{"title":"Breath Characteristics of Volitional Yoga Breathing and Breath Awareness.","authors":"Shirley Telles, Sachin Kumar Sharma, Kumar Gandharva, Ami Gupta, Acharya Balkrishna","doi":"10.17761/2024-D-24-00020","DOIUrl":"https://doi.org/10.17761/2024-D-24-00020","url":null,"abstract":"<p><p>Changes in breathing during pranayama (yoga breathwork) are usually inferred from practice guidelines in traditional texts or contemporary writings. These changes point to understanding the effects of pranayama and indicate applications of pranayama in health. Previously, a pilot study on a single participant suggested that each pranayama changes breathing uniquely. To extend this research in the present study, 23 yoga practitioners (mean age 28.1 ± 3.8; 12 men, 11 women) who were able to practice the pranayama consistently were each studied in a 48-minute session with five pranayama practices-(1) alternate-nostril yoga breathing, (2) bellows yoga breathing, (3) bumblebee yoga breathing, (4) high-frequency yoga breathing, and (5) hissing yoga breathing-as well as (6) breath awareness for 3 minutes each. From strain gauge-recorded respiratory movements, the breath frequency, depth/amplitude of breathing, and inspiration:expiration were obtained. Compared to the baseline, breath rate increased during high-frequency breathing (373.3%) and decreased during bumblebee breathing (75.3%), hissing breathing (63.0%), and alternate-nostril breathing (55.3 %). The depth of breathing increased in alternate-nostril breathing (141.0%), bellows breathing (136.0%), bumblebee breathing (307%), high-frequency breathing (275.0%), and hissing breathing (95.0%). The inspiration:expiration increased in high-frequency breathing (177.0%) and decreased in bumblebee breathing (74.3%) and alternate-nostril breathing (39.0%). There were no changes during breath awareness. The changes in breathing (although limited by the small sample size) support previous reports of high-frequency breathing as being activating while enhancing attention, and of bumblebee and alternate-nostril breathing (hissing and bellows breathing to a lesser extent) as calming, with increased vagus nerve activity.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexis Ortiz, Nydia Darby, Gustavo Almeida, Tim Calderon, Darpan Patel, Tony Zhang, Daniel C Hughes
{"title":"Physical Performance Effects Associated with a 16-Week Therapeutic Yoga Intervention in Survivors of Cancers in the South Texas Region: A Pilot Study.","authors":"Alexis Ortiz, Nydia Darby, Gustavo Almeida, Tim Calderon, Darpan Patel, Tony Zhang, Daniel C Hughes","doi":"10.17761/2024-D-24-00013","DOIUrl":"https://doi.org/10.17761/2024-D-24-00013","url":null,"abstract":"<p><p>Yoga is recognized as a complementary practice that improves physical, mental, and spiritual health in survivors of cancer. The present study assessed associations between a holistic approach and physical function for 30 survivors of cancer in south Texas. Cancer survivors (86% female) of diverse backgrounds (62% underrepresented minorities) performed a battery of physical function tests, including a 6-minute walk test, to assess cardiorespiratory function, isometric shoulder and elbow-flexor strength, dominant-arm grip strength, dominant-arm shoulder range of motion via inclinometer, sit-and-reach test to assess trunk and lower-extremity flexibility, and a 30-second sit-to-stand test to assess lower-extremity endurance. Participants were reassessed 16 weeks after starting the intervention. The intervention involved a 75-minute live-streamed therapeutic yoga program, including meditation, three times a week and daily psychosocial support text messaging through a telehealth platform to increase efficacy in promoting health-enhancing behaviors. Repeated-measures analysis of variance was used to assess changes in physical performance between sessions. Statistically significant improvements were observed for the 6-minute walk test (+35.68 m; p = 0.020), elbow-flexor strength (+7.44 kg; p < 0.001), dominant-hand grip strength (+3.19 kg; p < 0.004), sit-and-reach test (+5.25 cm; p = 0.010), and dominant-arm shoulder range of motion in flexion (+11.18 degrees, p = 0.012) and abduction (+17.06 degrees, p = 0.036). A 16-week live-streamed therapeutic yoga intervention performed three times a week, coupled with daily psychosocial support messaging, was associated with improved cardiorespiratory endurance by increasing the distance walked in 6 minutes, improving upper-extremity strength and range of motion, and increasing the flexibility of back and hamstring muscles.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial.","authors":"Catherine Justice, Sat Bir Singh Khalsa","doi":"10.17761_2024-D-24-00023","DOIUrl":"https://doi.org/10.17761_2024-D-24-00023","url":null,"abstract":"","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Key Components of Trauma-Informed Yoga Nidra.","authors":"Kimberley Luu","doi":"10.17761/2024-D-24-00021","DOIUrl":"https://doi.org/10.17761/2024-D-24-00021","url":null,"abstract":"<p><p>Trauma exposure is universal to the human condition, with many affected individuals experiencing either posttraumatic stress disorder (PTSD) or subthreshold manifestations. Both scenarios can become functionally debilitating and collectively lay a heavy burden on individuals and society. Yoga nidra is one adjunctive treatment of growing interest, holding potential for its ability to alleviate symptoms of trauma, including hypervigilance, sleep disturbances, and disembodiment. However, yoga nidra practices can have re-traumatizing side-effects if not delivered conscientiously. For instance, adverse reactions such as overwhelming flashbacks, emotional distress, and extended dissociation have been reported as a result of yoga nidra practice. To prevent harm and maximize yoga nidra's therapeutic potential, 10 key components of trauma-informed yoga nidra practice are presented: (1) safe(r) and comfortable environment; (2) personal autonomy, healthy boundaries, and consent; (3) skillful mindful awareness; (4) appropriate length and preparation; (5) adequate settling and externalization; (6) sleep permission; (7) self-chosen intention; (8) flexible rotation of consciousness and breath awareness; (9) embodied pairs of opposites; and (10) conscientious visualizations. These measures protect those living with trauma and have extended benefits for nonclinical populations as well. That said, some of these components may be adapted based on context, especially in settings where direct feedback is readily available and can be prioritized. Ultimately, thoughtful decisions must be made with the intention of optimizing the safety of and benefit to the practitioners under the facilitator's care.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Yoga Techniques Associated with Improved Insulin Resistance in Women with PCOS: A Pilot Study.","authors":"Anushka Verma, Asha Gandhi, Nivedita Sirdesai, Vineeta Chandra","doi":"10.17761/2024-D-23-00056","DOIUrl":"10.17761/2024-D-23-00056","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS), a complex heterogenic disease of unknown etiology, is the most common endocrine disorder in women of reproductive age. Sufferers often exhibit significant insulin resistance, glucose intolerance, obesity, and dyslipidemia. There is no cure for PCOS, although metformin and weight reduction have shown some benefits. Yoga has become increasingly popular for its beneficial effects, including on physiological functions such as carbohydrate metabolism and lipid profile. We aimed to explore the potential associations between yoga practices and insulin resistance in women with PCOS. Thirty-five newly diagnosed women with PCOS were enrolled in the study, and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) was performed on blood samples. Participants were then advised on yoga practices comprising kriya, postures and breathwork for 6 days a week for 12 weeks. After 12 weeks, HOMA-IR was repeated. Results were compared using the Wilcoxon ranked-sum test. Our study showed a decrease in mean body weight from 64.90 ± 1.95 kg to 61.53 ± 1.71 kg (p = 0.001), in mean BMI from 25.66 ± 0.65 kg/m2 to 24.33 ± 0.56 kg/m2 (p = 0.001), in fasting blood sugar from 95.73 ± 3.23 mg/dL to 91.83 ± 2.17 mg/dL (p = 0.007), in fasting insulin from 14.89 ± 1.47 μU/mL to 11.47 ± 1.06 μU/mL (p = 0.0001), and in HOMA-IR from 3.76 ± 0.50 to 2.72 ± 0.32 (p = 0.0001). Yoga techniques were associated with improvements in insulin resistance in women with PCOS.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Yoga in Virtual Reality Increases Experience of Presence but May Be Less Satisfying, More Difficult, and More Nausea-Unbalance Inducing.","authors":"Paul Frewen, Helena Amyot, Cassandra Ellis","doi":"10.17761/2024-D-23-00078","DOIUrl":"https://doi.org/10.17761/2024-D-23-00078","url":null,"abstract":"<p><p>As a result of the COVID-19 pandemic, yoga classes have increasingly been delivered in virtual formats via online videoconferencing. Virtual reality (VR) guided meditations have been found to be a satisfactory means of teaching meditation, but satisfaction with practicing yoga in VR has not been researched. The present study evaluated whether participants experience a greater sense of presence and satisfaction with yoga instruction provided through 360-degree videos when the videos are viewed in three dimensions through a VR headset compared to a standard two-dimensional display. Forty female undergraduate students first participated in a brief in-person yoga class, then two classes of equivalent length that were prerecorded 360-degree videos; all lessons took place during a single 1-hour session. One of the videos was viewed by 3D VR headset, and the other was viewed on a standard 2D laptop, with viewing order randomized across participants. After each of the three yoga classes, a questionnaire assessing spatial, interpersonal, and temporal presence; satisfaction; nausea-unbalance; and difficulty was administered. Split-plot repeated-measures multivariate analysis of variance revealed a significant main effect of delivery format, whereas the main effect for order of the virtual delivery formats and the interaction between the order and format were both nonsignificant. Follow-up univariate analyses revealed that the in-person yoga classes were associated with the greatest satisfaction and sense of presence compared to the two virtual delivery formats. Although the yoga instruction viewed through 3D VR headset was associated with a higher sense of presence than the 2D laptop viewing condition, it was also associated with more nausea-unbalance and difficulty and overall lower satisfaction.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberly L SantaBarbara, Eric R Helms, Tom I Stewart, Mike J Armour, Nigel K Harris
{"title":"A Randomized Crossover Pilot Trial on the Influence of a Daily Mindfulness Yoga Practice on Menstrual Cycle Symptoms, Measures of Well-Being, and Training Perception in Athletic Women.","authors":"Kimberly L SantaBarbara, Eric R Helms, Tom I Stewart, Mike J Armour, Nigel K Harris","doi":"10.17761/2024-D-23-00077","DOIUrl":"10.17761/2024-D-23-00077","url":null,"abstract":"<p><p>The menstrual cycle (MC) is a series of hormonal fluctuations that occur approximately every 22-35 days in reproductive-age females, often resulting in a range of physical and psychological symptoms at different points of the cycle. MC symptoms range from mild discomfort to debilitating effects. One intervention that may be able to address these symptoms is yoga, a mind-body practice that incorporates physical postures with breathwork to foster a mindful connection to the body. In the present randomized crossover trial, participants were enrolled for three consecutive MCs and completed a 10-minute daily yoga protocol, which included ten different yoga poses, for one full MC while answering daily questions about MC symptoms, well-being, and training performance; they answered the same questions for the other cycles without the yoga intervention. Twenty women who participated in resistance training sports were recruited. A series of generalized linear mixed models were used to determine whether the association between each outcome variable and current day of the MC varied by cycle type (intervention cycle or control cycle). There was a statistically significant Day × Cycle interaction for bloating, low-back pain, menstrual cramps, and stress, indicating a lower probability of experiencing these symptoms across the MC during the intervention than the control cycle. Daily yoga was also significantly associated with changes in perceived athletic performance across the MC, as shown in the linear mixed-model figures. A 10-minute daily yoga practice was significantly associated with changes in MC symptoms and has the potential to mitigate some MC symptoms and stress perception in an athletic cohort. Furthermore, daily yoga was significantly associated with changes in perceived performance and may stabilize perceived performance metrics across the MC.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelsey M Dietrich, Nicole M Strumbel, Ashley M Baumann, Viann N Nguyen-Feng
{"title":"Experiences with One-to-One Trauma Center Trauma-Sensitive Yoga Sessions: Consensual Qualitative Research.","authors":"Kelsey M Dietrich, Nicole M Strumbel, Ashley M Baumann, Viann N Nguyen-Feng","doi":"10.17761/2024-D-23-00091","DOIUrl":"10.17761/2024-D-23-00091","url":null,"abstract":"<p><p>Trauma Center Trauma-Sensitive Yoga (TCTSY) is an evidence-based yoga intervention that has been used as an effective adjunct treatment for posttraumatic stress disorder (PTSD). Previous research has focused on TCTSY offered in group settings. The present study examined experiences of individuals practicing TCTSY one-to-one (i.e., one client, one TCTSY facilitator). Study aims were to: (1) learn about participants' experiences with and reasons for attending one-to-one TCTSY; (2) describe and compare participants' experiences between group and one-to-one yoga settings; (3) explore participants' perceptions of the impacts of TCTSY on their trauma healing; and (4) document participants' intentions for continued one-to-one TCTSY use. Semistructured interviews were offered to participants at completion of a longitudinal observational study of one-to-one TCTSY; 4 of the 10 participants agreed to be interviewed. Interviewees were located in the United States and self-reported experiencing childhood trauma and a current PTSD diagnosis. Following the consensual qualitative research method, domains were initially created deductively by the team. Adjustments, as well as categories and core ideas, were created inductively. Results indicated that participants: (1) preferred one-to-one over groups because of perceived safety and comfort; (2) had positive experiences with TCTSY; (3) perceived biopsychosocial benefits from the practice and described using TCTSY principles outside of sessions; and (4) intended to practice indefinitely. This study provided insight to the lived experiences of participants who use TCTSY as complementary care. Yoga facilitators and clinical trauma care providers are recommended to collaborate to offer one-to-one somatic-based approaches to create more access options for trauma healing.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Yoga as an Adjunct Treatment to Manage Pain, Anxiety, Depression, and Stress During Hospital Stays: A Systematic Review.","authors":"Taylor Rees, Haiyin Li, Neena K Sharma","doi":"10.17761/2024-D-23-00047","DOIUrl":"10.17761/2024-D-23-00047","url":null,"abstract":"<p><p>People frequently report pain, anxiety, depression, and stress during hospital stays. Yoga has been shown to decrease these experiences in various settings. However, it is unclear whether yoga can be implemented during a hospital stay and has positive effects on pain and psychological well-being. The present systematic review aimed to examine the feasibility and impact of yoga interventions on pain, anxiety, depression, and stress when performed by patients during a hospital stay. Using PRISMA guidelines, three databases, and a registry, we conducted a search between August 2021 and December 2022. Both randomized and nonrandomized studies were included. Two authors independently assessed articles and risk of bias. Thirteen studies were included in this review, comprising individuals with a wide age range and various conditions. Three randomized controlled trials, one nonrandomized comparative trial, and nine noncomparative trials were included. Of the five studies reporting on pain (primary outcome), four found a statistically significant reduction. Of the eight studies reporting on anxiety, six found a statistically significant decrease and two reported a nonsignificant decrease in anxiety level. All four studies investigating depression reported a statistically significant decrease. All three studies reporting on stress found a decrease in stress, although only one at a statistically significant level. Five studies reported on the feasibility of performing yoga in a hospital setting, without any negative effects or increase in symptoms. Limited studies have integrated yoga during a hospital stay to address pain and psychological symptoms. Nevertheless, the current evidence suggests that yoga interventions during hospitalization are feasible, and yoga has promising benefits with potential clinically significant reduction in symptoms. Results should be viewed with caution given the lack of randomized trials, low methodological quality, and small sample sizes in the included studies. Further studies are needed to build on this evidence.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of a Yoga Lifestyle on QRISK3 Score Among Individuals at High Risk for Cardiovascular Disease.","authors":"Neha Saboo, Aayushee Rao, Sudhanshu Kacker","doi":"10.17761/2024-D-23-00055","DOIUrl":"10.17761/2024-D-23-00055","url":null,"abstract":"<p><p>Cardiovascular disease is a major cause of mortality and morbidity, and symptoms may not always be visible. Improved preventive strategies could reduce the burden of disease. Yoga is an accessible, affordable lifestyle modification program that has been shown to reduce cardiometabolic risk factors in individuals at high risk for cardiovascular disease. The present randomized controlled trial aimed to evaluate the effect of a yoga lifestyle encompassing diet on QRISK3 score in individuals at high risk for cardiovascular disease. For 6 months, participants (mean age 48.43 ± 6.40) underwent a yoga and diet intervention, the latter based on Asian Indian dietary guidelines. The 45-minute yoga sessions took place 6 days a week over 6 months. One-way analysis of variance was conducted to compare baseline, 3-month, and 6-month data. To determine the relationship between the variable and the QRISK3 score, a multivariate linear regression analysis was conducted in both the control and study groups. Following 6 months of the yoga and diet intervention, QRISK3 score decreased to 20.10 ± 7.05 from baseline values of 28.59 ± 10.15, a change that was statistically significant (p < 0.0001) in the study group. The QRISK3 score was found to be a dependent risk factor for cardiovascular disease (p < 0.001) in univariate linear regression analysis. For individuals who were at high risk for cardiovascular disease, significant independent risk factors were body mass index (β = -0.137, p = 0.034), systolic blood pressure (β = 0.208, p = 0.000), and total cholesterol/high-density lipoprotein (β = 2.59, p = 0.042). This study's findings suggest that a 24-week yoga lifestyle intervention (including diet) significantly decreased the QRISK3 score among individuals at high risk for cardiovascular disease compared to the control group.</p>","PeriodicalId":38682,"journal":{"name":"International journal of yoga therapy","volume":"34 2024","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}