1 1524 138 ISOMETRIC YOGA-LIKE MANEUVERS IMPROVE ADOLESCENT IDIOPATHIC SCOLIOSIS-A NONRANDOMIZED CONTROL TRIAL. OBJECTIVE: ASSESS THERAPEUTIC VALUE OF SPECIFIC YOGA POSES FOR THORACIC AND LUMBAR ADOLESCENT IDIOPATHIC SCOLIOSIS (AIS) TAUGHT IN OFFICE OR INTERNET. STUDY DESIGN: NONRANDOMIZED CONTROL TRIAL: FIFTY-SIX ADOLESCENTS (MEAN AGE 14.0 YEARS; MEAN RISSER 3.0) WERE RECRUITED FROM OUR CLINIC; 41 DID THE SIDE-PLANK, THE HALF-MOON AND ELEVATED SIDE PLANK POSES AS APPROPRIATE (TREATMENT GROUP) AND 15 DID NOT (CONTROLS). THIRTY CURVES WERE TREATED IN OFFICE, 30 VIA INTERNET. CURVE CHANGE WAS EVALUATED BY BLINDED SERIAL COBB ANGLES, AND ANALYZED USING MANN-WHITNEY U, PAIRED T-TESTS AND CHI(2). RESULTS: MEAN LUMBAR AND THORACOLUMBAR COBB ANGLE CHANGE WAS -9.2 (95% CI = -11.8, -6.6) IN THE TREATMENT GROUP AND 5.4 (95% CI = 1.7, 9.0) IN CONTROLS. BOTH TREATMENT GROUP IMPROVEMENT AND DETERIORATION IN CONTROLS WERE SIGNIFICANT (TREATMENT GROUP: PAIRED T-TEST T = -7.1, DF = 40, P = .000; CONTROLS: T = 3.2, DF = 12, P = .008). MEAN THORACIC COBB ANGLE CHANGE WAS -7.1 (95% CI = -13.1, -1.2) IN THE TREATMENT GROUP AND 9.3 (95% CI = 4.5, 14.6) IN CONTROLS. BOTH CHANGES WERE SIGNIFICANT (PAIRED T-TEST T = -3.3, DF = 21, P = .022 FOR TREATMENT GROUP; T = 4.5, DF = 5, P = .006 FOR CONTROLS). NINE INTERNET PATIENTS WERE NON-COMPLIANT VS. 6 OFFICE PATIENTS. OFFICE PATIENTS IMPROVED 1.6 DEGREES/MONTH OR 5.5%/MONTH; INTERNET PATIENTS IMPROVED .72 DEGREES/MONTH OR 3.3%/MONTH. CONCLUSION: THESE YOGA POSES SHOW PROMISE FOR REVERSING ADOLESCENT IDIOPATHIC SCOLIOSIS. TELEMEDICINE HAD GREATER NON-COMPLIANCE AND LOWER EFFICACY BUT STILL PRODUCED PATIENT IMPROVEMENT. 2021 2 1965 37 SERIAL CASE REPORTING YOGA FOR IDIOPATHIC AND DEGENERATIVE SCOLIOSIS. BACKGROUND: NON-SURGICAL TECHNIQUES FOR TREATING SCOLIOSIS FREQUENTLY FOCUS ON REALIGNING THE SPINE, TYPICALLY BY MUSCULAR RELAXATION OR MUSCULAR OR LIGAMENTOUS STRETCHING. HOWEVER, SUCH TREATMENTS, WHICH INCLUDE PHYSICAL THERAPEUTIC, CHIROPRACTIC, AND BRACING TECHNIQUES, ARE INCONSISTENTLY SUPPORTED BY CURRENT EVIDENCE. IN THIS STUDY, WE ASSESS THE POSSIBLE BENEFITS OF ASYMMETRICAL STRENGTHENING OF TRUNCAL MUSCLES ON THE CONVEX SIDE OF THE SCOLIOTIC CURVE THROUGH A SINGLE YOGA POSE, THE SIDE PLANK POSE, IN IDIOPATHIC AND DEGENERATIVE SCOLIOSIS. METHODS: TWENTY-FIVE PATIENTS WITH IDIOPATHIC OR DEGENERATIVE SCOLIOSIS AND PRIMARY CURVES MEASURING 6 TO 120 DEGREES BY THE COBB METHOD HAD SPINAL RADIOGRAPHS AND WERE THEN TAUGHT THE SIDE PLANK POSE. AFTER 1 WEEK PERFORMING THE POSE WITH CONVEXITY DOWNWARD FOR 10 TO 20 SECONDS, THEY WERE INSTRUCTED TO MAINTAIN THE POSTURE ONCE DAILY FOR AS LONG AS POSSIBLE ON THAT ONE SIDE ONLY. A SECOND SERIES OF SPINAL RADIOGRAPHS WAS TAKEN 3 TO 22 MONTHS LATER. PRE- AND POST-YOGA COBB MEASUREMENTS WERE COMPARED. RESULTS: THE MEAN SELF-REPORTED PRACTICE OF THE YOGA POSE WAS 1.5 MINUTES PER DAY, 6.1 DAYS PER WEEK, FOR A MEAN FOLLOW-UP PERIOD OF 6.8 MONTHS. AMONG ALL PATIENTS, A SIGNIFICANT IMPROVEMENT IN THE COBB ANGLE OF THE PRIMARY SCOLIOTIC CURVE OF 32.0% WAS FOUND. AMONG 19 COMPLIANT PATIENTS, THE MEAN IMPROVEMENT ROSE TO 40.9%. IMPROVEMENTS DID NOT DIFFER SIGNIFICANTLY AMONG ADOLESCENT IDIOPATHIC AND DEGENERATIVE SUBTYPES (49.6% AND 38.4%, RESPECTIVELY). CONCLUSIONS: ASYMMETRICALLY STRENGTHENING THE CONVEX SIDE OF THE PRIMARY CURVE WITH DAILY PRACTICE OF THE SIDE PLANK POSE HELD FOR AS LONG AS POSSIBLE FOR AN AVERAGE OF 6.8 MONTHS SIGNIFICANTLY REDUCED THE ANGLE OF PRIMARY SCOLIOTIC CURVES. THESE RESULTS WARRANT FURTHER TESTING. 2014 3 2209 15 THE GEOMETRIC CURVATURE OF THE SPINE DURING THE SIRSHASANA, THE YOGA'S HEADSTAND. THIS STUDY ANALYSED THE BEHAVIOUR OF THE GEOMETRIC CURVATURE OF THE SPINE DURING SIRSHASANA. THE POSITION OF DORSAL RETROREFLECTIVE MARKERS WAS COMPUTED VIA STEREOPHOTOGRAMMETRIC ANALYSIS IN SIX MALES AND FIVE FEMALES (29.4 +/- 8.8 YEARS, 63.0 +/- 11.4 KG, 1.66 +/- 0.08 M [AVERAGE +/- STANDARD DEVIATION]). THE SPINAL POINTS WERE PROJECTED ONTO THE SAGITTAL AND FRONTAL PLANES OF THE TRUNK, A POLYNOMIAL WAS FITTED TO THE DATA AND THE TWO-DIMENSIONAL GEOMETRIC CURVATURE WAS QUANTIFIED. THE INFERIOR LUMBAR LORDOSIS DECREASED COMPARED TO THE ORTHOSTATIC POSITION AND GAIT, WHICH MAY FAVOUR THE POSTERIOR PROTRUSION OF THE LUMBAR SPINAL NUCLEUS PULPOSUS IN PEOPLE WITH POSTERIOR HERNIATION. THE LATERAL DEVIATION AT THE MIDDLE OF THE THORACIC SPINE INCREASES DURING SIRSHASANA, WHICH MAY REFLECT INCREASED DIFFICULTIES FOR POSTURAL CONTROL AND SPINAL LOADS. IT COULD BE USEFUL FOR PROMOTING POSITIVE SPINAL STRUCTURAL AND FUNCTIONAL CHRONIC ADAPTATIONS FOR HEALTHY PARTICIPANTS, IF THE YOGA PROGRAMME IS CAREFULLY PLANNED AND THE SPINAL ALIGNMENT IS CAREFULLY MONITORED DURING A HEADSTAND. HOWEVER, IT MAY AGGRAVATE SOME SPINAL DISEASES, ESPECIALLY SCOLIOSIS. 2017 4 1990 28 SPINAL CURVATURES OF YOGA PRACTITIONERS COMPARED TO CONTROL PARTICIPANTS-A CROSS-SECTIONAL STUDY. PURPOSE: THE ANGLES OF THORACIC KYPHOSIS AND LUMBAR LORDOSIS DETERMINE THE SPINAL ALIGNMENT IN THE SAGITTAL PLANE. THE AIM OF THIS STUDY WAS TO COMPARE THE THORACIC KYPHOSIS AND LUMBAR LORDOSIS OF MALE AND FEMALE YOGA PRACTITIONERS WITH NON-PRACTICING PARTICIPANTS AND TO DETERMINE THE POSSIBLE DEPENDENCIES BETWEEN SAGITTAL SPINAL CURVATURES AND SOMATIC PARAMETERS, TIME SPENT ON YOGA EXERCISE, AND UNDERTAKING OTHER PHYSICAL ACTIVITIES IN YOGA PRACTITIONERS. METHODS: THE STUDY INVOLVED 576 WOMEN AND 91 MEN AGES 18-68 YEARS (MEAN = 38.5 +/- 9) WHO WERE PRACTICING YOGA, AND 402 WOMEN AND 176 MEN AGES 18-30 YEARS (MEAN = 20.2 +/- 1.3) AS A CONTROL GROUP. THE ANGLES OF THORACIC KYPHOSIS AND LUMBAR LORDOSIS WERE MEASURED USING A PLURIMETER-V GRAVITY INCLINOMETER. RESULTS: THE TWO-WAY ANOVA DEMONSTRATED THE INFLUENCE OF GROUP (P < .0001) AND SEX (P = .03) ON THE ANGLE OF THORACIC KYPHOSIS, AS WELL AS THE INFLUENCE OF GROUP (P < .0001) AND SEX (P < .0001) ON THE ANGLE OF LUMBAR LORDOSIS. IT WAS NOTED THAT YOGA PRACTITIONERS HAD LESS PRONOUNCED THORACIC KYPHOSIS AND LUMBAR LORDOSIS AND WERE MORE OFTEN CHARACTERIZED BY NORMAL OR SMALLER THORACIC KYPHOSIS AND LUMBAR LORDOSIS THAN STUDENTS FROM THE CONTROL GROUP. IN YOGA PRACTITIONERS, THE ANGLE OF THORACIC KYPHOSIS WAS POSITIVELY CORRELATED WITH AGE, BODY MASS, BMI, AND UNDERTAKING OTHER FORMS OF PHYSICAL ACTIVITY. THE ANGLE OF LUMBAR LORDOSIS WAS NEGATIVELY CORRELATED WITH BODY HEIGHT AND BODY MASS. CONCLUSIONS: THE RESULTS SUGGEST THAT YOGA EXERCISES CAN AFFECT THE SHAPE OF THE ANTERIOR-POSTERIOR CURVES OF THE SPINE AND MAY BE AN EFFICIENT TRAINING METHOD FOR SHAPING PROPER POSTURE IN ADULTS. 2021 5 1813 12 PROGRESSION OF GLAUCOMA ASSOCIATED WITH THE SIRSASANA (HEADSTAND) YOGA POSTURE. THIS ARTICLE REPORTS A CASE OF PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY AND VISUAL FIELD LOSS THAT OCCURRED IN A PATIENT WHO PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE ON A DAILY BASIS FOR MANY YEARS. VISUAL FIELD ANALYSIS WAS PERFORMED THROUGH STANDARD AUTOMATED PERIMETRY. INTRAOCULAR PRESSURE (IOP) WAS MEASURED THROUGH PNEUMOTONOMETRY IN THE SITTING POSITION AND IN THE HEAD-DOWN POSITION. STEREO-OPTIC DISC PHOTOGRAPHS WERE OBTAINED. IOP INCREASED SIGNIFICANTLY IN THE HEAD-DOWN POSITION. OPTIC DISC EVALUATION REVEALED A NEW DISC HEMORRHAGE IN THE LEFT EYE. VISUAL FIELD ANALYSIS OVER A PERIOD OF 2 Y SHOWED PROGRESSION OF A SUPERIOR ARCUATE DEFECT IN THE LEFT EYE. TRANSIENT INCREASES IN IOP ASSOCIATED WITH THE YOGA HEADSTAND POSTURE MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NERVE DAMAGE AND VISUAL FIELD LOSS. 2006 6 1816 12 PROGRESSIVE OPTIC NEUROPATHY IN CONGENITAL GLAUCOMA ASSOCIATED WITH THE SIRSASANA YOGA POSTURE. THE AUTHORS DESCRIBE A CASE OF PROGRESSIVE OPTIC NEUROPATHY IN A PATIENT WITH CONGENITAL GLAUCOMA WHO HAD ROUTINELY PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE FOR SEVERAL YEARS. OPHTHALMIC EXAMINATION INCLUDED BEST-CORRECTED VISUAL ACUITY, ANTERIOR SEGMENT EXAMINATION, INDIRECT OPHTHALMOSCOPY, ULTRASOUND PACHYMETRY FOR CENTRAL CORNEAL THICKNESS, AND INTRAOCULAR PRESSURE BEFORE, DURING, AND AFTER MAINTAINING THE SIRSASANA POSTURE FOR 5 MINUTES. INTRAOCULAR PRESSURE INCREASED SIGNIFICANTLY DURING THE SIRSASANA POSTURE. TRANSIENT ELEVATION IN INTRAOCULAR PRESSURE DURING YOGA EXERCISES MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY, ESPECIALLY IN SUSCEPTIBLE PATIENTS WITH CONGENITAL GLAUCOMA. 2008 7 1498 27 INTRAOCULAR PRESSURE CHANGES AND OCULAR BIOMETRY DURING SIRSASANA (HEADSTAND POSTURE) IN YOGA PRACTITIONERS. PURPOSE: TO STUDY THE INTRAOCULAR PRESSURE (IOP) CHANGES IN SIRSASANA (HEADSTAND POSTURE) DONE BY EXPERIENCED YOGA PRACTITIONERS AND CORRELATE THE OCULAR BIOMETRIC PARAMETERS WITH THE IOP CHANGES, AND TO SCREEN FOR THE PREVALENCE OF OCULAR HYPERTENSION IN THIS GROUP OF SUBJECTS. DESIGN: PROSPECTIVE CASE OBSERVATIONAL SERIES. PARTICIPANTS: SEVENTY-FIVE SUBJECTS (50 ASIAN INDIANS AND 25 CAUCASIANS) FROM A YOGA TRAINING INSTITUTE VOLUNTEERED FOR THE STUDY. METHODS: ALL PARTICIPANTS UNDERWENT A DETAILED OPHTHALMIC EXAMINATION ALONG WITH OCULAR BIOMETRY AND CORNEAL PACHYMETRY. INTRAOCULAR PRESSURE WAS RECORDED USING A TONOPEN BEFORE, DURING, AND AFTER THE SIRSASANA. CHANGES WERE COMPARED USING THE PAIRED T TEST. AGE, AXIAL LENGTH, ANTERIOR CHAMBER DEPTH, LENS THICKNESS, CORNEAL CURVATURE, CORNEAL THICKNESS, RACE, AND THE LENGTH OF TIME FOR WHICH THE PRACTITIONER WAS PERFORMING YOGA WERE CORRELATED WITH THE INDUCED IOP DIFFERENCE IN A RANDOMLY SELECTED EYE USING PEARSON'S CORRELATION COEFFICIENT WITH BONFERRONI CORRECTION FOR MULTIPLE COMPARISONS. MAIN OUTCOME MEASURES: OCULAR BIOMETRY AND INDUCED IOP DIFFERENCE. RESULTS: THE MEAN INCREASE IN IOP AT BASELINE AND IMMEDIATELY AFTER ASSUMING SIRSASANA WAS 15.1+/-4.1 MMHG (R = 0.07; P = 0.999) AND AFTER 5 MINUTES WAS 15.8+/-4.6 MMHG (R = -0.25; P = 0.357). THE INDUCED INCREASE IN IOP DURING THE POSTURE WAS TWICE THE BASELINE IOP. THERE WAS NO CORRELATION BETWEEN AGE, OCULAR BIOMETRY, AND ULTRASOUND PACHYMETRY WHEN COMPARED WITH THE INDUCED IOP DIFFERENCE. ONE SUBJECT (1.33%) WAS FOUND TO HAVE BASELINE IOP OF MORE THAN 21 MMHG. CONCLUSION: THERE WAS A UNIFORM 2-FOLD INCREASE IN THE IOP DURING SIRSASANA, WHICH WAS MAINTAINED DURING THE POSTURE IN ALL AGE GROUPS IRRESPECTIVE OF THE OCULAR BIOMETRY AND ULTRASOUND PACHYMETRY. WE DID NOT DEMONSTRATE A HIGHER PREVALENCE OF OCULAR HYPERTENSIVES IN THIS COHORT OF YOGA PRACTITIONERS NOR DID THE RISK FACTORS CONTRIBUTING TO GLAUCOMA SHOW ANY CORRELATION WITH MAGNITUDE OF IOP RAISE DURING THE POSTURE. 2006 8 1499 22 INTRAOCULAR PRESSURE RISE IN SUBJECTS WITH AND WITHOUT GLAUCOMA DURING FOUR COMMON YOGA POSITIONS. PURPOSE: TO MEASURE CHANGES IN INTRAOCULAR PRESSURE (IOP) IN ASSOCIATION WITH YOGA EXERCISES WITH A HEAD-DOWN POSITION. METHODS: THE SINGLE CENTER, PROSPECTIVE, OBSERVATIONAL STUDY INCLUDED 10 SUBJECTS WITH PRIMARY OPEN-ANGLE GLAUCOMA AND 10 NORMAL INDIVIDUALS, WHO PERFORMED THE YOGA EXERCISES OF ADHO MUKHA SVANASANA, UTTANASANA, HALASANA AND VIPARITA KARANI FOR TWO MINUTES EACH. IOP WAS MEASURED BY PNEUMATONOMETRY AT BASELINE AND DURING AND AFTER THE EXERCISES. RESULTS: ALL YOGA POSES WERE ASSOCIATED WITH A SIGNIFICANT (P < 0.01) RISE IN IOP WITHIN ONE MINUTE AFTER ASSUMING THE YOGA POSITION. THE HIGHEST IOP INCREASE (P < 0.01) WAS MEASURED IN THE ADHO MUKHA SVANASANA POSITION (IOP INCREASE FROM 17 +/- 3.2 MMHG TO 28 +/- 3.8 MMHG IN GLAUCOMA PATIENTS; FROM 17 +/- 2.8 MMHG TO 29 +/- 3.9 MMHG IN NORMAL INDIVIDUALS), FOLLOWED BY THE UTTANASANA POSITION (17 +/- 3.9 MMHG TO 27 +/- 3.4 MMHG (GLAUCOMA PATIENTS) AND FROM 18 +/- 2.5 MMHG TO 26 +/- 3.6 MMHG NORMAL INDIVIDUALS)), THE HALASANA POSITION (18 +/- 2.8 MMHG TO 24 +/- 3.5 MMHG (GLAUCOMA PATIENTS); 18 +/- 2.7 MMHG TO 22 +/- 3.4 MMHG (NORMAL INDIVIDUALS)), AND FINALLY THE VIPARITA KIRANI POSITION (17 +/- 4 MMHG TO 21 +/- 3.6 MMHG (GLAUCOMA PATIENTS); 17 +/- 2.8 TO 21 +/- 2.4 MMHG (NORMAL INDIVIDUALS)). IOP DROPPED BACK TO BASELINE VALUES WITHIN TWO MINUTES AFTER RETURNING TO A SITTING POSITION. OVERALL, IOP RISE WAS NOT SIGNIFICANTLY DIFFERENT BETWEEN GLAUCOMA AND NORMAL SUBJECTS (P = 0.813), ALL THOUGH GLAUCOMA EYES TENDED TO HAVE MEASUREMENTS 2 MM HG HIGHER ON AVERAGE. CONCLUSIONS: YOGA EXERCISES WITH HEAD-DOWN POSITIONS WERE ASSOCIATED WITH A RAPID RISE IN IOP IN GLAUCOMA AND HEALTHY EYES. IOP RETURNED TO BASELINE VALUES WITHIN 2 MINUTES. FUTURE STUDIES ARE WARRANTED ADDRESSING WHETHER YOGA EXERCISE ASSOCIATED IOP CHANGES ARE ASSOCIATED WITH SIMILAR CHANGES IN CEREBROSPINAL FLUID PRESSURE AND WHETHER THEY INCREASE THE RISK OF GLAUCOMA PROGRESSION. TRIAL REGISTRATION: CLINICALTRIALS.GOV #NCT01915680. 2015 9 1757 16 POSITION OF THE HIP IN YOGA. BACKGROUND: YOGA IS GROWING IN POPULARITY AS A FORM OF EXERCISE THROUGHOUT THE WORLD. ORTHOPEDIC PATIENTS PARTICIPATE IN YOGA, YET LITTLE IS KNOWN ABOUT THE RANGES-OF-MOTION OF THE HIP WITHIN VARIOUS YOGA POSES. ORTHOPEDIC SURGEONS ARE UNSURE ABOUT WHAT POTENTIAL POSITIONS THEIR PATIENTS ARE PLACING THEIR HIPS DURING A YOGA PRACTICE. THE AIM OF THIS STUDY IS TO QUANTIFY THE DEGREE OF HIP MOTION WITH COMMON YOGA POSES. METHODS: TWENTY HEALTHY, REGULAR PRACTITIONERS OF YOGA PERFORMED 11 DIFFERENT YOGA POSES IN A STANDARDIZED FASHION. MOTION ANALYSIS WAS USED TO CAPTURE RANGE-OF-MOTION OF THE HIP DURING EACH POSE. RESULTS: MANY YOGA POSES PUT THE HIP IN EXTREMES OF MOTION. POSES SUCH AS DOWNWARD DOG, FORWARD FOLD, SEATED TWIST, AND PIGEON STRESSED THE HIP IN FLEXION. WARRIOR 1, WARRIOR 2, CRESCENT LUNGE, PIGEON, AND TRIANGLE STRESSED THE HIP IN EXTENSION. EAGLE AND SEATED TWIST PUT THE HIP IN HIGHER ADDUCTION, WHILE HALF MOON, EAGLE, AND TRIANGLE PRODUCED MORE HIP INTERNAL ROTATION. CONCLUSION: MANY POSES WERE FOUND TO REACH EXTREMES OF HIP MOTION. THIS STUDY MAY HELP GUIDE THE ORTHOPEDIC SURGEON IN COUNSELING HIP ARTHROPLASTY AND HIP IMPINGEMENT PATIENTS ABOUT YOGA-RELATED ACTIVITY. BY KNOWING WHICH POSES POTENTIALLY STRESS THE HIP IN PARTICULAR PLANES OF MOTION, SURGEONS MAY BETTER INFORM THEIR PATIENTS WHO ARE RETURNING TO YOGA AFTER INJURY OR SURGERY. 2018 10 408 19 BIOMECHANICAL CHARACTERISTICS ON THE LOWER EXTREMITY OF THREE TYPICAL YOGA MANOEUVRES. THIS STUDY WAS AIMED AT EXPLORING THE BIOMECHANICAL CHARACTERISTICS OF THE LOWER EXTREMITY AMONGST THREE TYPICAL YOGA MANOEUVRES. A TOTAL OF THIRTEEN EXPERIENCED FEMALE YOGA PRACTITIONERS WERE RECRUITED IN THE CURRENT STUDY; THEY WERE ALL CERTIFIED WITH THE YOGA ALLIANCE. A THREE-DIMENSIONAL MOTION CAPTURE SYSTEM WITH 10 CAMERAS COMBINED WITH FOUR SYNCHRONISED FORCE PLATES WAS USED TO COLLECT KINEMATICS OF THE LOWER EXTREMITY AND GROUND REACTIVE FORCE WHILST THE PARTICIPANTS PERFORMED THE CRESCENT LUNGE POSE, WARRIOR II POSE, AND TRIANGLE POSE. ONE-WAY REPEATED ANOVA WAS USED IN EXPLORING THE DIFFERENCES AMONGST THE THREE YOGA MOVEMENTS, AND THE SIGNIFICANCE WAS SET TO ALPHA < 0.05. THE TRIANGLE POSE PERFORMED THE LARGEST RANGE OF MOTION (ROM) OF THE HIP (90.5 DEGREES +/- 22.9 DEGREES ), KNEE (68.8 DEGREES +/- 23.1 DEGREES ), AND ANKLE (46.4 DEGREES +/- 11.3 DEGREES ) IN THE SAGITTAL PLANE AND THE HIP (54.8 DEGREES +/- 6.5 DEGREES ), KNEE (42.4 DEGREES +/- 12.8 DEGREES ), AND ANKLE (4.8 DEGREES +/- 1.7 DEGREES ) IN THE FRONTAL PLANE AMONGST THE THREE MANOEUVRES (P < 0.05). NO SIGNIFICANT DIFFERENCE WAS FOUND FOR THE HIP AND ANKLE JOINT MOMENT AMONGST THE THREE MANOEUVRES (P > 0.05). KNEE JOINT TRAVELLED INTO 9.5 DEGREES OF EXTENSION AND SLIGHT ADDUCTION OF 1.94 DEGREES WHILST EXPRESSING THE LARGEST KNEE JOINT ADDUCTION MOMENTS (0.30 +/- 0.22 NM/KG) IN THE TRIANGLE POSE. THE DISTRIBUTION OF THE ANGULAR IMPULSE OF THE LOWER LIMB JOINTS INDICATED THAT THE HIP JOINT CONTRIBUTED SIGNIFICANTLY THE MOST IN THE SAGITTAL AND FRONTAL PLANES OF THE THREE YOGA MANOEUVRES (P < 0.05), RANGING FROM 51.67% TO 70.56%. RESULTS INDICATED THAT TRIANGLE POSE MAY BE SUPERIOR TO THE OTHER TWO MANOEUVRES, WHICH IMPROVED HIP JOINT ROM, STRENGTH, AND DYNAMIC STABILITY. HOWEVER, KNEE INJURIES SUCH AS OSTEOARTHRITIS (OA) SHOULD BE CONSIDERED BECAUSE OF THE LARGE KNEE EXTENSOR ANGLE AND ADDUCTOR MOMENTS. 2021 11 1522 10 ISOLATED RUPTURE OF THE LATERAL COLLATERAL LIGAMENT DURING YOGA PRACTICE: A CASE REPORT. WE REPORT A CASE OF ISOLATED RUPTURE OF THE LATERAL COLLATERAL LIGAMENT (LCL) OF THE KNEE WHILE ATTEMPTING TO PLACE THE LEFT FOOT BEHIND THE HEAD DURING YOGA PRACTICE. THE 34-YEAR-OLD MAN HAD DISCOMFORT OF THE LATERAL ASPECT OF THE KNEE PARTICULARLY WITH VARUS STRAIN. A MAGNETIC RESONANCE IMAGE REVEALED RUPTURE OF THE LCL AT THE INSERTION ONTO THE FIBULA. THE PATIENT HAD GRADE-II LAXITY OF THE LCL AND WAS TREATED NON-OPERATIVELY. AT THE 12-MONTH FOLLOW-UP, GRADE-I LAXITY OF THE LCL REMAINED CLINICALLY EVIDENT, BUT FUNCTION WAS NOT IMPAIRED. 2008 12 2779 9 YOGA TECHNIQUES AS A MEANS OF CORE STABILITY TRAINING. CORE STABILITY IN GENERAL INVOLVES THE MUSCULAR CONTROL REQUIRED AROUND THE LUMBAR SPINE TO MAINTAIN FUNCTIONAL STABILITY. STABILITY AND MOVEMENT ARE CRITICALLY DEPENDENT ON THE COORDINATION OF ALL THE MUSCLES SURROUNDING THE LUMBAR SPINE. THIS PAPER AIMS TO SHOW THAT AN AGE-OLD YOGA PRACTICE, CALLED UDDHYANA BHANDA AND NOULI, IS AN EFFECTIVE MEANS OF CORE STABILITY. 2009 13 2916 17 [THE EFFECT OF HATHA YOGA ON POOR POSTURE IN CHILDREN AND THE PSYCHOPHYSIOLOGIC CONDITION IN ADULTS]. HATHA YOGA'S EFFECTS ON THE POSTURE OF 15 TEN YEAR-OLD CHILDREN AND ALSO ITS EFFECTS ON THE PSYCHOPHYSICAL CONDITION OF 15 GROWN-UPS WAS STUDIED. AS SYMPTOMS, DURING THE FIRST EXAMINATION, 12 OF THE 15 CHILDREN HAD HEAD PROTRUSION, 14 HAD SHORTENED BACK EXTENSORS, ALL 15 HAD BENT SHOULDERS, RELAXATION OF THE FRONTAL ABDOMINAL WALL AND SHORTENED FLEXORS OF BOTH THE CALF AND THIGH. THE CONDITION OF ALL THE CHILDREN WAS REMARKABLY BETTER AFTER SIX MONTHS OF PRACTICE, SOME OF THE SYMPTOMS HAVING COMPLETELY DISAPPEARED (HEAD PROTRUSION, ASYMMETRY OF THE SHOULDERS, MAMILLAS AND HIPS, SHORTENING OF THE PECTORALIS AND BACK EXTENSORS), 9 CHILDREN STILL HAD SLIGHT TO MEDIUM RELAXATION OF THE FRONTAL ABDOMINAL WALL, 8 CHILDREN STILL HAD BENT SHOULDERS, AND 1 CHILD STILL HAD SHORTENED CALF AND THIGH EXTENSORS. THE ADULTS WERE IN A WEAK OR VERY WEAK PSYCHOPHYSICAL CONDITION, THEY TIRED EASILY, THEY COMPLAINED OF SLEEP DISTURBANCES, FLUCTUATION OF EMOTIONAL STATE AND IRRITABILITY. AFTER 3 MONTHS OF PRACTICE, THE VITAL CAPACITY OF 8 OF THE ADULTS TESTED (53.3%) HAD INCREASED BY 435 ML. THE TIME DURATION OF APNOEA HAD LENGTHENED FOR ALL OF THE PRACTICING ADULTS, BUT WITH A TRULY LARGE VARIATION AMONG THEM (A MEDIAN OF 14%). THE DEEP WAIST-BEND LENGTH OF ALL THE PRACTICING ADULTS HAD LENGTHENED BY AN AVERAGE OF 9.5 CM, AND THE AVERAGE LENGTH INCREASE FOR THE 3-MINUTE RUNNING TEST WAS 42 M. ALL THOSE WHO PRACTICED, HAD EXPERIENCED AN ALLEVIATION OF PSYCHIC DIFFICULTIES. 1990 14 552 25 CORE MUSCLE FUNCTION DURING SPECIFIC YOGA POSES. OBJECTIVE: TO ASSESS THE POTENTIAL USE OF 11 YOGA POSES IN SPECIFIC TRAINING AND REHABILITATION PROGRAMS VIA EXAMINATION OF THE MUSCLE ACTIVATION PATTERNS IN SELECTED TRUNK AND HIP MUSCLES. DESIGN: REPEATED-MEASURES DESCRIPTIVE STUDY. SETTING: UNIVERSITY LABORATORY, US. PARTICIPANTS: THIRTY HEALTHY YOGA PRACTITIONERS WITH MORE THAN 3 MONTHS YOGA PRACTICE EXPERIENCE (MEAN AGE+/-SD, 32.0+/-12.3 Y; 8 M/22 F) PARTICIPATED. INTERVENTIONS: SURFACE ELECTROMYOGRAPHIC SIGNALS OF UPPER RECTUS ABDOMINIS, LOWER RECTUS ABDOMINIS, LONGISSIMUS THORACIS, EXTERNAL OBLIQUE ABDOMINIS AND GLUTEUS MAXIMUM MUSCLE WERE RECORDED IN 11 YOGA POSES: HALFWAY LIFT, FORWARD FOLD, DOWNWARD FACING DOG, UPWARD FACING DOG, HIGH PLANK, LOW PLANK, CHAIR, MOUNTAIN WITH ARMS DOWN, MOUNTAIN WITH ARMS UP, WARRIOR 1 (BOTH SIDES). MAIN OUTCOME MEASURES: ROOT MEAN SQUARE VALUES OF EACH MUSCLE DURING EACH POSE, NORMALIZED BY THE MAXIMAL VOLUNTARY CONTRACTION. RESULTS: THERE WERE SIGNIFICANT MAIN EFFECTS OF POSE (P<.001) AND MUSCLE (P<.001), AND A SIGNIFICANT POSEXMUSCLE INTERACTION (P=.001). THE POST HOC ANALYSIS REVEALED UNIQUE PATTERNS FOR THE FIVE MUSCLES OF INTEREST FOR EACH OF THE 11 POSES (P<.024). CONCLUSIONS: VARIATIONS IN CORE MUSCLE FIRING PATTERNS DEPEND ON THE TRUNK AND PELVIC POSITIONS DURING THESE POSES. TRAINING PROGRAMS CAN BE DEVELOPED BY CHOOSING PARTICULAR POSES TO TARGET SPECIFIC CORE MUSCLES FOR ADDRESSING LOW BACK PAIN AND DECLINES IN PERFORMANCE. THE HIGH PLANK, LOW PLANK AND DOWNWARD FACING DOG POSES ARE EFFECTIVE FOR STRENGTHENING EXTERNAL OBLIQUE ABDOMINIS, CHAIR AND WARRIOR 1 POSES FOR TARGETING GLUTEUS MAXIMUM, AND CHAIR AND HALFWAY LIFT POSES FOR STRENGTHENING LONGISSIMUS THORACIS. AND THESE THREE MUSCLES COULD BE STRENGTHENED BY THE UPWARD FACING DOG POSE. 2014 15 1763 12 POSTERIOR VITREOUS DETACHMENT PRECIPITATED BY YOGA. YOGA HAS RECENTLY BEEN TOUTED AS A MEANS TO IMPROVE PHYSICAL AND MENTAL WELL-BEING. HOWEVER, NO FORM OF EXERCISE IS WITHOUT ITS RISKS. A 32-YEAR-OLD CHINESE FEMALE WITH MODERATE MYOPIA COMPLAINED OF RIGHT EYE SUDDEN ONSET OF FLOATERS AND MILD BLURRING OF VISION AFTER THE HEAD-DOWN POSTURE. THE VISUAL ACUITY WAS 6/12 IN THE RIGHT EYE AND 6/9 IN THE LEFT EYE. A RIGHT EYE FUNDUS EXAMINATION SHOWED POSTERIOR VITREOUS DETACHMENT, WITH A SMALL BLOOD CLOT LOCATED AT THE INFERIOR MARGIN OF THE OPTIC DISC. THE PATIENT WAS DIAGNOSED WITH RIGHT EYE VITREOUS HEMORRHAGE SECONDARY TO ACUTE POSTERIOR VITREOUS DETACHMENT AND WAS MANAGED CONSERVATIVELY. ACUTE CHANGES IN POSTURE, ESPECIALLY BETWEEN AN UPRIGHT AND A HEAD-DOWN POSITION, MAY CAUSE ACUTE POSTERIOR VITREOUS DETACHMENT. AS YOGA PRACTITIONERS MAY BE REQUIRED TO ASSUME THIS HEAD-DOWN POSITION, MYOPIC PATIENTS SHOULD BE WARNED OF THE POSSIBLE OCULAR COMPLICATIONS OF THIS EXERCISE. 2018 16 2357 21 VARYING ALIGNMENT AFFECTS LOWER EXTREMITY JOINT AND LIMB LOADING DURING YOGA'S TRIANGLE (TRIKONASANA) POSE. BACKGROUND: LIMITED BIOMECHANICAL DATA EXIST DESCRIBING HOW YOGA ASANAS (POSTURES) LOAD THE LIMBS AND JOINTS, AND LITTLE EVIDENCE-BASED RECOMMENDATIONS FOR YOGA INJURY PREVENTION ARE AVAILABLE. THIS STUDY AIMED TO ESTABLISH JOINT LOADING METRICS FOR AN INJURY-PRONE, YET COMMON YOGA POSE, THE TRIANGLE ASANA (TRIKONASANA) BY IDENTIFYING HOW STANCE WIDTH ADJUSTMENTS ALTER LOWER EXTREMITY LOADING. METHODS: EIGHTEEN YOGA PRACTITIONERS UNDERWENT 3D MOTION ANALYSIS WHILE PERFORMING TRIKONASANA WITH SELF-SELECTED (SS) STANCE WIDTH AND -30, -20, -10, +10, +20, AND +30% OF SS STANCE WIDTH. GROUND REACTION FORCES (GRFS), JOINT FORCES, AND JOINT MOMENTS WERE CALCULATED FOR THE LEADING AND TRAILING LIMB ANKLE, KNEE, AND HIP. ONE-WAY REPEATED-MEASURES ANALYSIS OF VARIANCE DETERMINED DIFFERENCES IN LOADING DUE TO STANCE WIDTH. RESULTS: GRFS, NET JOINT FORCES, AND NET JOINT MOMENTS WERE SIGNIFICANTLY AFFECTED BY STANCE WIDTH WHERE INCREASING STANCE WIDTH INCREASED LEADING LIMB LOADING BUT DECREASED TRAILING LIMB LOADING. CONCLUSIONS: ALTERING STANCE WIDTH OF TRIKONASANA INFLUENCES LOWER EXTREMITY LIMB LOADING, AND THESE LOADING RESPONSES WERE LIMB-DEPENDENT. YOGA PRACTITIONERS AND INSTRUCTORS CAN USE THIS INFORMATION TO OBJECTIVELY SUPPORT INCREASING OR DECREASING STANCE WIDTH TO REDUCE OR INCREASE LIMB LOADING ACCORDING TO THEIR GOALS OR TO MAKE ACCOMMODATIONS TO GROUPS SUCH AS BEGINNERS OR AT-RISK POPULATIONS FOR SAFER, MORE ACCESSIBLE YOGA PRACTICES. CUING A WIDER OR NARROWER STANCE WIDTH WILL NOT HAVE THE SAME EFFECT ON BOTH LIMBS. 2022 17 58 20 A COMPARISON OF EMG OUTPUT OF FOUR LOWER EXTREMITY MUSCLES DURING SELECTED YOGA POSTURES. THE PURPOSE OF THIS STUDY WAS TO USE SURFACE ELECTROMYOGRAPHY (EMG) ANALYSIS TO EXAMINE THE MUSCLE ACTIVATION OF THE ANTERIOR TIBIALIS (TA), GASTROCNEMIUS (GA), RECTUS FEMORIS (RF) AND BICEPS FEMORIS (BF) MUSCLES DURING SEVERAL YOGA POSES: TREE POSE (VRKSASHANA), HALF MOON POSE (ARDHA CHANDRASANA) AND WARRIOR III (VIRABADRASANA) WHEN COMPARED TO A REST POSE (MOUNTAIN POSE). TEN HEALTHY FEMALES WITH MORE THAN 3 MONTHS OF CONTINUOUS YOGA EXPERIENCE WHO PRACTICED AT LEAST 1.5H PER WEEK WERE RECRUITED. EMG ACTIVITY WAS RECORDED FROM THE AFOREMENTIONED MUSCLES DURING MOUNTAIN POSE ("REST") FOR 30S, THREE TIMES. SUBJECTS THEN PERFORMED THE FOLLOWING YOGA POSES IN A RANDOMIZED SEQUENCE WHILE SURFACE EMG ACTIVITY WAS RECORDED: TREE POSE, HALF-MOON, AND WARRIOR III. EACH POSE WAS HELD FOR 20S TO 30S AND PERFORMED THREE TIMES. EMG DATA WERE BAND PASS FILTERED AND THE ROOT MEAN SQUARE (RMS) WAS OBTAINED. THE PEAK RMS OF EACH OF THE RESTING TRIALS WAS OBTAINED AND AVERAGED TO PRODUCE AN AVERAGE PEAK RESTING RMS VALUE. THE STUDY REVEALED SIGNIFICANTLY GREATER EMG ACTIVITY IN TA AND GA IN ALL THREE POSES WHEN COMPARED TO BF AND RF. BF PRODUCED GREATER EMG ACTIVITY THAN RF IN WARRIOR III. IN CONCLUSION, SINGLE LIMB YOGA POSES REQUIRE INCREASED USE OF THE ANKLE MUSCULATURE WHEN COMPARED TO THIGH MUSCULATURE. 2019 18 1494 26 INTERRATER RELIABILITY OF AN OBSERVATIONAL RATING SCALE AND VIDEO ANALYSIS OF YOGA POSES. CONTEXT: YOGA IS INCREASINGLY POPULAR, NOT ONLY AS A FORM OF RECREATIONAL EXERCISE BUT ALSO AS A PHYSICIAN-RECOMMENDED INTERVENTION FOR HEALTH CONDITIONS. WHILE SERIOUS ADVERSE EFFECTS ACCOMPANYING YOGA PRACTICE ARE RARE, POSES THAT INVOLVE UPPER-EXTREMITY WEIGHT-BEARING HAVE A HIGH RISK OF DISCOMFORT. TO BETTER UNDERSTAND FACTORS CONTRIBUTING TO ADVERSE EFFECTS, THERE IS A CRITICAL NEED FOR ROBUST INSTRUMENTS THAT OBJECTIVELY EVALUATE POSE PERFORMANCE. THE PURPOSE OF THIS STUDY WAS TO ASSESS THE INTERRATER RELIABILITY OF AN OBSERVATIONAL SCALE DEVELOPED TO ASSESS THE ALIGNMENT OF 3 YOGA POSES. DESIGN: CROSS-SECTIONAL EXPERIMENTAL STUDY. METHODS: THIRTY-EIGHT INDIVIDUALS WERE GIVEN STANDARDIZED INSTRUCTIONS AND PERFORMED 3 POSES (DOWNWARD DOG, PLANK, AND SIDE PLANK). LATERAL VIDEOS WERE RATED BY 2 RATERS. A RATING SCALE EVALUATING THE ALIGNMENT OF 7 REGIONS WAS DEVELOPED BY THE STUDY TEAM WITH INPUT FROM YOGA TEACHERS. DESCRIPTIVE STATISTICS WERE USED TO SUMMARIZE THE PERCENTAGE OF SUBJECTS SHOWING IDEAL ALIGNMENT AND DEVIATIONS. INTERRATER RELIABILITY WAS QUANTIFIED USING COHEN KAPPA COEFFICIENT (KAPPA). RESULTS: IN DOWNWARD DOG, THE PREVALENCE OF IDEAL ALIGNMENT WAS 20%, 28%, AND 37%, AT THE NECK, SHOULDER, AND BACK, RESPECTIVELY; KAPPA RANGED FROM .44 TO .69. IN PLANK, THE PREVALENCE OF IDEAL ALIGNMENT WAS 31%, 45%, AND 54% AT THE NECK, SHOULDER, AND BACK, RESPECTIVELY; KAPPA RANGED FROM .47 TO .95. IN SIDE PLANK, THE PREVALENCE OF IDEAL ALIGNMENT WAS 16, 41%, AND 24%, AT THE NECK, SHOULDER, AND BACK, RESPECTIVELY; KAPPA RANGED FROM .20 TO .84. CONCLUSION: THE OBSERVATIONAL SCALE FOUND A HIGH PREVALENCE OF DEVIATIONS, AND DEMONSTRATED FAIR TO SUBSTANTIAL INTERRATER AGREEMENT. 2022 19 1032 28 EFFECTS OF YOGA EXERCISES ON DIABETIC MELLITUS AS VALIDATED BY MAGNETIC RESONANCE IMAGING. CONTEXT AND AIMS: EFFECTS OF PRACTICING YOGA IN DIABETIC MELLITUS (DM) PATIENTS HAVE BEEN IDENTIFIED TO IMPROVE IN CONTROL OF BLOOD GLUCOSE LEVELS. THE PURPOSE OF THIS WORK IS TO EVALUATE CHANGES IN BLOOD FLOW OF CALF MUSCLES AFTER SPECIFIC YOGA POSTURES FOR PATIENTS WITH DM USING MAGNETIC RESONANCE IMAGING (MRI) TECHNIQUES. TIME OF FLIGHT (TOF) MAGNETIC RESONANCE ANGIOGRAPHY MAXIMUM INTENSITY PROJECTION (MIP), T1 MAPS, T2 MAPS, AND DIFFUSION-WEIGHTED IMAGING ARE PERFORMED ON VOLUNTEERS AND DM PATIENTS BOTH PRE- AND POST-EXERCISE. MATERIALS AND METHODS: TOF MIP, T1 MAPS WITH VARIABLE FLIP ANGLES, AND T2-WEIGHTED SPIN-ECHO IMAGING WERE PERFORMED ON FOUR VOLUNTEERS (AGED 30 +/- 5) AND DM PATIENTS (AGED 32-68) PREEXERCISE, ON A 1.5 T SIEMENS SCANNER. THE TOTAL ACQUISITION TIME WAS 6 MIN 20 S. EACH VOLUNTEER AND DM PATIENT WERE THEN REQUESTED TO PERFORM YOGA POSTURES SUPTA PADANGUSTHASANA, UTKATASANA, AND CALF RAISE FOR 6 MIN 30 S AT MAXIMUM EFFORT, OUTSIDE THE SCANNER, AND SUBSEQUENTLY RESCANNED. TO CALCULATE SIGNIFICANT SIGNAL INCREASE, REGION OF INTERESTS WAS DRAWN ON TOF MIP CORONAL IMAGES IN ARTERIES OF CALF MUSCLES. STUDENT T-TESTS WERE PERFORMED TO DETERMINE STATISTICAL SIGNIFICANCE. RESULTS: AMONG VOLUNTEERS, A SIGNIFICANT SIGNAL INCREASE IN ARTERIES OF CALF MUSCLES WAS NOTICED, SIGNAL INTENSITY GRAPHS WERE PLOTTED. IN DM PATIENTS, SIGNAL INCREASE IN TOF MIP, T2-WEIGHTED IMAGES WERE SEEN IN SPECIFIC ARTERIES (POSTERIOR, ANTERIOR TIBIAL, AND POSTERIOR TIBIAL) OF CALF MUSCLES POSTEXERCISE. DISCUSSION AND CONCLUSIONS: THE STUDY INDICATES THAT YOGA HAS A POSITIVE SHORT-TERM EFFECT ON MULTIPLE DM-RELATED FOOT COMPLICATIONS. THIS STUDY DEPICTS THAT MRI PROVIDES POTENTIAL INSIGHT INTO THE BENEFITS OF YOGA FOR DM PATIENTS THROUGH DERIVING BIOMARKERS FOR PREVENTIVE MEDICINE RELEVANT TO YOGA INTERCEPTION. 2021 20 869 18 EFFECT OF YOGA THERAPY IN REVERSIBLE INGUINAL HERNIA: A QUASI EXPERIMENTAL STUDY. BACKGROUND: HERNIA IS AN ABNORMAL PROTRUSION OF AN ORGAN OR TISSUE THROUGH A DEFECT IN ITS SURROUNDING WALLS WHICH MOST COMMONLY INVOLVES THE ABDOMINAL WALL, PARTICULARLY THE INGUINAL REGION. THE TREATMENT OPTIONS FOR HERNIA RANGES FROM SIMPLE EXERCISES TO MODERN SURGERIES. THE EFFECT OF YOGA THERAPY IS NOT SCIENTIFICALLY EXAMINED FOR REVERSIBLE INGUINAL HERNIA AND HENCE THIS STUDY IS UNDERTAKEN WITH THE AIM TO TEST THE EFFECT OF SELECTED ASANAS IN REVERSIBLE INGUINAL HERNIA. MATERIALS AND METHODS: A QUASI EXPERIMENTAL TRAIL OF 19 MALES THROUGH CONSECUTIVE SAMPLING WAS DONE WITH SELECTED ASANAS FOR THREE MONTHS AND THE OUTCOME WAS MEASURED BY A QUESTIONNAIRE FOCUSING ON PAIN, AGGRAVATING FACTORS, RELIEVING FACTORS AND FREQUENCY OF OCCURRENCE OF SYMPTOMS OF HERNIA. RESULTS: THE PRE AND POST INTERVENTIONAL DATA WERE COMPARED STATISTICALLY AND FOUND SIGNIFICANT REDUCTION OF SYMPTOMS WITH P