1 2522 160 YOGA DECREASES KYPHOSIS IN SENIOR WOMEN AND MEN WITH ADULT-ONSET HYPERKYPHOSIS: RESULTS OF A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: TO ASSESS WHETHER A SPECIFICALLY DESIGNED YOGA INTERVENTION CAN REDUCE HYPERKYPHOSIS. DESIGN: A 6-MONTH, TWO-GROUP, RANDOMIZED, CONTROLLED, SINGLE-MASKED TRIAL. SETTING: COMMUNITY RESEARCH UNIT. PARTICIPANTS: ONE HUNDRED EIGHTEEN WOMEN AND MEN AGED 60 AND OLDER WITH A KYPHOSIS ANGLE OF 40 DEGREES OR GREATER. MAJOR EXCLUSIONS WERE SERIOUS MEDICAL COMORBIDITY, USE OF ASSISTIVE DEVICE, INABILITY TO HEAR OR SEE ADEQUATELY FOR PARTICIPATION, AND INABILITY TO PASS A PHYSICAL SAFETY SCREEN. INTERVENTION: THE ACTIVE TREATMENT GROUP ATTENDED HOUR-LONG YOGA CLASSES 3 DAYS PER WEEK FOR 24 WEEKS. THE CONTROL GROUP ATTENDED A MONTHLY LUNCHEON AND SEMINAR AND RECEIVED MAILINGS. MEASUREMENTS: PRIMARY OUTCOMES WERE CHANGE (BASELINE TO 6 MONTHS) IN DEBRUNNER KYPHOMETER-ASSESSED KYPHOSIS ANGLE, STANDING HEIGHT, TIMED CHAIR STANDS, FUNCTIONAL REACH, AND WALKING SPEED. SECONDARY OUTCOMES WERE CHANGE IN KYPHOSIS INDEX, FLEXICURVE KYPHOSIS ANGLE, RANCHO BERNARDO BLOCKS POSTURE ASSESSMENT, AND HEALTH-RELATED QUALITY OF LIFE (HRQOL). RESULTS: COMPARED WITH CONTROL PARTICIPANTS, PARTICIPANTS RANDOMIZED TO YOGA EXPERIENCED A 4.4% IMPROVEMENT IN FLEXICURVE KYPHOSIS ANGLE (P=.006) AND A 5% IMPROVEMENT IN KYPHOSIS INDEX (P=.004). THE INTERVENTION DID NOT RESULT IN STATISTICALLY SIGNIFICANT IMPROVEMENT IN DEBRUNNER KYPHOMETER ANGLE, MEASURED PHYSICAL PERFORMANCE, OR SELF-ASSESSED HRQOL (EACH P>.1). CONCLUSION: THE DECREASE IN FLEXICURVE KYPHOSIS ANGLE IN THE YOGA TREATMENT GROUP SHOWS THAT HYPERKYPHOSIS IS REMEDIABLE, A CRITICAL FIRST STEP IN THE PATHWAY TO TREATING OR PREVENTING THIS CONDITION. LARGER, MORE-DEFINITIVE STUDIES OF YOGA OR OTHER INTERVENTIONS FOR HYPERKYPHOSIS SHOULD BE CONSIDERED. TARGETING INDIVIDUALS WITH MORE-MALLEABLE SPINES AND USING LONGITUDINALLY PRECISE MEASURES OF KYPHOSIS COULD STRENGTHEN THE TREATMENT EFFECT. 2009 2 2777 34 YOGA SPINAL FLEXION POSITIONS AND VERTEBRAL COMPRESSION FRACTURE IN OSTEOPENIA OR OSTEOPOROSIS OF SPINE: CASE SERIES. OBJECTIVE: THE OBJECTIVE OF THIS REPORT IS TO RAISE AWARENESS OF THE EFFECT OF STRENUOUS YOGA FLEXION EXERCISES ON OSTEOPENIC OR OSTEOPOROTIC SPINES. WE PREVIOUSLY DESCRIBED SUBJECTS WITH KNOWN OSTEOPOROSIS IN WHOM VERTEBRAL COMPRESSION FRACTURES (VCFS) DEVELOPED AFTER SPINAL FLEXION EXERCISE (SFE) AND RECOMMENDED THAT SFES NOT BE PRESCRIBED IN PATIENTS WITH SPINAL OSTEOPOROSIS. METHODS: THIS REPORT DESCRIBES 3 HEALTHY PERSONS WITH LOW BONE MASS AND YOGA-INDUCED PAIN OR FRACTURE. RESULTS: ALL 3 PATIENTS HAD OSTEOPENIA, WERE IN GOOD HEALTH AND PAIN-FREE, AND HAD STARTED YOGA EXERCISES TO IMPROVE THEIR MUSCULOSKELETAL HEALTH. NEW PAIN AND FRACTURE AREAS OCCURRED AFTER PARTICIPATION IN YOGA FLEXION EXERCISES. CONCLUSIONS: THE DEVELOPMENT OF PAIN AND COMPLICATIONS WITH SOME FLEXION YOGA POSITIONS IN THE PATIENTS WITH OSTEOPENIA LEADS TO CONCERN THAT FRACTURE RISK WOULD INCREASE EVEN FURTHER IN OSTEOPOROSIS. ALTHOUGH EXERCISE HAS BEEN SHOWN TO BE EFFECTIVE FOR IMPROVING BONE MINERAL DENSITY AND DECREASING FRACTURE RISK, OUR SUBJECTS HAD DEVELOPMENT OF VCFS AND NECK AND BACK PAIN WITH YOGA EXERCISES. THIS FINDING SUGGESTS THAT FACTORS OTHER THAN BONE MASS SHOULD BE CONSIDERED FOR EXERCISE COUNSELING IN PATIENTS WITH BONE LOSS. THE INCREASED TORQUE PRESSURE APPLIED TO VERTEBRAL BODIES DURING SFES MAY BE A RISK. EXERCISE IS EFFECTIVE AND IMPORTANT FOR TREATMENT OF OSTEOPENIA AND OSTEOPOROSIS AND SHOULD BE PRESCRIBED FOR PATIENTS WITH VERTEBRAL BONE LOSS. SOME YOGA POSITIONS CAN CONTRIBUTE TO EXTREME STRAIN ON SPINES WITH BONE LOSS. ASSESSMENT OF FRACTURE RISK IN OLDER PERSONS PERFORMING SFES AND OTHER HIGH-IMPACT EXERCISES IS AN IMPORTANT CLINICAL CONSIDERATION. 2013 3 2400 27 YOGA AND DISC DEGENERATIVE DISEASE IN CERVICAL AND LUMBAR SPINE: AN MR IMAGING-BASED CASE CONTROL STUDY. THE OBJECTIVE OF THE CURRENT STUDY WAS TO FIND OUT WHETHER YOGA PRACTICE WAS BENEFICIAL TO THE SPINE BY COMPARING DEGENERATIVE DISC DISEASE IN THE SPINES OF LONG-TIME YOGA PRACTITIONERS AND NON-YOGA PRACTICING CONTROLS, USING AN OBJECTIVE MEASUREMENT TOOL, MAGNETIC RESONANCE IMAGING. THIS MATCHED CASE-CONTROL STUDY COMPRISED 18 YOGA INSTRUCTORS WITH TEACHING EXPERIENCE OF MORE THAN 10 YEARS AND 18 NON-YOGA PRACTICING ASYMPTOMATIC INDIVIDUALS RANDOMLY SELECTED FROM A HEALTH CHECKUP DATABASE. A VALIDATED GRADING SCALE WAS USED TO GRADE THE CONDITION OF CERVICAL AND LUMBAR DISCS SEEN IN MAGNETIC RESONANCE IMAGING OF THE SPINE, AND THE RESULTING DATA ANALYZED STATISTICALLY. THE MEAN NUMBER OF YEARS OF YOGA PRACTICE FOR THE YOGA GROUP WAS 12.9 +/- 7.5. THE OVERALL (CERVICAL + LUMBAR) DISC SCORES OF THE YOGA GROUP WERE SIGNIFICANTLY LOWER (INDICATING LESS DEGENERATIVE DISC DISEASE) THAN THOSE OF THE CONTROL GROUP (P < 0.001). THE SCORES FOR THE CERVICAL VERTEBRAL DISCS OF THE YOGA GROUP WERE ALSO SIGNIFICANTLY LOWER THAN THOSE OF THE CONTROL GROUP (P < 0.001), WHILE THE LOWER SCORES FOR THE YOGA GROUP IN THE LUMBAR GROUP APPROACHED, BUT DID NOT REACH, STATISTICAL SIGNIFICANCE (P = 0.055). THE SCORES FOR INDIVIDUAL DISCS OF YOGA PRACTITIONERS SHOWED SIGNIFICANTLY LESS DEGENERATIVE DISEASE AT THREE DISC LEVELS, C3/C4, L2/L3 AND L3/L4 (P < 0.05). MAGNETIC RESONANCE IMAGING SHOWED THAT THE GROUP OF LONG-TERM PRACTITIONERS OF YOGA STUDIED HAD SIGNIFICANTLY LESS DEGENERATIVE DISC DISEASE THAN A MATCHED CONTROL GROUP. 2011 4 184 35 A RANDOMIZED CONTROLLED TRIAL TO ASSESS PAIN AND MAGNETIC RESONANCE IMAGING-BASED (MRI-BASED) STRUCTURAL SPINE CHANGES IN LOW BACK PAIN PATIENTS AFTER YOGA PRACTICE. BACKGROUND THE PRESENT STUDY AIMED AT DETERMINING WHETHER 12 WEEKS OF YOGA PRACTICE IN PATIENTS WITH CHRONIC LBP AND MRI-BASED DEGENERATIVE CHANGES WOULD RESULT IN DIFFERENCES IN: (I) SELF-REPORTED PAIN, ANXIETY, AND SPINAL FLEXIBILITY; AND (II) THE STRUCTURE OF THE DISCS OR VERTEBRAE. MATERIAL AND METHODS SIXTY-TWO PERSONS WITH MRI-PROVEN DEGENERATIVE INTERVERTEBRAL DISCS (GROUP MEAN +/-S.D., 36.2+/-6.4 YEARS; 30 FEMALES) WERE RANDOMLY ASSIGNED TO YOGA AND CONTROL GROUPS. HOWEVER, TESTING WAS CONDUCTED ON ONLY 40 SUBJECTS, SO ONLY THEIR DATA ARE INCLUDED IN THIS STUDY. THE ASSESSMENTS WERE: SELF-REPORTED PAIN, STATE ANXIETY, SPINAL FLEXIBILITY, AND MRI OF THE LUMBOSACRAL SPINE, PERFORMED USING A 1.5 TESLA SYSTEM WITH A SPINAL SURFACE COLUMN. THE YOGA GROUP WAS TAUGHT LIGHT EXERCISES, PHYSICAL POSTURES, BREATHING TECHNIQUES, AND YOGA RELAXATION TECHNIQUES FOR 1 HOUR DAILY FOR 3 MONTHS. NO INTERVENTION WAS GIVEN TO THE CONTROL GROUP EXCEPT FOR ROUTINE MEDICAL CARE. A REPEATED-MEASURES ANALYSIS OF VARIANCE (ANOVA) WITH POST HOC ANALYSES (WHICH WAS BONFERRONI-ADJUSTED) WAS USED. THE ETHICS COMMITTEE OF PATANJALI RESEARCH FOUNDATION HAD APPROVED THE STUDY WHICH HAD BEEN REGISTERED IN THE CLINICAL TRIALS REGISTRY OF INDIA (CTRI/2012/11/003094). RESULTS THE YOGA GROUP SHOWED A SIGNIFICANT REDUCTION IN SELF-REPORTED PAIN AND STATE ANXIETY IN A BEFORE/AFTER COMPARISON AT 12 WEEKS. A FEW PATIENTS IN BOTH GROUPS SHOWED CHANGES IN THE DISCS AND VERTEBRAE AT POST-INTERVENTION ASSESSMENT. CONCLUSIONS WITHIN 12 WEEKS, YOGA PRACTICE REDUCED PAIN AND STATE ANXIETY BUT DID NOT ALTER MRI-PROVEN CHANGES IN THE INTERVERTEBRAL DISCS AND IN THE VERTEBRAE. 2016 5 1990 31 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 6 2656 39 YOGA IMPROVES UPPER-EXTREMITY FUNCTION AND SCAPULAR POSTURING IN PERSONS WITH HYPERKYPHOSIS. OBJECTIVE: HYPERKYPHOSIS (EXCESS THORACIC SPINE CURVATURE) IS ASSOCIATED WITH UPPER-EXTREMITY FUNCTIONAL LIMITATIONS AND ALTERED SCAPULAR POSTURING. THE PURPOSE OF THIS STUDY WAS TO QUANTIFY THE CHANGES IN UPPER-EXTREMITY FUNCTION AND SCAPULAR POSTURING FOLLOWING A 6-MONTH YOGAINTERVENTION IN PERSONS WITH HYPERKYPHOSIS. METHODS: TWENTY-ONE OLDER ADULTS WITH HYPERKYPHOSIS (75.5+7.4 YRS) ENROLLED IN THE UCLA YOGA FOR KYPHOSIS RANDOMIZED CONTROLLED TRIAL, ELECTED TO PARTICIPATE IN THIS UNCONTROLLED, PREPOST SUBSTUDY OF UPPER-EXTREMITY FUNCTION. THEY WERE MEASURED AT BASELINE AND AFTER A 24-WEEK YOGA INTERVENTION. MAXIMUM VERTICAL REACH AND TIMED BOOK TESTS WERE USED TO EVALUATE UPPER-EXTREMITY FUNCTION. SCAPULAR POSTURING WAS QUANTIFIED USING A MOTION ANALYSIS SYSTEM AND DATA WAS OBTAINED UNDER 4 CONDITIONS: 1) QUIET-STANDING, 2) NORMAL WALKING, 3) FAST WALKING, AND 4) SEATED. PAIRED T-TESTS WERE USED TO TEST FOR CHANGES BETWEEN BASELINE AND 6-MONTH FOLLOW-UP MEASURES AND COHEN'S D WAS CALCULATED TO EXAMINE EFFECT SIZES. RESULTS: FOLLOWING THE 6-MONTH YOGA INTERVENTION, PARTICIPANTS IMPROVED THEIR BOOK TEST PERFORMANCE BY 26.4% (P < 0.001; D = 1.5). SCAPULAR PROTRACTION DECREASED BY 2.9% DURING THE STATIC-SITTING CONDITION (P < 0.001; D = 0.5) AND THE OVERALL EXCURSION OF THE SCAPULAE DECREASED FOR BOTH FAST (25.0%, P < 0.05; D = 0.6) AND SELF-SELECTED WALKING (29.4%, P < 0.01; D = 0.9). THERE WERE NO CHANGES IN MAXIMUM VERTICAL REACH. CONCLUSION: SUBJECTS DEMONSTRATED SIGNIFICANT IMPROVEMENTS WITH SMALL TO LARGE EFFECT SIZES IN THE TIMED BOOK TEST AND SCAPULAR POSTURING TO A LESS PROTRACTED POSITION DURING BOTH STATIC AND DYNAMIC CONDITIONS AFTER THE INTERVENTION. THESE ADAPTATIONS ARE LIKELY TO REDUCE THE RISK OF SCAPULAR IMPINGEMENT AND HELP PRESERVE FUNCTIONAL INDEPENDENCE IN OLDER ADULTS. 2012 7 550 38 CONTROLLED PILOT STUDY OF THE EFFECTS OF POWER YOGA IN PARKINSON'S DISEASE. OBJECTIVES: TO EVALUATE THE EFFECTS OF A SPECIALLY DESIGNED POWER YOGA PROGRAM (YOGA) ON BRADYKINESIA, RIGIDITY, MUSCULAR PERFORMANCE AND QUALITY OF LIFE IN OLDER PATIENTS WITH PD. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: UNIVERSITY LABORATORY, US. INTERVENTION: TWENTY-SIX PATIENTS WITH MILD TO MODERATE PD WERE RANDOMLY ASSIGNED TO A YOGA OR CONTROL GROUP (CON). THE YOGA PROGRAM WAS THREE MONTHS, INCORPORATING TWO SESSIONS/WK OF YOGA CLASSES. MAIN OUTCOME MEASURES: UPPER AND LOWER LIMB BRADYKINESIA AND RIGIDITY SCORES FROM THE UNIFIED PARKINSON'S DISEASE RATING SCALE, ONE REPETITION MAXIMUMS (1RM) AND PEAK POWERS ON BICEPS CURL, CHEST PRESS, LEG PRESS, HIP ABDUCTION AND SEATED CALF, AND QUALITY OF LIFE (PDQ-39). RESULTS: THE YOGA GROUP PRODUCED SIGNIFICANT IMPROVEMENT IN BOTH UPPER AND LOWER LIMBS BRADYKINESIA SCORES, RIGIDITY SCORE, 1RM FOR ALL 5 MACHINES AND LEG PRESS POWER (P<.05). SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE PDQ-39 OVERALL SCORE, MOBILITY AND ACTIVITIES OF DAILY LIVING DOMAIN FOR THE YOGA GROUP. CONCLUSION: THE 3-MONTH YOGA PROGRAM SIGNIFICANTLY REDUCED BRADYKINESIA AND RIGIDITY, AND INCREASED MUSCLE STRENGTH AND POWER IN OLDER PATIENTS WITH PD. POWER TRAINING IS AN EFFECTIVE TRAINING MODALITY TO IMPROVE PHYSICAL FUNCTION AND QUALITY OF LIFE FOR PD. 2016 8 2359 24 VERTEBRAL COMPRESSION FRACTURES ASSOCIATED WITH YOGA: A CASE SERIES. BACKGROUND: THE IMPORTANCE OF EXERCISE IN SKELETAL HEALTH IS INCREASINGLY RECOGNIZED BY BOTH PATIENTS AND PROVIDERS. HOWEVER, THE SAFETY OF PRESCRIBED OR RECREATIONAL EXERCISE IN AT-RISK POPULATIONS REMAINS UNDER-REPORTED AND UNDER-PUBLICIZED. YOGA HAS GAINED WIDESPREAD POPULARITY DUE TO ITS PHYSICAL AND PSYCHOLOGICAL BENEFITS. WHEN PRACTICED IN A POPULATION AT INCREASED FRACTURE RISK, HOWEVER, SOME YOGA POSES MAY INCREASE FRACTURE RISK, PARTICULARLY AT THE SPINE, RATHER THAN INCREASING BMD AS NOTED IN RECENT POPULAR PRESS REPORTS. CASE REPORT: NINE SUBJECTS (8 WOMEN) WITH A MEDIAN AGE OF 66 YEARS (RANGE 53-87), DEVELOPED VERTEBRAL COMPRESSION FRACTURE (VCF) ONE MONTH TO SIX YEARS AFTER INITIATING YOGA-ASSOCIATED SPINAL FLEXION EXERCISES (SFE). VCF PRESENTED WITH BACK PAIN AND OCCURRED IN THE THORACICSPINE (N.=6), LUMBAR-SPINE (N.=4) AND CERVICAL-SPINE (N.=1). FOUR PATIENTS HAD OSTEOPOROSIS BY BMD CRITERIA PRIOR TO VCF AND 2 HAD OSTEOPENIA (MEDIAN T-SCORE -2.35; RANGE -3.3 TO +2.0). INTERESTINGLY, ALL PATIENTS HAD THEIR LOWEST T-SCORES AT THE SPINE. THREE PATIENTS HAD A HISTORY OF FRAGILITY FRACTURE PRIOR TO THE INDEX VCF. WHILE ONE PATIENT HAD PRIMARY HYPERPARATHYROIDISM AND ANOTHER WAS TREATED WITH HIGH DOSE PREDNISONE, NO OTHER RISK FACTORS FOR BONE LOSS INCLUDING MEDICATIONS OR SECONDARY OSTEOPOROSIS CAUSES WERE IDENTIFIED IN THE OTHER PATIENTS. CLINICAL REHABILITATION IMPACT: THIS STUDY IDENTIFIED PATIENTS IN WHOM INCREASED TORSIONAL AND COMPRESSIVE MECHANICAL LOADING PRESSURES OCCURRING DURING YOGA SFE RESULTED IN DE NOVO VCF. DESPITE THE NEED FOR SELECTIVITY IN YOGA POSES IN POPULATIONS AT INCREASED FRACTURE RISK, BOTH SCIENTIFIC AND MEDIA REPORTS CONTINUE TO ADVERTISE YOGA AS A BONE PROTECTIVE ACTIVITY. ACCORDINGLY, YOGA IS MISCONCEIVED AS A 'ONESIZE-FITS-ALL' PRESCRIPTION. INSTEAD, THE APPROPRIATE SELECTION OF PATIENTS LIKELY TO BENEFIT FROM YOGA MUST BE A CORNERSTONE OF FRACTURE PREVENTION. 2018 9 510 39 COMPARATIVE IMPACTS OF TAI CHI, BALANCE TRAINING, AND A SPECIALLY-DESIGNED YOGA PROGRAM ON BALANCE IN OLDER FALLERS. OBJECTIVE: TO COMPARE THE EFFECT OF A CUSTOM-DESIGNED YOGA PROGRAM WITH 2 OTHER BALANCE TRAINING PROGRAMS. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: RESEARCH LABORATORY. PARTICIPANTS: A GROUP OF OLDER ADULTS (N=39; MEAN AGE, 74.15 +/- 6.99 Y) WITH A HISTORY OF FALLING. INTERVENTIONS: THREE DIFFERENT EXERCISE INTERVENTIONS (TAI CHI, STANDARD BALANCE TRAINING, YOGA) WERE GIVEN FOR 12 WEEKS. MAIN OUTCOME MEASURES: BALANCE PERFORMANCE WAS EXAMINED DURING PRE- AND POSTTEST USING FIELD TESTS, INCLUDING THE 8-FOOT UP-AND-GO TEST, 1-LEG STANCE, FUNCTIONAL REACH, AND USUAL AND MAXIMAL WALKING SPEED. THE STATIC AND DYNAMIC BALANCES WERE ALSO ASSESSED BY POSTURAL SWAY AND DYNAMIC POSTUROGRAPHY, RESPECTIVELY. RESULTS: TRAINING PRODUCED SIGNIFICANT IMPROVEMENTS IN ALL FIELD TESTS (P<.005), BUT GROUP DIFFERENCE AND TIME X GROUP INTERACTION WERE NOT DETECTED. FOR POSTURAL SWAY, SIGNIFICANT DECREASES IN THE AREA OF THE CENTER OF PRESSURE WITH EYES OPEN (P=.001) AND EYES CLOSED (P=.002) WERE DETECTED AFTER TRAINING. FOR EYES OPEN, MAXIMUM MEDIAL-LATERAL VELOCITY SIGNIFICANTLY DECREASED FOR THE SAMPLE (P=.013). FOR EYES CLOSED, MEDIAL-LATERAL DISPLACEMENT DECREASED FOR TAI CHI (P<.01). FOR DYNAMIC POSTUROGRAPHY, SIGNIFICANT IMPROVEMENTS IN OVERALL SCORE (P=.001), TIME ON THE TEST (P=.006), AND 2 LINEAR MEASURES IN LATERAL (P=.001) AND ANTERIOR-POSTERIOR (P<.001) DIRECTIONS WERE SEEN FOR THE SAMPLE. CONCLUSIONS: YOGA WAS AS EFFECTIVE AS TAI CHI AND STANDARD BALANCE TRAINING FOR IMPROVING POSTURAL STABILITY AND MAY OFFER AN ALTERNATIVE TO MORE TRADITIONAL PROGRAMS. 2014 10 2722 27 YOGA MIGHT BE AN ALTERNATIVE TRAINING FOR THE QUALITY OF LIFE AND BALANCE IN POSTMENOPAUSAL OSTEOPOROSIS. AIM: OSTEOPOROTIC VERTEBRA AND HIP FRACTURES ARE MAJOR CAUSES OF DYSFUNCTION, DISABILITY, MORTALITY AND IMPAIRED LIFE QUALITY IN THE AGEING POPULATION. IN THE POSTMENOPAUSAL PERIOD, EXERCISES PREVENT RAPID BONE LOSS AND INCREASE MUSCLE STRENGTH, MOBILITY AND FLEXIBILITY THEREBY DECREASING THE RISK OF FALLS AND FRACTURES. YOGA EXERCISES, WHICH HAVE BEEN AN INSEPARABLE PART OF EASTERN CULTURE FOR HUNDREDS OF YEARS, ARE NOW BEING USED IN THE FIELD OF OSTEOPOROSIS REHABILITATION. YOGA HAS A POSITIVE EFFECT ON BALANCE, POSTURE, FLEXIBILITY, AND LIFE QUALITY RESULTING FROM ITS EFFECTS ON BALANCE, STRETCHING, RELAXATION AND STRENGTHENING. THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECT OF YOGA EXERCISES IN POSTMENOPAUSAL OSTEOPOROTIC WOMEN ON BALANCE AND LIFE QUALITY AND TO COMPARE THE RESULTS WITH A CLASSIC OSTEOPOROSIS EXERCISE PROGRAM. METHODS: TWENTY-SIX POSTMENOPAUSAL OSTEOPOROTIC WOMEN OVER 55 YEARS OF AGE WERE INCLUDED IN THE STUDY. A NEUROMUSCULAR TEST BATTERY AND THE QUALEFFO AS A LIFE QUALITY INDEX WERE USED FOR THE ASSESSMENT OF BALANCE AND LIFE QUALITY, RESPECTIVELY. RESULTS: THE RESULTS SHOWED THAT YOGA EDUCATION HAS A POSITIVE EFFECT ON PAIN, PHYSICAL FUNCTIONS, SOCIAL FUNCTIONS, GENERAL CONCLUSION: IN CONCLUSION, YOGA APPEARS TO BE AN ALTERNATIVE PHYSICAL ACTIVITY FOR THE REHABILITATION OF OSTEOPOROTIC SUBJECTS. 2010 11 2692 27 YOGA INCREASED SERUM ESTROGEN LEVELS IN POSTMENOPAUSAL WOMEN-A CASE REPORT. OBJECTIVE: THIS CASE REPORT AIMED TO EVALUATE 4 MONTHS OF YOGA PRACTICE ON THE QUALITY OF LIFE (QOL) AND ESTRADIOL LEVELS OF TWO POSTMENOPAUSAL WOMEN. METHODS: PARTICIPANTS WERE CLINICALLY HEALTHY POSTMENOPAUSAL WOMEN, WITH FOLLICLE-STIMULATING HORMONE LEVELS GREATER THAN OR EQUAL TO 30 MIU/ML AND A BODY MASS INDEX LOWER THAN 30 KG/M. THE PARTICIPANTS PRACTICED YOGA FOR 4 MONTHS IN TWO 1-HOUR SESSIONS PER WEEK. RESULTS: THE PARTICIPANTS EXHIBITED AN ABNORMAL ESTROGEN-LEVEL INCREASE AFTER 4 MONTHS OF YOGA PRACTICE AND SHOWED QOL IMPROVEMENTS. CONCLUSIONS: IN SOME CASES, YOGA PRACTICE CAN AFFECT THE FEMALE NEUROENDOCRINE SYSTEM, INCREASING ESTROGEN AND IMPROVING QOL. 2016 12 2853 34 YOGA, VERTEBRAL FRACTURES, AND OSTEOPOROSIS: RESEARCH AND RECOMMENDATIONS. BACKGROUND: OSTEOPOROSIS IS CHARACTERIZED BY DECREASED BONE DENSITY THAT LEAVES BONES FRAGILE AND HIGHLY SUSCEPTIBLE TO FRACTURE. GLOBALLY, 1 IN 3 WOMEN AND 1 IN 5 MEN OLDER THAN 50 WILL SUFFER FROM AN OSTEOPOROTIC FRACTURE, AND THOSE INDIVIDUALS WILL EXPERIENCE A CONSIDERABLY HIGHER RISK OF POSTFRACTURE MORTALITY THAN WILL THE GENERAL POPULATION. GENTLE, WEIGHT-BEARING EXERCISES SUCH AS YOGA CAN HELP PREVENT OR CEASE THE PROGRESSION OF OSTEOPOROSIS; HOWEVER, THERE IS INSUFFICIENT DATA REGARDING WHICH YOGA POSES PRESENT THE LEAST RISK AND ARE MOST BENEFICIAL TO INDIVIDUALS WITH REDUCED BONE DENSITY. OBJECTIVES: REVIEW THE EXTANT LITERATURE ABOUT THE RISKS AND BENEFITS TO THE SPINE OF PARTICULAR FORMS OF MOVEMENT AND CONSIDER RECOMMENDATIONS RELATIVE TO THE PRACTICE OF YOGA. METHODS: A REVIEW OF THE PUBMED, MEDLINE, AND COCHRANE DATABASES WAS CONDUCTED THAT IDENTIFIED MANUSCRIPTS PUBLISHED BETWEEN 1966 AND 2011 ABOUT TOPICS RELATED TO OSTEOPOROSIS AND SPINAL MOVEMENT. CONCLUSIONS: MOVEMENTS INVOLVING SPINAL FLEXION CAN INCREASE RISK FOR VERTEBRAL COMPRESSION FRACTURES; HOWEVER, A COMBINATION OF MILD SPINAL FLEXION AND EXTENSION MAY PROVE BENEFICIAL. MODERATE, WEIGHT-BEARING ACTIVITIES THAT STRENGTHEN THE MUSCLES SUPPORTING THE SPINAL COLUMN, PROMOTE BALANCE, IMPROVE POSTURE, AND ENHANCE QUALITY OF LIFE APPEAR TO BE OF GREATEST BENEFIT. AMPLE EVIDENCE SUPPORTS THE IMPORTANCE OF VARIED SPINAL MOVEMENT FOR PRESERVING THE HEALTH AND STRENGTH OF THE VERTEBRAL BODIES. EXERCISE MODIFICATIONS SUITABLE FOR HIGH-RISK INDIVIDUALS MAY BE COUNTERPRODUCTIVE FOR THOSE AT LOW RISK FOR VERTEBRAL FRACTURES. YOGA THERAPISTS ARE CAUTIONED TO NOT APPLY A ONE-SIZE-FITS-ALL APPROACH WHEN WORKING WITH THIS POPULATION. WELL-DESIGNED EMPIRICAL STUDIES ARE NEEDED TO FURTHER OUR UNDERSTANDING OF WHICH YOGA POSES PRESENT THE LEAST RISK AND ARE OF GREATEST BENEFIT TO INDIVIDUALS WITH OSTEOPOROSIS. 2013 13 2718 48 YOGA MEDITATION (YOMED) AND ITS EFFECT ON PROPRIOCEPTION AND BALANCE FUNCTION IN ELDERS WHO HAVE FALLEN: A RANDOMIZED CONTROL STUDY. OBJECTIVE: YOGA HAS BEEN SHOWN TO IMPROVE MUSCLE STRENGTH, FLEXIBILITY, AND BALANCE. HOWEVER, THE IMPACT OF MEDITATION ON DYNAMIC FACTORS SUCH AS GAIT, REACTIVE BALANCE AND PROPRIOCEPTION HAS YET TO BE EXAMINED. THE PURPOSE OF THIS STUDY WAS TO TEST IF A NOVEL YOGA MEDITATION PROGRAM (YOMED) IS AS EFFECTIVE AS A STANDARD PROPRIOCEPTIVE TRAINING IN IMPROVING PROPRIOCEPTION, BALANCE AND POWER IN OLDER INDIVIDUALS WHO HAVE FALLEN. DESIGN: SIXTEEN OLDER PERSONS WERE RANDOMLY ASSIGNED TO EITHER THE YOMED GROUP (YM) OR PROPRIOCEPTION TRAINING GROUP (PT). EACH GROUP RECEIVED 45MIN OF TRAINING, 3DAYS PER WEEK, FOR 6 WEEKS. PRETEST AND POST-TEST OUTCOME MEASURES WERE USED TO QUANTIFY THE COMPARATIVE EFFECTS OF THE INTERVENTIONS. SETTING: RESEARCH LABORATORY. INTERVENTIONS: YOGA MEDITATION AND PROPRIOCEPTIVE TRAINING. MAIN OUTCOME MEASURES: THE BALANCE ERROR SCORING SYSTEM (BESS), THE TENETTI BALANCE AND GAIT ASSESSMENT, DYNAMIC POSTUROGRAPHY, JOINT POSITION SENSE, JOINT KINESTHESIA AND LEG EXTENSOR POWER. RESULTS: THE PRIMARY FINDINGS OF THE STUDY WERE THAT NEITHER THE YM OR PT INTERVENTION GROUPS SHOWED STATISTICAL IMPROVEMENTS IN ANY VARIABLE WITH THE EXCEPTION OF THE DYNAMIC POSTUROGRAPHY OVERALL SCORE (DMA), WHICH SHOWED A SIGNIFICANT IMPROVEMENT BY THE YM GROUP (D=1.238; P=0.049). ADDITIONALLY CHANGES IN A NUMBER OF VARIABLES THAT DID NOT REACH SIGNIFICANCE DEMONSTRATED EFFECT SIZES IN THE MEDIUM TO HIGH RANGE. CONCLUSION: THESE RESULTS INDICATE THE POTENTIAL FOR THE YOMED PROGRAM TO BE USED AS A CLINICAL INTERVENTION IN OLDER INDIVIDUALS. GIVEN THESE RESULTS A LONGER STUDY USING A LARGER SAMPLE SIZE AND INDIVIDUALS AT HIGHER RISK OF FALLING IS WARRANTED. 2018 14 884 31 EFFECT OF YOGA TRAINING ON ONE LEG STANDING AND FUNCTIONAL REACH TESTS IN OBESE INDIVIDUALS WITH POOR POSTURAL CONTROL. [PURPOSE] THE AIM OF THE PRESENT STUDY WAS TO INVESTIGATE THE EFFECT OF YOGA TRAINING ON STATIC AND DYNAMIC STANDING BALANCE IN OBESE INDIVIDUALS WITH POOR STANDING BALANCE. [SUBJECTS AND METHODS] SIXTEEN OBESE VOLUNTEERS WERE RANDOMLY ASSIGNED INTO YOGA AND CONTROL GROUPS. THE YOGA TRAINING PROGRAM WAS PERFORMED FOR 45 MINUTES PER DAY, 3 TIMES PER WEEK, FOR 4 WEEKS. STATIC AND DYNAMIC BALANCE WERE ASSESSED IN VOLUNTEERS WITH ONE LEG STANDING AND FUNCTIONAL REACH TESTS. OUTCOME MEASURES WERE TESTED BEFORE TRAINING AND AFTER A SINGLE WEEK OF TRAINING. TWO-WAY REPEATED MEASURE ANALYSIS OF VARIANCE WITH TUKEY'S HONESTLY SIGNIFICANT DIFFERENCE POST HOC STATISTICS WAS USED TO ANALYZE THE DATA. [RESULTS] OBESE INDIVIDUALS SHOWED SIGNIFICANTLY INCREASED STATIC STANDING BALANCE IN THE YOGA TRAINING GROUP, BUT THERE WAS NO SIGNIFICANT IMPROVEMENT OF STATIC OR DYNAMIC STANDING BALANCE IN THE CONTROL GROUP AFTER 4 WEEKS. IN THE YOGA GROUP, SIGNIFICANT INCREASES IN STATIC STANDING BALANCE WAS FOUND AFTER THE 2ND, 3RD, AND 4TH WEEKS. COMPARED WITH THE CONTROL GROUP, STATIC STANDING BALANCE IN THE YOGA GROUP WAS SIGNIFICANTLY DIFFERENT AFTER THE 2ND WEEK, AND DYNAMIC STANDING BALANCE WAS SIGNIFICANTLY DIFFERENT AFTER THE 4TH WEEK. [CONCLUSION] YOGA TRAINING WOULD BE BENEFICIAL FOR IMPROVING STANDING BALANCE IN OBESE INDIVIDUALS WITH POOR STANDING BALANCE. 2015 15 2134 40 THE EFFECTS OF A THERAPEUTIC YOGA PROGRAM ON POSTURAL CONTROL, MOBILITY, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS. OBJECTIVE: TO EXAMINE THE EFFECTS OF A 12-WEEK THERAPEUTIC YOGA PROGRAM ON GAIT SPEED, POSTURAL CONTROL, AND MOBILITY IN COMMUNITY-DWELLING OLDER ADULTS. DESIGN: QUASI-EXPERIMENTAL STUDY WITH A PRETEST/POST-TEST DESIGN. RESEARCHERS EVALUATED CHANGES OVER TIME (PRETEST TO POST-TEST) IN ALL OUTCOME MEASURES. PAIRED T-TESTS WERE USED TO ANALYZE NORMAL AND FAST GAIT SPEED, TIMED UP AND GO TEST, AND TIMED UP AND GO DUAL TASK. WILCOXON SIGNED-RANK TEST WAS USED TO EVALUATE SCORES FOR THE MINI-BESTEST (MBT). SETTING: YOGA CLASSES WERE PERFORMED AT A LOCAL SENIOR CENTER. BLIND EXAMINERS WHO WERE PREVIOUSLY TRAINED IN THE OUTCOME MEASURES PERFORMED ALL PRETESTS AND POST-TESTS AT THE SITE. PARTICIPANTS: THIRTEEN ADULTS (12 WOMEN AND 1 MAN, WITH A MEAN AGE+/-STANDARD DEVIATION OF 72+/-6.9 YEARS) COMPLETED THE STUDY. RESEARCH PARTICIPANTS HAD MINIMAL TO NO YOGA EXPERIENCE. INTERVENTIONS: A 12-WEEK, 60-MINUTE, BIWEEKLY KRIPALU YOGA CLASS DESIGNED SPECIFICALLY FOR COMMUNITY-DWELLING OLDER ADULTS. OUTCOME MEASURES: POSTURAL CONTROL (MBT), MOBILITY (TIMED UP AND GO TEST), AND GAIT SPEED (NORMAL AND FAST) WERE ASSESSED. RESULTS: ALL 13 PARTICIPANTS ATTENDED AT LEAST 19 OF THE 24 CLASSES (80% ATTENDANCE). STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE MBT (P=0.039), NORMAL GAIT SPEED (P=0.015), FAST GAIT SPEED (P=0.001), TIMED UP AND GO TEST (P=0.045), AND TIMED UP AND GO DUAL-TASK (P=0.05). CONCLUSIONS: IMPROVEMENTS IN POSTURAL CONTROL AND MOBILITY AS MEASURED BY THE MBT AND TIMED UP AND GO GAIT AS MEASURED BY FAST GAIT SPEED INDICATE THAT RESEARCH PARTICIPANTS BENEFITTED FROM THE THERAPEUTIC YOGA INTERVENTION. THE YOGA PROGRAM DESIGNED FOR THIS STUDY INCLUDED ACTIVITIES IN STANDING, SITTING, AND LYING ON THE FLOOR AND MAY BE EFFECTIVE IN IMPROVING MOBILITY, POSTURAL CONTROL, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS. 2014 16 1623 42 MINDFULNESS AND MODIFIED MEDICAL YOGA AS INTERVENTION IN OLDER WOMEN WITH OSTEOPOROTIC VERTEBRAL FRACTURE. BACKGROUND: PEOPLE WITH OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES (VCFS) HAVE DECREASED HEALTH-RELATED QUALITY OF LIFE (HRQOL). YOGA AND MINDFULNESS ARE METHODS THAT CAN PROMOTE WELL-BEING. OBJECTIVE: THE AIM OF THIS ARTICLE WAS TO EXPLORE THE EFFECT OF MINDFULNESS AND MODIFIED MEDICAL YOGA ON HRQOL, STRESS, SLEEP, AND PAIN IN PEOPLE 60 YEARS OR OLDER WITH A DIAGNOSED OSTEOPOROTIC VCF. DESIGN: THE SCHOOL OF OSTEOPOROSIS IN LINKOPING (SOL) IS A PILOT STUDY WITH RANDOMIZED GROUPS. MATERIALS AND METHODS: THE SOL-STUDY WAS SCHEDULED TO ONCE A WEEK FOR 10 WEEKS. TEN PEOPLE WERE RANDOMIZED TO A THEORY (T) GROUP, AND TEN PEOPLE WERE RANDOMIZED TO A THEORY AND MINDFULNESS/MEDICAL YOGA (MMY) GROUP. THE EDUCATIONAL SESSIONS LASTED 60 MIN AND WERE SIMILAR FOR THE GROUPS, BUT THEY TOOK PLACE AT DIFFERENT FACILITIES. AN EXPERIENCED PHYSIOTHERAPIST SUPERVISED THE MMY SESSIONS FOR 60 MIN. SLEEP QUALITY AND PRESENT STRESS EXPERIENCE WERE MEASURED ON A SYMMETRIC LIKERT SCALE. THE NUMERIC RATING SCALE WAS USED FOR PAIN, AND EQ-5D, RAND-36, AND QUALEFFO-41 WERE USED FOR HRQOL. THE PATIENT ENABLEMENT INSTRUMENT (PEI) WAS USED TO REFLECT HOW THE PARTICIPANTS COPED WITH THEIR ILLNESS. RESULTS: EIGHT WOMEN IN THE MMY-GROUP AND SEVEN WOMEN IN THE T-GROUP COMPLETED THE SOL STUDY INTERVENTIONS. THE ADHERENCE TO THE INTERVENTION PROGRAM WAS 89% IN THE MMY-GROUP AND 87% IN THE T-GROUP. THERE WAS NO ADVERSE CONSEQUENCE OF THE MMY TRAINING. AFTER THE 10-WEEK INTERVENTION PERIOD, SLEEP QUALITY (P = 0.018) AND PRESENT STRESS (P = 0.043), BUT NOT PERCEIVED PAIN WERE IMPROVED IN THE MMY-GROUP. THE SOCIAL FUNCTION (SF) DOMAIN WAS IMPROVED IN THE MMY-GROUP THAT WAS MEASURED BY BOTH RAND-36 (P = 0.028) AND QUALEFFO-41 (P = 0.012). THERE WAS A TREND TOWARD A BETTER PEI-SCORE IN THE MMY-GROUP COMPARED WITH THE T-GROUP POSTINTERVENTION (P = 0.089). CONCLUSION: THIS ARTICLE SUGGESTS THAT MINDFULNESS AND MODIFIED MEDICAL YOGA SUPERVISED BY A SKILLED PHYSIOTHERAPIST MAY BE A FEASIBLE WAY TO IMPROVE SF, SLEEP, AND STRESS IN OLDER WOMEN WITH OSTEOPOROTIC VCFS. 2020 17 506 44 COMPARATIVE EFFECT OF POWER TRAINING AND HIGH-SPEED YOGA ON MOTOR FUNCTION IN OLDER PATIENTS WITH PARKINSON DISEASE. OBJECTIVES: TO COMPARE THE EFFECTS OF POWER TRAINING (PWT) AND A HIGH-SPEED YOGA PROGRAM ON PHYSICAL PERFORMANCES IN OLDER PATIENTS WITH PARKINSON DISEASE (PD), AND TO TEST THE HYPOTHESIS THAT BOTH TRAINING INTERVENTIONS WOULD ATTENUATE PD SYMPTOMS AND IMPROVE PHYSICAL PERFORMANCE. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: A LABORATORY OF NEUROMUSCULAR RESEARCH AND ACTIVE AGING. PARTICIPANTS: PATIENTS WITH PD (N=41; MEAN AGE +/- SD, 72.2 +/- 6.5Y). INTERVENTIONS: TWO HIGH-SPEED EXERCISE INTERVENTIONS (SPECIFICALLY DESIGNED YOGA PROGRAM AND PWT) WERE GIVEN FOR 12 WEEKS (TWICE A WEEK), AND 1 NONEXERCISE CONTROL GROUP. MAIN OUTCOME MEASURES: UNIFIED PARKINSON DISEASE RATING SCALE MOTOR SCORE (UPDRSMS), BERG BALANCE SCALE (BBS), MINI-BALANCE EVALUATION SYSTEMS TEST (MINI-BESTEST), TIMED UP AND GO, FUNCTIONAL REACH, SINGLE LEG STANCE (SLS), POSTURAL SWAY TEST, 10-M USUAL AND MAXIMAL WALKING SPEED TESTS, 1 REPETITION MAXIMUM (RM), AND PEAK POWER (PPW) FOR LEG PRESS. RESULTS: FOR THE POSTTESTS, BOTH TRAINING GROUPS SHOWED SIGNIFICANT IMPROVEMENTS (P<.05) IN ALL PHYSICAL MEASUREMENTS EXCEPT FUNCTIONAL REACH ON THE MORE AFFECTED SIDE, SLS, AND POSTURAL SWAY COMPARED WITH THE PRETESTS, AND SIGNIFICANTLY BETTER SCORES FOR UPDRSMS, BBS, MINI-BESTEST, TIMED UP AND GO, FUNCTIONAL REACH ON THE LESS AFFECTED SIDE, 10-M USUAL AND MAXIMAL WALKING SPEED TESTS, 1RM, AND PPW THAN CONTROLS, WITH NO DIFFERENCES DETECTED BETWEEN THE YOGA PROGRAM AND PWT. CONCLUSIONS: BOTH THE SPECIALLY DESIGNED YOGA PROGRAM AND PWT PROGRAMS CAN SIGNIFICANTLY IMPROVE PHYSICAL PERFORMANCE IN OLDER PERSONS WITH PD. 2016 18 2333 22 TWELVE-MINUTE DAILY YOGA REGIMEN REVERSES OSTEOPOROTIC BONE LOSS. OBJECTIVE: ASSESS THE EFFECTIVENESS OF SELECTED YOGA POSTURES IN RAISING BONE MINERAL DENSITY (BMD). METHODS: TEN-YEAR STUDY OF 741 INTERNET-RECRUITED VOLUNTEERS COMPARING PREYOGA BMD CHANGES WITH POSTYOGA BMD CHANGES. OUTCOME MEASURES: DUAL-ENERGY X-RAY ABSORPTIOMETRIC SCANS. OPTIONAL RADIOGRAPHS OF HIPS AND SPINE AND BONE QUALITY STUDY (7 TESLA). RESULTS: BONE MINERAL DENSITY IMPROVED IN SPINE, HIPS, AND FEMUR OF THE 227 MODERATELY AND FULLY COMPLIANT PATIENTS. MONTHLY GAIN IN BMD WAS SIGNIFICANT IN SPINE (0.0029 G/CM(2), P = .005) AND FEMUR (0.00022 G/CM(2), P = .053), BUT IN 1 COHORT, ALTHOUGH MEAN GAIN IN HIP BMD WAS 50%, LARGE INDIVIDUAL DIFFERENCES RAISED THE CONFIDENCE INTERVAL AND THE GAIN WAS NOT SIGNIFICANT FOR TOTAL HIP (0.000357 G/CM(2)). NO YOGA-RELATED SERIOUS INJURIES WERE IMAGED OR REPORTED. BONE QUALITY APPEARED QUALITATIVELY IMPROVED IN YOGA PRACTITIONERS. CONCLUSION: YOGA APPEARS TO RAISE BMD IN THE SPINE AND THE FEMUR SAFELY. 2016 19 1111 29 EFFECTS OF YOGASANAS ON OSTEOPOROSIS IN POSTMENOPAUSAL WOMEN. BACKGROUND: OSTEOPOROSIS IS COMMONLY ENCOUNTERED BY POSTMENOPAUSAL WOMEN. THERE IS AN INCREASED NEED FOR A LOW COST AND EFFICIENT TREATMENT ALTERNATIVE TO ADDRESS THIS POPULATION. AIMS: TO STUDY THE EFFECTS OF INTEGRATED YOGA ON BONE MINERAL DENSITY (BMD) IN POSTMENOPAUSAL WOMEN WITH OSTEOPOROSIS. SETTINGS AND DESIGNS: EXPERIMENTAL PRE-POST STUDY CONDUCTED IN A COMMUNITY SETTING. MATERIALS AND METHODS: 30 FEMALES IN THE AGE GROUP OF 45-62 YEARS SUFFERING FROM POSTMENOPAUSAL OSTEOPOROSIS WITH A DUAL-ENERGY X-RAY ABSORPTIOMETRY (DEXA) SCORE OF /=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