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Current Rheumatology Reports

, 15:387 | Cite as

Yoga in Rheumatic Diseases

  • Susan J. BartlettEmail author
  • Steffany H. Moonaz
  • Christopher Mill
  • Sasha Bernatsky
  • Clifton O. BinghamIII
COMPLEMENTARY AND ALTERNATIVE MEDICINE (SL KOLASINSKI, SECTION EDITOR)
Part of the following topical collections:
  1. Topical Collection on Complementary and Alternative Medicine

Abstract

Yoga is a popular activity which may be well suited to some individuals with specific rheumatic disorders. Regular yoga practice can increase muscle strength and endurance, proprioception, and balance, with emphasis on movement through a full range of motion to increase flexibility and mobility. Additional beneficial elements of yoga include breathing, relaxation, body awareness, and meditation, which can reduce stress and anxiety and promote a sense of calmness, general well-being, and improved quality of life. Yoga also encourages a meditative focus, increased body awareness and mindfulness; some evidence suggests yoga may help reduce inflammatory mediators including C-reactive protein and interleukin-6. Yoga is best learned under the supervision of qualified teachers who are well informed about the potential musculoskeletal needs of each individual. Here, we briefly review the literature on yoga for healthy, musculoskeletal, and rheumatic disease populations and offer recommendations for discussing ways to begin yoga with patients.

Keywords

Yoga Rheumatic diseases Arthritis Osteoarthritis Rheumatoid arthritis Systemic lupus erythematosus Health benefits Immune function Musculoskeletal system 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Susan J. Bartlett has received grant support from the National Institutes of Health (NIH) and the Arthritis Foundation and has served as a consultant for the Arthritis Foundation. Steffany H. Moonaz has received support from predoctoral NIH and Arthritis Foundation awards and served as a consultant for the NIH and the Arthritis Foundation. Clifton O. Bingham III has received grant support from the NIH and the Arthritis Foundation. Christopher Mill and Sasha Bernatsky declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with animal subjects performed by any of the authors. With regard to the authors’ research cited in this paper, all procedures were approved by the respective institutions’ review and/or ethics boards of the lead investigators and all procedures were followed in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000 and 2008.

References

  1. 1.
    US Department of Health and Human Services 2008 physical activity guidelines for Americans. Accessed 20 Sept 2013. Available at: http://www.health.gov/PAGuidelines.
  2. 2.
    Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64:465–74.CrossRefGoogle Scholar
  3. 3.
    American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines. Guidelines for the management of rheumatoid arthritis: 2002 Update. Arthritis Rheum. 2002;46:328–46.CrossRefGoogle Scholar
  4. 4.
    Carville SF, Arendt-Nielsen S, Bliddal H, Blotman F, Branco JC, Buskila D, et al. EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis. 2008;67:536–41.PubMedCrossRefGoogle Scholar
  5. 5.
    Fitzcharles MA, Ste-Marie PA, Goldenberg DL, Pereira JX, Abbey S, Choiniere M, et al. Canadian Pain Society and Canadian Rheumatology Association Recommendations for Rational Care of Persons with Fibromyalgia. A summary report. J Rheumatol. 2013;40:1388–93.PubMedCrossRefGoogle Scholar
  6. 6.
    McCall T. Yoga as medicine. New York: Bantam Dell; 2007.Google Scholar
  7. 7.
    Raub JA. Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review. J Altern Complement Med. 2002;8:797–812.PubMedCrossRefGoogle Scholar
  8. 8.
    Bussing A, Ostermann T, Ludtke R, Michalsen A. Effects of yoga interventions on pain and pain-associated disability: a meta-analysis. J Pain. 2012;13:1–9.PubMedGoogle Scholar
  9. 9.
    Yoga Journal. Yoga in America—2012. 2012. San Francisco, CA, Yoga Journal.Google Scholar
  10. 10.
    Birdee GS, Legedza AT, Saper RB, Bertisch SM, Eisenberg DM, Phillips RS. Characteristics of yoga users: results of a national survey. J Gen Intern Med. 2008;23:1653–8.PubMedCrossRefGoogle Scholar
  11. 11.
    Ross A, Friedmann E, Bevans M, Thomas S. National survey of yoga practitioners: mental and physical health benefits. Complement Ther Med. 2013;21:313–23.PubMedCrossRefGoogle Scholar
  12. 12.
    Cramer H, Lauche R, Langhorst J, Paul A, Michalsen A, Dobos G. Predictors of yoga use among internal medicine patients. BMC Complement Altern Med. 2013;13:172.PubMedCrossRefGoogle Scholar
  13. 13.
    Yoga in America—2008. 2008. San Francisco, CA, Yoga Journal.Google Scholar
  14. 14.
    National Center for Complementary and Alternative Medicine National Institutes of Health. Yoga for Health: What the Science Says. Accessed on: 8-14-2012. Available at: http://nccam.nih.gov/health/providers/digest/yoga-science.
  15. 15.
    NHS. Your health, your choices: a guide to yoga. Accessed 23 Aug 2013. Available at: http://www.nhs.uk/Livewell/fitness/Pages/yoga.aspx.
  16. 16.
    Harle P, Pongratz G, Weidler C, Buttner R, Scholmerich J, Straub RH. Possible role of leptin in hypoandrogenicity in patients with systemic lupus erythematosus and rheumatoid arthritis. Ann Rheum Dis. 2004;63:809–16.PubMedCrossRefGoogle Scholar
  17. 17.
    Ross A, Thomas S. The health benefits of yoga and exercise: a review of comparison studies. J Altern Complement Med. 2010;16:3–12.PubMedCrossRefGoogle Scholar
  18. 18.
    Patel NK, Newstead AH, Ferrer RL. The effects of yoga on physical functioning and health related quality of life in older adults: a systematic review and meta-analysis. J Altern Complement Med. 2012;18:902–17.PubMedCrossRefGoogle Scholar
  19. 19.
    Tiedemann A, O’Rourke S, Sesto R, Sherrington C. A 12-Week Iyengar Yoga Program Improved Balance and Mobility in Older Community-Dwelling People: A Pilot Randomized Controlled Trial. J Gerontology Series A: Biol Sci Med Sci. 2013;68:1068–75.CrossRefGoogle Scholar
  20. 20.
    Oken BS, Zajdel D, Kishiyama S, Flegal K, Dehen C, Haas M, et al. Randomized, controlled, six-month trial of yoga in healthy seniors: effects on cognition and quality of life. Altern Ther Health Med. 2006;12:40–7.PubMedGoogle Scholar
  21. 21.
    Roland KP, Jakobi JM, Jones GR. Does yoga engender fitness in older adults? A critical review. J Aging Phys Act. 2011;19:62–79.PubMedGoogle Scholar
  22. 22.
    Hagins M, Moore W, Rundle A. Does practicing hatha yoga satisfy recommendations for intensity of physical activity which improves and maintains health and cardiovascular fitness? BMC Complementary Alternative Med. 2007;7:40.CrossRefGoogle Scholar
  23. 23.
    Wang MY, Yu SSY, Hashish R, Samarawickrame S, Kazadi L, Greendale G, et al. The biomechanical demands of standing yoga poses in seniors: The Yoga empowers seniors study (YESS). BMC Complementary Alter Med. 2013;13:8.CrossRefGoogle Scholar
  24. 24.
    Kirkwood G, Rampes H, Tuffrey V, Richardson J, Pilkington K. Yoga for anxiety: a systematic review of the research evidence. Br J Sports Med. 2005;39:884–91.PubMedCrossRefGoogle Scholar
  25. 25.
    Cramer H, Lauche R, Langhorst J, Dobos G: Yoga for depression: a systematic review and meta-analysis. Depress Anxiety. 2013. doi: 10.1002/da22166.
  26. 26.
    da Silva TL, Ravindran LN, Ravindran AV. Yoga in the treatment of mood and anxiety disorders: A review. Asian J Psychiatry. 2009;2:6–16.CrossRefGoogle Scholar
  27. 27.
    Pullen PR, Nagamia SH, Mehta PK, Thompson WR, Benardot D, Hammoud R, et al. Effects of Yoga on inflammation and exercise capacity in patients with chronic heart failure. J Card Fail. 2008;14:407–13.PubMedCrossRefGoogle Scholar
  28. 28.
    Kiecolt-Glaser JK, Christian L, Preston H, Houts CR, Malarkey WB, Emery CF, et al. Stress, inflammation, and yoga practice. Psychosomatic Med. 2010;72:113–21.CrossRefGoogle Scholar
  29. 29.
    McCall MC, Ward A, Roberts NW, Heneghan C. Overview of systematic reviews: yoga as a therapeutic intervention for adults with acute and chronic health conditions. Evid Based Complement Alternat Med. 2013;2013:945895.PubMedCrossRefGoogle Scholar
  30. 30.
    Cabral P, Meyer HB, Ames D: Effectiveness of yoga therapy as a complementary treatment for major psychiatric disorders: a meta-analysis. Prim Care Companion. CNS Disord. 2011, 13. doi: 10.4088/PCC.10r01068.
  31. 31.
    Lee MS, Kim JI, Ha JY, Boddy K, Ernst E. Yoga for menopausal symptoms: a systematic review. Menopause. 2009;16:602–8.PubMedCrossRefGoogle Scholar
  32. 32.
    Astin JA, Beckner W, Soeken K, Hochberg MC, Berman B. Psychological interventions for rheumatoid arthritis: a meta-analysis of randomized controlled trials. Arthritis Care Res. 2002;47:291–302.CrossRefGoogle Scholar
  33. 33.
    Pradhan EK, Baumgarten M, Langenberg P, Handwerger B, Gilpin AK, Magyari T, et al. Effect of Mindfulness-Based stress reduction in rheumatoid arthritis patients. Arthritis Care Res. 2007;57:1134–42.CrossRefGoogle Scholar
  34. 34.
    Sephton SE, Salmon P, Weissbecker I, Ulmer C, Floyd A, Hoover K, et al. Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: Results of a randomized clinical trial. Arthritis Care Res. 2007;57:77–85.CrossRefGoogle Scholar
  35. 35.
    Haaz S, Bartlett SJ. Yoga for arthritis: a scoping review. Rheum Dis Clin North Am. 2011;37:33–46.PubMedCrossRefGoogle Scholar
  36. 36.
    Cramer H, Lauche R, Langhorst J, Dobos G: Yoga for rheumatic diseases: a systematic review. Rheumatology (Oxford) 2013;52(11):2035–30.Google Scholar
  37. 37.
    Page MJ, O’Connor D, Pitt V, Massy-Westropp N: Exercise and mobilisation interventions for carpal tunnel syndrome. Cochrane Database Syst Rev 2012, 6:CD009899. doi: 10.1002/14651858.
  38. 38.
    Ward L, Stebbings S, Cherkin D, Baxter GD: Yoga for Functional Ability, Pain and Psychosocial Outcomes in Musculoskeletal Conditions: A Systematic Review and Meta-Analysis. Musculoskelet Care 2013. doi: 10.1002/msc.1042.
  39. 39.
    American Academy of Orthopaedic Surgeons Activities After Hip Replacement. Accessed on: 10-7-2013. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00356.

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Susan J. Bartlett
    • 1
    • 2
    • 7
    Email author
  • Steffany H. Moonaz
    • 3
  • Christopher Mill
    • 4
  • Sasha Bernatsky
    • 5
  • Clifton O. BinghamIII
    • 6
  1. 1.Divisions of Rheumatology and Clinical EpidemiologyMcGill UniversityMontrealCanada
  2. 2.Division of RheumatologyJohns Hopkins UniversityBaltimoreUSA
  3. 3.Maryland University of Integrative HealthLaurelUSA
  4. 4.Division of Clinical EpidemiologyMcGill University Health CentreMontrealCanada
  5. 5.Division of Rheumatology and Division of Clinical EpidemiologyMcGill University Health CentreMontrealCanada
  6. 6.Division of RheumatologyJohns Hopkins UniversityBaltimoreUSA
  7. 7.Division of Clinical EpidemiologyRoyal Victoria HospitalMontrealCanada

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