1 2026 74 TAI CHI AND YOGA AS COMPLEMENTARY THERAPIES IN RHEUMATOLOGIC CONDITIONS. TAI CHI AND YOGA ARE COMPLEMENTARY THERAPIES WHICH HAVE, DURING THE LAST FEW DECADES, EMERGED AS POPULAR TREATMENTS FOR RHEUMATOLOGIC AND MUSCULOSKELETAL DISEASES. THIS REVIEW COVERS THE EVIDENCE OF TAI CHI AND YOGA IN THE MANAGEMENT OF RHEUMATOLOGIC DISEASES, ESPECIALLY OSTEOARTHRITIS OF THE KNEE, HIP AND HAND, AND RHEUMATOID ARTHRITIS. THERE IS EVIDENCE THAT TAI CHI AND YOGA ARE SAFE, AND SOME EVIDENCE THAT THEY HAVE BENEFIT, LEADING TO REDUCTION OF PAIN AND IMPROVEMENT OF PHYSICAL FUNCTION AND QUALITY OF LIFE IN PATIENTS. RECOMMENDATIONS FOR TAI CHI IN KNEE OSTEOARTHRITIS HAVE RECENTLY BEEN ISSUED BY THE AMERICAN COLLEGE OF RHEUMATOLOGY. TO ALLOW BROADER RECOMMENDATIONS FOR THE USE OF TAI CHI AND YOGA IN RHEUMATIC DISEASES, THERE IS A NEED TO COLLECT MORE EVIDENCE RESEARCHED WITH LARGER RANDOMISED CONTROLLED TRIALS. 2012 2 2029 14 TAI CHI/YOGA EFFECTS ON ANXIETY, HEARTRATE, EEG AND MATH COMPUTATIONS. OBJECTIVE: TO DETERMINE THE IMMEDIATE EFFECTS OF A COMBINED FORM OF TAI CHI/YOGA. DESIGN: 38 ADULTS PARTICIPATED IN A 20-MIN TAI CHI/YOGA CLASS. THE SESSION WAS COMPRISED OF STANDING TAI CHI MOVEMENTS, BALANCING POSES AND A SHORT TAI CHI FORM AND 10 MIN OF STANDING, SITTING AND LYING DOWN YOGA POSES. MAIN OUTCOME MEASURES: THE PRE- AND POST- TAI CHI/YOGA EFFECTS WERE ASSESSED USING THE STATE ANXIETY INVENTORY (STAI), EKG, EEG AND MATH COMPUTATIONS. RESULTS: HEARTRATE INCREASED DURING THE SESSION, AS WOULD BE EXPECTED FOR THIS MODERATE-INTENSITY EXERCISE. CHANGES FROM PRE TO POST-SESSION ASSESSMENTS SUGGESTED INCREASED RELAXATION INCLUDING DECREASED ANXIETY AND A TREND FOR INCREASED EEG THETA ACTIVITY. CONCLUSIONS: THE INCREASED RELAXATION MAY HAVE CONTRIBUTED TO THE INCREASED SPEED AND ACCURACY NOTED ON MATH COMPUTATIONS FOLLOWING THE TAI CHI/YOGA CLASS. 2010 3 92 27 A NARRATIVE REVIEW OF MOVEMENT-BASED MIND-BODY INTERVENTIONS: EFFECTS OF YOGA, TAI CHI, AND QIGONG FOR BACK PAIN PATIENTS. THIS NARRATIVE LITERATURE REVIEW EVALUATED THE EFFECTS OF MOVEMENT-BASED MIND-BODY INTERVENTIONS (MMBIS; YOGA, TAI CHI, AND QIGONG) ON LOW BACK PAIN. A SEARCH OF DATABASES WAS CONDUCTED TO IDENTIFY RELEVANT STUDIES. THIRTY-TWO ARTICLES MET INCLUSION CRITERIA AND WERE INCLUDED FOR THIS NARRATIVE REVIEW. OF THE REVIEWED STUDIES, THE HIGHEST NUMBER FOCUSED ON YOGA INTERVENTION (N = 25), 4 FOCUSED ON QIGONG, AND 3 FOCUSED ON TAI CHI IN MANAGING BACK PAIN. THE SELECTED ARTICLES SHOWED MMBI TO BE EFFECTIVE FOR TREATMENT OF LOW BACK PAIN, REPORTING POSITIVE OUTCOMES SUCH AS REDUCTION IN PAIN OR PSYCHOLOGICAL DISTRESS (EG, DEPRESSION AND ANXIETY), AND IMPROVED FUNCTIONAL ABILITY. HOWEVER, LITTLE IS KNOWN ABOUT THE EFFECTS OF MMBI, IN PARTICULAR QIGONG AND TAI CHI. MORE CLINICAL TRIALS ARE NEEDED TO DETERMINE HOW TO REDUCE BACK PAIN, IMPROVE PHYSICAL FUNCTION, AND MINIMIZE BEHAVIORAL AND PSYCHOLOGICAL SYMPTOMS ASSOCIATED WITH LOW BACK PAIN. NURSE PRACTITIONERS MAY INTRODUCE SUCH MIND-BODY INTERVENTIONS FOR MANAGING PAIN, ESPECIALLY FOR PATIENTS AT HIGH RISK FOR ADVERSE EFFECTS FROM PHARMACOLOGICAL TREATMENT, AND REFER THEM TO A YOGA THERAPIST, TAI-CHI INSTRUCTOR, OR QIGONG INSTRUCTOR. 2020 4 538 22 COMPLEMENTARY AND ALTERNATIVE TREATMENT FOR NECK PAIN: CHIROPRACTIC, ACUPUNCTURE, TENS, MASSAGE, YOGA, TAI CHI, AND FELDENKRAIS. OF THE MULTITUDE OF TREATMENT OPTIONS FOR THE MANAGEMENT OF NECK PAIN, NO OBVIOUS SINGLE TREATMENT MODALITY HAS BEEN SHOWN TO BE MOST EFFICACIOUS. AS SUCH, THE CLINICIAN SHOULD CONSIDER ALTERNATIVE TREATMENT MODALITIES IF A MODALITY IS ENGAGING, AVAILABLE, FINANCIALLY FEASIBLE, POTENTIALLY EFFICACIOUS, AND IS LOW RISK FOR THE PATIENT. AS EVIDENCE-BASED MEDICINE FOR NECK PAIN DEVELOPS, THE CLINICIAN IS FACED WITH THE CHALLENGE OF WHICH TREATMENTS TO ENCOURAGE PATIENTS TO PURSUE. TREATMENT MODALITIES EXPLORED IN THIS ARTICLE, INCLUDING CHIROPRACTIC, ACUPUNCTURE, TENS, MASSAGE, YOGA, TAI CHI, AND FELDENKRAIS, REPRESENT REASONABLE COMPLEMENTARY AND ALTERNATIVE MEDICINE METHODS FOR PATIENTS WITH NECK PAIN. 2011 5 539 30 COMPLEMENTARY THERAPIES IN PARKINSON DISEASE: A REVIEW OF ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. PARKINSON DISEASE (PD) IS A PROGRESSIVE NEURODEGENERATIVE CONDITION CHARACTERIZED BY BRADYKINESIA, RIGIDITY, RESTING TREMOR, AND POSTURAL INSTABILITY. NON-MOTOR SYMPTOMS, INCLUDING PAIN, FATIGUE, INSOMNIA, ANXIETY, AND DEPRESSION TO NAME A FEW, ARE INCREASINGLY RECOGNIZED AND OFTEN JUST AS DISABLING AT MOTOR SYMPTOMS. THE MAINSTAY OF TREATMENT IS DOPAMINE REPLACEMENT; HOWEVER, THE BENEFICIAL EFFECTS TEND TO WANE OVER TIME WITH DISEASE PROGRESSION, AND PATIENTS OFTEN EXPERIENCE MOTOR FLUCTUATIONS AND MEDICATION SIDE EFFECTS. THE LACK OF A DISEASE-MODIFYING INTERVENTION AND THE SHORTCOMINGS OF TRADITIONAL SYMPTOMATIC MEDICATIONS HAVE LED MANY PATIENTS TO PURSUE COMPLEMENTARY THERAPIES TO ALLEVIATE MOTOR AND NON-MOTOR SYMPTOMS ASSOCIATED WITH PD. THE TERM COMPLEMENTARY IMPLIES THAT THE THERAPY IS USED ALONG WITH CONVENTIONAL MEDICINE AND MAY INCLUDE SUPPLEMENTS, MANIPULATIVE TREATMENTS (CHIROPRACTIC, MASSAGE), EXERCISE-BASED PROGRAMS, AND MIND-BODY PRACTICES. AS THESE PRACTICES BECOME MORE WIDESPREAD IN WESTERN MEDICINE, THERE IS A GROWING INTEREST IN EVALUATING THEIR EFFECTS ON A NUMBER OF MEDICAL CONDITIONS, PD INCLUDED. IN THIS REVIEW, WE PROVIDE AN UPDATE ON CLINICAL TRIALS THAT HAVE EVALUATED THE EFFECTIVENESS OF COMPLEMENTARY TREATMENTS FOR PATIENTS WITH PD, SPECIFICALLY FOCUSING ON ACUPUNCTURE, TAI CHI, QI GONG, YOGA, AND CANNABIS. 2020 6 2199 32 THE EFFICACY OF TAI CHI AND YOGA IN RHEUMATOID ARTHRITIS AND SPONDYLOARTHROPATHIES: A NARRATIVE BIOMEDICAL REVIEW. RHEUMATOID ARTHRITIS (RA) AND SPONDYLOARTHROPATHIES (SPA) ARE AMONG THE MOST COMMON INFLAMMATORY RHEUMATIC DISEASES, WHICH MIGHT INDUCE CHRONIC PAIN FOR THEIR SUFFERERS. MIND-BODY INTERVENTIONS LIKE TAI CHI AND YOGA ARE AMONG THE MANY ALTERNATIVE THERAPIES FOR COMBATTING CHRONIC PAIN. THIS REVIEW AIMS TO OVERVIEW THE ARTICLES ABOUT THEIR EFFECTIVENESS IN RA AND SPA. WE SEARCHED PUBMED/MEDLINE, SCOPUS, AND WEB OF SCIENCE FOR ENGLISH-LANGUAGE SOURCES FROM THEIR INCEPTION THROUGH SEPTEMBER 2017. CASE-CONTROL STUDIES, INTERVENTIONAL STUDIES, AND CASE SERIES THAT INCLUDED MORE THAN THREE CASES AND RANDOMIZED CROSSOVER STUDIES WERE INCLUDED. THE LITERATURE SEARCH RETRIEVED 133 NON-DUPLICATE RECORDS, AND 15 OF THEM WERE ELIGIBLE AND WERE INCLUDED IN THIS REVIEW. THE INFLUENCE OF TAI CHI REMAINS DEBATABLE IN RA, WHILE THERE IS ONLY ONE STUDY THAT INVESTIGATED ITS EFFICACY IN SPA. YOGA SEEMS EFFECTIVE IN DECREASING PAIN AND INFLAMMATION WHILE INCREASING QUALITY OF LIFE. THERE ARE NO DATA AVAILABLE ABOUT ITS EFFECT ON SPA. EVEN AFTER A THOROUGH RESEARCH, THE NUMBER OF ARTICLES IS QUITE LIMITED ON THE EFFECTIVENESS OF TAI CHI AND YOGA IN RA AND SPA. WHILE THESE COMPLEMENTARY APPROACHES STILL SHOW SOME PROMISE AS ALTERNATIVE THERAPIES IN RA AND SPA, THE LITERATURE LACKS LONG-TERM STUDIES WITH LARGER PATIENT GROUPS. 2018 7 1973 30 SHOULD ACUPUNCTURE, BIOFEEDBACK, MASSAGE, QI GONG, RELAXATION THERAPY, DEVICE-GUIDED BREATHING, YOGA AND TAI CHI BE USED TO REDUCE BLOOD PRESSURE?: RECOMMENDATIONS BASED ON HIGH-QUALITY SYSTEMATIC REVIEWS. BACKGROUND: THIS REVIEW AIMS TO RATE THE QUALITY OF EVIDENCE AND THE STRENGTH OF RECOMMENDATIONS IN HIGH-QUALITY SYSTEMATIC REVIEWS OF NON-DRUG THERAPIES. HYPERTENSIVE PATIENTS WHO ARE RESISTANT OR NON-ADHERENT TO ANTIHYPERTENSIVE DRUGS MAY BE EASIER TO MANAGE IF THEY CHOOSE ALTERNATIVE NON-DRUG THERAPIES FOR HYPERTENSION, BASED ON THIS REVIEW. METHODS: P: ADULTS (>18 YEARS), EXCEPT PREGNANT WOMEN, WITH ESSENTIAL HYPERTENSION. I: CUPPING, MOXIBUSTION, ACUPUNCTURE, ACUPOINT STIMULATION, YOGA, MEDITATION, TAI CHI, QI GONG, CHINESE MASSAGE, MASSAGE, SPINAL MANIPULATION, BIOFEEDBACK, DEVICE-GUIDED BREATHING THERAPY, AROMATHERAPY, MUSIC THERAPY, AND RELAXATION APPROACHES. C: 1. NO TREATMENT. 2. SHAM THERAPY. 3. CONVENTIONAL TREATMENT, INCLUDING ANTIHYPERTENSIVE DRUGS AND LIFESTYLE MODIFICATION (E.G., EXERCISE). O: 1. CHANGE IN THE INCIDENCE OF CARDIOVASCULAR DEATH. 2. CHANGE IN THE INCIDENCE OF MYOCARDIAL INFARCTION. 3. CHANGE IN THE INCIDENCE OF STROKE. 4. CHANGE IN BLOOD PRESSURE (BP). 5. EFFICACY RATE OF BP LOWERING. 6. ADVERSE EFFECTS (REVIEW SPECIFIC). S: SYSTEMATIC REVIEWS OF RANDOMIZED CONTROLLED TRIALS, INCLUDING META-ANALYSES AND ASSESSMENTS OF THE METHODOLOGICAL QUALITY/RISK OF BIAS. INFORMATION SOURCES: COCHRANE DATABASE OF SYSTEMATIC REVIEWS, DATABASE OF ABSTRACTS OF REVIEWS OF EFFECTS, COCHRANE LIBRARY, PUBMED, WEB OF SCIENCE, CHINA NATIONAL KNOWLEDGE INFRASTRUCTURE, AND CHINESE SCIENTIFIC JOURNAL DATABASE WERE SEARCHED. THE BIBLIOGRAPHIES OF THE INCLUDED ARTICLES WERE ALSO SEARCHED FOR RELEVANT SYSTEMATIC REVIEWS. GRADE CRITERIA WERE USED TO RATE THE QUALITY OF EVIDENCE IN SYSTEMATIC REVIEWS CONSIDERING 6 FACTORS, INCLUDING RISK OF BIAS. RESULTS: THIS REVIEW ULTIMATELY INCLUDED 13 SYSTEMATIC REVIEWS OF 14 NON-DRUG THERAPIES (ACUPUNCTURE, WET CUPPING, BADUANJIN, BLOOD LETTING, AURICULAR ACUPUNCTURE, MUSIC, MASSAGE, QI GONG, MOXIBUSTION, RELAXATION THERAPIES, BIOFEEDBACK, DEVICE-GUIDED BREATHING, YOGA AND TAI CHI) BASED ON THE INCLUSION CRITERIA. THE QUALITY OF EVIDENCE WAS GENERALLY LOW, AND WEAK RECOMMENDATIONS WERE GIVEN FOR MOST THERAPIES EXCEPT MASSAGE AND ACUPUNCTURE PLUS ANTIHYPERTENSIVE DRUG. BASED ON THE ANALYZED EVIDENCE, MASSAGE AND ACUPUNCTURE PLUS ANTIHYPERTENSIVE DRUG COULD BENEFIT PEOPLE WHO WANT TO LOWER THEIR BP AND DO NOT HAVE CONTRAINDICATIONS FOR MASSAGE AND ACUPUNCTURE PLUS ANTIHYPERTENSIVE DRUG. DISCUSSION/STRENGTH: THE GRADE APPROACH MAKES THIS REVIEW A UNIQUE REFERENCE FOR PEOPLE WHO ARE CONSIDERING THE GRADE OF QUALITY OF EVIDENCE IN SYSTEMATIC REVIEWS, THE BALANCE OF DESIRABLE AND UNDESIRABLE CONSEQUENCES AND THE STRENGTH OF RECOMMENDATIONS TO DECIDE WHICH INTERVENTION SHOULD BE USED TO REDUCE BP. LIMITATIONS: MANY NON-DRUG THERAPIES WERE EXCLUDED DUE TO THE LOW METHODOLOGICAL QUALITY OF THEIR SYSTEMATIC REVIEWS, AND ONLY 14 THERAPIES WERE EVALUATED IN THIS REVIEW. AS NO PATIENT-IMPORTANT OUTCOMES WERE REVIEWED, SURROGATE OUTCOMES WERE USED TO RATE THE STRENGTH OF RECOMMENDATIONS. THIS APPROACH MAY CAUSE A DECREASE IN EVIDENCE QUALITY ACCORDING TO GRADE, BUT WE ARGUE THAT THIS IS APPROPRIATE IN THE CONTEXT OF THIS REVIEW. 2019 8 1141 19 EFFICACY OF YOGA, TAI CHI AND QI GONG ON THE MAIN SYMPTOMS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A SYSTEMATIC REVIEW. INTRODUCTION: THE AIM OF THIS SYSTEMATIC REVIEW WAS TO SUMMARIZE THE EFFECTS OF YOGA, QI GONG OR TAI CHI IN COPD PATIENTS. METHODS: STUDIES EVALUATING EFFECTS OF THE SELECTED COMPLEMENTARY THERAPIES ON LUNG FUNCTION, DYSPNEA, QUALITY OF LIFE OR FUNCTIONAL EXERCISE CAPACITY IN COPD PATIENTS WERE IDENTIFIED AND REVIEWED FROM THREE DATABASES. RESULTS: EIGHTEEN STUDIES WERE INCLUDED. SIX STUDIES EVALUATED THE EFFECTS OF YOGA AND THE OTHERS FOCUSED ON TAI CHI OR QI GONG SEPARATELY OR COMBINED. THE DURATION OF THE PROGRAMS RANGED FROM 6 WEEKS TO 6 MONTHS AND THE FREQUENCY FROM 2 TO 7 TIMES A WEEK. EACH SESSION REACHED 30 TO 90 MINUTES. BENEFITS WERE OBSERVED ON LUNG FUNCTION AND FUNCTIONAL EXERCISE CAPACITY BUT BENEFIT WAS CLEARLY STATED NEITHER ON QUALITY OF LIFE NOR ON DYSPNEA. CONCLUSION: THIS SYSTEMATIC REVIEW HIGHLIGHTS THE POTENTIAL OF THESE THERAPIES AS COMPLEMENTARY THERAPEUTIC APPROACH IN COPD PATIENTS. 2019 9 1202 24 EXERCISE, YOGA, AND TAI CHI FOR TREATMENT OF MAJOR DEPRESSIVE DISORDER IN OUTPATIENT SETTINGS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: EXERCISE, YOGA, AND TAI CHI ARE COMMONLY USED COMPLEMENTARY APPROACHES FOR HEALTH AND WELLNESS. THIS REVIEW AIMS TO SYNTHESIZE THE EVIDENCE FOR EXERCISE, YOGA, AND TAI CHI IN THE OUTPATIENT TREATMENT OF MAJOR DEPRESSIVE DISORDER. STUDY SELECTION: A SYSTEMATIC SEARCH OF THE OVID MEDLINE, EMBASE, PSYCINFO, AND COCHRANE DATABASES WAS CONDUCTED FOR RANDOMIZED CONTROLLED TRIALS OF EXERCISE, YOGA, AND TAI CHI FOR MAJOR DEPRESSIVE DISORDER. DATA EXTRACTION: STANDARDIZED MEAN DIFFERENCES WERE CALCULATED AND META-ANALYZED USING A RANDOM EFFECTS MULTILEVEL MODELING FRAMEWORK. HETEROGENEITY AND SUBGROUP ANALYSIS WAS CONDUCTED. RESULTS: TWENTY-FIVE STUDIES WERE INCLUDED FOR FINAL ANALYSIS (EXERCISE: 15, YOGA: 7, TAI CHI: 3). OVERALL, META-ANALYSIS SHOWED A MODERATE SIGNIFICANT CLINICAL EFFECT. HOWEVER, WHEN ONLY STUDIES (6 STUDIES) WITH THE LOWEST RISK OF BIAS WERE INCLUDED, THE OVERALL EFFECT SIZE WAS REDUCED TO LOW TO MODERATE EFFICACY. OVERALL QUALITY OF EVIDENCE WAS LOW. HETEROGENEITY AND PUBLICATION BIAS WERE HIGH. CONCLUSIONS: THE CURRENT META-ANALYSIS OF OUTPATIENT EXERCISE, YOGA, AND TAI CHI FOR TREATMENT OF MAJOR DEPRESSIVE DISORDER SUGGESTS THAT ADJUNCTIVE EXERCISE AND YOGA MAY HAVE SMALL ADDITIVE CLINICAL EFFECTS IN COMPARISON TO CONTROL FOR REDUCING DEPRESSIVE SYMPTOMS. THE EVIDENCE FOR TAI CHI IS INSUFFICIENT TO DRAW CONCLUSIONS. THE CONCERNS WITH QUALITY OF STUDIES, HIGH HETEROGENEITY, AND EVIDENCE OF PUBLICATION BIAS PRECLUDE MAKING FIRM CONCLUSIONS. 2020 10 1201 22 EXERCISE, YOGA, AND MEDITATION FOR DEPRESSIVE AND ANXIETY DISORDERS. ANXIETY AND DEPRESSION ARE AMONG THE MOST COMMON CONDITIONS CITED BY THOSE SEEKING TREATMENT WITH COMPLEMENTARY AND ALTERNATIVE THERAPIES, SUCH AS EXERCISE, MEDITATION, TAI CHI, QIGONG, AND YOGA. THE USE OF THESE THERAPIES IS INCREASING. SEVERAL STUDIES OF EXERCISE AND YOGA HAVE DEMONSTRATED THERAPEUTIC EFFECTIVENESS SUPERIOR TO NO-ACTIVITY CONTROLS AND COMPARABLE WITH ESTABLISHED DEPRESSION AND ANXIETY TREATMENTS (E.G., COGNITIVE BEHAVIOR THERAPY, SERTRALINE, IMIPRAMINE). HIGH-ENERGY EXERCISE (I.E., WEEKLY EXPENDITURE OF AT LEAST 17.5 KCAL PER KG) AND FREQUENT AEROBIC EXERCISE (I.E., AT LEAST THREE TO FIVE TIMES PER WEEK) REDUCE SYMPTOMS OF DEPRESSION MORE THAN LESS FREQUENT OR LOWER-ENERGY EXERCISE. MINDFUL MEDITATION AND EXERCISE HAVE POSITIVE EFFECTS AS ADJUNCTIVE TREATMENTS FOR DEPRESSIVE DISORDERS, ALTHOUGH SOME STUDIES SHOW MULTIPLE METHODOLOGICAL WEAKNESSES. FOR ANXIETY DISORDERS, EXERCISE AND YOGA HAVE ALSO SHOWN POSITIVE EFFECTS, BUT THERE ARE FAR LESS DATA ON THE EFFECTS OF EXERCISE ON ANXIETY THAN FOR EXERCISE ON DEPRESSION. TAI CHI, QIGONG, AND MEDITATION HAVE NOT SHOWN EFFECTIVENESS AS ALTERNATIVE TREATMENTS FOR DEPRESSION AND ANXIETY. 2010 11 2028 21 TAI CHI AND YOGA IN RESIDENTIAL AGED CARE: PERSPECTIVES OF PARTICIPANTS: A QUALITATIVE STUDY. AIMS AND OBJECTIVES: THIS QUALITATIVE STUDY EXAMINED THE APPROPRIATENESS AND ACCEPTABILITY OF 14-WEEK MODIFIED TAI CHI AND YOGA PROGRAMMES IN AN AUSTRALIAN RESIDENTIAL AGED CARE (RAC) SETTING BY EXPLORING EXPERIENCES AND PERSPECTIVES OF FRAIL OLDER RESIDENTS AND STAFF PARTICIPANTS. BACKGROUND: OLDER PERSONS IN RAC HAVE LIMITED OPPORTUNITIES FOR PHYSICAL ACTIVITY. TAI CHI AND YOGA ARE MINDFULNESS-BASED EXERCISE INTERVENTIONS THAT HAVE BEEN USED TO PROMOTE PHYSICAL AND PSYCHOLOGICAL HEALTH OF OLDER ADULTS IN COMMUNITY SETTINGS. WHILE RESEARCH ON TAI CHI AND YOGA INTERVENTIONS IN COMMUNITY SETTINGS IS PROMISING, THERE IS LIMITED RESEARCH REGARDING THE INTERVENTIONS' APPROPRIATENESS AND ACCEPTABILITY FOR FRAIL OLDER RESIDENTS IN RESIDENTIAL CARE SETTINGS IN AUSTRALIA. DESIGN: DESCRIPTIVE AND QUALITATIVE COMPONENT OF A MIXED-METHODS STUDY. METHODS: ALL RESIDENTS WHO PARTICIPATED IN THE MODIFIED YOGA AND TAI CHI INTERVENTIONS AND STAFF WHO SUPPORTED THEM WERE INVITED. A TOTAL OF 19 INDIVIDUALS COMPRISING 16 RESIDENTS AND THREE STAFF MEMBERS PARTICIPATED IN THREE FOCUS GROUP INTERVIEWS. THE INTERVIEWS WERE AUDIO-RECORDED, TRANSCRIBED AND ANALYSED THEMATICALLY USING A QUALITATIVE DESCRIPTIVE APPROACH. RESULTS: NINE THEMES THAT REFLECTED THE UNIQUENESS OF THE PROGRAMMES' MIND-BODY APPROACH ARE PRESENTED: (A) NOVEL, NEW AND EXCITING; (B) SMOOTHNESS, RHYTHM AND FLOW; (C) SLOW AND MINDFUL; (D) GENTLE BUT REWARDING; (E) MOVING WHOLE BODY; (F) PERCEIVED BENEFITS; (G) WORTHWHILE; (H) FEELING ALIVE; AND (I) CALMING AND RELAXING. CONCLUSIONS: THE MODIFIED PROGRAMMES OF TAI CHI AND YOGA WAS ACCEPTABLE, APPROPRIATE, ENJOYABLE AND HELPFUL. BOTH TAI CHI AND YOGA APPEAR TO PROVIDE APPROPRIATE PHYSICAL EXERCISE AND OPPORTUNITIES FOR OLDER PERSONS TO ENHANCE THEIR QUALITY OF LIFE THROUGH INTERACTION OF PHYSICAL, EMOTIONAL AND INTELLECTUAL WELLNESS DOMAINS. RELEVANCE TO CLINICAL PRACTICE: THE 14-WEEK MODIFIED PROGRAMMES OF TAI CHI AND YOGA COULD BE APPLIED TO FRAIL OLDER RAC POPULATION TO PROMOTE HEALTH AND ACTIVE AGEING. 2018 12 1537 34 KNEE OSTEOARTHRITIS PAIN IN THE ELDERLY CAN BE REDUCED BY MASSAGE THERAPY, YOGA AND TAI CHI: A REVIEW. BACKGROUND AND METHODS: THIS IS A REVIEW OF RECENTLY PUBLISHED RESEARCH, BOTH EMPIRICAL STUDIES AND META-ANALYSES, ON THE EFFECTS OF COMPLEMENTARY THERAPIES INCLUDING MASSAGE THERAPY, YOGA AND TAI CHI ON PAIN ASSOCIATED WITH KNEE OSTEOARTHRITIS IN THE ELDERLY. RESULTS: THE MASSAGE THERAPY PROTOCOLS HAVE BEEN EFFECTIVE IN NOT ONLY REDUCING PAIN BUT ALSO IN INCREASING RANGE OF MOTION, SPECIFICALLY WHEN MODERATE PRESSURE MASSAGE WAS USED AND WHEN BOTH THE QUADRICEPS AND HAMSTRINGS WERE MASSAGED. THE YOGA STUDIES TYPICALLY MEASURED PAIN BY THE WOMAC. MOST OF THOSE STUDIES SHOWED A CLINICALLY SIGNIFICANT REDUCTION IN PAIN, ESPECIALLY THE RESEARCH THAT FOCUSED ON POSES (E.G. THE IYENGAR STUDIES) AS OPPOSED TO THOSE THAT HAD INTEGRATED PROTOCOLS (POSES, BREATHING AND MEDITATION EXERCISES). THE TAI CHI STUDIES ALSO ASSESSED PAIN BY SELF-REPORT ON THE WOMAC AND SHOWED SIGNIFICANT REDUCTIONS IN PAIN. THE TAI CHI STUDIES WERE DIFFICULT TO COMPARE BECAUSE OF THEIR HIGHLY VARIABLE PROTOCOLS IN TERMS OF THE FREQUENCY AND DURATION OF TREATMENT. DISCUSSION: LARGER, RANDOMIZED CONTROL TRIALS ARE NEEDED ON EACH OF THESE THERAPIES USING MORE STANDARDIZED PROTOCOLS AND MORE OBJECTIVE VARIABLES IN ADDITION TO THE SELF-REPORTED WOMAC PAIN SCALE, FOR EXAMPLE, RANGE-OF-MOTION AND OBSERVED RANGE-OF-MOTION PAIN. IN ADDITION, TREATMENT COMPARISON STUDIES SHOULD BE CONDUCTED SO, FOR EXAMPLE, IF THE LOWER-COST YOGA AND TAI CHI WERE AS EFFECTIVE AS MASSAGE THERAPY, THEY MIGHT BE USED IN COMBINATION WITH OR AS SUPPLEMENTAL TO MASSAGE THERAPY. NONETHELESS, THESE THERAPIES ARE AT LEAST REDUCING PAIN IN KNEE OSTEOARTHRITIS AND THEY DO NOT SEEM TO HAVE SIDE EFFECTS. 2016 13 2446 31 YOGA AND TAI CHI: A MIND-BODY APPROACH IN MANAGING RESPIRATORY SYMPTOMS IN OBSTRUCTIVE LUNG DISEASES. PURPOSE OF REVIEW: CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IS CHARACTERIZED BY AIRFLOW LIMITATION BECAUSE OF AIRWAY AND/OR ALVEOLAR ABNORMALITIES. SYMPTOMS INCLUDE DYSPNEA, COUGH, CHRONIC SPUTUM PRODUCTION. AS THE THIRD-RANKED CAUSE OF DEATH AS WELL AS DISABILITY-ADJUSTED LIFE YEARS (DALYS), IT POSES A SIGNIFICANT BURDEN ON PATIENTS, FAMILIES, HEALTHCARE SYSTEM AND SOCIETY. REGULAR PHYSICAL ACTIVITY IS LINKED TO DECREASE IN MORBIDITY AND MORTALITY ASSOCIATED WITH COPD, BUT IMPLEMENTATION REMAINS CHALLENGING. THERE IS A NEED FOR COMMUNITY-BASED INTERVENTIONS THAT PROMOTE PHYSICAL ACTIVITY. YOGA AND TAI CHI ARE WIDELY AVAILABLE IN THE COMMUNITY AND HAVE BEEN SHOWN TO BE BENEFICIAL IN PATIENTS WITH COPD AS WELL AS MANY OF THE CO-MORBID CONDITIONS ASSOCIATED WITH COPD. RECENT FINDINGS: YOGA AND TAI CHI HAVE BEEN FOUND TO BE MORE EFFECTIVE THAN USUAL CARE IN COPD WITH CLINICALLY MEANINGFUL IMPROVEMENTS IN 6-MIN WALK DISTANCE (6MWD), FORCED EXPIRATORY VOLUME IN 1 S (FEV1), AND HEALTH-RELATED QUALITY OF LIFE (HRQOL). THEY HAVE ALSO BEEN FOUND TO BE COMPARABLE TO PULMONARY REHABILITATION INTERVENTIONS. SUMMARY: YOGA AND TAI CHI PROVIDE COMMUNITY-BASED OPTIONS FOR PATIENTS WITH COPD TO IMPROVE THEIR PHYSICAL ACTIVITY, QUALITY OF LIFE, AND PULMONARY FUNCTION. 2020 14 2125 12 THE EFFECTIVENESS OF TAI CHI, YOGA, MEDITATION, AND REIKI HEALING SESSIONS IN PROMOTING HEALTH AND ENHANCING PROBLEM SOLVING ABILITIES OF REGISTERED NURSES. GIVEN THE CURRENT NECESSITY OF RETAINING QUALIFIED NURSES, A SELF-CARE PROGRAM CONSISTING OF YOGA, TAI CHI, MEDITATION CLASSES, AND REIKI HEALING SESSIONS WAS DESIGNED FOR A UNIVERSITY-BASED HOSPITAL. THE EFFECTIVENESS OF THESE INTERVENTIONS WAS EVALUATED USING SELF-CARE JOURNALS AND ANALYZED USING A HEIDEGGERIAN PHENOMENOLOGICAL APPROACH. OUTCOMES OF THE SELF-CARE CLASSES DESCRIBED BY NURSES INCLUDED: (A) NOTICING SENSATIONS OF WARMTH, TINGLING, AND PULSATION WHICH WERE RELAXING, (B) BECOMING AWARE OF AN ENHANCED PROBLEM SOLVING ABILITY, AND (C) NOTICING AN INCREASED ABILITY TO FOCUS ON PATIENT NEEDS. HOSPITALS WILLING TO INVEST IN SELF-CARE OPTIONS FOR NURSES CAN ANTICIPATE PATIENT AND WORK RELATED BENEFITS. 2007 15 1004 22 EFFECTS OF MIND(-)BODY EXERCISES (TAI CHI/YOGA) ON HEART RATE VARIABILITY PARAMETERS AND PERCEIVED STRESS: A SYSTEMATIC REVIEW WITH META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: HEART RATE VARIABILITY (HRV) AS AN ACCURATE, NONINVASIVE MEASURE OF THE AUTONOMOUS NERVOUS SYSTEM (ANS) CAN REFLECT MENTAL HEALTH (E.G., STRESS, DEPRESSION, OR ANXIETY). TAI CHI AND YOGA (TAI CHI/YOGA), AS THE MOST WIDELY PRACTICED MIND(-)BODY EXERCISES, HAVE SHOWN POSITIVE OUTCOMES OF MENTAL HEALTH. TO DATE, NO SYSTEMATIC REVIEW REGARDING THE LONG-LASTING EFFECTS OF TAI CHI/YOGA ON HRV PARAMETERS AND PERCEIVED STRESS HAS BEEN CONDUCTED. OBJECTIVE: TO CRITICALLY EVALUATE THE EXISTING LITERATURE ON THIS TOPIC. METHODS: FIVE ELECTRONIC DATABASES (WEB OF SCIENCE, PUBMED, SCOPUS, SPORTDISCUS AND COCHRANE LIBRARY) WERE SEARCHED FROM THE START OF THE RESEARCH PROJECT TO JULY 2018. STUDY SELECTION, DATA EXTRACTION, AND STUDY QUALITY ASSESSMENT WERE INDEPENDENTLY CARRIED OUT BY TWO REVIEWERS. THE POTENTIALLY IDENTIFIED RANDOMIZED CONTROLLED TRIALS (RCT) REPORTED THE USEFUL QUANTITATIVE DATA THAT WERE INCLUDED ONLY FOR META-ANALYSIS. RESULTS: META-ANALYSIS OF 17 MEDIUM-TO-HIGH QUALITY RCTS SHOWED SIGNIFICANTLY BENEFICIAL EFFECTS ON HRV PARAMETERS (NORMALIZED LOW-FREQUENCY, HEDGE'S G = -0.39, 95% CI -0.39 TO -0.56, P < 0.001, I2 = 11.62%; NORMALIZED HIGH-FREQUENCY, HEDGE'S G = 0.37, 95% CI 0.22 TO -0.52, P < 0.001, I2 = 0%; LOW-FREQUENCY TO HIGH-FREQUENCY RATIO, HEDGE'S G = -0.58, 95% CI -0.81 TO -0.35, P < 0.001, I2 = 53.78%) AND STRESS LEVEL (HEDGE'S G = -0.80, 95% CI -1.17 TO -0.44, P < 0.001, I2 = 68.54%). CONCLUSIONS: STRESS REDUCTION MAY BE ATTRIBUTED TO SYMPATHETIC-VAGAL BALANCE MODULATED BY MIND(-)BODY EXERCISES. TAI CHI/YOGA COULD BE AN ALTERNATIVE METHOD FOR STRESS REDUCTION FOR PEOPLE WHO LIVE UNDER HIGH STRESS OR NEGATIVE EMOTIONS. 2018 16 576 22 DEPRESSION AND ANXIETY DISORDERS: BENEFITS OF EXERCISE, YOGA, AND MEDITATION. MANY PEOPLE WITH DEPRESSION OR ANXIETY TURN TO NONPHARMACOLOGIC AND NONCONVENTIONAL INTERVENTIONS, INCLUDING EXERCISE, YOGA, MEDITATION, TAI CHI, OR QI GONG. META-ANALYSES AND SYSTEMATIC REVIEWS HAVE SHOWN THAT THESE INTERVENTIONS CAN IMPROVE SYMPTOMS OF DEPRESSION AND ANXIETY DISORDERS. AS AN ADJUNCTIVE TREATMENT, EXERCISE SEEMS MOST HELPFUL FOR TREATMENT-RESISTANT DEPRESSION, UNIPOLAR DEPRESSION, AND POSTTRAUMATIC STRESS DISORDER. YOGA AS MONOTHERAPY OR ADJUNCTIVE THERAPY SHOWS POSITIVE EFFECTS, PARTICULARLY FOR DEPRESSION. AS AN ADJUNCTIVE THERAPY, IT FACILITATES TREATMENT OF ANXIETY DISORDERS, PARTICULARLY PANIC DISORDER. TAI CHI AND QI GONG MAY BE HELPFUL AS ADJUNCTIVE THERAPIES FOR DEPRESSION, BUT EFFECTS ARE INCONSISTENT. AS MONOTHERAPY OR AN ADJUNCTIVE THERAPY, MINDFULNESS-BASED MEDITATION HAS POSITIVE EFFECTS ON DEPRESSION, AND ITS EFFECTS CAN LAST FOR SIX MONTHS OR MORE. ALTHOUGH POSITIVE FINDINGS ARE LESS COMMON IN PEOPLE WITH ANXIETY DISORDERS, THE EVIDENCE SUPPORTS ADJUNCTIVE USE. THERE ARE NO APPARENT NEGATIVE EFFECTS OF MINDFULNESS-BASED INTERVENTIONS, AND THEIR GENERAL HEALTH BENEFITS JUSTIFY THEIR USE AS ADJUNCTIVE THERAPY FOR PATIENTS WITH DEPRESSION AND ANXIETY DISORDERS. 2019 17 2327 18 TRENDS IN YOGA, TAI CHI, AND QIGONG USE AMONG US ADULTS, 2002-2017. OBJECTIVES: TO EXAMINE THE CHARACTERISTICS AND TEMPORAL TRENDS OF YOGA, TAI CHI, AND QIGONG (YTQ) USE AMONG US ADULTS. METHODS: USING THE 2002, 2007, 2012, AND 2017 NATIONAL HEALTH INTERVIEW SURVEYS, WE EXAMINED THE PREVALENCE, PATTERNS, AND PREDICTING FACTORS OF YTQ USE BY TAYLOR SERIES LINEAR REGRESSION, THE WALD F CHI(2) TEST, AND MULTIVARIABLE LOGISTIC REGRESSION MODELS (N = 116 404). RESULTS: YTQ USE INCREASED FROM 5.8% IN 2002 TO 14.5% IN 2017 (P