1 539 121 COMPLEMENTARY THERAPIES IN PARKINSON DISEASE: A REVIEW OF ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. PARKINSON DISEASE (PD) IS A PROGRESSIVE NEURODEGENERATIVE CONDITION CHARACTERIZED BY BRADYKINESIA, RIGIDITY, RESTING TREMOR, AND POSTURAL INSTABILITY. NON-MOTOR SYMPTOMS, INCLUDING PAIN, FATIGUE, INSOMNIA, ANXIETY, AND DEPRESSION TO NAME A FEW, ARE INCREASINGLY RECOGNIZED AND OFTEN JUST AS DISABLING AT MOTOR SYMPTOMS. THE MAINSTAY OF TREATMENT IS DOPAMINE REPLACEMENT; HOWEVER, THE BENEFICIAL EFFECTS TEND TO WANE OVER TIME WITH DISEASE PROGRESSION, AND PATIENTS OFTEN EXPERIENCE MOTOR FLUCTUATIONS AND MEDICATION SIDE EFFECTS. THE LACK OF A DISEASE-MODIFYING INTERVENTION AND THE SHORTCOMINGS OF TRADITIONAL SYMPTOMATIC MEDICATIONS HAVE LED MANY PATIENTS TO PURSUE COMPLEMENTARY THERAPIES TO ALLEVIATE MOTOR AND NON-MOTOR SYMPTOMS ASSOCIATED WITH PD. THE TERM COMPLEMENTARY IMPLIES THAT THE THERAPY IS USED ALONG WITH CONVENTIONAL MEDICINE AND MAY INCLUDE SUPPLEMENTS, MANIPULATIVE TREATMENTS (CHIROPRACTIC, MASSAGE), EXERCISE-BASED PROGRAMS, AND MIND-BODY PRACTICES. AS THESE PRACTICES BECOME MORE WIDESPREAD IN WESTERN MEDICINE, THERE IS A GROWING INTEREST IN EVALUATING THEIR EFFECTS ON A NUMBER OF MEDICAL CONDITIONS, PD INCLUDED. IN THIS REVIEW, WE PROVIDE AN UPDATE ON CLINICAL TRIALS THAT HAVE EVALUATED THE EFFECTIVENESS OF COMPLEMENTARY TREATMENTS FOR PATIENTS WITH PD, SPECIFICALLY FOCUSING ON ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. 2020 2 1141 25 EFFICACY OF YOGA, TAI CHI AND QI GONG ON THE MAIN SYMPTOMS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A SYSTEMATIC REVIEW. INTRODUCTION: THE AIM OF THIS SYSTEMATIC REVIEW WAS TO SUMMARIZE THE EFFECTS OF YOGA, QI GONG OR TAI CHI IN COPD PATIENTS. METHODS: STUDIES EVALUATING EFFECTS OF THE SELECTED COMPLEMENTARY THERAPIES ON LUNG FUNCTION, DYSPNEA, QUALITY OF LIFE OR FUNCTIONAL EXERCISE CAPACITY IN COPD PATIENTS WERE IDENTIFIED AND REVIEWED FROM THREE DATABASES. RESULTS: EIGHTEEN STUDIES WERE INCLUDED. SIX STUDIES EVALUATED THE EFFECTS OF YOGA AND THE OTHERS FOCUSED ON TAI CHI OR QI GONG SEPARATELY OR COMBINED. THE DURATION OF THE PROGRAMS RANGED FROM 6 WEEKS TO 6 MONTHS AND THE FREQUENCY FROM 2 TO 7 TIMES A WEEK. EACH SESSION REACHED 30 TO 90 MINUTES. BENEFITS WERE OBSERVED ON LUNG FUNCTION AND FUNCTIONAL EXERCISE CAPACITY BUT BENEFIT WAS CLEARLY STATED NEITHER ON QUALITY OF LIFE NOR ON DYSPNEA. CONCLUSION: THIS SYSTEMATIC REVIEW HIGHLIGHTS THE POTENTIAL OF THESE THERAPIES AS COMPLEMENTARY THERAPEUTIC APPROACH IN COPD PATIENTS. 2019 3 1973 40 SHOULD ACUPUNCTURE, BIOFEEDBACK, MASSAGE, QI GONG, RELAXATION THERAPY, DEVICE-GUIDED BREATHING, YOGA AND TAI CHI BE USED TO REDUCE BLOOD PRESSURE?: RECOMMENDATIONS BASED ON HIGH-QUALITY SYSTEMATIC REVIEWS. BACKGROUND: THIS REVIEW AIMS TO RATE THE QUALITY OF EVIDENCE AND THE STRENGTH OF RECOMMENDATIONS IN HIGH-QUALITY SYSTEMATIC REVIEWS OF NON-DRUG THERAPIES. HYPERTENSIVE PATIENTS WHO ARE RESISTANT OR NON-ADHERENT TO ANTIHYPERTENSIVE DRUGS MAY BE EASIER TO MANAGE IF THEY CHOOSE ALTERNATIVE NON-DRUG THERAPIES FOR HYPERTENSION, BASED ON THIS REVIEW. METHODS: P: ADULTS (>18 YEARS), EXCEPT PREGNANT WOMEN, WITH ESSENTIAL HYPERTENSION. I: CUPPING, MOXIBUSTION, ACUPUNCTURE, ACUPOINT STIMULATION, YOGA, MEDITATION, TAI CHI, QI GONG, CHINESE MASSAGE, MASSAGE, SPINAL MANIPULATION, BIOFEEDBACK, DEVICE-GUIDED BREATHING THERAPY, AROMATHERAPY, MUSIC THERAPY, AND RELAXATION APPROACHES. C: 1. NO TREATMENT. 2. SHAM THERAPY. 3. CONVENTIONAL TREATMENT, INCLUDING ANTIHYPERTENSIVE DRUGS AND LIFESTYLE MODIFICATION (E.G., EXERCISE). O: 1. CHANGE IN THE INCIDENCE OF CARDIOVASCULAR DEATH. 2. CHANGE IN THE INCIDENCE OF MYOCARDIAL INFARCTION. 3. CHANGE IN THE INCIDENCE OF STROKE. 4. CHANGE IN BLOOD PRESSURE (BP). 5. EFFICACY RATE OF BP LOWERING. 6. ADVERSE EFFECTS (REVIEW SPECIFIC). S: SYSTEMATIC REVIEWS OF RANDOMIZED CONTROLLED TRIALS, INCLUDING META-ANALYSES AND ASSESSMENTS OF THE METHODOLOGICAL QUALITY/RISK OF BIAS. INFORMATION SOURCES: COCHRANE DATABASE OF SYSTEMATIC REVIEWS, DATABASE OF ABSTRACTS OF REVIEWS OF EFFECTS, COCHRANE LIBRARY, PUBMED, WEB OF SCIENCE, CHINA NATIONAL KNOWLEDGE INFRASTRUCTURE, AND CHINESE SCIENTIFIC JOURNAL DATABASE WERE SEARCHED. THE BIBLIOGRAPHIES OF THE INCLUDED ARTICLES WERE ALSO SEARCHED FOR RELEVANT SYSTEMATIC REVIEWS. GRADE CRITERIA WERE USED TO RATE THE QUALITY OF EVIDENCE IN SYSTEMATIC REVIEWS CONSIDERING 6 FACTORS, INCLUDING RISK OF BIAS. RESULTS: THIS REVIEW ULTIMATELY INCLUDED 13 SYSTEMATIC REVIEWS OF 14 NON-DRUG THERAPIES (ACUPUNCTURE, WET CUPPING, BADUANJIN, BLOOD LETTING, AURICULAR ACUPUNCTURE, MUSIC, MASSAGE, QI GONG, MOXIBUSTION, RELAXATION THERAPIES, BIOFEEDBACK, DEVICE-GUIDED BREATHING, YOGA AND TAI CHI) BASED ON THE INCLUSION CRITERIA. THE QUALITY OF EVIDENCE WAS GENERALLY LOW, AND WEAK RECOMMENDATIONS WERE GIVEN FOR MOST THERAPIES EXCEPT MASSAGE AND ACUPUNCTURE PLUS ANTIHYPERTENSIVE DRUG. BASED ON THE ANALYZED EVIDENCE, MASSAGE AND ACUPUNCTURE PLUS ANTIHYPERTENSIVE DRUG COULD BENEFIT PEOPLE WHO WANT TO LOWER THEIR BP AND DO NOT HAVE CONTRAINDICATIONS FOR MASSAGE AND ACUPUNCTURE PLUS ANTIHYPERTENSIVE DRUG. DISCUSSION/STRENGTH: THE GRADE APPROACH MAKES THIS REVIEW A UNIQUE REFERENCE FOR PEOPLE WHO ARE CONSIDERING THE GRADE OF QUALITY OF EVIDENCE IN SYSTEMATIC REVIEWS, THE BALANCE OF DESIRABLE AND UNDESIRABLE CONSEQUENCES AND THE STRENGTH OF RECOMMENDATIONS TO DECIDE WHICH INTERVENTION SHOULD BE USED TO REDUCE BP. LIMITATIONS: MANY NON-DRUG THERAPIES WERE EXCLUDED DUE TO THE LOW METHODOLOGICAL QUALITY OF THEIR SYSTEMATIC REVIEWS, AND ONLY 14 THERAPIES WERE EVALUATED IN THIS REVIEW. AS NO PATIENT-IMPORTANT OUTCOMES WERE REVIEWED, SURROGATE OUTCOMES WERE USED TO RATE THE STRENGTH OF RECOMMENDATIONS. THIS APPROACH MAY CAUSE A DECREASE IN EVIDENCE QUALITY ACCORDING TO GRADE, BUT WE ARGUE THAT THIS IS APPROPRIATE IN THE CONTEXT OF THIS REVIEW. 2019 4 576 34 DEPRESSION AND ANXIETY DISORDERS: BENEFITS OF EXERCISE, YOGA, AND MEDITATION. MANY PEOPLE WITH DEPRESSION OR ANXIETY TURN TO NONPHARMACOLOGIC AND NONCONVENTIONAL INTERVENTIONS, INCLUDING EXERCISE, YOGA, MEDITATION, TAI CHI, OR QI GONG. META-ANALYSES AND SYSTEMATIC REVIEWS HAVE SHOWN THAT THESE INTERVENTIONS CAN IMPROVE SYMPTOMS OF DEPRESSION AND ANXIETY DISORDERS. AS AN ADJUNCTIVE TREATMENT, EXERCISE SEEMS MOST HELPFUL FOR TREATMENT-RESISTANT DEPRESSION, UNIPOLAR DEPRESSION, AND POSTTRAUMATIC STRESS DISORDER. YOGA AS MONOTHERAPY OR ADJUNCTIVE THERAPY SHOWS POSITIVE EFFECTS, PARTICULARLY FOR DEPRESSION. AS AN ADJUNCTIVE THERAPY, IT FACILITATES TREATMENT OF ANXIETY DISORDERS, PARTICULARLY PANIC DISORDER. TAI CHI AND QI GONG MAY BE HELPFUL AS ADJUNCTIVE THERAPIES FOR DEPRESSION, BUT EFFECTS ARE INCONSISTENT. AS MONOTHERAPY OR AN ADJUNCTIVE THERAPY, MINDFULNESS-BASED MEDITATION HAS POSITIVE EFFECTS ON DEPRESSION, AND ITS EFFECTS CAN LAST FOR SIX MONTHS OR MORE. ALTHOUGH POSITIVE FINDINGS ARE LESS COMMON IN PEOPLE WITH ANXIETY DISORDERS, THE EVIDENCE SUPPORTS ADJUNCTIVE USE. THERE ARE NO APPARENT NEGATIVE EFFECTS OF MINDFULNESS-BASED INTERVENTIONS, AND THEIR GENERAL HEALTH BENEFITS JUSTIFY THEIR USE AS ADJUNCTIVE THERAPY FOR PATIENTS WITH DEPRESSION AND ANXIETY DISORDERS. 2019 5 1625 38 MINDFULNESS AND YOGA FOR PSYCHOLOGICAL TRAUMA: SYSTEMATIC REVIEW AND META-ANALYSIS. MINDFULNESS-BASED INTERVENTIONS (MBIS), WITH POSTURES, BREATH, RELAXATION, AND MEDITATION, SUCH AS MINDFULNESS-BASED STRESS REDUCTION (MBSR) AND YOGA, ARE COMPLEX INTERVENTIONS INCREASINGLY USED FOR TRAUMA-RELATED PSYCHIATRIC CONDITIONS. PRIOR REVIEWS HAVE ADOPTED A DISORDER-SPECIFIC FOCUS. HOWEVER, TRAUMA IS A RISK FACTOR FOR MOST PSYCHIATRIC CONDITIONS. WE ADOPTED A TRANSDIAGNOSTIC APPROACH TO EVALUATE THE EFFICACY OF MBIS FOR THE CONSEQUENCES OF TRAUMA, AGNOSTIC TO DIAGNOSIS. AMED, CINAHL, CENTRAL, EMBASE, PUBMED/MEDLINE, PSYCINFO, AND SCOPUS WERE SEARCHED TO 30 SEPTEMBER 2018 FOR CONTROLLED AND UNCONTROLLED TRIALS OF MINDFULNESS, YOGA, TAI CHI, AND QI GONG IN PEOPLE SPECIFICALLY SELECTED FOR TRAUMA EXPOSURE. OF >12,000 RESULTS, 66 STUDIES WERE INCLUDED IN THE SYSTEMATIC REVIEW AND 24 CONTROLLED STUDIES WERE META-ANALYZED. THERE WAS A SIGNIFICANT, POOLED EFFECT OF MBIS (G = 0.51, 95%CI 0.31 TO 0.71, P < .001). SIMILAR EFFECTS WERE OBSERVED FOR MINDFULNESS (G = 0.45, 0.26 TO 0.64, P < .001), YOGA (G = 0.46, 0.26 TO 0.66, P < .001), AND INTEGRATIVE EXERCISE (G = 0.94, 0.37 TO 1.51, P = .001), WITH NO DIFFERENCE BETWEEN INTERVENTIONS. OUTCOME MEASURE OR TRAUMA TYPE DID NOT INFLUENCE THE EFFECTIVENESS, BUT INTERVENTIONS OF 8 WEEKS OR MORE WERE MORE EFFECTIVE THAN SHORTER INTERVENTIONS (Q = 8.39, DF = 2, P = .02). MINDFULNESS-BASED INTERVENTIONS, ADJUNCTIVE TO TREATMENT-AS-USUAL OF MEDICATION AND/OR PSYCHOTHERAPY, ARE EFFECTIVE IN REDUCING TRAUMA-RELATED SYMPTOMS. YOGA AND MINDFULNESS HAVE COMPARABLE EFFECTIVENESS. MANY PSYCHIATRIC STUDIES DO NOT REPORT TRAUMA EXPOSURE, FOCUSING ON DISORDER-SPECIFIC OUTCOMES, BUT THIS REVIEW SUGGESTS A TRANSDIAGNOSTIC APPROACH COULD BE ADOPTED IN THE TREATMENT OF TRAUMA SEQUELAE WITH MBIS. MORE RIGOROUS REPORTING OF TRAUMA EXPOSURE AND MBI TREATMENT PROTOCOLS IS RECOMMENDED TO ENHANCE FUTURE RESEARCH. 2020 6 2267 28 THE QIGONG OF 18 LUOHAN HANDS AND YOGA FOR PREVENTION OF LOW BACK PAIN: A CONCEPTUAL SYNTHESIS. THE PRACTICE OF HATHAYOGA IS BASED ON THE FOLLOWING ASSUMPTIONS: COMPLEXITY AND MULTIDIMENSIONALITY OF VARIOUS POSITIVE INFLUENCES ON AN INDIVIDUAL'S WHOLENESS THROUGH THE MIND, BODY AND THEIR CONSCIOUS CONTROL. ON THE OTHER HAND, THE PRACTICE OF THE QIGONG OF 18 LUOHAN HANDS IS BASED ON SLOW MOVEMENTS DESIGNED TO MOBILISE QI WITHIN THE BODY. THIS ARTICLE PRESENTS A CONCEPTUAL INTEGRATION OF YOGA AND QIGONG WHEN CONSIDERING THE CONGRUENCE OF BENEFICIAL EFFECTS FOR VARIOUS SYSTEMS OF THE BODY AND PREVENTION OF LOW BACK PAIN (LBP). THE AUTHOR EMPHASIZES THE USEFULNESS OF QIGONG AND YOGA PRACTICE IN CLINICAL UNITS AND EXPLAINS HOW THE ESSENCE OF THESE PRACTICES RELATES TO EACH OTHER. THE JUSTIFICATION OF THIS FUSION AS WELL AS DIFFERENCES BETWEEN THESE TWO MODALITIES ARE ALSO DESCRIBED AND EXPLAINED. WITHIN THE SCOPE OF THIS ARTICLE THE EXISTENCE OF SEVERAL SIMILARITIES BETWEEN THESE TWO PRACTICES HAS BEEN SUGGESTED FOR BOTH PRACTITIONERS AND RESEARCHERS. THEY CAN OBTAIN VALUABLE AND ADDITIONAL ARGUMENTS THROUGH CROSS-FERTILIZATION OF IDEAS ACROSS PRESENTED STUDIES UNITED BY SHARED, UNDERLYING BIOMECHANICAL CONCEPTS AND PHYSIOLOGICAL EFFECTS. SUCH CONCEPTUAL ENRICHMENT MAY BE A USEFUL SOURCE OF INSPIRATION FOR QIGONG AND YOGA PRACTITIONERS WHO TEND TO PREVENT LBP AND THERAPISTS (PHYSIOTHERAPISTS, OCCUPATIONAL THERAPISTS, REHABILITANTS, NURSES, BODYWORK AND MOVEMENT THERAPISTS OR MASSAGE THERAPISTS) INTENDED TO MANAGE THEIR PATIENTS' BACK PAINS AND OVERALL HEALTH ON A DAILY BASIS. 2011 7 1890 34 REGULATION OF GENE EXPRESSION BY YOGA, MEDITATION AND RELATED PRACTICES: A REVIEW OF RECENT STUDIES. INTEGRATIVE MEDICINE (IM) APPROACHES HAVE GAINED SIGNIFICANT INTEREST IN RECENT YEARS TO PROVIDE A SOLUTION FOR THE HEALTH CARE CHALLENGES WE FACE TODAY. YOGIC COGNITIVE-BEHAVIORAL PRACTICES ARE AMONG THE MOST WIDELY USED IM APPROACHES AND INCLUDE DIVERSE PRACTICES SUCH AS YOGA ASANAS, MEDITATION, BREATHING EXERCISES, QI GONG, TAI CHI CHIH, AND VARIOUS OTHERS. STUDIES TO DATE SUGGEST THAT THESE YOGIC/MEDITATIVE PRACTICES HAVE SIGNIFICANT POSITIVE EFFECTS ON THE MIND-BODY SYSTEM AND THEREBY CAN INCREASE WELLNESS AND SUPPORT THE HEALING PROCESS FROM DISEASE. PREVIOUS WORK HAS PROVIDED EVIDENCE FOR BOTH PSYCHOLOGICAL AND PHYSIOLOGICAL EFFECTS OF THESE PRACTICES; HOWEVER, THE MECHANISMS OF THESE EFFECTS, ESPECIALLY AT THE MOLECULAR LEVEL, HAVE LARGELY BEEN MISSING. THREE RECENT STUDIES STARTED TO PROVIDE SOME OF THIS INFORMATION THROUGH GENE EXPRESSION PROFILING IN CIRCULATING IMMUNE CELLS, WHICH SUPPORT THE HYPOTHESIS THAT YOGIC/MEDITATIVE PRACTICES HAVE A MEASURABLE EFFECT AT THE MOLECULAR LEVEL. THESE STUDIES ARE REVIEWED HEREIN AND SOME FUTURE PERSPECTIVES ARE CONSIDERED. 2013 8 1094 26 EFFECTS OF YOGA PRACTICE ON ACUMERIDIAN ENERGIES: VARIANCE REDUCTION IMPLIES BENEFITS FOR REGULATION. BACKGROUND AND OBJECTIVE: THIS PAPER CONCERNS MECHANISMS RESPONSIBLE FOR THE EFFICACY OF YOGA MEDICINE, TRADITIONALLY ATTRIBUTED TO THE ENLIVENMENT OF PRANA. OUR STRATEGY WAS TO INVESTIGATE LEVELS OF QI IN ACUPUNCTURE MERIDIANS, SINCE QI IS USUALLY CONSIDERED EQUIVALENT TO PRANA. MATERIALS AND METHODS: ELECTRODERMAL MEASUREMENTS AT ACUMERIDIAN ENDPOINTS (TSING POINTS) WERE MADE ON 32 HEALTHY INDIVIDUALS, PRE AND POST 3 WEEKS YOGA LIFESTYLE PROGRAM USING ACUGRAPH 3 (AN INSTRUMENT IN WIDE USE). A PREVIOUS STUDY FOUND THAT INHERENT ERRORS PREVENT ACUGRAPH FROM PRECISELY EVALUATING QI ENERGIES IN SINGLE MERIDIANS, SO GROUP RESULTS ARE REPORTED: (A) ENERGY LEVELS, (B) ENERGY STABILITY, AND (C) ENERGY BALANCE BETWEEN (I) YIN/YANG MERIDIANS, (II) UPPER AND LOWER, AND (III) LEFT AND RIGHT REGIONS OF THE BODY. RESULTS: SIGNIFICANT IMPROVEMENTS WERE OBSERVED IN ALL BUT ENERGY STABILITY, SUPPORTING THE IDEAS THAT YOGA ENLIVENS PRANA, AND THAT BALANCE IN MERIDIANS CONSTITUTES HEALTH. FOR BALANCE VARIABLES, THE STUDY OBSERVED SHIFTS TOWARD NORMAL AT BOTH ENDS OF VARIABLE DISTRIBUTIONS, REDUCING STANDARD DEVIATIONS: POST-INTERVENTION PERCENTAGES OF SUBJECTS WITH VALUES IN THE 'HEALTHY' RANGE INCREASED. CONCLUSION: YOGA IMPROVED REGULATION OF QI LEVELS IN ACUMERIDIAN MERIDIANS AS WELL AS INCREASING THEM. 2013 9 2431 26 YOGA AND PHYSIOTHERAPY: A SPECULATIVE REVIEW AND CONCEPTUAL SYNTHESIS. THIS ARTICLE PRESENTS THE POTENTIAL INTEGRATION OF YOGA AND PHYSIOTHERAPY WHEN CONSIDERING THE ESSENCE OF THEIR UNDERLYING CONCEPTS. WITHIN THE SCOPE OF THIS ARTICLE THE EXISTENCE OF SEVERAL SIMILARITIES BETWEEN THESE TWO 'CONCEPTS' HAS BEEN SUGGESTED. RESEARCHERS, PHYSIOTHERAPISTS AND THEIR PATIENTS AS WELL AS YOGA PRACTITIONERS CAN OBTAIN VALUABLE AND ADDITIONAL ARGUMENTS THROUGH THE CROSS-FERTILIZATION OF IDEAS ACROSS PRESENTED STUDIES UNITED BY SHARED, UNDERLYING CONCEPTS. THE PRACTICE OF YOGA IS BASED ON THE FOLLOWING ASSUMPTIONS: COMPLEXITY AND MULTIDIMENSIONALITY, VARIOUS POSITIVE INFLUENCES ON AN INDIVIDUAL'S WHOLENESS THROUGH THE MIND, BODY, AND THE RELATIONSHIPS BETWEEN THEM. THESE ASSUMPTIONS MAY HAVE THE POTENTIAL TO CONTRIBUTE TOWARDS THE PRACTICE OF PHYSIOTHERAPY AND ITS UNDERLYING PRINCIPLES. THE ESSENCE OF PHYSIOTHERAPY AS A MULTIFACETED PROCESS REQUIRES TEAMWORK AND EFFORTS OF VARIOUS SPECIALISTS LIKE PSYCHOLOGISTS, SOCIOLOGISTS, OCCUPATIONAL THERAPISTS AND NURSES IF PATIENTS ARE TO BENEFIT. IDEALLY, THE PHYSIOTHERAPIST SHOULD POSSESS KNOWLEDGE FROM THESE AREAS OF SCIENCE IN ORDER TO PROFESSIONALLY CARE ABOUT PATIENTS. THEREFORE, IT CAN BE SUGGESTED THAT BASIC SIMILARITIES EXIST BETWEEN YOGA AND PHYSIOTHERAPY IN TERMS OF MUTIDISCIPLINARITY AND COMPLEXITY OF HOLISTIC CARE. SUCH CONCEPTUAL ENRICHMENT MAY BE A USEFUL SOURCE OF INSPIRATION FOR PHYSIOTHERAPISTS CONCERNED ABOUT THEIR PATIENTS' OVERALL HEALTH ON A DAILY BASIS. THE AUTHORS EMPHASIZE THE USEFULNESS OF YOGA PRACTICE IN CLINICAL UNITS AND EXPLAIN HOW THE ESSENCE OF AYURVEDIC KNOWLEDGE MIGHT BE EXTRAPOLATED AND INCORPORATED INTO THEORETICAL PRINCIPLES OF PHYSIOTHERAPY PROCESS. THE JUSTIFICATION OF THE STUDIES INCLUDED IS ALSO PRESENTED. 2009 10 2026 30 TAI CHI AND YOGA AS COMPLEMENTARY THERAPIES IN RHEUMATOLOGIC CONDITIONS. TAI CHI AND YOGA ARE COMPLEMENTARY THERAPIES WHICH HAVE, DURING THE LAST FEW DECADES, EMERGED AS POPULAR TREATMENTS FOR RHEUMATOLOGIC AND MUSCULOSKELETAL DISEASES. THIS REVIEW COVERS THE EVIDENCE OF TAI CHI AND YOGA IN THE MANAGEMENT OF RHEUMATOLOGIC DISEASES, ESPECIALLY OSTEOARTHRITIS OF THE KNEE, HIP AND HAND, AND RHEUMATOID ARTHRITIS. THERE IS EVIDENCE THAT TAI CHI AND YOGA ARE SAFE, AND SOME EVIDENCE THAT THEY HAVE BENEFIT, LEADING TO REDUCTION OF PAIN AND IMPROVEMENT OF PHYSICAL FUNCTION AND QUALITY OF LIFE IN PATIENTS. RECOMMENDATIONS FOR TAI CHI IN KNEE OSTEOARTHRITIS HAVE RECENTLY BEEN ISSUED BY THE AMERICAN COLLEGE OF RHEUMATOLOGY. TO ALLOW BROADER RECOMMENDATIONS FOR THE USE OF TAI CHI AND YOGA IN RHEUMATIC DISEASES, THERE IS A NEED TO COLLECT MORE EVIDENCE RESEARCHED WITH LARGER RANDOMISED CONTROLLED TRIALS. 2012 11 538 24 COMPLEMENTARY AND ALTERNATIVE TREATMENT FOR NECK PAIN: CHIROPRACTIC, ACUPUNCTURE, TENS, MASSAGE, YOGA, TAI CHI, AND FELDENKRAIS. OF THE MULTITUDE OF TREATMENT OPTIONS FOR THE MANAGEMENT OF NECK PAIN, NO OBVIOUS SINGLE TREATMENT MODALITY HAS BEEN SHOWN TO BE MOST EFFICACIOUS. AS SUCH, THE CLINICIAN SHOULD CONSIDER ALTERNATIVE TREATMENT MODALITIES IF A MODALITY IS ENGAGING, AVAILABLE, FINANCIALLY FEASIBLE, POTENTIALLY EFFICACIOUS, AND IS LOW RISK FOR THE PATIENT. AS EVIDENCE-BASED MEDICINE FOR NECK PAIN DEVELOPS, THE CLINICIAN IS FACED WITH THE CHALLENGE OF WHICH TREATMENTS TO ENCOURAGE PATIENTS TO PURSUE. TREATMENT MODALITIES EXPLORED IN THIS ARTICLE, INCLUDING CHIROPRACTIC, ACUPUNCTURE, TENS, MASSAGE, YOGA, TAI CHI, AND FELDENKRAIS, REPRESENT REASONABLE COMPLEMENTARY AND ALTERNATIVE MEDICINE METHODS FOR PATIENTS WITH NECK PAIN. 2011 12 2300 32 THERAPEUTIC YOGA: SYMPTOM MANAGEMENT FOR MULTIPLE SCLEROSIS. MULTIPLE SCLEROSIS (MS) IS THE MOST COMMON AUTOIMMUNE INFLAMMATORY DEMYELINATING DISEASE OF THE CENTRAL NERVOUS SYSTEM, AFFECTING OVER 2.3 MILLION PEOPLE WORLDWIDE. ACCORDING TO THE NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE, THE AGE OF DISEASE ONSET IS TYPICALLY BETWEEN 20 AND 40 YEARS, WITH A HIGHER INCIDENCE IN WOMEN. INDIVIDUALS WITH MS EXPERIENCE A WIDE RANGE OF SYMPTOMS, INCLUDING DECLINING PHYSICAL, EMOTIONAL, AND PSYCHOLOGICAL SYMPTOMS (E.G., FATIGUE, IMBALANCE, SPASTICITY, CHRONIC PAIN, COGNITIVE IMPAIRMENT, BLADDER AND BOWEL DYSFUNCTION, VISUAL AND SPEECH IMPAIRMENTS, DEPRESSION, SENSORY DISTURBANCE, AND MOBILITY IMPAIRMENT). TO DATE, BOTH THE CAUSE OF AND CURE FOR MS REMAIN UNKNOWN. IN RECENT YEARS, MORE INDIVIDUALS WITH MS HAVE BEEN PURSUING ALTERNATIVE METHODS OF TREATMENT TO MANAGE SYMPTOMS OF THE DISEASE, INCLUDING MIND-BODY THERAPIES SUCH AS YOGA, MEDITATION, BREATHING, AND RELAXATION TECHNIQUES. IT HAS BEEN SUGGESTED THAT THE PRACTICE OF YOGA MAY BE A SAFE AND EFFECTIVE WAY OF MANAGING SYMPTOMS OF MS. THEREFORE, THE PURPOSE OF THIS PAPER IS TO SUMMARIZE THE MOST RELEVANT LITERATURE ON EXERCISE AND MIND-BODY MODALITIES TO TREAT MS SYMPTOMS AND, MORE SPECIFICALLY, THE BENEFITS AND POTENTIAL ROLE OF YOGA AS AN ALTERNATIVE TREATMENT OF SYMPTOM MANAGEMENT FOR INDIVIDUALS WITH MS. THE ARTICLE ALSO DISCUSSES FUTURE DIRECTIONS FOR RESEARCH. 2015 13 92 38 A NARRATIVE REVIEW OF MOVEMENT-BASED MIND-BODY INTERVENTIONS: EFFECTS OF YOGA, TAI CHI, AND QIGONG FOR BACK PAIN PATIENTS. THIS NARRATIVE LITERATURE REVIEW EVALUATED THE EFFECTS OF MOVEMENT-BASED MIND-BODY INTERVENTIONS (MMBIS; YOGA, TAI CHI, AND QIGONG) ON LOW BACK PAIN. A SEARCH OF DATABASES WAS CONDUCTED TO IDENTIFY RELEVANT STUDIES. THIRTY-TWO ARTICLES MET INCLUSION CRITERIA AND WERE INCLUDED FOR THIS NARRATIVE REVIEW. OF THE REVIEWED STUDIES, THE HIGHEST NUMBER FOCUSED ON YOGA INTERVENTION (N = 25), 4 FOCUSED ON QIGONG, AND 3 FOCUSED ON TAI CHI IN MANAGING BACK PAIN. THE SELECTED ARTICLES SHOWED MMBI TO BE EFFECTIVE FOR TREATMENT OF LOW BACK PAIN, REPORTING POSITIVE OUTCOMES SUCH AS REDUCTION IN PAIN OR PSYCHOLOGICAL DISTRESS (EG, DEPRESSION AND ANXIETY), AND IMPROVED FUNCTIONAL ABILITY. HOWEVER, LITTLE IS KNOWN ABOUT THE EFFECTS OF MMBI, IN PARTICULAR QIGONG AND TAI CHI. MORE CLINICAL TRIALS ARE NEEDED TO DETERMINE HOW TO REDUCE BACK PAIN, IMPROVE PHYSICAL FUNCTION, AND MINIMIZE BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS ASSOCIATED WITH LOW BACK PAIN. NURSE PRACTITIONERS MAY INTRODUCE SUCH MIND-BODY INTERVENTIONS FOR MANAGING PAIN, ESPECIALLY FOR PATIENTS AT HIGH RISK FOR ADVERSE EFFECTS FROM PHARMACOLOGICAL TREATMENT, AND REFER THEM TO A YOGA THERAPIST, TAI-CHI INSTRUCTOR, OR QIGONG INSTRUCTOR. 2020 14 2446 37 YOGA AND TAI CHI: A MIND-BODY APPROACH IN MANAGING RESPIRATORY SYMPTOMS IN OBSTRUCTIVE LUNG DISEASES. PURPOSE OF REVIEW: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS CHARACTERIZED BY AIRFLOW LIMITATION BECAUSE OF AIRWAY AND/OR ALVEOLAR ABNORMALITIES. SYMPTOMS INCLUDE DYSPNEA, COUGH, CHRONIC SPUTUM PRODUCTION. AS THE THIRD-RANKED CAUSE OF DEATH AS WELL AS DISABILITY-ADJUSTED LIFE YEARS (DALYS), IT POSES A SIGNIFICANT BURDEN ON PATIENTS, FAMILIES, HEALTHCARE SYSTEM AND SOCIETY. REGULAR PHYSICAL ACTIVITY IS LINKED TO DECREASE IN MORBIDITY AND MORTALITY ASSOCIATED WITH COPD, BUT IMPLEMENTATION REMAINS CHALLENGING. THERE IS A NEED FOR COMMUNITY-BASED INTERVENTIONS THAT PROMOTE PHYSICAL ACTIVITY. YOGA AND TAI CHI ARE WIDELY AVAILABLE IN THE COMMUNITY AND HAVE BEEN SHOWN TO BE BENEFICIAL IN PATIENTS WITH COPD AS WELL AS MANY OF THE CO-MORBID CONDITIONS ASSOCIATED WITH COPD. RECENT FINDINGS: YOGA AND TAI CHI HAVE BEEN FOUND TO BE MORE EFFECTIVE THAN USUAL CARE IN COPD WITH CLINICALLY MEANINGFUL IMPROVEMENTS IN 6-MIN WALK DISTANCE (6MWD), FORCED EXPIRATORY VOLUME IN 1 S (FEV1), AND HEALTH-RELATED QUALITY OF LIFE (HRQOL). THEY HAVE ALSO BEEN FOUND TO BE COMPARABLE TO PULMONARY REHABILITATION INTERVENTIONS. SUMMARY: YOGA AND TAI CHI PROVIDE COMMUNITY-BASED OPTIONS FOR PATIENTS WITH COPD TO IMPROVE THEIR PHYSICAL ACTIVITY, QUALITY OF LIFE, AND PULMONARY FUNCTION. 2020 15 1537 42 KNEE OSTEOARTHRITIS PAIN IN THE ELDERLY CAN BE REDUCED BY MASSAGE THERAPY, YOGA AND TAI CHI: A REVIEW. BACKGROUND AND METHODS: THIS IS A REVIEW OF RECENTLY PUBLISHED RESEARCH, BOTH EMPIRICAL STUDIES AND META-ANALYSES, ON THE EFFECTS OF COMPLEMENTARY THERAPIES INCLUDING MASSAGE THERAPY, YOGA AND TAI CHI ON PAIN ASSOCIATED WITH KNEE OSTEOARTHRITIS IN THE ELDERLY. RESULTS: THE MASSAGE THERAPY PROTOCOLS HAVE BEEN EFFECTIVE IN NOT ONLY REDUCING PAIN BUT ALSO IN INCREASING RANGE OF MOTION, SPECIFICALLY WHEN MODERATE PRESSURE MASSAGE WAS USED AND WHEN BOTH THE QUADRICEPS AND HAMSTRINGS WERE MASSAGED. THE YOGA STUDIES TYPICALLY MEASURED PAIN BY THE WOMAC. MOST OF THOSE STUDIES SHOWED A CLINICALLY SIGNIFICANT REDUCTION IN PAIN, ESPECIALLY THE RESEARCH THAT FOCUSED ON POSES (E.G. THE IYENGAR STUDIES) AS OPPOSED TO THOSE THAT HAD INTEGRATED PROTOCOLS (POSES, BREATHING AND MEDITATION EXERCISES). THE TAI CHI STUDIES ALSO ASSESSED PAIN BY SELF-REPORT ON THE WOMAC AND SHOWED SIGNIFICANT REDUCTIONS IN PAIN. THE TAI CHI STUDIES WERE DIFFICULT TO COMPARE BECAUSE OF THEIR HIGHLY VARIABLE PROTOCOLS IN TERMS OF THE FREQUENCY AND DURATION OF TREATMENT. DISCUSSION: LARGER, RANDOMIZED CONTROL TRIALS ARE NEEDED ON EACH OF THESE THERAPIES USING MORE STANDARDIZED PROTOCOLS AND MORE OBJECTIVE VARIABLES IN ADDITION TO THE SELF-REPORTED WOMAC PAIN SCALE, FOR EXAMPLE, RANGE-OF-MOTION AND OBSERVED RANGE-OF-MOTION PAIN. IN ADDITION, TREATMENT COMPARISON STUDIES SHOULD BE CONDUCTED SO, FOR EXAMPLE, IF THE LOWER-COST YOGA AND TAI CHI WERE AS EFFECTIVE AS MASSAGE THERAPY, THEY MIGHT BE USED IN COMBINATION WITH OR AS SUPPLEMENTAL TO MASSAGE THERAPY. NONETHELESS, THESE THERAPIES ARE AT LEAST REDUCING PAIN IN KNEE OSTEOARTHRITIS AND THEY DO NOT SEEM TO HAVE SIDE EFFECTS. 2016 16 2460 30 YOGA AS A METHOD OF SYMPTOM MANAGEMENT IN MULTIPLE SCLEROSIS. MULTIPLE SCLEROSIS (MS) IS AN IMMUNE-MEDIATED PROCESS IN WHICH THE BODY'S IMMUNE SYSTEM DAMAGES MYELIN IN THE CENTRAL NERVOUS SYSTEM (CNS). THE ONSET OF THIS DISORDER TYPICALLY OCCURS IN YOUNG ADULTS, AND IT IS MORE COMMON AMONG WOMEN. CURRENTLY, THERE IS NO CURE AND THE LONG-TERM DISEASE PROGRESSION MAKES SYMPTOMATIC MANAGEMENT CRITICAL FOR MAINTAINING QUALITY OF LIFE. SEVERAL PHARMACOTHERAPEUTIC AGENTS ARE APPROVED FOR TREATMENT, BUT MANY PATIENTS SEEK COMPLEMENTARY AND ALTERNATIVE INTERVENTIONS. REVIEWS HAVE BEEN CONDUCTED REGARDING BROAD TOPICS SUCH AS MINDFULNESS-BASED INTERVENTIONS FOR PEOPLE DIAGNOSED WITH MS AND THE IMPACT OF YOGA ON A RANGE OF NEUROLOGICAL DISORDERS. THE OBJECTIVE OF THE PRESENT REVIEW IS TO EXAMINE THE POTENTIAL BENEFITS OF YOGA FOR INDIVIDUALS WITH MS AND ADDRESS ITS USE IN MANAGING SYMPTOMS INCLUDING PAIN, MENTAL HEALTH, FATIGUE, SPASTICITY, BALANCE, BLADDER CONTROL, AND SEXUAL FUNCTION. 2015 17 588 36 DETERMINING PSYCHONEUROIMMUNOLOGIC MARKERS OF YOGA AS AN INTERVENTION FOR PERSONS DIAGNOSED WITH PTSD: A SYSTEMATIC REVIEW. THERE IS A GROWING BODY OF RESEARCH ON YOGA AS A THERAPEUTIC INTERVENTION FOR PSYCHOLOGICAL SYMPTOMS OF POST-TRAUMATIC STRESS DISORDER (PTSD) ACCOMPANIED BY SPECULATIONS ON UNDERLYING PHYSIOLOGIC MECHANISMS. THE PURPOSE OF THIS SYSTEMATIC REVIEW IS TO IDENTIFY, QUALITATIVELY EVALUATE, AND SYNTHESIZE STUDIES OF YOGA AS AN INTERVENTION FOR PTSD THAT MEASURED PHYSIOLOGIC OUTCOMES IN ORDER TO GAIN INSIGHTS INTO POTENTIAL MECHANISMS. THE FOCUS IS ON STUDIES EVALUATING YOGA AS A THERAPEUTIC INTERVENTION FOR PTSD RATHER THAN FOR TRAUMA EXPOSURE, PTSD PREVENTION, OR SUBCLINICAL PTSD. MULTIPLE DATABASES WERE SEARCHED FOR PUBLICATIONS FROM THE PAST TWO DECADES USING TERMS DERIVED FROM THE QUESTION, "IN PEOPLE WITH PTSD, WHAT IS THE EFFECT OF YOGA ON OBJECTIVE OUTCOMES?" ELIGIBILITY CRITERIA INCLUDED YOGA-ONLY MODALITIES TESTED AS AN INTERVENTION FOR FORMALLY DIAGNOSED PTSD WITH AT LEAST ONE PHYSIOLOGIC OUTCOME. RESULTS OF THIS REVIEW CONFIRMED THAT, THOUGH MUCH OF THE PUBLISHED LITERATURE PROPOSES PHYSIOLOGICAL MECHANISMS UNDERLYING YOGA'S EFFECTS ON PTSD, VERY FEW STUDIES ( N = 3) HAVE ACTUALLY EVALUATED PHYSIOLOGICAL EVIDENCE. ADDITIONALLY, SEVERAL STUDIES HAD METHODOLOGICAL LIMITATIONS. IN LIGHT OF THE LIMITED DATA SUPPORTING YOGA'S BENEFICIAL EFFECTS ON AUTONOMIC NERVOUS SYSTEM DYSREGULATION, WE PRESENT A THEORETICAL MODEL OF THE PSYCHONEUROIMMUNOLOGIC PROCESSES ASSOCIATED WITH PTSD AND THE EFFECTS YOGA MAY HAVE ON THESE PROCESSES TO GUIDE FUTURE RESEARCH. GAPS IN THE LITERATURE REMAIN FOR MECHANISMS RELATED TO ACTIVATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL AXIS AND INFLAMMATION. ADDITIONAL RIGOROUS MECHANISTIC STUDIES ARE NEEDED TO GUIDE DEVELOPMENT OF EFFECTIVE YOGA INTERVENTIONS FOR PTSD TO AUGMENT EXISTING EVIDENCE-BASED PTSD TREATMENTS. 2018 18 2438 23 YOGA AND QIGONG IN THE PSYCHOLOGICAL PREVENTION OF MENTAL HEALTH DISORDERS: A CONCEPTUAL SYNTHESIS. THE STUDY PROPOSES TO EXPLORE TWO ALTERNATIVE MEDICINE THERAPIES-QIGONG AND YOGA FOR BALANCING THE ESSENTIAL DUO OF HOLISTIC MIND-BODY AND CONSEQUENTLY OFFER A SOLUTION FOR STRESS, UNCERTAINTY, ANXIETY AND DEPRESSION. QUALITATIVE RESEARCH METHODS HAVE BEEN USED TO CREATE A CONCEPTUAL SYNTHESIS OF YOGA AND QIGONG. IT IS SUGGESTED THAT AN INCREASED SENSE OF CONTROL IS THE INTERFACE BETWEEN THESE TWO MODALITIES. THIS CONCEPTUAL CONGRUENCE OF QIGONG AND YOGA IS THOUGHT TO BE A SELECTIVE, CURATIVE METHOD, A PRESCRIPTION FOR IDEAL LIVING AND A GROUND OF HUMAN ESSENCE EXISTENCE. FURTHERMORE, THIS ESSENCE IS THOUGHT TO ENHANCE THE MIND'S SELF-REGULATORY PROCESSES AND PREVENT MENTAL HEALTH DISORDERS. THE TWO ALTERNATIVE THERAPIES CAN PREVENT MENTAL HEALTH DISORDERS SUCH AS ANXIETY, DEPRESSION AND, MINIMIZE MENTAL HEALTH DISRUPTIONS SUCH AS STRESS AND POOR QUALITY OF LIFE. IT IS SUGGESTED THAT PATIENTS AND/OR CLIENTS CAN BENEFIT FROM THIS FUSION. 2010 19 2436 31 YOGA AND PSYCHIATRIC DISORDERS: A REVIEW OF BIOMARKER EVIDENCE. TRADITIONALLY, YOGA HAS BEEN USED AS A MEANS FOR SPIRITUAL GROWTH BUT OVER THE PAST TWO DECADES OR SO ITS THERAPEUTIC BENEFITS IN PSYCHIATRIC DISORDERS HAVE BEEN SCIENTIFICALLY EXPLORED. YOGA HAS BEEN SHOWN TO BE USEFUL AS A MONO-THERAPY IN MILD TO MODERATE DEPRESSION AND AS AN ADJUVANT IN SEVERAL PSYCHIATRIC DISORDERS INCLUDING SCHIZOPHRENIA, ANXIETY DISORDERS, SUBSTANCE USE DISORDERS AND MILD COGNITIVE IMPAIRMENT. FURTHERMORE, SYSTEMATIC ATTEMPTS HAVE BEEN MADE TO UNDERSTAND THE BIOLOGICAL CORRELATES OF YOGA IN THESE PSYCHIATRIC DISORDERS. GIVEN THAT NO PSYCHIATRIC DISORDER HAS STRONG AND ESTABLISHED BIOMARKERS, IT IS INTERESTING THAT PRELIMINARY RESEARCH HAS DEMONSTRATED SIGNIFICANT CHANGES IN CERTAIN IMPORTANT BIOMARKERS FOLLOWING REGULAR YOGA PRACTICE. IN THIS BRIEF REVIEW, WE PROVIDE AN UPDATE ON THE EFFECTS OF YOGA ON BIOCHEMICAL, NEURO-PHYSIOLOGICAL AND NEURO-IMAGING RELATED BIO-MARKERS IN PSYCHIATRIC DISORDERS. ALTHOUGH FINDINGS AND TRENDS ARE PROMISING, MUCH MORE RESEARCH IS WARRANTED TO ESTABLISH A DEFINITE BIOLOGICAL BASIS FOR YOGA IN PSYCHIATRY. 2021 20 2490 30 YOGA AS AN INTERVENTION TO MANAGE MULTIPLE SCLEROSIS SYMPTOMS. MULTIPLE SCLEROSIS (MS) IS AN AUTOIMMUNE, DEMYELINATING, INFLAMMATORY DISEASE OF CENTRAL NERVOUS SYSTEM (CNS) WHICH IS CHARACTERIZED BY SPASTICITY, FATIGUE, DEPRESSION, ANXIETY, BOWEL AND BLADDER DYSFUNCTION, IMPAIRED MOBILITY, COGNITIVE IMPAIRMENT ETC. AND AFFECTS APPROXIMATELY 2.5 MILLION PEOPLE WORLDWIDE. DISEASE MODIFYING THERAPIES FOR MS WHICH HELP IN PREVENTING ACCUMULATION OF LESIONS IN WHITE MATTER OF CNS ARE COSTLY AND HAVE SIGNIFICANT ADVERSE EFFECTS. THEREFORE, PATIENTS WITH MS ARE USING COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) AND YOGA IS ONE OF THE MOST POPULAR FORM OF CAM WHICH IS BEING USED IMMENSELY TO REDUCE OR OVERCOME THE SYMPTOMS OF MS. IN THE CURRENT REVIEW ATTEMPTED TO PRESENT THE POTENTIAL IMPACT OF YOGA PRACTICES ON REDUCING MS RELATED SYMPTOMS. 2020