1 1713 105 PERCEIVED EXERTION AND AFFECT FROM TAI CHI, YOGA, AND STRETCHING CLASSES FOR ELDERLY WOMEN. TAI CHI, YOGA, AND STRETCHING REGIMENS ARE GAINING POPULARITY AS ALTERNATIVES TO MORE TRADITIONAL EXERCISE, BUT THERE IS SCANT RESEARCH REGARDING PARTICIPANTS' PERCEIVED EXERTION AND AFFECTIVE RESPONSES TO THESE PRACTICES. WE COMPARED EXPERIENCED STATES OF PERCEIVED EXERTION, FEELINGS OF PLEASURE/DISPLEASURE, AND AROUSAL IN 70 ELDERLY WOMEN ENROLLED IN GROUPS OF TAI CHI ( N = 26), YOGA ( N = 25), OR STRETCHING ( N = 19) CLASSES. MEAN RATES OF PERCEIVED EXERTION, FEELINGS OF PLEASURE, AND AROUSAL RESPONSES WERE SIGNIFICANTLY HIGHER OVER THE TIME COURSE OF ALL THREE GROUPS, WHILE THE OVERALL MEAN PERCEIVED EXERTION ( SOMEWHAT HARD ON THE BORG CR-10 SCALE) AND PLEASURE RESPONSES ( APPROXIMATELY VERY GOOD ON THE FEELING SCALE) WERE SIMILAR BETWEEN THEM. THE CIRCUMPLEX MODEL OF AFFECT SHOWED THAT CHANGES OCCURRED IN THE HIGH-ACTIVATION PLEASURE QUADRANT (ENERGY ON THE FELT AROUSAL SCALE). FROM A PRACTICAL PERSPECTIVE, THE EXERCISE INTENSITY AND AFFECTIVE RESPONSES ELICITED DURING THESE CLASSES MADE PARTICIPANTS FEEL GOOD AND INFUSED WITH ENERGY, LIKELY CREATING A POSITIVE MEMORY AND REINFORCING CONTINUED PHYSICAL ACTIVITY PARTICIPATION. 2019 2 1560 29 LONG-TERM YOGA AND AEROBIC/STRENGTH EXERCISE ADHERENCE IN OLDER WOMEN WITH KNEE OSTEOARTHRITIS: A MIXED METHODS APPROACH. HATHA YOGA (HY) AND AEROBIC AND STRENGTHENING EXERCISE (ASE) PROGRAMS ARE RECOMMENDED FOR OPTIMAL MANAGEMENT OF OSTEOARTHRITIS. HOWEVER, EVIDENCE ON LONG-TERM ADHERENCE TO THESE PROGRAMS AND FACTORS THAT INFLUENCE IT IS LACKING IN OLDER ADULTS. THE PURPOSES OF THIS STUDY WERE TO (1) DESCRIBE AND COMPARE LONG-TERM HY AND ASE ADHERENCE IN COMMUNITY-DWELLING OLDER WOMEN WITH KNEE OSTEOARTHRITIS 12 MONTHS POST-HY/ASE INTERVENTION PROGRAMS; (2) IDENTIFY BENEFITS AND FACILITATORS OF, AND BARRIERS TO, LONG-TERM ADHERENCE; AND (3) EXAMINE OTHER SELF-CARE INTERVENTIONS USED AFTER COMPLETING HY OR ASE PROGRAMS. ADHERENCE WAS DEFINED AS FOLLOWING THE PRESCRIBED HY/ASE PROGRAM OR INCORPORATING THE PRACTICE INTO DAILY HABITS. FIVE SEMISTRUCTURED FOCUS GROUP INTERVIEWS AND 12 MONTHS OF EXERCISE DIARIES WERE OBTAINED FROM 28 WOMEN (MEAN AGE 71.2 YEARS). LONG-TERM ADHERENCE TO THE PRESCRIBED HY OR ASE REGIMEN WAS RELATIVELY HIGH, ALBEIT ADAPTED TO INDIVIDUAL NEEDS, PRIORITIES, AND PREFERENCES. OVER THE 12-MONTH FOLLOW-UP PERIOD, PARTICIPANTS SPENT ON AVERAGE 3.5 DAYS/3.1 HOURS PER WEEK ON EXERCISE. MOST PARTICIPANTS REMAINED PHYSICALLY ACTIVE BY MODIFYING THEIR PRESCRIBED PROGRAMS AND INTEGRATING ELEMENTS OF THE INTERVENTIONS INTO THEIR OWN EXERCISE REGIMENS. FACILITATORS TO LONG-TERM ADHERENCE WERE PERCEIVED BENEFITS, HAVING AN EXERCISE ROUTINE/HABIT, AND PROGRAM STRUCTURE/INSTRUCTION. POOR HEALTH STATUS, LACK OF TIME, AND EXERCISE PREFERENCES WERE IDENTIFIED AS BARRIERS. PARTICIPANTS USED A VARIETY OF SELF-CARE INTERVENTIONS INCLUDING ORAL SUPPLEMENTS AND ALTERNATIVE DIETS FOR MANAGING THEIR OSTEOARTHRITIS. THIS WORK SUGGESTS THAT EXERCISE PROGRAMS FOR OSTEOARTHRITIS THAT INCORPORATE INDIVIDUAL PREFERENCES, FLEXIBLE HOURS, AND EASY-TO-FOLLOW INSTRUCTIONS ARE MOST LIKELY TO RESULT IN LONG-TERM ADHERENCE. 2022 3 2040 28 THAI YOGA IMPROVES PHYSICAL FUNCTION AND WELL-BEING IN OLDER ADULTS: A RANDOMISED CONTROLLED TRIAL. OBJECTIVES: COMPARE TWO 12-WEEK LOW-INTENSITY EXERCISE REGIMENS ON COMPONENTS OF PHYSICAL FUNCTION AND QUALITY OF LIFE IN COMMUNITY-DWELLING HEALTHY YET SEDENTARY ADULTS AGED OVER 60. DESIGN: THIS STUDY USED A RANDOMISED, MULTI-ARM, CONTROLLED TRIAL DESIGN. METHODS: THIRTY-NINE SEDENTARY PARTICIPANTS (29 WOMEN), AGED 67.7+/-6.7 YEARS WERE RANDOMLY ALLOCATED TO EITHER A 12-WEEK THAI YOGA (TY) OR TAI CHI (TC) FOR 90MIN TWICE PER WEEK, OR TELEPHONE COUNSELLING CONTROL (C). A SENIOR FITNESS TEST (CHAIR-STAND, ARM-CURL, SIT-&-REACH, BACK-SCRATCH, 8-FOOT UP-&-GO AND 6-MIN WALK) AND SHORT-FORM 36 HEALTH SURVEY, CENTRE FOR EPIDEMIOLOGICAL STUDIES OF DEPRESSION, PHYSICAL ACTIVITY SCALE FOR THE ELDERLY AND THE PHYSICAL ACTIVITY ENJOYMENT SCALE WERE ASSESSED AT BASELINE, SIX, 12 WEEKS, AND THREE MONTHS AFTER THE COMPLETION OF THE REGIMEN. RESULTS: AFTER 12 WEEKS, CHAIR-STAND (MEAN DIFFERENCE, 2.69; 95% CI, 0.97-4.41; P<0.001), ARM-CURL (2.23; 95% CI, 0.06-4.52; P=0.009), SIT-&-REACH (1.25; 95% CI, 0.03-2.53; P=0.013), BACK-SCRATCH (2.00; 95% CI, 0.44-3.56; P=0.005), 8-FOOT UP-&-GO (-0.43; 95% CI, -0.85 TO 0.01; P=0.013), 6-MIN WALK (57.5; 95% CI, 20.93-94.07; P<0.001), VITALITY (13.27; 95% CI, 2.88-23.66; P=0.050) AND ENJOYMENT (7.96; 95% CI, 3.70-12.23; P=0.001) SIGNIFICANTLY IMPROVED IN TY COMPARED TO C, HOWEVER NO CHANGE WAS OBSERVED IN TC COMPARED TO C. TY IMPROVED IN CHAIR-STAND (2.31; 95% CI, 0.59-4.03; P=0.007), SIT-&-REACH (1.38; 95% CI, 0.10-2.66; P=0.007), 6-MIN WALK (32.31; 95% CI, -4.26-68.88; P=0.015), VITALITY (12.88; 95% CI, 2.50-23.27; P=0.040) AND ENJOYMENT (5.65; 95% CI, 1.39-9.92; P=0.010) COMPARED TO TC AFTER 12 WEEKS. CONCLUSIONS: THE FINDINGS SUGGEST THAT OLDER ADULTS CAN MAKE SIGNIFICANT IMPROVEMENTS IN THEIR HEALTH AND WELL-BEING BY ENGAGING IN LOW INTENSITY THAI YOGA EXERCISE. 2017 4 1398 26 IMPACT OF YOGA INTERVENTION ON MENOPAUSAL SYMPTOMS-SPECIFIC QUALITY OF LIFE AND CHANGES IN HORMONAL LEVEL AMONG MENOPAUSAL WOMEN. AIM: THE MENOPAUSE TRANSITION IS EXPERIENCED BY WOMEN OFTEN INVOLVES TROUBLESOME SYMPTOMS DUE TO CHANGES IN THE LEVEL OF REPRODUCTIVE HORMONES. NON-HORMONAL THERAPIES ARE MORE COMMONLY ACCEPTED BY WOMEN THAN HORMONAL THERAPY FOR COPING WITH THE CLIMACTERIC SYMPTOMS. THE AIM OF THE STUDY WAS TO EVALUATE THE EFFECTS OF YOGA PRACTICE ON MENOPAUSAL SYMPTOMS, SPECIFIC QUALITY OF LIFE, AND CHANGES IN HORMONAL LEVELS AMONG MENOPAUSAL WOMEN. METHOD: A SINGLE-BLINDED RANDOMIZED CONTROL TRIAL WAS CONDUCTED AMONG 80 PARTICIPANTS AGED 40 OF 50 YEARS AND WAS RANDOMLY DIVIDED INTO TWO STUDY ARMS, THAT IS, SUDARSHAN KRIYA YOGA (SKY) AND BRISK WALKING INTERVENTION, TO FIND THE EFFECT ON THE HORMONAL CHANGES AND MENOPAUSAL QUALITY OF LIFE (MEASURED BY MENQOL TOOL). THE SIGNIFICANT IMPROVEMENTS IN THE OUTCOME MEASURES WERE MEASURED BY USING REPEATED MEASURES ANALYSIS OF VARIANCE AND MCNEMAR'S TEST. RESULTS: SIGNIFICANT IMPROVEMENTS IN THE MENOPAUSAL-SPECIFIC QUALITY OF LIFE WERE OBSERVED IN THE DOMAIN OF VASOMOTOR, PSYCHOSOCIAL, AND PHYSICAL SYMPTOMS (P < 0.05). THE ANTIOXIDANT ENZYMES (SUPEROXIDE DISMUTASE AND GLUTATHIONE PEROXIDASE (GPX) WERE SIGNIFICANTLY ELEVATED AFTER 1 YEAR OF REGULAR PRACTICE OF SKY COMPARED TO WALKING INTERVENTION (P < 0.05). IN CONTRAST, NO SIGNIFICANT IMPROVEMENT WAS OBSERVED IN FOLLICLE-STIMULATING HORMONE AND DEHYDROEPIANDROSTERONE SULFATE LEVELS. THE WOMEN REPORTED NO ADVERSE EVENTS AFTER SKY PRACTICE OR BRISK WALKING. CONCLUSION: THE STUDY CONCLUDED THAT 1 YEAR OF SKY PRACTICE COULD BE ONE OF THE PREFERRED NON-HORMONAL, LIFESTYLE-MODIFYING REGIMENS FOR IMPROVING THE OVERALL QUALITY OF LIFE IN MENOPAUSAL WOMEN. 2021 5 1573 28 MANAGING KNEE OSTEOARTHRITIS WITH YOGA OR AEROBIC/STRENGTHENING EXERCISE PROGRAMS IN OLDER ADULTS: A PILOT RANDOMIZED CONTROLLED TRIAL. ALTHOUGH EXERCISE IS OFTEN RECOMMENDED FOR MANAGING OSTEOARTHRITIS (OA), LIMITED EVIDENCE-BASED EXERCISE OPTIONS ARE AVAILABLE FOR OLDER ADULTS WITH OA. THIS STUDY COMPARED THE EFFECTS OF HATHA YOGA (HY) AND AEROBIC/STRENGTHENING EXERCISES (ASE) ON KNEE OA. RANDOMIZED CONTROLLED TRIAL WITH THREE ARMS DESIGN WAS USED: HY, ASE, AND EDUCATION CONTROL. BOTH HY AND ASE GROUPS INVOLVED 8 WEEKLY 45-MIN GROUP CLASSES WITH 2-4 DAYS/WEEK HOME PRACTICE SESSIONS. CONTROL GROUP RECEIVED OA EDUCATION BROCHURES AND WEEKLY PHONE CALLS FROM STUDY STAFF. STANDARDIZED INSTRUMENTS WERE USED TO MEASURE OA SYMPTOMS, PHYSICAL FUNCTION, MOOD, SPIRITUAL HEALTH, FEAR OF FALLING, AND QUALITY OF LIFE AT BASELINE, 4 AND 8 WEEKS. HY/ASE ADHERENCES WERE ASSESSED WEEKLY USING CLASS ATTENDANCE RECORDS AND HOME PRACTICE VIDEO RECORDINGS. PRIMARY ANALYSIS OF THE DIFFERENCE IN THE CHANGE FROM BASELINE WAS BASED ON INTENT-TO-TREAT AND ADJUSTED FOR BASELINE VALUES. EIGHT-THREE ADULTS WITH SYMPTOMATIC KNEE OA COMPLETED THE STUDY (84% FEMALE; MEAN AGE 71.6 +/- 8.0 YEARS; MEAN BMI 29.0 +/- 7.0 KG/M(2)). RETENTION RATE WAS 82%. COMPARED TO THE ASE GROUP AT 8 WEEKS, PARTICIPANTS IN THE HY GROUP HAD A SIGNIFICANT IMPROVEMENT FROM BASELINE IN PERCEPTION OF OA SYMPTOMS (-9.6 [95% CI -15.3, -4]; P = .001), ANXIETY (-1.4 [95% CI -2.7, -0]; P = .04), AND FEAR OF FALLING (-4.6 [-7.5, -1.7]; P = .002). THERE WERE NO DIFFERENCES IN CLASS/HOME PRACTICE ADHERENCE BETWEEN HY AND ASE. THREE NON-SERIOUS ADVERSE EVENTS WERE REPORTED FROM THE ASE GROUP. BOTH HY AND ASE IMPROVED SYMPTOMS AND FUNCTION BUT HY MAY HAVE SUPERIOR BENEFITS FOR OLDER ADULTS WITH KNEE OA. TRIAL REGISTRATION THE FULL TRIAL PROTOCOL IS AVAILABLE AT CLINICALTRIALS.GOV (NCT02525341). 2017 6 1561 20 LONGEVITY: POTENTIAL LIFE SPAN AND HEALTH SPAN ENHANCEMENT THROUGH PRACTICE OF THE BASIC YOGA MEDITATION REGIMEN. THIS CHAPTER BRIEFLY REVIEWS RECENT PSYCHOLOGICAL, PHYSIOLOGICAL, MOLECULAR BIOLOGICAL, AND ANTHROPOLOGICAL RESEARCH WHICH HAS IMPORTANT IMPLICATIONS, BOTH DIRECT AND INDIRECT, FOR THE RECOGNITION AND UNDERSTANDING OF THE POTENTIAL LIFE SPAN AND HEALTH SPAN ENHANCING EFFECTS OF THE BASIC YOGA MEDITATIONAL REGIMEN. THIS REGIMEN CONSISTS OF MEDITATION, YOGIC BREATH CONTROL PRACTICES, PHYSICAL EXERCISES (OF BOTH A POSTURAL- AND MOVEMENT-BASED, INCLUDING AEROBIC NATURE), AND DIETARY PRACTICES. WHILE EACH OF THESE COMPONENT CATEGORIES EXHIBIT VARIATIONS IN DIFFERENT SCHOOLS, LINEAGES, TRADITIONS, AND CULTURES, THE FOCUS OF THIS CHAPTER IS PRIMARILY ON BASIC FORMS OF RELAXATION MEDITATION AND BREATH CONTROL, AS WELL AS POSTURAL AND AEROBIC PHYSICAL EXERCISES (E.G., YOGIC PROSTRATION REGIMENS, SEE BELOW), AND A STANDARD FORM OF YOGIC OR ASCETIC DIET, ALL OF WHICH CONSTITUTE A BASIC FORM OF REGIMEN FOUND IN MANY IF NOT MOST CULTURES, THOUGH WITH VARIATIONS. 2009 7 1631 24 MITIGATING THE ANTECEDENTS OF SPORTS-RELATED INJURY THROUGH YOGA. CONTEXT: INJURY RISK AMONG ATHLETES IS AN EPIDEMIC. THE PSYCHOLOGICAL AND PHYSICAL LOADS IMPOSED ON ATHLETES THROUGH PSYCHOSOCIAL STRESSORS AND TRAINING REGIMENS SIGNIFICANTLY INCREASE ATHLETES' INJURY RISK. AIMS: THIS FEASIBILITY STUDY ASSESSED WHETHER A 10-WEEK YOGA INTERVENTION COULD BE IMPLEMENTED SUCCESSFULLY AND MITIGATED ANTECEDENTS OF SPORTS INJURY. METHODS: USING A PROSPECTIVE, NONEXPERIMENTAL DESIGN, 31 MALE SOCCER PLAYERS ATTENDING A COLLEGE IN THE PACIFIC NORTHWEST ENROLLED IN THE YOGA INTERVENTION. THE RECOVERY-STRESS QUESTIONNAIRE FOR ATHLETES (RESTQ-SPORT) WAS COMPLETED AT THREE TIME-POINTS BEFORE AND AFTER THE YOGA INTERVENTION. THE RESTQ-SPORT SCALES, IDENTIFIED AS STRONGEST PREDICTORS FOR INJURY, WERE HYPOTHESIZED TO BE MITIGATED THROUGH YOGA. RESULTS: TWO STRESS-RELATED SCALES WERE SIGNIFICANT IN THE HYPOTHESIZED DIRECTION: INJURY AND FATIGUE. THE GENERAL RECOVERY SCALE, GENERAL WELL-BEING, WAS SIGNIFICANT AT ONE TIME-POINT, BUT IN THE OPPOSITE DIRECTION AS HYPOTHESIZED. CONCLUSIONS: POSITIVE FINDINGS ARE DISCUSSED AND EXPLANATIONS FOR UNEXPECTED CHANGES ARE EXPLORED, ALONG WITH STUDY LIMITATIONS. RESULTS SUGGEST THAT YOGA CAN BE SUCCESSFULLY INTEGRATED INTO THE ATHLETIC PROGRAM OF SOCCER PLAYERS AND PROVISIONALLY SUPPORT THE POTENTIAL OF A YOGA INTERVENTION TO MITIGATE TWO SIGNIFICANT ANTECEDENTS OF INJURY, NAMELY, PERCEPTION OF PROPENSITY TO SUSTAIN INJURY AND GENERALIZED FATIGUE. 2020 8 2597 22 YOGA FOR MULTIPLE SCLEROSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS. WHILE YOGA SEEMS TO BE EFFECTIVE IN A NUMBER OF NEUROPSYCHIATRIC DISORDERS, THE EVIDENCE OF EFFICACY IN MULTIPLE SCLEROSIS REMAINS UNCLEAR. THE AIM OF THIS REVIEW WAS TO SYSTEMATICALLY ASSESS AND META-ANALYZE THE AVAILABLE DATA ON EFFICACY AND SAFETY OF YOGA IN PATIENTS WITH MULTIPLE SCLEROSIS. MEDLINE/PUBMED, SCOPUS, THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS, PSYCINFO, CAM-QUEST, CAMBASE, AND INDMED WERE SEARCHED THROUGH MARCH 2014. RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA FOR PATIENTS WITH MULTIPLE SCLEROSIS WERE INCLUDED IF THEY ASSESSED HEALTH-RELATED QUALITY OF LIFE, FATIGUE, AND/OR MOBILITY. MOOD, COGNITIVE FUNCTION, AND SAFETY WERE DEFINED AS SECONDARY OUTCOME MEASURES. RISK OF BIAS WAS ASSESSED USING THE COCHRANE TOOL. SEVEN RCTS WITH A TOTAL OF 670 PATIENTS WERE INCLUDED. EVIDENCE FOR SHORT-TERM EFFECTS OF YOGA COMPARED TO USUAL CARE WERE FOUND FOR FATIGUE (STANDARDIZED MEAN DIFFERENCE [SMD] = -0.52; 95% CONFIDENCE INTERVALS (CI) = -1.02 TO -0.02; P = 0.04; HETEROGENEITY: I2 = 60%; CHI2 = 7.43; P = 0.06) AND MOOD (SMD = -0.55; 95%CI = -0.96 TO -0.13; P = 0.01; HETEROGENEITY: I2 = 0%; CHI2 = 1.25; P = 0.53), BUT NOT FOR HEALTH-RELATED QUALITY OF LIFE, MUSCLE FUNCTION, OR COGNITIVE FUNCTION. THE EFFECTS ON FATIGUE AND MOOD WERE NOT ROBUST AGAINST BIAS. NO SHORT-TERM OR LONGER TERM EFFECTS OF YOGA COMPARED TO EXERCISE WERE FOUND. YOGA WAS NOT ASSOCIATED WITH SERIOUS ADVERSE EVENTS. IN CONCLUSION, SINCE NO METHODOLOGICAL SOUND EVIDENCE WAS FOUND, NO RECOMMENDATION CAN BE MADE REGARDING YOGA AS A ROUTINE INTERVENTION FOR PATIENTS WITH MULTIPLE SCLEROSIS. YOGA MIGHT BE CONSIDERED A TREATMENT OPTION FOR PATIENTS WHO ARE NOT ADHERENT TO RECOMMENDED EXERCISE REGIMENS. 2014 9 279 29 ADHERENCE AND RETENTION OF AFRICAN AMERICANS IN A RANDOMIZED CONTROLLED TRIAL WITH A YOGA-BASED INTERVENTION: THE EFFECTS OF HEALTH PROMOTING PROGRAMS ON CARDIOVASCULAR DISEASE RISK STUDY. OBJECTIVES: SEDENTARY LIFESTYLE IS A RISK FACTOR FOR CARDIOVASCULAR DISEASE (CVD). FEW ALTERNATIVE LIFESTYLE INTERVENTIONS, SUCH AS YOGA PRACTICE, FOCUS ON AFRICAN AMERICANS (AA), THE POPULATION MOST VULNERABLE TO CVD. OUR OBJECTIVE IS TO COMPARE THE RETENTION AND ADHERENCE RATES BETWEEN YOGA, WALKING, AND HEALTH EDUCATION INTERVENTIONS WHILE PROVIDING INFORMATION ABOUT THE ACCEPTANCE OF VARIOUS YOGA REGIMENS. DESIGN: THREE HUNDRED SEVENTY-FIVE AA PARTICIPANTS WERE RECRUITED EXCLUSIVELY FROM AN ACTIVE COHORT STUDY AND RANDOMIZED INTO A 48-WEEK STUDY (24 WEEKS INTERVENTION, 24 WEEKS FOLLOW-UP) WITH 5 HEALTH PROMOTION INTERVENTIONS: HIGH FREQUENCY YOGA, MODERATE FREQUENCY YOGA, LOW FREQUENCY YOGA, GUIDED WALKING, AND HEALTH EDUCATION. IN ADDITION TO EXAMINING THE SEPARATE YOGA INTERVENTIONS, A POOLED YOGA INTERVENTION IS CONSIDERED FOR COMPARISON TO GUIDED WALKING AND HEALTH EDUCATION. PARTICIPANT RETENTION, ADHERENCE, AND VITALS WERE MONITORED AT EACH INTERVENTION SESSION. PARTICIPANTS WERE ALSO SCHEDULED FOR FOUR CLINIC VISITS THROUGHOUT THE STUDY WHERE BLOOD PANELS, HEALTH BEHAVIOR, AND MEDICATION SURVEYS WERE ADMINISTERED. RESULTS: OF THE 375 PARTICIPANTS RECRUITED, 31.7% DID NOT COMPLETE THE STUDY. AT BASELINE, IN BOTH THE GUIDED WALKING GROUP AND THE HIGH FREQUENCY YOGA GROUP, THERE WERE SIGNIFICANT DIFFERENCES BETWEEN THOSE WHO COMPLETED THE STUDY AND THOSE WHO DID NOT. ALTHOUGH INTERVENTION RETENTION IN THE POOLED YOGA PROGRAM (78.3%) WAS HIGHER COMPARED TO THE WALKING (60%) AND EDUCATION PROGRAMS (74.3%) (P = 0.007), DIFFERENCES IN POST-INTERVENTION RETENTION WAS NOT SIGNIFICANT. MEDIAN ADHERENCE RATES FOR THE POOLED YOGA PROGRAM EXCEEDED RATES FOR GUIDED WALKING AND EDUCATION WITH MODERATE FREQUENCY YOGA OUT PERFORMING HIGH AND LOW FREQUENCY YOGA. CONCLUSION: STUDY-DEFINED RETENTION SUCCESS RATES WERE NOT REACHED BY ALL HEALTH PROMOTION PROGRAMS. HOWEVER, RETENTION AND ADHERENCE RATES FOR THE POOLED YOGA PROGRAM SHOW THAT OLDER AFRICAN AMERICANS ARE RECEPTIVE TO PARTICIPATING IN YOGA-BASED HEALTH PROMOTION PRACTICES. 2020 10 2433 24 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 11 1818 23 PROSPECTIVE RANDOMIZED TRIAL OF STANDARD ANTIEMETIC THERAPY WITH YOGA VERSUS STANDARD ANTIEMETIC THERAPY ALONE FOR HIGHLY EMETOGENIC CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING IN SOUTH ASIAN POPULATION. AIM/BACKGROUND: CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING (CINV) IS ONE OF THE MOST DISTRESSING SIDE EFFECTS OF HIGHLY EMETOGENIC CHEMOTHERAPY REGIMENS. THERE HAVE BEEN CONTINUOUS EFFORTS IN THE DIRECTION TO CONTROL CINV BY MANY INVESTIGATORS. MATERIALS AND METHODS: RANDOMLY SELECTED PATIENTS WERE THOSE RECEIVING HIGHLY EMETOGENIC CHEMOTHERAPY REGIMEN GROUPED INTO YOGA AND STANDARD ANTIEMETIC THERAPY (N = 50) JUST BEFORE RECEIVING CHEMOTHERAPY AND CONTINUED FOR THE FOLLOWING DAYS AND OTHER GROUP (N = 50) RECEIVED ONLY THE STANDARD ANTIEMETIC AGENT. BOTH THE GROUPS WERE ASSESSED, FOLLOWED FOR ACUTE AND DELAYED ONSET OF CHEMOTHERAPY-INDUCED AND ANTICIPATORY NAUSEA AND VOMITING USING RADIATION THERAPY ONCOLOGY GROUP GRADING FOR THE SAME. WE ALSO ASSESSED THE QUALITY OF LIFE OF THE PATIENT USING THE FUNCTIONAL ASSESSMENT OF CANCER THERAPY-GENERAL QUESTIONNAIRE. RESULTS: THE MEDIAN AGE GROUP OF THE PATIENTS WAS 51 YEARS WITH MALE:FEMALE RATIO 2:1, THE EASTERN COOPERATIVE ONCOLOGY GROUP (ECOG) PERFORMANCE STATUS WAS 0/1 IN 38% OF THE SELECTED POPULATION, WHILE ECOG 2 IN 62% OF THE PATIENTS. IN YOGA ARM, INSIGNIFICANT REDUCTION IN CHEMOTHERAPY-INDUCED NAUSEA (90% VS. 78%, P = 0.35) AND BUT SIGNIFICANT REDUCTION IN VOMITING (42% VS. 22%, P =0.01) WAS OBSERVED AS COMPARED TO THE STANDARD ANTIEMETICS ONLY ARM. THERE WAS A SIGNIFICANT REDUCTION IN GRADE 2 AND 3 NAUSEA (84% VS. 38% P < 0.01) AND VOMITING (14% VS. 0% P < 0.01). QUALITY OF LIFE IS ALSO SIGNIFICANTLY IMPROVED IN THE YOGA ARM, ESPECIALLY IN THE ECOG 2 PERFORMANCE STATUS. CONCLUSIONS: THIS STUDY CONCLUDES THAT YOGA ALONG WITH STANDARD ANTIEMETIC MEDICATION SHOULD BE A PART OF THE MANAGEMENT PLAN FOR THE CANCER PATIENTS RECEIVING HIGHLY EMETOGENIC CHEMOTHERAPY. 2019 12 537 26 COMPARISONS OF TAI CHI AND IYENGAR YOGA INTERVENTION EFFECTS ON MUSCLE STRENGTH, BALANCE, AND CONFIDENCE IN BALANCE. BACKGROUND: THE AIM OF THE STUDY IS TO COMPARE A 16-WEEK TAI CHI AND IYENGAR YOGA PROGRAM EFFECTS ON MUSCLE STRENGTH, STATIC AND DYNAMIC BALANCE, AND BALANCE CONFIDENCE IN ELDERLY PEOPLE. METHODS: A TOTAL OF 48 PARTICIPANTS (>/=60 YEARS OLD) WITHOUT MOBILITY-IMPAIRING NEUROLOGICAL DISEASE, DEMENTIA, CARDIOVASCULAR DISEASE/SYMPTOMS DURING MODERATE EXERCISE, POORLY CONTROLLED HYPERTENSION, OR BALANCE-IMPAIRING DRUG USE. PARTICIPANTS WERE DIVIDED INTO A TAI CHI GROUP, AN IYENGAR YOGA GROUP, AND A CONTROL GROUP (EIGHT MALES AND EIGHT FEMALES PER GROUP), USING A RESTRICTED RANDOMIZATION SCHEME GENERATED BY SOFTWARE. WHILE THE FORMER TWO UNDERTOOK 16-WEEK EXERCISE PROGRAMS, THE CONTROL GROUP RECEIVED GENERAL EDUCATION. MAXIMUM CONCENTRIC STRENGTH WAS MEASURED WITH AN ISOKINETIC DYNAMOMETER. THE ONE-LEGGED STAND WITH EYES CLOSED, "8 FEET UP AND GO," AND ACTIVITIES-SPECIFIC BALANCE CONFIDENCE (ABC) SCALE WERE USED TO ASSESS STATIC BALANCE, DYNAMIC BALANCE, AND BALANCE CONFIDENCE IN DAILY ACTIVITIES, RESPECTIVELY. RESULTS: BOTH PROGRAMS IMPROVED ALL MEASURES SIGNIFICANTLY WITH TAI CHI BEING MORE EFFECTIVE FOR INCREASING KNEE FL EXOR STRENGTH (P=0.045) AND EXTENSOR STRENGTH (P=0.032) AND ABC SCORE (P=0.034); IYENGAR YOGA WAS MORE EFFECTIVE FOR IMPROVING STATIC BALANCE (P=0.014) AND DYNAMIC BALANCE (P=0.025; ALL P VALUES HERE VS. THE OTHER PROGRAM). CONCLUSIONS: TAI CHI AND IYENGAR YOGA CAN IMPROVE STRENGTH, BALANCE, AND BALANCE CONFIDENCE AMONG OLDER PEOPLE. BOTH ARE SUITABLE EXERCISE CHOICES FOR OLDER ADULTS. 2021 13 2026 19 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 14 2599 23 YOGA FOR OSTEOARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS. PURPOSE OF REVIEW: THIS STUDY AIMS TO SYSTEMATICALLY REVIEW AND SUMMARISE THE EFFICACY AND SAFETY OF YOGA FOR OSTEOARTHRITIS. MEDLINE (THROUGH PUBMED), SCOPUS, AND THE COCHRANE LIBRARY WERE SEARCHED THROUGH APRIL 2018 FOR RANDOMISED CONTROLLED TRIALS OF YOGA FOR OSTEOARTHRITIS. PRIMARY OUTCOMES WERE PAIN INTENSITY, FUNCTION, AND QUALITY OF LIFE; SECONDARY OUTCOMES WERE MENTAL HEALTH AND SAFETY. RISK OF BIAS WAS ASSESSED USING THE COCHRANE TOOL AND QUALITY OF EVIDENCE THROUGH GRADE. RECENT FINDINGS: NINE TRIALS INCLUDING 640 INDIVIDUALS WITH MAINLY LOWER EXTREMITY OSTEOARTHRITIS AGED 50-80 YEARS WERE IDENTIFIED, WITH 80.3% FEMALE PARTICIPANTS (MEDIAN). META-ANALYSES REVEALED VERY LOW-QUALITY EVIDENCE FOR THE EFFECTS OF YOGA ON PAIN (VS. EXERCISE: STANDARDISED MEAN DIFFERENCE (SMD) = - 1.07; 95%CI - 1.92, - 0.21; P = 0.01; VS. NON-EXERCISE: SMD = - 0.75; 95%CI - 1.18, - 0.31; P < 0.001), PHYSICAL FUNCTION (VS. EXERCISE: SMD = 0.80; 95%CI 0.36; 1.24; P < 0.001; VS. NON-EXERCISE: SMD = 0.60; 95%CI 0.30, 0.98; P < 0.001), AND STIFFNESS (VS. EXERCISE: SMD = - 0.92; 95%CI - 1.69, - 0.14; P = 0.008; VS. NON-EXERCISE: SMD = - 0.76; 95%CI - 1.26, - 0.26; P = 0.003) IN INDIVIDUALS WITH KNEE OSTEOARTHRITIS. EFFECTS WERE NOT ROBUST AGAINST POTENTIAL METHODOLOGICAL BIAS. NO EFFECTS WERE FOUND FOR QUALITY OF LIFE, AND DEPRESSION, OR FOR HAND OSTEOARTHRITIS. SAFETY WAS RARELY REPORTED. THE FINDINGS OF THIS META-ANALYSIS INDICATE THAT YOGA MAY BE EFFECTIVE FOR IMPROVING PAIN, FUNCTION, AND STIFFNESS IN INDIVIDUALS WITH OSTEOARTHRITIS OF THE KNEE, COMPARED TO EXERCISE AND NON-EXERCISE CONTROL GROUPS. DUE TO THE LOW METHODOLOGICAL QUALITY AND POTENTIAL RISK OF BIAS, ONLY A WEAK RECOMMENDATION CAN BE MADE AT THIS TIME FOR THE USE OF YOGA IN ADULTS WITH OSTEOARTHRITIS OF THE KNEE. 2019 15 120 17 A PILOT STUDY OF THE EFFECTS OF CHAIR YOGA AND CHAIR-BASED EXERCISE ON BIOPSYCHOSOCIAL OUTCOMES IN OLDER ADULTS WITH LOWER EXTREMITY OSTEOARTHRITIS. THIS PILOT STUDY EXAMINED WHETHER CHAIR YOGA AND CHAIR-BASED EXERCISE ARE EFFECTIVE IN MANAGING BIOPSYCHOSOCIAL OUTCOMES FOR OLDER ADULTS WITH LOWER EXTREMITY OSTEOARTHRITIS. BOTH INTERVENTIONS IMPROVED PHYSICAL FUNCTION AND MOBILITY OVER TIME, ALTHOUGH NO SIGNIFICANT DIFFERENCES BETWEEN THE 2 INTERVENTIONS WERE IDENTIFIED. 2019 16 387 23 BENEFITS OF THAI YOGA ON PHYSICAL MOBILITY AND LOWER LIMB MUSCLE STRENGTH IN OVERWEIGHT/OBESE OLDER WOMEN: A RANDOMIZED CONTROLLED PILOT TRIAL. BACKGROUND AND PURPOSE: ALTHOUGH THAI YOGA (TY) IS REPORTED TO IMPROVE HEALTH-RELATED FITNESS FOR THE ELDERLY, NO STUDY HAS YET CARRIED OUT THE EFFECT OF TY PROGRAM ON PHYSICAL MOBILITY AND LOWER-LIMB MUSCLE STRENGTH IN OVERWEIGHT/OBESE OLDER WOMEN. MATERIALS AND METHODS: IN A RANDOMIZED CONTROLLED PILOT DESIGN, TWENTY-TWO SEDENTARY WOMEN WITH A BMI >/= 23 KG/M(2), AGED 62 +/- 1 YEARS WERE RANDOMLY ASSIGNED TO EITHER A TY GROUP FOR 60 MIN, 3 TIMES A WEEK OR TO A "NO EXERCISE" CONTROL (CON) GROUP. SIT AND REACH (SRT), FUNCTIONAL REACH (FRT) AND 30-S CHAIR STAND (CST-30), 8-FOOT UP AND GO (8UGT), 6-MIN WALK (6MWT)) AND LOWER-LIMB MUSCLE STRENGTH WERE MEASURED AT THE BEGINNING, 4, AND 8 WEEKS. RESULTS: AT WEEK 4, A SIGNIFICANT BETWEEN GROUPS WAS OBTAINED IN CST-30, 8UGT, AND 6MWT. AT WEEK 8, FRT, 8UGT, 6MWT AND KNEE FLEXOR AND EXTENSOR MUSCLE STRENGTH WERE IMPROVED IN THE TY OVER THE CON. SIGNIFICANT IMPROVEMENT WAS FOUND IN ALL VARIABLES WITHIN THE TY, BUT NO CHANGE WAS OBSERVED IN THE CON. CONCLUSION: AN 8-WEEK TY PROGRAM APPEARS TO PROVIDE BENEFICIAL IMPROVEMENTS IN PHYSICAL MOBILITY IN OVERWEIGHT/OBESE OLDER WOMEN. 2021 17 2243 34 THE INFLUENCE OF TAI CHI AND YOGA ON BALANCE AND FALLS IN A RESIDENTIAL CARE SETTING: A RANDOMISED CONTROLLED TRIAL. ABSTRACT FALLS AMONGST OLDER PEOPLE IS A GLOBAL PUBLIC HEALTH CONCERN. WHILST FALLING IS NOT A TYPICAL FEATURE OF AGEING, OLDER PEOPLE ARE MORE LIKELY TO FALL. FALL INJURIES AMONGST OLDER PEOPLE ARE A LEADING CAUSE OF DEATH AND DISABILITY. MANY OLDER PEOPLE DO NOT DO REGULAR EXERCISE SO THAT THEY LOSE MUSCLE TONE, STRENGTH, AND FLEXIBILITY WHICH AFFECT BALANCE AND PREDISPOSE THEM TO FALLS. THE MANAGEMENT OF FALLS IN RESIDENTIAL CARE SETTINGS IS A MAJOR CONCERN WITH STRATEGIES FOR PREVENTION AND MONITORING A FOCUS IN THIS SETTING. YOGA AND TAI CHI HAVE SHOWN POTENTIAL TO IMPROVE BALANCE AND PREVENT FALLS IN OLDER ADULTS. THEY ALSO HAVE POTENTIAL TO IMPROVE PAIN AND QUALITY OF LIFE. THE AIM OF THIS STUDY WAS TO DETERMINE THE FEASIBILITY OF CONDUCTING A 3-ARM RCT WITH FRAIL OLDER PEOPLE IN A RESIDENTIAL CARE SETTING TO TEST THE HYPOTHESIS THAT A 14 WEEK MODIFIED TAI CHI OR YOGA PROGRAM IS MORE EFFECTIVE THAN USUAL CARE ACTIVITY IN IMPROVING BALANCE FUNCTION, QUALITY OF LIFE, PAIN EXPERIENCE AND IN REDUCING NUMBER OF FALLS. THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN THE THREE GROUPS IN THE OCCURRENCE OF FALLS. YOGA DEMONSTRATED A SLIGHT DECREASE IN FALL INCIDENCE; QUALITY OF LIFE IMPROVED FOR THE TAI CHI GROUP. ONLY THE YOGA GROUP EXPERIENCED A REDUCTION IN AVERAGE PAIN SCORES THOUGH NOT STATISTICALLY SIGNIFICANT. THE FINDINGS OF THE STUDY SUGGEST IT IS POSSIBLE TO SAFELY IMPLEMENT MODIFIED YOGA AND TAI CHI IN A RESIDENTIAL CARE SETTING AND EVALUATE THIS USING RCT DESIGN. THEY SHOW POSITIVE CHANGES TO BALANCE, PAIN AND QUALITY OF LIFE AND A HIGH LEVEL OF INTEREST THROUGH ATTENDANCE AMONGST THE OLDER PARTICIPANTS. THE RESULTS SUPPORT OFFERING TAI CHI AND YOGA TO OLDER PEOPLE WHO ARE FRAIL AND DEPENDENT WITH PHYSICAL AND COGNITIVE LIMITATIONS. 2014 18 1113 32 EFFICACY OF A BIOMECHANICALLY-BASED YOGA EXERCISE PROGRAM IN KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: CERTAIN EXERCISES COULD OVERLOAD THE OSTEOARTHRITIC KNEE. WE DEVELOPED AN EXERCISE PROGRAM FROM YOGA POSTURES WITH A MINIMAL KNEE ADDUCTION MOMENT FOR KNEE OSTEOARTHRITIS. THE PURPOSE WAS TO COMPARE THE EFFECTIVENESS OF THIS BIOMECHANICALLY-BASED YOGA EXERCISE (YE), WITH TRADITIONAL EXERCISE (TE), AND A NO-EXERCISE ATTENTION-EQUIVALENT CONTROL (NE) FOR IMPROVING PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY PERFORMANCE IN WOMEN WITH KNEE OSTEOARTHRITIS. DESIGN: SINGLE-BLIND, THREE-ARM RANDOMIZED CONTROLLED TRIAL. SETTING: COMMUNITY IN SOUTHWESTERN ONTARIO, CANADA. PARTICIPANTS: A CONVENIENCE SAMPLE OF 31 WOMEN WITH SYMPTOMATIC KNEE OSTEOARTHRITIS WAS RECRUITED THROUGH RHEUMATOLOGY, ORTHOPAEDIC AND PHYSIOTHERAPY CLINICS, NEWSPAPERS AND WORD-OF-MOUTH. INTERVENTIONS: PARTICIPANTS WERE STRATIFIED BY DISEASE SEVERITY AND RANDOMLY ALLOCATED TO ONE OF THREE 12-WEEK, SUPERVISED INTERVENTIONS. YE INCLUDED BIOMECHANICALLY-BASED YOGA EXERCISES; TE INCLUDED TRADITIONAL LEG STRENGTHENING ON MACHINES; AND NE INCLUDED MEDITATION WITH NO EXERCISE. PARTICIPANTS WERE ASKED TO ATTEND THREE 1-HOUR GROUP CLASSES/SESSIONS EACH WEEK. MEASUREMENTS: PRIMARY OUTCOMES WERE PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY PERFORMANCE. SECONDARY OUTCOMES WERE KNEE STRENGTH, DEPRESSION, AND HEALTH-RELATED QUALITY OF LIFE. ALL WERE ASSESSED BY A BLINDED ASSESSOR AT BASELINE AND IMMEDIATELY FOLLOWING THE INTERVENTION. RESULTS: THE YE GROUP DEMONSTRATED GREATER IMPROVEMENTS IN KOOS PAIN (MEAN DIFFERENCE OF 22.9 [95% CI, 6.9 TO 38.8; P = 0.003]), INTERMITTENT PAIN (MEAN DIFFERENCE OF -19.6 [95% CI, -34.8 TO -4.4; P = 0.009]) AND SELF-REPORTED PHYSICAL FUNCTION (MEAN DIFFERENCE OF 17.2 [95% CI, 5.2 TO 29.2; P = 0.003]) COMPARED TO NE. IMPROVEMENTS IN THESE OUTCOMES WERE SIMILAR BETWEEN YE AND TE. HOWEVER, TE DEMONSTRATED A GREATER IMPROVEMENT IN KNEE FLEXOR STRENGTH COMPARED TO YE (MEAN DIFFERENCE OF 0.1 [95% CI, 0.1 TO 0.2]. IMPROVEMENTS FROM BASELINE TO FOLLOW-UP WERE PRESENT IN QUALITY OF LIFE SCORE FOR YE AND KNEE FLEXOR STRENGTH FOR TE, WHILE BOTH ALSO DEMONSTRATED IMPROVEMENTS IN MOBILITY. NO IMPROVEMENT IN ANY OUTCOME WAS PRESENT IN NE. CONCLUSIONS: THE BIOMECHANICALLY-BASED YOGA EXERCISE PROGRAM PRODUCED CLINICALLY MEANINGFUL IMPROVEMENTS IN PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY IN WOMEN WITH CLINICAL KNEE OA COMPARED TO NO EXERCISE. WHILE NOT STATISTICALLY SIGNIFICANT, IMPROVEMENTS IN THESE OUTCOMES WERE LARGER THAN THOSE ELICITED FROM THE TRADITIONAL EXERCISE-BASED PROGRAM. THOUGH THIS MAY SUGGEST THAT THE YOGA PROGRAM MAY BE MORE EFFICACIOUS FOR KNEE OA, FUTURE RESEARCH STUDYING A LARGER SAMPLE IS REQUIRED. TRIAL REGISTRATION: CLINICALTRIALS.GOV (NCT02370667). 2018 19 1507 31 IS A YOGA-BASED PROGRAM WITH POTENTIAL TO DECREASE FALLS PERCEIVED TO BE ACCEPTABLE TO COMMUNITY-DWELLING PEOPLE OLDER THAN 60? OBJECTIVES AND IMPORTANCE OF STUDY: YOGA IMPROVES BALANCE AND MOBILITY, AND THEREFORE HAS POTENTIAL AS A FALL PREVENTION STRATEGY, YET ITS VALIDITY FOR PREVENTING FALLS HAS NOT BEEN ESTABLISHED. THE OTAGO EXERCISE PROGRAMME (OEP) AND TAI CHI ARE PROVEN TO PREVENT FALLS. THIS STUDY AIMED TO EVALUATE THE PERCEPTIONS AND PREFERENCES OF OLDER PEOPLE TOWARDS A YOGA-BASED PROGRAM WITH POTENTIAL TO DECREASE FALLS, TO COMPARE THESE PERCEPTIONS TO THE VIEWS EXPRESSED ABOUT THE OEP AND TAI CHI, AND TO IDENTIFY PARTICIPANT CHARACTERISTICS ASSOCIATED WITH A PREFERENCE FOR THE YOGA PROGRAM. STUDY TYPE: SURVEY. METHODS: PARTICIPANTS WERE 235 COMMUNITY-DWELLERS AGED 60 YEARS OR OLDER WHO WERE NOT PARTICIPATING OR HAD NOT PREVIOUSLY PARTICIPATED (WITHIN THE PAST 10 YEARS) IN YOGA-BASED EXERCISE. PARTICIPANTS COMPLETED A SELF-REPORT SURVEY MEASURING DEMOGRAPHICS, PHYSICAL ACTIVITY LEVEL AND ATTITUDE. THEY THEN VIEWED EXPLANATIONS OF THE YOGA-BASED PROGRAM, THE OEP AND TAI CHI. PARTICIPANTS COMPLETED THE ATTITUDES TO FALLS-RELATED INTERVENTIONS SCALE (AFRIS) TO MEASURE PROGRAM ACCEPTABILITY AND IDENTIFIED THEIR PREFERRED PROGRAM. ACCEPTABILITY SCORES AND PREFERENCE WERE COMPARED BETWEEN THE PROGRAMS, AND FACTORS ASSOCIATED WITH YOGA PREFERENCE WERE IDENTIFIED WITH ANALYSIS OF VARIANCE. RESULTS: THE MEAN AGE OF PARTICIPANTS (69% FEMALE) WAS 69.4 YEARS (STANDARD DEVIATION 7.4). ALL PROGRAMS WERE RATED AS EQUALLY ACCEPTABLE (P = 0.17), WITH AFRIS SCORES RANGING FROM 28.1 TO 29.4. EIGHTY-TWO PEOPLE (35%) PREFERRED YOGA, 32% CHOSE THE OEP AND 33% CHOSE TAI CHI. OVERALL, PEOPLE WHO PREFERRED YOGA WERE SIGNIFICANTLY YOUNGER, HEALTHIER, LESS FEARFUL OF FALLING, AND PERCEIVED EXERCISE MORE POSITIVELY THAN PEOPLE WHO PREFERRED THE OEP (P VALUES RANGED FROM 0.03 TO <0.001). THE CHARACTERISTICS OF PEOPLE WHO PREFERRED YOGA AND THOSE WHO PREFERRED TAI CHI DID NOT VARY SIGNIFICANTLY. CONCLUSIONS: YOGA WAS PERCEIVED TO BE APPROPRIATE AND WAS AS POPULAR AS TWO VALIDATED FALL PREVENTION PROGRAMS. YOGA WARRANTS FURTHER INVESTIGATION AS A FALL PREVENTION STRATEGY, PARTICULARLY FOR 'YOUNGER' AND HEALTHIER PEOPLE AGED 60 YEARS OR OLDER. 2018 20 2079 24 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