY PERIOD, PATIENTS IN THE YOGA GROUP REPORTED SIGNIFICANTLY LESS NECK PAIN INTENSITY COMPARED WITH THE EXERCISE GROUP [MEAN DIFFERENCE: -13.9 MM (95% CI, -26.4 TO -1.4), P=0.03]. THE YOGA GROUP REPORTED LESS DISABILITY AND BETTER MENTAL QUALITY OF LIFE. RANGE OF MOTION AND PROPRIOCEPTIVE ACUITY WERE IMPROVED AND THE PRESSURE PAIN THRESHOLD WAS ELEVATED IN THE YOGA GROUP. DISCUSSION: YOGA WAS MORE EFFECTIVE IN RELIEVING CHRONIC NONSPECIFIC NECK PAIN THAN A HOME-BASED EXERCISE PROGRAM. YOGA REDUCED NECK PAIN INTENSITY AND DISABILITY AND IMPROVED HEALTH-RELATED QUALITY OF LIFE. MOREOVER, YOGA SEEMS TO INFLUENCE THE FUNCTIONAL STATUS OF NECK MUSCLES, AS INDICATED BY IMPROVEMENT OF PHYSIOLOGICAL MEASURES OF NECK PAIN. 2013 15 2518 57 YOGA COMPARED TO NON-EXERCISE OR PHYSICAL THERAPY EXERCISE ON PAIN, DISABILITY, AND QUALITY OF LIFE FOR PATIENTS WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: CHRONIC LOW BACK PAIN (CLBP) IS A COMMON AND OFTEN DISABLING MUSCULOSKELETAL CONDITION. YOGA HAS BEEN PROVEN TO BE AN EFFECTIVE THERAPY FOR CHRONIC LOW BACK PAIN. HOWEVER, THERE ARE STILL CONTROVERSIES ABOUT THE EFFECTS OF YOGA AT DIFFERENT FOLLOW-UP PERIODS AND COMPARED WITH OTHER PHYSICAL THERAPY EXERCISES. OBJECTIVE: TO CRITICALLY COMPARE THE EFFECTS OF YOGA FOR PATIENTS WITH CHRONIC LOW BACK PAIN ON PAIN, DISABILITY, QUALITY OF LIFE WITH NON-EXERCISE (E.G. USUAL CARE, EDUCATION), PHYSICAL THERAPY EXERCISE. METHODS: THIS STUDY WAS REGISTERED IN PROSPERO, AND THE REGISTRATION NUMBER WAS CRD42020159865. RANDOMIZED CONTROLLED TRIALS (RCTS) OF ONLINE DATABASES INCLUDED PUBMED, WEB OF SCIENCE, COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS, EMBASE WHICH EVALUATED EFFECTS OF YOGA FOR PATIENTS WITH CHRONIC LOW BACK PAIN ON PAIN, DISABILITY, AND QUALITY OF LIFE WERE SEARCHED FROM INCEPTION TIME TO NOVEMBER 1, 2019. STUDIES WERE ELIGIBLE IF THEY ASSESSED AT LEAST ONE IMPORTANT OUTCOME, NAMELY PAIN, BACK-SPECIFIC DISABILITY, QUALITY OF LIFE. THE COCHRANE RISK OF BIAS TOOL WAS USED TO ASSESS THE METHODOLOGICAL QUALITY OF INCLUDED RANDOMIZED CONTROLLED TRIALS. THE CONTINUOUS OUTCOMES WERE ANALYZED BY CALCULATING THE MEAN DIFFERENCE (MD) OR STANDARDIZED MEAN DIFFERENCE (SMD) WITH 95% CONFIDENCE INTERVALS (CI) ACCORDING TO WHETHER COMBINING OUTCOMES MEASURED ON DIFFERENT SCALES OR NOT. RESULTS: A TOTAL OF 18 RANDOMIZED CONTROLLED TRIALS WERE INCLUDED IN THIS META-ANALYSIS. YOGA COULD SIGNIFICANTLY REDUCE PAIN AT 4 TO 8 WEEKS (MD = -0.83, 95% CI = -1.19 TO -0.48, P<0.00001, I2 = 0%), 3 MONTHS (MD = -0.43, 95% CI = -0.64 TO -0.23, P<0.0001, I2 = 0%), 6 TO 7 MONTHS (MD = -0.56, 95% CI = -1.02 TO -0.11, P = 0.02, I2 = 50%), AND WAS NOT SIGNIFICANT IN 12 MONTHS (MD = -0.52, 95% CI = -1.64 TO 0.59, P = 0.36, I2 = 87%) COMPARED WITH NON-EXERCISE. YOGA WAS BETTER THAN NON-EXERCISE ON DISABILITY AT 4 TO 8 WEEKS (SMD = -0.30, 95% CI = -0.51 TO -0.10, P = 0.003, I2 = 0%), 3 MONTHS (SMD = -0.31, 95% CI = -0.45 TO -0.18, P<0.00001, I2 = 30%), 6 MONTHS (SMD = -0.38, 95% CI = -0.53 TO -0.23, P<0.00001, I2 = 0%), 12 MONTHS (SMD = -0.33, 95% CI = -0.54 TO -0.12, P = 0.002, I2 = 9%). THERE WAS NO SIGNIFICANT DIFFERENCE ON PAIN, DISABILITY COMPARED WITH PHYSICAL THERAPY EXERCISE GROUP. FURTHERMORE, IT SUGGESTED THAT THERE WAS A NON-SIGNIFICANT DIFFERENCE ON PHYSICAL AND MENTAL QUALITY OF LIFE BETWEEN YOGA AND ANY OTHER INTERVENTIONS. CONCLUSION: THIS META-ANALYSIS PROVIDED EVIDENCE FROM VERY LOW TO MODERATE INVESTIGATING THE EFFECTIVENESS OF YOGA FOR CHRONIC LOW BACK PAIN PATIENTS AT DIFFERENT TIME POINTS. YOGA MIGHT DECREASE PAIN FROM SHORT TERM TO INTERMEDIATE TERM AND IMPROVE FUNCTIONAL DISABILITY STATUS FROM SHORT TERM TO LONG TERM COMPARED WITH NON-EXERCISE (E.G. USUAL CARE, EDUCATION). YOGA HAD THE SAME EFFECT ON PAIN AND DISABILITY AS ANY OTHER EXERCISE OR PHYSICAL THERAPY. YOGA MIGHT NOT IMPROVE THE PHYSICAL AND MENTAL QUALITY OF LIFE BASED ON THE RESULT OF A MERGING. 2020 16 2859 37 YOGA-BASED EXERCISE IMPROVES BALANCE AND MOBILITY IN PEOPLE AGED 60 AND OVER: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: ONE-THIRD OF COMMUNITY-DWELLING OLDER ADULTS FALL ANNUALLY. EXERCISE THAT CHALLENGES BALANCE IS PROVEN TO PREVENT FALLS. WE CONDUCTED A SYSTEMATIC REVIEW WITH META-ANALYSIS TO DETERMINE THE IMPACT OF YOGA-BASED EXERCISE ON BALANCE AND PHYSICAL MOBILITY IN PEOPLE AGED 60+ YEARS. METHODS: SEARCHES FOR RELEVANT TRIALS WERE CONDUCTED ON THE FOLLOWING ELECTRONIC DATABASES: MEDLINE, EMBASE, COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS, CINAHL, ALLIED AND COMPLEMENTARY MEDICINE DATABASE AND THE PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO) FROM INCEPTION TO FEBRUARY 2015. TRIALS WERE INCLUDED IF THEY EVALUATED THE EFFECT OF PHYSICAL YOGA (EXCLUDING MEDITATION AND BREATHING EXERCISES ALONE) ON BALANCE IN PEOPLE AGED 60+ YEARS. WE EXTRACTED DATA ON BALANCE AND THE SECONDARY OUTCOME OF PHYSICAL MOBILITY. STANDARDISED MEAN DIFFERENCES AND 95% CONFIDENCE INTERVALS (CI) WERE CALCULATED USING RANDOM-EFFECTS MODELS. METHODOLOGICAL QUALITY OF TRIALS WAS ASSESSED USING THE 10-POINT PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO) SCALE. RESULTS: SIX TRIALS OF RELATIVELY HIGH METHODOLOGICAL QUALITY, TOTALLING 307 PARTICIPANTS, WERE IDENTIFIED AND HAD DATA THAT COULD BE INCLUDED IN A META-ANALYSIS. OVERALL, YOGA INTERVENTIONS HAD A SMALL EFFECT ON BALANCE PERFORMANCE (HEDGES' G = 0.40, 95% CI 0.15-0.65, 6 TRIALS) AND A MEDIUM EFFECT ON PHYSICAL MOBILITY (HEDGES' G = 0.50, 95% CI 0.06-0.95, 3 TRIALS). CONCLUSION: YOGA INTERVENTIONS RESULTED IN SMALL IMPROVEMENTS IN BALANCE AND MEDIUM IMPROVEMENTS IN PHYSICAL MOBILITY IN PEOPLE AGED 60+ YEARS. FURTHER RESEARCH IS REQUIRED TO DETERMINE WHETHER YOGA-RELATED IMPROVEMENTS IN BALANCE AND MOBILITY TRANSLATE TO PREVENTION OF FALLS IN OLDER PEOPLE. PROSPERO REGISTRATION NUMBER CRD42015015872. 2016 17 1054 39 EFFECTS OF YOGA ON CHRONIC NECK PAIN: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: THE AIM OF THIS REVIEW WAS TO SYSTEMATICALLY ASSESS AND META-ANALYZE THE EFFECTIVENESS OF YOGA IN RELIEVING CHRONIC NECK PAIN. METHODS: PUBMED/MEDLINE, THE COCHRANE LIBRARY, SCOPUS, AND INDMED WERE SCREENED THROUGH JANUARY 2017 FOR RANDOMIZED CONTROLLED TRIALS ASSESSING NECK PAIN INTENSITY AND/OR NECK PAIN-RELATED DISABILITY IN CHRONIC NECK PAIN PATIENTS. SECONDARY OUTCOME MEASURES INCLUDED QUALITY OF LIFE, MOOD, AND SAFETY. RISK OF BIAS WAS ASSESSED USING THE COCHRANE TOOL. RESULTS: THREE STUDIES ON 188 PATIENTS WITH CHRONIC NON-SPECIFIC NECK PAIN COMPARING YOGA TO USUAL CARE WERE INCLUDED. TWO STUDIES HAD OVERALL LOW RISK OF BIAS; AND ONE HAD HIGH OR UNCLEAR RISK OF BIAS FOR SEVERAL DOMAINS. EVIDENCE FOR SHORT-TERM EFFECTS WAS FOUND FOR NECK PAIN INTENSITY (STANDARDIZED MEAN DIFFERENCE (SMD) = -1.28; 95% CONFIDENCE INTERVAL (CI) = -1.18, -0.75; P < 0.001), NECK PAIN-RELATED DISABILITY (SMD = -0.97; 95% CI = -1.44, -0.50; P < 0.001), QUALITY OF LIFE (SMD = 0.57; 95% CI = 0.17, 0.197; P = 0.005), AND MOOD (SMD = -1.02; 95% CI = -1.38, -0.65; P < 0.001). EFFECTS WERE ROBUST AGAINST POTENTIAL METHODOLOGICAL BIAS AND DID NOT DIFFER BETWEEN DIFFERENT INTERVENTION SUBGROUPS. IN THE TWO STUDIES THAT INCLUDED SAFETY DATA, NO SERIOUS ADVERSE EVENTS OCCURRED. CONCLUSION: YOGA HAS SHORT-TERM EFFECTS ON CHRONIC NECK PAIN, ITS RELATED DISABILITY, QUALITY OF LIFE, AND MOOD SUGGESTING THAT YOGA MIGHT BE A GOOD TREATMENT OPTION. 2017 18 2079 36 THE EFFECT OF EXERCISE, YOGA AND PHYSIOTHERAPY ON THE QUALITY OF LIFE OF PEOPLE WITH MULTIPLE SCLEROSIS: SYSTEMATIC REVIEW AND META-ANALYSIS. INTRODUCTION: MULTIPLE SCLEROSIS (MS) IS A CHRONIC AUTOIMMUNE DISEASE AFFECTING THE MYELINATED AXONS OF THE CENTRAL NERVOUS SYSTEM CAUSING NEUROLOGICAL DETERIORATION. PEOPLE LIVING WITH MS HAVE A POOR QUALITY OF LIFE (QOL) BECAUSE OF THE SYMPTOMS CAUSED BY THE DISEASE AND THERE ARE VARIOUS TYPES OF TREATMENTS TO MANAGE THE SYMPTOMS ASIDE FROM MEDICATION. OBJECTIVE: THIS META-ANALYSIS EXAMINES THE EFFECT OF EXERCISE, YOGA AND PHYSIOTHERAPY ON THE PHYSICAL, MENTAL AND SOCIAL QOL AMONG INDIVIDUALS LIVING WITH MS. SETTING: A SYSTEMATIC REVIEW WITH META-ANALYSIS WAS CONDUCTED USING PUBMED, MEDLINE, AND SCOPUS FROM 1990 TO 2017. THE STANDARD MEAN DIFFERENCE SCORES WERE COMPUTED IN EACH STUDY FOR THE DOMAINS OF PHYSICAL, MENTAL AND SOCIAL FUNCTIONING. RESULTS: EIGHTEEN STUDIES MET THE INCLUSION CRITERIA FOR THIS META-ANALYSIS. AEROBIC EXERCISE WAS EFFECTIVE IN IMPROVING SATISFACTION WITH PHYSICAL FUNCTIONING,D = 0.35 (95% CI = 0.08 TO 0.62), MENTAL FUNCTIONING D = 0.42 (95% CI = 0.11 TO 0.72), AND SOCIAL FUNCTIONING D = 0.42 (95% CI = 0.15 TO 0.69). PHYSIOTHERAPY WAS ALSO FOUND TO BE EFFECTIVE FOR PHYSICAL FUNCTIONING D = 0.50 (95% CI 0.19 TO 0.80), MENTAL FUNCTIONING D = 0.44 (95% CI 0.14 TO 0.75) AND SOCIAL FUNCTIONING D = 0.60 (95% CI 0.21 TO 0.90). HOWEVER YOGA AND COMBINATION OF EXERCISES DID NOT HAVE A SIGNIFICANT EFFECT ON ANY OF THE QOL DOMAINS. CONCLUSION: THESE FINDINGS SUGGEST THAT AEROBIC EXERCISE AND PHYSIOTHERAPY IMPROVES THE SATISFACTION OF MS PATIENTS WITH THEIR PHYSICAL, MENTAL AND SOCIAL FUNCTIONING AND MAY BE INCLUDED AS NORMAL PRACTICE IN THE TREATMENT OF MS. 2019 19 498 36 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 20 2124 25 THE EFFECTIVENESS OF PRENATAL YOGA ON DELIVERY OUTCOMES: A META-ANALYSIS. BACKGROUND: THE EFFICACY OF YOGA ON DELIVERY OUTCOMES REMAINING CONTROVERSY. OBJECTIVES: TO EVALUATE THE EFFECTS OF PRENATAL YOGA ON DELIVERY OUTCOMES. METHODS: THE COCHRANE LIBRARY, PUBMED, EMBASE, WEB OF SCIENCE, CINAHL AND ELSEVIER DATABASES WERE SEARCHED FROM INCEPTION TO JANUARY 22, 2020, AND RANDOMIZED, QUASI-RANDOMIZED AND NON-RANDOMIZED CONTROLLED TRIALS EVALUATING THE EFFECT OF YOGA ON THE DELIVERY OUTCOMES IN PREGNANT WOMEN WERE INCLUDED. THE METHODOLOGICAL QUALITY WAS ASSESSED BY THE COCHRANE COLLABORATION'S TOOL. META-ANALYSIS WAS PERFORMED USING REVMAN 5.3. RESULTS: THIS META-ANALYSIS IDENTIFIED THAT YOGA IMPROVED VAGINAL DELIVERY, DECREASED PREMATURE DELIVERY AND BIRTH WEIGHT OF NEWBORNS, SHORTEN THE LABOR DURATION. CONCLUSION: PRENATAL YOGA IS AN EFFECTIVE COMPLEMENTARY MEDICINE TO IMPROVE DELIVERY OUTCOMES AND NOT TO INCREASE THE RISK OF FETUS, WHICH IS WORTH RECOMMENDING TO PREGNANT WOMEN. BUT STUDIES INVOLVED IN THIS META-ANALYSIS WERE NOT ALL OF HIGH QUALITY. THE REGISTRATION NUMBER IN PROSPERO IS CRD42019132490. 2020