1 2719 124 YOGA MEDITATION ENHANCES PROPRIOCEPTION AND BALANCE IN INDIVIDUALS DIAGNOSED WITH PARKINSON'S DISEASE. THIS STUDY COMPARED THE EFFECTIVENESS OF TWO PROPRIOCEPTIVE EXERCISE PROGRAMS FOR PERSONS DIAGNOSED WITH PARKINSON'S DISEASE (PD). THIRTY-THREE PATIENTS WITH MILD TO MODERATE PD WERE RANDOMLY ASSIGNED TO A YOGA MEDITATION PROGRAM (YOMED) OR TO AN ESTABLISHED PROPRIOCEPTIVE TRAINING PROGRAM (PRO). BOTH INTERVENTIONS INCLUDED TWICE WEEKLY SESSIONS (45 MINUTES EACH), SPANNING A 12-WEEK PERIOD. OUTCOME MEASURES INCLUDED: JOINT POSITION SENSE (JPS45 DEGREES , JPS55 DEGREES , JPS65 DEGREES ) AND JOINT KINESTHESIA (JKFLEX AND JKEXT), THE TINETTI BALANCE ASSESSMENT TOOL (TIN), FALLS EFFICACY SCALE (FES), BALANCE ERROR SCORING SYSTEM (BESS), DYNAMIC POSTUROGRAPHY (DMA AND TIME) AND THE TIMED UP-AND-GO TEST (TUG). TEST ADMINISTRATORS WERE BLINDED TO GROUP AFFILIATION. SIGNIFICANT BETWEEN-GROUP DIFFERENCES FAVORING THE YOMED GROUP WERE OBSERVED FOR TIN (P = 0.01, D = 0.77) AND JKFLEX (P = 0.05, D = -0.72). DMA AND TIME SCORES SIGNIFICANTLY IMPROVED FOR BOTH GROUPS, AND NO ADVERSE EVENTS WERE REPORTED. THESE FINDINGS INDICATE THAT THE YOMED PROGRAM IS SAFE AND EFFECTIVE FOR PATIENTS WITH PD. RESEARCHERS SHOULD CONTINUE TO EXAMINE THE CLINICAL EFFICACY OF MIND-BODY TECHNIQUES TO IMPROVE MOVEMENT CONTROL AND BODY AWARENESS IN THIS POPULATION. 2021 2 782 32 EFFECT OF YOGA BASED LIFESTYLE INTERVENTION ON PATIENTS WITH KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO INVESTIGATE THE EFFECT OF INTEGRATED APPROACH OF YOGA THERAPY (IAYT) INTERVENTION IN INDIVIDUAL WITH KNEE OSTEOARTHRITIS. DESIGN: RANDOMIZED CONTROLLED CLINCIAL TRAIL. PARTICIPANTS: SIXTY-SIX INDIVIDUAL PREDIAGNOSED WITH KNEE OSTEOARTHRITIS AGED BETWEEN 30 AND 75 YEARS WERE RANDOMIZED INTO TWO GROUPS, I.E., YOGA (N = 31) AND CONTROL (N = 35). YOGA GROUP RECEIVED IAYT INTERVENTION FOR 1 WEEK AT YOGA CENTER OF S-VYASA WHEREAS CONTROL GROUP MAINTAINED THEIR NORMAL LIFESTYLE. OUTCOME MEASURES: THE FALLS EFFICACY SCALE (FES), HANDGRIP STRENGTH TEST (LEFT HAND LHGS AND RIGHT HAND RHGS), TIMED UP AND GO TEST (TUG), SIT-TO-STAND (STS), AND RIGHT & LEFT EXTENSION AND FLEXION WERE MEASURED ON DAY 1 AND DAY 7. RESULTS: THERE WERE A SIGNIFICANT REDUCTION IN TUG (P < 0.001), RIGHT (P < 0.001), AND LEFT FLEXION (P < 0.001) WHEREAS SIGNIFICANT IMPROVEMENTS IN LHGS (P < 0.01), AND RIGHT EXTENSION (P < 0.05) & LEFT EXTENSION (P < 0.001) FROM BASELINE IN YOGA GROUP. CONCLUSION: IAYT PRACTICE SHOWED AN IMPROVEMENT IN TUG, STS, HGS, AND GONIOMETER TEST, WHICH SUGGEST IMPROVED MUSCULAR STRENGTH, FLEXIBILITY, AND FUNCTIONAL MOBILITY. CTRI REGISTRATION NUMBER: HTTP://CTRI.NIC.IN/CLINICALTRIALS, IDENTIFIER CTRI/2017/10/010141. 2018 3 1389 35 IMPACT OF SOMATIC YOGA AND MEDITATION ON FALL RISK, FUNCTION, AND QUALITY OF LIFE FOR CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY SYNDROME IN CANCER SURVIVORS. OBJECTIVE: CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY (CIPN) SYNDROME CAUSES SIGNIFICANT PAIN AS AN ADVERSE EFFECT OF TREATMENT, WITH FEW NONPHARMACOLOGICAL INTERVENTIONS TESTED. A SOMATIC YOGA AND MEDITATION (SYM) INTERVENTION ON FUNCTIONAL OUTCOMES AND QUALITY OF LIFE (QOL) WAS INVESTIGATED. DESIGN AND METHODS: INDIVIDUALS DIAGNOSED WITH CIPN WERE ENROLLED IN AN OPEN-LABEL, SINGLE-ARM, MIXED-METHODS FEASIBILITY TRIAL. PARTICIPANTS AND SETTING: IN AN OUTPATIENT REHABILITATION CENTER, TEN PARTICIPANTS WITH MEDIAN AGE 64.4 YEARS (47-81) ATTENDED 61% OF THE SESSIONS WITH NO ADVERSE EVENTS. INTERVENTION: SYM TWICE A WEEK FOR 8 WEEKS FOR 1.5 HOURS, WITH HOME PROGRAM AND JOURNALING. MAIN OUTCOME MEASURES: PRIMARY FUNCTIONAL OUTCOMES INCLUDED SIT AND REACH (SR), FUNCTIONAL REACH (FR), AND TIMED UP AND GO (TUG). SELF-REPORTED PATIENT NEUROTOXICITY QUESTIONNAIRE (PNQ) AND FUNCTIONAL ASSESSMENT OF CANCER THERAPY-NEUROTOXICITY (FACT-GOG-NTX) WERE SECONDARY CIPN OUTCOMES. BIOMARKERS INCLUDED SALIVARY CORTISOL (STRESS) AND BIOESTHESIOMETER (VIBRATION). RESULTS: QUANTITATIVE FINDINGS. SIGNIFICANT IMPROVEMENTS WERE FOUND IN FLEXIBILITY (SR; P = .006); BALANCE (FR; P = .001) AND FALL RISK (TUG; P = .004). PNQ IMPROVED SIGNIFICANTLY ( P = .003) WITH OTHER MEASURES IMPROVING NON-SIGNIFICANTLY. QUALITATIVE FINDINGS. FIVE THEMES EMERGED: (1) VACILLATION OF CIPN PAIN PERCEPTION OVER TIME; (2) TRANSFERABILITY OF SKILLS TO DAILY ACTIVITIES; (3) IMPROVEMENT IN PHYSICAL FUNCTION; (4) PERCEIVED RELAXATION AS AN EFFECT OF SYM; AND (5) GROUP ENGAGEMENT PROVIDED A SOCIAL CONTEXT FOR NOT FEELING ISOLATED WITH CIPN. CONCLUSION: PRELIMINARY DATA SUGGEST SYM MAY IMPROVE QOL, FLEXIBILITY, AND BALANCE IN CANCER SURVIVORS WITH CIPN, WITH A FULLY POWERED RANDOMIZED CONTROLLED TRIAL INDICATED. TRIAL REGISTRATION: NCT03786055. 2019 4 2143 41 THE EFFECTS OF M2M AND ADAPTED YOGA ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN PEOPLE WITH MULTIPLE SCLEROSIS. OBJECTIVE: TO INVESTIGATE THE EFFECTS OF TWO 12-WEEK EXERCISE TRAINING INTERVENTIONS, MOVEMENT-TO-MUSIC (M2M) AND ADAPTED YOGA (AY), ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN PEOPLE WITH MULTIPLE SCLEROSIS (MS). DESIGN: THREE-ARM RANDOMIZED CONTROLLED PROOF-OF-CONCEPT TRIAL. SETTING: A COMMUNITY-BASED FITNESS FACILITY. PARTICIPANTS: PARTICIPANTS (N=81) WITH MS (PATIENT DETERMINED DISEASE STEPS [PDDS] SELF-REPORTED DISEASE STATUS SCORES: 0-6) BETWEEN AGES OF 18 AND 65 YEARS WERE RANDOMIZED TO M2M (N=27), AY (N=26), OR WAITLIST CONTROL (N=28). INTERVENTIONS: BOTH M2M AND AY COMPLETED THREE 60-MINUTE EXERCISE SESSIONS PER WEEK FOR 12 WEEKS. WAITLIST CONTROLS RECEIVED BIWEEKLY NEWSLETTERS VIA MAIL THAT CONTAINED EDUCATIONAL INFORMATION ON LIVING WITH MS. MAIN OUTCOME MEASURES: PRIMARY MEASURES WERE TIMED UP AND GO (TUG, S) TEST, 6-MINUTE WALK TEST (6MWT, M), AND 5 TIMES SIT-TO-STAND TEST (FTSST, S). SECONDARY MEASURES WERE SELF-REPORTED OUTCOMES ASSESSED USING PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM FATIGUE AND PAIN INTERFERENCE SHORT FORM 8A. PARTICIPANTS WERE EVALUATED AT BASELINE AND POSTINTERVENTION. PRIMARY ANALYSES WERE PERFORMED USING AN INTENT-TO-TREAT MIXED MODEL ANALYSIS OF COVARIANCE. RESULTS: COMPARISONS ACROSS ALL 3 GROUPS REVEALED SIGNIFICANT GROUP DIFFERENCES IN TUG AND 6MWT. POST HOC ANALYSES INDICATED SIGNIFICANT IMPROVEMENTS IN TUG (LEAST SQUARE MEAN DIFFERENCE [95% CONFIDENCE INTERVAL] = -1.9S [-3.3 TO -0.5], P=.01, D=0.7) AND 6MWT (41.0M [2.2-80.0], P=.04, D=0.6; CONTROLLED FOR PDDS) IN M2M COMPARED TO CONTROLS, WHILE NO SIGNIFICANT DIFFERENCES WERE OBSERVED WHEN COMPARED AY TO CONTROLS. NO SIGNIFICANT GROUP DIFFERENCES WERE FOUND IN FTSST, FATIGUE, AND PAIN INTERFERENCE. CONCLUSIONS: M2M MAY BE A USEFUL AND ENJOYABLE EXERCISE FORM FOR PEOPLE WITH MS IN IMPROVING MOBILITY AND WALKING ENDURANCE AND MERITS LONG-TERM STUDY IN LARGER STUDY POPULATIONS. 2019 5 2180 28 THE EFFECTS OF YOGA ON PATIENTS WITH PARKINSON'S DISEASE: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. METHODS: A META-ANALYSIS WAS CONDUCTED BY SYSTEMATICALLY SEARCHING PUBMED, EMBASE, AND COCHRANE LIBRARY DATABASES TILL AUGUST 2020 FOR STUDIES PUBLISHED IN ENGLISH. THE REFERENCE LISTS OF ELIGIBLE STUDIES WERE ALSO SEARCHED. THE MOTOR SYMPTOMS (UPDRS-PART III), BALANCE FUNCTION (BBS AND BESTEST), FUNCTIONAL MOBILITY (TUG), ANXIETY (HADS AND BAI), DEPRESSION (HADS AND BDI), AND THE QUALITY OF LIFE (PDQ-39 AND PDQ-8) WERE THE PRIMARY EVALUATION INDEXES. RESULTS: TEN STUDIES INCLUDING 359 PARTICIPANTS WERE INCLUDED IN THIS META-ANALYSIS. THE POOLED RESULTS SHOWED SIGNIFICANT DIFFERENCE BETWEEN THE YOGA TRAINING GROUP AND THE CONTROL GROUP. PATIENTS IN THE YOGA TRAINING GROUP HAD BETTER FUNCTIONAL OUTCOMES IN TERMS OF MOTOR STATUS (MD = -5.64; 95% CI, -8.57 TO -2.7), BALANCE FUNCTION (SMD = 0.42; 95% CI, 0.08 TO 0.77), FUNCTIONAL MOBILITY (MD = -1.71; 95% CI, -2.58 TO -0.84), ANXIETY SCALE SCORES (SMD = -0.72; 95% CI, -1.01 TO -0.43), DEPRESSION SCALE SCORES (SMD = -0.92; 95% CI, -1.22 TO -0.62), AND QOL (SMD = -0.54; 95% CI, -0.97 TO -0.11). CONCLUSION: OUR POOLED RESULTS SHOWED THE BENEFITS OF YOGA IN IMPROVING MOTOR FUNCTION, BALANCE, FUNCTIONAL MOBILITY, REDUCING ANXIETY AND DEPRESSION, AND INCREASING QOL IN PD PATIENTS. 2021 6 680 34 EFFECT OF A YOGA PROGRAMME ON AN INDIVIDUAL WITH PARKINSON'S DISEASE: A SINGLE-SUBJECT DESIGN. PURPOSE: TO INVESTIGATE THE EFFECT OF EIGHT WEEKLY YOGA SESSIONS ON BALANCE, MOBILITY AND REPORTED QUALITY OF LIFE OF AN INDIVIDUAL WITH PARKINSON'S DISEASE (PD). FURTHERMORE, TO TEST THE METHODOLOGY IN ORDER TO INFORM FUTURE RESEARCH. METHOD: A 69-YEAR-OLD FEMALE WITH AN 8-YEAR HISTORY OF PD (HOEHN AND YAHR RATING TWO) WAS SELECTED FOR THE STUDY, WHICH HAD A SINGLE SUBJECT ABA DESIGN. A 1-WEEK BASELINE WAS FOLLOWED BY AN 8-WEEK PERIOD OF WEEKLY 60 MIN YOGA CLASSES AND A FURTHER 5 WEEKS OF TREATMENT WITHDRAWAL. MAIN OUTCOME MEASURES USED WERE BERG BALANCE SCALE (BBS), TIMED UP AND GO (TUG) AND THE PARKINSON'S DISEASE QUESTIONNAIRE-39 (PDQ-39); COLLECTED AT BASELINE, BEFORE, DURING AND AFTER THE INTERVENTION AND AT FOLLOW-UP. RESULTS: AN IMPROVEMENT WAS NOTED IN THE BBS AND TUG DURING THE INTERVENTION PHASE; ALTHOUGH THESE CHANGES DID NOT APPEAR TO BE CLINICALLY SIGNIFICANT. NO CHANGE IN QUALITY OF LIFE AS MEASURED BY THE PDQ-39 WAS NOTED. CONCLUSIONS: THE OBJECTIVE IMPROVEMENTS IN FUNCTIONAL ACTIVITIES DURING THE INTERVENTION PERIOD WERE NOT CLINICALLY SIGNIFICANT. SUBJECTIVELY, THE PARTICIPANT GAINED MUCH ENJOYMENT AND RELAXATION FROM THE YOGA CLASSES. THIS STUDY JUSTIFIES THE NEED FOR FURTHER STUDIES USING A LARGER SAMPLE SIZE. ADDITIONALLY, IT WILL INFORM THE METHODOLOGICAL DESIGN. 2011 7 506 39 COMPARATIVE EFFECT OF POWER TRAINING AND HIGH-SPEED YOGA ON MOTOR FUNCTION IN OLDER PATIENTS WITH PARKINSON DISEASE. OBJECTIVES: TO COMPARE THE EFFECTS OF POWER TRAINING (PWT) AND A HIGH-SPEED YOGA PROGRAM ON PHYSICAL PERFORMANCES IN OLDER PATIENTS WITH PARKINSON DISEASE (PD), AND TO TEST THE HYPOTHESIS THAT BOTH TRAINING INTERVENTIONS WOULD ATTENUATE PD SYMPTOMS AND IMPROVE PHYSICAL PERFORMANCE. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: A LABORATORY OF NEUROMUSCULAR RESEARCH AND ACTIVE AGING. PARTICIPANTS: PATIENTS WITH PD (N=41; MEAN AGE +/- SD, 72.2 +/- 6.5Y). INTERVENTIONS: TWO HIGH-SPEED EXERCISE INTERVENTIONS (SPECIFICALLY DESIGNED YOGA PROGRAM AND PWT) WERE GIVEN FOR 12 WEEKS (TWICE A WEEK), AND 1 NONEXERCISE CONTROL GROUP. MAIN OUTCOME MEASURES: UNIFIED PARKINSON DISEASE RATING SCALE MOTOR SCORE (UPDRSMS), BERG BALANCE SCALE (BBS), MINI-BALANCE EVALUATION SYSTEMS TEST (MINI-BESTEST), TIMED UP AND GO, FUNCTIONAL REACH, SINGLE LEG STANCE (SLS), POSTURAL SWAY TEST, 10-M USUAL AND MAXIMAL WALKING SPEED TESTS, 1 REPETITION MAXIMUM (RM), AND PEAK POWER (PPW) FOR LEG PRESS. RESULTS: FOR THE POSTTESTS, BOTH TRAINING GROUPS SHOWED SIGNIFICANT IMPROVEMENTS (P<.05) IN ALL PHYSICAL MEASUREMENTS EXCEPT FUNCTIONAL REACH ON THE MORE AFFECTED SIDE, SLS, AND POSTURAL SWAY COMPARED WITH THE PRETESTS, AND SIGNIFICANTLY BETTER SCORES FOR UPDRSMS, BBS, MINI-BESTEST, TIMED UP AND GO, FUNCTIONAL REACH ON THE LESS AFFECTED SIDE, 10-M USUAL AND MAXIMAL WALKING SPEED TESTS, 1RM, AND PPW THAN CONTROLS, WITH NO DIFFERENCES DETECTED BETWEEN THE YOGA PROGRAM AND PWT. CONCLUSIONS: BOTH THE SPECIALLY DESIGNED YOGA PROGRAM AND PWT PROGRAMS CAN SIGNIFICANTLY IMPROVE PHYSICAL PERFORMANCE IN OLDER PERSONS WITH PD. 2016 8 34 39 A 12-WEEK IYENGAR YOGA PROGRAM IMPROVED BALANCE AND MOBILITY IN OLDER COMMUNITY-DWELLING PEOPLE: A PILOT RANDOMIZED CONTROLLED TRIAL. BACKGROUND: EXERCISE THAT CHALLENGES BALANCE CAN IMPROVE MOBILITY AND PREVENT FALLS IN OLDER ADULTS. YOGA AS A PHYSICAL ACTIVITY OPTION FOR OLDER ADULTS IS NOT WELL STUDIED. THIS TRIAL EVALUATED THE FEASIBILITY AND EFFECT OF A 12-WEEK IYENGAR YOGA PROGRAM ON BALANCE AND MOBILITY IN OLDER PEOPLE. METHODS: WE CONDUCTED A BLINDED, PILOT RANDOMIZED CONTROLLED TRIAL WITH INTENTION-TO-TREAT ANALYSIS. PARTICIPANTS WERE 54 COMMUNITY DWELLERS (MEAN AGE 68 YEARS, SD 7.1) NOT CURRENTLY PARTICIPATING IN YOGA OR TAI CHI. THE INTERVENTION GROUP (N = 27) PARTICIPATED IN A 12-WEEK, TWICE-WEEKLY YOGA PROGRAM FOCUSED ON STANDING POSTURES AND RECEIVED A FALL PREVENTION EDUCATION BOOKLET. THE CONTROL GROUP (N = 27) RECEIVED THE EDUCATION BOOKLET ONLY. PRIMARY OUTCOME WAS STANDING BALANCE COMPONENT OF THE SHORT PHYSICAL PERFORMANCE BATTERY WITH ADDITION OF ONE-LEGGED STANCE TIME (STANDING BALANCE). SECONDARY OUTCOMES WERE THE TIMED SIT-TO-STAND TEST, TIMED 4-M WALK, ONE-LEGGED STAND WITH EYES CLOSED, AND SHORT FALLS EFFICACY SCALE-INTERNATIONAL. FEASIBILITY WAS MEASURED BY RECORDING CLASS ATTENDANCE AND ADVERSE EVENTS. RESULTS: FIFTY-TWO PARTICIPANTS COMPLETED FOLLOW-UP ASSESSMENTS. THE INTERVENTION GROUP SIGNIFICANTLY IMPROVED COMPARED WITH CONTROL GROUP ON STANDING BALANCE (MEAN DIFFERENCE = 1.52 SECONDS, 95% CI 0.10-2.96, P = .04), SIT-TO-STAND TEST (MEAN DIFFERENCE = -3.43 SECONDS, 95% CI -5.23 TO -1.64, P < .001), 4-M WALK (MEAN DIFFERENCE = -0.50 SECONDS, 95% CI -0.72 TO -0.28, P < .001), AND ONE-LEGGED STAND WITH EYES CLOSED (MEAN DIFFERENCE = 1.93 SECONDS, 95% CI 0.40-3.46, P = .02). AVERAGE CLASS ATTENDANCE WAS 20 OF 24 CLASSES (83%). NO SERIOUS ADVERSE EVENTS OCCURRED. CONCLUSIONS: THIS TRIAL DEMONSTRATES THE BALANCE AND MOBILITY-RELATED BENEFITS AND FEASIBILITY OF IYENGAR YOGA FOR OLDER PEOPLE. THE FALL PREVENTION EFFECT OF IYENGAR YOGA WARRANTS FURTHER INVESTIGATION. 2013 9 1007 36 EFFECTS OF MINDFULNESS YOGA VS STRETCHING AND RESISTANCE TRAINING EXERCISES ON ANXIETY AND DEPRESSION FOR PEOPLE WITH PARKINSON DISEASE: A RANDOMIZED CLINICAL TRIAL. IMPORTANCE: CLINICAL PRACTICE GUIDELINES SUPPORT EXERCISE FOR PATIENTS WITH PARKINSON DISEASE (PD), BUT TO OUR KNOWLEDGE, NO RANDOMIZED CLINICAL TRIALS HAVE TESTED WHETHER YOGA IS SUPERIOR TO CONVENTIONAL PHYSICAL EXERCISES FOR STRESS AND SYMPTOM MANAGEMENT. OBJECTIVE: TO COMPARE THE EFFECTS OF A MINDFULNESS YOGA PROGRAM VS STRETCHING AND RESISTANCE TRAINING EXERCISE (SRTE) ON PSYCHOLOGICAL DISTRESS, PHYSICAL HEALTH, SPIRITUAL WELL-BEING, AND HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN PATIENTS WITH MILD-TO-MODERATE PD. DESIGN, SETTING, AND PARTICIPANTS: AN ASSESSOR-MASKED, RANDOMIZED CLINICAL TRIAL USING THE INTENTION-TO-TREAT PRINCIPLE WAS CONDUCTED AT 4 COMMUNITY REHABILITATION CENTERS IN HONG KONG BETWEEN DECEMBER 1, 2016, AND MAY 31, 2017. A TOTAL OF 187 ADULTS (AGED >/=18 YEARS) WITH A CLINICAL DIAGNOSIS OF IDIOPATHIC PD WHO WERE ABLE TO STAND UNAIDED AND WALK WITH OR WITHOUT AN ASSISTIVE DEVICE WERE ENROLLED VIA CONVENIENCE SAMPLING. ELIGIBLE PARTICIPANTS WERE RANDOMIZED 1:1 TO MINDFULNESS YOGA OR SRTE. INTERVENTIONS: MINDFULNESS YOGA WAS DELIVERED IN 90-MINUTE GROUPS AND SRTE WERE DELIVERED IN 60-MINUTE GROUPS FOR 8 WEEKS. MAIN OUTCOMES AND MEASURES: PRIMARY OUTCOMES INCLUDED ANXIETY AND DEPRESSIVE SYMPTOMS ASSESSED USING THE HOSPITAL ANXIETY AND DEPRESSION SCALE. SECONDARY OUTCOMES INCLUDED SEVERITY OF MOTOR SYMPTOMS (MOVEMENT DISORDER SOCIETY UNIFIED PARKINSON'S DISEASE RATING SCALE [MDS-UPDRS], PART III MOTOR SCORE), MOBILITY, SPIRITUAL WELL-BEING IN TERMS OF PERCEIVED HARDSHIP AND EQUANIMITY, AND HRQOL. ASSESSMENTS WERE DONE AT BASELINE, 8 WEEKS (T1), AND 20 WEEKS (T2). RESULTS: THE 138 PARTICIPANTS INCLUDED 65 MEN (47.1%) WITH A MEAN (SD) AGE OF 63.7 (8.7) YEARS AND A MEAN (SD) MDS-UPDRS SCORE OF 33.3 (15.3). GENERALIZED ESTIMATING EQUATION ANALYSES REVEALED THAT THE YOGA GROUP HAD SIGNIFICANTLY BETTER IMPROVEMENT IN OUTCOMES THAN THE SRTE GROUP, PARTICULARLY FOR ANXIETY (TIME-BY-GROUP INTERACTION, T1: BETA, -1.79 [95% CI, -2.85 TO -0.69; P = .001]; T2: BETA, -2.05 [95% CI, -3.02 TO -1.08; P < .001]), DEPRESSION (T1: BETA, -2.75 [95% CI, -3.17 TO -1.35; P < .001]); T2: BETA, -2.75 [95% CI, -3.71 TO -1.79; P < .001]), PERCEIVED HARDSHIP (T1: BETA, -0.92 [95% CI, -1.25 TO -0.61; P < .001]; T2: BETA, -0.76 [95% CI, -1.12 TO -0.40; P < .001]), PERCEIVED EQUANIMITY (T1: BETA, 1.11 [95% CI, 0.79-1.42; P < .001]; T2: BETA, 1.19 [95% CI, 0.82-1.56; P < .001]), AND DISEASE-SPECIFIC HRQOL (T1: BETA, -7.77 [95% CI, -11.61 TO -4.38; P < .001]; T2: BETA, -7.99 [95% CI, -11.61 TO -4.38; P < .001]). CONCLUSIONS AND RELEVANCE: AMONG PATIENTS WITH MILD-TO-MODERATE PD, THE MINDFULNESS YOGA PROGRAM WAS FOUND TO BE AS EFFECTIVE AS SRTE IN IMPROVING MOTOR DYSFUNCTION AND MOBILITY, WITH THE ADDITIONAL BENEFITS OF A REDUCTION IN ANXIETY AND DEPRESSIVE SYMPTOMS AND AN INCREASE IN SPIRITUAL WELL-BEING AND HRQOL. TRIAL REGISTRATION: CENTRE FOR CLINICAL RESEARCH AND BIOSTATISTICS IDENTIFIER: CUHK_CCRB00522. 2019 10 2134 31 THE EFFECTS OF A THERAPEUTIC YOGA PROGRAM ON POSTURAL CONTROL, MOBILITY, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS. OBJECTIVE: TO EXAMINE THE EFFECTS OF A 12-WEEK THERAPEUTIC YOGA PROGRAM ON GAIT SPEED, POSTURAL CONTROL, AND MOBILITY IN COMMUNITY-DWELLING OLDER ADULTS. DESIGN: QUASI-EXPERIMENTAL STUDY WITH A PRETEST/POST-TEST DESIGN. RESEARCHERS EVALUATED CHANGES OVER TIME (PRETEST TO POST-TEST) IN ALL OUTCOME MEASURES. PAIRED T-TESTS WERE USED TO ANALYZE NORMAL AND FAST GAIT SPEED, TIMED UP AND GO TEST, AND TIMED UP AND GO DUAL TASK. WILCOXON SIGNED-RANK TEST WAS USED TO EVALUATE SCORES FOR THE MINI-BESTEST (MBT). SETTING: YOGA CLASSES WERE PERFORMED AT A LOCAL SENIOR CENTER. BLIND EXAMINERS WHO WERE PREVIOUSLY TRAINED IN THE OUTCOME MEASURES PERFORMED ALL PRETESTS AND POST-TESTS AT THE SITE. PARTICIPANTS: THIRTEEN ADULTS (12 WOMEN AND 1 MAN, WITH A MEAN AGE+/-STANDARD DEVIATION OF 72+/-6.9 YEARS) COMPLETED THE STUDY. RESEARCH PARTICIPANTS HAD MINIMAL TO NO YOGA EXPERIENCE. INTERVENTIONS: A 12-WEEK, 60-MINUTE, BIWEEKLY KRIPALU YOGA CLASS DESIGNED SPECIFICALLY FOR COMMUNITY-DWELLING OLDER ADULTS. OUTCOME MEASURES: POSTURAL CONTROL (MBT), MOBILITY (TIMED UP AND GO TEST), AND GAIT SPEED (NORMAL AND FAST) WERE ASSESSED. RESULTS: ALL 13 PARTICIPANTS ATTENDED AT LEAST 19 OF THE 24 CLASSES (80% ATTENDANCE). STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE MBT (P=0.039), NORMAL GAIT SPEED (P=0.015), FAST GAIT SPEED (P=0.001), TIMED UP AND GO TEST (P=0.045), AND TIMED UP AND GO DUAL-TASK (P=0.05). CONCLUSIONS: IMPROVEMENTS IN POSTURAL CONTROL AND MOBILITY AS MEASURED BY THE MBT AND TIMED UP AND GO GAIT AS MEASURED BY FAST GAIT SPEED INDICATE THAT RESEARCH PARTICIPANTS BENEFITTED FROM THE THERAPEUTIC YOGA INTERVENTION. THE YOGA PROGRAM DESIGNED FOR THIS STUDY INCLUDED ACTIVITIES IN STANDING, SITTING, AND LYING ON THE FLOOR AND MAY BE EFFECTIVE IN IMPROVING MOBILITY, POSTURAL CONTROL, AND GAIT SPEED IN COMMUNITY-DWELLING OLDER ADULTS. 2014 11 2718 53 YOGA MEDITATION (YOMED) AND ITS EFFECT ON PROPRIOCEPTION AND BALANCE FUNCTION IN ELDERS WHO HAVE FALLEN: A RANDOMIZED CONTROL STUDY. OBJECTIVE: YOGA HAS BEEN SHOWN TO IMPROVE MUSCLE STRENGTH, FLEXIBILITY, AND BALANCE. HOWEVER, THE IMPACT OF MEDITATION ON DYNAMIC FACTORS SUCH AS GAIT, REACTIVE BALANCE AND PROPRIOCEPTION HAS YET TO BE EXAMINED. THE PURPOSE OF THIS STUDY WAS TO TEST IF A NOVEL YOGA MEDITATION PROGRAM (YOMED) IS AS EFFECTIVE AS A STANDARD PROPRIOCEPTIVE TRAINING IN IMPROVING PROPRIOCEPTION, BALANCE AND POWER IN OLDER INDIVIDUALS WHO HAVE FALLEN. DESIGN: SIXTEEN OLDER PERSONS WERE RANDOMLY ASSIGNED TO EITHER THE YOMED GROUP (YM) OR PROPRIOCEPTION TRAINING GROUP (PT). EACH GROUP RECEIVED 45MIN OF TRAINING, 3DAYS PER WEEK, FOR 6 WEEKS. PRETEST AND POST-TEST OUTCOME MEASURES WERE USED TO QUANTIFY THE COMPARATIVE EFFECTS OF THE INTERVENTIONS. SETTING: RESEARCH LABORATORY. INTERVENTIONS: YOGA MEDITATION AND PROPRIOCEPTIVE TRAINING. MAIN OUTCOME MEASURES: THE BALANCE ERROR SCORING SYSTEM (BESS), THE TENETTI BALANCE AND GAIT ASSESSMENT, DYNAMIC POSTUROGRAPHY, JOINT POSITION SENSE, JOINT KINESTHESIA AND LEG EXTENSOR POWER. RESULTS: THE PRIMARY FINDINGS OF THE STUDY WERE THAT NEITHER THE YM OR PT INTERVENTION GROUPS SHOWED STATISTICAL IMPROVEMENTS IN ANY VARIABLE WITH THE EXCEPTION OF THE DYNAMIC POSTUROGRAPHY OVERALL SCORE (DMA), WHICH SHOWED A SIGNIFICANT IMPROVEMENT BY THE YM GROUP (D=1.238; P=0.049). ADDITIONALLY CHANGES IN A NUMBER OF VARIABLES THAT DID NOT REACH SIGNIFICANCE DEMONSTRATED EFFECT SIZES IN THE MEDIUM TO HIGH RANGE. CONCLUSION: THESE RESULTS INDICATE THE POTENTIAL FOR THE YOMED PROGRAM TO BE USED AS A CLINICAL INTERVENTION IN OLDER INDIVIDUALS. GIVEN THESE RESULTS A LONGER STUDY USING A LARGER SAMPLE SIZE AND INDIVIDUALS AT HIGHER RISK OF FALLING IS WARRANTED. 2018 12 2549 31 YOGA FOR CANCER SURVIVORS WITH CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY: HEALTH-RELATED QUALITY OF LIFE OUTCOMES. BACKGROUND: YOGA IS A MEDITATIVE MOVEMENT THERAPY FOCUSED ON MIND-BODY AWARENESS. THE IMPACT OF YOGA ON HEALTH-RELATED QUALITY OF LIFE (HRQOL) OUTCOMES IN PATIENTS WITH CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY (CIPN) IS UNCLEAR. METHODS: WE CONDUCTED A PILOT RANDOMIZED WAIT-LIST CONTROLLED TRIAL OF 8 WEEKS OF YOGA (N = 21) VERSUS WAIT-LIST CONTROL (N = 20) FOR CIPN IN 41 BREAST AND GYNECOLOGICAL CANCER SURVIVORS WITH PERSISTENT MODERATE TO SEVERE CIPN. HRQOL ENDPOINTS WERE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS), BRIEF FATIGUE INVENTORY (BFI), AND INSOMNIA SEVERITY INDEX (ISI). THE TREATMENT EXPECTANCY SCALE (TES) WAS ADMINISTERED AT BASELINE. WE ESTIMATED MEAN CHANGES AND 95% CONFIDENCE INTERVALS (CIS) FROM BASELINE TO WEEKS 8 AND 12 AND COMPARED ARMS USING CONSTRAINED LINEAR MIXED MODELS. RESULTS: AT WEEK 8, HADS ANXIETY SCORES DECREASED -1.61 (-2.75, -0.46) IN THE YOGA ARM AND -0.32 (-1.38, 0.75) POINTS IN THE WAIT-LIST CONTROL ARM (P = 0.099). AT WEEK 12, HADS ANXIETY SCORES DECREASED -1.42 (-2.57, -0.28) IN YOGA COMPARED TO AN INCREASE OF 0.46 (-0.60, 1.53) IN WAIT-LIST CONTROL (P = 0.017). THERE WERE NO SIGNIFICANT DIFFERENCES IN HADS DEPRESSION, BFI, OR ISI SCORES BETWEEN YOGA AND WAIT-LIST CONTROL. BASELINE TES WAS SIGNIFICANTLY HIGHER IN YOGA THAN IN WAIT-LIST CONTROL (14.9 VS. 12.7, P = 0.019). TES WAS NOT ASSOCIATED WITH HADS ANXIETY REDUCTION AND HADS ANXIETY REDUCTION WAS NOT ASSOCIATED WITH CIPN PAIN REDUCTION. CONCLUSIONS: YOGA MAY REDUCE ANXIETY IN PATIENTS WITH CIPN. FUTURE STUDIES ARE NEEDED TO CONFIRM THESE FINDINGS. CLINICAL TRIAL REGISTRATION NUMBER: CLINICALTRIALS.GOV IDENTIFIER: NCT03292328. 2021 13 1607 30 MERGING YOGA AND OCCUPATIONAL THERAPY FOR PARKINSON'S DISEASE: A FEASIBILITY AND PILOT PROGRAM. THE PURPOSE OF THIS STUDY WAS TO ASSESS FEASIBILITY AND CHANGES IN OUTCOME MEASURES FOLLOWING THE MERGING YOGA AND OCCUPATIONAL THERAPY FOR PARKINSON'S DISEASE (MY-OT FOR PD) PROGRAM: A 14-SESSION PROGRAM WHICH COMBINED COMMUNITY-BASED YOGA FOR PD, AND FALL-RISK FOCUSED GROUP OCCUPATIONAL THERAPY SESSIONS. SEVENTEEN PARTICIPANTS COMPLETED AN 8-WEEK CONTROL PERIOD CONSISTING OF THEIR NORMAL PARTICIPATION, AND AN 8-WEEK INTERVENTION PERIOD (14 MY-OT FOR PD SESSIONS). THERE WERE FEWER SELF-REPORTED FALLS IN THE INTERVENTION (6) VS. CONTROL PERIODS (10). ONE FALL RISK FACTOR MANAGEMENT SCALE (THE FALL PREVENTION AND MANAGEMENT QUESTIONNAIRE, P=.02), AND BALANCE (P<.01) SHOWED SIGNIFICANT IMPROVEMENT BETWEEN THE CONTROL AND INTERVENTION. THE MY-OT FOR PD PROGRAM IS AN ENCOURAGING OCCUPATIONAL THERAPIST-LED PROGRAM, WHICH MAY IMPROVE BALANCE AND REDUCE SELF-REPORTED FALLS. 2020 14 1314 27 HEALTH-RELATED QUALITY OF LIFE CHANGES AFTER THE MERGING YOGA AND OCCUPATIONAL THERAPY FOR PARKINSON'S DISEASE PROGRAM: A MIXED-METHODS STUDY. BACKGROUND: TO UNDERSTAND CHANGES IN HEALTH-RELATED QUALITY OF LIFE (HRQOL) AFTER THE MERGING YOGA AND OCCUPATIONAL THERAPY FOR PARKINSON'S DISEASE (MY-OT FOR PD) PROGRAM. MATERIALS AND METHODS: WE USED A MIXED-METHODS CONVERGENT DESIGN AND ADMINISTERED THE PARKINSON'S DISEASE QUESTIONNAIRE-8 (PDQ-8), A MEASURE OF HRQOL, WITH 17 PARTICIPANTS. WE CONSIDERED SCORES 8 WEEKS BEFORE MY-OT FOR PD, JUST BEFORE, AND UPON COMPLETION. ADDITIONALLY, WE COMPLETED TWO FOCUS GROUPS FOLLOWING THE PROGRAM WITH 16 PARTICIPANTS TO ASSESS QUALITATIVE CHANGES IN HRQOL. RESULTS: THERE WERE NO SIGNIFICANT DIFFERENCES IN PDQ-8 SCORES BETWEEN TIME POINTS, F(2,32) = 1.60, P = 0.22, PARTIAL ETA(2) = 0.09. PARTICIPANTS DID DISCUSS IMPROVEMENTS IN ALL 8 HRQOL DOMAINS, FREQUENTLY REGARDING MOBILITY AND ACTIVITIES OF DAILY LIVING. CONCLUSION: RESULTS DIVERGED, WITH QUANTITATIVE RESULTS SHOWING NO SIGNIFICANT IMPROVEMENT IN HRQOL AND QUALITATIVE RESULTS INDICATING PARTICIPANT PERCEIVED IMPROVEMENTS IN ALL DOMAINS OF THE PDQ-8. THE PROGRAM SHOULD BE EXPLORED FURTHER, AND LONGITUDINAL FOLLOW-UP COMPLETED. 2020 15 387 28 BENEFITS OF THAI YOGA ON PHYSICAL MOBILITY AND LOWER LIMB MUSCLE STRENGTH IN OVERWEIGHT/OBESE OLDER WOMEN: A RANDOMIZED CONTROLLED PILOT TRIAL. BACKGROUND AND PURPOSE: ALTHOUGH THAI YOGA (TY) IS REPORTED TO IMPROVE HEALTH-RELATED FITNESS FOR THE ELDERLY, NO STUDY HAS YET CARRIED OUT THE EFFECT OF TY PROGRAM ON PHYSICAL MOBILITY AND LOWER-LIMB MUSCLE STRENGTH IN OVERWEIGHT/OBESE OLDER WOMEN. MATERIALS AND METHODS: IN A RANDOMIZED CONTROLLED PILOT DESIGN, TWENTY-TWO SEDENTARY WOMEN WITH A BMI >/= 23 KG/M(2), AGED 62 +/- 1 YEARS WERE RANDOMLY ASSIGNED TO EITHER A TY GROUP FOR 60 MIN, 3 TIMES A WEEK OR TO A "NO EXERCISE" CONTROL (CON) GROUP. SIT AND REACH (SRT), FUNCTIONAL REACH (FRT) AND 30-S CHAIR STAND (CST-30), 8-FOOT UP AND GO (8UGT), 6-MIN WALK (6MWT)) AND LOWER-LIMB MUSCLE STRENGTH WERE MEASURED AT THE BEGINNING, 4, AND 8 WEEKS. RESULTS: AT WEEK 4, A SIGNIFICANT BETWEEN GROUPS WAS OBTAINED IN CST-30, 8UGT, AND 6MWT. AT WEEK 8, FRT, 8UGT, 6MWT AND KNEE FLEXOR AND EXTENSOR MUSCLE STRENGTH WERE IMPROVED IN THE TY OVER THE CON. SIGNIFICANT IMPROVEMENT WAS FOUND IN ALL VARIABLES WITHIN THE TY, BUT NO CHANGE WAS OBSERVED IN THE CON. CONCLUSION: AN 8-WEEK TY PROGRAM APPEARS TO PROVIDE BENEFICIAL IMPROVEMENTS IN PHYSICAL MOBILITY IN OVERWEIGHT/OBESE OLDER WOMEN. 2021 16 916 36 EFFECTIVENESS OF SOMATIC YOGA AND MEDITATION: A PILOT STUDY IN A MULTICULTURAL CANCER SURVIVOR POPULATION WITH CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY. CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY (CIPN) CAUSES SIGNIFICANT PAIN AND IS AN ADVERSE EFFECT OF TREATMENT WITH CHEMOTHERAPEUTIC AGENTS. WE EXPLORED A SOMATIC YOGA AND MEDITATION INTERVENTION IN A PREDOMINANTLY MINORITY POPULATION. GOALS INCLUDED DESCRIBING STRATEGIES FOR MINORITY INCLUSION AND TESTING FEASIBILITY AND EFFECTIVENESS. EIGHT INDIVIDUALS WITH CIPN ENROLLED IN A SINGLE-ARM FEASIBILITY TRIAL. SOMATIC YOGA AND MEDITATION WERE PROVIDED WEEKLY FOR 8 WEEKS, WITH AN ADDITIONAL HOME PROGRAM COMPONENT. THE PRIMARY OUTCOMES WERE SIT AND REACH, FUNCTIONAL REACH, AND TIMED UP AND GO. SECONDARY OUTCOMES WERE PATIENT NEUROTOXICITY QUESTIONNAIRE, FACT-GOG-NTX (FOR ADDRESSING PATIENT CONCERNS ASSOCIATED WITH NEUROLOGICAL SYMPTOMS), BRIEF PAIN INVENTORY, PERCEIVED STRESS SCALE, PITTSBURGH SLEEP QUALITY INDEX, AND FALLS EFFICACY SCALE. SENSITIVITY TO VIBRATION WAS MEASURED VIA BIOTHESIOMETER. PARTICIPANTS WITH A MEAN AGE OF 65 (49-73) YEARS SELF-REPORTED AS 63% AFRICAN-AMERICAN AND 37% CAUCASIAN. THEY ATTENDED 81% OF THE SESSIONS, AND NO ADVERSE EVENTS WE RE RE P O RTED. CIPN SYMPTOMS (FAC T- G O G - N T X ) IMPROVED SIGNIFICANTLY (FROM 88.88 TO 106.88, STANDARD DEVIATION = 20.03; P = 0.039). FEAR OF FALLING IMPROVED, APPROACHING SIGNIFICANCE (FROM 39.26 TO 34.38, STANDARD DEVIATION = 6.081; P = 0.058). OTHER MEASURES SHOWED IMPROVEMENT TRENDS, WITH A SLIGHT INCREASE IN BRIEF PAIN INVENTORY PAIN SEVERITY (FROM 3.50 TO 3.75, P = 0.041) POSSIBLY REFLECTING COMORBIDITIES. FOUR QUALITATIVE THEMES EMERGED: (1) CIPN SYMPTOM VARIABILITY, WITH MUSCULOSKELETAL COMORBIDITIES; (2) UTILITY OF LEARNED SKILLS; (3) IMPROVEMENT IN SELF-CONFIDENCE, BALANCE, AND STABILITY; AND (4) SOCIAL SUPPORT, WITH CIPN EXPERIENCE VALIDATION AND INCREASING HEALTH LITERACY. CHALLENGES OF RECRUITMENT AND RETENTION REQUIRE SPECIFIC OUTREACH, COMMUNITY TRUST, AND HEALTH LITERACY. PRELIMINARY DATA SUGGEST THAT SOMATIC YOGA AND MEDITATION MAY AFFECT FEAR OF FALLING AND QUALITY OF LIFE IN CANCER SURVIVORS WITH CIPN. A RANDOMIZED CONTROLLED TRIAL USING INCLUSIVE RECRUITMENT AND RETENTION METHODS IS INDICATED TO ESTABLISH THE INTERVENTION'S EFFICACY. 2020 17 2650 37 YOGA IMPROVES BALANCE AND LOW-BACK PAIN, BUT NOT ANXIETY, IN PEOPLE WITH PARKINSON'S DISEASE. INDIVIDUALS WITH PARKINSON'S DISEASE (PD) EXPERIENCE POSTURAL INSTABILITY, LOW-BACK PAIN (LBP), AND ANXIETY. THESE SYMPTOMS INCREASE THE RISK OF FALLS AND DECREASE QUALITY OF LIFE. RESEARCH SHOWS YOGA IMPROVES BALANCE AND DECREASES LBP AND ANXIETY IN HEALTHY ADULTS, BUT ITS EFFECTS IN PD ARE POORLY UNDERSTOOD. ALL PARTICIPANTS WERE PART OF A LARGER INTERVENTION STUDY. PARTICIPANTS RECEIVED PRETEST AND POSTTEST EVALUATIONS, INCLUDING THE BALANCE EVALUATION SYSTEMS TEST (BESTEST), BECK ANXIETY INVENTORY (BAI), AND REVISED OSWESTRY DISABILITY INDEX (ROSW). TOTAL SCORES FOR EACH MEASURE, AS WELL AS INDIVIDUAL BALANCE SYSTEM SECTION SCORES FROM THE BESTEST (BIOMECHANICAL CONSTRAINTS, STABILITY LIMITS/VERTICALITY, TRANSITIONS/ANTICIPATORY, REACTIVE, SENSORY ORIENTATION, AND STABILITY IN GAIT) WERE COMPARED WITHIN GROUPS PRE- TO POSTTEST. PARTICIPANTS IN THE YOGA GROUP (N = 13) COMPLETED A TWICE-WEEKLY 12-WEEK YOGA INTERVE N T I O N , WHEREAS CONTROLS (N = 13) CONTINUED THEIR USUAL ROUTINES FOR 12 WEEKS. BOTH THE YOGA (Z = -3.20, P = 0.001) AND CONTROL (Z = -2.10, P = 0.040) GROUPS IMPROVED ON THE BESTEST TOTAL SCORE. THE CONTROL GROUP SHOWED NO CHANGES IN INDIVIDUAL BALANCE SYSTEMS, WHEREAS THE YOGA GROUP IMPROVED IN STABILITY LIMITS/VERTICALITY (Z = -2.3, P = 0.020), TRANSITIONS/ ANTICIPATORY (Z = -2.50, P = 0.010), REACTIVE (Z = -2.70, P = 0.008), AND SENSORY ORIENTATION (Z = -2.30, P = 0.020). ROSW DECREASED IN THE YOGA GROUP ONLY (Z = -2.10, P = 0.030). BAI DID NOT CHANGE IN EITHER GROUP. YOGA IS A NONPHARMACOLOGICAL INTERVENTION THAT CAN IMPROVE BALANCE AND LBP IN PEOPLE WITH PD. THIS STUDY DEMONSTRATED THAT YOGA IS FEASIBLE FOR PEOPLE WITH PD, AND PARTICIPANTS REPORTED HIGH LEVELS OF ENJOYMENT AND INTENT TO PRACTICE YOGA AFTER THE STUDY. 2020 18 2101 30 THE EFFECT OF YOGA ON BALANCE AND FEAR OF FALLING IN OLDER ADULTS. OBJECTIVE: TO DETERMINE THE EFFECT OF YOGA ON BALANCE AND FEAR OF FALLING IN OLDER ADULTS. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: JAHANDIDEGAN CENTER IN SHIRAZ, SOUTHERN IRAN. PARTICIPANTS: FORTY PERSONS (17 MEN AND 23 WOMEN) BETWEEN THE AGES OF 60-74 YEARS WITH A MODIFIED FALLS EFFICACY SCALE (MFES) SCORE <8 AND A BERG BALANCE SCALE (BBS) SCORE <45. AFTER COMPLETING THE MFES QUESTIONNAIRE AND BBS MEASUREMENT, THE PARTICIPANTS WERE DIVIDED INTO INTERVENTION AND CONTROL GROUPS. BBS MEASUREMENT AND THE MFES QUESTIONNAIRE WERE COMPLETED AGAIN IMMEDIATELY AFTER THE INTERVENTION. INTERVENTION: THE INTERVENTION GROUP PARTICIPATED IN 2 YOGA PRACTICE SESSIONS PER WEEK FOR 8 WEEKS. THE CONTROL GROUP RECEIVED NO INTERVENTION. MAIN OUTCOME MEASUREMENTS: FEAR OF FALLING WAS MEASURED WITH THE MFES AND BALANCE WAS MEASURED WITH THE BBS. RESULTS: WE FOUND SIGNIFICANT CHANGES IN BOTH VARIABLES (P < .0001). MEAN DIFFERENCES BEFORE AND AFTER THE INTERVENTION FOR THE BBS FOR YOGA AND CONTROL GROUPS WERE 10.19 AND -1.16, RESPECTIVELY. MEAN DIFFERENCES BEFORE AND AFTER THE INTERVENTION FOR THE MFES FOR YOGA AND CONTROL GROUPS WERE 1.62 AND -0.21, RESPECTIVELY. CONCLUSION: YOGA IS A POTENTIAL INTERVENTION TO REDUCE FEAR OF FALLING AND IMPROVE BALANCE IN OLDER ADULTS. 2016 19 2552 32 YOGA FOR CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY AND FALL RISK: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY (CIPN) IS A COMMON, DEBILITATING SIDE EFFECT THAT WORSENS QUALITY OF LIFE AND INCREASES THE RISK OF FALLS IN CANCER SURVIVORS. EVIDENCE OF YOGA'S SAFETY AND EFFICACY IN TREATING CIPN IS LACKING. METHODS: IN A RANDOMIZED CONTROLLED STUDY, WE ASSIGNED BREAST AND GYNECOLOGICAL CANCER SURVIVORS WITH PERSISTENT MODERATE-TO-SEVERE CIPN PAIN, NUMBNESS, OR TINGLING WITH A SCORE OF 4 OR GREATER (0-10 NUMERIC RATING SCALE [NRS]) FOR AT LEAST 3 MONTHS AFTER CHEMOTHERAPY TO 8 WEEKS OF USUAL CARE OR YOGA FOCUSED ON BREATHWORK AND MUSCULOSKELETAL CONDITIONING. PRIMARY ENDPOINT WAS TREATMENT ARM DIFFERENCES FOR NRS, AND SECONDARY ENDPOINTS WERE FUNCTIONAL ASSESSMENT OF CANCER THERAPY/GYNECOLOGIC ONCOLOGY GROUP-NEUROTOXICITY SUBSCALE (FACT/GOG-NTX), AND FUNCTIONAL REACH TEST AFTER WEEK 8. WE TESTED TREATMENT ARM DIFFERENCES FOR EACH OUTCOME MEASURE USING LINEAR MIXED MODELS WITH TREATMENT-BY-TIME INTERACTIONS. ALL STATISTICAL TESTS WERE TWO-SIDED. RESULTS: WE RANDOMLY ASSIGNED 41 PARTICIPANTS INTO YOGA (N = 21) OR USUAL CARE (N = 20). AT WEEK 8, MEAN NRS PAIN DECREASED BY 1.95 POINTS (95% CONFIDENCE INTERVAL [CI] = -3.20 TO -0.70) IN YOGA VS 0.65 (95% CI = -1.81 TO 0.51) IN USUAL CARE (P = .14). FACT/GOG-NTX IMPROVED BY 4.25 (95% CI = 2.29 TO 6.20) IN YOGA VS 1.36 (95% CI = -0.47 TO 3.19) IN USUAL CARE (P = .035). FUNCTIONAL REACH, AN OBJECTIVE FUNCTIONAL MEASURE PREDICTING THE RISK OF FALLS, IMPROVED BY 7.14 CM (95% CI = 3.68 TO 10.59) IN YOGA AND DECREASED BY 1.65 CM (95% CI = -5.00 TO 1.72) IN USUAL CARE (P = .001). FOUR GRADE 1 ADVERSE EVENTS WERE OBSERVED IN THE YOGA ARM. CONCLUSION: AMONG BREAST AND GYNECOLOGICAL CANCER SURVIVORS WITH MODERATE-TO-SEVERE CIPN, YOGA WAS SAFE AND SHOWED PROMISING EFFICACY IN IMPROVING CIPN SYMPTOMS. 2020 20 550 38 CONTROLLED PILOT STUDY OF THE EFFECTS OF POWER YOGA IN PARKINSON'S DISEASE. OBJECTIVES: TO EVALUATE THE EFFECTS OF A SPECIALLY DESIGNED POWER YOGA PROGRAM (YOGA) ON BRADYKINESIA, RIGIDITY, MUSCULAR PERFORMANCE AND QUALITY OF LIFE IN OLDER PATIENTS WITH PD. DESIGN: RANDOMIZED CONTROLLED TRIAL. SETTING: UNIVERSITY LABORATORY, US. INTERVENTION: TWENTY-SIX PATIENTS WITH MILD TO MODERATE PD WERE RANDOMLY ASSIGNED TO A YOGA OR CONTROL GROUP (CON). THE YOGA PROGRAM WAS THREE MONTHS, INCORPORATING TWO SESSIONS/WK OF YOGA CLASSES. MAIN OUTCOME MEASURES: UPPER AND LOWER LIMB BRADYKINESIA AND RIGIDITY SCORES FROM THE UNIFIED PARKINSON'S DISEASE RATING SCALE, ONE REPETITION MAXIMUMS (1RM) AND PEAK POWERS ON BICEPS CURL, CHEST PRESS, LEG PRESS, HIP ABDUCTION AND SEATED CALF, AND QUALITY OF LIFE (PDQ-39). RESULTS: THE YOGA GROUP PRODUCED SIGNIFICANT IMPROVEMENT IN BOTH UPPER AND LOWER LIMBS BRADYKINESIA SCORES, RIGIDITY SCORE, 1RM FOR ALL 5 MACHINES AND LEG PRESS POWER (P<.05). SIGNIFICANT IMPROVEMENTS WERE SEEN IN THE PDQ-39 OVERALL SCORE, MOBILITY AND ACTIVITIES OF DAILY LIVING DOMAIN FOR THE YOGA GROUP. CONCLUSION: THE 3-MONTH YOGA PROGRAM SIGNIFICANTLY REDUCED BRADYKINESIA AND RIGIDITY, AND INCREASED MUSCLE STRENGTH AND POWER IN OLDER PATIENTS WITH PD. POWER TRAINING IS AN EFFECTIVE TRAINING MODALITY TO IMPROVE PHYSICAL FUNCTION AND QUALITY OF LIFE FOR PD. 2016