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Introduction: Alcohol dependence syndrome (ADS) is a global health concern that causes a significant disease burden, with harmful alcohol use responsible for 2.5 million deaths annually. Stress is a known trigger for alcohol relapse, and effective management of stress can improve treatment outcomes in individuals with ADS. Materials and Methods: This randomized control study evaluated the effects of adjuvant yoga therapy on craving and perceived stress in 80 individuals with ADS undergoing deaddiction treatment. The yoga group received yoga therapy three times a week for 2 months in addition to medical management, while the control group received standard medical treatment. The Alcohol Craving Questionnaire and Perceived Stress Scale were administered before and after the study period. Results: The yoga group had significantly lower levels of alcohol craving (P < 0.001) and perceived stress (P < 0.001) as compared to the control group. Changes in those receiving additional yoga were more pronounced, and the intergroup differences were highly significant. Yoga induces a sense of self-discipline and relaxation, which may have contributed to these positive changes. Conclusion: Yoga therapy may be a valuable adjunct to deaddiction therapy for individuals with ADS, offering a cost-effective and safe nonpharmacological modality to reduce craving and perceived stress. Further research is needed to explore the long-term effects of yoga therapy on alcohol craving and stress in individuals with ADS.

Dental professionals are exposed to significant unavoidable physical stress, and theoretical ergonomic recommendations for a sitting workplace are inapplicable in many dental activities. Work-related musculoskeletal disorders (WMSDs) represent a serious health problem among dental professionals (prevalence: 64–93%), showing involvement of 34–60% for the low back and 15–25% for the hips. Muscle stress; prolonged sitting; forward bending and twisting of the torso and head; unbalanced working postures with asymmetrical weight on the hips and uneven shoulders; and others are inevitable for dental professionals. Therefore, the approach for the prevention and treatment of WMSDs must be therapeutic and compensatory. This project was conceived to provide a Yoga protocol for dental professionals to prevent or treat WMSDs from a preventive medicine perspective, and it would represent a Yoga-based guideline for the self-cure and prevention of musculoskeletal problems. Methods: Specific Yoga positions (āsana, such as Virāsana, Virabhadrāsana, Garudāsana, Utkatāsana, Trikonāsana, Anuvittāsana, Chakrāsana, Uttanāsana, Pashimottanāsana) have been selected, elaborated on and adapted to be practiced in a dental office using a dental stool or the dental office walls or a dental unit chair. The protocol is specifically devised for dental professionals (dentists, dental hygienists and dental assistants) and targeted for the low back, hips and legs (including knees and ankles). The protocol includes Visranta Karaka Sthiti (supported positions) in sitting (Upavistha Sthiti) and standing (Utthistha Sthiti) positions, twisting/torsions (Parivrtta), flexions/forward bend positions (Pashima) and extensions/arching (Purva) for musculo-articular system decompression and mobilization. Results: Over 60 Yogāsana—specifically ideated for back detensioning and mobilization, lumbar lordosis restoration, trunk side elongation, hip release and leg stretches and decontraction—are shown and described. The paper provides a meticulous description for each position, including the detailed movement, recommendations and mistakes to avoid, and the breathing pattern (breath control) in all the breath-driven movements (āsana in vinyāsa). An exhaustive analysis of posture-related disorders affecting the lower body among dental professionals is reported, including low-back pain, hip pain and disorders, piriformis syndrome and quadratus femoris dysfunction (gluteal pain), iliopsoas syndrome, multifidus disorders, femoroacetabular and ischiofemoral impingement, spinopelvic mobility, lumbopelvic rhythm, impairment syndromes, lower crossed syndrome, leg pain, knee pain and ankle disorders. Conclusions: A detailed guideline of āsana for low-back decompression, hip joint destress, piriformis and gluteal muscle release, lumbar lordosis recovery and a spinopelvic mobility increase has been elaborated on. The designed Yogāsana protocol represents a powerful tool for dental professionals to provide relief to retracted stiff muscles and unbalanced musculoskeletal structures in the lower body. [ABSTRACT FROM AUTHOR]

Purpose: Upper limb dysfunction and sleep disturbance are common and serious health problems in women with breast cancer. Yoga is a mind-body intervention which is shown to improve physical and psychological health. The aim of this study is to evaluate the effectiveness of a tailor-made yoga program on upper limb function and sleep quality in women with breast cancer. Methods: A pilot randomized controlled trial (RCT) study design was used. Participants were randomly allocated to either the yoga intervention group (YG; eight weekly 60-min group-based yoga sessions) or the wait-list control group (CG). The primary outcome measures were upper limb function and sleep quality, which were assessed by the self-reported questionnaires – the shortened version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) and the Pittsburgh Sleep Quality Index (PSQI), respectively. The secondary outcome measures were upper limb muscle strength and mobility, heart rate variability (HRV), anxiety and depression, fatigue, and health-related quality of life. All participants underwent assessment at four time-points (baseline, mid-intervention, post-intervention, and 1-month follow-up). The effectiveness of the intervention was tested by two-way mixed-design repeated-measures analysis of covariance. Results: For the primary outcomes, there was no significant between-group difference in the upper limb function. The YG demonstrated significantly shorter sleep latency and higher HRV, and less sleep disturbance than the CG at post-intervention, and 1-month follow-up, respectively. For the secondary outcomes, the YG demonstrated significantly improved shoulder muscle strength and arm symptoms compared to the CG from mid-intervention until the 1-month follow-up. Conclusion: This pilot trial revealed that the yoga program was feasible to be implemented for women with primary stage breast cancer. Although yoga was not found to be effective in improving the upper limb function, it improved sleep latency, HRV, shoulder muscle strength and arm symptoms of women with breast cancer.

Background: Chronic low back pain (CLBP) signficantly affects quality of life and productivity, leading to limitations in mobility, activity, and potential work absenteesim. Yoga and Ayurveda have shown promising evidence in reducing pain, improve function, and enhancing well-being for individuals with CLBP, as demonstrated by numerous studies. Objectives: The aim of this study is to assess the effect of a 1-week residential integrative approach to yoga therapy. (IAYT) alone versus when combined with Ayurveda therapy (Kati Basti) in patients with CLBP. Methods: Forty patients were recruited from E-section of a holistic health center in South India for randomization and split into a Yoga and Ayurveda (n=20) and a Yoga-only (n=20) group. Yoga and Ayurveda group received a 1-week residential program combining Yoga and Ayurveda (therapy including Kati Basti with Ksheerbala Taila), while the Yoga-only group received only yoga therapy. Assessments at baseline, 1-week, and three months were measure pain intensity, disability, and depression. Results: Both Yoga and Ayurveda group, and Yoga-only group showed significant reductions in pain and improvements in disability and depression at 1-week and three months. Quality of life also improved, specifically in physical, social, environmental, and psychological health. No significant differences were found between the groups in terms of pain, disability, and depression. Conclusion: Both interventions demonstrated comparable results in pain reduction and disability improvement, as well as alleviating depression symptoms. Only Yoga and Ayurveda group exhibited improvement in physical health. Further research should explore long-term effects and compare different yoga interventions.

Introduction: Yoga is emerging as one of the holistic approaches to respiratory diseases. The scope of yoga is expanding in communicable diseases with physical, mental, and societal benefits. Aim and Objective: The present study aims to evaluate the effect of integrated yoga as an adjuvant therapy to the National Tuberculosis Elimination Programme (NTEP) on assessing health-related Quality of Life (QoL) in patients with pulmonary tuberculosis (PTB). Setting and Design: A randomized controlled trail study was conducted in a tertiary care teaching hospital. Methodology: The study screened 826 PTB patients; 72 patients were found suitable and agreed to participate. The PTB patients were randomly assigned to either a yoga group (n = 36) or a control group (n = 36) using the sequentially numbered opaque sealed envelope technique. The control group received standard-of-care treatment as per NTEP, and the yoga group practiced 45 min of integrated yoga for 8 weeks along with standard of care. The World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to collect the data at baseline and after 8 weeks of intervention. Results: The results of within-group comparisons in both the groups showed that there was a significant improvement in physical (P < 0.01), psychological (P < 0.01), and social (P < 0.01), with P ≤ 0.05 being considered statistically significant except environmental domain. Between groups, analysis shows that in the preintervention, there was no difference between the yoga and control group as P > 0.05. After the yoga intervention, there was an enhancement in QoL scores with three domains except the environmental domain (P = 0.28). Conclusion: The study evidence supports the use of yoga as a complementary therapy for the NTEP in patients with PTB may improve their QoL.

Background: Yoga therapy (YT) as an adjunct treatment has reportedly been demonstrated to offer clinical benefits in major depressive disorder (MDD). Although a few biological pathways are suggested to mediate the effects of yoga, the precise mechanistic basis remains unknown. Oxidative stress pathway activation has consistently been linked to the pathobiology of MDD. Whether YT has a modulatory effect on the oxidative stress pathway in MDD is not adequately understood. Aim and Objectives: In this study, we examined the impact of a course (3 months) of yoga as an add on therapy on the markers of the oxidative stress pathway in MDD patients. Methods: Thirty-three MDD patients were randomized to the YT (n = 16) and waitlist control (WC) (n = 17) groups. Colorimetric estimation of the plasma malondialdehyde (MDA) and total antioxidant (AO) levels was performed in all the study participants using commercially available kits at the baseline and after 3 months. Results: A significant reduction of plasma MDA levels was observed in MDD patients of YT group (P = 0.05) after 3 months of YT. Notably, the plasma MDA levels also decreased in MDD patients of WC group (P = 0.015) after the trial period. In addition, levels of total AO showed a trend toward significance only in MDD patients after 3 months of YT (P = 0.07). Conclusion: The current study suggests that the benefits of YT might be mediated through its modulatory role on the oxidative stress pathway in MDD.

Introduction: Alcohol dependence syndrome (ADS) is a global health concern that causes a significant disease burden, with harmful alcohol use responsible for 2.5 million deaths annually. Stress is a known trigger for alcohol relapse, and effective management of stress can improve treatment outcomes in individuals with ADS. Materials and Methods: This randomized control study evaluated the effects of adjuvant yoga therapy on craving and perceived stress in 80 individuals with ADS undergoing deaddiction treatment. The yoga group received yoga therapy three times a week for 2 months in addition to medical management, while the control group received standard medical treatment. The Alcohol Craving Questionnaire and Perceived Stress Scale were administered before and after the study period. Results: The yoga group had significantly lower levels of alcohol craving (P < 0.001) and perceived stress (P < 0.001) as compared to the control group. Changes in those receiving additional yoga were more pronounced, and the intergroup differences were highly significant. Yoga induces a sense of self-discipline and relaxation, which may have contributed to these positive changes. Conclusion: Yoga therapy may be a valuable adjunct to deaddiction therapy for individuals with ADS, offering a cost-effective and safe nonpharmacological modality to reduce craving and perceived stress. Further research is needed to explore the long-term effects of yoga therapy on alcohol craving and stress in individuals with ADS. [ABSTRACT FROM AUTHOR]

Functional dyspepsia (FD) is a common upper gastrointestinal disorder, characterized by bothersome epigastric pain or burning, fullness after meals or early satiety. The precise pathophysiology remains incompletely understood but may include the role of disordered gut-brain communication leading to disturbances in gastro-duodenal physiological functioning. Even if there are several pharmacological treatment options, it is a chronic and relapsing disorder with persistent symptoms that makes its management difficult. Yoga is a fast-spreading complementary and alternative medicine (CAM) specialty, that has gained attention in the medical field for its ability to address the physical, emotional, mental and social aspects of health and disease. Various other CAM therapies are being used for FD with varying efficacy. However, apart from one research study that used yoga therapy on abdominal pain related functional gastrointestinal disorders in children which included a few FD cases as well (11.6%), no other study using yoga therapy has been done in FD as per our best knowledge. Therefore, in the present review, we have summarized the current scientific understanding of the probable effects of yoga on the pathophysiological mechanisms involved in FD (gastric motility, fundic accommodation, hypersensitivity, duodenal inflammation, psychological distress and gut-brain dysfunction). The literature suggests yoga can have a beneficial role in the management of FD. However, rigorous research and clinical trials are required to confirm the same. [ABSTRACT FROM AUTHOR]

Evidence from clinical trials has shown positive effects of yoga on hypothyroidism. To date, there is no review of these studies. This systematic review evaluates the efficacy of yoga as a therapeutic intervention for hypothyroidism.PubMed, Medline, PsycINFO, and Science Direct databases were searched to identify relevant literature. The review included clinical studies that evaluated the effects of yoga on hypothyroidism. Studies that were not conducted inenglish, unavailable, non-experimental, or those that were reviews, case studies, case reports, not based on yoga, involved yoga as a intervention, or included a mixed population were excluded.Eleven studies (n = 516) met the eligibility criteria. Of these, four studies were RCTs, two non-RCTs and five were pretest-posttest studies. The duration of the yoga intervention varied from 1 to 6 months. Most of these studies adopted a combination of suryanamaskar, asana, pranayama and meditation. On quality assessment, one study had a low risk of bias (1 RCT), six studies had a moderate risk of bias (3 RCTs, one non-RCT and two pretest-posttest studies), and four studies had a high risk of bias (1 non-RCT and three pretest-posttest studies). The outcome measures assessed were TSH, T3, T4, and thyroid medication usage, lipid indices, BMI, heart rate variability, pulmonary measures, blood glucose, anxiety, depression, self-esteem, quality of life and sleep. The majority of the studies reported significant improvements in these outcomes following yoga intervention.This systematic review reports evidence for effects of yoga on various outcome measures in hypothyroidism, suggesting its possible role in the management of hypothyroidism. However, there is a need for adequately powered, high-quality RCT studies in the future to draw a definitive conclusion.

Background: TB is a common opportunistic infection (OI) among people living with Human Immunodeficiency Virus (PLHIV). PLHIV often resort to the use of traditional and complementary medicine (T&CM) to supplement ART in order to maintain and improve their health. Yoga therapy has vast potential and beneficial effects on lungs. This study will assess the proportion of PLHIV developing TB in intervention group as compared to the control group. The secondary objective is to assess the improvement in CD4 T cell count, development of other OIs and to explore the socio-behavioural factors affecting the adherence to yoga programme and ART. Methods: We propose a hospital-based RCT comparing the yoga group with usual care control group using quantitative methods for 3 years. A total of 1800 PLHIVs will be studied with 1:2 intervention to control group ratio. Each participant will be involved for 24 months (intervention delivery/follow-up). PLHIV in the intervention group will be given yoga therapy training of 45- minute duration once a month for 3-months followed by self-practice at home. Independent t tests and Z test for proportion will be used to compare the two groups at baseline. Intention to treat analyses will be conducted with participants as originally allocated at randomization to avoid bias. Alpha level will be set at 5%, using two-tailed for all inferences. Discussion: This study will generate preliminary data about effect of yoga on TB and other opportunistic infections as well as the feasibility and utility of further RCT in the domain. Trial Registration: ISRCTN74208821

Introduction: Yoga is known to promote health and wellness in all. Pranava Pranayama is a useful sound based yogic breathing technique with reported benefits such as potentiating vagal tone. Subjects and Methods: This single blinded randomized self-controlled cross-over study was done with 58 participants. The immediate effect of Pranava Pranayama on saturation of oxygen in the blood (SpO2) and heart rate (HR) was determined before and after intervention using pulse oximeter. To avoid extraneous influences due to recording on different days, one half of the subjects were randomized to perform quiet sitting on day 1 while other half did Pranava Pranayama which was then reversed on day 2. Results: Intra group comparison showed significant changes (p < 0.001) in both SpO2 and HR following Pranava Pranayama whereas in the quiet sitting group, there was an insignificant fall in the SpO2 readings but HR was found significant (p < 0.001). Intergroup comparison showed significant differences between groups (p-0.032). Discussion: Cardiovascular changes following Pranava Pranayama may be as a result of audible chanting improving baroreflex sensitivity along with increased endogenous nitric oxide production. This promotes vasodilatation resulting in reduction of BP. The decrease in vascular resistance and an increase in capillary perfusion results in increased oxygen saturation with lesser demand on the heart. Conclusion: This study provides evidence that Pranava Pranayama is an effective technique in enhancing SpO2 and our findings may have therapeutic applications especially in the current pandemic situation. [ABSTRACT FROM AUTHOR]

Background: Acupuncture and yoga have both been shown to be effective in chronic pain. Underrepresented populations have poorer pain outcomes with less access to effective pain care. Objective: To assess the feasibility of bundling group acupuncture with yoga therapy for chronic neck, back or osteoarthritis pain in safety net settings. Methods: This was a feasibility pilot in Bronx and Harlem primary care community health centers. Participants with chronic neck, back or osteoarthritis pain received acupuncture and yoga therapy over a 10-week period. Participants received 10 weekly acupuncture treatments in group setting; with Yoga therapy sessions beginning immediately following the 3rd session. Primary outcome was pain interference and pain intensity on the Brief Pain Inventory (BPI); Outcomes were measured at baseline, 10-week close of intervention, and 24-week follow-up. Results: 93 patients were determined to be eligible and completed the baseline interview. The majority of participants were non-White and Medicaid recipients. 78 (84%) completed the intervention and 10-week survey, and 58 (62%) completed the 24-week post intervention survey. Participants received an average number of 6.5 acupuncture sessions (out of a possible 10), and 4 yoga sessions (out of a possible 8) over the 10-week intervention. Patients showed statistically significant improvements in pain at the close of the intervention and at a somewhat lesser rate, at 24-weeks post intervention. Challenges included telephone outreach and site coordination integrating acupuncture with yoga therapy. The trial also had to be stopped early due to the COVID-19 pandemic. Conclusions: Bundling acupuncture therapy and yoga therapy is feasible for an underrepresented population with chronic pain in urban community health centers with preliminary indications of acceptability and benefit to participants. [ABSTRACT FROM AUTHOR]

Introduction: Yoga is emerging as one of the holistic approaches to respiratory diseases. The scope of yoga is expanding in communicable diseases with physical, mental, and societal benefits. Aim and Objective: The present study aims to evaluate the effect of integrated yoga as an adjuvant therapy to the National Tuberculosis Elimination Programme (NTEP) on assessing health-related Quality of Life (QoL) in patients with pulmonary tuberculosis (PTB). Setting and Design: A randomized controlled trail study was conducted in a tertiary care teaching hospital. Methodology: The study screened 826 PTB patients; 72 patients were found suitable and agreed to participate. The PTB patients were randomly assigned to either a yoga group (n = 36) or a control group (n = 36) using the sequentially numbered opaque sealed envelope technique. The control group received standard-of-care treatment as per NTEP, and the yoga group practiced 45 min of integrated yoga for 8 weeks along with standard of care. The World Health Organization Quality of Life (WHOQOL-BREF) questionnaire was used to collect the data at baseline and after 8 weeks of intervention. Results: The results of within-group comparisons in both the groups showed that there was a significant improvement in physical (P < 0.01), psychological (P < 0.01), and social (P < 0.01), with P = 0.05 being considered statistically significant except environmental domain. Between groups, analysis shows that in the preintervention, there was no difference between the yoga and control group as P 0.05. After the yoga intervention, there was an enhancement in QoL scores with three domains except the environmental domain (P = 0.28). Conclusion: The study evidence supports the use of yoga as a complementary therapy for the NTEP in patients with PTB may improve their QoL. [ABSTRACT FROM AUTHOR]

Background: Yoga therapy (YT) as an adjunct treatment has reportedly been demonstrated to offer clinical benefits in major depressive disorder (MDD). Although a few biological pathways are suggested to mediate the effects of yoga, the precise mechanistic basis remains unknown. Oxidative stress pathway activation has consistently been linked to the pathobiology of MDD. Whether YT has a modulatory effect on the oxidative stress pathway in MDD is not adequately understood. Aim and Objectives: In this study, we examined the impact of a course (3 months) of yoga as an add on therapy on the markers of the oxidative stress pathway in MDD patients. Methods: Thirty-three MDD patients were randomized to the YT (n = 16) and waitlist control (WC) (n = 17) groups. Colorimetric estimation of the plasma malondialdehyde (MDA) and total antioxidant (AO) levels was performed in all the study participants using commercially available kits at the baseline and after 3 months. Results: A significant reduction of plasma MDA levels was observed in MDD patients of YT group (P = 0.05) after 3 months of YT. Notably, the plasma MDA levels also decreased in MDD patients of WC group (P = 0.015) after the trial period. In addition, levels of total AO showed a trend toward significance only in MDD patients after 3 months of YT (P = 0.07). Conclusion: The current study suggests that the benefits of YT might be mediated through its modulatory role on the oxidative stress pathway in MDD. [ABSTRACT FROM AUTHOR]

Population ageing is a growing concern due to factors like life expectancy and declining reproduction rates, resulting in an increasing number of individuals aged 60 and above. These demographic faces healthcare issues, including decline in physiological reserve, chronic diseases, comorbidity, disability, frailty, and social challenges. Factors like education, socioeconomic status, gender, and residence also impact the elderly population. Geriatric assessment is crucial for developing an integrated care plan. Yoga, a popular approach, has shown positive outcomes in cellular ageing, physical mobility, psychological well-being, and cognitive deterioration. Yoga can contribute to treatment and prevention of geriatric disorders, improving management and overall health for the elderly population. [ABSTRACT FROM AUTHOR]

Purpose: Mathematics is a complex subject that includes language, quantity, and space. Students with dyscalculia have difficulty in learning and memorizing numbers, they cannot remember the basic facts related to numbers, and they are slow and inaccurate in calculating. This research aims to investigate yoga therapy as a supplement in the management of students with dyscalculia in Tabriz city, Iran. Methods: This study is a randomized clinical trial;. a total of 30 male students were initially allocated to either a yoga group (YG, n=15), who underwent a 8-week yoga exercise program, or to a control group (CG, n=15), who did not receive any intervention. The data collection tools are: Visual perception questionnaire, visual and auditory processing questionnaire, spatial visualization questionnaire) and learning disability questionnaire. We performed ANCOVA for data analysis using in level significance 5% by SPSS software, version 25. Results: The results of ANCOVA showed between-group differences for visual processing (F(1, 18)=19.01, P=0.01), visual perception, and spatial visualization (F(1, 18)=30.132, P=0.001), and spatial visualization (F(1, 18)=5202.86, P=0.001). Conclusion: It can be concluded that yoga therapy can reduce the amount of math learning disorder in students with dyscalculia.

Background: Prolonged standing is a part of several professions, which can have physical and psychosocial implications. Yoga as a mind-body therapy may be useful to prevent and manage such health issues. However, there is a lack of a standardized yoga module addressing the health issues of workers with prolonged standing. Objectives: Thus, the present study was undertaken to design and validate a specific yoga module for the target population. Methods: A yoga module was prepared by reviewing yoga texts for the specific needs of the target population. This was validated for content validity for the experts on a Likert scale.71 yoga experts validated the module. The content validity ratio (CVR) above 0.70 was considered to be valid. Results: The validated yoga module consists of joint loosening and strengthening exercises, asana, pranayama and relaxation techniques. The average CVR for the module was found to be 0.80. Conclusion: The designed yoga module is found to be valid by the experts. The module needs to be assessed for feasibility and efficacy in the target population.

Middle aged women in majority undergoing menopausal symptoms are unaware of the physiological changes happening in their body, necessary lifestyle changes and alternate therapies to overcome the symptoms. All major electronic sources of relevant information were systematically searched and collected data were pooled under specific subheadings. From the reviewed papers, the awareness on symptoms and related complications of menopause in the middle aged women were consolidated. Studies helped to identify alternative therapies replacing or in parallel with the Hormone Replacement Therapy to overcome the menopausal symptoms. Reduced oestrogen and progesterone level causes physiological, psychological, and genitourinary symptoms. Prolonged consequences cause libido, osteoporosis, and cardio vascular diseases. Hypo-estrogenic status is well managed with alternative therapies including dietary intervention, acupuncture, aromatherapy, exercise, and yoga. Dietary interventions involving foods like Fennel, Soy, Black Cohash, St. John Wort, Red Clover and Date Pollen were found to be managing vasomotor symptoms and sexual dysfunction. Non-Hormonal and Non-Pharmacological impact behind acupuncture treatment was well accepted. Various studies proved inhaling and massaging with Lavender, Neroli oil, Fennel, Rose, and Geranium essential oils balance cortisol hormone and reduce stress and anxiety. Impact of yoga therapy on neurohormonal pathways reduce both psychological and physiological symptoms. Reviews summarizes various symptoms and complications during menopausal transition and alternate ways of better management with dietary intervention, yoga, exercise, aromatherapy, and acupuncture to improve the quality of menopausal women's life. [ABSTRACT FROM AUTHOR]

Stress has become a prevalent concern in modern society, necessitating effective strategies for management and alleviation. This article explores stress management techniques derived from the Yog Sutra of Patanjali, an ancient text offering insight into the human experience and practical guidance for attaining balance and inner peace. The study employs a literature review from PubMed, Science Direct databases, and Google Scholar search engine and analysis of yog sutra to identify specific sutras and teachings related to stress management. The findings reveal that the distraction of the mind causes stress and can manifest as various symptoms. Patanjali's teaching provides practical approaches for stress management, including understanding the nature of pleasure and pain, cultivating even-mindedness, nurturing positive attitudes, and values, surrendering to higher consciousness, and practicing Ashtanga Yoga. These methods are consistent with modern treatments including cognitive-behavioral therapy, mindfulness-based interventions, and positive psychology. Patanjali's yoga methods, including asanas, pranayama, and meditation, have been shown to reduce stress and enhance well-being. Integrating these practices into therapeutic interventions can enhance stress management and self-awareness. While more research is needed, preliminary evidence supports the potential benefits of Patanjali's stress management techniques. Integrating these techniques with contemporary approaches offers a promising avenue for effective stress management and well-being promotion. Integrating ancient wisdom with modern therapeutic modalities can cultivate resilience, inner calm, and effective stress management. [ABSTRACT FROM AUTHOR]

Stress has become a prevalent concern in modern society, necessitating effective strategies for management and alleviation. This article explores stress management techniques derived from the Yog Sutra of Patanjali, an ancient text offering insight into the human experience and practical guidance for attaining balance and inner peace. The study employs a literature review from PubMed, Science Direct databases, and Google Scholar search engine and analysis of yog sutra to identify specific sutras and teachings related to stress management. The findings reveal that the distraction of the mind causes stress and can manifest as various symptoms. Patanjali's teaching provides practical approaches for stress management, including understanding the nature of pleasure and pain, cultivating even-mindedness, nurturing positive attitudes, and values, surrendering to higher consciousness, and practicing Ashtanga Yoga. These methods are consistent with modern treatments including cognitive-behavioral therapy, mindfulness-based interventions, and positive psychology. Patanjali's yoga methods, including asanas, pranayama, and meditation, have been shown to reduce stress and enhance well-being. Integrating these practices into therapeutic interventions can enhance stress management and self-awareness. While more research is needed, preliminary evidence supports the potential benefits of Patanjali's stress management techniques. Integrating these techniques with contemporary approaches offers a promising avenue for effective stress management and well-being promotion. Integrating ancient wisdom with modern therapeutic modalities can cultivate resilience, inner calm, and effective stress management.

Introduction: Yoga is known to promote health and wellness in all. Pranava Pranayama is a useful sound based yogic breathing technique with reported benefits such as potentiating vagal tone. Subjects and Methods: This single blinded randomized self-controlled cross-over study was done with 58 participants. The immediate effect of Pranava Pranayama on saturation of oxygen in the blood (SpO2) and heart rate (HR) was determined before and after intervention using pulse oximeter. To avoid extraneous influences due to recording on different days, one half of the subjects were randomized to perform quiet sitting on day 1 while other half did Pranava Pranayama which was then reversed on day 2. Results: Intra group comparison showed significant changes (p < 0.001) in both SpO2 and HR following Pranava Pranayama whereas in the quiet sitting group, there was an insignificant fall in the SpO2 readings but HR was found significant (p < 0.001). Intergroup comparison showed significant differences between groups (p-0.032). Discussion: Cardiovascular changes following Pranava Pranayama may be as a result of audible chanting improving baroreflex sensitivity along with increased endogenous nitric oxide production. This promotes vasodilatation resulting in reduction of BP. The decrease in vascular resistance and an increase in capillary perfusion results in increased oxygen saturation with lesser demand on the heart. Conclusion: This study provides evidence that Pranava Pranayama is an effective technique in enhancing SpO2 and our findings may have therapeutic applications especially in the current pandemic situation.

Background: Bronchial asthma afflicts many millions of people worldwide, with multinational studies finding over 4% of young adults on asthma medication. Prescribed medication may alleviate symptoms but does not cure. The complementary system of yoga therapy has developed yoga practice modules that improve symptoms, but are cumbersome, and lead to high dropout rates. Results: We report the development of a new, shorter yoga module that achieved zero dropouts over a 90-day randomized controlled trial. Discussion: All yoga breathing exercises could be done standing or sitting in a chair, making the module suitable not just for young adults, but for all ages.

Background and Aims: Yoga is well‐thought‐out as an all‐inclusive approach globally and can be administered in clinical care as an integrative or alternate approach to regular treatment. Yoga exercise has been disclosed to influence remission from cancer cells over a long period of time and also reverses epigenetic alterations. Applications of Yoga in the management of oral oncology patients are scarce, hence the need for a scoping review of the literature. Hence, this study aimed to conduct a scoping review of the existing empirical evidence on the applications of yoga in oral oncology. Methods: The review methodology was informed by Joanna Brigg's Institute guidelines for systematic scoping reviews, and the review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews. Ten databases were searched. The records of all the literature retrieved from the search were imported into the Rayyan software for deduplication. After the full‐text screening, only two were found eligible for inclusion in the scoping review. Data obtained in the included literature were extracted and synthesized. Results: This review found that Yoga was not significantly effective in the management of stress among oral cancer patients (p‐values > 0.04). However, it was found that Yoga significantly reduced anxiety, saliva stickiness, and episodes of falling ill (p‐values < 0.05) while it improved mental well‐being, cognitive functioning, emotional functioning, and head and neck pain of those oral cancer patients that received it (p‐values < 0.05). Conclusion: An integrative care approach that considers nonpharmaceutical techniques such as yoga could help to reduce care cost while improving care outcomes and quality of life of oral cancer patients. Hence, it is imperative to consider yoga along with its potential benefits, and we recommend gradual incorporation of yoga into oral cancer care. [ABSTRACT FROM AUTHOR]

Purpose: Mathematics is a complex subject that includes language, quantity, and space. Students with dyscalculia have difficulty in learning and memorizing numbers, they cannot remember the basic facts related to numbers, and they are slow and inaccurate in calculating. This research aims to investigate yoga therapy as a supplement in the management of students with dyscalculia in Tabriz city, Iran. Methods: This study is a randomized clinical trial;. a total of 30 male students were initially allocated to either a yoga group (YG, n=15), who underwent a 8-week yoga exercise program, or to a control group (CG, n=15), who did not receive any intervention. The data collection tools are: Visual perception questionnaire, visual and auditory processing questionnaire, spatial visualization questionnaire) and learning disability questionnaire. We performed ANCOVA for data analysis using in level significance 5% by SPSS software, version 25. Results: The results of ANCOVA showed between-group differences for visual processing (F(1, 18)=19.01, P=0.01), visual perception, and spatial visualization (F(1, 18)=30.132, P=0.001), and spatial visualization (F(1, 18)=5202.86, P=0.001). Conclusion: It can be concluded that yoga therapy can reduce the amount of math learning disorder in students with dyscalculia. [ABSTRACT FROM AUTHOR]

Extensive literature reports an increase in physical disorders (pain, pathologies, dysfunctions) and mental malaise/uneasiness (stress, burnout) affecting dental professionals in relation to fast and pressing rhythms of work, long working hours, increasingly demanding patients, ever-evolving technologies, etc. This project has been conceived to bring the science of yoga around the world to dental professionals as a preventive (occupational) medicine and to provide knowledge and means for self-care. Yoga is a concentrative self-discipline of the mind, senses, and physical body, that requires regular daily exercise (or meditation), attention, intention, and disciplined action. M&M: The study aimed to design a Yoga protocol specifically devised for dental professionals (dentists, dental hygienists, and dental assistants) including positions (asanā) to be practiced/used in the dental office. The protocol is targeted for the upper body, namely neck, upper back, chest, shoulder girdle, and wrists, being areas greatly affected by work-related musculoskeletal disorders. This paper represents a yoga-based guideline for the self-cure of musculoskeletal disorders among dental professionals. Results: The protocol includes both sitting (Upavistha position) and standing (Utthana or Sama position) asanā, with twisting (Parivrtta), side bending (Parsva), flexion and forward bending (Pashima), and extension and arching (Purva) asanā to mobilize and decompress, and to provide nourishment and oxygen to the musculo-articular system. The paper delivers different concepts and theories developed and deepened by the authors and introduces and spreads yoga as a medical science among dental professionals for the prevention and treatment of work-related musculoskeletal disorders. We articulate notions ranging from stretching out using the vinyasā method (breath-driven movement) and inward-focused attention to contemplative/concentrative science, interoceptive attention, self-awareness, the mind–body connection, and receptive attitude. The theory of “muscles are bone ties” is coined and delivered with regard to tensegrity musculoskeletal fascial structures connecting, pulling together, and nearing the bone segments where they are anchored. The paper describes over 60 asanā envisaged to be performed on dental stools or using the walls of a dental office or a dental unit chair. A detailed guideline on the work-related disorders that can find relief with the protocol is provided, including the description of breath control for the practice of asanā in vinyasā. The foundations of the technique reside in the Iyengar Yoga method and Parinama Yogā method. Conclusions: This paper represents a guideline for self-cure in the prevention or treatment of musculoskeletal disorders affecting dental professionals. Yoga is a powerful concentrative self-discipline able to provide physical and mental well-being, representing great help and support in daily life and business for dental professionals. Yógasanā restores retracted and stiff muscles, giving relief to the strained and tired limbs of dental professionals. Yoga is not intended for flexible or physically performing persons but for people who decide to take care of themselves. The practice of specific asanā represents a powerful tool for the prevention or treatment of MSDs related to poor posture, forward head, chronic neck tension (and related headache), depressed chest, compressive disorders on wrists and shoulders as carpal tunnel, impingement syndromes, outlet syndrome, subacromial pain syndrome and spinal disc pathologies. Yoga, as an integrative science in medicine and public health, represents a powerful tool for the prevention and treatment of occupational musculoskeletal disorders and an extraordinary path for the self-care of dental professionals, sitting job workers, and healthcare providers suffering from occupational biomechanical stresses and awkward postures. [ABSTRACT FROM AUTHOR]

Dental professionals are exposed to significant unavoidable physical stress, and theoretical ergonomic recommendations for a sitting workplace are inapplicable in many dental activities. Work-related musculoskeletal disorders (WMSDs) represent a serious health problem among dental professionals (prevalence: 64–93%), showing involvement of 34–60% for the low back and 15–25% for the hips. Muscle stress; prolonged sitting; forward bending and twisting of the torso and head; unbalanced working postures with asymmetrical weight on the hips and uneven shoulders; and others are inevitable for dental professionals. Therefore, the approach for the prevention and treatment of WMSDs must be therapeutic and compensatory. This project was conceived to provide a Yoga protocol for dental professionals to prevent or treat WMSDs from a preventive medicine perspective, and it would represent a Yoga-based guideline for the self-cure and prevention of musculoskeletal problems. Methods: Specific Yoga positions (āsana, such as Virāsana, Virabhadrāsana, Garudāsana, Utkatāsana, Trikonāsana, Anuvittāsana, Chakrāsana, Uttanāsana, Pashimottanāsana) have been selected, elaborated on and adapted to be practiced in a dental office using a dental stool or the dental office walls or a dental unit chair. The protocol is specifically devised for dental professionals (dentists, dental hygienists and dental assistants) and targeted for the low back, hips and legs (including knees and ankles). The protocol includes Visranta Karaka Sthiti (supported positions) in sitting (Upavistha Sthiti) and standing (Utthistha Sthiti) positions, twisting/torsions (Parivrtta), flexions/forward bend positions (Pashima) and extensions/arching (Purva) for musculo-articular system decompression and mobilization. Results: Over 60 Yogāsana—specifically ideated for back detensioning and mobilization, lumbar lordosis restoration, trunk side elongation, hip release and leg stretches and decontraction—are shown and described. The paper provides a meticulous description for each position, including the detailed movement, recommendations and mistakes to avoid, and the breathing pattern (breath control) in all the breath-driven movements (āsana in vinyāsa). An exhaustive analysis of posture-related disorders affecting the lower body among dental professionals is reported, including low-back pain, hip pain and disorders, piriformis syndrome and quadratus femoris dysfunction (gluteal pain), iliopsoas syndrome, multifidus disorders, femoroacetabular and ischiofemoral impingement, spinopelvic mobility, lumbopelvic rhythm, impairment syndromes, lower crossed syndrome, leg pain, knee pain and ankle disorders. Conclusions: A detailed guideline of āsana for low-back decompression, hip joint destress, piriformis and gluteal muscle release, lumbar lordosis recovery and a spinopelvic mobility increase has been elaborated on. The designed Yogāsana protocol represents a powerful tool for dental professionals to provide relief to retracted stiff muscles and unbalanced musculoskeletal structures in the lower body.

This study investigates the impact of a holistic approach combining Yoga therapy and Ayurvedic dietary interventions on sleep quality in aged women suffering from insomnia. A single group study was conducted, involving aged women (age range: 60 to 70 years) diagnosed with insomnia based on standardized assessment criteria. The intervention group attended supervised Yoga sessions six times a week for 12 weeks, complemented by personalized Ayurvedic dietary recommendations. The primary outcome measure was sleeping quality, assessed using standardized sleep quality indice, Insomnia Severity Index (ISI), administered at baseline and post-intervention (12 weeks). Secondary outcome measure was anxiety and fear accessed by VAS (Visual Analog Scale). Preliminary results indicate a significant improvement in sleep quality in the intervention group, as evidenced by reductions in ISI scores, anxiety and fear (p < 0.001). These results imply that the integration of Yoga therapy with Ayurvedic dietary practices can have a positive and long-lasting impact on quality of sleep and general wellbeing in aged women with insomnia. In conclusion, this study highlights the potential benefits of a holistic approach to addressing insomnia in aged women, emphasizing the role of complementary therapies such as Yoga and Ayurvedic dietary interventions in improving sleep quality and enhancing overall quality of life. Further research is needed to explore the long-term effects and mechanisms underlying these positive outcomes. [ABSTRACT FROM AUTHOR]

Functional Dyspepsia (FD), commonly called chronic indigestion, comes under the umbrella of 'Disorders of Gut–Brain Axis'. It manifests as a cluster of upper gastrointestinal symptoms including epigastric pain or burning, postprandial fullness and early satiety. Since the pathophysiology is complex, it is often difficult to effectively manage and significantly impacts the patient's quality of life. This case series aims to elucidate the role of Yoga as an adjuvant therapy to modern medicine in providing relief of dyspeptic symptoms in such patients. Yoga is an ancient Indian mind-body practise that has the potential to be used for various brain-gut disorders. Apart from treating the gut disorders from top down (mind-gut) pathway, it may have more direct physiological effects as well. Researches on IBS and one research on abdominal pain related FGID have shown Yoga therapy to be effective in ameliorating the symptoms.In this study, we present three such cases (1 male and 2 female) having a clinical diagnosis of FD in detail. These patients were initially non-responsive to medications but later showed remarkable improvement in symptoms within one month of added Yoga therapy intervention. This study was conducted as a part of a larger study conducted at a tertiary hospital in Pondicherry in collaboration between its Yoga department and Medical Gastroenterology Department. Yoga therapy protocol was given along with their regular medical management for a month. Gastrointestinal Symptom Rating Scale (GSRS) and Dyspepsia Symptom Score questionnaires were used to assess symptoms before and after the intervention period. All three patients showed marked reductions in symptom scores both in the GSRS and Dyspepsia Questionnaire. The present case series suggests effect of adjuvant Yoga therapy in reducing symptoms of functional dyspepsia. Future studies may clarify the psycho-physiological basis of the same.

Abstract Background and Aims Yoga is well‐thought‐out as an all‐inclusive approach globally and can be administered in clinical care as an integrative or alternate approach to regular treatment. Yoga exercise has been disclosed to influence remission from cancer cells over a long period of time and also reverses epigenetic alterations. Applications of Yoga in the management of oral oncology patients are scarce, hence the need for a scoping review of the literature. Hence, this study aimed to conduct a scoping review of the existing empirical evidence on the applications of yoga in oral oncology. Methods The review methodology was informed by Joanna Brigg's Institute guidelines for systematic scoping reviews, and the review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews. Ten databases were searched. The records of all the literature retrieved from the search were imported into the Rayyan software for deduplication. After the full‐text screening, only two were found eligible for inclusion in the scoping review. Data obtained in the included literature were extracted and synthesized. Results This review found that Yoga was not significantly effective in the management of stress among oral cancer patients (p‐values > 0.04). However, it was found that Yoga significantly reduced anxiety, saliva stickiness, and episodes of falling ill (p‐values

In conventional healthcare, patients’ preferences for their treatment are determined, though this practice has not been reported for yoga therapy. The present convenience sampling exploratory survey attempted to determine whether those seeking yoga therapy would report preferences for the way yoga therapy is implemented, the therapist’s knowledge, and related aspects of yoga therapy. Responses from 426 people attending a yoga therapy institution in India were analyzed. Based on the chi-square test (p < 0.05) and Cramer’s V (> 0.10), most people wished to receive yoga therapy in a group of others with a similar disease (42.25%), in a yoga institution (83.57%), and as in-person sessions (48.83%). Patients preferred yoga therapists to know about the principles of yoga (40.38%), to be well-informed generally (61.97%), and to be able to give suggestions for emotional well-being. For the majority of participants (59.4%), the reason for selecting yoga therapy was “a belief in yoga as therapy” (rather than as an add-on therapy or as a last resort). Patients’ expectations of yoga therapy were positive, namely a cure of disease (79.34%) and improvement after 1 year (95.8%). Most patients (91.6%) wanted their conventional medicine practitioner to know that they were receiving yoga therapy. Although limited by the study design, survey design, and participant details available, overall results suggest that patients (1) reported specific preferences (for the implementation of yoga therapy and for yoga therapists’ knowledge), (2) had expectations of yoga therapy, and (3) most often were interested in their conventional care physicians being informed about the yoga therapy they received. [ABSTRACT FROM AUTHOR]

Spinal cord injury causes temporary or permanent loss of motor, sensory, or autonomic functions, leading to long-term impairments that are not only confined to physical attributes but also restrict individuals’ participation in major domains of life. Around 60%–80% of individuals with spinal cord injuries depend on a wheelchair for mobility. Numerous studies have reported yoga’s beneficial role in alleviating spinal cord injury symptoms; however, a validated wheelchair-based yoga module was unavailable. Thus, the present study aimed to develop and validate a wheelchair-based yoga module that comprises a printed protocol for individuals with paraplegia. The study was conducted in four phases: The first three phases were the steps for the formulation of a wheelchair-based yoga module, and in the last phase the content validity of the designed module was determined by a panel of 10 experts, who were asked to rate the preliminary module for its necessity and relevance using a Likert scale. A total of 17 yoga practices with high content validity were included in the final wheelchair-based yoga module, and 10 practices with lower content validity were excluded from the designed module. Data analysis revealed the mean content validation index of the designed module to be 0.81. This study concludes that the formulated wheelchair-based yoga module is valid for individuals with paraplegia. However, future studies need to be conducted to determine the protocol’s feasibility and effectiveness. [ABSTRACT FROM AUTHOR]

Chronic pain is the most common reason U.S. adults seek medical care. Acupuncture and yoga show effectiveness, and a recent study assessed the feasibility of these two modalities for chronic pain at federally qualified health centers. Yoga research is rarely individualized, which is important for chronic pain treatments. Six experienced yoga professionals drew on research and clinical experience to co-create a yoga therapy protocol standardized for replication with flexibility for individual care. Yoga therapy was to be combined with a previously developed flexible acupuncture intervention in a feasibility trial. Categories of practices were identified as relevant and appropriate for chronic pain management in a federally qualified health center. Within each category, specific practices were listed for each provider to select as appropriate. These were based on usefulness for chronic pain, safety, ease of teaching/learning, and cultural appropriateness. The final manual included: (1) stabilizing poses, (2) mobilizing poses, (3) breathing practices, (4) relaxation, (5) mental practices, and (6) applied philosophy. Each participant began with an intake to inform practice selection. Ten subsequent sessions were 30 minutes each, with 1-2 participants receiving simultaneous care. First sessions included diaphragmatic breathing and some physical postures. All practices were adapted. Over 10 sessions, at least one practice from each category was included. Participants were given instructions/images for home practice. Individual charting ensured continuity of care and consistency across sessions. In evidence-informed practice, there exists a tension between replicability and individualization. A flexible protocol allows both. Future application in research and clinical settings will help to determine feasibility and effectiveness. [ABSTRACT FROM AUTHOR]

Background: Bronchial asthma afflicts many millions of people worldwide, with multinational studies finding over 4% of young adults on asthma medication. Prescribed medication may alleviate symptoms but does not cure. The complementary system of yoga therapy has developed yoga practice modules that improve symptoms, but are cumbersome, and lead to high dropout rates. Results: We report the development of a new, shorter yoga module that achieved zero dropouts over a 90-day randomized controlled trial. Discussion: All yoga breathing exercises could be done standing or sitting in a chair, making the module suitable not just for young adults, but for all ages. [ABSTRACT FROM AUTHOR]

The purpose of this study was to assess the effect of yoga therapy (YT) on health outcomes of women suffering from polycystic ovary syndrome (PCOS). Interventional studies, with postmenarchal and premenopausal females with PCOS who received YT, with any health outcome reported, were included. Scopus, Cochrane, PubMed, Embase, and Medline databases were electronically searched. Systematic review included 11 experimental studies, representing 515 participants with PCOS, out of which 2 randomized controlled trials (RCTs) were included for meta-analysis. Random effects model was applied using Review Manager Software version 5.4.1 and strength of evidence was assessed using GRADEpro Guideline Development Tool, 2020. Meta-analysis showed that YT may significantly decrease menstrual irregularity (MD −.41, 95% CI −.74 to −.08), clinical hyperandrogenism (MD −.70, 95% CI −1.15 to −.26), fasting blood glucose (MD −.22 mmol/L, 95% CI −.44 to −.01), fasting insulin (MD −28.21 pmol/L, 95% CI −43.79 to −12.63), and homeostatic model assessment-insulin resistance value (MD −.86, 95% CI −1.29 to −.43). Strength of evidence was "low." In conclusion, YT may have beneficial effects on health outcomes in women suffering from PCOS. However, low strength of evidence suggests need of conducting well-designed RCTs to assess the efficacy of YT for PCOS. [ABSTRACT FROM AUTHOR]

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Complementary and alternatiASve therapy is a rapidly growing area in the biomedical sciences, in which Yoga therapy has arisen at the frontlines of holistic medical care and is perceived as a form of mind-body practise because of its long history of connecting physical, mental, and spiritual well-being with the coalescence of physical postures (asana), breathing exercises (pranayama), and meditation (dhyana). This study aims to review the emerging evidence assessing the physiologic and clinical effects of Yoga on cardiopulmonary functions. The authors searched the PubMed (Medline) and Science Direct databases and the Google Scholar search engine, as well as a reference list of related articles, for literature related to the effect of yoga on pulmonary function, cardiovascular function, and cardiopulmonary functions from 2000 to 2021. Yoga has been shown to have favorable effects on the various parameters of cardiovascular and pulmonary functions. Yoga has emerged as a beneficial lifestyle intervention that can be incorporated into cardiovascular and pulmonary disease management methods. Although numerous researchers have reported the clinical benefits of Yoga in reducing cardiopulmonary-related events, morbidity, and mortality, the evidence supporting these conclusions is somewhat limited, thereby stressing the requirement for large, well-designed randomised trials that limit bias and methodological drawbacks.

Background : Depression is one of the most common diseases among the elderly. Depression indicates disturbances in mood, physical and cognitive symptoms. Depression symptoms related to mood disorders include sadness, loss of interest in activities, worthlessness, and death, and suicidal thoughts. Early detection of depression in elderly can be noticed if the elderly have been known to possess factors that may cause depression. Yoga is a non-pharmacological therapy used to treat depression. Yoga movements consist of three stages, pranayama (breath control), asana (body temperature), and meditation (relaxation of the mind), these movements are very important to overcome stress and depression problems. Objectives : To purpose the effectiveness of yoga therapy in reducing depression in the elderly in the community. Methods : This research uses the quantitative research method with quasi-experimental with pre-test post-test design without control. The research site was in Gedongan Village, Baki Sub district, Sukoharjo, Central Java, in March-May 2021, with a total of 47 elderly using the purposive sampling method. Inclusion criteria include 60 years old, GDS score minimum 5, no extremity disorders, and Muslim. Screening for depression employed the Geriatric Depression Scale (GDS). The media used were videos and booklets, using Islamic religious classical music and data analysis used the Wilcoxon test. Results : The average depression level of respondents during the pre-test was 8.40 while the post-test decreased to 4.77 or a mean difference of 3.63 with a p-value of 0.001 (p Conclusion : The conclusion is that the level of depression in the elderly resulted in a higher pre-test average value than the post-test value, which means that the level of depression after yoga therapy has decreased.

Introduction: Hypertension is one among the leading contributors to the burden of non communicable diseases globally. According to JNC-8, the definition of hypertension is Systolic Blood Pressure (SBP) as 140 mmHg or higher or Diastolic Blood Pressure (DBP) as 90 mmHg or higher or both. Whereas derived from the Sanskrit word "YUJ", means to attach, to join or to unite. Yoga is a beneficial multifunctional therapeutic modality in the treatment of a variety of psychological and medical conditions such as depression, anxiety, post-traumatic stress disorder, hypertension, cardiovascular diseases, bronchial asthma, COPD, Diabetes Mellitus, hypercholesterolemia. Material and Method: On the basis of physician diagnosis, twenty-five (N=25) hypertensive patients, aged 36-65 years were examined with 4 variables viz systolic and diastolic blood pressure, heart rate and body weight. The subjects were randomly assigned to experimental and control groups. The patients belonging to the experimental group underwent the yoga session consisting of a selected series of yoga along with their antihypertensive drug therapy and the control group did not participate in yoga sessions but continued the prescribed antihypertensive drugs. Results: Yoga sessions were imparted in the morning with 30 min/session for a total period of 30 days. The result shows that while comparing the pre-test and post-test level of blood pressure in the experimental and control group the mean ± SD of systolic pressure in experimental group was 134.16 ±6.89 and in control group it was as 150.47 ±9.97, with p test value of <0.05 (systolic) and <0.05 (diastolic), which was statistically significant. Conclusion: A short yoga program for the patient to practice at home seems to have an antihypertensive effect, as well as a positive effect on self-rated quality of life compared to controls. This implies that simple yoga exercises may be useful as a supplementary blood pressure therapy in addition to medical treatment when prescribed by primary care physicians. [ABSTRACT FROM AUTHOR]

We set out to implement a pilot mindfulness-based intervention (MBI) to alleviate burnout, stress, anxiety, and depression in nursing and support staff of an oncological intensive care unit. We created an 8-week personalized yoga therapy MBI for nurses and patient care technicians in an oncological intensive care unit. Validated self-report scale tools were used to measure burnout, stress, anxiety, and depression in the intervention and control groups (Institutional Quality Improvement Registry no. 296, 2018). Changes in scores from baseline to postintervention were evaluated between groups. Forty-five staff, 21 in the control group and 24 in the intervention group, participated. Both groups at baseline had low prevalence of stress, anxiety, and depression (13% vs 36.8%, P =.11; 21.7% vs 52.6%, P =.17; 17.4% vs 26.3%, P =.48; respectively). Low rates of high emotional exhaustion, depersonalization, and low professional efficacy were observed for both groups (41.7% vs 35.0%, P =.65; 20.8% vs 15%, P =.71; 58.3% vs 50.0%, P =.58, respectively). Post-MBI, prevalence of depression, anxiety, stress, emotional exhaustion, and depersonalization remained low and similar between both groups. Notwithstanding, professional efficacy scores significantly improved in a between-group comparison (0.063 vs −0.25; P =.0336). We observed that burnout, stress, anxiety, and depression were remarkably low in our study relative to the literature. Implementation of the MBI faced many obstacles and had low compliance during participation. This presumably influenced results and should be addressed prior to any future intervention. Despite this, professional efficacy improved significantly. Trial registration: Approved by MD Anderson Cancer Center Quality Improvement Registry (no. 296, 2018). [ABSTRACT FROM AUTHOR]

Spontaneous intracranial hypotension (SIH) is a potentially debilitating condition caused by cerebrospinal fluid (CSF) leakage through dural tears, leaking meningeal diverticula, or CSF-venous fistulae. This case report describes two yoga-induced dural tears leading to spontaneous SIH. Diagnosing SIH due to dural tears and CSF leaks can be challenging, but magnetic resonance imaging (MRI) aids in confirmation. A woman in her 30s presented to the Emergency Department with a three-week history of sudden, right-sided orthostatic headache following a yoga session, accompanied by tinnitus, visual disturbances, and vomiting. A head and C-spine MRI, including a high-resolution constructive interference in steady state sequence, revealed pachymeningeal enhancement and dural tear at the C4/C5 interspinous process region. Despite conservative management and epidural blood patches, surgical intervention was required to treat the CSF leaks. This report underscores the importance of clinician awareness regarding yoga-associated SIH. Prompt diagnosis and accurate radiological assessment are crucial, and educating patients about the risks during yoga can aid in early detection and treatment., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Antypas et al.)

An association between expectations of treatment and treatment outcome has been reported for conventional medical and surgical treatments. However, this association has not been described for yoga therapy. The present study recruited patients (154 males and 145 females, n = 299; age 48.8 ± 14.7 years) who had been admitted to a residential wellness center, most commonly with diseases of the musculoskeletal system or connective tissue; endocrine, nutritional, or metabolic diseases; and digestive system disorders (all based on ICD-11). Assessments included: (1) expectations of yoga and associated therapies at baseline using two questionnaires (Treatment Expectation Questionnaire and Expectation for Treatment Scale); and (2) treatment outcome at baseline and after 7 days of yoga and associated therapies using the Physical Health Questionnaire and Global Perceived Effect scale. The intervention included yoga and additional therapies (e.g., hydrotherapy and ayurveda for approximately 40% of the time). Multivariable regression analyses (controlled for variation due to age, gender, education, and baseline Physical Health Questionnaire scores) demonstrated that expectations of (1) positive outcomes of all aspects of treatment significantly predicted better overall perceived effect of treatment; (2) symptom resolution (positive expectations) significantly predicted higher total Physical Health Questionnaire scores, with better digestion; and (3) low adverse outcomes significantly predicted better sleep. The findings support the premise that higher positive expectations and lower negative expectations of yoga therapy predict better treatment outcomes. These findings suggest that people should be well-informed about the reported benefits and the less-frequent negative outcomes of yoga therapy so that their expectations may be positive yet realistic, optimally influencing treatment outcomes.

Context: Pre-diabetes is a significant public health problem worldwide. India has a very high rate of progression from pre-diabetes to diabetes, 75-78 per thousand persons per year., Objective: To study the efficacy of individualized homeopathic medicinal products (HMPs) against placebos in preventing the progression from pre-diabetes to diabetes., Design: Six-month, double-blind, randomized (1:1), two parallel arms, placebo-controlled trial., Setting: Outpatient departments of D. N. De Homoeopathic Medical College and Hospital, Kolkata, West Bengal, India., Patients: Sixty participants with pre-diabetes., Interventions: Verum: HMPs plus yoga therapy (YT; n = 30); control: identical-looking placebos plus YT (n = 30)., Main Outcome Measures: The primary efficacy endpoint was the proportion of participants progressing from pre-diabetes to diabetes, measured after three and six months. Secondary outcomes comprised of fasting blood glucose (FBS), oral glucose tolerance test (OGTT), glycated hemoglobin percentage (HbA1c%), lipid profile, liver enzymes (alanine transaminase, aspartate transaminase), urea and creatinine, and Measure Yourself Medical Outcome Profile version 2 (MYMOP-2); all measured after 3 and 6 months., Results: The proportion of participants converted from pre-diabetics to diabetics (n/N; n = diabetics, N = prediabetics) was significantly less in the verum group than control: HbA1C% (month 3: verum - 2/30 versus control - 11/30, p = 0.003; month 6: 3/30 vs. 2/30, p = 0.008), OGTT (month 3: 0/30 vs. 8/30, p = 0.015; month 6: 0/30 vs. 1/30, p = 0.008), but not according to FBS (month 3: 1/30 vs. 1/30, p = 0.779; month 6: 1/30 vs. 3/30, p = 0.469). Several secondary outcomes also revealed significant improvements in the verum group than in placebo: HbA1C% (p < 0.001), OGTT (p = 0.001), serum ALT (p = 0.031), creatinine (p = 0.012), and MYMOP-2 profile scores (p < 0.001). Sulphur, Bryonia alba, and Thuja occidentalis were the most frequently indicated medicines. Thus, HMPs outperformed placebos by successfully preventing the progression of pre-diabetes to diabetes., Trial Registration: Clinical Trials Registry - India CTRI/2022/04/042,026; UTN: U1111-1277-0021., (Copyright © 2024 Elsevier Inc. All rights reserved.)

This article, titled "Editorial: Yoga for pain relief," explores the potential benefits of yoga in managing pain. The authors discuss how yoga, with its dualistic approach that addresses both the body and mind, can modify individual perceptions and thresholds of pain. The article presents different perspectives on the utility of yoga in pain relief, including its role in pain management strategies, its prevalence among yoga seekers in India, and its use in conventional pain management settings. The authors conclude that yoga is a comprehensive and evidence-based approach that can be integrated into pain management strategies. [Extracted from the article]

Introduction: Yoga therapy may have some potential in treating migraine, and thus this meta-analysis aims to explore the efficacy of yoga therapy for patients with migraine.Methods: PubMed, EMbase, Web of science, EBSCO and Cochrane library databases have been systematically searched and we included the randomized controlled trials (RCTs) reporting the efficacy of yoga therapy for migraine patients. The outcomes included.Results: This meta-analysis included six RCTs. The results revealed that compared with control group for migraine, yoga therapy was associated with remarkably decreased pain intensity (SMD = -1.21; 95% CI = -2.17 to -0.25; P = 0.01), headache frequency (SMD = -1.43; 95% CI = -2.23 to -0.64; P = 0.0004), headache duration (SMD = -1.03; 95% CI = -1.85 to -0.21; P = 0.01), HIT-6 score (SMD = -2.28; 95% CI = -3.81 to -0.75; P = 0.003) and MIDAS score (SMD = -0.52; 95% CI = -0.77 to -0.27; P < 0.0001).Conclusions: Yoga therapy may be effective to treat migraine patients, but it should be recommended with caution because of heterogeneity. [ABSTRACT FROM AUTHOR]

Complementary and alternatiASve therapy is a rapidly growing area in the biomedical sciences, in which Yoga therapy has arisen at the frontlines of holistic medical care and is perceived as a form of mind-body practise because of its long history of connecting physical, mental, and spiritual well-being with the coalescence of physical postures (asana), breathing exercises (pranayama), and meditation (dhyana). This study aims to review the emerging evidence assessing the physiologic and clinical effects of Yoga on cardiopulmonary functions. The authors searched the PubMed (Medline) and Science Direct databases and the Google Scholar search engine, as well as a reference list of related articles, for literature related to the effect of yoga on pulmonary function, cardiovascular function, and cardiopulmonary functions from 2000 to 2021. Yoga has been shown to have favorable effects on the various parameters of cardiovascular and pulmonary functions. Yoga has emerged as a beneficial lifestyle intervention that can be incorporated into cardiovascular and pulmonary disease management methods. Although numerous researchers have reported the clinical benefits of Yoga in reducing cardiopulmonary-related events, morbidity, and mortality, the evidence supporting these conclusions is somewhat limited, thereby stressing the requirement for large, well-designed randomised trials that limit bias and methodological drawbacks. [ABSTRACT FROM AUTHOR]