1 1120 181 EFFICACY OF HOT YOGA AS A HEAT STRESS TECHNIQUE FOR ENHANCING PLASMA VOLUME AND CARDIOVASCULAR PERFORMANCE IN ELITE FEMALE FIELD HOCKEY PLAYERS. PERROTTA, AS, WHITE, MD, KOEHLE, MS, TAUNTON, JE, AND WARBURTON, DER. EFFICACY OF HOT YOGA AS A HEAT STRESS TECHNIQUE FOR ENHANCING PLASMA VOLUME AND CARDIOVASCULAR PERFORMANCE IN ELITE FEMALE FIELD HOCKEY PLAYERS. J STRENGTH COND RES 32(10): 2878-2887, 2018-THIS INVESTIGATION EXAMINED THE EFFICACY OF HOT YOGA AS AN ALTERNATIVE HEAT STRESS TECHNIQUE FOR ENHANCING PLASMA VOLUME PERCENTAGE (PV%) AND CARDIOVASCULAR PERFORMANCE. TEN INTERNATIONAL CALIBER FEMALE FIELD HOCKEY PLAYERS COMPLETED SIX 60-MINUTE HOT YOGA SESSIONS USING PERMISSIVE DEHYDRATION OVER 6 DAYS, FOLLOWED BY A 6-DAY NATIONAL TEAM CAMP. CHANGES IN PV% WERE EXAMINED THROUGHOUT THE INTERVENTION AND POSTINTERVENTION PERIOD. A GRADED MAXIMAL EXERCISE TEST WAS PERFORMED IN A THERMONEUTRAL ENVIRONMENT (23.2 +/- 1.0 DEGREES C) 24 HOURS BEFORE AND 24 HOURS AFTER INTERVENTION. SIX DAYS OF HOT YOGA INITIATED A MODERATE STATE OF HYPOVOLEMIA (PV% = -3.5%, 90% CONFIDENCE LIMIT [CL] [-6.9 TO -0.13]), TRIVIAL IMPROVEMENTS IN MAXIMAL AEROBIC POWER (V[COMBINING DOT ABOVE]O2MAX) (EFFECT SIZE [ES] = 0.06, 90% CL [-0.16 TO 0.28]), AND RUN TIME TO EXHAUSTION (ES = 0.11, 90% CL [-0.07 TO 0.29]). SMALL MEANINGFUL IMPROVEMENTS WERE OBSERVED IN RUNNING SPEED (KM.H) AT VENTILATORY THRESHOLD (VT1) (ES = 0.34, 90% CL [-0.08 TO 0.76]), VT2 (ES = 0.53, 90% CL [-0.05 TO 1.1]), ALONG WITH ADAPTATIONS IN THE RESPIRATORY EXCHANGE RATIO DURING HIGH-INTENSITY EXERCISE (ES = -0.25, 90% CL [-0.62 TO 0.12]). A LARGE PLASMA VOLUME EXPANSION TRANSPIRED 72 HOURS AFTER INTERVENTION (PV% = 5.0%, 90% CL [1.3-8.7]) THAT CONTRACTED TO A SMALL EXPANSION AFTER 6 DAYS (PV% = 1.6%, 90% CL [-1.0 TO 4.2]). THIS INVESTIGATION PROVIDES PRACTITIONERS AN ALTERNATIVE HEAT STRESS TECHNIQUE CONDUCIVE FOR TEAM SPORT, INVOLVING MINIMAL EXERCISE STRESS THAT CAN PRESERVE MAXIMAL CARDIOVASCULAR PERFORMANCE OVER PERIODIZED REST WEEKS WITHIN THE YEARLY TRAINING PLAN. FURTHERMORE, IMPROVEMENTS IN SUBMAXIMAL PERFORMANCE AND A DELAYED HYPERVOLEMIC RESPONSE MAY PROVIDE A PERFORMANCE-ENHANCING EFFECT WHEN ENTERING A 6-DAY COMPETITION PERIOD. 2018
2 2499 37 YOGA AS STEADINESS TRAINING: EFFECTS ON MOTOR VARIABILITY IN YOUNG ADULTS. EXERCISE TRAINING PROGRAMS CAN INCREASE STRENGTH AND IMPROVE SUBMAXIMAL FORCE CONTROL, BUT THE EFFECTS OF YOGA AS AN ALTERNATIVE FORM OF STEADINESS TRAINING ARE NOT WELL DESCRIBED. THE PURPOSE WAS TO EXPLORE THE EFFECT OF A POPULAR TYPE OF YOGA (BIKRAM) ON STRENGTH, STEADINESS, AND BALANCE. YOUNG ADULTS PERFORMED YOGA TRAINING (N = 10, 29 +/- 6 YEARS, 24 YOGA SESSIONS IN 8 WEEKS) OR SERVED AS CONTROLS (N = 11, 26 +/- 7 YEARS). YOGA SESSIONS CONSISTED OF 1.5 HOURS OF SUPERVISED, STANDARDIZED POSTURES. MEASURES BEFORE AND AFTER TRAINING INCLUDED MAXIMUM VOLUNTARY CONTRACTION (MVC) FORCE OF THE ELBOW FLEXORS (EF) AND KNEE EXTENSORS (KE), STEADINESS OF ISOMETRIC EF AND KE CONTRACTIONS, STEADINESS OF CONCENTRIC (CON) AND ECCENTRIC (ECC) KE CONTRACTIONS, AND TIMED BALANCE. THE STANDARD DEVIATION (SD) AND COEFFICIENT OF VARIATION (CV, SD/MEAN FORCE) OF ISOMETRIC FORCE AND THE SD OF ACCELERATION DURING CON AND ECC CONTRACTIONS WERE MEASURED. AFTER YOGA TRAINING, MVC FORCE INCREASED 14% FOR KE (479 +/- 175 TO 544 +/- 187 N, P < 0.05) AND WAS UNCHANGED FOR THE EF MUSCLES (219 +/- 85 TO 230 +/- 72 N, P > 0.05). THE CV OF FORCE WAS UNCHANGED FOR EF (1.68 TO 1.73%, P > 0.05) BUT WAS REDUCED IN THE KE MUSCLES SIMILARLY FOR YOGA AND CONTROL GROUPS (2.04 TO 1.55%, P < 0.05). THE VARIABILITY OF CON AND ECC CONTRACTIONS WAS UNCHANGED. FOR THE YOGA GROUP, IMPROVEMENT IN KE STEADINESS WAS CORRELATED WITH PRETRAINING STEADINESS (R = -0.62 TO -0.84, P < 0.05); SUBJECTS WITH THE GREATEST KE FORCE FLUCTUATIONS BEFORE TRAINING EXPERIENCED THE GREATEST REDUCTIONS WITH TRAINING. PERCENT CHANGE IN BALANCE TIME FOR INDIVIDUAL YOGA SUBJECTS AVERAGED +228% (19.5 +/- 14 TO 34.3 +/- 18 SECONDS, P < 0.05), WITH NO CHANGE IN CONTROLS. FOR YOUNG ADULTS, A SHORT-TERM YOGA PROGRAM OF THIS TYPE CAN IMPROVE BALANCE SUBSTANTIALLY, PRODUCE MODEST IMPROVEMENTS IN LEG STRENGTH, AND IMPROVE LEG MUSCLE CONTROL FOR LESS-STEADY SUBJECTS. 2008
3 253 26 A YOGA STRENGTHENING PROGRAM DESIGNED TO MINIMIZE THE KNEE ADDUCTION MOMENT FOR WOMEN WITH KNEE OSTEOARTHRITIS: A PROOF-OF-PRINCIPLE COHORT STUDY. UNLABELLED: PEOPLE WITH KNEE OSTEOARTHRITIS MAY BENEFIT FROM EXERCISE PRESCRIPTIONS THAT MINIMIZE KNEE LOADS IN THE FRONTAL PLANE. THE PRIMARY OBJECTIVE OF THIS STUDY WAS TO DETERMINE WHETHER A NOVEL 12-WEEK STRENGTHENING PROGRAM DESIGNED TO MINIMIZE EXPOSURE TO THE KNEE ADDUCTION MOMENT (KAM) COULD IMPROVE SYMPTOMS AND KNEE STRENGTH IN WOMEN WITH SYMPTOMATIC KNEE OSTEOARTHRITIS. A SECONDARY OBJECTIVE WAS TO DETERMINE WHETHER THE PROGRAM COULD IMPROVE MOBILITY AND FITNESS, AND DECREASE PEAK KAM DURING GAIT. THE TERTIARY OBJECTIVE WAS TO EVALUATE THE BIOMECHANICAL CHARACTERISTICS OF THIS YOGA PROGRAM. IN PARTICULAR, WE COMPARED THE PEAK KAM DURING GAIT WITH THAT DURING YOGA POSTURES AT BASELINE. WE ALSO COMPARED LOWER LIMB NORMALIZED MEAN ELECTROMYOGRAPHY (EMG) AMPLITUDES DURING YOGA POSTURES BETWEEN BASELINE AND FOLLOW-UP. PRIMARY MEASURES INCLUDED SELF-REPORTED PAIN AND PHYSICAL FUNCTION (KNEE INJURY AND OSTEOARTHRITIS OUTCOME SCORE) AND KNEE STRENGTH (EXTENSOR AND FLEXOR TORQUES). SECONDARY MEASURES INCLUDED MOBILITY (SIX-MINUTE WALK, 30-SECOND CHAIR STAND, STAIR CLIMBING), FITNESS (SUBMAXIMAL CYCLE ERGOMETER TEST), AND CLINICAL GAIT ANALYSIS USING MOTION CAPTURE SYNCHRONIZED WITH ELECTROMYOGRAPHY AND FORCE MEASUREMENT. ALSO, KAM AND NORMALIZED MEAN EMG AMPLITUDES WERE COLLECTED DURING YOGA POSTURES. FORTY-FIVE WOMEN OVER AGE 50 WITH SYMPTOMATIC KNEE OSTEOARTHRITIS, CONSISTENT WITH THE AMERICAN COLLEGE OF RHEUMATOLOGY CRITERIA, ENROLLED IN OUR 12-WEEK (3 SESSIONS PER WEEK) PROGRAM. DATA FROM 38 WERE ANALYZED (SIX DROP-OUTS; ONE LOST TO CO-INTERVENTION). PARTICIPANTS EXPERIENCED REDUCED PAIN (MEAN IMPROVEMENT 10.1-20.1 NORMALIZED TO 100; P<0.001), INCREASED KNEE EXTENSOR STRENGTH (MEAN IMPROVEMENT 0.01 NM/KG; P = 0.004), AND INCREASED FLEXOR STRENGTH (MEAN IMPROVEMENT 0.01 NM/KG; P = 0.001) AT FOLLOW-UP COMPARED TO BASELINE. PARTICIPANTS IMPROVED MOBILITY ON THE SIX-MINUTE WALK (MEAN IMPROVEMENT 37.7 M; P<0.001) AND 30-SECOND CHAIR STAND (MEAN IMPROVEMENT 1.3; P = 0.006) AT FOLLOW-UP COMPARED TO BASELINE. FITNESS AND PEAK KAM DURING GAIT WERE UNCHANGED BETWEEN BASELINE AND FOLLOW-UP. AVERAGE KAM DURING THE YOGA POSTURES WERE LOWER THAN THAT OF NORMAL GAIT. NORMALIZED MEAN EMG AMPLITUDES DURING YOGA POSTURES WERE UP TO 31.0% OF MAXIMUM BUT DID NOT CHANGE BETWEEN BASELINE AND FOLLOW-UP. IN THIS COHORT STUDY, THE YOGA-BASED STRENGTHENING POSTURES THAT ELICIT LOW KAMS IMPROVED KNEE SYMPTOMS AND STRENGTH IN WOMEN WITH KNEE OA FOLLOWING A 12 WEEK PROGRAM (3 SESSIONS PER WEEK). THE PROGRAM ALSO IMPROVED MOBILITY, BUT DID NOT IMPROVE FITNESS OR REDUCE PEAK KAM DURING GAIT. THE KAM DURING THE YOGA POSTURES WERE LOWER THAN THAT OF NORMAL GAIT. OVERALL, THE PROPOSED PROGRAM MAY BE USEFUL IN IMPROVING PAIN, STRENGTH, AND MOBILITY IN WOMEN WITH KNEE OSTEOARTHRITIS. CLINICAL EFFICACY NEEDS TO BE ASSESSED USING A RANDOMIZED CONTROLLED TRIAL DESIGN. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT02146105. 2015
4 989 27 EFFECTS OF HATHA YOGA ON CARDIAC HEMODYNAMIC PARAMETERS AND PHYSICAL CAPACITY IN CARDIAC REHABILITATION PATIENTS. PURPOSE: THE PURPOSE OF THE PRESENT STUDY WAS TO ASSESS THE EFFECT OF HATHA YOGA TRAINING THAT WAS ADDED TO THE STANDARD CARDIAC REHABILITATION (CR) PROGRAM ON THE CARDIAC HEMODYNAMIC PARAMETERS AND PHYSICAL CAPACITY OF PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION (STEMI). METHODS: THE STUDY INCLUDED 70 MALE PATIENTS AGED 45-65 YR WITH STEMI WHO WERE TREATED BY ANGIOPLASTY. PATIENTS WERE RANDOMIZED TO STANDARD CR (CONTROL GROUP) VERSUS STANDARD CR PLUS HATHA YOGA (EXPERIMENTAL GROUP). THE TRAINING PROGRAM LASTED FOR A TOTAL OF 24 D FOR EACH PATIENT, WITH DAY 1 AND DAY 24 USED FOR MEDICAL EXAMINATIONS (ELECTROCARDIOGRAM, SPIROERGOMETRIC SUBMAXIMAL TREADMILL TEST, AND ECHOCARDIOGRAPHY). THE REMAINING 22 D CONSISTED OF THE ACTUAL TRAINING. RESULTS: AFTER THE CR PROGRAM THE SPIROERGOMETRIC STRESS TEST PARAMETERS AND LEFT VENTRICULAR EJECTION FRACTION (LVEF) IMPROVED IN BOTH THE EXPERIMENTAL AND CONTROL GROUPS. THE MOST NOTABLE CHANGES IN ECHOCARDIOGRAPHY PARAMETERS AND PHYSICAL CAPACITY WERE IN THE EXPERIMENTAL GROUP. THE RESULTS SHOWED SIGNIFICANT MAIN EFFECT OVER TIME, A TIME-VERSUS-GROUP INTERACTION IN LVEF, THE DURATION OF THE TEST, AND PEAK OXYGEN UPTAKE, AND A TIME-VERSUS-GROUP INTERACTION IN METABOLIC EQUIVALENTS (METS). WE ALSO NOTED THE IMPROVEMENT OF LEFT VENTRICULAR END-DIASTOLIC DIAMETER, LEFT VENTRICULAR END-SYSTOLIC DIAMETER, AND HEART RATE OVER TIME. CONCLUSION: THE RESULTS REVEALED BETTER EFFECTIVENESS IN THE CR PROGRAM WITH A MODIFIED HATHA YOGA TRAINING PROGRAM. HATHA YOGA TRAINING COULD BE RECOMMENDED AS AN ADJUNCT TO STANDARD CR. 2020
5 993 18 EFFECTS OF HEATED AND THERMONEUTRAL YOGA INTERVENTIONS ON ARTERIAL STIFFNESS IN MIDDLE-AGED ADULTS. THE STUDY INVESTIGATED THE EFFICACY OF 12 WEEKS OF HEATED AND THERMONEUTRAL BIKRAM YOGA IN REDUCING ARTERIAL STIFFNESS IN MIDDLE-AGED ADULTS. FIFTY-FOUR SEDENTARY ADULTS (AGES 40-60 YEARS) COMPLETED 12 WEEKS OF YOGA AT 40.5 DEGREES C (N = 21), YOGA AT 23 DEGREES C (N = 14) OR TIME CONTROL (N = 19). BRACHIAL-ANKLE PULSE WAVE VELOCITY (PWV) WAS NOT SIGNIFICANTLY ALTERED BY HOT OR THERMONEUTRAL YOGA INTERVENTIONS. 2018
6 992 21 EFFECTS OF HATHA YOGA PRACTICE ON THE HEALTH-RELATED ASPECTS OF PHYSICAL FITNESS. TEN HEALTHY, UNTRAINED VOLUNTEERS (NINE FEMALES AND ONE MALE), RANGING IN AGE FROM 18-27 YEARS, WERE STUDIED TO DETERMINE THE EFFECTS OF HATHA YOGA PRACTICE ON THE HEALTH-RELATED ASPECTS OF PHYSICAL FITNESS, INCLUDING MUSCULAR STRENGTH AND ENDURANCE, FLEXIBILITY, CARDIORESPIRATORY FITNESS, BODY COMPOSITION, AND PULMONARY FUNCTION. SUBJECTS WERE REQUIRED TO ATTEND A MINIMUM OF TWO YOGA CLASSES PER WEEK FOR A TOTAL OF 8 WEEKS. EACH YOGA SESSION CONSISTED OF 10 MINUTES OF PRANAYAMAS (BREATH-CONTROL EXERCISES), 15 MINUTES OF DYNAMIC WARM-UP EXERCISES, 50 MINUTES OF ASANAS (YOGA POSTURES), AND 10 MINUTES OF SUPINE RELAXATION IN SAVASANA (CORPSE POSE). THE SUBJECTS WERE EVALUATED BEFORE AND AFTER THE 8-WEEK TRAINING PROGRAM. ISOKINETIC MUSCULAR STRENGTH FOR ELBOW EXTENSION, ELBOW FLEXION, AND KNEE EXTENSION INCREASED BY 31%, 19%, AND 28% (P<0.05), RESPECTIVELY, WHEREAS ISOMETRIC MUSCULAR ENDURANCE FOR KNEE FLEXION INCREASED 57% (P<0.01). ANKLE FLEXIBILITY, SHOULDER ELEVATION, TRUNK EXTENSION, AND TRUNK FLEXION INCREASED BY 13% (P<0.01), 155% (P<0.001), 188% (P<0.001), AND 14% (P<0.05), RESPECTIVELY. ABSOLUTE AND RELATIVE MAXIMAL OXYGEN UPTAKE INCREASED BY 7% AND 6%, RESPECTIVELY (P<0.01). THESE FINDINGS INDICATE THAT REGULAR HATHA YOGA PRACTICE CAN ELICIT IMPROVEMENTS IN THE HEALTH-RELATED ASPECTS OF PHYSICAL FITNESS. (C)2001 CHF, INC. 2001
7 81 20 A MATHEMATICAL MODEL OF EFFECTS ON SPECIFIC JOINTS DURING PRACTICE OF THE SUN SALUTATION--A SEQUENCE OF YOGA POSTURES. THE 'SUN SALUTATION' CONSISTS OF A SEQUENCE OF TEN YOGA POSTURES, EACH POSTURE COUNTERACTING THE PRECEDING ONE PRODUCING A BALANCE BETWEEN FLEXION AND EXTENSION, PERFORMED WITH SYNCHRONIZED BREATHING AND AEROBIC ACTIVITY. AS THIS SEQUENCE IS OFTEN PERFORMED AND RECOMMENDED BY MANY YOGA PRACTITIONERS, THERE IS A NEED FOR THE DEVELOPMENT OF A BIOMECHANICAL MODEL TO SUPPORT ITS REPORTED CLINICAL BENEFITS. THIS REQUIRES A DETAILED KNOWLEDGE OF THE NATURE OF THE FORCES AND MOMENTS AT THE VARIOUS JOINTS INVOLVED. A SIMPLE MATHEMATICAL MODEL BASED ON RIGID BODY MECHANICS IS DEVELOPED FOR EACH OF THE SUN SALUTATION POSTURES. DYNAMIC MOMENTS WITH HIGH MAGNITUDES AND RATES, APPLIED WITH UNUSUAL DISTRIBUTION PATTERNS, OPTIMAL FOR OSTEOGENESIS, ARE FOUND TO OCCUR. ALSO, THE JOINTS ARE SUBJECTED TO SUBMAXIMAL LOADINGS THUS ENSURING THAT NONE OF THE JOINTS ARE OVERSTRESSED. 2011
8 640 26 DO YOGA AND AEROBIC EXERCISE TRAINING HAVE IMPACT ON FUNCTIONAL CAPACITY, FATIGUE, PERIPHERAL MUSCLE STRENGTH, AND QUALITY OF LIFE IN BREAST CANCER SURVIVORS? AIM: THE AIM OF THE STUDY WAS TO COMPARE THE EFFECTS OF AEROBIC EXERCISE TRAINING AND YOGA ON THE FUNCTIONAL CAPACITY, PERIPHERAL MUSCLE STRENGTH, QUALITY OF LIFE (QOL), AND FATIGUE IN BREAST CANCER SURVIVORS. MATERIAL AND METHODS: A TOTAL OF 52 PATIENTS WITH A DIAGNOSIS OF BREAST CANCER WERE INCLUDED IN THE STUDY. THE PATIENTS WERE RANDOMLY ASSIGNED TO 2 GROUPS: AEROBIC EXERCISE (N = 28) AND YOGA ADDED TO AEROBIC EXERCISE (N = 24). BOTH GROUPS PARTICIPATED IN SUBMAXIMAL EXERCISE 30 MINUTES/D, 3 D/WK FOR 6 WEEKS. THE SECOND GROUP PARTICIPATED IN A 1-HOUR YOGA PROGRAM IN ADDITION TO AEROBIC EXERCISE TRAINING. FUNCTIONAL CAPACITY WAS ASSESSED BY THE 6-MINUTE WALK TEST (6MWT). PERIPHERAL MUSCLE STRENGTH WAS EVALUATED WITH A HAND-HELD DYNAMOMETER. THE FATIGUE SEVERITY LEVEL WAS ASSESSED WITH THE FATIGUE SEVERITY SCALE (FSS). THE QOL WAS DETERMINED BY THE EUROPEAN ORGANISATION FOR RESEARCH AND TREATMENT OF CANCER QUALITY OF LIFE QUESTIONNAIRE. RESULTS: THERE WERE STATISTICALLY SIGNIFICANT INCREASES IN PERIPHERAL MUSCLE STRENGTH, THE 6MWT DISTANCE, AND THE PERCEPTION OF QOL IN BOTH GROUPS (P < .05). ADDITIONALLY, THE GROUP WITH AEROBIC EXERCISE AND YOGA SHOWED MARKED IMPROVEMENT COMPARED WITH THE AEROBIC EXERCISE GROUP IN FATIGUE PERCEPTION (P < .05). CONCLUSION: ACCORDING TO THE DATA FROM THIS STUDY, AEROBIC EXERCISE TRAINING AND YOGA IMPROVED THE FUNCTIONAL CAPACITY AND QOL OF BREAST CANCER PATIENTS. AEROBIC EXERCISE PROGRAMS CAN BE SUPPORTED BY BODY MIND TECHNIQUES, SUCH AS YOGA, IN THE REHABILITATION OF CANCER PATIENTS FOR IMPROVING FUNCTIONAL RECOVERY AND PSYCHOSOCIAL WELLNESS. 2015
9 2193 30 THE EFFECTS OF YOGA TRAINING AND A SINGLE BOUT OF YOGA ON DELAYED ONSET MUSCLE SORENESS IN THE LOWER EXTREMITY. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE EFFECTS OF YOGA TRAINING AND A SINGLE BOUT OF YOGA ON THE INTENSITY OF DELAYED ONSET MUSCLE SORENESS (DOMS). 24 YOGA-TRAINED (YT; N = 12) AND NON-YOGA-TRAINED (CON; N = 12), MATCHED WOMEN VOLUNTEERS WERE ADMINISTERED A DOMS-INDUCING BENCH-STEPPING EXERCISE. MUSCLE SORENESS WAS ASSESSED AT BASELINE, 24, 48, 72, 96, AND 120 HOURS AFTER BENCH-STEPPING USING A VISUAL ANALOG SCALE (VAS). GROUPS WERE ALSO COMPARED ON BODY AWARENESS (BA), FLEXIBILITY USING THE SIT-AND-REACH TEST (SR), AND PERCEIVED EXERTION (RPE). STATISTICAL SIGNIFICANCE WAS ACCEPTED AT P = 0.05. A 2 X 2 MIXED FACTORIAL ANOVA WITH REPEATED MEASURES AT 24 AND 48 HOURS REVEALED A SIGNIFICANT (P < 0.05) GROUP MAIN EFFECT WITH VAS SCORES GREATER FOR CON THAN YT. PAIRED T-TESTS REVEALED THAT IN YT, VAS SCORES WERE HIGHER BEFORE YOGA CLASS THAN AFTER YOGA CLASS AT 24 HOURS (21.4 [+/- 6.9] MM VS. 11.1 [+/- 4.1] MM; P = 0.02). THE SR WAS GREATER IN YT THAN IN CON (65.0 [+/- 7.9] CM VS. 33.3 [+/- 7.0] CM; P < 0.01); HOWEVER, NO DIFFERENCES WERE FOUND BETWEEN YOGA AND CONTROL IN BA (94.0 [+/- 4.4] UNITS VS. 83.8 [+/- 3.7] UNITS; P = 0.21) OR IN RPE AT 5-MINUTE INTERVALS (2.9 [+/- 0.3], 5.3 [+/- 0.8], 5.8 [+/- 0.9], AND 5.2 [+/- 0.8] VS. 2.5 [+/- 0.3], 4.0 [+/- 0.5], 4.2 [+/- 0.3], AND 4.9 [+/- 0.4]. YOGA TRAINING AND A SINGLE BOUT OF YOGA APPEAR TO ATTENUATE PEAK MUSCLE SORENESS IN WOMEN FOLLOWING A BOUT OF ECCENTRIC EXERCISE. THESE FINDINGS HAVE SIGNIFICANT IMPLICATIONS FOR COACHES, ATHLETES, AND THE EXERCISING PUBLIC WHO MAY WANT TO IMPLEMENT YOGA TRAINING AS A PRESEASON REGIMEN OR SUPPLEMENTAL ACTIVITY TO LESSEN THE SYMPTOMS ASSOCIATED WITH MUSCLE SORENESS. 2004
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
11 2823 27 YOGA VERSUS AEROBIC ACTIVITY: EFFECTS ON SPIROMETRY RESULTS AND MAXIMAL INSPIRATORY PRESSURE. OBJECTIVE: TO CLARIFY WHETHER, IN HEALTHY INDIVIDUALS, PRACTICING YOGA CAN MODIFY MAXIMAL INSPIRATORY PRESSURE AND SPIROMETRIC INDICES WHEN COMPARED WITH THE PRACTICE OF AEROBIC EXERCISE. MEYHODS: A CONTROLLED CLINICAL TRIAL. A TOTAL OF 31 HEALTHY VOLUNTEERS WERE ALLOCATED TO PRACTICE AEROBIC EXERCISE (N = 15) OR TO PRACTICE YOGA (N = 16). THOSE IN THE FIRST GROUP SERVED AS CONTROLS AND ENGAGED IN AEROBIC EXERCISE FOR 45-60 MINUTES, TWICE A WEEK FOR THREE MONTHS. THOSE IN THE SECOND GROUP PRACTICED SELECTED YOGIC TECHNIQUES, ALSO IN SESSIONS OF 45-60 MINUTES, TWICE A WEEK FOR THREE MONTHS. FORCED VITAL CAPACITY, FORCED EXPIRATORY VOLUME IN ONE SECOND AND MAXIMAL INSPIRATORY PRESSURE WERE MEASURED BEFORE AND AFTER THE THREE MONTHS OF TRAINING. RESULTS: NO SIGNIFICANT ALTERATIONS WERE SEEN IN THE SPIROMETRIC INDICES. A SLIGHT, ALTHOUGH NOT SIGNIFICANT, IMPROVEMENT IN MAXIMAL INSPIRATORY PRESSURE WAS SEEN IN BOTH GROUPS. HOWEVER, THERE WAS A SIGNIFICANT DIFFERENCE, SEEN IN BOTH GENDERS, BETWEEN THE ABSOLUTE DELTA (FINAL VALUE MINUS BASELINE VALUE) OF MAXIMAL INSPIRATORY PRESSURE FOR THE GROUP PRACTICING YOGA AND THAT OBTAINED FOR THE GROUP ENGAGING IN AEROBIC EXERCISE (MALES: 19.5 CM H2O VERSUS 2.8 CM H2O, P = 0.05; FEMALES: 20 CM H2O VERSUS 3.9 CM H2O, P = 0.01). CONCLUSION: NEITHER YOGA NOR AEROBIC EXERCISE PROVIDED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN MAXIMAL INSPIRATORY PRESSURE AFTER THREE MONTHS. HOWEVER, THE ABSOLUTE VARIATION IN MAXIMAL INSPIRATORY PRESSURE WAS GREATER AMONG THOSE PRACTICING YOGA. 2006
12 1676 29 OBJECTIVE AND SUBJECTIVE MEASURES OF EXERCISE INTENSITY DURING THERMO-NEUTRAL AND HOT YOGA. WHILE HOT YOGA HAS GAINED ENORMOUS POPULARITY IN RECENT YEARS, OWING IN PART TO INCREASED ENVIRONMENTAL CHALLENGE ASSOCIATED WITH EXERCISE IN THE HEAT, IT IS NOT CLEAR WHETHER HOT YOGA IS MORE VIGOROUS THAN THERMO-NEUTRAL YOGA. THEREFORE, THE AIM OF THIS STUDY WAS TO DETERMINE OBJECTIVE AND SUBJECTIVE MEASURES OF EXERCISE INTENSITY DURING CONSTANT INTENSITY YOGA IN A HOT AND THERMO-NEUTRAL ENVIRONMENT. USING A RANDOMIZED, CROSSOVER DESIGN, 14 PARTICIPANTS COMPLETED 2 IDENTICAL APPROXIMATELY 20-MIN YOGA SESSIONS IN A HOT (35.3 +/- 0.8 DEGREES C; HUMIDITY: 20.5% +/- 1.4%) AND THERMO-NEUTRAL (22.1 +/- 0.2 DEGREES C; HUMIDITY: 27.8% +/- 1.6%) ENVIRONMENT. OXYGEN CONSUMPTION AND HEART RATE (HR) WERE RECORDED AS OBJECTIVE MEASURES (PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION AND PERCENTAGE OF MAXIMAL HR (%HRMAX)) AND RATING OF PERCEIVED EXERTION (RPE) WAS RECORDED AS A SUBJECTIVE MEASURE OF EXERCISE INTENSITY. THERE WAS NO DIFFERENCE IN EXERCISE INTENSITY BASED ON PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION DURING HOT VERSUS THERMO-NEUTRAL YOGA (30.9% +/- 2.3% VS. 30.5% +/- 1.8%, P = 0.68). HOWEVER, EXERCISE INTENSITY WAS SIGNIFICANTLY HIGHER DURING HOT VERSUS THERMO-NEUTRAL YOGA BASED ON %HRMAX (67.0% +/- 2.3% VS. 60.8% +/- 1.9%, P = 0.01) AND RPE (12 +/- 1 VS. 11 +/- 1, P = 0.04). ACCORDING TO ESTABLISHED EXERCISE INTENSITIES, HOT YOGA WAS CLASSIFIED AS LIGHT-INTENSITY EXERCISE BASED ON PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION BUT MODERATE-INTENSITY EXERCISE BASED ON %HRMAX AND RPE WHILE THERMO-NEUTRAL YOGA WAS CLASSIFIED AS LIGHT-INTENSITY EXERCISE BASED ON PERCENTAGE OF MAXIMAL OXYGEN UPTAKE, %HRMAX, AND RPE. DESPITE THE ADDED HEMODYNAMIC STRESS AND PERCEPTION THAT YOGA IS MORE STRENUOUS IN A HOT ENVIRONMENT, WE OBSERVED SIMILAR OXYGEN CONSUMPTION DURING HOT VERSUS THERMO-NEUTRAL YOGA, CLASSIFYING BOTH EXERCISE MODALITIES AS LIGHT-INTENSITY EXERCISE. 2018
13 2232 23 THE IMPACT OF YOGA ON INSPIRATORY MUSCLE PERFORMANCE IN VETERANS WITH COPD: A PILOT STUDY. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) CAUSES RESPIRATORY MUSCLE WEAKNESS THAT LEADS TO DISABLING DYSPNEA AND POOR FUNCTIONAL PERFORMANCE. THERAPIES ARE OFTEN GEARED TO IMPROVE INSPIRATORY MUSCLE PERFORMANCE. YOGA HAS BEEN SHOWN TO IMPROVE EXERCISE CAPACITY, QUALITY OF LIFE, AND SOME PULMONARY FUNCTION MEASURES IN COPD, BUT LITTLE RESEARCH HAS EXAMINED THE EFFECTS OF YOGA TRAINING ON INSPIRATORY MUSCLE PERFORMANCE. THE PURPOSE OF THIS STUDY WAS TO INVESTIGATE THE EFFECTS OF YOGA TRAINING ON INSPIRATORY MUSCLE PERFORMANCE IN MILITARY VETERANS USING THE TEST OF INCREMENTAL RESPIRATORY ENDURANCE (TIRE). A PROSPECTIVE PILOT STUDY EXAMINED A 6-WEEK YOGA TRAINING PROGRAM CONSISTING OF ASANA (POSES) AND PRANAYAMA (CONTROLLED BREATHING). SUBJECTS HAD BASELINE INSPIRATORY MUSCLE WEAKNESS. THE TIRE MEASURED INSPIRATORY MUSCLE PERFORMANCE VIA THE PRO2 DEVICE, PROVIDING MAXIMAL INSPIRATORY PRESSURE, SUSTAINED MAXIMAL INSPIRATORY PRESSURE, AND INSPIRATORY DURATION. SECONDARY MEASURES INCLUDED 6-MINUTE WALK DISTANCE, ST. GEORGE RESPIRATORY QUESTIONNAIRE, HOSPITAL ANXIETY AND DEPRESSION SCALE, AND SPIROMETRY. MEAN AGE AND BMI OF SUBJECTS WERE 67 +/- 3.6 YEARS AND 20.7 +/- 3.3, RESPECTIVELY. THE MAJORITY OF SUBJECTS HAD SEVERE (28.7%) OR VERY SEVERE (57.1%) COPD. STATISTICALLY SIGNIFICANT IMPROVE M E N T S WERE SEEN IN MAXIMAL INSPIRATORY PRESSURE (39.0 +/- 14.1 CMH2O TO 56.4 +/- 20.6 CMH2O) AND SUSTAINED MAXIMAL INSPIRATORY PRESSURE (244.1 +/- 100.6 PTU TO 308.1 +/- 121.2 PTU). NO STATISTICALLY SIGNIFICANT IMPROVEMENTS WE RE OBSERVED IN 6-MINUTE WALK DISTANCE, ST. GEORGE RESPIRATORY QUESTIONNAIRE, HOSPITAL ANXIETY AND DEPRESSION SCALE, OR SPIROMETRY. YOGA TRAINING HAS THE POTENTIAL IN IMPROVE INSPIRATORY MUSCLE PERFORMANCE IN VETERANS WITH SEVERE TO VERY SEVERE COPD WHO PRESENT WITH INSPIRATORY MUSCLE WEAKNESS. THIS IS OF IMPORTANCE BECAUSE IMPROVING INSPIRA-TORY MUSCLE PERFORMANCE HAS BEEN SHOWN TO IMPROVE COPD OUTCOMES. 2021
14 2131 25 THE EFFECTS OF A 6-MONTH MODERATE-INTENSITY HATHA YOGA-BASED TRAINING PROGRAM ON HEALTH-RELATED FITNESS IN MIDDLE-AGED SEDENTARY WOMEN: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: THERE IS PAUCITY OF DATA EXAMINING THE EFFECTIVENESS OF LONG-TERM HATHA YOGA-BASED (HY) PROGRAMS FOCUSED ON THE HEALTH-RELATED FITNESS (H-RF) OF ASYMPTOMATIC, SEDENTARY WOMEN. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE EFFECTS OF A 6-MONTH HY-BASED TRAINING PROGRAM ON H-RF COMPONENTS IN SEDENTARY MIDDLE-AGED WOMEN. METHODS: EIGHTY SEDENTARY WOMEN WERE RANDOMLY ASSIGNED INTO EITHER THE HY GROUP (HYG) (N.=42) OR THE CONTROL GROUP (CG) (N.=38). THE 6-MONTH HYG PROGRAM INVOLVED A PROGRESSIVE SERIES OF VINYASA FLOW POSES PERFORMED 3 TIMES/WEEK FOR 60 MINUTES (40 MINUTES WITHIN THE EXERCISE ZONE OF 60-75% HRMAX). THE CG PARTICIPANTS DID NOT UNDERGO ANY PHYSICAL TRAINING OR EDUCATION. HEALTH-RELATED FITNESS PARAMETERS INCLUDED MEASURES OF PRE- AND POST-TRAINING: BODY COMPOSITION, MUSCULAR STRENGTH AND MAXIMAL VOLUNTARY ISOMETRIC TORQUES OF ELBOW FLEXORS AND KNEE EXTENSORS, CARDIO-RESPIRATORY FITNESS, LOWER BACK AND HAMSTRING FLEXIBILITY AND A STATIC-DYNAMIC BALANCE. RESULTS: TWO-WAY MIXED DESIGN ANOVA REVEALED SIGNIFICANT MAIN EFFECTS FOR ALL THE INDICATORS OF H-RF. TUKEY POST-HOC TESTS CONFIRMED THAT THE HYG DEMONSTRATED SIGNIFICANT IMPROVEMENTS IN EVERY VARIABLE TESTED. EXAMPLES OF THE BENEFITS ACHIEVED INCLUDE (ALL P<.001): AN AVERAGE LOSS OF 1.03 KG AND A 4.82% DECREASE IN BODY FAT, 14.6% AND 13.1% GAINS IN ISOMETRIC STRENGTH OF THE KNEE EXTENSORS AND ELBOW FLEXORS RESPECTIVELY, AN INCREASE IN RELATIVE VO2MAX OF 6.1% (33.12+/-5.30 TO 35.14+/-4.82 ML/KG/MIN), A 4-CM OR 10.4% INCREASE IN THEIR MSAR, AND AN AVERAGE IMPROVED BALANCE INDEX OF 5.6 MM/S. REVERSELY, THE CG SHOWED NON-SIGNIFICANT CHANGES IN H-RF VARIABLES (ALL P>0.05; PERCENT RANGE FROM -1.4% TO 1.1%). CONCLUSIONS: BY PARTICIPATING IN A MODERATE-INTENSITY 6-MONTH HY-BASED TRAINING PROGRAM, MIDDLE-AGED WOMEN CAN SIGNIFICANTLY IMPROVE THEIR HR-F STATUS. THE APPLICATION OF PROGRESSIVE TARGET HEART RATE GOALS FACILITATED GREATER THAN EXPECTED IMPROVEMENTS IN CARDIO-RESPIRATORY FITNESS AND IMPROVEMENTS IN BODY COMPOSITION. 2020
15 404 28 BIKRAM YOGA TRAINING AND PHYSICAL FITNESS IN HEALTHY YOUNG ADULTS. THERE HAS BEEN RELATIVELY LITTLE LONGITUDINAL CONTROLLED INVESTIGATION OF THE EFFECTS OF YOGA ON GENERAL PHYSICAL FITNESS, DESPITE THE WIDESPREAD PARTICIPATION IN THIS FORM OF EXERCISE. THE PURPOSE OF THIS EXPLORATORY STUDY WAS TO EXAMINE THE EFFECT OF SHORT-TERM BIKRAM YOGA TRAINING ON GENERAL PHYSICAL FITNESS. YOUNG HEALTHY ADULTS WERE RANDOMIZED TO YOGA TRAINING (N = 10, 29 +/- 6 YEARS, 24 SESSIONS IN 8 WEEKS) OR A CONTROL GROUP (N = 11, 26 +/- 7 YEARS). EACH YOGA TRAINING SESSION CONSISTED OF 90-MINUTE STANDARDIZED SUPERVISED POSTURES PERFORMED IN A HEATED AND HUMIDIFIED STUDIO. ISOMETRIC DEADLIFT STRENGTH, HANDGRIP STRENGTH, LOWER BACK/HAMSTRING AND SHOULDER FLEXIBILITY, RESTING HEART RATE AND BLOOD PRESSURE, MAXIMAL OXYGEN CONSUMPTION (TREADMILL), AND LEAN AND FAT MASS (DUAL-ENERGY X-RAY ABSORPTIOMETRY) WERE MEASURED BEFORE AND AFTER TRAINING. YOGA SUBJECTS EXHIBITED INCREASED DEADLIFT STRENGTH, SUBSTANTIALLY INCREASED LOWER BACK/HAMSTRING FLEXIBILITY, INCREASED SHOULDER FLEXIBILITY, AND MODESTLY DECREASED BODY FAT COMPARED WITH CONTROL GROUP. THERE WERE NO CHANGES IN HANDGRIP STRENGTH, CARDIOVASCULAR MEASURES, OR MAXIMAL AEROBIC FITNESS. IN SUMMARY, THIS SHORT-TERM YOGA TRAINING PROTOCOL PRODUCED BENEFICIAL CHANGES IN MUSCULOSKELETAL FITNESS THAT WERE SPECIFIC TO THE TRAINING STIMULUS. 2013
16 741 27 EFFECT OF REGULAR YOGA PRACTICE ON RESPIRATORY REGULATION AND EXERCISE PERFORMANCE. YOGA ALTERS SPONTANEOUS RESPIRATORY REGULATION AND REDUCES HYPOXIC AND HYPERCAPNIC VENTILATORY RESPONSES. SINCE A LOWER VENTILATORY RESPONSE IS ASSOCIATED WITH AN IMPROVED ENDURANCE CAPACITY DURING WHOLE-BODY EXERCISE, WE TESTED WHETHER YOGIC SUBJECTS (YOGA) SHOW AN INCREASED ENDURANCE CAPACITY COMPARED TO MATCHED NON-YOGIC INDIVIDUALS (CON) WITH SIMILAR PHYSICAL ACTIVITY LEVELS. RESTING VENTILATION, THE VENTILATORY RESPONSE TO HYPERCAPNIA, PASSIVE LEG MOVEMENT AND EXERCISE, AS WELL AS ENDURANCE PERFORMANCE WERE ASSESSED. YOGA (N = 9), COMPARED TO CONTROL (N = 6), HAD A HIGHER TIDAL VOLUME AT REST (0.7+/-0.2 VS. 0.5+/-0.1 L, P = 0.034) AND A REDUCED VENTILATORY RESPONSE TO HYPERCAPNIA (33+/-15 VS. 47+/-15 L.MIN(-1), P = 0.048). A YOGA SUBGROUP (N = 6) WITH MAXIMAL PERFORMANCE SIMILAR TO CONTROL SHOWED A BLUNTED VENTILATORY RESPONSE TO PASSIVE CYCLING (11+/-2 VS. 14+/-2 L.MIN(-1), P = 0.039) AND A TENDENCY TOWARDS LOWER EXERCISE VENTILATION (33+/-2 VS. 36+/-3 L.MIN(-1), P = 0.094) WHILE CYCLING ENDURANCE (YOGA: 17.3+/-3.3; CON: 19.6+/-8.5 MIN, P = 0.276) DID NOT DIFFER. THUS, YOGA PRACTICE WAS NOT ASSOCIATED WITH IMPROVED EXERCISE CAPACITY NOR WITH SIGNIFICANT CHANGES IN EXERCISE VENTILATION DESPITE A SIGNIFICANTLY DIFFERENT RESPIRATORY REGULATION AT REST AND IN RESPONSE TO HYPERCAPNIA AND PASSIVE LEG MOVEMENT. 2016
17 1045 35 EFFECTS OF YOGA INTERVENTIONS PRACTISED IN HEATED AND THERMONEUTRAL CONDITIONS ON ENDOTHELIUM-DEPENDENT VASODILATATION: THE BIKRAM YOGA HEART STUDY. NEW FINDINGS: WHAT IS THE CENTRAL QUESTION OF THIS STUDY? DOES THE HEATED PRACTICE ENVIRONMENT ENHANCE THE EFFECTS OF BIKRAM YOGA ON ENDOTHELIUM-DEPENDENT VASODILATATION IN HEALTHY, MIDDLE-AGED ADULTS? WHAT IS THE MAIN FINDING AND ITS IMPORTANCE? THE PRIMARY FINDING FROM THIS INVESTIGATION IS THAT THE HATHA YOGA POSTURES IN THE BIKRAM YOGA SERIES PRODUCE SIMILAR ENHANCEMENTS IN ENDOTHELIUM-DEPENDENT VASODILATATION IN HEALTHY, MIDDLE-AGED ADULTS REGARDLESS OF ENVIRONMENTAL TEMPERATURE. THESE FINDINGS HIGHLIGHT THE EFFICACY OF YOGA POSTURES IN PRODUCING IMPROVEMENTS IN VASCULAR HEALTH AND DOWNPLAY THE NECESSITY OF THE HEATED PRACTICE ENVIRONMENT IN INDUCING VASCULAR ADAPTATIONS. ABSTRACT: WE HAVE PREVIOUSLY DOCUMENTED IMPROVEMENTS IN ENDOTHELIUM-DEPENDENT VASODILATATION WITH A BIKRAM (HOT) YOGA INTERVENTION IN MIDDLE-AGED ADULTS. AT PRESENT, THE EFFECT OF ENVIRONMENTAL TEMPERATURE IN HOT YOGA ON ENDOTHELIAL FUNCTION IS UNKNOWN. THE PURPOSE OF THIS INVESTIGATION WAS TO DETERMINE THE EFFECTS OF BIKRAM YOGA INTERVENTIONS PERFORMED IN HEATED OR THERMONEUTRAL CONDITIONS ON ENDOTHELIUM-DEPENDENT VASODILATATION. FIFTY-TWO SEDENTARY BUT APPARENTLY HEALTHY ADULTS AGED 40-60 YEARS WERE RANDOMLY ASSIGNED TO ONE OF THREE GROUPS: BIKRAM YOGA PRACTISED AT 40.5 DEGREES C (N = 19), BIKRAM YOGA PRACTISED AT 23 DEGREES C (N = 14) OR SEDENTARY TIME CONTROL (N = 19). THE YOGA INTERVENTIONS CONSISTED OF 90 MIN BIKRAM YOGA CLASSES THREE TIMES A WEEK FOR 12 WEEKS. ENDOTHELIUM-DEPENDENT VASODILATATION WAS MEASURED NON-INVASIVELY USING BRACHIAL ARTERY FLOW-MEDIATED DILATATION (FMD). BODY FAT PERCENTAGE DETERMINED VIA DUAL-ENERGY X-RAY ABSORPTIOMETRY WAS SIGNIFICANTLY LOWER IN THE HOT YOGA GROUP AFTER THE INTERVENTION THAN IN THE THERMONEUTRAL YOGA AND CONTROL CONDITIONS. BRACHIAL ARTERY FMD INCREASED (P < 0.05) IN THE THERMONEUTRAL YOGA GROUP AND TENDED TO INCREASE IN THE HOT YOGA GROUP (P = 0.056). NO CHANGES OCCURRED IN THE CONTROL GROUP. THERE WERE NO SIGNIFICANT DIFFERENCES IN FMD CHANGE SCORES BETWEEN GROUPS. WE CONCLUDE THAT BIKRAM YOGA PRACTISED IN THERMONEUTRAL CONDITIONS IMPROVED ENDOTHELIUM-DEPENDENT VASODILATATION IN HEALTHY, MIDDLE-AGED ADULTS. THESE NEW FINDINGS HIGHLIGHT THE EFFECTIVENESS OF HATHA YOGA POSTURES ALONE, IN THE ABSENCE OF A HEATED PRACTICE ENVIRONMENT, IN IMPROVING VASCULAR HEALTH AND ARE OF CLINICAL SIGNIFICANCE GIVEN THE INCREASED PROPENSITY FOR HEAT INTOLERANCE IN AGEING ADULTS. 2018
18 896 27 EFFECT OF YOGASANA INTERVENTION ON STANDING BALANCE PERFORMANCE AMONG PEOPLE WITH DIABETIC PERIPHERAL NEUROPATHY: A PILOT STUDY. BACKGROUND: DIABETIC PERIPHERAL NEUROPATHY (DPN) IS KNOWN TO CAUSE IMPAIRED BALANCE AND EVENTUALLY INCREASED RISK OF FALL. YOGASANAS CHARACTERIZED BY SLOW, GENTLE TRANSITIONS INTO POSTURES WITH A VARYING BASE OF SUPPORT AND FOCUS ON BODY AWARENESS DURING MOVEMENT HOLD POTENTIAL FOR TRAINING BALANCE CONTROL. THEREFORE, THE CURRENT STUDY AIMED TO EVALUATE EFFECT OF STRUCTURED YOGASANA INTERVENTION COMPARED TO CONVENTIONAL BALANCE EXERCISE ON STATIC AND DYNAMIC BALANCE PERFORMANCE AMONG PEOPLE WITH DIABETIC NEUROPATHY. METHODS: : THIRTY-FIVE PEOPLE WITH DPN AGED 42-70 YEARS WERE RECRUITED TO YOGASANA INTERVENTION GROUP (N = 11), CONVENTIONAL BALANCE EXERCISES GROUP (N = 10), AND CONTROL GROUP (N = 14) FOLLOWING ETHICAL APPROVAL. ALL PARTICIPANTS WERE EVALUATED AT BASELINE AND POST 12-WEEK INTERVENTION ON STAR EXCURSION BALANCE TEST, SINGLE-LIMB STANCE TEST, AND CENTER OF PRESSURE (COP) EXCURSION FOR BALANCE PERFORMANCE, MODIFIED FALL EFFICACY SCALE FOR FEAR OF FALLS AND LOWER EXTREMITY STRENGTH USING CHAIR STAND TEST AND STEP-UP TEST. RESULTS: BALANCE PERFORMANCE (STATIC AND DYNAMIC MEASURED BY STAR EXCURSION BALANCE TEST, SINGLE-LIMB STANCE TEST, AND COP EXCURSION, LOWER EXTREMITY STRENGTH (USING CHAIR STAND TEST AND STEP-UP TEST) DEMONSTRATED IMPROVEMENT AND FEAR OF FALL REDUCED AMONG YOGASANA INTERVENTION GROUP (P = 0.05) AND CONVENTIONAL BALANCE EXERCISES GROUP (P = 0.05) POST 12-WEEK INTERVENTION. COP EXCURSION INCREASED IN THE CONTROL GROUP INDICATING DETERIORATION IN BALANCE PERFORMANCE AFTER 12 WEEKS (P = 0.05). POST HOC COMPARISON REVEALED THAT YOGASANA INTERVENTION WAS MARGINALLY MORE EFFECTIVE IN IMPROVING STATIC AND DYNAMIC BALANCE PERFORMANCE COMPARED TO CONVENTIONAL BALANCE EXERCISES IN ALL VARIABLES OF STANDING BALANCE PERFORMANCE (P = 0.025). CONCLUSION: YOGASANA AND CONVENTIONAL BALANCE EXERCISES WERE EFFECTIVE IN IMPROVING STATIC AND DYNAMIC BALANCE PERFORMANCE, LOWER EXTREMITY MUSCLE STRENGTH, AND REDUCING FEAR OF FALL AMONG PEOPLE WITH DPN. YOGASANA INTERVENTION DEMONSTRATED MARGINALLY GREATER IMPROVEMENT IN STATIC AND DYNAMIC BALANCE PERFORMANCE AND LOWER EXTREMITY MUSCLE STRENGTH COMPARED TO CONVENTIONAL EXERCISE. 2021
19 1113 26 EFFICACY OF A BIOMECHANICALLY-BASED YOGA EXERCISE PROGRAM IN KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: CERTAIN EXERCISES COULD OVERLOAD THE OSTEOARTHRITIC KNEE. WE DEVELOPED AN EXERCISE PROGRAM FROM YOGA POSTURES WITH A MINIMAL KNEE ADDUCTION MOMENT FOR KNEE OSTEOARTHRITIS. THE PURPOSE WAS TO COMPARE THE EFFECTIVENESS OF THIS BIOMECHANICALLY-BASED YOGA EXERCISE (YE), WITH TRADITIONAL EXERCISE (TE), AND A NO-EXERCISE ATTENTION-EQUIVALENT CONTROL (NE) FOR IMPROVING PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY PERFORMANCE IN WOMEN WITH KNEE OSTEOARTHRITIS. DESIGN: SINGLE-BLIND, THREE-ARM RANDOMIZED CONTROLLED TRIAL. SETTING: COMMUNITY IN SOUTHWESTERN ONTARIO, CANADA. PARTICIPANTS: A CONVENIENCE SAMPLE OF 31 WOMEN WITH SYMPTOMATIC KNEE OSTEOARTHRITIS WAS RECRUITED THROUGH RHEUMATOLOGY, ORTHOPAEDIC AND PHYSIOTHERAPY CLINICS, NEWSPAPERS AND WORD-OF-MOUTH. INTERVENTIONS: PARTICIPANTS WERE STRATIFIED BY DISEASE SEVERITY AND RANDOMLY ALLOCATED TO ONE OF THREE 12-WEEK, SUPERVISED INTERVENTIONS. YE INCLUDED BIOMECHANICALLY-BASED YOGA EXERCISES; TE INCLUDED TRADITIONAL LEG STRENGTHENING ON MACHINES; AND NE INCLUDED MEDITATION WITH NO EXERCISE. PARTICIPANTS WERE ASKED TO ATTEND THREE 1-HOUR GROUP CLASSES/SESSIONS EACH WEEK. MEASUREMENTS: PRIMARY OUTCOMES WERE PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY PERFORMANCE. SECONDARY OUTCOMES WERE KNEE STRENGTH, DEPRESSION, AND HEALTH-RELATED QUALITY OF LIFE. ALL WERE ASSESSED BY A BLINDED ASSESSOR AT BASELINE AND IMMEDIATELY FOLLOWING THE INTERVENTION. RESULTS: THE YE GROUP DEMONSTRATED GREATER IMPROVEMENTS IN KOOS PAIN (MEAN DIFFERENCE OF 22.9 [95% CI, 6.9 TO 38.8; P = 0.003]), INTERMITTENT PAIN (MEAN DIFFERENCE OF -19.6 [95% CI, -34.8 TO -4.4; P = 0.009]) AND SELF-REPORTED PHYSICAL FUNCTION (MEAN DIFFERENCE OF 17.2 [95% CI, 5.2 TO 29.2; P = 0.003]) COMPARED TO NE. IMPROVEMENTS IN THESE OUTCOMES WERE SIMILAR BETWEEN YE AND TE. HOWEVER, TE DEMONSTRATED A GREATER IMPROVEMENT IN KNEE FLEXOR STRENGTH COMPARED TO YE (MEAN DIFFERENCE OF 0.1 [95% CI, 0.1 TO 0.2]. IMPROVEMENTS FROM BASELINE TO FOLLOW-UP WERE PRESENT IN QUALITY OF LIFE SCORE FOR YE AND KNEE FLEXOR STRENGTH FOR TE, WHILE BOTH ALSO DEMONSTRATED IMPROVEMENTS IN MOBILITY. NO IMPROVEMENT IN ANY OUTCOME WAS PRESENT IN NE. CONCLUSIONS: THE BIOMECHANICALLY-BASED YOGA EXERCISE PROGRAM PRODUCED CLINICALLY MEANINGFUL IMPROVEMENTS IN PAIN, SELF-REPORTED PHYSICAL FUNCTION AND MOBILITY IN WOMEN WITH CLINICAL KNEE OA COMPARED TO NO EXERCISE. WHILE NOT STATISTICALLY SIGNIFICANT, IMPROVEMENTS IN THESE OUTCOMES WERE LARGER THAN THOSE ELICITED FROM THE TRADITIONAL EXERCISE-BASED PROGRAM. THOUGH THIS MAY SUGGEST THAT THE YOGA PROGRAM MAY BE MORE EFFICACIOUS FOR KNEE OA, FUTURE RESEARCH STUDYING A LARGER SAMPLE IS REQUIRED. TRIAL REGISTRATION: CLINICALTRIALS.GOV (NCT02370667). 2018
20 880 24 EFFECT OF YOGA TRAINING ON HANDGRIP, RESPIRATORY PRESSURES AND PULMONARY FUNCTION. ALTHOUGH THERE ARE A NUMBER OF REPORTS ON THE EFFECT OF YOGA TRAINING ON PULMONARY FUNCTIONS, VERY FEW STUDIES HAVE BEEN UNDERTAKEN ON THE EFFECT OF YOGA TRAINING ON RESPIRATORY PRESSURES AND HANDGRIP ENDURANCE. HENCE THE PRESENT WORK WAS PLANNED TO STUDY THE EFFECT OF YOGA TRAINING ON HAND GRIP STRENGTH (HGS), HAND GRIP ENDURANCE (HGE), MAXIMUM EXPIRATORY PRESSURE (MEP), MAXIMUM INSPIRATORY PRESSURE (MIP), FORCED EXPIRATORY VOLUME (FEV), FORCED EXPIRATORY VOLUME IN FIRST SECOND (FEV1) AND PEAK EXPIRATORY FLOW RATE (PEFR). 20 SCHOOL CHILDREN IN THE AGE GROUP OF 12 TO 15 YEARS WERE GIVEN YOGA TRAINING (ASANS AND PRANAYAMS) FOR 6 MONTHS. 20 AGE AND GENDER-MATCHED STUDENTS FORMED THE CONTROL GROUP. YOGA TRAINING PRODUCED STATISTICALLY SIGNIFICANT (P < 0.05) INCREASE IN HGS AND HGE. MEP, MIP, FEV, FEV1 AND PEFR ALSO INCREASED SIGNIFICANTLY (P < 0.001) AFTER THE YOGA TRAINING. IN CONTRAST, THE INCREASE IN THESE PARAMETERS IN THE CONTROL GROUP WAS STATISTICALLY INSIGNIFICANT. OUR STUDY SHOWS THAT YOGA TRAINING FOR 6 MONTHS IMPROVES LUNG FUNCTION, STRENGTH OF INSPIRATORY AND EXPIRATORY MUSCLES AS WELL AS SKELETAL MUSCLE STRENGTH AND ENDURANCE. IT IS SUGGESTED THAT YOGA BE INTRODUCED AT SCHOOL LEVEL IN ORDER TO IMPROVE PHYSIOLOGICAL FUNCTIONS, OVERALL HEALTH AND PERFORMANCE OF STUDENTS. 2003