1 1498 149 INTRAOCULAR PRESSURE CHANGES AND OCULAR BIOMETRY DURING SIRSASANA (HEADSTAND POSTURE) IN YOGA PRACTITIONERS. PURPOSE: TO STUDY THE INTRAOCULAR PRESSURE (IOP) CHANGES IN SIRSASANA (HEADSTAND POSTURE) DONE BY EXPERIENCED YOGA PRACTITIONERS AND CORRELATE THE OCULAR BIOMETRIC PARAMETERS WITH THE IOP CHANGES, AND TO SCREEN FOR THE PREVALENCE OF OCULAR HYPERTENSION IN THIS GROUP OF SUBJECTS. DESIGN: PROSPECTIVE CASE OBSERVATIONAL SERIES. PARTICIPANTS: SEVENTY-FIVE SUBJECTS (50 ASIAN INDIANS AND 25 CAUCASIANS) FROM A YOGA TRAINING INSTITUTE VOLUNTEERED FOR THE STUDY. METHODS: ALL PARTICIPANTS UNDERWENT A DETAILED OPHTHALMIC EXAMINATION ALONG WITH OCULAR BIOMETRY AND CORNEAL PACHYMETRY. INTRAOCULAR PRESSURE WAS RECORDED USING A TONOPEN BEFORE, DURING, AND AFTER THE SIRSASANA. CHANGES WERE COMPARED USING THE PAIRED T TEST. AGE, AXIAL LENGTH, ANTERIOR CHAMBER DEPTH, LENS THICKNESS, CORNEAL CURVATURE, CORNEAL THICKNESS, RACE, AND THE LENGTH OF TIME FOR WHICH THE PRACTITIONER WAS PERFORMING YOGA WERE CORRELATED WITH THE INDUCED IOP DIFFERENCE IN A RANDOMLY SELECTED EYE USING PEARSON'S CORRELATION COEFFICIENT WITH BONFERRONI CORRECTION FOR MULTIPLE COMPARISONS. MAIN OUTCOME MEASURES: OCULAR BIOMETRY AND INDUCED IOP DIFFERENCE. RESULTS: THE MEAN INCREASE IN IOP AT BASELINE AND IMMEDIATELY AFTER ASSUMING SIRSASANA WAS 15.1+/-4.1 MMHG (R = 0.07; P = 0.999) AND AFTER 5 MINUTES WAS 15.8+/-4.6 MMHG (R = -0.25; P = 0.357). THE INDUCED INCREASE IN IOP DURING THE POSTURE WAS TWICE THE BASELINE IOP. THERE WAS NO CORRELATION BETWEEN AGE, OCULAR BIOMETRY, AND ULTRASOUND PACHYMETRY WHEN COMPARED WITH THE INDUCED IOP DIFFERENCE. ONE SUBJECT (1.33%) WAS FOUND TO HAVE BASELINE IOP OF MORE THAN 21 MMHG. CONCLUSION: THERE WAS A UNIFORM 2-FOLD INCREASE IN THE IOP DURING SIRSASANA, WHICH WAS MAINTAINED DURING THE POSTURE IN ALL AGE GROUPS IRRESPECTIVE OF THE OCULAR BIOMETRY AND ULTRASOUND PACHYMETRY. WE DID NOT DEMONSTRATE A HIGHER PREVALENCE OF OCULAR HYPERTENSIVES IN THIS COHORT OF YOGA PRACTITIONERS NOR DID THE RISK FACTORS CONTRIBUTING TO GLAUCOMA SHOW ANY CORRELATION WITH MAGNITUDE OF IOP RAISE DURING THE POSTURE. 2006 2 971 33 EFFECTS OF AN INTEGRATED APPROACH OF HATHA YOGA THERAPY ON FUNCTIONAL DISABILITY, PAIN, AND FLEXIBILITY IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROLLED STUDY. OBJECTIVES: THE STUDY OBJECTIVES WERE TO EVALUATE THE EFFICACY OF INTEGRATING HATHA YOGA THERAPY WITH THERAPEUTIC EXERCISES FOR OSTEOARTHRITIS (OA) OF THE KNEE JOINTS. DESIGN: THIS WAS A PROSPECTIVE, RANDOMIZED, ACTIVE CONTROLLED TRIAL. TWO HUNDRED AND FIFTY (250) PARTICIPANTS WHO HAD OA KNEES AND WHO WERE BETWEEN 35 AND 80 YEARS (YOGA 59.56+/-9.54) AND (CONTROL 59.42+/-10.66) FROM THE OUTPATIENT DEPARTMENT OF EBNEZAR ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE HATHA YOGA THERAPY OR THERAPEUTIC EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT (20 MINUTES PER DAY). BOTH OF THE GROUPS PRACTICED SUPERVISED INTERVENTIONS (40 MINUTES PER DAY) FOR 3 MONTHS. ONE HUNDRED AND EIGHTEEN (118) (YOGA) AND 117 (CONTROL) SUBJECTS WERE AVAILABLE FOR THE FINAL ANALYSIS. RESULTS: THERE WERE SIGNIFICANT DIFFERENCES WITHIN (WILCOXON'S, P<0.001) AND BETWEEN THE GROUPS (MANN-WHITNEY U, P<0.001) ON ALL THE VARIABLES, WITH BETTER IMPROVEMENTS IN THE YOGA THAN THE CONTROL GROUPS. WALKING PAIN IN THE YOGA (37.3%, 64.9%) AND CONTROL (24.9%, 42%), KNEE DISABILITY IN THE YOGA (59.7%, 83%) AND CONTROL (32.7%, 53.6%), RANGE OF KNEE FLEXION IN YOGA (12.7%, 26.5% RIGHT, 13.5%, 28% LEFT) AND CONTROL (6.9%, 13.3% RIGHT, 5.6%, 11.5% LEFT), JOINT TENDERNESS IN YOGA (52.3%, 86.1%) AND CONTROL (28%, 57.1%), SWELLING IN YOGA (55.4%, 85.9%) AND CONTROL (32.1%, 60%), CREPITUS IN YOGA (44.0%, 79.9%) AND CONTROL (27.0%, 47.8%) AND WALKING TIME IN YOGA (26.6%, 52.8%) AND CONTROL (9.3%, 21.6%), ALL IMPROVED MORE IN THE YOGA THAN THE CONTROL GROUPS ON THE 15TH AND 90TH DAY, RESPECTIVELY. CONCLUSIONS: AN INTEGRATED APPROACH OF HATHA YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING WALKING PAIN, RANGE OF KNEE FLEXION, WALKING TIME, TENDERNESS, SWELLING, CREPITUS, AND KNEE DISABILITY IN PATIENTS WITH OA KNEES. 2012 3 1090 37 EFFECTS OF YOGA ON THE INTERVENTION OF LEVATOR ANI HIATUS IN POSTPARTUM WOMEN: A PROSPECTIVE STUDY. [PURPOSE] THIS STUDY AIMED TO EXPLORE THE APPLICATION VALUE OF YOGA INTERVENTION IN EARLY POSTPARTUM RECOVERY OF THE LEVATOR ANI MUSCLE HIATUS (LAH) AREA. [PARTICIPANTS AND METHODS] FEMALES IN NATURAL LABOR FROM MAY 2020 TO NOVEMBER 2020 IN THE THIRD PEOPLE'S HOSPITAL OF SUN YAT-SEN UNIVERSITY ULTRASOUND RESEARCH CENTER WERE PROSPECTIVELY INCLUDED FOR A PELVIC ULTRASOUND EXAMINATION. THE CONTROL GROUP RECEIVED NO INTERVENTION. THE EXPERIMENTAL GROUP RECEIVED 60-MIN YOGA ONCE A WEEK FROM WEEK 1 TO WEEK 12 POSTPARTUM. A PELVIC ULTRASOUND EXAMINATION WAS PERFORMED ON THE WEEK 6 AND WEEK 12 POSTPARTUM. THE LAH AREA WAS MEASURED AT REST, DURING CONTRACTION AND VALSALVA MANEUVER. [RESULTS] A TOTAL OF 128 PARTICIPANTS WHO MET THE INCLUSION CRITERIA WERE SELECTED AND RANDOMLY ASSIGNED TO THE CONTROL GROUP (N=66) AND THE EXPERIMENTAL GROUP (N=62) IN PRE AND POST INTERVENTION DESIGN. NO SIGNIFICANT DIFFERENCES WERE FOUND IN AGE, PARITY, BODY MASS INDEX, AND FETAL WEIGHT BETWEEN THE CONTROL AND EXPERIMENTAL GROUPS. FURTHER, NO SIGNIFICANT DIFFERENCE WAS OBSERVED IN THE LAH AREA BETWEEN THE CONTROL AND EXPERIMENTAL GROUPS AT REST, DURING CONTRACTION AND VALSALVA MANEUVER ON THE WEEK 6 POSTPARTUM. HOWEVER, THE LAH AREA IN EXPERIMENTAL GROUP SIGNIFICANTLY REDUCED AT REST, DURING CONTRACTION AND VALSALVA MANEUVER ON THE WEEK 12 POSTPARTUM. THE DIFFERENCES OF LAH AREA (DATE WEEK 6 MINUS DATE WEEK 12) IN THE CONTROL GROUP AT REST, DURING CONTRACTION AND VALSALVA MANEUVER WERE 0.12 +/- 3.12 CM(2), 0.80 +/- 2.29 CM(2), AND 0.80 +/- 4.22 CM(2), WHILE IN THE CONTROL THESE WERE 1.95 +/- 3.41 CM(2), 1.39 +/- 1.91 CM(2), AND 3.81 +/- 5.49 CM(2), RESPECTIVELY. COMPARED WITH CONTROL GROUP, THE DIFFERENCES OF LAH AREA SIGNIFICANTLY INCREASED IN EXPERIMENTAL GROUP AT REST AND DURING VALSALVA MANEUVER. [CONCLUSION] YOGA INTERVENTION CAN HELP IN THE RECOVERY OF LAH. 2021 4 1816 29 PROGRESSIVE OPTIC NEUROPATHY IN CONGENITAL GLAUCOMA ASSOCIATED WITH THE SIRSASANA YOGA POSTURE. THE AUTHORS DESCRIBE A CASE OF PROGRESSIVE OPTIC NEUROPATHY IN A PATIENT WITH CONGENITAL GLAUCOMA WHO HAD ROUTINELY PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE FOR SEVERAL YEARS. OPHTHALMIC EXAMINATION INCLUDED BEST-CORRECTED VISUAL ACUITY, ANTERIOR SEGMENT EXAMINATION, INDIRECT OPHTHALMOSCOPY, ULTRASOUND PACHYMETRY FOR CENTRAL CORNEAL THICKNESS, AND INTRAOCULAR PRESSURE BEFORE, DURING, AND AFTER MAINTAINING THE SIRSASANA POSTURE FOR 5 MINUTES. INTRAOCULAR PRESSURE INCREASED SIGNIFICANTLY DURING THE SIRSASANA POSTURE. TRANSIENT ELEVATION IN INTRAOCULAR PRESSURE DURING YOGA EXERCISES MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY, ESPECIALLY IN SUSCEPTIBLE PATIENTS WITH CONGENITAL GLAUCOMA. 2008 5 649 35 DYNAMIC EVALUATION OF THE CONTRACTILE FUNCTION OF LUMBODORSAL MUSCLES DURING LOCUST POSE IN YOGA BY REAL-TIME ULTRASOUND. BACKGROUND AND PURPOSE: CHRONIC LOW BACK PAIN (CLBP), WHICH HAS A CLOSE RELATIONSHIP WITH LUMBAR MUSCLE DEGENERATION, CAN BE EFFECTIVELY TREATED BY EXERCISE THERAPY, AND YOGA HAS BEEN WIDELY ACCEPTED BY CLINICIANS AND PATIENTS WITH CLBP. THE PURPOSE OF THIS STUDY WAS TO OBSERVE THE CHANGES IN THE THICKNESS OF LUMBODORSAL MUSCLES THAT OCCUR DURING LOCUST POSE IN YOGA AND HOW THESE CHANGES OCCUR. FROM THE CHANGES IN MUSCLE THICKNESS THAT OCCUR IN THE LOCUST POSE, THE CONTRACTILE FUNCTION OF LUMBODORSAL MUSCLES CAN BE EVALUATED. METHODS: FIFTY-TWO HEALTHY VOLUNTEERS (FROM MAY 2019 TO AUGUST 2019, AGE FROM 28 TO 68 YEARS, 23 MALES AND 29 FEMALES (AGE: 40 +/- 8 YEARS; WEIGHT: 68.3 +/- 5.2 KG; HEIGHT: 170.2 +/- 13.1 CM) WERE RECRUITED, AND LUMBODORSAL MUSCLE, INCLUDING THE MULTIFIDUS, LONGISSIMUS, ILIOCOSTALIS, AND QUADRATUS LUMBORUM, ULTRASONIC EXAMINATIONS WERE CARRIED OUT IN THE RELAXED AND CONTRACTED STATES. THE CHANGES IN THE THICKNESS OF THE LUMBODORSAL MUSCLES IN THE RELAXED AND CONTRACTED STATES WERE DYNAMICALLY OBSERVED BY REAL-TIME ULTRASOUND WHEN SUBJECTS WERE PERFORMING THE LOCUST YOGA POSE. THEN, THE THICKNESSES OF THE MUSCLES DURING THE TWO STATES WERE MEASURED TO CALCULATE THE RATIO OF CONTRACTION OF EACH MUSCLE AND DETERMINE THE STATISTICAL SIGNIFICANCE OF THE CHANGE IN THICKNESS OF EACH MUSCLE. RESULTS: THE MEAN THICKNESS OF THE LEFT MULTIFIDUS IN THE RELAXED STATE WAS 1.32 +/- 0.27 CM (95 % CI: 1.24 ~ 1.39), THAT IN THE CONTRACTED STATE WAS 1.60 +/- 0.30 CM (95 % CI: 1.52 ~ 1.69) (OBVIOUSLY DIFFERENT BETWEEN THE RELAXED AND CONTRACTED STATES, P < 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 1.37 +/- 0.31 CM (95 % CI: 1.29 ~ 2.46) AND 1.68 +/- 0.38 CM (95 % CI: 1.58 ~ 1.79) (P < 0.001), RESPECTIVELY. THE MEAN THICKNESS OF THE LEFT QUADRATUS LUMBORUM IN THE RELAXED STATE WAS 1.38 +/- 0.32 CM (95 % CI: 1.29 ~ 1.47), THAT IN THE CONTRACTED STATE WAS 1.62 +/- 0.40 CM (95 % CI: 1.50 ~ 1.73) (P = 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 1.30 +/- 0.32 CM (95 % CI: 1.21 ~ 1.39) AND 1.55 +/- 0.41 CM (95 % CI: 1.44 ~ 1.67) (P = 0.001), RESPECTIVELY. THE MEAN THICKNESS OF THE LEFT LONGISSIMUS IN THE RELAXED WAS 2.33 +/- 0.51 CM (95 % CI: 2.19 ~ 2.47), THAT IN THE CONTRACTED STATE WAS 3.20 +/- 0.61 CM (95 % CI: 3.03 ~ 3.37) (P < 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 2.34 +/- 0.49 CM (95 % CI 2.20 ~ 2.48) AND 3.26 +/- 0.68 CM (95 % CI 3.07 ~ 3.45) (P < 0.001), RESPECTIVELY. THE MEAN THICKNESS OF THE LEFT ILIOCOSTALIS IN THE RELAXED STATE WAS 1.88 +/- 0.41 CM (95 % CI: 1.76 ~ 1.99), THAT IN THE CONTRACTED STATE WAS 2.34 +/- 0.49 CM (95 % CI: 2.00 ~ 2.47) (P < 0.001), AND THOSE IN THE CORRESPONDING RIGHT SIDE WERE 1.98 +/- 0.40 CM (95 % CI: 1.87 ~ 2.09) AND 2.44 +/- 0.56 CM (95 % CI: 2.29 ~ 2.60) (P < 0.001), RESPECTIVELY. THE MEAN CONTRACTED STATE/RESTING STATE (C/R) OF THE LONGISSIMUS WAS 1.39 +/- 0.14 ON THE LEFT AND 1.40 +/- 0.16 ON THE RIGHT. THE MULTIFIDUS AND ILIOCOSTALIS HAD THE SECOND HIGHEST C/R. THE MEAN C/R OF THE MULTIFIDUS WAS 1.23 +/- 0.12 ON THE LEFT AND 1.24 +/- 0.15 ON THE RIGHT, AND THE MEAN C/R OF THE ILIOCOSTALIS WAS 1.25 +/- 0.12 ON THE LEFT AND 1.24 +/- 0.14 ON THE RIGHT. THE QUADRATUS LUMBORUM HAD THE LOWEST C/R, AND THE MEAN C/R OF THE QUADRATUS LUMBORUM WAS 1.17 +/- 0.10 ON THE LEFT AND 1.19 +/- 0.11 ON THE RIGHT. CONCLUSIONS: ULTRASOUND CAN BE USED TO DYNAMICALLY ASSESS THE CONTRACTILE FUNCTION OF THE LUMBAR MUSCLE IN THE LOCUST POSE OF YOGA, THE C/R RATIO CAN BE USED TO INDICATE THE ABILITY OF A MUSCLE TO CONTRACT, AND DYNAMIC ULTRASOUND CAN GUIDE LUMBAR EXERCISE AND FEEDBACK THE EXERCISE RESULTS. THE ESTABLISHMENT OF THIS MODEL ALLOWED DATA REGARDING THE CONTRACTION STATE OF THE LUMBAR MUSCLE TO BE OBTAINED IN A NORMAL POPULATION, AND BASED ON THIS, FUTURE STUDIES CAN FURTHER EXPLORE AND EVALUATE THE CONTRACTION STATE OF THE LUMBAR MUSCLE AFTER YOGA EXERCISE IN CLBP PATIENTS, THE EFFECT EXERCISE ON LUMBAR INSTABILITY AND ON A PATIENT POPULATION AFTER LUMBAR OPERATION. 2021 6 684 32 EFFECT OF AN INTEGRATED APPROACH OF YOGA THERAPY ON QUALITY OF LIFE IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROL STUDY. AIM: THIS STUDY WAS DESIGNED TO EVALUATE THE EFFICACY OF ADDITION OF INTEGRATED YOGA THERAPY TO THERAPEUTIC EXERCISES IN OSTEOARTHRITIS (OA) OF KNEE JOINTS. MATERIALS AND METHODS: THIS WAS A PROSPECTIVE RANDOMIZED ACTIVE CONTROL TRIAL. A TOTAL OF T PARTICIPANTS WITH OA OF KNEE JOINTS BETWEEN 35 AND 80 YEARS (YOGA, 59.56 +/- 9.54 AND CONTROL, 59.42 +/- 10.66) FROM THE OUTPATIENT DEPARTMENT OF DR. JOHN'S ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE YOGA OR PHYSIOTHERAPY EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT OF THE AFFECTED KNEE JOINTS. BOTH GROUPS PRACTICED SUPERVISED INTERVENTION (40 MIN PER DAY) FOR 2 WEEKS (6 DAYS PER WEEK) WITH FOLLOWUP FOR 3 MONTHS. THE MODULE OF INTEGRATED YOGA CONSISTED OF SHITHILIKARANAVYAYAMA (LOOSENING AND STRENGTHENING), ASANAS, RELAXATION TECHNIQUES, PRANAYAMA, MEDITATION AND DIDACTIC LECTURES ON YAMA, NIYAMA, JNANA YOGA, BHAKTI YOGA, AND KARMA YOGA FOR A HEALTHY LIFESTYLE CHANGE. THE CONTROL GROUP ALSO HAD SUPERVISED PHYSIOTHERAPY EXERCISES. A TOTAL OF 118 (YOGA) AND 117 (CONTROL) WERE AVAILABLE FOR FINAL ANALYSIS. RESULTS: SIGNIFICANT DIFFERENCES WERE OBSERVED WITHIN (P < 0.001, WILCOXON'S) AND BETWEEN GROUPS (P < 0.001, MANN-WHITNEY U-TEST) ON ALL DOMAINS OF THE SHORT FORM-36 (P < 0.004), WITH BETTER RESULTS IN THE YOGA GROUP THAN IN THE CONTROL GROUP, BOTH AT 15(TH) DAY AND 90(TH) DAY. CONCLUSION: AN INTEGRATED APPROACH OF YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING KNEE DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH OA KNEES. 2011 7 717 25 EFFECT OF INTEGRATED YOGA THERAPY ON PAIN, MORNING STIFFNESS AND ANXIETY IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROL STUDY. AIM: TO STUDY THE EFFECT OF INTEGRATED YOGA ON PAIN, MORNING STIFFNESS AND ANXIETY IN OSTEOARTHRITIS OF KNEES. MATERIALS AND METHODS: TWO HUNDRED AND FIFTY PARTICIPANTS WITH OA KNEES (35-80 YEARS) WERE RANDOMLY ASSIGNED TO YOGA OR CONTROL GROUP. BOTH GROUPS HAD TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT FOLLOWED BY INTERVENTION (40 MIN) FOR TWO WEEKS WITH FOLLOW UP FOR THREE MONTHS. THE INTEGRATED YOGA CONSISTED OF YOGIC LOOSENING AND STRENGTHENING PRACTICES, ASANAS, RELAXATION, PRANAYAMA AND MEDITATION. THE CONTROL GROUP HAD PHYSIOTHERAPY EXERCISES. ASSESSMENTS WERE DONE ON 15(TH) (POST 1) AND 90(TH) DAY (POST 2). RESULTS: RESTING PAIN (NUMERICAL RATING SCALE) REDUCED BETTER (P<0.001, MANN-WHITNEY U TEST) IN YOGA GROUP (POST 1=33.6% AND POST 2=71.8%) THAN CONTROL GROUP (POST 1=13.4% AND POST 2=37.5%). MORNING STIFFNESS DECREASED MORE (P<0.001) IN YOGA (POST 1=68.6% AND POST 2=98.1%) THAN CONTROL GROUP (POST 1=38.6% AND POST 2=71.6%). STATE ANXIETY (STAI-1) REDUCED (P<0.001) BY 35.5% (POST 1) AND 58.4% (POST 2) IN THE YOGA GROUP AND 15.6% (POST 1) AND 38.8% (POST 2) IN THE CONTROL GROUP; TRAIT ANXIETY (STAI 2) REDUCED (P<0.001) BETTER (POST 1=34.6% AND POST 2=57.10%) IN YOGA THAN CONTROL GROUP (POST 1=14.12% AND POST 2=34.73%). SYSTOLIC BLOOD PRESSURE REDUCED (P<0.001) BETTER IN YOGA GROUP (POST 1=-7.93% AND POST 2=-15.7%) THAN THE CONTROL GROUP (POST 1=-1.8% AND POST 2=-3.8%). DIASTOLIC BLOOD PRESSURE REDUCED (P<0.001) BETTER IN YOGA GROUP (POST 1=-7.6% AND POST 2=-16.4%) THAN THE CONTROL GROUP (POST 1=-2.1% AND POST 2=-5.0%). PULSE RATE REDUCED (P<0.001) BETTER IN YOGA GROUP (POST 1=-8.41% AND POST 2=-12.4%) THAN THE CONTROL GROUP (POST 1=-5.1% AND POST 2=-7.1%). CONCLUSION: INTEGRATED APPROACH OF YOGA THERAPY IS BETTER THAN PHYSIOTHERAPY EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN REDUCING PAIN, MORNING STIFFNESS, STATE AND TRAIT ANXIETY, BLOOD PRESSURE AND PULSE RATE IN PATIENTS WITH OA KNEES. 2012 8 2166 23 THE EFFECTS OF YOGA EXERCISE ON PELVIC FLOOR REHABILITATION OF POSTPARTUM WOMEN. REHABILITATION OF THE PELVIC FLOOR AFTER DELIVERY IS VERY IMPORTANT FOR WOMEN. PELVIC FLOOR REHABILITATION CAN SPEED UP THE RECOVERY OF THE POSTPARTUM VAGINA AND PELVIC FLOOR MUSCLE TENSION AND ELASTICITY AND HAVE A GOOD EFFECT ON THE PREVENTION AND TREATMENT OF POSTPARTUM VAGINAL PROLAPSE AND RELAXATION, URINARY INCONTINENCE AND OTHER PELVIC FLOOR DISORDERS. THUS, THIS ARTICLE FOCUSES ON YOGA EXERCISE TO EXPLORE ITS IMPACT ON POSTPARTUM PELVIC FLOOR REHABILITATION. THIS ARTICLE USES ELECTRICAL STIMULATION AND THE TREATMENT OF PELVIC FLOOR MUSCLES COMBINED WITH THE POSTURE RECOGNITION ALGORITHM, THE YOGA REHABILITATION TRAINING PROGRAM THAT HAS THE BEST EFFECT ON THE PARTURIENT IS OBTAINED, AND THE YOGA MYOELECTRIC STIMULATION COMBINED METHOD AND THE TRADITIONAL MYOELECTRIC STIMULATION METHOD ARE DESIGNED FOR COMPARISON EXPERIMENTS. THE EXPERIMENTAL RESULTS SHOW THAT THE PARTURIENTS WHO HAVE UNDERGONE THE COMBINED METHOD OF YOGA MYOELECTRIC STIMULATION, IN THE RESTING STATE, CONTRACTION STATE, AND VALSALVA STATE, THE POSITION OF THE BLADDER MERIDIAN, THE POSITION OF THE UTERUS, AND THE POSITION OF THE RECTAL AMPULLA OF THE PARTURIENT HAVE A SIGNIFICANT RECOVERY COMPARED THOSE WHO HAVE UNDERGONE THE TRADITIONAL ELECTROMYOGRAPHY TREATMENT. IN ADDITION, THE AVERAGE AREA OF HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE CONTROL GROUP 42 DAYS POSTPARTUM WAS 12.2605 CM(2), WHILE THE AVERAGE AREA OF THE HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE EXPERIMENTAL GROUP 42 DAYS POSTPARTUM WAS 10.788 CM(2); THE AVERAGE AREA OF HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE CONTROL GROUP AT 3 MONTHS POSTPARTUM WAS 11.4805 CM(2), AND THE AVERAGE AREA OF HIATUS IN THE PELVIC FLOOR ULTRASOUND EXAMINATION IN THE EXPERIMENTAL GROUP AT 3 MONTHS POSTPARTUM WAS 8.9475 CM(2). TO SUM UP, YOGA HAD A VERY SIGNIFICANT IMPROVEMENT ON THE PHYSICAL INDICATORS AND MENTAL HEALTH OF POSTPARTUM WOMEN. 2022 9 1499 44 INTRAOCULAR PRESSURE RISE IN SUBJECTS WITH AND WITHOUT GLAUCOMA DURING FOUR COMMON YOGA POSITIONS. PURPOSE: TO MEASURE CHANGES IN INTRAOCULAR PRESSURE (IOP) IN ASSOCIATION WITH YOGA EXERCISES WITH A HEAD-DOWN POSITION. METHODS: THE SINGLE CENTER, PROSPECTIVE, OBSERVATIONAL STUDY INCLUDED 10 SUBJECTS WITH PRIMARY OPEN-ANGLE GLAUCOMA AND 10 NORMAL INDIVIDUALS, WHO PERFORMED THE YOGA EXERCISES OF ADHO MUKHA SVANASANA, UTTANASANA, HALASANA AND VIPARITA KARANI FOR TWO MINUTES EACH. IOP WAS MEASURED BY PNEUMATONOMETRY AT BASELINE AND DURING AND AFTER THE EXERCISES. RESULTS: ALL YOGA POSES WERE ASSOCIATED WITH A SIGNIFICANT (P < 0.01) RISE IN IOP WITHIN ONE MINUTE AFTER ASSUMING THE YOGA POSITION. THE HIGHEST IOP INCREASE (P < 0.01) WAS MEASURED IN THE ADHO MUKHA SVANASANA POSITION (IOP INCREASE FROM 17 +/- 3.2 MMHG TO 28 +/- 3.8 MMHG IN GLAUCOMA PATIENTS; FROM 17 +/- 2.8 MMHG TO 29 +/- 3.9 MMHG IN NORMAL INDIVIDUALS), FOLLOWED BY THE UTTANASANA POSITION (17 +/- 3.9 MMHG TO 27 +/- 3.4 MMHG (GLAUCOMA PATIENTS) AND FROM 18 +/- 2.5 MMHG TO 26 +/- 3.6 MMHG NORMAL INDIVIDUALS)), THE HALASANA POSITION (18 +/- 2.8 MMHG TO 24 +/- 3.5 MMHG (GLAUCOMA PATIENTS); 18 +/- 2.7 MMHG TO 22 +/- 3.4 MMHG (NORMAL INDIVIDUALS)), AND FINALLY THE VIPARITA KIRANI POSITION (17 +/- 4 MMHG TO 21 +/- 3.6 MMHG (GLAUCOMA PATIENTS); 17 +/- 2.8 TO 21 +/- 2.4 MMHG (NORMAL INDIVIDUALS)). IOP DROPPED BACK TO BASELINE VALUES WITHIN TWO MINUTES AFTER RETURNING TO A SITTING POSITION. OVERALL, IOP RISE WAS NOT SIGNIFICANTLY DIFFERENT BETWEEN GLAUCOMA AND NORMAL SUBJECTS (P = 0.813), ALL THOUGH GLAUCOMA EYES TENDED TO HAVE MEASUREMENTS 2 MM HG HIGHER ON AVERAGE. CONCLUSIONS: YOGA EXERCISES WITH HEAD-DOWN POSITIONS WERE ASSOCIATED WITH A RAPID RISE IN IOP IN GLAUCOMA AND HEALTHY EYES. IOP RETURNED TO BASELINE VALUES WITHIN 2 MINUTES. FUTURE STUDIES ARE WARRANTED ADDRESSING WHETHER YOGA EXERCISE ASSOCIATED IOP CHANGES ARE ASSOCIATED WITH SIMILAR CHANGES IN CEREBROSPINAL FLUID PRESSURE AND WHETHER THEY INCREASE THE RISK OF GLAUCOMA PROGRESSION. TRIAL REGISTRATION: CLINICALTRIALS.GOV #NCT01915680. 2015 10 442 28 CEREBROVASCULAR DYNAMICS ASSOCIATED WITH YOGA BREATHING AND BREATH AWARENESS. AIMS: BREATH FREQUENCY CAN ALTER CEREBRAL BLOOD FLOW. THE STUDY AIMED TO DETERMINE BILATERAL MIDDLE CEREBRAL ARTERIAL HEMODYNAMICS IN HIGH-FREQUENCY YOGA BREATHING (HFYB) AND SLOW FREQUENCY ALTERNATE NOSTRIL YOGA BREATHING (ANYB) USING TRANSCRANIAL DOPPLER SONOGRAPHY. METHODS: HEALTHY MALE VOLUNTEERS WERE ASSESSED IN TWO SEPARATE TRIALS BEFORE, DURING, AND AFTER HFYB (2.0 HZ FOR 1 MIN, N = 16) AND ANYB (12 BREATHS PER MINUTE FOR 5 MIN, N = 22). HFYB AND ANYB WERE SEPARATELY COMPARED TO BREATH AWARENESS (BAW) AND TO CONTROL SESSIONS. STATISTICAL ANALYSIS: THE DATA WERE ANALYZED USING REPEATED-MEASURES ANOVA WITH BONFERRONI ADJUSTED POST HOC TESTS. RESULTS: DURING HFYB THERE WAS A DECREASE IN END-DIASTOLIC VELOCITY (EDV) AND MEAN FLOW VELOCITY (MFV) (P < 0.01 FOR LEFT AND P < 0.05 FOR RIGHT MIDDLE CEREBRAL ARTERIES; MCA) WITH AN INCREASE IN PULSATILITY INDEX (PI) FOR THE RIGHT MCA (P < 0.05). DURING ANYB, THERE WAS A BILATERAL DECREASE IN PEAK SYSTOLIC VELOCITY (P < 0.05 FOR LEFT AND P < 0.01 FOR RIGHT MCA), EDV (P < 0.01) AND MFV (P < 0.01 FOR LEFT AND P < 0.001 FOR RIGHT MCA) AND AN INCREASE IN PI (P < 0.01). DURING BAW OF THE TWO SESSIONS THERE WAS A DECREASE IN LATERALIZED FLOW AND END-DIASTOLIC VELOCITIES (P < 0.05) AND AN INCREASE IN PI (P < 0.05). CONCLUSIONS: CHANGES IN PEAK FLOW VELOCITIES AND PULSATILITY INDICES DURING AND AFTER HFYB, ANYB, AND BAW SUGGEST DECREASED CEREBROVASCULAR BLOOD FLOW AND INCREASED FLOW RESISTANCE BASED ON DIFFERENT MECHANISMS. 2022 11 2356 19 VALSALVA HAEMORRHAGIC RETINOPATHY IN PREGNANCY AFTER YOGA. A 35-YEAR-OLD PREGNANT CAUCASIAN WOMAN AT 27 WEEKS GESTATION PRESENTED WITH SUDDEN ONSET PAINLESS LOSS OF VISION AND A LARGE FLOATER IN HER LEFT EYE WHILE DOING YOGA. SHE WAS FOUND TO HAVE A DENSE VITREOUS HAEMORRHAGE WITH A SMALL PRERETINAL HAEMORRHAGE. ULTRASOUND IMAGING CONFIRMED THE HAEMORRHAGE AND SHOWED NO OTHER RETINAL DAMAGE. SHE WAS DIAGNOSED WITH VALSALVA HAEMORRHAGIC RETINOPATHY AND WAS TREATED CONSERVATIVELY. AFTER 5 MONTHS OF FOLLOW-UP, THIS WOMAN HAD HAD A NORMAL DELIVERY AND HER HAEMORRHAGES AND VISION LOSS HAD RESOLVED. 2017 12 1813 22 PROGRESSION OF GLAUCOMA ASSOCIATED WITH THE SIRSASANA (HEADSTAND) YOGA POSTURE. THIS ARTICLE REPORTS A CASE OF PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY AND VISUAL FIELD LOSS THAT OCCURRED IN A PATIENT WHO PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE ON A DAILY BASIS FOR MANY YEARS. VISUAL FIELD ANALYSIS WAS PERFORMED THROUGH STANDARD AUTOMATED PERIMETRY. INTRAOCULAR PRESSURE (IOP) WAS MEASURED THROUGH PNEUMOTONOMETRY IN THE SITTING POSITION AND IN THE HEAD-DOWN POSITION. STEREO-OPTIC DISC PHOTOGRAPHS WERE OBTAINED. IOP INCREASED SIGNIFICANTLY IN THE HEAD-DOWN POSITION. OPTIC DISC EVALUATION REVEALED A NEW DISC HEMORRHAGE IN THE LEFT EYE. VISUAL FIELD ANALYSIS OVER A PERIOD OF 2 Y SHOWED PROGRESSION OF A SUPERIOR ARCUATE DEFECT IN THE LEFT EYE. TRANSIENT INCREASES IN IOP ASSOCIATED WITH THE YOGA HEADSTAND POSTURE MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NERVE DAMAGE AND VISUAL FIELD LOSS. 2006 13 781 29 EFFECT OF YOGA ASANAS ON NERVE CONDUCTION IN TYPE 2 DIABETES. TWENTY TYPE 2 DIABETIC SUBJECTS BETWEEN THE AGE GROUP OF 30-60 YEARS WERE STUDIED TO SEE THE EFFECT OF 40 DAYS OF YOGA ASANAS ON THE NERVE CONDUCTION VELOCITY. THE DURATION OF DIABETES RANGED FROM 0-10 YEARS. SUBJECT SUFFERING FROM CARDIAC, RENAL AND PROLIFERATIVE RETINAL COMPLICATIONS WERE EXCLUDED FROM THE STUDY YOGA ASANAS INCLUDED SURYANAMSKAR. TADASAN, KONASAN, PADMASAN PRANAYAM, PASCHIMOTTANSAN ARDHMATSYENDRASAN, SHAVASAN, PAVANMUKTHASAN, SARPASAN AND SHAVASAN. SUBJECTS WERE CALLED TO THE CARDIO-RESPIRATORY LABORATORY IN THE MORNING TIME AND WERE GIVEN TRAINING BY THE YOGA EXPERT. THE YOGA EXERCISES WERE PERFORMED FOR 30-40 MINUTES EVERY DAY FOR 40 DAYS IN THE ABOVE SEQUENCE. THE SUBJECTS WERE PRESCRIBED CERTAIN MEDICINES AND DIET. THE BASAL BLOOD GLUCOSE, NERVE CONDUCTION VELOCITY OF THE MEDIAN NERVE WAS MEASURED AND REPEATED AFTER 40 DAYS OF YOGIC REGIME. ANOTHER GROUP OF 20 TYPE 2 DIABETES SUBJECTS OF COMPARABLE AGE AND SEVERITY, CALLED THE CONTROL GROUP, WERE KEPT ON PRESCRIBED MEDICATION AND LIGHT PHYSICAL EXERCISES LIKE WALKING. THEIR BASAL & POST 40 DAYS PARAMETERS WERE RECORDED FOR COMPARISON. RIGHT HAND AND LEFT HAND MEDIAN NERVE CONDUCTION VELOCITY INCREASED FROM 52.81 +/- 1.1 M/SEC TO 53.87 +/- 1.1 M/SEC AND 52.46 +/- 1.0 TO 54.75 +/- 1/1 M/SEC RESPECTIVELY. CONTROL GROUP NERVE FUNCTION PARAMETERS DETERIORATED OVER THE PERIOD OF STUDY, INDICATING THAT DIABETES IS A SLOWLY PROGRESSIVE DISEASE INVOLVING THE NERVES. YOGA ASANAS HAVE A BENEFICIAL EFFECT ON GLYCAEMIC CONTROL AND IMPROVE NERVE FUNCTION IN MILD TO MODERATE TYPE 2 DIABETES WITH SUB-CLINICAL NEUROPATHY. 2002 14 553 38 CORRELATION OF HEART RATE VARIABILITY WITH CAROTID INTIMA MEDIA THICKNESS AFTER 6 MONTH OF YOGA INTERVENTION IN PREDIABETICS. INTRODUCTION: ATHEROSCLEROTIC CAROTID INTIMAMEDIA THICKNESS (CIMT) MAY BE ASSOCIATED WITH ALTERATIONS IN THE AUTONOMIC FUNCTIONS. THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFECT OF 6-MONTH YOGA INTERVENTION ON HEART RATE VARIABILITY (HRV) AND CIMT IN ELDERLY SUBJECTS AND THE CORRELATION BETWEEN HRV AND CIMT. METHODOLOGY: THIS WAS A RANDOMIZED CONTROLLED STUDY, IN WHICH A TOTAL OF 250 SUBJECTS WERE ENROLLED. RANDOMIZATION AND ALLOCATION IN YOGA AND CONTROL GROUPS WERE PERFORMED USING COMPUTER-GENERATED RANDOM NUMBERS. THE CIMT WAS DETERMINED BY B-MODE ULTRASONOGRAPHY, AND CARDIAC AUTONOMIC FUNCTION WAS DETERMINED THROUGH FREQUENCY DOMAIN PARAMETER OF HRV MEASURES AT BASELINE AND AFTER 6 MONTHS OF YOGA INTERVENTION. RESULTS: PARTICIPANTS HAD A MEAN AGE OF 45.4 +/- 6.4 YEARS, AND A MEAN CIMT IN CONTROL (0.70 +/- 0.05) AND STUDY GROUP (0.69 +/- 0.073), AND LOW FREQUENCY/HIGH FREQUENCY (LF/HF) RATIO IN CONTROL (2.20 +/- 1.05) AND STUDY GROUP (0.57 +/- 0.54). YOGA GROUP HAD EVIDENCE OF INCREASED VAGAL ACTIVITY IN THE FREQUENCY DOMAIN (HF AND LF/HF RATIO, P < 0.001) WITH RESPECT TO CONTROL GROUP. MOREOVER, A STUDY GROUP SHOWED LOWER INTIMAMEDIA THICKNESS (IMT) THAN CONTROL SUBJECTS (P < 0.01). IN THE WHOLE POPULATION, LF/HF RATIO POSITIVELY AND SIGNIFICANTLY CORRELATED (R = 0.665, P < 0.01) TO IMT. CONCLUSION: THIS STUDY DEMONSTRATED THAT, AFTER YOGA INTERVENTION, LF/HF RATIO IS POSITIVELY CORRELATED WITH CIMT, A PUTATIVE INDEX OF ATHEROSCLEROSIS, CONFIRMING CARDIAC AUTONOMIC NEUROPATHY AS A PART OF THE PATHOPHYSIOLOGICAL PATHWAY FOR ATHEROSCLEROSIS. IT CONFIRMS THAT THE REGULAR YOGA REPRESENTS A VALUABLE STRATEGY TO COUNTER IMPAIRMENTS OF CARDIAC AUTONOMIC ACTIVITY AND ARTERY STRUCTURAL CHANGES. 2021 15 2160 32 THE EFFECTS OF WEIGHT BEARING YOGA TRAINING ON THE BONE RESORPTION MARKERS OF THE POSTMENOPAUSAL WOMEN. THIS STUDY WAS A PRELIMINARY REPORT TO INVESTIGATE THE EFFECTS OF THE WEIGHT BEARING YOGA TRAINING ON BOTH BONE RESORPTION MARKER AND THE QUALITY OF LIFE OF THE POSTMENOPAUSAL WOMEN. THE SAMPLES WERE RECRUITED BY THE PURPOSIVE SAMPLING FROM THE FEMALE CHULALONGKORN UNIVERSITY STAFF AGED BETWEEN 50-60 YEARS. THE SUBJECTS WERE DIVIDED INTO TWO GROUPS: EXPERIMENTAL GROUP AND CONTROL GROUP. THE BASELINE DEMOGRAPHIC DATA, THE BONE RESORPTION MARKER (BETA-CROSSLAPS), THE BONE FORMATION MARKER (P1NP) AND QUALITY OF LIFE (SF-36) DATA WERE COLLECTED. THE EXPERIMENTAL GROUP ATTENDED THE 12-WEEK WEIGHT-BEARING YOGA TRAINING 3 DAYS A WEEK, 50 MINUTES A DAY WHILE THE CONTROL GROUP LIVED THEIR NORMAL LIVES. AFTER 12TH WEEK, THE DATA COLLECTIONS WERE REPEATED IN BOTH GROUPS. THE EXPERIMENTAL GROUP (19 SUBJECTS, THE MEAN AGE 54.320 YRS) AND THE CONTROL GROUP (14 SUBJECTS, THE MEAN AGE 54.430 YRS) WERE RECRUITED. THE MEAN ULTRASOUND BMD OF BOTH HEELS IN BOTH GROUPS SHOWED NO OSTEOPENIA OR OSTEOPOROSIS. AFTER THE 12-WEEK TRAINING, THE MEAN BONE RESORPTION MARKER (BETA-CROSSLAPS) OF THE EXPERIMENTAL GROUP REDUCED FROM 0.464 TO 0.339 NG/ML (-26.939%) WHEREAS THE CONTROL GROUP REDUCED FROM 0.389 TO 0.386 NG/ML (-0.771%). THERE WAS A SIGNIFICANT DIFFERENCE (P < 0.05). THE MEAN OF THE BONE FORMATION MARKERS (PINP) IN THE EXPERIMENTAL GROUP REDUCED FROM 55.393 TO 42.401 NG/ML (-23.454%) AND THE BONE FORMATION MARKERS (PINP) IN THE CONTROL GROUP REDUCED FROM 61.903 TO 44.832 NG/ML (-27.577%). IN THE AREA OF THE LIFE QUALITY MEASUREMENT OF BOTH GROUPS, THE DATA OBTAINED FROM THE MEDICAL OUTCOMES STUDY SHORT-FORM SURVEY (SF-36) SHOWED THAT THERE WERE SIGNIFICANT DIFFERENCES AT 0.05 LEVELS FOR THE PHYSICAL FUNCTIONING, BODILY PAIN, GENERAL HEALTH, AND VITALITY. THE VARIANCE OF PERCENTAGE CHANGE VALUE OF THE EXPERIMENTAL GROUP INCREASED TO +25.299, +16.565, +15.309, AND +21.056. THE VARIANCE OF PERCENTAGE CHANGE VALUE OF THE CONTROL GROUP INCREASED TO +12.946, -1.221, -9.303 AND +2.291. THE WEIGH-BEARING YOGA TRAINING HAD A POSITIVE EFFECT ON BONE BY SLOWING DOWN BONE RESORPTION WHICH WAS A VERY ESSENTIAL INDICATOR FOR HUMAN HEALTH BECAUSE IT REDUCED THE OSTEOPOROSIS RISKS IN THE POSTMENOPAUSAL WOMEN. ADDITIONALLY, YOGA TRAINING PROMOTED BETTER QUALITY OF LIFE. 2009 16 898 17 EFFECT OF YOGASANAS ON THE VISUAL AND AUDITORY REACTION TIME. VISUAL AND AUDITORY REACTION TIME (VRT, ART) WAS STUDIED IN 83 HEALTHY MALE SUBJECTS OF 30-40 YEARS OF AGE WHO HAD NEVER PRACTICED YOGASANAS BEFORE. THESE SUBJECTS WERE DIVIDED INTO TWO GROUPS VIZ. GROUP A WHOSE VRT AND ART WAS DETERMINED AFTER 1 HR. YOGASANAS AND GROUP B WHOSE ART AND VRT WAS DETERMINED AFTER 6 WEEKS YOGASANAS TRAINING PROGRAMME. VRT AND ART SHOWED A SIGNIFICANT REDUCTION IN GROUP A (P LESS THAN .05) AND GROUP B (P LESS THAN .001). 1989 17 573 15 DELAYED UNION OF STRESS FRACTURE OF THE FIRST RIB IN A YOGA INSTRUCTOR: A CASE REPORT. CASE: WE DESCRIBE THE CASE OF A 38-YEAR-OLD WOMAN, A YOGA INSTRUCTOR, WHO HAD PAIN IN THE RIGHT SHOULDER AND SCAPULAR REGION OF 4 MONTHS' DURATION WHILE PERFORMING YOGA. RADIOGRAPHY AND COMPUTED TOMOGRAPHY DIAGNOSED DELAYED UNION OF A FIRST RIB STRESS FRACTURE. THE DELAYED UNION OF STRESS FRACTURE OF THE FIRST RIB WAS SUCCESSFULLY TREATED WITH THE LIMITING OF YOGA ACTIVITY AND LOW-INTENSITY PULSED ULTRASOUND (LIPUS). CONCLUSIONS: PHYSICIANS SHOULD BE AWARE THAT EVEN YOGA POSING CAN CAUSE STRESS FRACTURES OF THE FIRST RIB. LIPUS THERAPY MAY BE EFFECTIVE FOR DELAYED UNION IN ADDITION TO REST. 2021 18 267 48 ACUTE FETAL BEHAVIORAL RESPONSE TO PRENATAL YOGA: A SINGLE, BLINDED, RANDOMIZED CONTROLLED TRIAL (TRY YOGA). BACKGROUND: IN 2012, YOGA WAS PRACTICED BY 20 MILLION AMERICANS, OF WHOM 82% WERE WOMEN. A RECENT LITERATURE REVIEW ON PRENATAL YOGA NOTED A REDUCTION IN SOME PREGNANCY COMPLICATIONS (IE, PRETERM BIRTH, LUMBAR PAIN, AND GROWTH RESTRICTION) IN THOSE WHO PRACTICED YOGA; TO DATE, THERE IS NO EVIDENCE ON FETAL RESPONSE AFTER YOGA. OBJECTIVES: WE AIMED TO CHARACTERIZE THE ACUTE CHANGES IN MATERNAL AND FETAL RESPONSE TO PRENATAL YOGA EXERCISES USING COMMON STANDARDIZED TESTS TO ASSESS THE WELL-BEING OF THE MATERNAL-FETAL UNIT. STUDY DESIGN: WE CONDUCTED A SINGLE, BLINDED, RANDOMIZED CONTROLLED TRIAL. UNCOMPLICATED PREGNANCIES BETWEEN 28 0/7 AND 36 6/7 WEEKS WITH A NONANOMALOUS SINGLETON FETUS OF WOMEN WHO DID NOT SMOKE, USE NARCOTICS, OR HAVE PRIOR EXPERIENCE WITH YOGA WERE INCLUDED. A COMPUTER-GENERATED SIMPLE RANDOMIZATION SEQUENCE WITH A 1:1 ALLOCATION RATIO WAS USED TO RANDOMIZE PARTICIPANTS INTO THE YOGA OR CONTROL GROUP. WOMEN IN THE YOGA GROUP PARTICIPATED IN A 1-TIME, 1 HOUR YOGA CLASS WITH A CERTIFIED INSTRUCTOR WHO TAUGHT A PREDETERMINED YOGA SEQUENCE. IN THE CONTROL GROUP, EACH PARTICIPANT ATTENDED A 1-TIME, 1 HOUR POWERPOINT PRESENTATION BY AN OBSTETRICIAN ON AMERICAN CONGRESS OF OBSTETRICIANS AND GYNECOLOGISTS RECOMMENDATIONS FOR EXERCISE, NUTRITION, AND OBESITY IN PREGNANCY. ALL PARTICIPANTS UNDERWENT PRE- AND POSTINTERVENTION TESTING, WHICH CONSISTED OF UMBILICAL AND UTERINE ARTERY DOPPLER ULTRASOUND, NONSTRESS TESTING, A BIOPHYSICAL PROFILE, MATERNAL BLOOD PRESSURE, AND MATERNAL HEART RATE. A BOARD-CERTIFIED MATERNAL-FETAL MEDICINE SPECIALIST, AT A DIFFERENT TERTIARY CENTER, INTERPRETED ALL NONSTRESS TESTS AND BIOPHYSICAL PROFILE DATA AND WAS BLINDED TO GROUP ASSIGNMENT AND PRE- OR POSTINTERVENTION TESTING. THE PRIMARY OUTCOME WAS A CHANGE IN UMBILICAL ARTERY DOPPLER SYSTOLIC TO DIASTOLIC RATIO. SAMPLE SIZE CALCULATIONS INDICATED 19 WOMEN PER GROUP WOULD BE SUFFICIENT TO DETECT THIS DIFFERENCE IN DOPPLER INDICES (ALPHA, 0.05; POWER, 80%). DATA WERE ANALYZED USING A REPEATED-MEASURES ANALYSIS OF VARIANCE, A CHI(2), AND A FISHER EXACT TEST. A VALUE OF P < .05 WAS CONSIDERED SIGNIFICANT. RESULTS: OF THE 52 WOMEN RANDOMIZED, 46 (88%) COMPLETED THE STUDY. THERE WAS NO CLINICALLY SIGNIFICANT CHANGE IN UMBILICAL ARTERY SYSTOLIC TO DIASTOLIC RATIO (P = .34), PULSATILITY INDEX (P = .53), OR RESISTANCE INDEX (P = .66) BETWEEN THE 2 GROUPS BEFORE AND AFTER THE INTERVENTION. FETAL AND MATERNAL HEART RATE, MATERNAL BLOOD PRESSURE, AND UTERINE ARTERY DOPPLERS REMAINED UNCHANGED OVER TIME. WHEN UMBILICAL ARTERY INDICES WERE INDIVIDUALLY COMPARED WITH GESTATIONAL AGE REFERENCES, THERE WAS NO DIFFERENCE BETWEEN THOSE WHO IMPROVED OR WORSENED BETWEEN THE GROUPS. CONCLUSION: THERE WAS NO SIGNIFICANT CHANGE IN FETAL BLOOD FLOW ACUTELY AFTER PERFORMING YOGA FOR THE FIRST TIME IN PREGNANCY. YOGA CAN BE RECOMMENDED FOR LOW-RISK WOMEN TO BEGIN DURING PREGNANCY. 2016 19 814 33 EFFECT OF YOGA ON CARDIOVASCULAR SYSTEM IN SUBJECTS ABOVE 40 YEARS. THIS STUDY WAS CONDUCTED TO EXAMINE THE EFFECT OF YOGA ON CARDIOVASCULAR FUNCTION IN SUBJECTS ABOVE 40 YRS OF AGE. PULSE RATE, SYSTOLIC AND DIASTOLIC BLOOD PRESSURE AND VALSALVA RATIO WERE STUDIED IN 50 CONTROL SUBJECTS (NOT DOING ANY TYPE OF PHYSICAL EXERCISE) AND 50 STUDY SUBJECTS WHO HAD BEEN PRACTICING YOGA FOR 5 YEARS. FROM THE STUDY IT WAS OBSERVED THAT SIGNIFICANT REDUCTION IN THE PULSE RATE OCCURS IN SUBJECTS PRACTICING YOGA (P<0.001). THE DIFFERENCE IN THE MEAN VALUES OF SYSTOLIC AND DIASTOLIC BLOOD PRESSURE BETWEEN STUDY GROUP AND CONTROL GROUP WAS ALSO STATISTICALLY SIGNIFICANT (P<0.01 AND P<0.001 RESPECTIVELY). THE SYSTOLIC AND DIASTOLIC BLOOD PRESSURE SHOWED SIGNIFICANT POSITIVE CORRELATION WITH AGE IN THE STUDY GROUP (R1 SYSTOLIC= 0.631 AND R1 DIASTOLIC = 0.610) AS WELL AS IN THE CONTROL GROUP (R2 SYSTOLIC = 0.981 AND R2 DIASTOLIC = 0.864). THE SIGNIFICANCE OF DIFFERENCE BETWEEN CORRELATION COEFFICIENT OF BOTH THE GROUPS WAS ALSO TESTED WITH THE USE OF Z TRANSFORMATION AND THE DIFFERENCE WAS SIGNIFICANT (Z SYSTOLIC= 4.041 AND Z DIASTOLIC= 2.901). VALSALVA RATIO WAS ALSO FOUND TO BE SIGNIFICANTLY HIGHER IN YOGA PRACTITIONERS THAN IN CONTROLS (P<0.001). OUR RESULTS INDICATE THAT YOGA REDUCES THE AGE RELATED DETERIORATION IN CARDIOVASCULAR FUNCTIONS. 2003 20 2242 31 THE INFLUENCE OF PHYSICAL ACTIVITY AND YOGA ON CENTRAL ARTERIAL STIFFNESS. PURPOSE: CENTRAL ARTERIAL STIFFNESS IS AN ACCEPTED RISK FACTOR FOR CARDIOVASCULAR DISEASE. WHILE AEROBIC ACTIVITY IS ASSOCIATED WITH REDUCED STIFFNESS THE INFLUENCE OF PRACTICING YOGA IS UNKNOWN. THE AIMS OF THIS STUDY WERE TO: 1) EVALUATE ARTERIAL STIFFNESS IN MIDDLE-AGED ADULTS WHO REGULARLY PRACTICED YOGA, PERFORMED REGULAR EXERCISE, OR WERE INACTIVE, 2) EVALUATE THE REPRODUCIBILITY OF ARTERIAL STIFFNESS MEASURED IN THE LEFT AND RIGHT CAROTID ARTERY AND BY PULSE WAVE VELOCITY (PWV). METHODS: TWENTY SIX HEALTHY SUBJECTS (MALE AND FEMALE, 40-65 YRS OLD) WERE TESTED ON TWO SEPARATE DAYS. CAROTID ARTERY DISTENSIBILITY (DC) WAS MEASURED WITH ULTRASOUND. PHYSICAL ACTIVITY WAS DETERMINED BY QUESTIONNAIRE. RESULTS: YOGA AND AEROBIC SUBJECTS HAD SIMILAR PHYSICAL ACTIVITY LEVELS. YOGA AND AEROBIC GROUPS WERE NOT DIFFERENT IN EITHER DC (P = 0.26) OR PWV (P = 0.21). THE SEDENTARY GROUP HAD LOWER DC AND HIGHER PWV COMPARED TO THE AEROBIC AND YOGA GROUPS (BOTH, P < 0.001). STIFFNESS MEASURES WERE RELIABLE DAY TO DAY (COEFFICIENTS OF VARIATION APPROXIMATELY 2.5%) AND SIMILAR BETWEEN LEFT AND RIGHT ARTERIES (CV = 2.2%). CONCLUSION: PHYSICAL ACTIVITY WAS A STRONG PREDICTOR OF BOTH MEASURES OF ARTERIAL STIFFNESS, ALTHOUGH OTHER FACTORS SUCH AS NUTRITIONAL STATUS NEED TO BE ACCOUNTED FOR. AN INDEPENDENT EFFECT OF PRACTICING YOGA COULD NOT BE DETECTED. STIFFNESS MEASURES WERE REPRODUCIBLE AND LEFT AND RIGHT SIDES WERE CONSISTENT WITH EACH OTHER. 2008