1 1765 131 POSTSTROKE BALANCE IMPROVES WITH YOGA: A PILOT STUDY. BACKGROUND AND PURPOSE: BALANCE IMPAIRMENT IS COMMON AFTER STROKE; MODIFIED YOGA MAY BE ABLE TO IMPROVE BALANCE AND OTHER IMPORTANT POSTSTROKE VARIABLES. SCIENTIFIC-EVIDENCE IS NEEDED TO SUPPORT SUCH TREATMENT INTERVENTIONS. THE PURPOSE OF THIS STUDY WAS TO ASSESS THE IMPACT OF A YOGA-BASED REHABILITATION INTERVENTION ON BALANCE, BALANCE SELF-EFFICACY, FEAR OF FALLING (FOF), AND QUALITY OF LIFE AFTER STROKE. METHODS: THIS WAS A PROSPECTIVE, RANDOMIZED, PILOT STUDY OF YOGA-BASED REHABILITATION FOR PEOPLE WITH CHRONIC STROKE. ALL YOGA SESSIONS WERE TAUGHT BY A REGISTERED YOGA THERAPIST, OCCURRED TWICE PER WEEK FOR 8 WEEKS AND INCLUDED SEATED, STANDING, AND FLOOR POSTURES WITH RELAXATION AND MEDITATION. BALANCE WAS ASSESSED WITH THE BERG BALANCE SCALE, BALANCE SELF-EFFICACY WITH THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE, FOF WITH A DICHOTOMOUS YES/NO QUESTION, AND QUALITY OF LIFE WITH THE STROKE SPECIFIC QUALITY OF LIFE SCALE. RESULTS: THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN WAIT-LIST CONTROL (N=10) AND YOGA (N=37) GROUPS IN BASELINE OR FOLLOW-UP SCORES. HOWEVER, USING WITHIN-GROUP COMPARISONS, YOGA GROUP DATA DEMONSTRATED SIGNIFICANT IMPROVEMENT IN BALANCE (BERG BALANCE SCALE, 41.3+/-11.7 VS 46.3+/-9.1; P<0.001) AND FOF (51% VS 46% WITH FOF; P<0.001). CONCLUSIONS: A GROUP YOGA-BASED REHABILITATION INTERVENTION FOR PEOPLE WITH CHRONIC STROKE HAS POTENTIAL IN IMPROVING MULTIPLE POSTSTROKE VARIABLES. GROUP YOGA MAY BE COMPLEMENTARY TO REHABILITATION, MAY BE POSSIBLE IN MEDICAL-BASED AND COMMUNITY-BASED SETTINGS, AND MAY BE COST-EFFECTIVE. FURTHER TESTING OF GROUP YOGA-BASED REHABILITATION INTERVENTIONS IS WARRANTED. CLINICAL TRIAL REGISTRATION- URL: HTTP://CLINICALTRIALS.GOV. UNIQUE IDENTIFIER: NCT01109602. 2012 2 2858 27 YOGA-BASED CARDIAC REHABILITATION: CURRENT PERSPECTIVES FROM RANDOMIZED CONTROLLED TRIALS IN CORONARY ARTERY DISEASE. CORONARY ARTERY DISEASE CARRIES A HIGH MORBIDITY AND MORTALITY WORLDWIDE, AND EXERCISE-BASED CARDIAC REHABILITATION PROGRAMMES PLAY A LARGE ROLE IN SECONDARY PREVENTION. EXERCISE-BASED REHABILITATION PROGRAMMES ARE EXPENSIVE, AND IN CERTAIN SUBGROUPS UPTAKE IS POOR. YOGA HAS BEEN SUGGESTED TO SHOW IMPROVEMENTS IN CARDIOVASCULAR HEALTH WHICH WOULD SUPPORT ITS USE IN CARDIAC REHABILITATION PROGRAMMES. WE CARRIED OUT A REVIEW OF CURRENT RANDOMIZED CONTROLLED TRIALS TO DETERMINE IF YOGA-BASED CARDIAC REHABILITATION LEADS TO REDUCED CARDIAC RISK FACTORS, AND IMPROVED PHYSIOLOGICAL AND PSYCHOLOGICAL OUTCOMES IN PATIENTS WITH CORONARY ARTERY DISEASE COMPARED TO STANDARD CARE. SIX RANDOMIZED CONTROLLED STUDIES WERE IDENTIFIED AFTER A MEDICAL DATABASE SEARCH, AND META-ANALYSIS WAS CARRIED OUT FOR THE DIFFERENT OUTCOMES. OVERALL, THE ADDITION OF YOGA TO STANDARD CARE RESULTED IN IMPROVED SUBJECTIVE FEELING OF CARDIAC HEALTH AND QUALITY OF LIFE. THERE WAS ALSO A TREND TOWARDS IMPROVEMENT IN LEFT VENTRICULAR SYSTOLIC FUNCTION. IMPROVEMENT IN CARDIAC RISK FACTORS, MACE AND PSYCHOLOGICAL HEALTH IN THIS COHORT HAS STILL TO BE PROVEN, BUT WAS NOT INFERIOR TO STANDARD OR ENHANCED CARE, AND THE BENEFITS BECAME MORE PRONOUNCED AT LONGER FOLLOW-UP. FUTURE STUDIES WITH LONGER FOLLOW-UP AND LARGER PATIENT NUMBERS WOULD AID IN ACCURATELY ASSESSING THE LONG-TERM BENEFIT OF YOGA-BASED REHABILITATION. 2021 3 614 33 DEVELOPMENT OF A YOGA-BASED CARDIAC REHABILITATION (YOGA-CARE) PROGRAMME FOR SECONDARY PREVENTION OF MYOCARDIAL INFARCTION. CARDIAC REHABILITATION (CR) AFTER MYOCARDIAL INFARCTION IS HIGHLY EFFECTIVE. IT IS UNAVAILABLE IN PUBLIC HOSPITALS IN INDIA DUE TO LIMITED RESOURCES. OUR OBJECTIVE WAS TO DEVELOP A SCALABLE MODEL OF CR FOR INDIA BASED ON YOGA, WHICH COULD ALSO APPEAL TO SOME GROUPS WITH LOW UPTAKE OF CR (E.G., ETHNIC MINORITIES, WOMEN, AND OLDER PEOPLE) GLOBALLY. THE INTERVENTION WAS DEVELOPED USING A STRUCTURED PROCESS. A LITERATURE REVIEW AND CONSULTATIONS WITH YOGA EXPERTS, CR EXPERTS, AND POSTMYOCARDIAL INFARCTION PATIENTS WERE CONDUCTED TO SYSTEMATICALLY IDENTIFY AND SHORTLIST APPROPRIATE YOGA EXERCISES AND POSTURES, BREATHING EXERCISES, MEDITATION AND RELAXATION PRACTICES, AND LIFESTYLE CHANGES, WHICH WERE INCORPORATED INTO A CONVENTIONAL CR FRAMEWORK. THE DRAFT INTERVENTION WAS FURTHER REFINED BASED ON THE FEEDBACK FROM AN INTERNAL STAKEHOLDER GROUP AND AN EXTERNAL PANEL OF INTERNATIONAL EXPERTS, BEFORE BEING PILOTED WITH YOGA INSTRUCTORS AND PATIENTS WITH MYOCARDIAL INFARCTION. A FOUR-PHASE YOGA-BASED CR (YOGA-CARE) PROGRAMME WAS DEVELOPED FOR DELIVERY BY A SINGLE YOGA INSTRUCTOR WITH BASIC TRAINING. THE PROGRAMME CONSISTS OF A TOTAL OF 13 INSTRUCTOR-LED SESSIONS (2 INDIVIDUAL AND 11 GROUP) OVER A 3-MONTH PERIOD. GROUP SESSIONS INCLUDE GUIDED PRACTICE OF YOGA EXERCISES AND POSTURES, BREATHING EXERCISES, AND MEDITATION AND RELAXATION PRACTICES, AND SUPPORT FOR THE LIFESTYLE CHANGE AND COPING THROUGH A MODERATED DISCUSSION. PATIENTS ARE ENCOURAGED TO SELF-PRACTICE DAILY AT HOME AND CONTINUE LONG-TERM WITH THE HELP OF A BOOKLET AND DIGITAL VIDEO DISC (DVD). FAMILY MEMBERS/CARERS ARE ENCOURAGED TO JOIN THROUGHOUT. IN CONCLUSION, A NOVEL YOGA-BASED CR PROGRAMME HAS BEEN DEVELOPED, WHICH PROMISES TO PROVIDE A SCALABLE CR SOLUTION FOR INDIA AND AN ALTERNATIVE CHOICE FOR CR GLOBALLY. IT IS CURRENTLY BEING EVALUATED IN A LARGE MULTICENTRE RANDOMISED CONTROLLED TRIAL ACROSS INDIA. 2019 4 1584 31 MEDICAL THERAPEUTIC YOGA FOR MULTIPLE SCLEROSIS: EXAMINING SELF-EFFICACY FOR PHYSICAL ACTIVITY, MOTIVATION FOR PHYSICAL ACTIVITY, AND QUALITY OF LIFE OUTCOMES. PURPOSE: MULTIPLE SCLEROSIS (MS) IS AN INCURABLE NEURODEGENERATIVE DISEASE THAT RESULTS IN DEFICITS IN PHYSICAL AND COGNITIVE FUNCTION, AND OFTEN FOSTERS LOW LEVELS OF SELF-EFFICACY FOR PHYSICAL ACTIVITY, MOTIVATION FOR PHYSICAL ACTIVITY, AND QUALITY OF LIFE [1]. DRUG THERAPIES, PHYSICAL THERAPY REHABILITATION, AND LIFESTYLE MODIFICATIONS SUCH AS INCREASED PHYSICAL ACTIVITY ARE STANDARD PROTOCOL FOR SYMPTOM MANAGEMENT, YET PERSONS WITH MS TEND TO BE PHYSICALLY INACTIVE [2,3]. ADDITIONALLY, SINGLE-MODALITY INTERVENTIONS DO NOT INHERENTLY ADDRESS THE CHALLENGES FACED CONCURRENTLY BY INDIVIDUALS WITH MS [4,5]. METHODS: THIS PROJECT EXAMINED THE EFFECTS OF A 5-WEEK HOLISTIC BIOPSYCHOSOCIAL MEDICAL THERAPEUTIC YOGA PROGRAM ON PHYSICAL ACTIVITY BEHAVIOR OUTCOMES IN INDIVIDUALS DIAGNOSED WITH MS. A MIXED-METHODS APPROACH WAS USED TO EXAMINE SELF-EFFICACY FOR PHYSICAL ACTIVITY, MOTIVATION FOR PHYSICAL ACTIVITY, AND QUALITY OF LIFE OUTCOMES IN 15 PARTICIPANTS. RESULTS: QUANTITATIVE MEASURES DEMONSTRATED INCREASED SELF-EFFICACY (T(14) = -2.23, P = 0.042), AND EMOTIONAL QUALITY OF LIFE (T(14) = -2.66, P = 0.019). RESPONSES TO AN OPEN-ENDED WRITTEN QUESTIONNAIRE AND FOLLOW-UP INTERVIEWS INDICATED OVERALL POSITIVE RESPONSE TO THE PROGRAM INCLUDING INCREASES IN SELF-EFFICACY FOR PHYSICAL ACTIVITY, MOTIVATION FOR PHYSICAL ACTIVITY, AND QUALITY OF LIFE. THESE RESULTS MAY HELP FUTURE HOLISTIC PROGRAMMING FOR INDIVIDUALS WITH MS INCORPORATE BEHAVIORAL INTERVENTIONS WITH THERAPEUTIC REHABILITATION TO INCREASE PHYSICAL ACTIVITY ADHERENCE.IMPLICATIONS FOR REHABILITATIONMULTIPLE SCLEROSIS IS A NEUROLOGICAL DISEASE IMPACTING PHYSICAL AND COGNITIVE FUNCTIONING THAT MAY BE MANAGED WITH A COMBINATION OF DRUG THERAPIES, REHABILITATION, AND PHYSICAL ACTIVITY.INDIVIDUALS DIAGNOSED WITH MULTIPLE SCLEROSIS TEND TO BE PHYSICALLY INACTIVE AND PHYSICAL INACTIVITY IS A CHALLENGE FOR OPTIMAL DISEASE MANAGEMENT.MEDICAL THERAPEUTIC YOGA OFFERS AN INTERDISCIPLINARY BIOPSYCHOSOCIAL FRAMEWORK TO SIMULTANEOUSLY ADDRESS THE BEHAVIORAL CHALLENGES AND PHYSICAL IMPAIRMENTS FACING INDIVIDUALS DIAGNOSED WITH MULTIPLE SCLEROSIS.HEALTH CARE PROVIDERS SHOULD CONSIDER DEVELOPING PROGRAMS THAT USE A BIOPSYCHOSOCIAL FRAMEWORK TO AID IN DEVELOPING LONG-TERM ADHERENCE IN HEALTH BEHAVIORS SUCH AS PHYSICAL ACTIVITY PARTICIPATION. 2022 5 156 30 A QUALITATIVE STUDY OF LOVEYOURBRAIN YOGA: A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS. PURPOSE: TO EXPLORE PARTICIPANTS' EXPERIENCES IN A GROUP-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION DESIGNED TO FACILITATE COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY AND THEIR CAREGIVERS.MATERIALS AND METHODS: WE CONDUCTED SEMI-STRUCTURED INTERVIEWS WITH 13 PEOPLE WITH TRAUMATIC BRAIN INJURY AND THREE CAREGIVERS WHO HAD COMPLETED LOVEYOURBRAIN YOGA, A 6-SESSION, MANUALIZED, GROUP-BASED YOGA INTERVENTION THAT INCORPORATES BREATHING EXERCISES, YOGA, MEDITATION, AND PSYCHOEDUCATION. INTERVIEWS WERE ANALYZED USING CONTENT ANALYSIS.RESULTS: WE IDENTIFIED SEVEN THEMES: EASE OF PARTICIPATION, BELONGING, SUSTAINING COMMUNITY CONNECTION, PHYSICAL HEALTH, SELF-REGULATION, SELF-EFFICACY, AND RESILIENCE. ALL PARTICIPANTS VALUED THE COMMUNITY-BASED YOGA STUDIO ENVIRONMENT AND MULTIFACETED STRUCTURE OF THE PROGRAM. PARTICIPANTS REPORTED IMPROVEMENTS IN STRENGTH, BALANCE, FLEXIBILITY, AND ATTENTION CONTROL, AND A GREATER SENSE OF BELONGING, COMMUNITY CONNECTION, AND ABILITY TO MOVE FORWARD WITH THEIR LIVES. PARTICIPANTS REPORTED ONGOING USE OF TOOLS (E.G., BREATHING EXERCISES) TO COPE WITH NEGATIVE EMOTIONS AND STRESS. ABOUT HALF OF PARTICIPANTS SUSTAINED RELATIONSHIPS BUILT DURING LOVEYOURBRAIN YOGA AND FELT MORE CAPABLE OF ACCESSING OTHER ACTIVITIES IN THEIR COMMUNITY.CONCLUSIONS: LOVEYOURBRAIN YOGA SUCCESSFULLY PROMOTED COMMUNITY INTEGRATION FOR PEOPLE WITH TRAUMATIC BRAIN INJURY. IT ALSO FACILITATED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITS, WHICH SUGGEST THAT IT MAY BE AN EFFECTIVE MODE OF COMMUNITY-BASED REHABILITATION.IMPLICATIONS FOR REHABILITATIONTRAUMATIC BRAIN INJURY SURVIVORS OFTEN STRUGGLE TO PARTICIPATE IN THEIR COMMUNITY, THE ULTIMATE GOAL OF REHABILITATIONYOGA IS A HOLISTIC THERAPY WITH MANY BENEFITS, YET IS NOT ACCESSIBLE TO THE TRAUMATIC BRAIN INJURY POPULATION AT THE COMMUNITY LEVELPARTICIPANTS IN A COMMUNITY-BASED YOGA WITH PSYCHOEDUCATION INTERVENTION IN SIX STATES EXPERIENCED DIVERSE AND MEANINGFUL PHYSICAL, PSYCHOLOGICAL, AND SOCIAL HEALTH BENEFITSGROUP-BASED YOGA WITH PSYCHOEDUCATION MAY BE AN EFFECTIVE MODE OF COMMUNITY INTEGRATION AND COMMUNITY-BASED REHABILITATION FOR TRAUMATIC BRAIN INJURY SURVIVORS. 2020 6 2695 33 YOGA INFLUENCES RECOVERY DURING INPATIENT REHABILITATION: A PILOT STUDY. PURPOSE: THE PURPOSE OF THIS STUDY WAS TO ADD YOGA THERAPY TO INPATIENT REHABILITATION AND ASSESS WHETHER PATIENTS CHOSE TO ENGAGE IN YOGA THERAPY IN ADDITION TO OTHER DAILY THERAPIES, TO DESCRIBE PATIENTS' PERCEPTIONS OF HOW YOGA THERAPY INFLUENCED RECOVERY, AND TO ASSESS AND DESCRIBE PATIENT SATISFACTION WITH THE PROGRAM. METHODS: THIS WAS A SINGLE-ARM PILOT STUDY, ADDING YOGA THERAPY TO ONGOING INPATIENT REHABILITATION. YOGA THERAPY WAS OFFERED AS GROUP YOGA OR INDIVIDUAL YOGA TWICE A WEEK. SEMI-STRUCTURED INTERVIEW QUESTIONS WERE COMPLETED VIA TELEPHONE POST-DISCHARGE. RESULTS: A TOTAL OF 55 OF THE 77 (71%) PEOPLE CONTACTED ABOUT THE STUDY ENGAGED IN YOGA THERAPY IN THE INPATIENT REHABILITATION SETTING FOR THIS STUDY AND 31 (56%) OF THESE COMPLETED THE SEMI-STRUCTURED INTERVIEW QUESTIONS. QUALITATIVE DATA SUPPORT THAT PARTICIPANTS PERCEIVED THAT YOGA THERAPY IMPROVED BREATHING, RELAXATION, AND PSYCHOLOGICAL WELLBEING. OVERALL, PARTICIPANTS WERE SATISFIED WITH THE PROGRAM, ALTHOUGH THEY OFTEN INDICATED THEY WOULD LIKE INCREASED FLEXIBILITY OR FREQUENCY OF YOGA. ALMOST ALL PARTICIPANTS (97%) SAID THEY WOULD RECOMMEND THE YOGA THERAPY PROGRAM TO OTHERS IN INPATIENT REHABILITATION. CONCLUSION: WE WERE ABLE TO ADD YOGA THERAPY TO ONGOING INPATIENT REHABILITATION AND PARTICIPANTS PERCEIVED BENEFITS OF HAVING THE YOGA THERAPY IN THEIR REHABILITATION STAY. 2015 7 786 47 EFFECT OF YOGA BREATHING (PRANAYAMA) ON EXERCISE TOLERANCE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A RANDOMIZED, CONTROLLED TRIAL. OBJECTIVE: PULMONARY REHABILITATION IMPROVES EXERCISE TOLERANCE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). HOWEVER, MANY PATIENTS DO NOT HAVE ACCESS TO PULMONARY REHABILITATION PROGRAMS. WE HYPOTHESIZED THAT AN ALTERNATIVE TO PULMONARY REHABILITATION TO IMPROVE EXERCISE TOLERANCE IS THE PRACTICE OF PRANAYAMA, OR YOGA BREATHING, WHICH COULD BE DONE INDEPENDENTLY AT HOME. WE ALSO SOUGHT TO DETERMINE WHETHER YOGA NONPROFESSIONALS COULD ADEQUATELY TEACH PRANAYAMA TO PATIENTS. DESIGN: PROOF-OF-CONCEPT, RANDOMIZED, DOUBLE-BLIND, CONTROLLED PILOT TRIAL. SETTINGS/LOCATION: TWO ACADEMIC PULMONARY PRACTICES. SUBJECTS: FORTY-THREE PATIENTS WITH SYMPTOMATIC, MODERATE-TO-SEVERE COPD. INTERVENTIONS: TWELVE WEEKS OF PRANAYAMA PLUS EDUCATION VERSUS EDUCATION ALONE. TWO YOGA PROFESSIONALS TRAINED THE RESEARCH COORDINATORS TO CONDUCT ALL PRANAYAMA TEACHING AND MONITORED THE QUALITY OF THE TEACHING AND THE PRACTICE OF PRANAYAMA BY STUDY PARTICIPANTS. OUTCOME MEASURES: THE PRIMARY OUTCOME WAS A CHANGE IN THE 6-MIN WALK DISTANCE (6MWD). SECONDARY OUTCOMES INCLUDED CHANGES IN LUNG FUNCTION, MARKERS OF OXIDATIVE STRESS AND SYSTEMIC INFLAMMATION, AND MEASURES OF DYSPNEA AND QUALITY OF LIFE. RESULTS: THE 6MWD INCREASED IN THE PRANAYAMA GROUP (LEAST SQUARE MEAN [95% CONFIDENCE INTERVAL] = 28 M [-5 TO 61]) AND DECREASED IN THE CONTROL GROUP (-15 M [-47 TO 16]), WITH A NEARLY SIGNIFICANT TREATMENT EFFECT (P = 0.06) IN FAVOR OF PRANAYAMA. PRANAYAMA ALSO RESULTED IN SMALL IMPROVEMENTS IN INSPIRATORY CAPACITY AND AIR TRAPPING. BOTH GROUPS HAD SIGNIFICANT IMPROVEMENTS IN VARIOUS MEASURES OF SYMPTOMS, BUT NO OVERALL DIFFERENCES IN RESPIRATORY SYSTEM IMPEDANCE OR MARKERS OF OXIDATIVE STRESS OR SYSTEMIC INFLAMMATION. CONCLUSION: THIS PILOT STUDY SUCCESSFULLY DEMONSTRATED THAT PRANAYAMA WAS ASSOCIATED WITH IMPROVED EXERCISE TOLERANCE IN PATIENTS WITH COPD. LAY PERSONNEL WERE ABLE TO ADEQUATELY TEACH PATIENTS TO PRACTICE PRANAYAMA. THESE RESULTS SUGGEST THAT PRANAYAMA MAY HAVE SIGNIFICANT CLINICAL BENEFITS FOR SYMPTOMATIC PATIENTS WITH COPD, A CONCEPT THAT NEEDS TO BE CONFIRMED IN FUTURE, LARGER CLINICAL TRIALS. 2017 8 1234 38 FEASIBILITY AND RESULTS OF A CASE STUDY OF YOGA TO IMPROVE PHYSICAL FUNCTIONING IN PEOPLE WITH CHRONIC TRAUMATIC BRAIN INJURY. PURPOSE: THE PURPOSE OF THIS MIXED-METHODS CASE STUDY WAS TO INVESTIGATE WHETHER AN 8-WEEK 1:1 YOGA PROGRAM WAS FEASIBLE AND BENEFICIAL TO PEOPLE WITH TRAUMATIC BRAIN INJURY (TBI). METHOD: THIS WAS A MIXED-METHODS CASE STUDY OF ONE-TO-ONE YOGA FOR PEOPLE WITH TBI INCLUDED THREE PEOPLE. WE COMPLETED ASSESSMENTS BEFORE AND AFTER THE 8-WEEK YOGA INTERVENTION AND INCLUDED MEASURES OF BALANCE, BALANCE CONFIDENCE, PAIN, RANGE OF MOTION, STRENGTH AND MOBILITY. QUALITATIVE INTERVIEWS WERE INCLUDED AT THE POST-ASSESSMENT. WE INCLUDE A PERCENT CHANGE CALCULATION AND SALIENT QUOTES THAT REPRESENT THE PERCEIVED IMPACT OF THE YOGA INTERVENTION. RESULTS: ALL PARTICIPANTS COMPLETED THE YOGA INTERVENTION AND ALL DEMONSTRATED IMPROVEMENTS IN PHYSICAL OUTCOME MEASURES. FOR THE GROUP, BALANCE INCREASED BY 36%, BALANCE CONFIDENCE BY 39%, LOWER EXTREMITY STRENGTH BY 100% AND ENDURANCE BY 105%. QUALITATIVE DATA SUPPORT THE USE OF YOGA TO IMPROVE MULTIPLE ASPECTS OF PHYSICAL FUNCTIONING, ONE PARTICIPANT STATED: "I MEAN IT'S ROCKED MY WORLD. IT'S CHANGED MY LIFE. I MEAN ALL THE DIFFERENT ASPECTS. I MEAN PHYSICALLY, EMOTIONALLY, MENTALLY, IT'S GIVEN ME YOU KNOW MY LIFE BACK...". CONCLUSIONS: YOGA, DELIVERED IN A ONE-TO-ONE SETTING, APPEARS TO BE FEASIBLE AND BENEFICIAL TO PEOPLE WITH CHRONIC TBI. IMPLICATIONS FOR REHABILITATION: CHRONIC TRAUMATIC BRAIN INJURY (TBI) LEADS TO MANY ASPECTS OF PHYSICAL FUNCTIONING IMPAIRMENT. YOGA DELIVERED IN A ONE-TO-ONE SETTING MAY BE FEASIBLE AND BENEFICIAL FOR PEOPLE WITH CHRONIC TBI. 2016 9 2705 35 YOGA INTERVENTIONS USED FOR THE REHABILITATION OF STROKE, PARKINSON'S DISEASE, AND MULTIPLE SCLEROSIS: A SCOPING REVIEW OF CLINICAL RESEARCH. OBJECTIVES: THE CURRENT BODY OF LITERATURE WAS REVIEWED TO COMPILE AND DESCRIBE YOGA INTERVENTIONS THAT HAVE BEEN APPLIED IN CLINICAL RESEARCH AND NEUROLOGIC REHABILITATION SETTINGS WITH PATIENTS AFFECTED BY STROKE, PARKINSON'S DISEASE (PD), AND MULTIPLE SCLEROSIS (MS). DESIGN: AVAILABLE LITERATURE ON YOGA THERAPY (YT) WAS MAPPED FOLLOWING A FIVE-STAGE FRAMEWORK TO IDENTIFY KEY CONCEPTS, KNOWLEDGE GAPS, AND EVIDENCE TO INFORM PRACTICE. PUBLICATIONS WERE IDENTIFIED THROUGH MEDLINE, CINAHL, EMBASE, AND PSYCINFO. SELECTED STUDIES REQUIRED SUBJECTS WITH A CLINICAL DIAGNOSIS OF STROKE, PD, AND MS TO PARTICIPATE IN A YOGA INTERVENTION AND HAVE PHYSICAL, COGNITIVE, AND/OR PSYCHOSOCIAL OUTCOME MEASURES ASSESSED. RESULTS: A TOTAL OF 50 STUDIES WERE INCLUDED IN THIS REVIEW. STUDY CHARACTERISTICS, PATIENT DEMOGRAPHICS, DESCRIPTION OF THE YOGA INTERVENTION, REPORTED OUTCOME MEASURES AND THE MAIN FINDINGS WERE EXTRACTED FROM THE STUDIES. CONCLUSION: IMPLEMENTING YT IN NEUROREHABILITATION CAN HELP HEALTH CARE PROFESSIONALS INTEGRATE A MORE HOLISTIC APPROACH THAT ADDRESSES THE FUNDAMENTAL PHYSICAL AND PSYCHOLOGICAL CHALLENGES OF LIVING WITH A CHRONIC AND DEBILITATING NEUROLOGIC DISORDER. THE INCLUDED STUDIES DESCRIBED YOGIC INTERVENTIONS CONSISTING OF GROUP OR INDIVIDUAL THERAPY SESSIONS LASTING 60-75 MIN THAT WERE CARRIED OUT ONE TO THREE TIMES PER WEEK FOR 8-12 CONSECUTIVE WEEKS ACROSS ALL THREE CONDITIONS. ALL STUDIES DESCRIBED IN THIS SCOPING REVIEW USED DIFFERENT YOGA PROTOCOLS CONFIRMING THE LACK OF SPECIFIC INTERVENTIONAL PARAMETERS AVAILABLE FOR IMPLEMENTING YOGA INTO THE REHABILITATION OF INDIVIDUALS AFFECTED BY STROKE, PD, OR MS. 2021 10 1854 46 RANDOMISED CONTROLLED TRIAL OF A 12 WEEK YOGA INTERVENTION ON NEGATIVE AFFECTIVE STATES, CARDIOVASCULAR AND COGNITIVE FUNCTION IN POST-CARDIAC REHABILITATION PATIENTS. BACKGROUND: NEGATIVE AFFECTIVE STATES SUCH AS ANXIETY, DEPRESSION AND STRESS ARE SIGNIFICANT RISK FACTORS FOR CARDIOVASCULAR DISEASE, PARTICULARLY IN CARDIAC AND POST-CARDIAC REHABILITATION POPULATIONS.YOGA IS A BALANCED PRACTICE OF PHYSICAL EXERCISE, BREATHING CONTROL AND MEDITATION THAT CAN REDUCE PSYCHOSOCIAL SYMPTOMS AS WELL AS IMPROVE CARDIOVASCULAR AND COGNITIVE FUNCTION. IT HAS THE POTENTIAL TO POSITIVELY AFFECT MULTIPLE DISEASE PATHWAYS AND MAY PROVE TO BE A PRACTICAL ADJUNCT TO CARDIAC REHABILITATION IN FURTHER REDUCING CARDIAC RISK FACTORS AS WELL AS IMPROVING SELF-EFFICACY AND POST-CARDIAC REHABILITATION ADHERENCE TO HEALTHY LIFESTYLE BEHAVIOURS. METHOD AND DESIGN: THIS IS A PARALLEL ARM, MULTI-CENTRE, RANDOMISED CONTROLLED TRIAL THAT WILL ASSESS THE OUTCOMES OF POST- PHASE 2 CARDIAC REHABILITATION PATIENTS ASSIGNED TO A YOGA INTERVENTION IN COMPARISON TO A NO-TREATMENT WAIT-LIST CONTROL GROUP. PARTICIPANTS RANDOMISED TO THE YOGA GROUP WILL ENGAGE IN A 12 WEEK YOGA PROGRAM COMPRISING OF TWO GROUP BASED SESSIONS AND ONE SELF-ADMINISTERED HOME SESSION EACH WEEK. GROUP BASED SESSIONS WILL BE LED BY AN EXPERIENCED YOGA INSTRUCTOR. THIS WILL INVOLVE TEACHING BEGINNER STUDENTS A HATHA YOGA SEQUENCE THAT INCORPORATES ASANA (POSES AND POSTURES), PRANAYAMA (BREATHING CONTROL) AND MEDITATION. THE PRIMARY OUTCOMES OF THIS STUDY ARE NEGATIVE AFFECTIVE STATES OF ANXIETY, DEPRESSION AND STRESS ASSESSED USING THE DEPRESSION ANXIETY STRESS SCALE. SECONDARY OUTCOMES INCLUDE MEASURES OF QUALITY OF LIFE, AND CARDIOVASCULAR AND COGNITIVE FUNCTION. THE CARDIOVASCULAR OUTCOMES WILL INCLUDE BLOOD PRESSURE, HEART RATE, HEART RATE VARIABILITY, PULSE WAVE VELOCITY, CAROTID INTIMA MEDIA THICKNESS MEASUREMENTS, LIPID/GLUCOSE PROFILES AND C-REACTIVE PROTEIN ASSAYS. ASSESSMENTS WILL BE CONDUCTED PRIOR TO (WEEK 0), MID-WAY THROUGH (WEEK 6) AND FOLLOWING THE INTERVENTION PERIOD (WEEK 12) AS WELL AS AT A FOUR WEEK FOLLOW-UP (WEEK 16). DISCUSSION: THIS STUDY WILL DETERMINE THE EFFECT OF YOGA PRACTICE ON NEGATIVE AFFECTIVE STATES, CARDIOVASCULAR AND COGNITIVE FUNCTION IN POST-PHASE 2 CARDIAC REHABILITATION PATIENTS. THE FINDINGS MAY PROVIDE EVIDENCE TO INCORPORATE YOGA INTO STANDARDISED CARDIAC REHABILITATION PROGRAMS AS A PRACTICAL ADJUNCT TO IMPROVE THE MANAGEMENT OF PSYCHOSOCIAL SYMPTOMS ASSOCIATED WITH CARDIOVASCULAR EVENTS IN ADDITION TO IMPROVING PATIENTS' COGNITIVE AND CARDIOVASCULAR FUNCTIONS. TRIAL REGISTRATION: ACTRN12612000358842. 2014 11 2284 35 THE USE OF YOGA AS A GROUP INTERVENTION FOR PEDIATRIC CHRONIC PAIN REHABILITATION: EXPLORING QUALITATIVE AND QUANTITATIVE OUTCOMES. PURPOSE: WITH THE INCREASE IN OPIOID USE OVER THE LAST DECADE, MIND-BODY APPROACHES TO PEDIATRIC PAIN MANAGEMENT HAVE BEEN TRENDING. TO DATE, THERE IS LIMITED RESEARCH REGARDING THE USE OF YOGA WITH PEDIATRIC CHRONIC PAIN. THIS STUDY AIMS TO GAUGE THE EFFECTIVENESS OF GROUP YOGA AS PART OF CHRONIC PAIN REHABILITATION AND ONE'S ABILITY TO CONTINUE PRACTICING INDEPENDENTLY BY EXPLORING QUALITATIVE AND QUANTITATIVE INFORMATION. METHODS: A SINGLE THERAPIST USED YOGA AS A GROUP PHYSICAL THERAPY INTERVENTION ONCE A WEEK FOR 60 MINUTES. YOGA EDUCATION, IYENGAR YOGA COMPONENTS, RELAXATION, AND STRETCHING WERE INCORPORATED INTO THE THERAPEUTIC YOGA SESSION. QUALITATIVE AND QUANTITATIVE INFORMATION WAS COLLECTED. RESULTS: QUALITATIVE OUTCOMES PROVIDED VALUABLE DATA ABOUT DISTRACTIONS AND BENEFITS. QUANTITATIVE OUTCOMES SHOWED THAT THERE WERE SIGNIFICANT IMPROVEMENTS IN AREAS SUCH AS MENTAL TENSION, EMOTIONAL TENSION, MUSCLE TENSION, AND PAIN (ALL P < 0.001 SIGNIFICANT). CONCLUSION: PEDIATRIC CHRONIC PAIN PATIENTS CAN IDENTIFY MANY BENEFITS AFTER A SINGLE GROUP YOGA SESSION. IT COMBINES THE PHYSICAL AND COGNITIVE ASPECTS OF INTERDISCIPLINARY PAIN REHABILITATION FOR CONTINUED USE AFTER DISCHARGE. THE USE OF YOGA IS AN ECONOMICAL MEANS OF PHYSICAL ACTIVITY AFTER DISCHARGE TO PROMOTE LONG-TERM BENEFITS. 2020 12 1725 27 PERCEPTIONS OF YOGA THERAPY EMBEDDED IN TWO INPATIENT REHABILITATION HOSPITALS: AGENCY PERSPECTIVES. INPATIENT MEDICAL REHABILITATION HAS MAINTAINED A TYPICAL MEDICAL-MODEL FOCUS AND STRUCTURE FOR MANY YEARS. HOWEVER, AS INTEGRATIVE THERAPIES, SUCH AS YOGA THERAPY, EMERGE AS TREATMENTS WHICH CAN ENHANCE THE PHYSICAL AND MENTAL HEALTH OF ITS PARTICIPANTS, IT IS IMPORTANT TO DETERMINE IF THEY CAN BE EASILY IMPLEMENTED INTO THE TRADITIONAL REHABILITATION STRUCTURE AND MILIEU. THEREFORE, THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE PERCEPTIONS OF KEY AGENCY PERSONNEL ON THE FEASIBILITY AND UTILITY OF YOGA THERAPY IMPLEMENTED IN INPATIENT REHABILITATION. THIS STUDY REPORTS THE RESULTS OF FOCUS GROUPS AND AN INDIVIDUAL INTERVIEW WITH KEY STAKEHOLDERS (ADMINISTRATORS AND REHABILITATION THERAPISTS) FROM TWO REHABILITATION HOSPITALS FOLLOWING THE IMPLEMENTATION OF YOGA THERAPY. RESULTS FOCUSED ON SEVERAL KEY THEMES: FEASIBILITY FROM THE THERAPIST AND ADMINISTRATOR PERSPECTIVES, CHALLENGES TO IMPLEMENTATION, AND UTILITY AND BENEFIT. OVERALL, THE IMPLEMENTATION AND INTEGRATION OF YOGA THERAPY WERE POSITIVE; HOWEVER, SOME PROGRAMMATIC AND POLICY AND ORGANIZATIONAL CONSIDERATIONS REMAIN. IMPLICATIONS FOR PRACTICE AND FUTURE RESEARCH ARE PROVIDED. 2015 13 2194 49 THE EFFECTS OF YOGA VERSUS STRETCHING AND RESISTANCE TRAINING EXERCISES ON PSYCHOLOGICAL DISTRESS FOR PEOPLE WITH MILD-TO-MODERATE PARKINSON'S DISEASE: STUDY PRXOTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: PSYCHOLOGICAL DISTRESS IS PREVALENT AMONG PEOPLE WITH PARKINSON'S DISEASE (PD) AND AGGRAVATES THEIR MOTOR SYMPTOMS, THEREBY LEADING TO INCREASED DISABILITY, HIGH HEALTHCARE COSTS, AND POOR HEALTH-RELATED QUALITY OF LIFE (HRQOL). THE UNDER-RECOGNITION AND ADVERSE EFFECTS OF THE PHARMACOLOGICAL MANAGEMENT OF ANXIETY AND DEPRESSION AMONG THE PD POPULATION ARE CONSIDERABLE. THUS, ADOPTING A COMPLEMENTARY AND ALTERNATIVE MANAGEMENT (CAM) APPROACH TO ADDRESS THIS PROBLEM IS IMPORTANT. YOGA, ONE OF THE MOST COMMON "MIND-BODY" CAM THERAPIES, CAN IMPROVE THE PSYCHOLOGICAL WELLBEING OF PEOPLE WITH CHRONIC ILLNESSES. HOWEVER, LIMITED RESEARCH ON THE EFFECTS OF YOGA IN PEOPLE WITH PD HAS BEEN CONDUCTED. THIS STUDY WILL DETERMINE THE EFFECTS OF YOGA ON THE PSYCHOLOGICAL WELLBEING OF PEOPLE WITH MILD-TO-MODERATE PD AND WILL COMPARE THESE EFFECTS WITH THOSE OF STRETCHING AND RESISTANCE TRAINING EXERCISES. METHODS: A COMMUNITY-BASED, SINGLE-BLIND, RANDOMIZED TRIAL WILL BE CONDUCTED. A TOTAL OF 126 SUBJECTS WILL BE RECRUITED AND RANDOMLY DIVIDED INTO YOGA (N = 63) OR STRETCHING AND RESISTANCE EXERCISE (N = 63) GROUPS. FOR 8 WEEKS, THE YOGA GROUP WILL RECEIVE A WEEKLY 90-MIN SESSION OF YOGA, AND THE CONTROL GROUP WILL RECEIVE A WEEKLY 60-MIN SESSION OF STRETCHING AND RESISTANCE EXERCISES. THE PRIMARY OUTCOME WILL BE THE LEVEL OF PSYCHOLOGICAL DISTRESS MEASURED USING THE HOSPITAL ANXIETY AND DEPRESSION SCALE. THE SECONDARY OUTCOMES WILL INCLUDE THE SEVERITY OF MOTOR SYMPTOMS MEASURED BY THE MOVEMENT DISORDERS SOCIETY - UNIFIED PARKINSON'S DISEASE SCALE - PART III MOTOR EXAMINATION; MOBILITY, BALANCE, AND FALL RISK MEASURED BY THE TIMED UP AND GO TEST; SPIRITUAL WELLBEING MEASURED BY THE HOLISTIC WELLBEING SCALE; AND HRQOL MEASURED BY THE PARKINSON'S DISEASE QUESTIONNAIRE-8. ASSESSMENT WILL BE CONDUCTED AT BASELINE, 8TH, AND 20TH WEEKS OF FOLLOW-UPS. DISCUSSION: THIS STUDY WILL BE THE FIRST RANDOMIZED TRIAL TO COMPARE THE EFFECT OF YOGA VERSUS STRETCHING AND RESISTANCE TRAINING EXERCISES IN A PD POPULATION. RESULTS WILL CONTRIBUTE TO THE VALUE OF YOGA AS A THERAPEUTIC OPTION FOR MANAGING PSYCHOLOGICAL DISTRESS IN PD PATIENTS. MULTIPLE OUTCOMES INCLUDING PSYCHOLOGICAL, PHYSIOLOGICAL, AND SPIRITUAL AND HRQOL WILL ALSO BE MEASURED TO ELUCIDATE THE POTENTIAL MECHANISMS OF YOGA. THE EFFECT OF YOGA ON PEOPLE WITH CHRONIC ILLNESSES WILL FURTHER BE ELUCIDATED. THIS INFORMATION SHOULD CONTRIBUTE TO FUTURE RESEARCH, PRACTICE, AND POLICY RELATED TO PD MANAGEMENT. TRIAL REGISTRATION: WHO PRIMARY REGISTRY - CHINESE CLINICAL TRIALS REGISTRY (CHICTR): CUHK_CCRB00522 REGISTERED ON 8 OCTOBER 2016; DATE OF APPROVAL 19 AUGUST 2016. 2017 14 494 32 COGNITIVE, PHYSICAL, AND PSYCHOLOGICAL BENEFITS OF YOGA FOR ACQUIRED BRAIN INJURIES: A SYSTEMATIC REVIEW OF RECENT FINDINGS. YOGA IS A HOLISTIC PRACTICE THAT - WHEN INCORPORATED EFFECTIVELY INTO NEUROREHABILITATION - HAS POTENTIAL TO MEET THE COMPLEX NEEDS OF PERSONS WITH ACQUIRED BRAIN INJURY (ABI). THIS SYSTEMATIC REVIEW, CONDUCTED IN ACCORDANCE WITH PRISMA GUIDELINES, INVESTIGATED COGNITIVE, PHYSICAL, AND PSYCHOLOGICAL OUTCOMES FOLLOWING CONTROLLED TRIALS OF YOGA FOR ABI. THE SEARCH RETURNED SIX ELIGIBLE STUDIES, FOUR OF WHICH FOCUSED SPECIFICALLY ON STROKE REHABILITATION. FOR PERSONS WITH ABI BROADLY, WITHIN-GROUP IMPROVEMENTS WERE FOUND AFTER YOGA FOR PSYCHOLOGICAL AND PHYSICAL ADJUSTMENT, QUALITY OF LIFE, AND RESPIRATORY FUNCTIONING. FOR STROKE SPECIFICALLY, PHYSICAL AND MEMORY RECOVERY WAS GREATER IN THE YOGA GROUP VS. EXERCISE CONTROL, AND WITHIN-GROUP IMPROVEMENTS WERE NOTED FOR MOTOR FUNCTIONING, SELF-EFFICACY, AND QUALITY OF LIFE OUTCOMES. LACK OF (1) BETWEEN-GROUP ANALYSES DESPITE THE INCLUSION OF CONTROL GROUPS, AND (2) A COMMON YOGA REHABILITATION PROTOCOL INCLUDING FREQUENCY, LENGTH, AND DURATION OF YOGA MUST BE ADDRESSED IN FUTURE RESEARCH TO ESTABLISH EFFICACY OF THESE INTERVENTIONS. CONSIDERATIONS FOR PSYCHOPHYSIOLOGICAL OUTCOME MEASURES AND CULTURAL FACTORS ARE PRESENTED IN THE CONTEXT OF FUTURE RESEARCH AND CLINICAL DIRECTIONS. 2020 15 2249 29 THE LIVED EXPERIENCE AND PATIENT-REPORTED BENEFITS OF YOGA PARTICIPATION IN AN INPATIENT BRAIN INJURY REHABILITATION SETTING. CONTEXT: THE MULTIFACTORIAL BENEFITS OF YOGA HAVE BEEN WELL DOCUMENTED IN THE LITERATURE, WITH THE INTEGRATION OF YOGA THERAPY INTO HEALTHCARE BEING AN EMERGING FIELD. IN GENERAL, YOGA THERAPY PROGRAMS ARE UTILIZED IN THE COMMUNITY AS AN ADJUNCT TO OTHER THERAPY. AT PRESENT, LIMITED REHABILITATION UNITS ROUTINELY INCORPORATE INTEGRATIVE THERAPY OPTIONS WITHIN A HOSPITAL ENVIRONMENT. AIMS: THE AIM OF THIS STUDY IS TO EXPLORE THE LIVED EXPERIENCE AND PATIENT-REPORTED BENEFITS OF YOGA IN AN INPATIENT BRAIN INJURY REHABILITATION SETTING. SETTINGS AND DESIGN: THIRTY-ONE PARTICIPANTS WERE RECRUITED TO THE STUDY AFTER VOLUNTARILY PARTICIPATING IN A YOGA CLASS WITHIN AN INPATIENT BRAIN INJURY REHABILITATION UNIT OF A MAJOR METROPOLITAN HOSPITAL. YOGA SESSIONS WERE HELD WEEKLY FOR 60 MIN AND CONSISTED OF A MODIFIED HATHA YOGA STYLE. THIS WAS A MIXED-METHODS, QUASI-EXPERIMENTAL ONE-GROUP PRETEST-POSTTEST STUDY. METHODOLOGY: QUANTITATIVE DATA WERE COLLECTED TO MEASURE PERCEPTIONS OF RELAXATION AND WELL-BEING BEFORE AND AFTER YOGA CLASSES, ALONG WITH THE SATISFACTION OF THE CLASS. SEMI-STRUCTURED INTERVIEWS WERE UTILIZED TO COLLECT QUALITATIVE DATA OF EXPERIENCES AND PERCEPTIONS ASSOCIATED WITH YOGA PARTICIPATION. STATISTICAL ANALYSIS USED: THEMATIC ANALYSIS WAS COMPLETED FOR QUALITATIVE DATA. QUANTITATIVE DATA WERE ANALYZED USING NONPARAMETRIC STATISTICAL METHODS, AND DESCRIPTIVE STATISTICS WERE ALSO PROVIDED. RESULTS: THE BENEFITS DESCRIBED BY PARTICIPANTS ARE REPORTED IN THIS PAPER. THESE INCLUDE IMPROVED RELAXATION, PHYSICAL WELL-BEING, EMOTIONAL WELL-BEING, BEING PRESENT, AND SELF-AWARENESS. CONCLUSIONS: THIS STUDY DESCRIBES THE PERSONAL BENEFITS EXPERIENCED FROM REGULAR YOGA PARTICIPATION WITHIN AN INPATIENT REHABILITATION SETTING. 2020 16 1958 33 SELF-MANAGEMENT AND YOGA FOR OLDER ADULTS WITH CHRONIC STROKE: A MIXED-METHODS STUDY OF PHYSICAL FITNESS AND PHYSICAL ACTIVITY. OBJECTIVE: THIS STUDY INVESTIGATED CHANGES IN PHYSICAL FITNESS AND PHYSICAL ACTIVITY AMONG OLDER PATIENTS WITH CHRONIC STROKE (STROKE >/= 6 MONTHS PREVIOUS) AFTER PARTICIPATION IN A YOGA INFUSED SELF-MANAGEMENT INTERVENTION. METHODS: A MIXED-METHODS SECONDARY DATA ANALYSIS EXAMINED QUANTITATIVE MEASURES OF ENDURANCE, STRENGTH, AND GAIT SPEED AND QUALITATIVE PERSPECTIVES OF INTERVENTION PARTICIPANTS. RESULTS: BASED ON WILCOXON ANALYSIS, PHYSICAL FITNESS OUTCOME MEASURES INCLUDING ENDURANCE AND LOWER AND UPPER BODY STRENGTH SIGNIFICANTLY (P < .02) IMPROVED. BASED ON QUALITATIVE RESULTS OF 2 FOCUS GROUPS AND 14 INDIVIDUAL INTERVIEWS, PARTICIPANTS EXPRESSED POSITIVE CHANGES IN ENDURANCE, STRENGTH, GAIT SPEED, FLEXIBILITY, AND BALANCE. THEY ALSO REPORTED IMPROVEMENTS IN WALKING ABILITY AND DURATION, AND EXPRESSED A DESIRE TO CONTINUE YOGA AND INCREASE LEVELS OF EXERCISE. CONCLUSIONS: WITH THE OBJECTIVE OF IMPROVING PHYSICAL FITNESS AND EXERCISE FOR OLDER ADULTS WITH CHRONIC STROKE, IT IS IMPORTANT FOR SELF-MANAGEMENT INTERVENTIONS TO PROVIDE SPECIFIC SAFE AND FEASIBLE PHYSICAL ACTIVITY COMPONENTS, SUCH AS YOGA. CLINICAL IMPLICATIONS: HEALTH PROFESSIONALS MAY IMPROVE OFFERED CHRONIC STROKE SELF-MANAGEMENT INTERVENTIONS BY INCORPORATING YOGA. 2018 17 1710 42 PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES OF A YOGA INTERVENTION FOR INDIVIDUALS WITH PARKINSON'S DISEASE: A MIXED METHODS STUDY. PARKINSON'S DISEASE (PD) OFTEN LEADS TO POOR BALANCE, INCREASED FALLS, AND FEAR OF FALLING, ALL OF WHICH CAN REDUCE PARTICIPATION IN LIFE ACTIVITIES. YOGA, WHICH USUALLY INCLUDES PHYSICAL EXERCISE, CAN IMPROVE FUNCTIONING AND LIFE PARTICIPATION; HOWEVER, LIMITED RESEARCH HAS BEEN CONDUCTED ON THE EFFECTS OF YOGA ON LIFE PARTICIPATION OF INDIVIDUALS WITH PD. THIS STUDY HAD TWO PURPOSES: (1) TO IDENTIFY AND UNDERSTAND THE PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES ASSOCIATED A THERAPEUTIC YOGA INTERVENTION FOR INDIVIDUALS WITH PD; AND (2) TO COMPARE THE PERCEIVED ACTIVITIES AND PARTICIPATION OUTCOMES WITH THE OUTCOMES MEASURED IN THE CLINICAL TRIAL. A SINGLE-BLIND, RANDOMIZED, WAITLIST-CONTROLLED, PHASE II EXPLORATORY PILOT STUDY USING AN AFTER-TRIAL EMBEDDED MIXED METHODS DESIGN (CLINICAL TRIAL PRO00041068) EVALUATED THE EFFECT OF AN 8-WEEK HATHA YOGA INTERVENTION ON INDIVIDUALS WITH PD. DIRECTED CONTENT ANALYSIS WAS USED TO ANALYZE FOCUS GROUP INTERVIEWS WITH PARTICIPANTS WHO COMPLETED THE YOGA INTERVENTION. QUANTITATIVE AND QUALITATIVE DATA WERE MERGED AND COMPARED USING A DATA COMPARISON MATRIX. QUALITATIVE ANALYSIS INDICATED MANY ACTIVITIES AND PARTICIPATION OUTCOMES. COMPARISON OF QUALITATIVE AND QUANTITATIVE DATA INDICATED THE YOGA INTERVENTION LED TO IMPROVED BALANCE, MOBILITY, AND FUNCTIONAL GAIT, AND FEWER FALLS. THESE OUTCOMES REACHED BEYOND THE INTERVENTION AND INTO PARTICIPANTS' DAILY LIVES. RESULTS SUPPORT THE USE OF HATHA YOGA AS A COMMUNITY-BASED REHABILITATION INTERVENTION FOR INDIVIDUALS WITH PD. YOGA, AS PART OF AN INTERDISCIPLINARY APPROACH TO TREATMENT, CAN IMPROVE MANY TYPES OF ACTIVITIES AND PARTICIPATION OUTCOMES (E.G., MOBILITY, SOCIAL RELATIONSHIPS, SELF-CARE, HANDLING STRESS, RECREATION). 2018 18 2446 26 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 19 2422 40 YOGA AND MINDFULNESS AS THERAPEUTIC INTERVENTIONS FOR STROKE REHABILITATION: A SYSTEMATIC REVIEW. AIM. THIS PAPER REPORTS A SYSTEMATIC REVIEW AND CRITICAL APPRAISAL OF THE EVIDENCE ON THE EFFECTIVENESS OF BEHAVIORAL THERAPIES SUCH AS YOGA AND MINDFULNESS PRACTICES FOR STROKE REHABILITATION. BACKGROUND. THE EXPERIENCE OF STROKE CAN HAVE A NEGATIVE IMPACT ON BOTH PSYCHOLOGICAL AND PHYSICAL HEALTH AND ON QUALITY OF LIFE. YOGA AND RELEVANT PRACTICES ARE PROMISING THERAPIES THAT HAVE BEEN USED WITH PATIENTS WITH A VARIETY OF CONDITIONS. IN ORDER TO DRAW CONCLUSIONS ON EFFECTIVENESS FOR STROKE PATIENTS, THE EVIDENCE REQUIRES SYSTEMATIC ASSESSMENT. METHODS. A COMPREHENSIVE SEARCH OF MAJOR BIOMEDICAL AND COMPLEMENTARY MEDICINE DATABASES WAS CONDUCTED. RELEVANT RESEARCH WAS CATEGORIZED BY STUDY TYPE AND APPRAISED ACCORDING TO STUDY DESIGN. RESULTS. FIVE RANDOMIZED CONTROLLED CLINICAL TRIALS AND FOUR SINGLE CASE STUDIES WERE FOUND. ADDITIONALLY, ONE QUALITATIVE RESEARCH STUDY WAS IDENTIFIED. STUDIES REPORTED POSITIVE RESULTS, INCLUDING IMPROVEMENTS IN COGNITION, MOOD, AND BALANCE AND REDUCTIONS IN STRESS. MODIFICATIONS TO DIFFERENT YOGA PRACTICES MAKE COMPARISON BETWEEN STUDIES DIFFICULT, AND A LACK OF CONTROLLED STUDIES PRECLUDES ANY FIRM CONCLUSIONS ON EFFICACY. CONCLUSION. YOGA AND MINDFULNESS COULD BE CLINICALLY VALUABLE SELF-ADMINISTERED INTERVENTION OPTIONS FOR STROKE REHABILITATION. FURTHER RESEARCH IS NEEDED TO EVALUATE THESE SPECIFIC PRACTICES AND THEIR SUITABILITY IN STROKE REHABILITATION. 2013 20 611 34 DEVELOPMENT OF A YOGA MODULE TARGETING CARDIOVASCULAR HEALTH FOR PATIENTS WITH POST-MYOCARDIAL LEFT VENTRICULAR DYSFUNCTION IN INDIA. BACKGROUND: YOGA IS KNOWN TO CONTRIBUTE TOWARDS CARDIOVASCULAR HEALTH. THIS PAPER DESCRIBES THE DEVELOPMENT OF A NEED-BASED YOGA PROGRAM WHICH IS SUITABLE TO BE INTEGRATED INTO THE CARDIAC REHABILITATION OF POST-MYOCARDIAL INFARCTION PATIENTS WITH LEFT VENTRICULAR DYSFUNCTION. MATERIALS AND METHODS: BASED ON THE ASSESSMENT OF THE NEED OF THE PATIENTS, LITERATURE REVIEW, AND EXPERT OPINION, A YOGA MODULE WAS DEVELOPED USING THE QUALITATIVE METHOD OF INQUIRY. THE PROGRAM INCLUDED WARM-UP EXERCISES, YOGIC ASANAS, PRANAYAMA, MEDITATION AND COUNSELING SESSIONS. A STRUCTURED QUESTIONNAIRE ELICITING COMMENTS ON THE CONTENTS WAS GIVEN INDEPENDENTLY TO TEN EXPERTS WORKING IN THE FIELD OF HEALTH AND YOGA FOR VALIDATION. THE FINAL MODULE WAS DERIVED AFTER INCORPORATING THE SUGGESTIONS OF THE EXPERTS. RESULTS: USING THE RATERS' EXPERTISE IN CARDIOLOGY AND YOGA PRACTICE, THE PRACTICES WHICH CONSTITUTE THE MODULE WERE OPTIMIZED. MAJORITY OF THE EXPERTS (RATERS) AGREED WITH THE DURATION OF 1 H TRAINING FOR 1MONTH UNDER SUPERVISION AS ADEQUATE FOR SUBSEQUENT PRACTICE AT HOME. THERE WAS A 0.786 INTER-RATER RELIABILITY ESTIMATED USING THE INTERCLASS COEFFICIENT (ICC) AND 0.789 INTERNAL CONSISTENCY OF THE QUESTIONS, MEASURED USING CRONBACH'S ALPHA. BOTH VALUES INDICATE "GOOD" RELIABILITY AND CONSISTENCY OF THE YOGA MODULE. CONCLUSION: THE DEVELOPED YOGA MODULE WAS FOUND TO BE ACCEPTABLE. FUTURE RANDOMIZED CONTROL TRIALS WILL BE NECESSARY TO VALIDATE THE EFFECTIVENESS OF THIS MODULE AND IF THE MODULE DEMONSTRATES TO BE EFFECTIVE BY CLINICAL STUDIES, IT MAY ADD A THERAPEUTIC OPTION IN THE REHABILITATION OF PATIENTS WITH HEART FAILURE FOLLOWING MYOCARDIAL INFARCTION, WHICH CAN BE APPLIED IN THE HOSPITALS AND COMMUNITY LEVEL. 2019