1 2924 92 [YOGA AND MEDITATION: HELPFUL TECHNIQUES TO IMPROVE THE LIFE OF CANCER PATIENTS]. CANCER IS CERTAINLY ONE OF THE MOST UPSETTING THINGS THAT CAN HAPPEN IN A LIFE TIME, IT MANAGES TO TOTALLY DESTROY THE BALANCE OF THOSE AFFECTED. THE PERSON CAN SUFFER FROM ANXIETY AND FEAR TO SUCH A POINT THAT THEY SEE THEIR FUTURE WITH TERROR. THESE DIFFICULTIES HAVE A DEVASTATING EFFECT ON THE QUALITY OF LIFE OF THE PATIENT AND THEIR FAMILIES, THE LATTER OFTEN BEING GIVEN LITTLE CONSIDERATION BY CARERS. SOMETIME TAILORED PSYCHOTHERAPY OR MEDICAL CARE CAN PARTIALLY CONTRIBUTE ONLY TO HELP THE PATIENT AND THEIR FAMILIES-CAREGIVER. TECHNIQUES SUCH AS YOGA AND SOME STRUCTURED MEDITATION, E.G. MINDFULNESS WHICH WORK ON THE "FEELING" OF MIND AND BODY CAN BE OF HELP. THESE TECHNIQUES LEAD TO A REDUCTION IN DISTRESS AND SO ADD TO A BETTER QUALITY OF LIFE, FUNDAMENTAL IN EACH STAGE OF THE ILLNESS. 2012 2 1215 30 EXPLORING THE EFFECTS OF YOGA THERAPY ON HEART RATE VARIABILITY AND PATIENT-REPORTED OUTCOMES AFTER CANCER TREATMENT: A STUDY PROTOCOL. BACKGROUND: FOLLOWING CANCER TREATMENT, ADULTS COMMONLY REPORT WORSENED PATIENT-REPORTED OUTCOMES (PROS) SUCH AS ANXIETY, STRESS, DEPRESSION, PERSISTENT AND UPSETTING COGNITIVE COMPLAINTS, UNRELENTING FATIGUE, AND REDUCED QUALITY OF LIFE. POORER PROS ARE ASSOCIATED WITH DISRUPTED AUTONOMIC NERVOUS SYSTEM FUNCTIONING AS MEASURED BY HEART RATE VARIABILITY (HRV), BOTH OF WHICH HAVE BEEN ASSOCIATED WITH GREATER MORBIDITY AND MORTALITY. INTERVENTIONS TO IMPROVE HRV AND PROS AMONG ADULTS FOLLOWING CANCER TREATMENT ARE NEEDED. YOGA THERAPY HOLDS PROMISE AS AN INTERVENTION TO IMPROVE HRV AND PROS. THEREFORE, WE CONDUCTED A SINGLE-SUBJECT EXPLORATORY EXPERIMENTAL STUDY TO INVESTIGATE THE EFFECTS OF YOGA THERAPY ON HRV AND SPECIFIC PROS (IE, CANCER-RELATED FATIGUE, ANXIETY, COGNITIVE FUNCTION, DEPRESSION, STRESS, QUALITY OF LIFE) IN ADULTS TREATED FOR CANCER. TO REDUCE PUBLICATION BIAS, IMPROVE REPRODUCIBILITY, AND SERVE AS A REFERENCE FOR FORTHCOMING REPORTING OF STUDY RESULTS, WE PRESENT THE STUDY PROTOCOL FOR THIS STUDY HEREIN. METHODS: PARTICIPANTS WERE ADULTS WHO COMPLETED CANCER TREATMENT THAT WERE RECRUITED FROM THE OTTAWA INTEGRATIVE CANCER CENTRE. CONSENTING AND ELIGIBLE PARTICIPANTS RECEIVED ONE 1:1 YOGA THERAPY SESSION (IE, 1 PARTICIPANT, 1 YOGA THERAPIST) AND 6 WEEKLY GROUP-BASED YOGA THERAPY SESSIONS (IE, 2-3 PARTICIPANTS, 1 YOGA THERAPIST). PARTICIPANTS COMPLETED ASSESSMENTS 7 TIMES: 3 TIMES PRIOR TO THE PROGRAM (IE, -6 WEEKS, -3 WEEKS, IMMEDIATELY PRIOR TO THE 1:1 YOGA THERAPY SESSION), IMMEDIATELY FOLLOWING THE 1:1 YOGA THERAPY SESSION, PRIOR TO THE FIRST GROUP-BASED YOGA THERAPY SESSION, AFTER THE LAST GROUP-BASED YOGA THERAPY SESSION, AND AT A 6-WEEK FOLLOW-UP. HIERARCHICAL LINEAR MODELING WILL BE USED TO TEST THE AVERAGE EFFECTS OF THE YOGA THERAPY PROGRAM ACROSS PARTICIPANTS. DISCUSSION: THIS STUDY WILL EXPLORE SEVERAL NOVEL HYPOTHESES, INCLUDING WHETHER YOGA THERAPY CAN IMPROVE HRV AND/OR SPECIFIC PROS AMONG ADULTS TREATED FOR CANCER ACUTELY (IE, DURING A 1:1 YOGA THERAPY SESSION) AND/OR THROUGH REPEATED EXPOSURE (IE, AFTER COMPLETING 6 WEEKS OF GROUP-BASED YOGA THERAPY). ALTHOUGH THE FINDINGS WILL REQUIRE CONFIRMATION OR REFUTATION IN FUTURE TRIALS, THEY MAY PROVIDE INITIAL EVIDENCE THAT YT MAY BENEFIT ADULTS TREATED FOR CANCER. TRIAL REGISTRATION: ISRCTN REGISTRY, ISRCTN64763228. REGISTERED ON DECEMBER 12, 2021. THIS TRIAL WAS REGISTERED RETROSPECTIVELY. URL OF TRIAL REGISTRY RECORD: HTTPS://WWW.ISRCTN.COM/ISRCTN64763228. 2022 3 2238 20 THE IMPLEMENTATION OF PATIENT-REPORTED OUTCOME MEASURES IN YOGA THERAPY. YOGA THERAPISTS ARE INTERESTED IN KNOWING WHETHER THEIR THERAPEUTIC INTERVENTIONS ARE HELPFUL IN IMPROVING HEALTH AND WELLBEING IN THEIR YOGA THERAPY CLIENTS. HOWEVER, FEW YOGA THERAPISTS USE STANDARDIZED, RELIABLE, AND VALID QUESTIONNAIRES TO DETERMINE THE THERAPEUTIC EFFECTIVENESS OF THEIR TREATMENTS. PATIENT-REPORTED OUTCOME (PRO) MEASURES ARE PAPER OR WEB-BASED QUESTIONNAIRES USED TO ASSESS AN INDIVIDUAL'S PERCEPTIONS OF THEIR SYMPTOMS AND/OR QUALITY OF LIFE. IN 2004, THE NATIONAL INSTITUTES OF HEALTH (NIH) LAUNCHED THE PROMIS((R)) INITIATIVE TO STANDARDIZE AND SIMPLIFY THE COLLECTION OF PROS IN RESEARCH AND IN CLINICAL PRACTICE. THE PROMIS((R)) INITIATIVE LAUNCHED A MULTICENTER COOPERATIVE GROUP THAT COLLECTED AND REVIEWED THOUSANDS OF PROS, THEN EXTENSIVELY TESTED THEM IN OVER 20,000 RESEARCH PARTICIPANTS. THE RESULT WAS A WEB-BASED COLLECTION OF ITEM BANKS OF THE BEST QUESTIONS OR "ITEMS" WITHIN THREE DOMAINS OF INTEREST: PHYSICAL, MENTAL, AND SOCIAL HEALTH. THESE ITEM BANKS ARE HOUSED IN THE ASSESSMENT CENTER, A FREE ONLINE RESOURCE FOR COLLECTING PROS.(1) INCORPORATING PROMIS((R)) OUTCOMES INTO YOGA THERAPY STREAMLINES AND OPTIMIZES THE COLLECTION OF PROS BY ENABLING ACCESS TO RELIABLE AND VALID QUESTIONNAIRES THAT ARE EASY TO READ, SIMPLE TO COMPLETE, AND ARE AVAILABLE IN MULTIPLE LANGUAGES AS WELL AS IN BOTH ADULT AND PEDIATRIC VERSIONS. THE USE OF STANDARDIZED PROS MAY IMPROVE YOGA THERAPY IMPLEMENTATION IN HEALTHCARE AND ACCELERATE TRANSLATION OF CLINICAL RESEARCH BY ALLOWING YOGA THERAPISTS TO CONDUCT INDEPTH SYMPTOM ASSESSMENTS USING TOOLS THAT ALLOW FOR COMPARISONS TO OTHER THERAPEUTIC CLINICAL AND RESEARCH INTERVENTIONS. THE PURPOSE OF THIS PAPER IS TO SUMMARIZE THE DEVELOPMENT OF THE NIH PROMIS((R)) INITIATIVE AND TO PROVIDE SUGGESTIONS FOR INCORPORATING PRO COLLECTION INTO YOGA THERAPY. IMPORTANT CONSIDERATIONS TO CONSIDER WHEN IMPLEMENTING PROS INTO YOGA THERAPY ARE DISCUSSED, INCLUDING THE CHOICE OF QUESTIONNAIRES AND METHOD OF DELIVERY (PAPER OR WEB-BASED), FREQUENCY OF PRO ADMINISTRATION, INTERPRETATION AND MANAGEMENT OF PRO RESULTS, AND THE MANAGEMENT OF PROBLEMATIC ISSUES THAT ARISE. 2016 4 2503 25 YOGA AS TREATMENT FOR INSOMNIA AMONG CANCER PATIENTS AND SURVIVORS: A SYSTEMATIC REVIEW. MANY CANCER PATIENTS AND SURVIVORS, BETWEEN 15 TO 90%, REPORT SOME FORM OF INSOMNIA OR SLEEP QUALITY IMPAIRMENT DURING AND POST-TREATMENT, SUCH AS EXCESSIVE DAYTIME NAPPING, DIFFICULTY FALLING ASLEEP, DIFFICULTY STAYING ASLEEP, AND WAKING UP TOO EARLY. INSOMNIA AND SLEEP QUALITY IMPAIRMENT ARE AMONG THE MOST PREVALENT AND DISTRESSING PROBLEMS REPORTED BY CANCER PATIENTS AND SURVIVORS, AND CAN BE SEVERE ENOUGH TO INCREASE CANCER MORTALITY. DESPITE THE UBIQUITY OF INSOMNIA AND SLEEP QUALITY IMPAIRMENT, THEY ARE UNDER-DIAGNOSED AND UNDER-TREATED IN CANCER PATIENTS AND SURVIVORS. WHEN SLEEP PROBLEMS ARE PRESENT, PROVIDERS AND PATIENTS ARE OFTEN HESITANT TO PRESCRIBE OR TAKE PHARMACEUTICALS FOR SLEEP PROBLEMS DUE TO POLY PHARMACY CONCERNS, AND COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA CAN BE VERY DIFFICULT AND IMPRACTICAL FOR PATIENTS TO ADHERE TO THROUGHOUT THE CANCER EXPERIENCE. RESEARCH SUGGESTS YOGA IS A WELL-TOLERATED EXERCISE INTERVENTION WITH PROMISING EVIDENCE FOR ITS EFFICACY IN IMPROVING INSOMNIA AND SLEEP QUALITY IMPAIRMENT AMONG SURVIVORS. THIS ARTICLE PROVIDES A SYSTEMATIC REVIEW OF EXISTING CLINICAL RESEARCH ON THE EFFECTIVENESS OF YOGA FOR TREATING INSOMNIA AND SLEEP QUALITY IMPAIRMENT AMONG CANCER PATIENTS AND SURVIVORS. 2013 5 2486 31 YOGA AS AN INTEGRATIVE APPROACH FOR PREVENTION AND TREATMENT OF ORAL CANCER. DESPITE TREMENDOUS ADVANCEMENTS IN MEDICINE, THE NUMBER OF ORAL CANCER CASES CONTINUES TO INCREASE, AND THE NEED FOR INTEGRATING ALTERNATE MEDICINE OR ADOPTING AN INTEGRATIVE APPROACH HAS BECOME A COMPELLING COST-EFFECTIVE REQUIREMENT FOR THE MANAGEMENT AND TREATMENT OF DISEASES. CONVENTIONAL TREATMENT OF ORAL CANCER INVOLVES SURGERY FOLLOWED BY RADIOTHERAPY WITH OR WITHOUT CHEMOTHERAPY WHICH CAUSES SEVERAL COMPLICATIONS INCLUDING POOR QUALITY OF LIFE AND HIGH CHANCES OF RECURRENCE OF CANCER. ORAL CANCER IS OFTEN LINKED WITH OBESITY WHICH IS MAJOR RISK FACTORS IN OTHER CANCERS. APART FROM OBESITY, ORAL CANCER IS THOUGHT TO HAVE AN INVERSE RELATION WITH NEURODEGENERATIVE DISORDERS PRESUMABLY BECAUSE CELL DEATH DECREASES IN THE FORMER CASE AND INCREASES IN THE LATTER. ANCIENT MIND-BODY TECHNIQUES SUCH AS YOGA HAVE NOT BEEN ADEQUATELY TESTED AS A TOOL TO SYNERGIZE THE CELLULAR EQUILIBRIUM PERTAINING TO THE TREATMENT OF ORAL CANCER. NERVE GROWTH FACTOR (NGF), TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA), AND INTERLEUKIN-6 (IL-6) ARE AMONG THE EARLY EXPERIMENTAL CELLULAR BIOMARKERS THAT MAY BE USED TO PROBE THE MODULATION OF ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS. YOGA HAS BEEN REPORTED TO INFLUENCE THESE MOLECULES IN HEALTHY INDIVIDUALS BUT WHETHER THEIR EXPRESSION CAN BE ALTERED IN PATIENTS OF ORAL CANCER BY YOGA INTERVENTION IS THE SUBJECT OF THIS RESEARCH BEING DISCUSSED IN THIS REVIEW ARTICLE. THEREFORE, THE PRESENT ARTICLE NOT ONLY REVIEWS THE CURRENT STATUS OF RESEARCH STUDIES IN ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS BUT ALSO HOW THESE ARE LINKED TO EACH OTHER AND WHY THE INVESTIGATIONS OF THE PUTATIVE NGF PATHWAY, INVOLVING TNF-ALPHA AND IL-6, COULD PROVIDE USEFUL CLUES TO UNDERSTAND THE MOLECULAR EFFECTS BROUGHT ABOUT BY YOGA INTERVENTION IN SUCH PATIENTS. 2018 6 2631 19 YOGA FOR THE TREATMENT OF INSOMNIA AMONG CANCER PATIENTS: EVIDENCE, MECHANISMS OF ACTION, AND CLINICAL RECOMMENDATIONS. UP TO 90% OF CANCER PATIENTS REPORT SYMPTOMS OF INSOMNIA DURING AND AFTER TREATMENT. SYMPTOMS OF INSOMNIA INCLUDE EXCESSIVE DAYTIME SLEEPINESS, DIFFICULTY FALLING ASLEEP, DIFFICULTY STAYING ASLEEP, AND WAKING UP TOO EARLY. INSOMNIA SYMPTOMS ARE AMONG THE MOST PREVALENT, DISTRESSING AND PERSISTENT CANCER- AND CANCER TREATMENT-RELATED TOXICITIES REPORTED BY PATIENTS, AND CAN BE SEVERE ENOUGH TO INCREASE CANCER MORBIDITY AND MORTALITY. DESPITE THE UBIQUITY OF INSOMNIA SYMPTOMS, THEY ARE UNDER-SCREENED, UNDER-DIAGNOSED, AND UNDER-TREATED IN CANCER PATIENTS. WHEN INSOMNIA SYMPTOMS ARE IDENTIFIED, PROVIDERS ARE HESITANT TO PRESCRIBE, AND PATIENTS ARE HESITANT TO TAKE PHARMACEUTICALS DUE TO POLYPHARMACY CONCERNS. IN ADDITION, SLEEP MEDICATIONS DO NOT CURE INSOMNIA. YOGA IS A WELL-TOLERATED MODE OF EXERCISE WITH PROMISING EVIDENCE FOR ITS EFFICACY IN IMPROVING INSOMNIA SYMPTOMS AMONG CANCER PATIENTS. THIS ARTICLE REVIEWS EXISTING CLINICAL RESEARCH ON THE EFFECTIVENESS OF YOGA FOR TREATING INSOMNIA AMONG CANCER PATIENTS. THE ARTICLE ALSO PROVIDES CLINICAL RECOMMENDATIONS FOR PRESCRIBING YOGA FOR THE TREATMENT OF INSOMNIA IN THIS POPULATION. 2014 7 2601 21 YOGA FOR PATIENTS AND CARERS IN A PALLIATIVE DAY CARE SETTING. THIS STUDY SUGGESTS THAT YOGA CAN BE OF BENEFIT TO PATIENTS (AND CARERS) IN PALLIATIVE CARE SETTINGS. COMPLEMENTARY THERAPIES HAVE BEEN EMPLOYED IN OUR DAY CARE UNIT FOR SEVERAL YEARS--AROMATHERAPY, REFLEXOLOGY AND MASSAGE--AND HAVE GROWN IN POPULARITY, ENABLING RELAXATION AND A FEELING OF WELL-BEING. FOR PATIENTS STRIVING TO REMAIN PHYSICALLY FIT AND, IN CONSULTATION WITH OUR PHYSIOTHERAPIST, WE FELT THERE MAY BE A ROLE FOR A GENTLE FORM OF YOGA. A STUDY OF THE LITERATURE YIELDED INFORMATION ON YOGA AND CANCER BUT LITTLE EVIDENCE OF ITS USE IN PALLIATIVE CARE. HAVING IDENTIFIED A FORM OF YOGA THAT COULD BE ADAPTED FOR THOSE WITH PHYSICAL FRAILTIES-- DRU YOGA--A 12-WEEK PILOT PROJECT WAS INTRODUCED INTO THE DAY CARE UNIT. THIS PROVED TO BE HIGHLY SUCCESSFUL AND HAS NOW BEEN INCORPORATED AS PART OF OUR THERAPEUTIC SERVICE. 2006 8 1495 23 INTERVENTION PROTOCOL FOR INVESTIGATING YOGA IMPLEMENTED DURING CHEMOTHERAPY. OBJECTIVE: FATIGUE AND OTHER TREATMENT-RELATED SYMPTOMS ARE CRITICAL THERAPEUTIC TARGETS FOR IMPROVING QUALITY OF LIFE IN PATIENTS WITH COLORECTAL CANCER DURING CHEMOTHERAPY. YOGA IS A PROMISING INTERVENTION FOR IMPROVING THESE THERAPEUTIC TARGETS AND HAS BEEN PRIMARILY INVESTIGATED IN THE GROUP-CLASS FORMAT, WHICH IS LESS FEASIBLE FOR CANCER PATIENTS WITH HIGH SYMPTOM BURDEN TO ATTEND. THUS, WE DEVELOPED A PROTOCOL FOR IMPLEMENTING YOGA INDIVIDUALLY IN THE CLINIC AMONG PATIENTS RECEIVING CHEMOTHERAPY. METHODS: WE FOLLOWED RECOMMENDED DOMAINS FOR DEVELOPING A YOGA PROTOCOL TO BE USED IN AN EFFICACY TRIAL. THESE RECOMMENDATIONS INCLUDE CONSIDERATION TO THE STYLE, DELIVERY, COMPONENTS OF THE INTERVENTION, DOSE, SPECIFIC CLASS SEQUENCES, FACILITATION OF HOME PRACTICE, MEASUREMENT OF INTERVENTION FIDELITY, SELECTION OF INSTRUCTORS, AND DEALING WITH MODIFICATIONS. THE INTERVENTION PROTOCOL WAS DEVELOPED BY AN INTERDISCIPLINARY TEAM. PROTOCOL: YOGA SKILLS TRAINING (YST) CONSISTS OF FOUR 30-MINUTE IN-PERSON SESSIONS AND WAS IMPLEMENTED WHILE IN THE CHAIR DURING CHEMOTHERAPY INFUSIONS FOR COLORECTAL CANCER WITH RECOMMENDED DAILY HOME PRACTICE FOR EIGHT WEEKS. THERAPEUTIC GOALS OF THE YST ARE TO REDUCE FATIGUE, CIRCADIAN DISRUPTION, AND PSYCHOLOGICAL DISTRESS. ELEMENTS OF THE YST ARE AWARENESS MEDITATION, GENTLE SEATED MOVEMENT, BREATHING PRACTICE, AND RELAXATION MEDITATION. ATTENTION, COMFORT, AND EASE ARE ALSO HIGHLIGHTED. CONCLUSION: THIS DESCRIPTION OF A PROTOCOL FOR INTEGRATING YOGA WITH CONVENTIONAL CANCER TREATMENT WILL INFORM FUTURE STUDY DESIGNS AND CLINICAL PRACTICE. THE DESIGN OF THE YST IS NOVEL BECAUSE IT IMPLEMENTS YOGA-MOST COMMONLY STUDIED WHEN TAUGHT TO GROUPS OUTSIDE OF THE CLINICAL SETTING- INDIVIDUALLY DURING CLINICAL CARE. 2016 9 2773 19 YOGA RESEARCH AND SPIRITUALITY: A CASE STUDY DISCUSSION. THERE IS GROWING EVIDENCE THAT YOGA CAN BE BENEFICIAL AS AN ASPECT OF SELF-CARE FOR PEOPLE WITH ARTHRITIS. HOWEVER, YOGA MAY BE LESS ACCEPTABLE TO THOSE FROM DIFFERENT CULTURES, SOCIOECONOMIC BACKGROUNDS, AND RACIAL/ETHNIC IDENTITIES. WHILE IMPLEMENTING A FEASIBILITY/ACCEPTABILITY PILOT STUDY OF YOGA AS SELF-CARE IN MINORITY COMMUNITIES, THE SUBJECT OF SPIRITUALITY SURFACED. THIS COMMENTARY SHARES THE EXPERIENCE OF THE RESEARCHERS AND YOGA TEACHERS COLLABORATING ON THE STUDY AND THE LARGER CONVERSATION THAT ENSUED FOLLOWING THE WITHDRAWAL OF ONE OF THE STUDY PARTICIPANTS. IT IS AN ATTEMPT TO START A RELEVANT AND NEEDED DIALOGUE AROUND YOGA RESEARCH AS AN INTEGRATIVE HEALTH MODALITY, AND WHY THE UNDERLYING BODY-MIND-SPIRIT APPROACH TO YOGA MAY SOMETIMES SERVE AS A BARRIER TO PARTICIPATION FOR DIVERSE POPULATIONS SUFFERING FROM ARTHRITIS. 2015 10 1820 23 PROTOCOL FOR A RANDOMIZED CONTROLLED STUDY OF IYENGAR YOGA FOR YOUTH WITH IRRITABLE BOWEL SYNDROME. INTRODUCTION: IRRITABLE BOWEL SYNDROME AFFECTS AS MANY AS 14% OF HIGH SCHOOL-AGED STUDENTS. SYMPTOMS INCLUDE DISCOMFORT IN THE ABDOMEN, ALONG WITH DIARRHEA AND/OR CONSTIPATION AND OTHER GASTROENTEROLOGICAL SYMPTOMS THAT CAN SIGNIFICANTLY IMPACT QUALITY OF LIFE AND DAILY FUNCTIONING. EMOTIONAL STRESS APPEARS TO EXACERBATE IRRITABLE BOWEL SYNDROME SYMPTOMS SUGGESTING THAT MIND-BODY INTERVENTIONS REDUCING AROUSAL MAY PROVE BENEFICIAL. FOR MANY SUFFERERS, SYMPTOMS CAN BE TRACED TO CHILDHOOD AND ADOLESCENCE, MAKING THE EARLY MANIFESTATION OF IRRITABLE BOWEL SYNDROME IMPORTANT TO UNDERSTAND. THE CURRENT STUDY WILL FOCUS ON YOUNG PEOPLE AGED 14-26 YEARS WITH IRRITABLE BOWEL SYNDROME. THE STUDY WILL TEST THE POTENTIAL BENEFITS OF IYENGAR YOGA ON CLINICAL SYMPTOMS, PSYCHOSPIRITUAL FUNCTIONING AND VISCERAL SENSITIVITY. YOGA IS THOUGHT TO BRING PHYSICAL, PSYCHOLOGICAL AND SPIRITUAL BENEFITS TO PRACTITIONERS AND HAS BEEN ASSOCIATED WITH REDUCED STRESS AND PAIN. THROUGH ITS FOCUS ON RESTORATION AND USE OF PROPS, IYENGAR YOGA IS ESPECIALLY DESIGNED TO DECREASE AROUSAL AND PROMOTE PSYCHOSPIRITUAL RESOURCES IN PHYSICALLY COMPROMISED INDIVIDUALS. AN EXTENSIVE AND STANDARDIZED TEACHER-TRAINING PROGRAM SUPPORT IYENGAR YOGA'S RELIABILITY AND SAFETY. IT IS HYPOTHESIZED THAT YOGA WILL BE FEASIBLE WITH LESS THAN 20% ATTRITION; AND THE YOGA GROUP WILL DEMONSTRATE SIGNIFICANTLY IMPROVED OUTCOMES COMPARED TO CONTROLS, WITH PHYSIOLOGICAL AND PSYCHOSPIRITUAL MECHANISMS CONTRIBUTING TO IMPROVEMENTS. METHODS/DESIGN: SIXTY IRRITABLE BOWEL SYNDROME PATIENTS AGED 14-26 WILL BE RANDOMLY ASSIGNED TO A STANDARDIZED 6-WEEK TWICE WEEKLY IYENGAR YOGA GROUP-BASED PROGRAM OR A WAIT-LIST USUAL CARE CONTROL GROUP. THE GROUPS WILL BE COMPARED ON THE PRIMARY CLINICAL OUTCOMES OF IRRITABLE BOWEL SYNDROME SYMPTOMS, QUALITY OF LIFE AND GLOBAL IMPROVEMENT AT POST-TREATMENT AND 2-MONTH FOLLOW-UP. SECONDARY OUTCOMES WILL INCLUDE VISCERAL PAIN SENSITIVITY ASSESSED WITH A STANDARDIZED LABORATORY TASK (WATER LOAD TASK), FUNCTIONAL DISABILITY AND PSYCHOSPIRITUAL VARIABLES INCLUDING CATASTROPHIZING, SELF-EFFICACY, MOOD, ACCEPTANCE AND MINDFULNESS. MECHANISMS OF ACTION INVOLVED IN THE PROPOSED BENEFICIAL EFFECTS OF YOGA UPON CLINICAL OUTCOMES WILL BE EXPLORED, AND INCLUDE THE MEDIATING EFFECTS OF VISCERAL SENSITIVITY, INCREASED PSYCHOSPIRITUAL RESOURCES, REGULATED AUTONOMIC NERVOUS SYSTEM RESPONSES AND REGULATED HORMONAL STRESS RESPONSE ASSESSED VIA SALIVARY CORTISOL. TRIAL REGISTRATION: CLINICALTRIALS.GOV NCT01107977. 2011 11 2627 18 YOGA FOR THE MANAGEMENT OF CANCER TREATMENT-RELATED TOXICITIES. PURPOSE OF REVIEW: TO (1) EXPLAIN WHAT YOGA IS, (2) SUMMARIZE PUBLISHED LITERATURE ON THE EFFICACY OF YOGA FOR MANAGING CANCER TREATMENT-RELATED TOXICITIES, (3) PROVIDE CLINICAL RECOMMENDATIONS ON THE USE OF YOGA FOR ONCOLOGY PROFESSIONALS, AND (4) SUGGEST PROMISING AREAS FOR FUTURE RESEARCH. RECENT FINDINGS: BASED ON A TOTAL OF 24 PHASE II AND ONE PHASE III CLINICAL TRIALS, LOW-INTENSITY FORMS OF YOGA, SPECIFICALLY GENTLE HATHA AND RESTORATIVE, ARE FEASIBLE, SAFE, AND EFFECTIVE FOR TREATING SLEEP DISRUPTION, CANCER-RELATED FATIGUE, COGNITIVE IMPAIRMENT, PSYCHOSOCIAL DISTRESS, AND MUSCULOSKELETAL SYMPTOMS IN CANCER PATIENTS RECEIVING CHEMOTHERAPY AND RADIATION AND CANCER SURVIVORS. CLINICIANS SHOULD CONSIDER PRESCRIBING YOGA FOR THEIR PATIENTS SUFFERING WITH THESE TOXICITIES BY REFERRING THEM TO QUALIFIED YOGA PROFESSIONALS. MORE DEFINITIVE PHASE III CLINICAL TRIALS ARE NEEDED TO CONFIRM THESE FINDINGS AND TO INVESTIGATE OTHER TYPES, DOSES, AND DELIVERY MODES OF YOGA FOR TREATING CANCER-RELATED TOXICITIES IN PATIENTS AND SURVIVORS. 2018 12 2224 26 THE IMPACT OF THE "YOGIC LIFESTYLE" ON CANCER PROGNOSIS AND SURVIVAL: CAN WE TARGET CANCER STEM CELLS WITH YOGA? CANCER HAS RECENTLY BEEN KNOWN TO ORIGINATE FROM STEM CELL-LIKE CELLS, CALLED CANCER STEM CELLS (CSCS). THEIR UNIQUE PROPERTIES OF SELF-DUPLICATION, MULTIPLICATION, AS WELL AS MIGRATION GIVE THE CSC RESISTANCE OVER CONVENTIONAL CANCER THERAPIES. NEWER THERAPIES ARE IN DEVELOPMENTAL STAGE TO TARGET THESE STEM CELL-LIKE POPULATIONS AND BECOME THE VANGUARD OF FUTURE TREATMENTS. SEVERAL COMPLEMENTARY AND ALTERNATIVE TREATMENTS HAVE BEEN USED IN CANCER MANAGEMENT AS AN ADJUNCT TO CONVENTIONAL THERAPY TO IMPROVE THE OVERALL QUALITY OF LIFE AND REDUCE RECURRENCE. YOGA STANDS AS THE THIRD MOST POPULAR OF ALL COMPLEMENTARY AND ALTERNATIVE MEDICINE TREATMENTS CURRENTLY USED IN CANCER PATIENTS TODAY. PRELIMINARY RESULTS SHOW THAT YOGA MODULATES NEURAL, HORMONAL, AND IMMUNE FUNCTIONS AT A CELLULAR LEVEL. THE SCOPE OF THIS COMMENTARY IS TO DISCUSS THE CURRENT EVIDENCE-BASED MEDICINE ON YOGA AND ITS EFFECT ON CSCS. 2017 13 224 24 A SYSTEMATIC REVIEW OF LITERATURE: ALTERNATIVE OFFENDER REHABILITATION-PRISON YOGA, MINDFULNESS, AND MEDITATION. FOR YEARS, JAILS AND PRISONS HAVE BEEN LOOKING FOR WAYS TO LOWER THEIR HEALTH CARE COSTS. IN ADDITION, THEY HAVE BEEN LOOKING FOR WAYS TO REDUCE VIOLENCE BEHIND WALLS AND REDUCE RECIDIVISM RATES POSTRELEASE. RECENTLY, CRIMINOLOGICAL RESEARCH HAS SHINED LIGHT ON THE USE OF ALTERNATIVE REHABILITATION TO HELP INMATES COPE WITH PRISON LIFE, IMPROVE THEIR OVERALL HEALTH, AND REHABILITATE. SOME OF THESE TECHNIQUES INCLUDE YOGA, MINDFULNESS, AND MEDITATION. THIS ARTICLE DISCUSSES THE IMPACT OF THESE TECHNIQUES IN THE CRIMINAL JUSTICE SYSTEM, HIGHLIGHTS THE MAJOR FINDINGS, AND IDENTIFIES THE GAPS NEEDED TO BE FILLED BY FUTURE RESEARCHERS. 2020 14 25 16 'A SOFTENING OF EDGES': A COMPARISON OF YOGA CLASSES AT PALLIATIVE CARE SERVICES IN NEW DELHI AND LONDON. ALTHOUGH THE USE OF YOGA AS A COMPLEMENTARY THERAPY IS COMMON IN PALLIATIVE CARE, THERE IS LITTLE EVIDENCE REGARDING CURRENT PRACTICE TO INFORM SERVICE PROVISION AND RESEARCH. THE AIM WAS TO EXPLORE AND COMPARE YOGA CLASSES OFFERED BY PALLIATIVE CARE SERVICES IN NEW DELHI AND LONDON. SEMI-STRUCTURED QUALITATIVE INTERVIEWS WERE CONDUCTED WITH YOGA TEACHERS AND PARTICIPANTS AT TWO SERVICES AND ANALYSED THEMATICALLY. PARTICIPANTS WERE: IN DELHI EIGHT FAMILY CARERS, THREE PATIENTS, AND TWO TEACHERS; IN LONDON SIX PATIENTS, ONE TEACHER, AND ONE ASSISTANT. SIX KEY THEMES ARE DESCRIBED: CONTENT OF CLASSES, SYMPTOMS AND PROBLEMS, PRECONCEPTIONS AND THE MEANING OF YOGA, EFFECTS OF YOGA, CHALLENGES, AND RECOMMENDATIONS. THIS IS THE FIRST STUDY TO EXAMINE THE EXPERIENCES OF PATIENTS AND CARERS PRACTISING YOGA IN PALLIATIVE CARE SETTINGS. RECOMMENDATIONS INCLUDE SUPPORTING AND EDUCATING YOGA TEACHERS WORKING WITH THIS POPULATION, AND THE NEED FOR ROBUST TRIALS. 2010 15 1735 28 PHENOMENOLOGICAL INQUIRY INTO PHOENIX RISING YOGA THERAPY. THERE IS GROWING RECOGNITION WITHIN PSYCHOLOGY AND OTHER DISCIPLINES THAT BODY EXPERIENCE MAY BE AS IMPORTANT AS COGNITIVE AND EMOTIONAL EXPERIENCE. HOWEVER, PSYCHOLOGY HAS FEW PSYCHOTHERAPEUTIC INTERVENTIONS TO SUPPORT THE INTEGRATION OF MIND AND BODY WITHIN THERAPY. PHOENIX RISING YOGA THERAPY (PRYT) IS A FORM OF MIND-BODY THERAPY THAT USES YOGA POSTURE, TOUCH, AND PSYCHOTHERAPEUTIC DIALOGUE TO FACILITATE GROWTH AND HEALING. THE CURRENT STUDY EXPLORED THE PHENOMENOLOGICAL EXPERIENCE OF FOUR WOMEN WHO EACH RECEIVED FIVE PRYT SESSIONS. RESEARCH QUESTIONS POSED WERE: (1) WHAT ARE THE CLIENTS' EXPERIENCES OF THE PHENOMENA OF PRYT? AND (2) HOW DOES RECEIVING PRYT SESSIONS IMPACT THE CLIENTS' LIVES? THE FOLLOWING THEMES EMERGED FROM THE DATA AS THE ESSENCE OF PRYT SESSIONS: MINDFULNESS, SELF-AWARENESS, MIND-BODY CONNECTION, IN VIVO EXPERIENCE OF NEW BEHAVIORS, CLIENT-DIRECTED, EMPOWERMENT, AND LIFE CHANGES. THESE THEMES SHOW SIGNIFICANCE IN THE MIND-BODY CONNECTION AND THAT IT IS IMPORTANT TO CONSIDER ALTERNATIVE MODALITIES SUCH AS PRYT FOR CLIENTS. EACH PARTICIPANT NOTED GREATER INSIGHT INTO MIND-BODY CONNECTION. THEY NOTICED THE EFFECT OF COGNITION AND EMOTION ON THE BODY, OBSERVED HOW THE BODY CAN BE USED TO IMPROVE COPING THROUGH MOVEMENT AND BREATHING, AND EXPERIENCED DIFFERENT THOUGHTS AND EMOTIONS ASSOCIATED WITH DIFFERENT AREAS OF THEIR BODIES. ALTHOUGH THESE RESULTS ARE NOT NECESSARILY GENERALIZABLE, THEY OFFER INTERESTING THEORETICAL IMPLICATIONS FOR EMBODIED INTERVENTIONS. 2018 16 2520 24 YOGA COMPLEMENTS COGNITIVE BEHAVIOUR THERAPY AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION: QUALITATIVE FINDINGS FROM A MIXED-METHODS STUDY. OBJECTIVES: COGNITIVE BEHAVIOUR THERAPY (CBT) IS RECOMMENDED FOR TREATING ANXIETY AND DEPRESSION, DEMONSTRATING GOOD EFFICACY AND MODERATE RATES OF ENGAGEMENT. TO FURTHER IMPROVE OUTCOMES AND ACCESS TO EVIDENCE-BASED TREATMENTS, RESEARCHERS HAVE SOUGHT TO ENHANCE CBT PROTOCOLS WITH MINDFULNESS-BASED APPROACHES, SUCH AS YOGA. THIS STUDY AIMED TO EXAMINE WHETHER YOGA IS AN ACCEPTABLE AND COMPLEMENTARY ADJUNCT TO CBT THROUGH EXPLORING THE LIVED EXPERIENCES OF ADULTS WITH ANXIETY AND DEPRESSION WHO ENGAGED IN AN ADJUNCT THERAPEUTIC YOGA PROGRAMME ALONGSIDE GROUP CBT. DESIGN: SINGLE-GROUP QUALITATIVE DESIGN WITH POST-INTERVENTION AND FOLLOW-UP TIMEPOINTS. METHODS: THIRTY-SIX ADULTS WITH ANXIETY AND DEPRESSION SELF-SELECTED INTO A THERAPEUTIC YOGA PROGRAMME AS AN ADJUNCT TO GROUP CBT. QUALITATIVE INTERVIEWS WERE CONDUCTED WITH 27 PARTICIPANTS IMMEDIATELY AFTER THE EIGHT-WEEK PROGRAMME AND AGAIN THREE MONTHS LATER. THEMATIC ANALYSIS WAS USED TO IDENTIFY COMMON THEMES FROM THE LIVED EXPERIENCES. RESULTS: THREE PRIMARY THEMES, WITH NINE SUBTHEMES, WERE IDENTIFIED WHICH REFLECT THE EXPERIENCES OF THE COMBINED THERAPIES, THE COMPLEMENTARY ELEMENTS, AND PROCESS OF ENGAGEMENT OVER TIME. THE ADJUNCT YOGA PROGRAMME WAS HIGHLY ACCEPTABLE TO ADULTS WITH ANXIETY AND DEPRESSION, ENHANCING ENGAGEMENT AND PERCEIVED OUTCOMES. YOGA WAS IDENTIFIED AS PROVIDING A UNIQUE COMBINATION OF ELEMENTS THAT COMPLEMENTED PROCESSES OF CBT, SUCH AS BEHAVIOURAL ACTIVATION AND THOUGHT DISPUTATION. YOGA PRACTICES REPRESENTED MENTAL HEALTH SELF-MANAGEMENT TOOLS THAT ARE ACCESSIBLE AND AVAILABLE AS RELAPSE PREVENTION STRATEGIES. CONCLUSIONS: THERAPEUTIC YOGA WARRANTS CONSIDERATION AS AN ADJUNCT TREATMENT FOR ANXIETY AND DEPRESSION AS IT OFFERS UNIQUE AND COMPLEMENTARY ELEMENTS TO CBT AND CAN ENHANCE ENGAGEMENT AND PERCEIVED CLINICAL OUTCOMES. PRACTITIONER POINTS: ADULTS WITH ANXIETY AND DEPRESSION EXPERIENCED A THERAPEUTIC YOGA PROGRAMME AS A SUITABLE AND APPEALING ADJUNCT THAT ENHANCED ENGAGEMENT WITH PSYCHOLOGICAL TREATMENT. YOGA OFFERS A UNIQUE COMBINATION OF ELEMENTS, INCLUDING A VALUES SYSTEM, BODY-BASED MINDFULNESS PRACTICES, AND BREATHING TECHNIQUES, THAT COMPLEMENT CBT PROCESSES, SUCH AS BEHAVIOURAL ACTIVATION, AWARENESS OF MALADAPTIVE PATTERNS, AND THOUGHT DISPUTATION. A THERAPEUTIC YOGA PROGRAMME PROVIDES ADULTS WITH ANXIETY AND DEPRESSION WITH AN ACCESSIBLE AND SUSTAINABLE MENTAL HEALTH SELF-MANAGEMENT TOOL. THERAPEUTIC YOGA CAN BE CONSIDERED FOR INTEGRATION TO MODELS OF MENTAL HEALTH SERVICE PROVISION TO ENHANCE ENGAGEMENT AND CLINICAL OUTCOMES FOR ADULTS WITH ANXIETY AND DEPRESSION. 2021 17 1624 15 MINDFULNESS AND REHABILITATION: TEACHING YOGA AND MEDITATION TO YOUNG MEN IN AN ALTERNATIVE TO INCARCERATION PROGRAM. THIS STUDY USED PARTICIPANT/OBSERVATION AND OPEN-ENDED INTERVIEWS TO UNDERSTAND HOW MALE PARTICIPANTS (AGE 18-24 YEARS) BENEFITED FROM YOGA AND MINDFULNESS TRAINING WITHIN AN ALTERNATIVE TO INCARCERATION (ATI) PROGRAM. FINDINGS SUGGEST THAT THE MALE PARTICIPANTS (AGE 18-24 YEARS) BENEFITED FROM THE INTERVENTION THROUGH REDUCTIONS IN STRESS AND IMPROVEMENTS IN EMOTION REGULATION. SEVERAL PARTICIPANTS NOTED THE IMPORTANCE OF THE DEVELOPMENT OF AN EMBODIED PRACTICE FOR ASSISTING THEM IN MANAGING ANGER AND IMPULSE CONTROL. THE YOUNG MEN'S NARRATIVES SUGGEST THAT MINDFULNESS-BASED INTERVENTIONS CAN CONTRIBUTE POSITIVELY TO REHABILITATIVE OUTCOMES WITHIN ALTERNATIVE TO INCARCERATIONS SETTINGS, PROVIDING COMPLEMENTARY BENEFIT TO EXISTING ATI PROGRAMS, ESPECIALLY FOR CLIENTS AMENABLE TO MINDFULNESS TRAINING. WITH MANY JURISDICTIONS EXPANDING REHABILITATION-FOCUSED INTERVENTIONS FOR YOUNG OFFENDERS, SERVICE PROVIDERS SHOULD CONSIDER THE POTENTIAL POSITIVE CONTRIBUTIONS THAT MINDFULNESS-BASED INTERVENTIONS CAN HAVE FOR FOSTERING DESISTANCE AND REDUCING RECIDIVISM AMONG JUSTICE SYSTEM-INVOLVED POPULATIONS. 2017 18 2310 15 TRANSFORMING TRAUMA: A QUALITATIVE FEASIBILITY STUDY OF INTEGRATIVE RESTORATION (IREST) YOGA NIDRA ON COMBAT-RELATED POST-TRAUMATIC STRESS DISORDER. THIS EIGHT-WEEK STUDY EXAMINED THE FEASIBILITY OF OFFERING WEEKLY CLASSES IN INTEGRATIVE RESTORATION (IREST), A FORM OF MINDFULNESS MEDITATION, TO MILITARY COMBAT VETERANS AT A COMMUNITY MENTAL HEALTH AGENCY IN THE SAN FRANCISCO BAY AREA. PARTICIPANTS WERE 16 MALE COMBAT VETERANS (15 VIETNAM WAR AND 1 IRAQ WAR) OF MIXED ETHNICITY, AGED 41 TO 66 YEARS, SUFFERING FROM POSTTRAUMATIC STRESS DISORDER (PTSD). THE 11 PARTICIPANTS WHO COMPLETED THE STUDY REPORTED REDUCED RAGE, ANXIETY, AND EMOTIONAL REACTIVITY, AND INCREASED FEELINGS OF RELAXATION, PEACE, SELF-AWARENESS, AND SELF-EFFICACY, DESPITE CHALLENGES WITH MENTAL FOCUS, INTRUSIVE MEMORIES, AND OTHER CONCERNS. ALL PARTICIPANTS REPORTED THEY WOULD HAVE ATTENDED ONGOING IREST CLASSES AT THE AGENCY APPROXIMATELY ONCE PER WEEK. 2011 19 493 16 COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA, MINDFULNESS, AND YOGA IN PATIENTS WITH BREAST CANCER WITH SLEEP DISTURBANCE: A LITERATURE REVIEW. THE NUMBER OF PATIENTS WITH BREAST CANCER DIAGNOSED WITH SLEEP DISTURBANCE HAS GROWN SUBSTANTIALLY WITHIN THE UNITED STATES OVER THE PAST 20 YEARS. MEANWHILE, THERE HAVE BEEN SIGNIFICANT IMPROVEMENTS IN THE PSYCHOLOGICAL TREATMENT OF SLEEP DISTURBANCE IN PATIENTS WITH BREAST CANCER. MORE SPECIFICALLY, COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA (CBT-I), MINDFULNESS, AND YOGA HAVE SHOWN TO BE 3 PROMISING TREATMENTS WITH VARYING DEGREES OF BENEFIT, SUPPORTING DATA, AND INHERENT LIMITATIONS. IN THIS ARTICLE, WE WILL OUTLINE THE TREATMENT APPROACH FOR SLEEP DISTURBANCE IN PATIENTS WITH BREAST CANCER AND CONDUCT A COMPREHENSIVE REVIEW OF CBT-I, MINDFULNESS, AND YOGA AS THEY PERTAIN TO THIS PATIENT POPULATION. 2017 20 2351 22 USING YOGA NIDRA TO IMPROVE STRESS IN PSYCHIATRIC NURSES IN A PILOT STUDY. GIVEN TODAY'S HURRIED AND STRESSFUL HEATHCARE SYSTEM, NURSES NEED MECHANISMS TO TAKE CARE OF THEMSELVES, PROMOTE THEIR OWN WELLNESS, AND BUILD RESILIENCE IN MANAGING SICK PATIENTS. YOGA IS ONE SUCH MECHANISM; IT CAN DECREASE ANXIETY AND IMPROVE SLEEP AND QUALITY OF LIFE. IN THIS PILOT STUDY, NINE NURSES PARTICIPATED IN 6 WEEKLY SESSIONS OF YOGA NIDRA. MEASURES OF SLEEP, STRESS, AND MUSCLE FATIGUE WERE OBTAINED TO DETERMINE WHETHER YOGA HAD A POSITIVE IMPACT UPON QUALITY OF LIFE AND STRESS. ALTHOUGH BASED ON A SMALL SAMPLE OF NURSES, RESULTS INDICATED POSITIVE FINDINGS FOR BOTH PERCEIVED STRESS LEVEL AND MUSCLE FATIGUE. THIS PILOT STUDY DEMONSTRATED THE POTENTIAL BENEFIT OF YOGA IN STRESS REDUCTION, MUSCLE TENSION, AND SELF-CARE IN NURSES. 2017