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Bartlett S.J.,McGill University | Bartlett S.J.,Johns Hopkins University | Moonaz S.H.,Maryland University of Integrative Health | Mill C.,McGill University | And 2 more authors.
Current Rheumatology Reports | Year: 2013

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. © 2013 Springer Science+Business Media New York.

King S.C.,McCormick and Company | Snow J.,Maryland University of Integrative Health | Meiselman H.L.,Herb Meiselman Training and Consulting Services | Sainsbury J.,Mccormick South Africa Pty Ltd | And 6 more authors.
Food Quality and Preference | Year: 2015

This paper presents the development of a questionnaire to measure consumer wellness associated with food. The paper describes the selection of the questionnaire items, the validation of the questionnaire content, and the stability of the results. This new questionnaire, consisting of 5 dimensions (emotional, intellectual, physical, social and spiritual), and a total of 45 items, measures expected or perceived wellness response to food names or consumed food. The questionnaire was tested using internet surveys (names of aromatics, peppermint and lavender), and central location tests (different recipes of meatloaf and vegetables). The construct of this questionnaire and data analyses provide not only an overall (calculated) wellness score, but also insights into the dimensions that drive the wellness response and specific foods or ingredient characteristics that drive the wellness response. © 2014 Elsevier Ltd.

Jeter P.E.,Wilmer Eye Institute | Nkodo A.-F.,Wilmer Eye Institute | Moonaz S.H.,Maryland University of Integrative Health | Moonaz S.H.,Annual Symposium on Yoga Research | Dagnelie G.,Wilmer Eye Institute
Journal of Alternative and Complementary Medicine | Year: 2014

Objective: A systematic review was done of the evidence on yoga for improving balance. Design: Relevant articles and reviews were identified in major databases (PubMed, MEDLINE®, IndMed, Web of Knowledge, EMBASE, EBSCO, Science Direct, and Google Scholar), and their reference lists searched. Key search words were yoga, balance, proprioception, falling, fear of falling, and falls. Included studies were peer-reviewed articles published in English before June 2012, using healthy populations. All yoga styles and study designs were included. Two (2) raters individually rated study quality using the Downs & Black (DB) checklist. Final scores were achieved by consensus. Achievable scores ranged from 0 to 27. Effect size (ES) was calculated where possible. Results: Fifteen (15) of 152 studies (age range 10-93, n=688) met the inclusion criteria: 5 randomized controlled trials (RCTs), 4 quasi-experimental, 2 cross-sectional, and 4 single-group designs. DB scores ranged from 10 to 24 (RCTs), 14-19 (quasi-experimental), 6-12 (cross-sectional), and 11-20 (single group). Studies varied by yoga style, frequency of practice, and duration. Eleven (11) studies found positive results (p<0.05) on at least one balance outcome. ES ranged from -0.765 to 2.71 (for 8 studies) and was not associated with DB score. Conclusions: Yoga may have a beneficial effect on balance, but variable study design and poor reporting quality obscure the results. Balance as an outcome is underutilized, and more probing measures are needed. © Copyright 2014, Mary Ann Liebert, Inc. 2014.

Moonaz S.H.,Maryland University of Integrative Health | Bingham C.O.,Johns Hopkins University | Wissow L.,Johns Hopkins University | Bartlett S.J.,McGill University
Journal of Rheumatology | Year: 2015

Objective. To evaluate the effect of Integral-based hatha yoga in sedentary people with arthritis. Methods. There were 75 sedentary adults aged 18+ years with rheumatoid arthritis (RA) or knee osteoarthritis randomly assigned to 8 weeks of yoga (two 60-min classes and 1 home practice/wk) or waitlist. Poses were modified for individual needs. The primary endpoint was physical health [Medical Outcomes Study Short Form-36 (SF-36) physical component summary (PCS)] adjusted for baseline; exploratory adjusted outcomes included fitness, mood, stress, self-efficacy, SF-36 health-related quality of life (HRQOL), and RA disease activity. In everyone completing yoga, we explored longterm effects at 9 months. Results. Participants were mostly female (96%), white (55%), and college-educated (51%), with a mean (SD) age of 52 years (12 yrs). Average disease duration was 9 years and 49% had RA. At 8 weeks, yoga was associated with significantly higher PCS (6.5, 95% CI 2.0-10.7), walking capacity (125 m, 95% CI 15-235), positive affect (5.2, 95% CI 1.4-8.9), and lower Center for Epidemiologic Studies Depression Scale (-3.0, 95% CI-4.8-1.3). Significant improvements (p < 0.05) were evident in SF-36 role physical, pain, general health, vitality, and mental health scales. Balance, grip strength, and flexibility were similar between groups. Twenty-two out of 28 in the waitlist group completed yoga. Among all yoga participants, significant (p < 0.05) improvements were observed in mean PCS, flexibility, 6-min walk, and all psychological and most HRQOL domains at 8 weeks with most still evident 9 months later. Of 7 adverse events, none were associated with yoga. Conclusion. Preliminary evidence suggests yoga may help sedentary individuals with arthritis safely increase physical activity, and improve physical and psychological health and HRQOL. © 2015. All rights reserved.

Zhu H.,Maryland University of Integrative Health
Medical Acupuncture | Year: 2014

Background: As an important modality of Traditional Chinese Medicine, acupuncture has been widely accepted by the Western world in the past 4 decades because of this modality's efficacy and safety. A vast amount of acupuncture research has been done. However, the mechanisms of acupuncture actions are still elusive. It is believed that the effects of acupuncture treatment begin from the moment of needle insertion.Methods: This review focuses on the acupuncture points and the three major reactions at the acupuncture points when needling is performed. These initial reactions may be the beginning of the healing process that initiates downstream effects through neuronal and humoral pathways. In addition to the physical reactions, this article also discusses the possibility of the effects of acupuncture on the healing process through a holistic pathway. Conclusions: Needling is the first step of traditional acupuncture therapy. Needling reactions - neuronal, biophysical, and biochemical - are the beginning of healing. The messengers of the three reactions involved may include neurotransmitters, cytokines, hormones, and inflammatory factors. Healing may be potentiated through these messengers in neuronal and humoral pathways. The reactions manifest as erythema and De Qi - both of which are common phenomena used as positive signs in acupuncture treatment. Acupuncture may also play a role in the healing process through the holistic pathway, which needs further study. © Copyright 2014, Mary Ann Liebert, Inc. 2014.

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