1 1905 132 RETURN TO YOGA RATES ARE HIGH AFTER VOLAR PLATING OF DISTAL RADIUS FRACTURES. BACKGROUND: YOGA IS A POPULAR ACTIVITY INVOLVING EXTREME WRIST POSITIONING AND EXTENSION LOADING. OUR PURPOSE WAS TO QUANTIFY THE PREVALENCE OF PREOPERATIVE YOGA PARTICIPATION AND CHARACTERIZE SUBSEQUENT ABILITY TO RETURN TO YOGA IN PATIENTS UNDERGOING VOLAR LOCKED PLATING OF DISTAL RADIUS FRACTURES. METHODS: WE RETROSPECTIVELY REVIEWED ALL CASES OF DISTAL RADIUS OPEN REDUCTION INTERNAL FIXATION BETWEEN AUGUST 2015 AND MARCH 2017. PATIENTS WERE INCLUDED IF THEY WERE TREATED WITH VOLAR LOCKED PLATING AND IF THEY PARTICIPATED IN YOGA ON A REGULAR BASIS PREOPERATIVELY. PATIENTS WERE CONTACTED AT A MINIMUM OF 1 YEAR POSTOPERATIVELY AND SURVEYED ABOUT YOGA PARTICIPATION. RESULTS: A TOTAL OF 149 PATIENTS WHO UNDERWENT DISTAL RADIUS VOLAR PLATING WERE SURVEYED. THIRTY-ONE PATIENTS (32 PROCEDURES, 20.8% OF SURVEYED PATIENTS) PARTICIPATED IN YOGA ON A REGULAR BASIS PREOPERATIVELY. OVERALL, 90.3% RETURNED TO YOGA IN SOME CAPACITY. MEAN TIMES TO RETURN TO YOGA IN ANY CAPACITY, WITH WEIGHT-BEARING, AND IN A "STEADY STATE" WERE 5.7, 7.4, AND 10.0 MONTHS, RESPECTIVELY. OF PATIENTS WHO RESUMED YOGA, 65.5% RETURNED TO THE SAME OR BETTER LEVEL OF YOGA. SATISFACTION WITH PARTICIPATION IN YOGA WAS 8.9 (OUT OF 10). CONCLUSIONS: WE FOUND A RELATIVELY HIGH YOGA PARTICIPATION RATE IN PATIENTS UNDERGOING DISTAL RADIUS FRACTURE FIXATION, SUGGESTING THE NEED TO BE ABLE TO EFFECTIVELY COUNSEL THESE PATIENTS. OUR RESULTS DEMONSTRATE A HIGH RATE OF RETURN TO YOGA, ALTHOUGH APPROXIMATELY ONE-THIRD OF PATIENTS EXPERIENCED A DECREASED LEVEL OF PARTICIPATION. SURGEONS CAN USE THIS INFORMATION TO SET APPROPRIATE EXPECTATIONS.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
2  443  27 CERVICAL ARTERIAL DISSECTION AND TRAUMATIC MYELOPATHY FOLLOWING YOGA: SURGICAL CASE REPORT. INTRODUCTION: CERVICAL SPONDYLOSIS CAN PREDISPOSE PATIENTS TO CENTRAL CANAL STENOSIS. IN THIS SETTING, MYELOPATHY THROUGH FURTHER FLATTENING OF THE CORD FROM EXTRINSIC COMPRESSION CAN BE PRECIPITATED BY RELATIVELY MINOR TRAUMAS. ARTERIAL DISSECTION IS SIMILARLY CONSIDERED A RESULT OF HIGH VELOCITY OR MOMENTUM DURING TRAUMA, COMMONLY ASSOCIATED WITH FRACTURES, CERVICAL HYPERFLEXION, OR DIRECT BLUNT FORCE TO THE NECK. OVERALL, PRECAUTIONS FOR BOTH ARTERIAL DISSECTION AND MYELOPATHY ARE RARELY CONSIDERED IN LOW-VELOCITY, STATIC ACTIVITIES SUCH AS YOGA. CASE PRESENTATION: THE AUTHORS REPORT THE CASE OF A 63-YEAR-OLD MAN WHO SUFFERED CONCURRENT CERVICAL MYELOPATHY FROM MULTILEVEL SPONDYLOPATHY, RIGHT VERTEBRAL ARTERY DISSECTION, AND LEFT CERVICAL CAROTID ARTERY DISSECTION FOLLOWING A YOGA SESSION. SYMPTOMATOLOGY CONSISTED OF ACUTE ONSET NECK PAIN, UPPER EXTREMITY SENSORY PARESTHESIA, WORSENING GAIT AND BALANCE, AND IMPAIRED DEXTERITY FOR SEVERAL WEEKS. CERVICAL MRI WAS OBTAINED GIVEN MYELOPATHIC SYMPTOMS AND REVEALED SPONDYLOSIS WITH COMPRESSION AND T2 SIGNAL CHANGE AT C3-C4. CT ANGIOGRAPHY OF THE NECK REVEALED AFOREMENTIONED DISSECTIONS WITHOUT FLOW LIMITING STENOSIS OR OCCLUSION. A THERAPEUTIC HEPARIN INFUSION WAS STARTED PREOPERATIVELY UNTIL THE PATIENT UNDERWENT C3-C4 ANTERIOR CERVICAL DISCECTOMY AND FUSION. ASPIRIN AND PLAVIX WERE THEN STARTED WITHOUT INCIDENCE AND THE PATIENT HAD SIGNIFICANT BUT GRADUAL IMPROVEMENT IN MYELOPATHIC SYMPTOMS AT 6-WEEK FOLLOW-UP. DISCUSSION: THE STATIC YET INTENSIVE POSES ASSOCIATED WITH YOGA PRESENT A RARE ETIOLOGY FOR ARTERIAL DISSECTION AND MYELOPATHY, BUT PATIENTS WITH PERSISTENT AND PROGRESSIVE SYMPTOMS SHOULD BE SCREENED WITH THE APPROPRIATE IMAGING MODALITY. CERVICAL DECOMPRESSION SHOULD BE EXPEDITED BEFORE INITIATING AN ANTIPLATELET MEDICATION.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
3 1798  24 PREOPERATIVE REHABILITATION IN LUNG CANCER PATIENTS: YOGA APPROACH. LUNG CANCER IS ONE OF THE LEADING CAUSES OF CANCER DEATH WORLDWIDE. SURGICAL REMOVAL REMAINS THE BEST OPTION FOR MOST TUMORS OF THIS TYPE. REDUCTION OF CIGARETTE CONSUMPTION IN PATIENTS WITH LUNG CANCER CANDIDATES FOR THE SURGERY COULD LIMIT THE IMPACT OF TOBACCO ON POSTSURGICAL OUTCOMES. BREATHING EXERCISES APPEAR TO HELP COMBAT CIGARETTE CRAVINGS. YOGA EXERCISE BENEFITS HAVE BEEN STUDIED IN LUNG CANCER SURVIVORS, RATHER THAN IN THE PREOPERATIVE SETTING. IN THIS STUDY, WE HAVE RECRUITED 32 ACTIVE SMOKERS AFFECTED BY LUNG CANCER AND BEING CANDIDATES FOR PULMONARY SURGERY. THE PATIENTS WERE RANDOMLY ASSIGNED TO TWO GROUPS: ONE TREATED BY STANDARD BREATHING AND THE OTHER TREATED BY YOGA BREATHING (YB). THE GROUPS WERE EVALUATED AT TIMES T0 (BASELINE) AND T1 (AFTER 7 DAYS OF TREATMENT) TO COMPARE THE EFFECTS OF THE TWO BREATHING TREATMENTS ON PULMONARY PERFORMANCE IN A PRESURGERY SETTING. PULMONARY AND CARDIOCIRCULATORY FUNCTIONS HAVE BEEN TESTED USING A SELF-CALIBRATING COMPUTERIZED SPIROMETER AND A PORTABLE PULSE OXIMETRY DEVICE. THE FINDINGS DEMONSTRATE APPRECIABLE SHORT-TERM IMPROVEMENT IN LUNG FUNCTION ASSESSED BY SPIROMETRY. WE CONCLUDE THAT YOGA BREATHING CAN BE A BENEFICIAL PREOPERATIVE SUPPORT FOR THORACIC SURGERY.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
4 1327  53 HIGH RATE OF RETURN TO YOGA FOR ATHLETES AFTER HIP ARTHROSCOPY FOR FEMOROACETABULAR IMPINGEMENT SYNDROME. BACKGROUND: FEMOROACETABULAR IMPINGEMENT SYNDROME (FAIS) IS MOST COMMONLY DIAGNOSED IN PATIENTS WHO PERFORM ACTIVITIES THAT REQUIRE REPETITIVE HIP FLEXION AND ROTATIONAL LOADING. YOGA IS AN ACTIVITY GROWING IN POPULARITY THAT INVOLVES THESE MOTIONS. THE PURPOSE OF THIS STUDY WAS TO EVALUATE PATIENTS' ABILITY TO RETURN TO YOGA AFTER HIP ARTHROSCOPY FOR FAIS. HYPOTHESIS: THERE WOULD BE A HIGH RATE OF RETURN TO YOGA AFTER HIP ARTHROSCOPY. STUDY DESIGN: RETROSPECTIVE ANALYSIS. LEVEL OF EVIDENCE: LEVEL 4. METHODS: CONSECUTIVE PATIENTS WITH FAIS WHO HAD IDENTIFIED THEMSELVES AS PARTICIPATING IN YOGA AND HAD UNDERGONE HIP ARTHROSCOPY FOR THE TREATMENT OF FAIS BETWEEN 2012 AND 2015 WERE REVIEWED. DEMOGRAPHIC DATA WERE COLLECTED AND ASSESSED FOR ALL PATIENTS, AS WELL AS PREOPERATIVE PHYSICAL EXAMINATION, IMAGING, AND PATIENT-REPORTED OUTCOME (PRO) SCORES, INCLUDING THE MODIFIED HARRIS HIP SCORE (MHHS), HIP OUTCOME SCORE ACTIVITIES OF DAILY LIVING (HOS-ADL) AND SPORTS-SPECIFIC (HOS-SS) SUBSCALES, AND VISUAL ANALOG SCALE (VAS) FOR PAIN. POSTOPERATIVELY, EXAMINATION AND PRO DATA WERE COLLECTED AT A MINIMUM 1 YEAR AFTER SURGERY, INCLUDING A YOGA-SPECIFIC QUESTIONNAIRE. RESULTS: A TOTAL OF 42 PATIENTS (90% FEMALE; MEAN AGE, 35 +/- 9 YEARS; MEAN BODY MASS INDEX, 23.1 +/- 3.2 KG/M(2)) WERE INCLUDED. THIRTY PATIENTS (71%) HAD TO DISCONTINUE THEIR YOGA ROUTINE PREOPERATIVELY BECAUSE OF HIP-RELATED SYMPTOMS AT A MEAN 9.5 +/- 8.2 MONTHS BEFORE SURGERY. AFTER SURGERY, 39 PATIENTS (93%) WERE ABLE TO RETURN TO YOGA AT A MEAN 5.3 +/- 2.2 MONTHS AFTER SURGERY. TWO OF THE 3 PATIENTS WHO DID NOT RETURN TO YOGA NOTED LOSS OF INTEREST AS THEIR REASON FOR STOPPING, WHILE 1 PATIENT WAS UNABLE TO RETURN BECAUSE OF PERSISTENT HIP PAIN. NINETEEN PATIENTS (45%) RETURNED TO A HIGHER LEVEL OF YOGA PRACTICE, 17 PATIENTS (40%) RETURNED TO THE SAME LEVEL, AND 3 PATIENTS (7%) RETURNED TO A LOWER LEVEL. THERE WAS NO DIFFERENCE IN THE NUMBER OF HOURS SPENT PRACTICING YOGA PER WEEK PRE- AND POSTOPERATIVELY (2.7 +/- 1.9 VS 2.5 +/- 1.3 HOURS; P = 0.44). ALL PATIENTS DEMONSTRATED SIGNIFICANT IMPROVEMENT IN ALL PROS AS WELL AS PAIN SCORES AFTER SURGERY (HOS-ADL, 67.4 +/- 18.3 TO 93.1 +/- 6.9 [ P < 0.001]; HOS-SS, 45.6 +/- 24.7 TO 81.5 +/- 18.8 [ P < 0.001]; MHHS, 62.3 +/- 11.3 TO 86.8 +/- 12.3 [ P < 0.0001]; VAS PAIN, 6.3 +/- 2.2 TO 0.90 +/- 1.1 [ P < 0.001]). CONCLUSION: PATIENTS PARTICIPATING IN YOGA RETURN TO YOGA 93% OF THE TIME AND AT A MEAN 5.3 +/- 2.2 MONTHS AFTER HIP ARTHROSCOPY FOR FAIS. CLINICAL RELEVANCE: INFORMATION REGARDING SURGICAL OUTCOMES IS CRITICAL IN COUNSELING PATIENTS, PARTICULARLY FEMALE ATHLETES, ON THEIR EXPECTATIONS WITH RESPECT TO RETURNING TO YOGA AFTER HIP ARTHROSCOPY FOR FAIS.	2018	

5 1991  28 SPINE FUSIONS, YOGA INSTRUCTORS, AND HIP FRACTURES: THE ROLE OF DUAL MOBILITY IN PRIMARY TOTAL HIP ARTHROPLASTY. BACKGROUND: DESPITE THE INCREASED USE OF DUAL MOBILITY (DM) IN PRIMARY TOTAL HIP ARTHROPLASTY (THA), DEBATE EXISTS REGARDING THE INDICATIONS FOR ITS USE. NO SPECIFIC ALGORITHM EXISTS TO GUIDE THIS DECISION-MAKING PROCESS. THEREFORE, THE PURPOSE OF THIS ARTICLE IS TO SUMMARIZE THE CURRENTLY AVAILABLE LITERATURE REGARDING THE USE OF DM IN PRIMARY THA AND PROVIDE EVIDENCE-BASED GUIDELINES BASED ON SPECIFIC PATIENT POPULATIONS AND RISK FACTORS FOR INSTABILITY. METHODS: WE REVIEWED THE CURRENT LITERATURE FOR STUDIES EVALUATING RISK FACTORS FOR DISLOCATION IN PRIMARY THA, AS WELL AS THE CLINICAL USE AND RESULTS OF DM IN PRIMARY THA. BASED ON THE STRENGTH OF THE LITERATURE, WE DISCUSS THE USE OF DM IN SPECIFIC PATIENT POPULATIONS. WE PROVIDE A DECISION-MAKING ALGORITHM TO DETERMINE WHETHER A PATIENT MAY BE INDICATED FOR DM IN PRIMARY THA. RESULTS: SURGEONS SHOULD CONSIDER PREOPERATIVE PATIENT DEMOGRAPHICS, RISK FACTORS FOR INSTABILITY (EG, SIGNIFICANT HIP-SPINE ISSUES), TYPE OF PROCEDURE TO BE PERFORMED (EG, CONVERSION ARTHROPLASTY), AND INDICATIONS FOR SURGERY (EG, THA FOR FEMORAL NECK FRACTURE). BASED ON THIS ALGORITHMIC ASSESSMENT, DM MAY BE WARRANTED IN THE PRIMARY THA SETTING IF A PATIENT'S COMBINED RISK REACHES AN ESTABLISHED THRESHOLD BASED ON THE LITERATURE. CONCLUSION: THIS EVIDENCE-BASED ALGORITHM MAY HELP GUIDE CURRENT PRACTICE IN THE USE OF DM IN PRIMARY THA. WE ADVOCATE THE CONTINUED JUDICIOUS USE OF DM IN HIP ARTHROPLASTY. LONGER TERM STUDIES ARE NEEDED IN ORDER TO EVALUATE THE DURABILITY OF DM, AS WELL AS ANY COMPLICATIONS RELATED TO THE DM ARTICULATION.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
6 1462  23 INFLUENCE OF YOGA ON POSTOPERATIVE OUTCOMES AND WOUND HEALING IN EARLY OPERABLE BREAST CANCER PATIENTS UNDERGOING SURGERY. CONTEXT: PRE- AND POSTOPERATIVE DISTRESS IN BREAST CANCER PATIENTS CAN CAUSE COMPLICATIONS AND DELAY RECOVERY FROM SURGERY. OBJECTIVE: THE AIM OF OUR STUDY WAS TO EVALUATE THE EFFECTS OF YOGA INTERVENTION ON POSTOPERATIVE OUTCOMES AND WOUND HEALING IN EARLY OPERABLE BREAST CANCER PATIENTS UNDERGOING SURGERY. METHODS: NINETY-EIGHT RECENTLY DIAGNOSED STAGE II AND III BREAST CANCER PATIENTS WERE RECRUITED IN A RANDOMIZED CONTROLLED TRIAL COMPARING THE EFFECTS OF A YOGA PROGRAM WITH SUPPORTIVE THERAPY AND EXERCISE REHABILITATION ON POSTOPERATIVE OUTCOMES AND WOUND HEALING FOLLOWING SURGERY. SUBJECTS WERE ASSESSED AT THE BASELINE PRIOR TO SURGERY AND FOUR WEEKS LATER. SOCIODEMOGRAPHIC, CLINICAL AND INVESTIGATIVE NOTES WERE ASCERTAINED IN THE BEGINNING OF THE STUDY. BLOOD SAMPLES WERE COLLECTED FOR ESTIMATION OF PLASMA CYTOKINES-SOLUBLE INTERLEUKIN (IL)-2 RECEPTOR (IL-2R), TUMOR NECROSIS FACTOR (TNF)-ALPHA AND INTERFERON (IFN)-GAMMA. POSTOPERATIVE OUTCOMES SUCH AS THE DURATION OF HOSPITAL STAY AND DRAIN RETENTION, TIME OF SUTURE REMOVAL AND POSTOPERATIVE COMPLICATIONS WERE ASCERTAINED. WE USED INDEPENDENT SAMPLES T TEST AND NONPARAMETRIC MANN WHITNEY U TESTS TO COMPARE GROUPS FOR POSTOPERATIVE OUTCOMES AND PLASMA CYTOKINES. REGRESSION ANALYSIS WAS DONE TO DETERMINE PREDICTORS FOR POSTOPERATIVE OUTCOMES. RESULTS: SIXTY-NINE PATIENTS CONTRIBUTED DATA TO THE CURRENT ANALYSIS (YOGA: N = 33, CONTROL: N = 36). THE RESULTS SUGGEST A SIGNIFICANT DECREASE IN THE DURATION OF HOSPITAL STAY (P = 0.003), DAYS OF DRAIN RETENTION (P = 0.001) AND DAYS FOR SUTURE REMOVAL (P = 0.03) IN THE YOGA GROUP AS COMPARED TO THE CONTROLS. THERE WAS ALSO A SIGNIFICANT DECREASE IN PLASMA TNF ALPHA LEVELS FOLLOWING SURGERY IN THE YOGA GROUP (P < 0.001), AS COMPARED TO THE CONTROLS. REGRESSION ANALYSIS ON POSTOPERATIVE OUTCOMES SHOWED THAT THE YOGA INTERVENTION AFFECTED THE DURATION OF DRAIN RETENTION AND HOSPITAL STAY AS WELL AS TNF ALPHA LEVELS. CONCLUSION: THE RESULTS SUGGEST POSSIBLE BENEFITS OF YOGA IN REDUCING POSTOPERATIVE COMPLICATIONS IN BREAST CANCER PATIENTS.	2008	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
7 1821  29 PROTOCOL FOR TESTING YOGA TO REDUCE POST-LUMBAR SPINE SURGERY PAIN: A METHODOLOGY ARTICLE. CURRENTLY, ACUTE POSTOPERATIVE PAIN DURING HOSPITALIZATION IS PRIMARILY MANAGED BY MEDICATIONS, AND PATIENTS MUST ADHERE TO RESTRICTIVE POSTOPERATIVE PRECAUTIONS FOR 3 MONTHS FOLLOWING LUMBAR SPINE SURGERIES. YOGA CAN BE AN ALTERNATIVE APPROACH TO ASSIST IN ACUTE AND SUBACUTE POSTOPERATIVE PAIN MANAGEMENT, ANXIETY, AND RETURN TO FUNCTION. THE PURPOSE OF THE PRESENT WORK WAS TO DEVELOP AND TEST THE FEASIBILITY AND EXPLORE THE EFFECTIVENESS OF A TAILORED YOGA PROGRAM, DELIVERED IN-PERSON DURING THE HOSPITAL STAY AND ELECTRONICALLY AFTER HOSPITAL DISCHARGE, AS A POTENTIAL NEW AVENUE FOR POSTOPERATIVE CARE. THIS PILOT STUDY WILL USE A CROSSOVER RANDOMIZED CONTROLLED DESIGN. INDIVIDUALS AGED BETWEEN 40 AND 80 YEARS WHO ARE SCHEDULED FOR LUMBAR LAMINECTOMY AND/OR FUSION, AND WHO HAVE NOT PRACTICED REGULAR YOGA WITHIN THE PAST 6 MONTHS AT THE TIME OF ENROLLMENT, WILL BE RECRUITED AND RANDOMIZED TO EITHER A TAILORED YOGA PROGRAM (INTERVENTION GROUP) OR USUAL CARE (CONTROL GROUP) DURING THE HOSPITAL STAY (PHASE ONE). BEARING IN MIND POSTOPERATIVE PRECAUTIONS, ALL SUBJECTS WILL BE INSTRUCTED TO PERFORM A HOME-BASED TAILORED YOGA PROGRAM DELIVERED ELECTRONICALLY VIA YOUTUBE LINKS FOR 8 WEEKS POST-HOSPITAL DISCHARGE (PHASE TWO). THE PRIMARY OUTCOME MEASURES ASSESSING FEASIBILITY ARE ADHERENCE/COMPLIANCE. SECONDARY OUTCOME MEASURES INCLUDE PAIN, ANXIETY, FUNCTION, SLEEP, PERCEIVED STRESS, AND PAIN-CATASTROPHIZING BEHAVIOR. LENGTH OF HOSPITAL STAY AND PAIN MEDICATION USE, GAIT DISTANCE, AND OVERALL PHYSICAL ACTIVITY DURING HOSPITALIZATION WILL ALSO BE COLLECTED. FINALLY, A QUALITATIVE INTERVIEW WILL BE OBTAINED AFTER COMPLETION OF THE HOSPITAL AND HOME-BASED PROGRAMS. THIS STUDY WILL DETERMINE THE FEASIBILITY OF A TAILORED YOGA PROGRAM FOR ACUTE AND SUBACUTE POSTOPERATIVE LUMBAR SPINE SURGERY PAIN, ANXIETY, AND FUNCTIONAL OUTCOMES.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
8 1546  16 LATE ANTERIOR PROSTHETIC HIP DISLOCATION DUE TO YOGA. THE POPULARITY OF YOGA AND THE PREVALENCE OF TOTAL HIP ARTHROPLASTY (THA) HAVE SIMULTANEOUSLY INCREASED IN THE UNITED STATES. ACCORDINGLY, ONE CAN ASSUME THAT THE NUMBER OF THA PATIENTS PRACTICING YOGA HAS INCREASED. CERTAIN YOGA POSES REACH THE EXTREMES OF HIP RANGE OF MOTION, POTENTIALLY LEAVING PATIENTS VULNERABLE TO DISLOCATION. TO DATE, 2 CASES OF LATE POSTERIOR PROSTHETIC HIP DISLOCATIONS DURING YOGA HAVE BEEN REPORTED; HOWEVER, THERE HAVE BEEN NO REPORTS OF ANTERIOR PROSTHETIC HIP DISLOCATIONS. WE PRESENT ONE CASE OF LATE ANTERIOR PROSTHETIC HIP DISLOCATION DURING YOGA IN A PATIENT WHO UNDERWENT THA VIA THE DIRECT ANTERIOR APPROACH. PROSTHETIC HIP DISLOCATION DURING YOGA MAY BE A GROWING CONCERN. WE PROVIDE ADDITIONAL EVIDENCE IN SUPPORT OF RECOMMENDATIONS FOR THA PATIENTS TO SAFELY PRACTICE YOGA.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
9 1215  32 EXPLORING THE EFFECTS OF YOGA THERAPY ON HEART RATE VARIABILITY AND PATIENT-REPORTED OUTCOMES AFTER CANCER TREATMENT: A STUDY PROTOCOL. BACKGROUND: FOLLOWING CANCER TREATMENT, ADULTS COMMONLY REPORT WORSENED PATIENT-REPORTED OUTCOMES (PROS) SUCH AS ANXIETY, STRESS, DEPRESSION, PERSISTENT AND UPSETTING COGNITIVE COMPLAINTS, UNRELENTING FATIGUE, AND REDUCED QUALITY OF LIFE. POORER PROS ARE ASSOCIATED WITH DISRUPTED AUTONOMIC NERVOUS SYSTEM FUNCTIONING AS MEASURED BY HEART RATE VARIABILITY (HRV), BOTH OF WHICH HAVE BEEN ASSOCIATED WITH GREATER MORBIDITY AND MORTALITY. INTERVENTIONS TO IMPROVE HRV AND PROS AMONG ADULTS FOLLOWING CANCER TREATMENT ARE NEEDED. YOGA THERAPY HOLDS PROMISE AS AN INTERVENTION TO IMPROVE HRV AND PROS. THEREFORE, WE CONDUCTED A SINGLE-SUBJECT EXPLORATORY EXPERIMENTAL STUDY TO INVESTIGATE THE EFFECTS OF YOGA THERAPY ON HRV AND SPECIFIC PROS (IE, CANCER-RELATED FATIGUE, ANXIETY, COGNITIVE FUNCTION, DEPRESSION, STRESS, QUALITY OF LIFE) IN ADULTS TREATED FOR CANCER. TO REDUCE PUBLICATION BIAS, IMPROVE REPRODUCIBILITY, AND SERVE AS A REFERENCE FOR FORTHCOMING REPORTING OF STUDY RESULTS, WE PRESENT THE STUDY PROTOCOL FOR THIS STUDY HEREIN. METHODS: PARTICIPANTS WERE ADULTS WHO COMPLETED CANCER TREATMENT THAT WERE RECRUITED FROM THE OTTAWA INTEGRATIVE CANCER CENTRE. CONSENTING AND ELIGIBLE PARTICIPANTS RECEIVED ONE 1:1 YOGA THERAPY SESSION (IE, 1 PARTICIPANT, 1 YOGA THERAPIST) AND 6 WEEKLY GROUP-BASED YOGA THERAPY SESSIONS (IE, 2-3 PARTICIPANTS, 1 YOGA THERAPIST). PARTICIPANTS COMPLETED ASSESSMENTS 7 TIMES: 3 TIMES PRIOR TO THE PROGRAM (IE, -6 WEEKS, -3 WEEKS, IMMEDIATELY PRIOR TO THE 1:1 YOGA THERAPY SESSION), IMMEDIATELY FOLLOWING THE 1:1 YOGA THERAPY SESSION, PRIOR TO THE FIRST GROUP-BASED YOGA THERAPY SESSION, AFTER THE LAST GROUP-BASED YOGA THERAPY SESSION, AND AT A 6-WEEK FOLLOW-UP. HIERARCHICAL LINEAR MODELING WILL BE USED TO TEST THE AVERAGE EFFECTS OF THE YOGA THERAPY PROGRAM ACROSS PARTICIPANTS. DISCUSSION: THIS STUDY WILL EXPLORE SEVERAL NOVEL HYPOTHESES, INCLUDING WHETHER YOGA THERAPY CAN IMPROVE HRV AND/OR SPECIFIC PROS AMONG ADULTS TREATED FOR CANCER ACUTELY (IE, DURING A 1:1 YOGA THERAPY SESSION) AND/OR THROUGH REPEATED EXPOSURE (IE, AFTER COMPLETING 6 WEEKS OF GROUP-BASED YOGA THERAPY). ALTHOUGH THE FINDINGS WILL REQUIRE CONFIRMATION OR REFUTATION IN FUTURE TRIALS, THEY MAY PROVIDE INITIAL EVIDENCE THAT YT MAY BENEFIT ADULTS TREATED FOR CANCER. TRIAL REGISTRATION: ISRCTN REGISTRY, ISRCTN64763228. REGISTERED ON DECEMBER 12, 2021. THIS TRIAL WAS REGISTERED RETROSPECTIVELY. URL OF TRIAL REGISTRY RECORD: HTTPS://WWW.ISRCTN.COM/ISRCTN64763228.	2022	
                                                                                                                                                                                                       
10 1547  17 LATE TOTAL HIP ARTHROPLASTY DISLOCATION DUE TO YOGA. YOGA HAS BECOME A POPULAR FORM OF EXERCISE, RECREATION, AND MEDITATION FOR ADULTS IN THE UNITED STATES. AS THE POPULARITY OF BOTH YOGA AND THE INCIDENCE OF HIP REPLACEMENTS HAVE BOTH COINCIDENTALLY INCREASED OVER THE LAST 2 DECADES, WE IMAGINE THAT THE NUMBER OF TOTAL HIP REPLACEMENT PATIENTS PARTAKING IN THE PRACTICE OF YOGA HAS ALSO INCREASED. THERE ARE NO CLEAR GUIDELINES AVAILABLE FOR YOGA PRACTICE FOLLOWING HIP REPLACEMENT. TO DATE, THERE HAVE BEEN NO PUBLISHED REPORTS OF PROSTHETIC HIP DISLOCATIONS DURING YOGA. WE PRESENT 2 CASES OF LATE TOTAL HIP DISLOCATIONS DURING YOGA AND PROVIDE A REVIEW OF THE AVAILABLE ORTHOPAEDIC LITERATURE AND OUR RECOMMENDATIONS ON PATIENT RESTRICTIONS AND EDUCATION WITH RESPECT TO PRACTICING YOGA AFTER A HIP REPLACEMENT.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
11 1461  22 INFLUENCE OF YOGA ON MOOD STATES, DISTRESS, QUALITY OF LIFE AND IMMUNE OUTCOMES IN EARLY STAGE BREAST CANCER PATIENTS UNDERGOING SURGERY. CONTEXT: BREAST CANCER PATIENTS AWAITING SURGERY EXPERIENCE HEIGHTENED DISTRESS THAT COULD AFFECT POSTOPERATIVE OUTCOMES. AIMS: THE AIM OF OUR STUDY WAS TO EVALUATE THE EFFECTS OF YOGA INTERVENTION ON MOOD STATES, TREATMENT-RELATED SYMPTOMS, QUALITY OF LIFE AND IMMUNE OUTCOMES IN BREAST CANCER PATIENTS UNDERGOING SURGERY. SETTINGS AND DESIGN: NINETY-EIGHT RECENTLY DIAGNOSED STAGE II AND III BREAST CANCER PATIENTS WERE RECRUITED FOR A RANDOMIZED CONTROLLED TRIAL COMPARING THE EFFECTS OF A YOGA PROGRAM WITH SUPPORTIVE THERAPY PLUS EXERCISE REHABILITATION ON POSTOPERATIVE OUTCOMES FOLLOWING SURGERY. MATERIALS AND METHODS: SUBJECTS WERE ASSESSED PRIOR TO SURGERY AND FOUR WEEKS THEREAFTER. PSYCHOMETRIC INSTRUMENTS WERE USED TO ASSESS SELF-REPORTED ANXIETY, DEPRESSION, TREATMENT-RELATED DISTRESS AND QUALITY OF LIFE. BLOOD SAMPLES WERE COLLECTED FOR ENUMERATION OF T LYMPHOCYTE SUBSETS (CD4 %, CD8 % AND NATURAL KILLER (NK) CELL % COUNTS) AND SERUM IMMUNOGLOBULINS (IGG, IGA AND IGM). STATISTICAL ANALYSIS USED: WE USED ANALYSIS OF COVARIANCE TO COMPARE INTERVENTIONS POSTOPERATIVELY. RESULTS: SIXTY-NINE PATIENTS CONTRIBUTED DATA TO THE CURRENT ANALYSIS (YOGA N = 33, CONTROL N = 36). THE RESULTS SUGGEST A SIGNIFICANT DECREASE IN THE STATE (P = 0.04) AND TRAIT (P = 0.004) OF ANXIETY, DEPRESSION (P = 0.01), SYMPTOM SEVERITY (P = 0.01), DISTRESS (P < 0.01) AND IMPROVEMENT IN QUALITY OF LIFE (P = 0.01) IN THE YOGA GROUP AS COMPARED TO THE CONTROLS. THERE WAS ALSO A SIGNIFICANTLY LESSER DECREASE IN CD 56% (P = 0.02) AND LOWER LEVELS OF SERUM IGA (P = 0.001) IN THE YOGA GROUP AS COMPARED TO CONTROLS FOLLOWING SURGERY. CONCLUSIONS: THE RESULTS SUGGEST POSSIBLE BENEFITS FOR YOGA IN REDUCING POSTOPERATIVE DISTRESS AND PREVENTING IMMUNE SUPPRESSION FOLLOWING SURGERY.	2008	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
12 1771  28 POTENTIAL ROLE OF YOGA IN THE MANAGEMENT OF ANKYLOSING SPONDYLITIS: A RETROSPECTIVE STUDY. BACKGROUND: ANKYLOSING SPONDYLITIS (AS) IS A CHRONIC AUTOIMMUNE INFLAMMATORY SPONDYLOARTHROPATHY WITH UNCLEAR PATHOGENESIS. THE INFLAMMATORY PAIN IN AS LEADS TO RESTRICTED SPINAL MOBILITY AND SIGNIFICANT DISABILITY. YOGA IS A NONPHARMACOLOGICAL INTERVENTION THAT HAS POSITIVE EFFECTS ON VARIOUS MUSCULOSKELETAL-RELATED PROBLEMS. HOWEVER, ITS ROLE IN AS IS UNKNOWN. OBJECTIVE: THE PRESENT RETROSPECTIVE STUDY ASSESSED THE EFFICACY OF A TWO-WEEK RESIDENTIAL YOGA INTERVENTION ON SPINAL FLEXIBILITY AMONG AS PATIENTS. METHODS: THE RECORDS FOR 24 MALE AS PATIENTS WITHIN THE AGE RANGE 30 TO 50 YEARS (AVERAGE AGE 38.3 +/- 10.5 YEARS) WHO UNDERWENT A TWO-WEEK RESIDENTIAL YOGA RETREAT BETWEEN 2015 AND 2020 WERE OBTAINED FROM A YOGA CENTER LOCATED IN SOUTH INDIA. YOGA INTERVENTION CONSISTED OF YOGA POSTURES, BREATHING PRACTICES, MEDITATION, A HEALTHY DIET, AND DEVOTIONAL SESSIONS. PRE AND POST DATA OF THE SIT-AND-REACH TEST, BLOOD PRESSURE, HEART RATE, AND SYMPTOM SCORE WERE ANALYZED USING STATISTICAL PACKAGE FOR SOCIAL SCIENCES (SPSS). RESULTS: COMPARED TO THE BASELINE, THE POST SCORES OF THE SIT-AND-REACH TEST, SYSTOLIC BLOOD PRESSURE AND HEART RATE WERE FOUND TO BE SIGNIFICANTLY (P < .05) LOWER. THE SYMPTOM SCORE AND ANALGESIC MEDICATION SCORE ALSO SHOWED SIGNIFICANT IMPROVEMENT AFTER TWO-WEEKS COMPARED TO THE BASELINE. CONCLUSION: THIS RETROSPECTIVE STUDY INDICATES THE POSITIVE IMPACT OF ON AND ANALGESIC USE AMONG AS PATIENTS. HOWEVER, ADDITIONAL STUDIES USING ROBUST RESEARCH DESIGNS ARE WARRANTED.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
13 1192  32 EXAMINING A THERAPEUTIC YOGA PROGRAM FOR PROSTATE CANCER SURVIVORS. BACKGROUND: IN THE EARLIER STAGES OF PROSTATE CANCER, EFFECTIVE TREATMENTS HAVE CREATED A NEED FOR RESEARCH TO FOCUS ON PRACTICES THAT MAY IMPROVE QUALITY OF LIFE THROUGHOUT SURVIVORSHIP. PHYSICAL ACTIVITY IS A SIGNIFICANT SUPPORTIVE CARE MANAGEMENT STRATEGY FOR PROSTATE CANCER SURVIVORS, THOUGH THE OPTIMAL MODALITY IS NOT YET UNDERSTOOD. HYPOTHESES: THE AUTHORS HYPOTHESIZED THAT YOGA WOULD BE A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS AND THEIR SUPPORT PERSONS AND THAT THE INCORPORATION OF SOCIAL SUPPORT WOULD INCREASE PHYSICAL ACTIVITY ADHERENCE. METHODS: THIS 14-WEEK FEASIBILITY STUDY INVOLVED A 7-WEEK CLASS-BASED YOGA PROGRAM (ADHERENCE PHASE), FOLLOWED BY 7 WEEKS OF SELF-SELECTED PHYSICAL ACTIVITY (MAINTENANCE PHASE). DEMOGRAPHIC INFORMATION, PHYSICAL ACTIVITY BEHAVIOR, QUALITY OF LIFE, FATIGUE, STRESS, MOOD, AND FITNESS VARIABLES WERE ASSESSED AT 3 TIME POINTS. PROSTATE CANCER SURVIVORS' PERCEIVED SOCIAL SUPPORT WAS RATED DURING YOGA AND AFTER YOGA. RESULTS: CLASS ATTENDANCE WAS 6.1 AND 5.8 FOR PROSTATE CANCER SURVIVORS (N = 15) AND THEIR SUPPORT PERSONS (N = 10), RESPECTIVELY, FOR THE 7 CLASSES. LEVELS OF PERCEIVED SOCIAL SUPPORT WERE HIGHER FOR THOSE WHO BROUGHT A SUPPORT PERSON. SIGNIFICANT IMPROVEMENTS WITH REGARD TO STRESS, FATIGUE, AND MOOD BEFORE AND AFTER YOGA CLASS (ALL PS < .05) WERE REPORTED BY ALL PARTICIPANTS. NO CLINICALLY SIGNIFICANT CHANGES WERE NOTED ON PROSTATE CANCER SURVIVOR'S QUALITY OF LIFE OR FATIGUE OVER THE COURSE OF THE 14-WEEK STUDY. CONCLUSIONS: YOGA IS A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS. THE PROGRAM HAD A PROMISING UPTAKE RATE, HIGH PROGRAM ADHERENCE RATE, AND THERE WERE ACUTE PROGRAM BENEFITS WITH REGARD TO STRESS, FATIGUE, AND MOOD FOR ALL PARTICIPANTS. FUTURE EXAMINATION IS WARRANTED WITH REGARD TO CHRONIC BENEFITS AND GROUP COHESION INFLUENCES ON LEVELS OF PERCEIVED SOCIAL SUPPORT.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
14 1906  34 RETURNING TO YOGA PRACTICE AND TEACHING AFTER TOTAL HIP ARTHROPLASTY. PATIENTS WHO PRACTICE YOGA ARE MOTIVATED TO RETURN TO PRACTICE AFTER TOTAL HIP ARTHROPLASTY (THA). WITH CASE REPORTS OF DISLOCATIONS DURING YOGA, THE SAFETY OF SUCH A RETURN IS UNCLEAR. THE PURPOSE OF THIS STUDY IS TO EXAMINE THE TIMING AND FEASIBILITY OF A RETURN IN A SUBSET OF HIGHLY EXPERIENCED AND MOTIVATED PATIENTS. BETWEEN 2010 AND 2019, A TOTAL OF 19 THA'S PERFORMED IN 14 PATIENTS WHO SELF-IDENTIFIED AS YOGA INSTRUCTORS WERE RETROSPECTIVELY REVIEWED. PATIENTS WHO PRACTICED YOGA BUT WERE NOT TEACHERS WERE EXCLUDED FROM THIS SERIES. THE PRIMARY OUTCOME MEASURES WERE THE ABILITY TO RETURN TO YOGA, TO RESUME TEACHING, AND FLUENCY WITH 14 CLASSIC POSES. SECONDARY OUTCOMES MEASURED WERE PATIENT-REPORTED HIP DISABILITY AND OSTEOARTHRITIS OUTCOME SCORE (HOOS, JR.), COMPLICATIONS, AND RADIOGRAPHIC POSITION OF THE IMPLANTS. AFTER SURGERY, ALL PATIENTS RETURNED TO PRACTICING AND TEACHING YOGA, AND THE MEAN TIME TO EACH WAS 2 MONTHS. ALL PATIENTS WERE ABLE TO PERFORM ALL 14 CLASSIC POSES. AT A MEAN FOLLOW-UP OF 5 YEARS (SD +/- 4), THERE WERE NO COMPLICATIONS, AND THE MEAN HOOS, JR SCORE WAS 92 POINTS (SD +/- 15). THIS STUDY DEMONSTRATES THAT A RETURN TO YOGA IN AN EXPERIENCED POPULATION IS NOT ONLY POSSIBLE BUT ALSO SAFE AFTER A DIRECT ANTERIOR THA. LIMITATIONS IN PERFORMING THE POSES SHOULD BE UNDERSTOOD, AND APPROPRIATE MODIFICATIONS SHOULD BE INCORPORATED WHEN NEEDED.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
15 1037  27 EFFECTS OF YOGA IN MEN WITH PROSTATE CANCER ON QUALITY OF LIFE AND IMMUNE RESPONSE: A PILOT RANDOMIZED CONTROLLED TRIAL. BACKGROUND: DIAGNOSIS AND TREATMENT OF PROSTATE CANCER IS ASSOCIATED WITH ANXIETY, FEAR, AND DEPRESSION IN UP TO ONE-THIRD OF MEN. YOGA IMPROVES HEALTH-RELATED QUALITY OF LIFE (QOL) IN PATIENTS WITH SEVERAL TYPES OF CANCER, BUT EVIDENCE OF ITS EFFICACY IN ENHANCING QOL IS LACKING IN PROSTATE CANCER. METHODS: IN THIS RANDOMIZED CONTROLLED STUDY, 29 MEN NEWLY DIAGNOSED WITH LOCALIZED PROSTATE CANCER WERE RANDOMIZED TO YOGA FOR 6 WEEKS (N = 14) OR STANDARD-OF-CARE (N = 15) BEFORE RADICAL PROSTATECTOMY. THE PRIMARY OUTCOME WAS SELF-REPORTED QOL, ASSESSED BY THE EXPANDED PROSTATE INDEX COMPOSITE (EPIC), FUNCTIONAL ASSESSMENT OF CANCER THERAPY-PROSTATE (FACT-P), FUNCTIONAL ASSESSMENT OF CHRONIC ILLNESS THERAPY-FATIGUE (FACIT-F), FUNCTIONAL ASSESSMENT OF CANCER THERAPY-GENERAL (FACT-G) AT BASELINE, PREOPERATIVELY, AND 6 WEEKS POSTOPERATIVELY. SECONDARY OUTCOMES WERE CHANGES IN IMMUNE CELL STATUS AND CYTOKINE LEVELS WITH YOGA. RESULTS: THE GREATEST BENEFIT OF YOGA ON QOL WAS SEEN IN EPIC-SEXUAL (MEAN DIFFERENCE, 8.5 POINTS), FACIT-F (6.3 POINTS), FACT-FUNCTIONAL WELLBEING (8.6 POINTS), FACT-PHYSICAL WELLBEING (5.5 POINTS), AND FACT-SOCIAL WELLBEING (14.6 POINTS). THE YOGA GROUP SHOWED INCREASED NUMBERS OF CIRCULATING CD4+ AND CD8+ T-CELLS, MORE PRODUCTION OF INTERFERON-GAMMA BY NATURAL KILLER CELLS, AND INCREASED FC RECEPTOR III EXPRESSION IN NATURAL KILLER CELLS. THE YOGA GROUP ALSO SHOWED DECREASED NUMBERS OF REGULATORY T-CELLS, MYELOID-DERIVED SUPPRESSOR CELLS, INDICATING ANTITUMOR ACTIVITY, AND REDUCTION IN INFLAMMATORY CYTOKINE LEVELS (GRANULOCYTE COLONY-STIMULATING FACTOR [0.55 (0.05-1.05), P = 0.03], MONOCYTE CHEMOATTRACTANT PROTEIN [0.22 (0.01-0.43), P = 0.04], AND FMS-LIKE TYROSINE KINASE-3 LIGAND [0.91 (-0.01, 1.82), P = 0.053]. CONCLUSIONS: PERIOPERATIVE YOGA EXERCISE IMPROVED QOL, PROMOTED AN IMMUNE RESPONSE, AND ATTENUATED INFLAMMATION IN MEN WITH PROSTATE CANCER. YOGA IS FEASIBLE IN THIS SETTING AND HAS BENEFITS THAT REQUIRE FURTHER INVESTIGATION. TRIAL REGISTRATION: CLINICALTRIALS.ORG (NCT02620033).	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
16 2813  18 YOGA TO TREAT NONSPECIFIC LOW BACK PAIN. LOW BACK PAIN IS COMMON AND POSES A CHALLENGE FOR CLINICIANS TO FIND EFFECTIVE TREATMENT TO PREVENT IT FROM BECOMING CHRONIC. CHRONIC LOW BACK PAIN CAN HAVE A SIGNIFICANT IMPACT ON AN EMPLOYEE'S ABILITY TO REMAIN AN ACTIVE AND PRODUCTIVE MEMBER OF THE WORK FORCE DUE TO INCREASED ABSENTEEISM, DUTY RESTRICTIONS, OR PHYSICAL LIMITATIONS FROM PAIN. LOW BACK PAIN IS THE MOST COMMON CAUSE OF WORK-RELATED DISABILITY AMONG EMPLOYEES YOUNGER THAN 46 YEARS. ADVANCING TECHNOLOGY AND LESS INVASIVE SURGICAL PROCEDURES HAVE NOT IMPROVED OUTCOMES FOR EMPLOYEES WHO SUFFER FROM LOW BACK PAIN. MOST CONTINUE TO EXPERIENCE SOME PAIN AND DYSFUNCTION AFTER CONVENTIONAL TREATMENTS SUCH AS INJECTIONS AND SURGERY. AN ALTERNATIVE TREATMENT THAT COULD REDUCE NONSPECIFIC CHRONIC LOW BACK PAIN WOULD BENEFIT BOTH EMPLOYEES AND EMPLOYERS. EXERCISING AND REMAINING ACTIVE ARE PART OF MOST GUIDELINES' ROUTINE CARE RECOMMENDATIONS BUT ARE NOT WELL DEFINED.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
17  322  23 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
18 1272  28 FROM 200 BC TO 2015 AD: AN INTEGRATION OF ROBOTIC SURGERY AND AYURVEDA/YOGA. BACKGROUND: AMONG THE TRADITIONAL SYSTEMS OF MEDICINE PRACTICED ALL OVER THE WORLD, AYURVEDA AND YOGA HAS A DOCUMENTED HISTORY DATING BACK TO BEYOND 200 BC. ROBOTIC AND VIDEO ASSISTED THORACIC SURGERY (VATS) IS AN INVENTION OF THE 21(ST) CENTURY. WE AIM TO QUANTIFY THE EFFECTS OF INTEGRATION OF AYURVEDA AND YOGA ON PATIENTS UNDERGOING MINIMALLY INVASIVE ROBOTIC AND VATS. METHODS: FOUR HUNDRED AND FIFTY-FOUR PATIENTS UNDERGOING VATS AND ROBOTIC THORACIC SURGERY WERE INTRODUCED TO A PRE AND POSTOPERATIVE PROTOCOL OF YOGA THERAPY, MEDIATION AND OIL MASSAGES. YOGA EXERCISES INCLUDED PRANAYAM, ANULOM VILOM, AND OIL MASSAGES INCLUDED UROTARPAN. PREOPERATIVE AND POSTOPERATIVE RESPIRATORY FUNCTIONS WERE RECORDED. PATIENT SATISFACTION QUESTIONNAIRE WERE NOTED. STATISTICAL COMPARISON WAS MADE TO CONTROL GROUP UNDERGOING MINIMALLY INVASIVE THORACIC SURGERY WITHOUT INTEGRATIVE MEDICINE. ONLY ONE PATIENT REFUSED TO UNDERGO AYURVEDA THERAPY AND WAS DELETED FROM THE GROUP. RESULTS: ACCEPTABILITY WAS HIGH AMONG ALL PATIENTS. PREOPERATIVE TRAINING LED TO IMPLEMENTATION AS EARLY AS 6 HOURS POST SURGERY. PULMONARY FUNCTION TEST SHOWED SIGNIFICANT IMPROVEMENT. ALL PATIENTS SUGGESTED AN IMPROVEMENT IN SATISFACTION SCORE. PAIN SCORE WERE LESS IN STUDY PATIENTS. QUICKER MOBILIZATION LED TO EARLY DISCHARGE AND DRAIN REMOVAL. CHRONIC PAIN WAS PREVENTED IN PATIENTS HAVING OIL MASSAGES OVER THE HEALED WOUND SITES. CONCLUSIONS: INTEGRATION OF AYURVEDA, YOGA AND MINIMALLY INVASIVE ROBOTIC AND VATS IS ACCEPTABLE TO INDIAN PATIENTS AND GIVES BETTER CLINICAL RESULTS AND HIGHER PATIENT SATISFACTION.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
19 1732  29 PERSPECTIVE OF PATIENTS REFERRED TO YOGA CENTER IN A TERTIARY NEUROPSYCHIATRIC HOSPITAL: A CROSS-SECTIONAL RETROSPECTIVE STUDY. BACKGROUND: YOGA HAS BEEN EXTENSIVELY USED AS AN ALTERNATIVE OR COMPLEMENTARY THERAPY IN PSYCHIATRIC DISORDERS DEPENDING ON THE TYPE AND SEVERITY OF THE DISORDERS. HOWEVER, DATA RELATED TO PERSPECTIVE ON YOGA SERVICES AND THE BENEFITS AND ADVERSE EFFECTS ATTRIBUTED TO YOGA BY PATIENTS WITH MAJOR PSYCHIATRIC DISORDERS IS LACKING. AIM: THE AIM OF THE STUDY WAS TO ASSESS FEEDBACK OF THE PATIENTS WHO ATTENDED YOGA SESSIONS AT A YOGA CENTER IN A TERTIARY NEUROPSYCHIATRIC HOSPITAL. MATERIALS AND METHODS: THIS WAS A CROSS-SECTIONAL RETROSPECTIVE STUDY USING A SPECIFIC QUESTIONNAIRE TO GET FEEDBACK FROM PATIENTS REFERRED TO THE NIMHANS INTEGRATED CENTER FOR YOGA, AT THE END OF THEIR YOGA TRAINING. RESULTS: TWO HUNDRED AND ONE PATIENTS' DATA WERE INCLUDED IN THIS RETROSPECTIVE STUDY. MOST OF THE PATIENTS WERE REFERRED BY THE DOCTORS. THE YOGA MODULE FOR SCHIZOPHRENIA WAS MOST COMMONLY UTILIZED, FOLLOWED BY DEPRESSION. ON AN AVERAGE, PATIENTS ATTENDED 13 SESSIONS. MOST OF THEM PRACTICED YOGA FOR 1-2 WEEKS AND HAD MISSED LESS THAN 2 SESSIONS. THE GREAT MAJORITY OF THE PATIENTS REPORTED THAT PRACTICING YOGA HELPED THEM. SPEARMAN CORRELATION ANALYSIS REVEALED POSITIVE ASSOCIATIONS BETWEEN IMPROVEMENT ATTRIBUTED TO YOGA AND VARIABLES AFFECTING QUALITY OF YOGA SERVICES AT THE CENTER, INCLUDING THE QUALITY OF YOGA SESSIONS ATTENDED. OVERALL HEALTH AND SLEEP IMPROVEMENT ALSO POSITIVELY CORRELATED WITH IMPROVEMENT ATTRIBUTED TO YOGA. A MINORITY OF PATIENTS REPORTED ADVERSE EFFECTS, ALTHOUGH THESE DID NOT LEAD TO DISCONTINUATION. CONCLUSION: IN THIS RETROSPECTIVE STUDY OF PATIENTS REFERRED TO A YOGA CENTER IN A TERTIARY PSYCHIATRIC FACILITY, THE MAJORITY OF PATIENTS WITH MAJOR MENTAL DISORDERS WERE ABLE TO PRACTICE YOGA UNDER SUPERVISION AND REPORTED SIGNIFICANT IMPROVEMENT IN SYMPTOMS WITH MINIMAL ADVERSE EFFECTS.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
20  511  26 COMPARATIVE STUDY OF CONVENTIONAL THERAPY AND ADDITIONAL YOGASANAS FOR KNEE REHABILITATION AFTER TOTAL KNEE ARTHROPLASTY. BACKGROUND: AMONGST VARIOUS MODALITIES OF POST OPERATIVE REHABILITATION IN A TOTAL KNEE REPLACEMENT (TKR) SURGERY, THIS STUDY FOCUSES ON EVALUATING THE EFFECT OF ADDITIONAL YOGA THERAPY ON FUNCTIONAL OUTCOME OF TKR PATIENTS. MATERIALS AND METHODS: A COMPARATIVE STUDY WAS DONE TO COMPARE THE EFFECTS OF CONVENTIONAL PHYSIOTHERAPY AND ADDITIONAL YOGA ASANAS, ON 56 PATIENTS UNDERGOING TOTAL KNEE ARTHROPLASTY DUE TO OSTEOARTHRITIS. AFTER OBTAINING WRITTEN INFORMED CONSENT, THE PATIENTS WERE ALTERNATELY ASSIGNED TO TWO GROUPS: CONVENTIONAL AND EXPERIMENTAL. BASELINE WOMAC SCORES FOR PAIN AND STIFFNESS WERE TAKEN ON THIRD POST OPERATIVE DAY. THE SUBJECTS IN CONVENTIONAL GROUP RECEIVED PHYSIOTHERAPY REHABILITATION PROGRAM OF SANCHETI INSTITUTE WHERE THE STUDY WAS CONDUCTED, THE EXPERIMENTAL GROUP RECEIVED ADDITIONAL MODIFIED YOGA ASANAS ONCE DAILY BY THE THERAPIST. AFTER DISCHARGE FROM THE HOSPITAL, PATIENTS WERE PROVIDED WITH WRITTEN INSTRUCTIONS AND PHOTOGRAPHS OF THE ASANAS, TWO SETS OF WOMAC QUESTIONNAIRE WITH STAMPED AND ADDRESSED ENVELOPES AND WERE INSTRUCTED TO PERFORM YOGA ASANAS 3 DAYS/WEEK. SUBJECTS FILLED THE QUESTIONNAIRE AFTER 6 WEEKS AND 3 MONTHS FROM THE DAY OF SURGERY AND MAILED BACK. THE PRIMARY OUTCOME MEASURE WAS WOMAC QUESTIONNAIRE WHICH CONSISTS OF 24 QUESTIONS, EACH CORRESPONDING TO A VISUAL ANALOG SCALE, DESIGNED TO MEASURE PATIENT'S PERCEPTION OF PAIN, STIFFNESS AND FUNCTION. RESULTS: THE RESULTS SUGGEST THAT THERE WAS A SIGNIFICANT CHANGE (P<0.05) FOR ALL THE GROUPS FOR PAIN, STIFFNESS AND FUNCTION SUBSCALES OF WOMAC SCALE. THE PAIN AND STIFFNESS WAS FOUND TO BE LESS IN EXPERIMENTAL GROUP RECEIVING ADDITIONAL YOGA THERAPY THAN IN CONVENTIONAL GROUP ON 3(RD) POST OPERATIVE DAY, 6 WEEKS AND 3 MONTHS AFTER THE SURGERY. CONCLUSION: A COMBINATION OF PHYSIOTHERAPY AND YOGA ASANA PROTOCOL WORKS BETTER THAN ONLY PHYSIOTHERAPY PROTOCOL. LARGER AND BLINDED STUDY IS NEEDED.	2012