1 1531 122 IYENGAR YOGA THERAPY AS AN INTERVENTION FOR CRAMP MANAGEMENT IN INDIVIDUALS WITH AMYOTROPHIC LATERAL SCLEROSIS: THREE CASE REPORTS. OBJECTIVES: PATIENTS WITH AMYOTROPHIC LATERAL SCLEROSIS (ALS), A NEURODEGENERATIVE DISEASE OF MOTOR NEURONS, EXPERIENCE CRAMPS AT ALL STAGES OF THE ILLNESS. THERE IS, AT PRESENT, NO EFFECTIVE MEDICATION TO CONTROL THE CRAMPS AND NO AGREEMENT ON HOW TO TREAT THE SYMPTOM IN ALS PATIENTS. SUBJECTS: THREE INDIVIDUALS WHO WERE DIAGNOSED WITH ALS AND REPORTED SUFFERING CRAMPS IN VARIOUS PARTS OF THE BODY, WHICH LIMITED THEIR ACTIVITIES OR AFFECTED THEIR SLEEP WERE INVITED TO TRY IYENGAR YOGA. INTERVENTION AND OUTCOME: YOGA THERAPY, COMPOSED OF STRETCHING, BREATHING, AND RELAXATION EXERCISES, WAS PRESCRIBED FOR EACH CASE, BASED ON THE SUBJECT'S PHYSICAL DISABILITY AND THE PRESENCE OF OTHER SYMPTOMS. ALTHOUGH TWO SUBJECTS EXPERIENCED CRAMPS DURING THE FIRST THERAPY SESSION, ALL THREE SUBJECTS REPORTED THE COMPLETE CESSATION OF CRAMPING WITHIN 3 WEEKS TO 8 WEEKS OF THERAPY. ONE OF THE SUBJECTS DEVELOPED CRAMPS IN THE HAND AFTER DISCONTINUING YOGA THERAPY FOR 7 MONTHS. HOWEVER, THE SYMPTOM STOPPED WITHIN 2 WEEKS OF RESUMING YOGA THERAPY. CONCLUSION: THE ALLEVIATION OF CRAMPS IN THESE THREE SUBJECTS INDICATES THE POSSIBILITY OF YOGIC INTERVENTION FOR THE MANAGEMENT OF CRAMPS IN INDIVIDUALS WITH ALS, BUT FURTHER RESEARCH IS NECESSARY TO UNDERSTAND THE EFFECTIVENESS OF YOGA THERAPY AND TO DETERMINE THE EXERCISES THAT ARE MORE PRONE TO LEAD TO CRAMPING IN SOME ALS INDIVIDUALS. 2014 2 121 33 A PILOT STUDY OF THE FEASIBILITY AND OUTCOMES OF YOGA FOR LUNG CANCER SURVIVORS. PURPOSE/OBJECTIVES: TO DETERMINE THE FEASIBILITY OF A STANDARDIZED YOGA INTERVENTION FOR SURVIVORS OF NON-SMALL CELL LUNG CANCER (NSCLC) AND, EFFECTS ON SLEEP, MOOD, SALIVARY CORTISOL LEVELS, AND QUALITY OF LIFE (QOL). DESIGN: THIS 14-WEEK, ONE-GROUP, REPEATED-MEASURES STUDY INCLUDED A THREE-WEEK PREINTERVENTION PHASE, EIGHT WEEKS OF YOGA CLASSES (40 MINUTES ONCE PER WEEK) AND HOME PRACTICE, AND A THREE-WEEK POSTINTERVENTION PHASE. FOLLOW-UP OCCURRED AT THREE AND SIX MONTHS POSTSTUDY. SETTING: A COMMUNITY-BASED CANCER SUPPORT CENTER IN THE MIDWESTERN UNITED STATES. SAMPLE: 7 ADULTS WHO HAD COMPLETED INITIAL TREATMENT FOR STAGES I-IIIA NSCLC. METHODS: A STANDARDIZED YOGA PROTOCOL WAS DEVELOPED PRIOR TO THE STUDY BY EXPERTS IN THE FIELD. BREATHING EASE WAS MONITORED BEFORE, DURING, AND AFTER CLASSES TO ASSESS FEASIBILITY OF MOVEMENT WITHOUT COMPROMISING RESPIRATORY STATUS WHILE DOING YOGA. DATA ANALYSIS INCLUDED DESCRIPTIVE STATISTICS, REPEATED-MEASURES ANALYSIS OF VARIANCE, AND SALIVARY CORTISOL ANALYSIS. MAIN RESEARCH VARIABLES: SLEEP QUALITY, MOOD, SALIVARY CORTISOL, AND QOL WERE ASSESSED USING THE PITTSBURGH SLEEP QUALITY INDEX, PROFILE OF MOOD STATES-BRIEF, A CORTISOL MEASUREMENT, AND THE MEDICAL OUTCOMES SURVEY SF-36(R), RESPECTIVELY. BREATHING EASE WAS ASSESSED USING A DYSPNEA NUMERIC RATING SCALE AS WELL AS OBSERVATION OF PARTICIPANTS. FINDINGS: PARTICIPANTS WITH VARYING STAGES OF DISEASE AND LENGTH OF SURVIVORSHIP WERE ABLE TO PERFORM YOGA WITHOUT RESPIRATORY DISTRESS. CLASS ATTENDANCE EXCEEDED 95%, AND ALL PRACTICED AT HOME. MOOD, SLEEP EFFICIENCY, AND QOL SIGNIFICANTLY IMPROVED; SALIVARY CORTISOL LEVELS DECREASED OVER TIME. CONCLUSIONS: YOGA WAS FEASIBLE FOR NSCLC SURVIVORS WITHOUT FURTHER COMPROMISING BREATHING WITH MOVEMENT. POTENTIAL BENEFITS WERE IDENTIFIED, SUPPORTING THE NEED FOR FUTURE CLINICAL TRIALS WITH LARGER SAMPLES STRATIFIED BY CANCER STAGE, TREATMENT, AND LENGTH OF SURVIVORSHIP. IMPLICATIONS FOR NURSING: NURSES AND HEALTHCARE PROVIDERS SHOULD CONSIDER YOGA AS A MIND-BODY PRACTICE TO MANAGE STRESS, IMPROVE MOOD AND SLEEP, AND POTENTIALLY ENHANCE QOL FOR NSCLC SURVIVORS. 2014 3 601 46 DEVELOPMENT AND VALIDATION OF A NEED-BASED INTEGRATED YOGA PROGRAM FOR CANCER PATIENTS: A RETROSPECTIVE STUDY. CONTEXT AND AIM: COMPLEMENTARY AND ALTERNATIVE THERAPIES (CAM) ARE GAINING POPULARITY AMONGST PATIENTS AS ADD ON TO CONVENTIONAL MEDICINE. YOGA STANDS THIRD AMONGST ALL CAM THAT IS BEING USED BY CANCER PATIENTS TODAY. DIFFERENT SCHOOLS OF YOGA USE DIFFERENT SETS OF PRACTICES, WITH SOME USING A MORE PHYSICAL APPROACH AND MANY USING MEDITATION AND/OR BREATHING. ALL THESE MODULES ARE DEVELOPED BASED ON THE NEEDS OF THE PATIENT. THIS PAPER IS AN ATTEMPT TO PROVIDE THE BASIS FOR A COMPREHENSIVE NEED BASED INTEGRATIVE YOGA MODULE FOR CANCER PATIENTS AT DIFFERENT STAGES OF TREATMENT AND FOLLOW UP. IN THIS PAPER, THE HOLISTIC MODULES OF THE INTEGRATED APPROACH OF YOGA THERAPY FOR CANCER (IAYTC) HAVE BEEN DEVELOPED BASED ON THE PATIENT NEEDS, AS PER THE OBSERVATIONS BY THE CLINICIANS AND THE CAREGIVERS. AUTHORS HAVE ATTEMPTED TO SYSTEMATICALLY CREATE HOLISTIC MODULES OF IAYTC FOR VARIOUS STAGES OF THE DISEASE AND TREATMENT. THESE MODULES HAVE BEEN USED IN RANDOMIZED TRIALS TO EVALUATE ITS EFFICACY AND HAVE SHOWN TO BE EFFECTIVE AS ADD-ON TO CONVENTIONAL MANAGEMENT OF CANCER. THUS, THE OBJECTIVE OF THIS EFFORT WAS TO PRESENT THE THEORETICAL BASIS AND VALIDATE THE NEED BASED HOLISTIC YOGA MODULES FOR CANCER PATIENTS. MATERIALS AND METHODS: LITERATURE FROM TRADITIONAL TEXTS INCLUDING VEDAS, AYURVEDA, UPANISHADS, BHAGAVAT GITA, YOGA VASISHTHA ETC. AND THEIR COMMENTARIES WERE LOOKED INTO FOR REFERENCES OF CANCER AND THERAPEUTIC DIRECTIVES. PRESENT DAY SCIENTIFIC LITERATURE WAS ALSO EXPLORED WITH REGARDS TO DEFINING CANCER, ITS ETIOPATHOLOGY AND ITS MANAGEMENT. RESULTS OF STUDIES DONE USING CAM THERAPIES WERE ALSO LOOKED AT, FOR SALIENT FINDINGS. FOCUSED GROUP DISCUSSIONS (FGD) AMONGST RESEARCHERS, EXPERIENCED GURUS, AND MEDICAL PROFESSIONALS INVOLVED IN RESEARCH AND CLINICAL CANCER PRACTICE WERE CARRIED OUT WITH THE OBJECTIVES OF DETERMINING NEEDS OF THE PATIENT AND YOGA PRACTICES THAT COULD PROVE EFFICIENT. A LIST OF NEEDS AT DIFFERENT STAGES OF CONVENTIONAL THERAPIES (SURGERY, CHEMOTHERAPY AND RADIATION THERAPY) WAS LISTED AND YOGA MODULES WERE DEVELOPED ACCORDINGLY. CONSIDERING THE NEEDS, EXPECTED SIDE EFFECTS, THE ENERGY LEVELS AND THE PSYCHOLOGICAL STATES OF THE PARTICIPANTS, EIGHT MODULES EVOLVED. RESULTS: THE RESULTS OF THE SIX STEPS FOR DEVELOPING THE VALIDATED MODULE ARE REPORTED. STEP 1: LITERATURE REVIEW FROM TRADITIONAL YOGA AND AYURVEDA TEXTS ON ETIOPATHOGENESIS AND MANAGEMENT OF CANCER (ARBUDA), AND THE RECENT LITERATURE ON CANCER STEM CELLS AND IMMUNOLOGY OF CANCER. STEP 2: FOCUSED GROUP DISCUSSIONS AND DELIBERATIONS TO COMPILE THE NEEDS OF PATIENTS BASED ON THE EXPECTED SIDE EFFECTS, ENERGY LEVELS AND THE PSYCHOLOGICAL STATE OF THE PATIENT AS OBSERVED BY THE CAREGIVERS AND THE CLINICIANS. STEP 3: CONTENT VALIDATION THROUGH CONSENSUS BY THE EXPERTS FOR THE EIGHT MODULES OF IAYTC THAT COULD BE USED AS COMPLIMENTARY TO CONVENTIONAL MANAGEMENT OF CANCER AT DIFFERENT STAGES DURING AND AFTER THE DIAGNOSIS WAS CREATED. STEP 4: FIELD TESTING FOR SAFETY AND FEASIBILITY OF THE MODULES THROUGH PILOT STUDIES. STEP 5: COMPILATION OF THE RESULTS OF EFFICACY TRIALS THROUGH RCTS AND STEP 6: A REVIEW OF OUR STUDIES ON MECHANISMS TO OFFER EVIDENCE FOR ACTION OF IAYTC ON PSYCHO-NEURO-IMMUNOLOGICAL PATHWAYS IN CANCER. CONCLUSION: THE EVIDENCE FROM THE TRADITIONAL KNOWLEDGE AND RECENT SCIENTIFIC STUDIES VALIDATES EIGHT MODULES OF INTEGRATED APPROACH OF YOGA THERAPY FOR CANCER THAT CAN BE USED SAFELY AND EFFECTIVELY AS COMPLIMENTARY DURING ALL CONVENTIONAL CANCER THERAPIES. 2012 4 2088 27 THE EFFECT OF PRACTICING YOGA DURING PREGNANCY ON LABOR STAGES LENGTH, ANXIETY AND PAIN: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: ANXIETY AND FEAR OF LABOR PAIN HAS LED TO ELEVATED CESAREAN SECTION RATE IN SOME COUNTRIES. THIS STUDY WAS CONDUCTED TO INVESTIGATE THE EFFECT OF YOGA IN PREGNANCY ON ANXIETY, LABOR PAIN AND LENGTH OF LABOR STAGES. METHODS: THIS CLINICAL TRIAL STUDY WAS PERFORMED ON 84 NULLIPAROUS WOMEN WHO WERE AT LEAST 18 YEARS OLD AND WERE RANDOMLY DIVIDED INTO TWO GROUPS OF YOGA AND CONTROL GROUPS. PREGNANCY YOGA PROGRAM CONSISTING OF 6 60-MIN TRAINING SESSIONS WAS STARTED EVERY 2 WEEKS FROM WEEK 26 OF PREGNANCY AND CONTINUED UNTIL 37 WEEKS OF GESTATION. ANXIETY SEVERITY AT MATERNAL ADMISSION TO LABOR WAS MEASURED BY THE SPIELBERGERS STATE-TRAIT ANXIETY INVENTORY, AND LABOR PAIN WAS MEASURED BY VISUAL ANALOGUE SCALE (VAS) AT DILATATION (4-5 CM) AND 2 H AFTER THE FIRST MEASUREMENT. DATA WERE ANALYZED USING CHI-SQUARE AND T-TEST. RESULTS: INTERVENTION GROUP REPORTED LESS PAIN AT DILATATION (4-5 CM) (P=0.001) AND 2 H AFTER THE FIRST MEASUREMENT (P=0.001) THAN THE CONTROL GROUP. STAT ANXIETY WAS ALSO LOWER IN INTERVENTION GROUP THAN THE CONTROL GROUP (P=0.003) AT THE ENTRANCE TO LABOR ROOM. SUBJECTS IN THE CONTROL GROUP REQUIRED MORE INDUCTION COMPARED TO INTERVENTION GROUP (P=0.003). WOMEN IN INTERVENTION GROUP EXPERIENCED SHORTER DURATION OF THE FIRST PHASE OF THE LABOR THAN THE CONTROL GROUP (P=0.002). ALSO, THE TOTAL DURATION OF TWO STAGES OF LABOR WAS SHORTER IN INTERVENTION GROUP THAN THE CONTROL GROUP (P=0.003). CONCLUSIONS: PRACTICING YOGA DURING PREGNANCY MAY REDUCE WOMEN'S ANXIETY DURING LABOR; SHORTEN LABOR STAGES, AND LOWER LABOR PAIN. 2020 5 2156 32 THE EFFECTS OF THE BALI YOGA PROGRAM FOR BREAST CANCER PATIENTS ON CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING: RESULTS OF A PARTIALLY RANDOMIZED AND BLINDED CONTROLLED TRIAL. COMPLEMENTARY AND ALTERNATIVE MEDICINE HAS BEEN SHOWN TO BE BENEFICIAL IN REDUCING CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING. HOWEVER, CONCLUSIVE RESULTS ARE LACKING IN ORDER TO CONFIRM ITS USEFULNESS. THE PURPOSE OF THIS STUDY WAS TO DETERMINE WHETHER A STANDARDIZED YOGA INTERVENTION COULD REDUCE THESE ADVERSE SYMPTOMS. THIS WAS A PARTIALLY RANDOMIZED AND BLINDED CONTROLLED TRIAL COMPARING A STANDARDIZED YOGA INTERVENTION WITH STANDARD CARE. ELIGIBLE PATIENTS WERE ADULTS DIAGNOSED WITH STAGES I TO III BREAST CANCER RECEIVING CHEMOTHERAPY. PATIENTS RANDOMIZED TO THE EXPERIMENTAL GROUP PARTICIPATED IN AN 8-WEEK YOGA PROGRAM. THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THE EXPERIMENTAL AND CONTROL GROUPS ON CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING AFTER 8 WEEKS. RESULTS SUGGEST THE YOGA PROGRAM IS NOT BENEFICIAL IN MANAGING THESE ADVERSE SYMPTOMS. HOWEVER, CONSIDERING PRELIMINARY EVIDENCE SUGGESTING YOGA'S BENEFICIAL IMPACT IN CANCER SYMPTOM MANAGEMENT, METHODOLOGICAL LIMITATIONS SHOULD BE EXPLORED AND ADDITIONAL STUDIES SHOULD BE CONDUCTED. 2017 6 2525 30 YOGA DURING PREGNANCY: THE EFFECTS ON LABOR PAIN AND DELIVERY OUTCOMES (A RANDOMIZED CONTROLLED TRIAL). OBJECTIVE: TO INVESTIGATE THE EFFECTS OF AN ANTENATAL YOGA PROGRAM ON PERCEIVED MATERNAL LABOR PAIN AND DELIVERY OUTCOMES. MATERIAL & METHODS: THIS RANDOMIZED CONTROL TRIAL WAS CONDUCTED WITH SIXTY PRIMIPAROUS WOMEN, AGED 18-35 YEARS OLD, WHO WERE RANDOMLY ASSIGNED TO EITHER AN ANTENATAL YOGA PROGRAM OR CONTROL GROUPS. LABOR PAIN AND DISCOMFORT LEVEL OF THE PARTICIPANTS WERE MEASURED USING A VISUAL ANALOGUE SCALE AT CERVICAL DILATATION OF 3-4 C AND AT 2 AND 4 H AFTER THE INITIAL MEASUREMENT. DEMOGRAPHIC AND OBSTETRICAL INFORMATION WERE COLLECTED. THE ANTENATAL YOGA PROGRAM CONSISTED OF A 1-H SUPERVISED YOGA CLASS, THREE TIMES A WEEKLY, STARTING AT 26 WEEKS GESTATION. . RESULTS: PARTICIPANTS IN CONTROL GROUP REPORTED HIGHER PAIN INTENSITY COMPARED TO EXPERIMENTAL GROUP AT 3-4 CM OF DILATATION (P = 0.01) AND AT 2 H AFTER THE FIRST AND THE SECOND MEASUREMENTS (P = 0.000). MOTHERS IN THE ANTENATAL INTERVENTION GROUP THAT COMPLETED THE YOGA CLASS REQUIRED A DECREASED FREQUENCY OF LABOR INDUCTION IN COMPARISON WITH CONTROL GROUP (P = 0.008). IN ADDITION, MODE OF DELIVERY OF THE INTERVENTION GROUP RESULTED IN A LOWER PERCENTAGE OF CESAREAN SECTION THAN CONTROL GROUP (P = 0.002). LASTLY, THE INTERVENTION GROUP EXPERIENCED A SHORTER DURATION OF THE SECOND AND THIRD STAGES OF LABOR. INTERVAL LEVEL DATA WAS ANALYZED BY USING AN INDEPENDENT T-TEST AND CHI-SQUARE. CONCLUSION: YOGA DURING PREGNANCY MAY CONTRIBUTE TO A REDUCTION PAIN OF LABOR AND IMPROVED ADEQUACY OF CHILDBIRTH. 2017 7 2657 44 YOGA IN ADDITION TO STANDARD CARE FOR PATIENTS WITH HAEMATOLOGICAL MALIGNANCIES. BACKGROUND: HAEMATOLOGICAL MALIGNANCIES ARE MALIGNANT NEOPLASMS OF THE MYELOID OR LYMPHATIC CELL LINES INCLUDING LEUKAEMIA, LYMPHOMA AND MYELOMA. IN ORDER TO MANAGE PHYSICAL AND PSYCHOLOGICAL ASPECTS OF THE DISEASE AND ITS TREATMENT, COMPLEMENTARY THERAPIES LIKE YOGA ARE COMING INCREASINGLY INTO FOCUS. HOWEVER, THE EFFECTIVENESS OF YOGA PRACTICE FOR PEOPLE SUFFERING FROM HAEMATOLOGICAL MALIGNANCIES REMAINS UNCLEAR. OBJECTIVES: TO ASSESS THE EFFECTS OF YOGA PRACTICE IN ADDITION TO STANDARD CANCER TREATMENT FOR PEOPLE WITH HAEMATOLOGICAL MALIGNANCIES. SEARCH METHODS: OUR SEARCH STRATEGY INCLUDED THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL), MEDLINE (1950 TO 4TH FEBRUARY 2014), DATABASES OF ONGOING TRIALS (CONTROLLED-TRIALS.COM; CLINICALTRIALS.GOV), CONFERENCE PROCEEDINGS OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY, THE AMERICAN SOCIETY OF HEMATOLOGY, THE EUROPEAN HAEMATOLOGY ASSOCIATION, THE EUROPEAN CONGRESS FOR INTEGRATIVE MEDICINE, AND GLOBAL ADVANCES IN HEALTH AND MEDICINE. WE HANDSEARCHED REFERENCES OF THESE STUDIES FROM IDENTIFIED TRIALS AND RELEVANT REVIEW ARTICLES. TWO REVIEW AUTHORS INDEPENDENTLY SCREENED THE SEARCH RESULTS. SELECTION CRITERIA: WE INCLUDED RANDOMISED CONTROLLED TRIALS (RCTS) OF YOGA IN ADDITION TO STANDARD CARE FOR HAEMATOLOGICAL MALIGNANCIES COMPARED WITH STANDARD CARE ONLY. WE DID NOT RESTRICT THIS TO ANY SPECIFIC STYLE OF YOGA. DATA COLLECTION AND ANALYSIS: TWO REVIEW AUTHORS INDEPENDENTLY EXTRACTED DATA FOR ELIGIBLE STUDIES AND ASSESSED THE RISK OF BIAS ACCORDING TO PREDEFINED CRITERIA. WE EVALUATED DISTRESS, FATIGUE, ANXIETY, DEPRESSION AND QUALITY OF SLEEP. FURTHER OUTCOMES WE PLANNED TO ASSESS WERE HEALTH-RELATED QUALITY OF LIFE (HRQOL), OVERALL SURVIVAL (OS) AND ADVERSE EVENTS (AE), BUT DATA ON THESE WERE NOT AVAILABLE. MAIN RESULTS: OUR SEARCH STRATEGIES LED TO 149 POTENTIALLY RELEVANT REFERENCES, BUT ONLY A SINGLE SMALL STUDY MET OUR INCLUSION CRITERIA. THE INCLUDED STUDY WAS PUBLISHED AS A FULL TEXT ARTICLE AND INVESTIGATED THE FEASIBILITY AND EFFECT OF TIBETAN YOGA ADDITIONAL TO STANDARD CARE (N = 20; 1 PERSON DROPPED OUT BEFORE ATTENDING ANY CLASSES AND NO DATA WERE COLLECTED) COMPARED TO STANDARD CARE ONLY (N = 19). THE STUDY INCLUDED PEOPLE WITH ALL STAGES OF HODGKIN AND NON-HODGKIN'S LYMPHOMA, WITH AND WITHOUT CURRENT CANCER TREATMENT. THE MEAN AGE WAS 51 YEARS.WE JUDGED THE OVERALL RISK OF BIAS AS HIGH AS WE FOUND A HIGH RISK FOR PERFORMANCE, DETECTION AND ATTRITION BIAS. ADDITIONALLY, POTENTIAL OUTCOME REPORTING BIAS COULD NOT BE COMPLETELY RULED OUT. FOLLOWING THE RECOMMENDATIONS OF GRADE, WE JUDGED THE OVERALL QUALITY OF THE BODY OF EVIDENCE FOR ALL PREDEFINED OUTCOMES AS 'VERY LOW', DUE TO THE METHODICAL LIMITATIONS AND THE VERY SMALL SAMPLE SIZE.THE INFLUENCE OF YOGA ON HRQOL AND OS WAS NOT REPORTED. THERE IS NO EVIDENCE THAT YOGA IN ADDITION TO STANDARD CARE COMPARED WITH STANDARD CARE ONLY CAN IMPROVE DISTRESS IN PEOPLE WITH HAEMATOLOGICAL MALIGNANCIES (MEAN DIFFERENCE (MD) -0.30, 95% CONFIDENCE INTERVAL (CI) -5.55 TO 4.95; P = 0.91). SIMILARLY, THERE IS NO EVIDENCE OF A DIFFERENCE BETWEEN EITHER GROUP FOR FATIGUE (MD 0.00, 95% CI -0.94 TO 0.94; P = 1.00), ANXIETY (MD 0.30, 95% CI -5.01 TO 5.61; P = 0.91) OR DEPRESSION (MD -0.70, 95% CI -3.21 TO 1.81; P = 0.58).THERE IS VERY LOW QUALITY EVIDENCE THAT YOGA IMPROVES THE OVERALL QUALITY OF SLEEP (MD -2.30, 95% CI -3.78 TO -0.82; P = 0.002). THE YOGA GROUPS' TOTAL SCORE FOR THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) WAS 5.8 (+/- 2.3 SD) AND BETTER THAN THE TOTAL SCORE (8.1 (+/- 2.4 SD)) OF THE CONTROL GROUP. A PSQI TOTAL SCORE OF 0 TO 5 INDICATES GOOD SLEEP WHEREAS PSQI TOTAL SCORE 6 TO 21 POINTS TOWARDS SIGNIFICANT SLEEP DISTURBANCES. THE OCCURRENCE OF AES WAS NOT REPORTED. AUTHORS' CONCLUSIONS: THE CURRENTLY AVAILABLE DATA PROVIDE LITTLE INFORMATION ABOUT THE EFFECTIVENESS OF YOGA INTERVENTIONS FOR PEOPLE SUFFERING FROM HAEMATOLOGICAL MALIGNANCIES. THE FINDING THAT YOGA MAY BE BENEFICIAL FOR THE PATIENTS' QUALITY OF SLEEP IS BASED ON A VERY SMALL BODY OF EVIDENCE. THEREFORE, THE ROLE OF YOGA AS AN ADDITIONAL THERAPY FOR HAEMATOLOGICAL MALIGNANCIES REMAINS UNCLEAR. FURTHER HIGH-QUALITY RANDOMISED CONTROLLED TRIALS WITH LARGER NUMBERS OF PARTICIPANTS ARE NEEDED TO MAKE A DEFINITIVE STATEMENT. 2014 8 584 41 DESIGNING, VALIDATION, AND FEASIBILITY OF A YOGA MODULE FOR PATIENTS WITH ANKYLOSING SPONDYLITIS. BACKGROUND: ANKYLOSING SPONDYLITIS (AS) IS A CHRONIC INFLAMMATORY DISEASE THAT CAUSES SIGNIFICANT DISABILITY AND REDUCED QUALITY OF LIFE. SCIENTIFIC STUDIES ON YOGA HAVE REVEALED ITS VARIOUS HEALTH BENEFITS IN CHRONIC CONDITIONS, INCLUDING AUTOIMMUNE DISEASES. HOWEVER, WHETHER YOGA IS FEASIBLE FOR AS PATIENTS OR NOT IS NOT STUDIED. FURTHER, NO VALIDATED YOGA MODULE IS AVAILABLE FOR AS PATIENTS. OBJECTIVE(S): THIS STUDY INTENDED TO DEVELOP A YOGA MODULE FOR AS PATIENTS AND INVESTIGATED ITS FEASIBILITY OF USE. MATERIALS AND METHODS: THE STUDY WAS COMPLETED IN THREE STAGES. IN STAGE I, SIX YOGA EXPERTS PREPARED A LIST OF 64 YOGA PRACTICES BASED ON THE CLASSICAL AND CONTEMPORARY YOGIC LITERATURE REVIEW. OF THESE PRACTICES, 41 WERE INCLUDED IN THE DESIGNED YOGA MODULE. IN STAGE II, 41 EXPERTS WITH A MINIMUM OF FIVE YEARS OF EXPERIENCE IN YOGA THERAPY WERE INVITED FOR YOGA MODULE VALIDATION. THE USEFULNESS OF THE PRACTICES WAS RATED BY EXPERTS ON A 3-POINT SCALE (1: NOT AT ALL USEFUL, 2: MODERATELY USEFUL, AND 3: VERY MUCH USEFUL). THE LAWSHE CONTENT VALIDITY RATIO (CVR) METHOD WAS USED FOR THE CONTENT VALIDITY OF THE YOGA MODULE. PRACTICES WITH A CVR SCORE OF > 0.3 WERE RETAINED IN THE FINAL YOGA MODULE. IN STAGE III, A CERTIFIED YOGA INSTRUCTOR ADMINISTERED THE VALIDATED YOGA MODULE TO 19 AS PATIENTS (AVERAGE AGE: 35.5 +/- 10.7 YEARS) THRICE WEEKLY FOR A MONTH. FEASIBILITY WAS ASSESSED ON THE BASIS OF THE ATTRITION RATE, RETENTION RATE, ATTENDANCE OF THE PARTICIPANTS, AND THE SUBJECTIVE RESPONSE ON PRACTICAL SESSIONS USING A STRUCTURED CHECKLIST. RESULTS: OF THE 41 PRACTICES IN THE MODULE, 31 HAD A CVR SCORE OF > 0.3 AND WERE INCLUDED IN THE FINAL YOGA MODULE. OF THE 25 PARTICIPANTS, 19 (76%) COMPLETED THE STUDY WHILE SIX DROPPED OUT (24%). NINETEEN PATIENTS REPORTED GREATER IMPROVEMENT IN PAIN AND FLEXIBILITY. THEY FOUND YOGA RELAXING AND EASY TO PRACTICE. MOST PARTICIPANTS (65%) WERE ABLE TO PRACTICE A MINIMUM OF 30 MIN/DAY. CONCLUSION: THE PRESENT STUDY OFFERS A VALIDATED YOGA MODULE CONSISTING OF 31 PRACTICES FOR AS PATIENTS. THE RESULTS OF THE PILOT SUGGESTED THAT THE MODULE IS FEASIBLE, ACCEPTABLE, AND EASY TO PRACTICE FOR AS PATIENTS. WE RECOMMEND THAT AS PATIENTS SHOULD PRACTICE THIS YOGA MODULE FOR A MINIMUM OF 30 MIN EVERY DAY UNDER THE SUPERVISION OF A YOGA EXPERT. 2022 9 1192 35 EXAMINING A THERAPEUTIC YOGA PROGRAM FOR PROSTATE CANCER SURVIVORS. BACKGROUND: IN THE EARLIER STAGES OF PROSTATE CANCER, EFFECTIVE TREATMENTS HAVE CREATED A NEED FOR RESEARCH TO FOCUS ON PRACTICES THAT MAY IMPROVE QUALITY OF LIFE THROUGHOUT SURVIVORSHIP. PHYSICAL ACTIVITY IS A SIGNIFICANT SUPPORTIVE CARE MANAGEMENT STRATEGY FOR PROSTATE CANCER SURVIVORS, THOUGH THE OPTIMAL MODALITY IS NOT YET UNDERSTOOD. HYPOTHESES: THE AUTHORS HYPOTHESIZED THAT YOGA WOULD BE A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS AND THEIR SUPPORT PERSONS AND THAT THE INCORPORATION OF SOCIAL SUPPORT WOULD INCREASE PHYSICAL ACTIVITY ADHERENCE. METHODS: THIS 14-WEEK FEASIBILITY STUDY INVOLVED A 7-WEEK CLASS-BASED YOGA PROGRAM (ADHERENCE PHASE), FOLLOWED BY 7 WEEKS OF SELF-SELECTED PHYSICAL ACTIVITY (MAINTENANCE PHASE). DEMOGRAPHIC INFORMATION, PHYSICAL ACTIVITY BEHAVIOR, QUALITY OF LIFE, FATIGUE, STRESS, MOOD, AND FITNESS VARIABLES WERE ASSESSED AT 3 TIME POINTS. PROSTATE CANCER SURVIVORS' PERCEIVED SOCIAL SUPPORT WAS RATED DURING YOGA AND AFTER YOGA. RESULTS: CLASS ATTENDANCE WAS 6.1 AND 5.8 FOR PROSTATE CANCER SURVIVORS (N = 15) AND THEIR SUPPORT PERSONS (N = 10), RESPECTIVELY, FOR THE 7 CLASSES. LEVELS OF PERCEIVED SOCIAL SUPPORT WERE HIGHER FOR THOSE WHO BROUGHT A SUPPORT PERSON. SIGNIFICANT IMPROVEMENTS WITH REGARD TO STRESS, FATIGUE, AND MOOD BEFORE AND AFTER YOGA CLASS (ALL PS < .05) WERE REPORTED BY ALL PARTICIPANTS. NO CLINICALLY SIGNIFICANT CHANGES WERE NOTED ON PROSTATE CANCER SURVIVOR'S QUALITY OF LIFE OR FATIGUE OVER THE COURSE OF THE 14-WEEK STUDY. CONCLUSIONS: YOGA IS A FEASIBLE PHYSICAL ACTIVITY OPTION FOR PROSTATE CANCER SURVIVORS. THE PROGRAM HAD A PROMISING UPTAKE RATE, HIGH PROGRAM ADHERENCE RATE, AND THERE WERE ACUTE PROGRAM BENEFITS WITH REGARD TO STRESS, FATIGUE, AND MOOD FOR ALL PARTICIPANTS. FUTURE EXAMINATION IS WARRANTED WITH REGARD TO CHRONIC BENEFITS AND GROUP COHESION INFLUENCES ON LEVELS OF PERCEIVED SOCIAL SUPPORT. 2013 10 1331 37 HOME-BASED YOGA PROGRAM FOR THE PATIENTS SUFFERING FROM MALIGNANT LYMPHOMA DURING CHEMOTHERAPY: A FEASIBILITY STUDY. BACKGROUND: YOGA IS PROVEN BENEFICIAL IN IMPROVING QUALITY OF LIFE AMONG BREAST CANCER SURVIVORS RECEIVING CHEMOTHERAPY, BUT ITS EFFECTIVENESS IN LYMPHOMA PATIENTS NEEDS TO BE EXPLORED. AS CHEMOTHERAPY-INDUCED NEUTROPENIA IS VERY COMMON AMONG LYMPHOMA PATIENTS, THEY ARE MUCH PRONE TO INFECTIONS FROM THE ENVIRONMENT. FURTHERMORE, TRAINED YOGA INSTRUCTORS ARE NOT AVAILABLE IN EVERY SETTING, SO THERE IS A NEED TO DEVELOP HOME-BASED YOGA PROGRAM MODULES FOR LYMPHOMA PATIENTS RECEIVING CHEMOTHERAPY. AIM: THE AIM OF THE STUDY WAS TO EXPLORE THE FEASIBILITY AND SAFETY OF YOGIC EXERCISES AMONG LYMPHOMA PATIENTS DURING CHEMOTHERAPY. SUBJECTS AND METHODS: AN INTERVENTIONAL, SINGLE-ARM PREPOST DESIGN STUDY WAS CONDUCTED AT A TERTIARY HEALTH-CARE CENTER. PATIENTS SUFFERING FROM MALIGNANT LYMPHOMA (18-65 YEARS) WITH EASTERN COOPERATIVE ONCOLOGY GROUP PERFORMANCE STATUS FROM 0 TO 2, PLANNED TO RECEIVE CHEMOTHERAPY WERE ADMINISTERED A HOME-BASED YOGA PROGRAM OVER A PERIOD OF 2 MONTHS FROM THE START OF CHEMOTHERAPY. THE PRIMARY OUTCOME VARIABLES WERE RETENTION RATE, ACCEPTANCE RATE, SAFETY, AND ADHERENCE. HEALTH-RELATED QUALITY OF LIFE (HRQOL), FATIGUE LEVEL, OVERALL SLEEP QUALITY, DEPRESSION, ANXIETY LEVEL, AND PAIN WERE ALSO ASSESSED. STATISTICAL ANALYSIS: DESCRIPTIVE STATISTICS WAS USED TO SEE THE FEASIBILITY AND ADHERENCE. THE PAIRED T-TEST WAS USED TO COMPARE VARIOUS PRE AND POSTINTERVENTION OUTCOME MEASURES. RESULTS: FOURTEEN PATIENTS (MEDIAN AGE: 36 YEARS, RANGE13-65 YEARS) OF MALIGNANT LYMPHOMA WERE ENROLLED IN THE STUDY. MALE-TO-FEMALE RATIO WAS 9:5. NON-HODGKIN'S LYMPHOMA PATIENTS CONSTITUTED 64%. THE RECRUITMENT RATE WAS 93%. FAVORABLE RETENTION (100%), ACCEPTABILITY (97%), ADHERENCE (78.6%), AND NO SERIOUS ADVERSE EVENTS FOLLOWING YOGA PRACTICE WERE REPORTED. IMPROVEMENT WAS ALSO FOUND IN HRQOL, FATIGUE, SLEEP, DEPRESSION, AND ANXIETY. HOWEVER, IT NEEDS FURTHER VALIDATION IN A RANDOMIZED STUDY. CONCLUSION: HOME-BASED YOGA PROGRAM IS SAFE AND FEASIBLE AMONG THE PATIENTS SUFFERING FROM MALIGNANT LYMPHOMA RECEIVING CHEMOTHERAPY. 2018 11 929 34 EFFECTIVENESS OF YOGA ON QUALITY OF LIFE OF BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY: A RANDOMIZED CLINICAL CONTROLLED STUDY. BACKGROUND: CANCER OF BREAST IS MOST COMMON CANCER AMONG WOMEN IN INDIA AND VAST MAJORITY OF COUNTRIES WORLDWIDE. WHILE UNDERGOING CHEMOTHERAPY FOR CARCINOMA MANAGEMENT, WOMEN ENCOUNTER SIDE EFFECTS, WHICH AFFECTS THEIR QUALITY OF LIFE (QOL). A RANDOMIZED CONTROLLED STUDY WITH QUANTITATIVE RESEARCH APPROACH AND TIME SERIES DESIGN WAS CONDUCTED, TO STUDY THE EFFECTIVENESS OF YOGA ON QOL OF BREAST CANCER PATIENTS UNDERGOING CHEMOTHERAPY. METHODOLOGY: ONE HUNDRED BREAST CANCER PATIENTS SCHEDULED FOR 3-WEEKLY, DAY-CARE ADJUVANT CHEMOTHERAPY (CEF REGIMEN) WERE ENROLLED WITH CONSECUTIVE SAMPLING TECHNIQUE, INTO CONTROL (N = 52) AND EXPERIMENT (N = 48) GROUPS, BY CONCEALED RANDOMIZATION FOLLOWING WRITTEN INFORMED CONSENT. BASELINE DATA ON QOL WERE COLLECTED BEFORE FIRST-CYCLE CHEMOTHERAPY USING THE EUROPEAN ORGANIZATION FOR RESEARCH AND TREATMENT OF CANCER QLQ C30. PATIENTS IN THE EXPERIMENTAL GROUP WERE TAUGHT DIAPHRAGMATIC BREATHING TECHNIQUES, SYSTEMATIC RELAXATION, AND ALTERNATE NOSTRIL BREATHING, AND JOINTS AND GLANDS NECK AND SHOULDER EXERCISES WERE INSTRUCTED TO PRACTICE TWICE DAILY AT HOME. THEY WERE SUPERVISED IN PRACTICING THESE TECHNIQUES WHILE THEY RECEIVED SECOND, THIRD, FOURTH, FIFTH, AND SIXTH CYCLES OF CHEMOTHERAPY IN THE DAY-CARE FACILITY. PARTICIPANTS IN THE CONTROL GROUP RECEIVED ONLY ROUTINE CARE. ALL PARTICIPANTS RECEIVED STANDARD POST CHEMOTHERAPY PRESCRIPTION. DATA ON QOL WERE COLLECTED FROM ALL PATIENTS DURING THE SECOND, THIRD, FOURTH, FIFTH, AND SIXTH CYCLES OF CHEMOTHERAPY. RESULTS: THE ANALYSIS REVEALED THAT AT THE BASELINE (FIRST CHEMOTHERAPY CYCLE), BREAST CANCER PATIENTS IN CONTROL AND EXPERIMENTAL GROUPS WERE HOMOGENEOUS IN TERMS OF THEIR SOCIODEMOGRAPHIC AND CLINICAL VARIABLES AND QOL SCORE. YOGA PRACTICES WERE EFFECTIVE IN IMPROVING THE QOL OF BREAST CANCER PATIENTS IN THE EXPERIMENTAL GROUP IN THE AREAS OF GLOBAL HEALTH STATUS, PHYSICAL FUNCTION, ROLE FUNCTION, AND EMOTIONAL FUNCTION AND DECREASING THE SYMPTOMS OF FATIGUE, INSOMNIA, LOSS OF APPETITE, AND CONSTIPATION, DURING THE PERIOD OF CHEMOTHERAPY. CONCLUSION: YOGA PRACTICES COMPRISING OF RELAXATION TECHNIQUES REDUCE MANY SIDE EFFECTS AND IMPROVE THE QOL OF WOMEN UNDERGOING CHEMOTHERAPY FOR BREAST CANCER. 2020 12 2067 33 THE CONSCIOUSNESS STATE OF TRADITIONAL NIDRA YOGA/MODERN YOGA NIDRA: PHENOMENOLOGICAL CHARACTERIZATION AND PRELIMINARY INSIGHTS FROM AN EEG STUDY. NIDRA YOGA IS AN ANCIENT YOGIC PRACTICE CAPABLE OF INDUCING ALTERED STATES OF CONSCIOUSNESS CHARACTERIZED BY DEEP RELAXATION, STRONG CONCENTRATION, ACUTE SELF-AWARENESS, AND JOY. IN MODERN CONTEMPLATIVE NEUROSCIENCE LANGUAGE, IT IS KNOWN BY THE NAME YOGA NIDRA, AND FEW STUDIES HAVE INVESTIGATED ITS PHENOMENOLOGICAL AND PSYCHOPHYSIOLOGICAL EFFECTS. SIX HEALTHY VOLUNTEERS (FOUR FEMALES AGED 31-74) PERFORMED 12 YOGA NIDRA SESSIONS GUIDED BY AN EXPERT DURING A 6-DAY RETREAT. EACH SESSION CONSISTED OF 10 MINUTES IN A RESTING STATE (BASELINE) FOLLOWED BY 2 HOURS OF YOGA NIDRA. PSYCHOMETRIC DATA REGARDING DISSOCIATIVE EXPERIENCES (CLINICIAN ADMINISTERED DISSOCIATIVE STATES SCALE) AND THE STATE OF CONSCIOUSNESS (PHENOMENOLOGY OF CONSCIOUSNESS INVENTORY) WERE COLLECTED AFTER BASELINE AND YOGA NIDRA, WHILE HIGH-DENSITY EEG WAS RECORDED DURING THE ENTIRE SESSION. DURING NIDRA SESSIONS, NO SLEEP HALLMARKS (I.E., K-COMPLEXES AND SLEEP SPINDLES) WERE DETECTED BY THE EEG IN ANY SUBJECT. PSYCHOMETRIC DATA WE RE ANALYZED USING A WILCOXON SIGNED-RANK TEST CORRECTED WITH THE FALSE DISCOVERY RATE APPROACH FOR MULTIPLE COMPARISONS. COMPARED TO BASELINE, YOGA NIDRA PRACTICE WAS RELATED TO: (1) INCREASED DISSOCIATIVE EFFECTS (P = 0.022); (2) PERCEPTION OF BEING IN AN ALTERED STATE OF CONSCIOUSNESS (P = 0.026); (3) ALTERATIONS IN PERCEIVED BODY IMAGE (P = 0.022); (4) INCREASED "MEANINGFULNESS" ATTRIBUTED TO THE EXPERIENCE (P = 0.026); (5) REDUCED RATIONAL THINKING (P = 0.029); AND (6) REDUCED VOLITIONAL THOUGHT CONTROL (P = 0.026). FIRST-PERSON EXPERIENCE IS DISCUSSED IN RELATION TO DESCRIPTIVE EEG POWER SPECTRAL DENSITY ANALYSIS, WHICH WAS PERFORMED IN ONE SUBJECT BECAUSE OF SEVERE EEG ARTIFACTS IN THE OTHER RECORDINGS; THAT SUBJECT SHOWED, COMPARED TO BASELINE: (1) EARLY INCREASE OF ALPHA AND BETA POWER, FOLLOWED BY A PROGRESSIVE WIDESPREAD REDUCTION; (2) WIDESPREAD EARLY INCREASE OF THETA POWER, FOLLOWED BY A PROGRESSIVE REDUCTION; AND (3) WIDESPREAD INCREASE OF GAMMA POWER IN THE LATEST STAGES. THE PRESENT PRELIMINARY RESULTS ENRICH THE KNOWLEDGE OF YOGA NIDRA, ELUCIDATING ITS PHENOMENOLOGY AND SUGGESTING SOME PSYCHOPHYSIOLOGICAL CORRELATES THAT FUTURE STUDIES MAY ADDRESS. 2021 13 874 39 EFFECT OF YOGA THERAPY ON PHYSICAL AND PSYCHOLOGICAL QUALITY OF LIFE OF PERIMENOPAUSAL WOMEN IN SELECTED COASTAL AREAS OF KARNATAKA, INDIA. BACKGROUND: PERIMENOPAUSAL PERIOD IS CHARACTERIZED BY A CONTINUOUS DECLINE IN OVARIAN FUNCTION DUE TO WHICH WOMEN ARE VULNERABLE TO VARIOUS PHYSICAL AND PSYCHOLOGICAL SYMPTOMS AFFECTING THEIR QUALITY OF LIFE. CURRENTLY THESE SYMPTOMS ARE MANAGED BY HORMONE REPLACEMENT THERAPY. HOWEVER, HORMONAL THERAPY CAN CAUSE COMPLICATIONS INCLUDING MALIGNANCY WHICH HAS RESULTED IN SEARCH FOR VARIOUS ALTERNATIVE THERAPIES TO IMPROVE THE QUALITY OF LIFE (QOL). YOGA IS ONE SUCH ALTERNATIVE THERAPY SHOWN TO ENHANCE THE QOL AT ALL STAGES OF HUMAN LIFE ASSOCIATED WITH THE CHRONIC ILLNESS. THERE ARE VERY FEW SCIENTIFIC STUDIES REGARDING THE EFFECT OF YOGA ON PERIMENOPAUSE AND IN THIS STUDY WE INVESTIGATED THE EFFECTS OF YOGA THERAPY ON PHYSICAL AND PSYCHOLOGICAL SYMPTOMS USING THE STANDARDIZED QUESTIONNAIRE. OBJECTIVE: TO STUDY THE EFFECT OF YOGA THERAPY ON PHYSICAL, PSYCHOLOGICAL, VASOMOTOR AND SEXUAL SYMPTOMS OF PERIMENOPAUSE. MATERIALS AND METHODS: IT IS A PROSPECTIVE NON-RANDOMIZED CONTROL STUDY OF 216 PERIMENOPAUSAL WOMEN WITH 12 WEEKS OF INTERVENTION. THE SUBJECTS WERE DIVIDED IN TWO GROUPS WITH EITHER YOGA THERAPY [N = 111] OR EXERCISE [N = 105] AS THE INTERVENTIONAL TOOL. THE SYMPTOMS CONTROL AND QOL BEFORE AND AFTER INTERVENTION IN BOTH THE GROUPS WERE ASSESSED BY USING THE MENOPAUSAL QOL QUESTIONNAIRE. RESULTS: THE PERIMENOPAUSAL SYMPTOMS IN ALL THE FOUR DOMAINS WERE IMPROVED BY YOGA THERAPY, THUS SIGNIFICANTLY IMPROVING THE OVERALL QOL COMPARED TO THE CONTROL GROUP. CONCLUSION: THIS STUDY CLEARLY DEMONSTRATES THE EFFECTIVENESS OF YOGA THERAPY IN MANAGING THE DISTRESSING PERIMENOPAUSAL SYMPTOMS. IT IS EASY, SAFE, NON-EXPENSIVE ALTERNATIVE THERAPY HELPING THE WELL-BEING OF PERIMENOPAUSAL WOMEN AND MUST BE ENCOURAGED IN THE REGULAR MANAGEMENT OF PERIMENOPAUSAL SYMPTOMS. 2014 14 2729 37 YOGA OF AWARENESS PROGRAM FOR MENOPAUSAL SYMPTOMS IN BREAST CANCER SURVIVORS: RESULTS FROM A RANDOMIZED TRIAL. GOAL OF WORK: BREAST CANCER SURVIVORS HAVE LIMITED OPTIONS FOR THE TREATMENT OF HOT FLASHES AND RELATED SYMPTOMS. FURTHER, THERAPIES WIDELY USED TO PREVENT RECURRENCE IN SURVIVORS, SUCH AS TAMOXIFEN, TEND TO INDUCE OR EXACERBATE MENOPAUSAL SYMPTOMS. THE AIM OF THIS PRELIMINARY, RANDOMIZED CONTROLLED TRIAL WAS TO EVALUATE THE EFFECTS OF A YOGA INTERVENTION ON MENOPAUSAL SYMPTOMS IN A SAMPLE OF SURVIVORS OF EARLY-STAGE BREAST CANCER (STAGES IA-IIB). MATERIALS AND METHODS: THIRTY-SEVEN DISEASE-FREE WOMEN EXPERIENCING HOT FLASHES WERE RANDOMIZED TO THE 8-WEEK YOGA OF AWARENESS PROGRAM (GENTLE YOGA POSES, MEDITATION, AND BREATHING EXERCISES) OR TO WAIT-LIST CONTROL. THE PRIMARY OUTCOME WAS DAILY REPORTS OF HOT FLASHES COLLECTED AT BASELINE, POSTTREATMENT, AND 3 MONTHS AFTER TREATMENT VIA AN INTERACTIVE TELEPHONE SYSTEM. DATA WERE ANALYZED BY INTENTION TO TREAT. MAIN RESULTS: AT POSTTREATMENT, WOMEN WHO RECEIVED THE YOGA PROGRAM SHOWED SIGNIFICANTLY GREATER IMPROVEMENTS RELATIVE TO THE CONTROL CONDITION IN HOT-FLASH FREQUENCY, SEVERITY, AND TOTAL SCORES AND IN LEVELS OF JOINT PAIN, FATIGUE, SLEEP DISTURBANCE, SYMPTOM-RELATED BOTHER, AND VIGOR. AT 3 MONTHS FOLLOW-UP, PATIENTS MAINTAINED THEIR TREATMENT GAINS IN HOT FLASHES, JOINT PAIN, FATIGUE, SYMPTOM-RELATED BOTHER, AND VIGOR AND SHOWED ADDITIONAL SIGNIFICANT GAINS IN NEGATIVE MOOD, RELAXATION, AND ACCEPTANCE. CONCLUSIONS: THIS PILOT STUDY PROVIDES PROMISING SUPPORT FOR THE BENEFICIAL EFFECTS OF A COMPREHENSIVE YOGA PROGRAM FOR HOT FLASHES AND OTHER MENOPAUSAL SYMPTOMS IN EARLY-STAGE BREAST CANCER SURVIVORS. 2009 15 2344 36 USING A STANDARDIZED VINIYOGA PROTOCOL FOR LUNG CANCER SURVIVORS: A PILOT STUDY EXAMINING EFFECTS ON BREATHING EASE. ALTHOUGH LUNG CANCER IS PERCEIVED AS A DIRE DIAGNOSIS, INCREASES IN THE 5-YEAR SURVIVAL RATE OF INDIVIDUALS WITH NON-SMALL CELL LUNG CANCER (NSCLC) HAVE BEEN REPORTED. SURVIVORS, HOWEVER, CONTINUE TO BE EXCESSIVELY BURDENED WITH SYMPTOMS SUCH AS RESPIRATORY DISTRESS WHICH INTERFERE WITH FUNCTIONING AND QUALITY OF LIFE. WHILE EXERCISE AND PHYSICAL ACTIVITY ARE STRONGLY RECOMMENDED, NSCLC SURVIVORS MAY BE RELUCTANT TO PARTICIPATE DUE TO ACTUAL OR ANTICIPATED SHORTNESS OF BREATH EXACERBATED WITH MOVEMENT.THIS QUASI-EXPERIMENTAL, INTERVENTION-ONLY PILOT STUDY AIMED TO DETERMINE THE EFFECTS OF AN 8-WEEK STANDARDIZED YOGA PROTOCOL FOR STAGE I-IIIA NSCLC SURVIVORS (N=9). THE PROTOCOL WAS DEVELOPED WITHIN THE VINIYOGA (HATHA) TRADITION WITH RESPIRATORY EXPERTS. BREATHING EASE, DYSPNEA, OXYGEN SATURATION, AND RESPIRATORY FUNCTION WERE EXPLORED IN RELATIONSHIP TO YOGA PRACTICE (45-MINUTE SESSIONS ONCE PER WEEK AND HOME PRACTICE) USING REPEATED-MEASURES ANALYSIS. NUMBER OF PARTICIPANTS REPORTING DYSPNEA RANGED FROM 25 TO 50% PRIOR TO PRACTICE WITH NO SIGNIFICANT INCREASE DURING SESSIONS, AND MODERATE DECREASES NOTED AT TIMES. OXYGEN SATURATION REMAINED HIGH AND VITAL SIGNS STABLE; FORCED EXPIRATORY VOLUME IN 1 SECOND (FEV1) VALUES INCREASED SIGNIFICANTLY OVER THE 14-WEEK STUDY PERIOD (P<0.0001). YOGA, WITH AN EMPHASIS ON POSTURES COORDINATED WITH BREATHING AND MEDITATION PRACTICES, OFFERS A POTENTIALLY FEASIBLE AND BENEFICIAL OPTION THAT REQUIRES FURTHER STUDY IN THIS POPULATION. 2013 16 171 33 A RANDOMIZED CONTROLLED PILOT STUDY OF THE THERAPEUTIC EFFECTS OF YOGA IN PEOPLE WITH PARKINSON'S DISEASE. BACKGROUND: EXERCISE CAN BE BENEFICIAL FOR CARDIOPULMONARY, MUSCULOSKELETAL OR NEUROLOGICAL SYSTEMS, AND OTHER FACTORS INCLUDING MOOD, AND MAY BE BENEFICIAL IN REDUCING FALL RISKS, DEMENTIA AND VARIABLES ASSOCIATED WITH QUALITY OF LIFE (QOL). PARKINSON'S DISEASE (PD) PRODUCES PROGRESSIVE MOTOR AND COGNITIVE DETERIORATION THAT MAY LEAVE THOSE INFLICTED UNABLE TO PARTICIPATE IN STANDARD EXERCISE PROGRAMS. ALTERNATIVE FORMS OF EXERCISE SUCH AS YOGA MAY BE SUCCESSFUL IN IMPROVING PHYSICAL FUNCTION, QOL AND PHYSIOLOGICAL VARIABLES FOR OVERALL WELL-BEING. AIM: THIS RANDOMIZED CONTROLLED PILOT STUDY INVESTIGATED THE EFFECTIVENESS OF YOGA INTERVENTION ON PHYSIOLOGICAL AND HEALTH-RELATED QOL MEASURES IN PEOPLE WITH PD. METHODS AND MATERIALS: THIRTEEN PEOPLE WITH STAGE 1-2 PD WERE RANDOMIZED TO EITHER A YOGA (N = 8) OR A CONTROL GROUP (N = 5). THE YOGA GROUP PARTICIPATED IN TWICE-WEEKLY YOGA SESSIONS FOR 12 WEEKS. PARTICIPANTS WERE TESTED AT BASELINE, AND AT 6 AND 12 WEEKS USING THE UNIFIED PARKINSON'S DISEASE RATING SCALE (UPDRS), CLINICAL MEASURES OF HEALTH-RELATED QOL AND PHYSIOLOGICAL MEASURES. RESULTS: SIGNIFICANT IMPROVEMENT IN UPDRS SCORES (P = .006), DIASTOLIC BLOOD PRESSURE (P = 0.036) AND AVERAGE FORCED VITAL CAPACITY (P = 0.03) WAS NOTED IN THE YOGA GROUP OVER TIME. CHANGES BETWEEN GROUPS WERE ALSO NOTED IN TWO SF-36 SUBSCALES. POSITIVE TRENDS OF IMPROVEMENT WERE NOTED IN DEPRESSION SCORES (P = 0.056), BODY WEIGHT (P = 0.056) AND FORCED EXPIRATORY VOLUME (P = 0.059). YOGA PARTICIPANTS REPORTED MORE POSITIVE SYMPTOM CHANGES INCLUDING IMMEDIATE TREMOR REDUCTION. CONCLUSIONS: THE RESULTS SUGGEST THAT YOGA MAY IMPROVE ASPECTS OF QOL AND PHYSIOLOGICAL FUNCTIONS IN STAGES 1-2 PD. FUTURE LARGER STUDIES ARE NEEDED TO CONFIRM AND EXTEND OUR FINDINGS OF THE EFFECTS OF YOGA IN PD. 2015 17 702 48 EFFECT OF HOME-BASED TAI CHI, YOGA OR CONVENTIONAL BALANCE EXERCISE ON FUNCTIONAL BALANCE AND MOBILITY AMONG PERSONS WITH IDIOPATHIC PARKINSON'S DISEASE: AN EXPERIMENTAL STUDY. BACKGROUND: INDIVIDUALS WITH PARKINSON'S DISEASE (PD) INVARIABLY EXPERIENCE FUNCTIONAL DECLINE IN A NUMBER OF MOTOR AND NON-MOTOR DOMAINS AFFECTING POSTURE, BALANCE AND GAIT. NUMEROUS CLINICAL STUDIES HAVE EXAMINED EFFECTS OF VARIOUS TYPES OF EXERCISE ON MOTOR AND NON-MOTOR PROBLEMS. BUT STILL MUCH GAP REMAINS IN OUR UNDERSTANDING OF VARIOUS THERAPIES AND THEIR EFFECT ON DELAYING OR SLOWING THE DOPAMINE NEURON DEGENERATION. RECENTLY, TAI CHI AND YOGA BOTH HAVE GAINED POPULARITY AS COMPLEMENTARY THERAPIES, SINCE BOTH HAVE COMPONENTS FOR MIND AND BODY CONTROL. OBJECTIVE: THE AIM OF THIS STUDY WAS TO DETERMINE WHETHER EIGHT WEEKS OF HOME-BASED TAI CHI OR YOGA WAS MORE EFFECTIVE THAN REGULAR BALANCE EXERCISES ON FUNCTIONAL BALANCE AND MOBILITY. METHODS: TWENTY-SEVEN INDIVIDUALS WITH IDIOPATHIC PD (MODIFIED HOEHN AND YAHR STAGES 2.5-3) WERE RANDOMLY ASSIGNED TO EITHER TAI CHI, YOGA OR CONVENTIONAL EXERCISE GROUP. ALL THE PARTICIPANTS WERE EVALUATED FOR FUNCTIONAL BALANCE AND MOBILITY USING BERG BALANCE SCALE, TIMED 10 M WALK TEST AND TIMED UP AND GO TEST BEFORE AND AFTER EIGHT WEEKS OF TRAINING. RESULTS: THE RESULTS WERE ANALYZED USING TWO-WAY MIXED ANOVA WHICH SHOWED THAT THERE WAS A SIGNIFICANT MAIN EFFECT FOR TIME AS F (1, 24) = 74.18, P = 0 . 000 , ETA P 2 = 0 . 76 FOR OVERALL BALANCE IN BERG BALANCE SCALE. THERE WAS ALSO SIGNIFICANT MAIN EFFECT OF TIME ON MOBILITY OVERALL AS F(1, 24) = 77 . 78 , P = 0 . 000 , ETA P 2 = 0 . 76 IN TIMED UP AND GO TEST AND F(1, 24) = 48 . 24 , P = 0 . 000 , ETA P 2 = 0 . 67 FOR 10 M WALK TEST. THERE WAS A SIGNIFICANT INTERACTION EFFECT FOR TIME X GROUP WITH F(2, 24) = 8 . 67 , P = 0 . 001 , ETA P 2 = 0 . 420 FOR BALANCE. WITH RESPECT TO MOBILITY, THE VALUES F(2, 24) = 5 . 92 , P = 0 . 008 , ETA P 2 = 0 . 330 IN TIMED UP AND GO TEST AND F(2, 24) = 10 . 40 , P = 0 . 001 , ETA P 2 = 0 . 464 IN 10 M WALK TEST SHOWED A SIGNIFICANT INTERACTION. BUT THERE WAS NO SIGNIFICANT MAIN EFFECT BETWEEN THE GROUPS FOR BOTH BALANCE AND MOBILITY. CONCLUSION: THE FINDINGS OF THIS STUDY SUGGEST THAT TAI CHI AS WELL AS YOGA ARE WELL ADHERED AND ARE ATTRACTIVE OPTIONS FOR A HOME-BASED SETTING. AS ANY FORM OF PHYSICAL ACTIVITY IS CONSIDERED BENEFICIAL FOR INDIVIDUALS WITH PD EITHER TAI CHI, YOGA OR CONVENTIONAL BALANCE EXERCISES COULD BE USED AS THERAPEUTIC INTERVENTION TO OPTIMIZE BALANCE AND MOBILITY. FURTHER STUDIES ARE NECESSARY TO UNDERSTAND THE MIND-BODY BENEFITS OF TAI CHI AND YOGA EITHER AS MULTICOMPONENT PHYSICAL ACTIVITIES OR AS INDIVIDUAL THERAPIES IN VARIOUS STAGES OF PD. 2020 18 2080 29 THE EFFECT OF GROUP MINDFULNESS - BASED STRESS REDUCTION PROGRAM AND CONSCIOUS YOGA ON THE FATIGUE SEVERITY AND GLOBAL AND SPECIFIC LIFE QUALITY IN WOMEN WITH BREAST CANCER. BACKGROUND: CANCER IS NOT MERELY AN EVENT WITH A CERTAIN END, BUT IT IS A PERMANENT AND VAGUE SITUATION THAT IS DETERMINED BY DELAYED EFFECTS DUE TO THE DISEASE, ITS TREATMENT AND ITS RELATED PSYCHOLOGICAL ISSUES. THE AIM OF THIS STUDY WAS TO EXAMINE THE EFFECTIVENESS OF THE MINDFULNESS-BASED STRESS REDUCTION PROGRAM AND CONSCIOUS YOGA ON THE MENTAL FATIGUE SEVERITY AND LIFE QUALITY OF WOMEN WITH BREAST CANCER. METHODS: THIS WAS A QUASI-EXPERIMENTAL STUDY WITH A PRE-TEST, POST-TEST AND CONTROL GROUP. IN THIS STUDY, 24 PATIENTS WITH THE DIAGNOSIS OF BREAST CANCER WERE SELECTED AMONG THE PATIENTS WHO REFERRED TO THE DIVISION OF ONCOLOGY AND RADIOTHERAPY OF IMAM HOSSEIN HOSPITAL IN TEHRAN USING AVAILABLE SAMPLING METHOD, AND WERE RANDOMLY ASSIGNED INTO THE EXPERIMENTAL AND CONTROL GROUPS. ALL THE PARTICIPANTS COMPLETED THE FATIGUE SEVERITY SCALE, GLOBAL LIFE QUALITY OF CANCER PATIENT AND SPECIFIC LIFE QUALITY OF CANCER PATIENT QUESTIONNAIRES. DATA WERE ANALYZED BY MULTIVARIATE REPEATED MEASUREMENT VARIANCE ANALYSIS MODEL. RESULTS: FINDINGS REVEALED THAT THE MINDFULNESS-BASED STRESS REDUCTION TREATMENT SIGNIFICANTLY IMPROVED THE OVERALL QUALITY OF LIFE, ROLE, COGNITIVE, EMOTION, SOCIAL FUNCTIONS AND PAIN AND FATIGUE SYMPTOMS IN GLOBAL LIFE QUALITY IN THE EXPERIMENTAL GROUP. IT ALSO SIGNIFICANTLY IMPROVED THE BODY IMAGE, FUTURE FUNCTIONS AND THERAPY SIDE EFFECTS IN SPECIFIC LIFE QUALITY OF THE EXPERIMENTAL GROUP COMPARED TO THE CONTROL GROUP. IN ADDITION, FATIGUE SEVERITY CAUSED BY CANCER WAS REDUCED SIGNIFICANTLY. CONCLUSION: THE RESULTS SHOWED THAT THE MINDFULNESS - BASED STRESS REDUCTION TREATMENT CAN BE EFFECTIVE IN IMPROVING GLOBAL AND SPECIFIC LIFE QUALITY AND FATIGUE SEVERITY IN WOMEN WITH BREAST CANCER. 2015 19 596 41 DEVELOPMENT AND FEASIBILITY OF YOGA THERAPY MODULE FOR OUT-PATIENTS WITH DEPRESSION IN INDIA. CONTEXT: EVIDENCE SUGGESTS THAT CERTAIN YOGA PRACTICES ARE USEFUL IN THE MANAGEMENT OF DEPRESSION. TO THE BEST OF OUR KNOWLEDGE, THERE HAS BEEN NO STUDY THAT DEALS WITH THE FORMULATION OF A YOGA MODULE FOR THE PARTICULAR CLINICAL FEATURES OF DEPRESSION. AIM: THE MAIN AIM OF OUR STUDY WAS TO DEVELOP A COMPREHENSIVE YOGA THERAPY MODULE TARGETING SPECIFIC CLINICAL FEATURES OF DEPRESSION. SETTINGS AND DESIGN: SPECIFIC YOGA PRACTICES WERE MATCHED FOR CLINICAL FEATURES OF DEPRESSION BASED ON A THOROUGH LITERATURE REVIEW. A YOGA PROGRAM WAS DEVELOPED, WHICH CONSISTED OF SUKSMAVYAYAMA, (LOOSENING EXERCISES), ASANAS (POSTURES), RELAXATION TECHNIQUES, PRANAYAMA (BREATHING EXERCISES) AND CHANTING MEDITATION TO BE TAUGHT IN A 2 WEEK PERIOD. MATERIALS AND METHODS: A STRUCTURED QUESTIONNAIRE WAS DEVELOPED FOR VALIDATION FROM NINE EXPERIENCED YOGA PROFESSIONALS. THE FINAL VERSION OF YOGA THERAPY MODULE WAS PILOT-TESTED ON SEVEN PATIENTS (FIVE FEMALES) WITH DEPRESSION RECRUITED FROM OUTPATIENT SERVICE OF NATIONAL INSTITUTE OF MENTAL HEALTH AND NEURO SCIENCES, BANGALORE. RESULTS: THE FINAL YOGA THERAPY MODULE HAD THOSE PRACTICES THAT RECEIVED A SCORE OF THREE OR MORE (MODERATELY/VERY MUCH/EXTREMELY USEFUL) FROM ALL RESPONDERS. SIX OUT OF NINE (>65%) EXPERTS SUGGESTED SUKSMAVYAYAMA SHOULD BE INCLUDED. FIVE OUT OF NINE EXPERTS OPINED THAT TRAINING WITH 10 SESSIONS (OVER 2 WEEKS) IS RATHER SHORT. ALL EXPERTS OPINED THAT THE MODULE IS EASY TO TEACH, LEARN AND PRACTICE. AT THE PILOT STAGE, THE FIVE PATIENTS WHO COMPLETED THE MODULE REPORTED MORE THAN 80% SATISFACTION ABOUT THE YOGA PRACTICES AND HOW THE YOGA WAS TAUGHT. SEVERITY OF DEPRESSION SUBSTANTIALLY REDUCED AT BOTH 1 AND 3 MONTHS FOLLOW-UP. CONCLUSION: THE DEVELOPED COMPREHENSIVE YOGA THERAPY MODULE WAS VALIDATED BY EXPERTS IN THE FIELD AND WAS FOUND TO BE FEASIBLE AND USEFUL IN PATIENTS WITH DEPRESSION. 2013 20 688 42 EFFECT OF ANTENATAL EXERCISES, INCLUDING YOGA, ON THE COURSE OF LABOR, DELIVERY AND PREGNANCY: A RETROSPECTIVE STUDY. BACKGROUND: DELIVERING A CHILD IS A VERY STRESSFUL EXPERIENCE FOR WOMEN. PREGNANCY AND LABOR ENTAIL COMPLEX EVENTS THAT ARE UNIQUE TO EACH INDIVIDUAL FEMALE. THE MANAGEMENT OF LABOR PAIN IS OFTEN DONE USING ANALGESICS AND ANESTHESIA, WHICH HAVE BEEN SHOWN TO HAVE SOME SIDE EFFECTS. MORE COMPREHENSIVE DATA ARE NEEDED TO PROVIDE CLINICALLY SIGNIFICANT EVIDENCE FOR CLINICIANS TO CONFIDENTLY PRESCRIBE EXERCISES TO PATIENTS. THIS STUDY WAS DONE TO EVALUATE THE EFFECT OF ANTENATAL EXERCISES, INCLUDING YOGA, ON THE COURSE OF LABOR, DELIVERY, AND PREGNANCY OUTCOMES. METHODS: A RETROSPECTIVE STUDY WAS CONDUCTED AMONG 200 PRIMIPAROUS SUBJECTS (AGED 20-40). A QUESTIONNAIRE WAS PROVIDED TO THE SUBJECTS TO OBTAIN THEIR DEMOGRAPHIC AND OBSTETRICAL INFORMATION 6 WEEKS AFTER DELIVERY, AND THEIR HOSPITAL RECORDS WERE ALSO ASSESSED FOR FURTHER DETAILS. BASED ON THE NATURE AND DETAILS OBTAINED FOR THE ANTENATAL EXERCISES, SUBJECTS WERE DIVIDED INTO TWO GROUPS: CONTROL AND EXERCISE. OUTCOME MEASURES INCLUDED THE NEED FOR LABOR INDUCTION, SELF-PERCEIVED PAIN AND PERCEIVED EXERTION DURING LABOR, DURATION AND NATURE OF THE DELIVERY, NEWBORN INFANT WEIGHT, MATERNAL WEIGHT GAIN, HISTORY OF BACK PAIN, AND POST-PARTUM RECOVERY. THE TOTAL MATERNAL WEIGHT GAIN (IN KILOGRAMS) WAS CALCULATED FROM WEIGHT AT 6 WEEKS AFTER DELIVERY MINUS THE WEIGHT AT 12-14 WEEKS OF GESTATION. BACK PAIN DURING PREGNANCY AND SELF-PERCEIVED LABOR PAIN WERE MEASURED USING A VISUAL ANALOG SCALE (VAS). THE OVERALL PERCEIVED EXERTION DURING LABOR WAS MEASURED USING AN ADAPTED BORG SCALE FOR PERCEIVED EFFORT. RESULTS: THE SUBJECTS WHO FOLLOWED REGULAR ANTENATAL EXERCISES, INCLUDING YOGA, HAD SIGNIFICANTLY LOWER RATES OF CESAREAN SECTION, LOWER WEIGHT GAIN, HIGHER NEWBORN INFANT WEIGHT, LOWER PAIN AND OVERALL DISCOMFORT DURING LABOR, LOWER BACK PAIN THROUGHOUT PREGNANCY, AND EARLIER POST-PARTUM RECOVERY COMPARED TO THOSE WHO DID NO SPECIFIC EXERCISES OR ONLY WALKED DURING PREGNANCY. CONCLUSIONS: THIS RETROSPECTIVE STUDY SHOWED THAT REGULAR ANTENATAL EXERCISES, INCLUDING YOGA, RESULT IN BETTER OUTCOMES RELATED TO THE COURSE OF LABOR, DELIVERY, AND PREGNANCY. THESE RESULTS NOTABLY INDICATED THAT PREGNANT WOMEN SHOULD BE ACTIVE THROUGHOUT PREGNANCY AND FOLLOW A SUPERVISED EXERCISE PROGRAM THAT INCLUDES YOGA UNLESS CONTRAINDICATED. WE REQUIRE FURTHER LARGE-SCALE PROSPECTIVE STUDIES AND QUASI-EXPERIMENTAL TRIALS TO CONFIRM THE OBSERVED FINDINGS. 2020