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Yoga in Clinical Practice

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Abstract

As the popularity of yoga has increased in mainstream society, its role as a form of complementary healthcare in clinical settings continues to grow as well. However, until recently, the popularity of yoga as a cultural phenomenon has not been matched by a commensurate increase in the rigor of research methods designed to assess its effectiveness in healthcare settings. Because of yoga’s growing popularity, it is important for clinicians to have an empirically based working knowledge of its potential benefits and limitations. This paper reviews 52 clinical research studies of yoga published since 2011, limiting attention exclusively to randomized controlled trials in the interest of both rigor and economy of space. Promising trends and persistent limitations in the literature are explored in depth. The majority of the studies reported positive outcomes in the yoga intervention groups, but further research is needed to validate yoga as an effective intervention for various populations.

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References

  • Acevedo, E. O. (Ed.). (2012). The Oxford handbook of exercise psychology. New York: Oxford University Press.

    Google Scholar 

  • Ahmadi, A., Arastoo, A. A., Nikbakht, M., Zahednejad, S., & Rajabpour, M. (2013). Comparison of the effect of 8 weeks aerobic and yoga training on ambulatory function, fatigue and mood status in MS patients. Iranian Red Crescent Medical Journal, 15(6), 449–454.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ahmadi, A., Nikbakh, M., Arastoo, A., & Habibi, A.-H. (2010). The effects of a yoga intervention on balance, speed and endurance of walking, fatigue and quality of life in people with multiple sclerosis. Journal of Human Kinetics, 23, 71–78.

    Article  Google Scholar 

  • Avis, N. E., Legault, C., Russell, G., Weaver, K., & Danhauer, S. C. (2014). Pilot study of integral yoga for menopausal hot flashes. Menopause, 21(8), 846–854.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bidwell, A. J., Yazel, B., Davin, D., Fairchild, T. J., & Kanaley, J. A. (2012). Yoga training improves quality of life in women with asthma. The Journal of Alternative and Complementary Medicine, 18(8), 749–755.

    Article  PubMed  Google Scholar 

  • Bower, J. E., Garet, D., Sternlieb, B., Ganz, P. A., Irwin, M. R., Olmstead, R., & Greendale, G. (2012). Yoga for persistent fatigue in breast cancer survivors: a randomized controlled trial. Cancer, 118(15), 3766–3775.

    Article  PubMed  PubMed Central  Google Scholar 

  • Büssing, A., Michalsen, A., Khalsa, S. B. S., Telles, S., & Sherman, K. J. (2012). Effects of yoga on mental and physical health: a short summary of reviews. Evidence-Based Complementary and Alternative Medicine, 2012, 1–7.

    Google Scholar 

  • Button, K. S., Ioannidis, J. P. A., Mokrysz, C., Nosek, B. A., Flink, J., Robinson, E. S. J., & Munafõ, M. R. (2013). Power failure: why small sample size undermines the reliability of neuroscience. Neuroscience, 14, 365–376.

    PubMed  Google Scholar 

  • Carter, J., Gerbarg, P. L., Brown, R. P., Ware, R. S., D’Ambrosio C., Anand, L., Dirlea, M., Vermani, M., Katzman, M. A. (2013). Multi-Component yoga breath program for Vietnam veteran post traumatic stress disorder: randomized controlled trial. Journal Of Traumatic Stress Disorders & Treatment, 2(3). doi:10.4172/2324-8947.1000108.

  • Chan, W., Immink, M. A., & Hillier, S. (2011). Yoga and exercise for symptoms of depression and anxiety in people with poststroke disability: a randomized, controlled pilot trial. Alternative Therapies in Health and Medicine, 18(3), 34–43.

    Google Scholar 

  • Chandwani, K. D., Perkins, G., Nagendra, H. R., Raghuram, N. V., Spelman, A., Nagarathna, R., et al. (2014). Randomized, controlled trial of yoga in women with breast cancer undergoing radiotherapy. Journal of Clinical Oncology, 32(10), 1058–1065.

  • Cheung, C., Wyman, J. F., Resnick, B., & Savik, K. (2014). Yoga for managing knee osteoarthritis in older women: a pilot randomized controlled trial. BMC Complementary and Alternative Medicine, 14(1), 160.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cohen, D. L., Bloedon, L. T., Rothman, R. L., Farrar, J. T., Galantino, M. L., Volger, S., Mayor, C., Szapary, P. O., & Townsend, R. R. (2011). Iyengar yoga versus enhanced usual care on blood pressure in patients with prehypertension to stage I hypertension: a randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2011, 546428.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cramer, H., Lauche, R., & Dobos, G. (2014). Characteristics of randomized controlled trials of yoga: a bibliometric analysis. BMC Complementary and Alternative Medicine, 14(1), 328.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cramer, H., Lauche, R., Hohmann, C., Lüdtke, R., Haller, H., Michalsen, A., Langhorst, J., & Dobos, G. (2013). Randomized-controlled trial comparing yoga and home-based exercise for chronic neck pain. The Clinical Journal of Pain, 29(3), 216–223.

    Article  PubMed  Google Scholar 

  • Dishman, R. K., O’Connor, P. J., & Tomporowski, P. D. (2013). Exercise psychology. Champaign: Human Kinetics.

    Google Scholar 

  • Donesky, D., Melendez, M., Nguyen, H. Q., & Carrieri-Kohlman, V. (2012). A responder analysis of the effects of yoga for individuals with COPD: who benefits and how? International Journal of Yoga Therapy, 22(1), 23–36.

    PubMed  Google Scholar 

  • Ebnezar, J., Nagarathna, R., Yogitha, B., & Nagendra, H. R. (2012). Effects of an integrated approach of hatha yoga therapy on functional disability, pain, and flexibility in osteoarthritis of the knee joint: a randomized controlled study. Journal of Alternative and Complementary Medicine, 18(5), 463–472.

    Article  PubMed  Google Scholar 

  • Evans, S., Moieni, M., Lung, K., Tsao, J., Sternlieb, B., Taylor, M., & Zeltzer, L. (2013). Impact of iyengar yoga on quality of life in young women with rheumatoid arthritis. The Clinical Journal of Pain, 29(11), 988–997.

    Article  PubMed  PubMed Central  Google Scholar 

  • Faulkner, G. E. J., & Taylor, A. H. (2005). Exercise, health and mental health: emerging relationships. New York: Routledge.

    Book  Google Scholar 

  • Field, T., Diego, M., Delgado, J., & Medina, L. (2013). Yoga and social support reduce prenatal depression, anxiety and cortisol. Journal of Bodywork and Movement Therapies, 17(4), 397–403.

    Article  PubMed  Google Scholar 

  • Field, T., Diego, M., Hernandez-Reif, M., Medina, L., Delgado, J., & Hernandez, A. (2012). Yoga and massage therapy reduce prenatal depression and prematurity. Journal of Bodywork and Movement Therapies, 16(2), 204–209.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gard, T., Noggle, J. J., Park, C. L., Vago, D. R., & Wilson, A. (2014). Potential self-regulatory mechanisms of yoga for psychological health. Frontiers in Human Neuroscience, 8, 770.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gunaratana, H. (2012). The four foundations of mindfulness in plain English. New York: Simon and Schuster.

    Google Scholar 

  • Hagins, M., Rundle, A., Consedine, N. S., & Khalsa, S. B. S. (2014). A randomized controlled trial comparing the effects of yoga with an active control on ambulatory blood pressure in individuals with prehypertension and stage 1 hypertension. The Journal of Clinical Hypertension, 16(1), 54–62.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hegde, S. V., Adhikari, P., Shetty, S., Manjrekar, P., & D’Souza, V. (2013). Effect of community-based yoga intervention on oxidative stress and glycemic parameters in prediabetes: a randomized controlled trial. Complementary Therapies in Medicine, 21(6), 571–576.

    Article  PubMed  Google Scholar 

  • Ikai, S., Uchida, H., Suzuki, T., Tsunoda, K., Mimura, M., & Fujii, Y. (2013). Effects of yoga therapy on postural stability in patients with schizophrenia-spectrum disorders: a single-blind randomized controlled trial. Journal of Psychiatric Research, 47(11), 1744–1750.

    Article  PubMed  Google Scholar 

  • Immink, M. A., Hillier, S., & Petkov, J. (2014). Randomized controlled trial of yoga for chronic poststroke hemiparesis: motor function, mental health, and quality of life outcomes. Topics in Stroke Rehabilitation, 21(3), 256–271.

    Article  PubMed  Google Scholar 

  • Innes, K. E., Bourguignon, C., & Taylor, A. G. (2005). Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: a systematic review. The Journal of the American Board of Family Practice, 18(6), 491–519.

    Article  PubMed  Google Scholar 

  • Innes, K. E., & Selfe, T. K. (2012). The effects of a gentle yoga program on sleep, mood, and blood pressure in older women with restless legs syndrome (RLS): a preliminary randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2012, 294058.

    PubMed  PubMed Central  Google Scholar 

  • Innes, K. E., Selfe, T. K., & Vishnu, A. (2010). Mind-body therapies for menopausal symptoms: a systematic review. Maturitas, 66, 135–149.

    Article  PubMed  PubMed Central  Google Scholar 

  • Innes, K. E., & Vincent, H. K. (2007). The influence of yoga-based programs on risk profiles in adults with type 2 diabetes mellitus: a systematic review. Evidence-Based Complementary and Alternative Medicine, 4(4), 469–486.

    Article  PubMed  PubMed Central  Google Scholar 

  • Iyengar, B. K. S. (1966). Light on yoga. New York: Schocken Books.

    Google Scholar 

  • Jayashree, R., Malini, A., Rakhshani, A., Nagendra, H. R., Gunasheela, S., & Nagarathna, R. (2013). Effect of the integrated approach of yoga therapy on platelet count and uric acid in pregnancy: a multicenter stratified randomized single-blind study. International Journal of Yoga, 6(1), 39.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kabat-Zinn, J. (2013). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness (2nd ed.). New York: Bantam Books.

    Google Scholar 

  • Khalsa, S. B. (2004). Yoga as a therapeutic intervention: a bibliometric analysis of published research studies. Indian Journal of Physiology and Pharmacology, 48(3), 269–285.

    PubMed  Google Scholar 

  • Kisan, R., Sujan, M. U., Adoor, M., Rao, R., Nalini, A., Kutty, B. M., Chindanda Murthy, B. T., Raju, T. R., & Sathyaprabha, T. N. (2014). Effect of yoga on migraine: a comprehensive study using clinical profile and cardiac autonomic functions. International Journal of Yoga, 7(2), 126–132.

    Article  PubMed  PubMed Central  Google Scholar 

  • Krishna, B. H., Pal, P., Pal, G. K., Balachander, J., Jayasettiaseelon, E., Sreekanth, Y., Sridhar, M. G., & Gaur, G. S. (2014). Effect of yoga therapy on heart rate, blood pressure and cardiac autonomic function in heart failure. Journal of Clinical and Diagnostic Research: JCDR, 8(1), 14–16.

    PubMed  PubMed Central  Google Scholar 

  • Kiecolt-Glaser, J. K., Bennett, J. M., Andridge, R., Peng, J., Shapiro, C. L., Malarkey, W. B., Emery, C. F., Layman, R., Mrozek, E. E., & Glaser, R. (2014). Yoga’s impact on inflammation, mood, and fatigue in breast cancer survivors: a randomized controlled trial. Journal of Clinical Oncology, 32(10), 1040–1049.

    Article  PubMed  PubMed Central  Google Scholar 

  • Leavitt, M. O., & U.S. Department of Health and Human Services. (2008). 2008 physical activity guidelines for Americans. Retrieved from website: www.health.gov/paguidelines.

    Google Scholar 

  • Littman, A. J., Bertram, L. C., Ceballos, R., Ulrich, C. M., Ramaprasad, J., McGregor, B., & McTiernan, A. (2012). Randomized controlled pilot trial of yoga in overweight and obese breast cancer survivors: effects on quality of life and anthropometric measures. Support Care Cancer, 20(2), 267–277.

    Article  PubMed  PubMed Central  Google Scholar 

  • Manchanda, S. C., Mehrotra, U. C., Makhija, A., Mohanty, A., Dhawan, S., & Sawhney, J. P. S. (2013). Reversal of early atherosclerosis in metabolic syndrome by yoga–a randomized controlled trial. Journal of Yoga and Physical Therapy, 3(1), 132.

    Google Scholar 

  • Martins, R. F., & Pinto e Silva, J. L. (2014). Treatment of pregnancy-related lumbar and pelvic girdle pain by the yoga method: a randomized controlled study. The Journal of Alternative and Complementary Medicine, 20(1), 24–31.

    Article  PubMed  Google Scholar 

  • McDermott, K. A., Rao, M. R., Nagarathna, R., Murphy, E. J., Burke, A., Nagendra, R. H., & Hecht, F. M. (2014). A yoga intervention for type 2 diabetes risk reduction: a pilot randomized controlled trial. BMC Complementary and Alternative Medicine, 14(1), 212.

    Article  PubMed  PubMed Central  Google Scholar 

  • Michalsen, A., Traitteur, H., Lüdtke, R., Brunnhuber, S., Meier, L., Jeitler, M., Büssing, A., & Kessler, C. (2012). Yoga for chronic neck pain: a pilot randomized controlled clinical trial. The Journal of Pain, 13(11), 1122–1130.

    Article  PubMed  Google Scholar 

  • Morone, N. E., & Greco, C. M. (2007). Mind-body interventions for chronic pain in older adults: a structured review. Pain Medicine, 8, 359–375.

    Article  PubMed  Google Scholar 

  • Mustian, K. M., Sprod, L. K., Janelsins, M., Peppone, L. J., Palesh, O. G., Chandwani, K., Reddy, P. S., Melnik, M. K., Heckler, C., & Morrow, G. R. (2013). Multicenter, randomized controlled trial of yoga for sleep quality among cancer survivors. Journal of Clinical Oncology, 31(26), 3233–3241.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nambi, G. S., & Shah, A. A. K. (2013). Additional effect of iyengar yoga and EMG biofeedback on pain and functional disability in chronic unilateral knee osteoarthritis. International Journal of Yoga, 6(2), 123.

    Article  PubMed  PubMed Central  Google Scholar 

  • Newton, K. M., Reed, S. D., Guthrie, K. A., Sherman, K. J., Booth-LaForce, C., Caan, B., et al. (2014). Efficacy of yoga for vasomotor symptoms: a randomized controlled trial. Menopause, 21(4), 339–346.

    PubMed  PubMed Central  Google Scholar 

  • Ospina, M. B., Bond, K., Karkhaneh, M., Tjosvold, L., Vandermeer, B., Liang, Y., Bialy, L., Hooton, N., Buscemi, N., Dryden, D. M., & Klassen, T. P. (2007). Meditation practices for health: state of the research. Evidence Report/Technology Assessment (Full Rep), 155, 1–263.

    Google Scholar 

  • Paikkatt, B., Singh, A. R., Singh, P. K., & Jahan, M. (2012). Efficacy of yoga therapy on subjective well-being and basic living skills of patients having chronic schizophrenia. Industrial Psychiatry Journal, 21(2), 109.

    Article  PubMed  PubMed Central  Google Scholar 

  • Patil, S. G., Dhanakshirur, G. B., Aithala, M. R., Naregal, G., & Das, K. K. (2014). Effect of yoga on oxidative stress in elderly with grade-I hypertension: a randomized controlled study. Journal of Clinical and Diagnostic Research: JCDR, 8(7), BC04.

    Google Scholar 

  • Raghuram, N., Parachuri, V. R., Swarnagowri, M. V., Babu, S., Chaku, R., Kulkarni, R., Bhuyan, B., Bhargav, H., & Nagendra, H. R. (2014). Yoga based cardiac rehabilitation after coronary artery bypass surgery: one-year results on LVEF, lipid profile and psychological states–a randomized controlled study. Indian Heart Journal, 66(5), 490–502.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rakhshani, A., Nagarathna, R., Mhaskar, R., Mhaskar, A., Thomas, A., & Gunasheela, S. (2012). The effects of yoga in prevention of pregnancy complications in high-risk pregnancies: a randomized controlled trial. Preventive Medicine, 55(4), 333–340.

    Article  PubMed  Google Scholar 

  • Rakhshani, A., Nagarathna, R., Mhaskar, R., Mhaskar, A., Thomas, A., & Gunasheela, S. (2015). Effects of yoga on utero-fetal-placental circulation in high-risk pregnancy: a randomized controlled trial. Advances in Preventive Medicine. doi:10.1155/2015/373041.

    PubMed  PubMed Central  Google Scholar 

  • Raub, J. A. (2002). Psychophysiologic effects of Hatha yoga on musculoskeletal and cardiopulmonary function: a literature review. Journal of Alternative and Complementary Medicine, 8(6), 797–812.

    Article  PubMed  Google Scholar 

  • Salmon, P., Lush, E., Jablonski, M., & Sephton, S. E. (2009). Yoga and mindfulness: clinical aspects of an ancient mind/body practice. Cognitive and Behavioral Practice, 16, 59–72.

    Article  Google Scholar 

  • Saper, R. B., Boah, A. R., Keosaian, J., Cerrada, C., Weinberg, J., & Sherman, K. J. (2013). Comparing once-versus twice-weekly yoga classes for chronic low back pain in predominantly low income minorities: a randomized dosing trial. Evidence-Based Complementary and Alternative Medicine, 2013, 658030.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schmid, A. A., Van Puymbroeck, M., Altenburger, P. A., Schalk, N. L., Dierks, T. A., Miller, K. K., Damush, T. M., Bravata, D. M., & Williams, L. S. (2012). Poststroke balance improves with yoga a pilot study. Stroke, 43(9), 2402–2407.

    Article  PubMed  Google Scholar 

  • Shantakumari, N., Sequeira, S., & El deeb, R. (2013). Effects of a yoga intervention on lipid profiles of diabetes patients with dyslipidemia. Indian Heart Journal, 65(2), 127–131.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shelov, D. V., Suchday, S., & Friedberg, J. P. (2009). A pilot study measuring the impact of yoga on the trait of mindfulness. Behavioural and Cognitive Psychotherapy, 37(05), 595–598.

    Article  PubMed  Google Scholar 

  • Sherman, K. J., Cherkin, D. C., Wellman, R. D., Cook, A. J., Hawkes, R. J., Delaney, K., & Deyo, R. A. (2011). A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain. Archives of Internal Medicine, 171(22), 2019–2026.

    Article  PubMed  PubMed Central  Google Scholar 

  • Siedentopf, F., Utz-Billing, I., Gairing, S., Schoenegg, W., Kentenich, H., & Kollak, I. (2013). Yoga for patients with early breast cancer and its impact on quality of life–a randomized controlled trial. Geburtshilfe und Frauenheilkunde, 73(4), 311–317.

    Article  PubMed  PubMed Central  Google Scholar 

  • Singh, S., Soni, R., Singh, K. P., & Tandon, O. P. (2012). Effect of yoga practices on pulmonary function tests including transfer factor of lung for carbon monoxide (TLCO) in asthma patients. Indian Journal of Physiological and Pharmacology, 56(1), 63–68.

  • Singleton, M. (2010). Yoga body: the origins of modern posture practice. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Sobana, R., Parthasarathy, S., DuRaiSamy, K. J., & Vadivel, S. (2013). The effect of yoga therapy on selected psychological variables among male patients with insomnia. Journal of Clinical and Diagnostic Research: JCDR, 7(1), 55–57.

    PubMed  PubMed Central  Google Scholar 

  • Soni, R., Munish, K., Singh, K. P., & Singh, S. (2012). Study of the effect of yoga training on diffusion capacity in chronic obstructive pulmonary disease patients: a controlled trial. International Journal of Yoga, 5(2), 123.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tekur, P., Nagarathna, R., Chametcha, S., Hankey, A., & Nagendra, H. R. (2012). A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise: an RCT. Complementary Therapies in Medicine, 20(3), 107–118.

    Article  PubMed  Google Scholar 

  • Uebelacker, L. A., Epstein-Lubow, G., Gaudiano, B. A., Tremont, G., Battle, C. L., & Miller, I. W. (2010). Hatha yoga for depression: critical review of the evidence for efficacy, plausible mechanisms of action, and directions for future research. Journal of Psychiatric Practice, 16(1), 22–33.

    Article  PubMed  Google Scholar 

  • Vaishali, K., Kumar, K. V., Adhikari, P., & UnniKrishnan, B. (2012). Effects of yoga-based program on glycosylated hemoglobin level serum lipid profile in community dwelling elderly subjects with chronic type 2 diabetes mellitus-a randomized controlled trial. Physical & Occupational Therapy in Geriatrics, 30(1), 22–30.

    Article  Google Scholar 

  • Vancampfort, D., De Hert, M., Knapen, J., Wampers, M., Demunter, H., Deckx, S., Maurissen, K., & Probst, M. (2011). State anxiety, psychological stress and positive well-being responses to yoga and aerobic exercise in people with schizophrenia: a pilot study. Disability and Rehabilitation, 33(8), 684–689.

    Article  PubMed  Google Scholar 

  • Visceglia, E., & Lewis, S. (2011). Yoga therapy as an adjunctive treatment for schizophrenia: a randomized, controlled pilot study. Journal of Alternative and Complementary Medicine, 17(7), 601–607.

    Article  PubMed  Google Scholar 

  • Yang, K., Bernardo, L. M., Sereika, S. M., Conroy, M. B., Balk, J., & Burke, L. E. (2011). Utilization of 3-month yoga program for adults at high risk for type 2 diabetes: a pilot study. Evidence-based Complementary and Alternative Medicine. doi:10.1093/ecam/nep117.

    Google Scholar 

  • Yoga Journal. (2012). Yoga in America.

    Google Scholar 

  • Zhuang, S. M., An, S. H., & Zhao, Y. (2013). Yoga effects on mood and quality of life in Chinese women undergoing heroin detoxification: a randomized controlled trial. Nursing Research, 62(4), 260–268.

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  1. Department of Psychological and Brain Sciences, University of Louisville, Life Sciences Building, Room 317, Louisville, KY, USA

    René Bayley-Veloso & Paul G. Salmon

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  1. René Bayley-Veloso
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Bayley-Veloso, R., Salmon, P.G. Yoga in Clinical Practice. Mindfulness 7, 308–319 (2016). https://doi.org/10.1007/s12671-015-0449-9

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