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Clarification on Methodology Requested for “Results of a Pilot Yoga Intervention to Improve Pediatric Cancer Patients”

Clarification on Methodology Requested for “Results of a Pilot Yoga Intervention to Improve... LETTER TO THE E DITOR Clarification on Methodology Requested for “Results of a Pilot Yoga Intervention to Improve Pediatric Cancer Patients” I would like to congratulate the authors on a study re- However, this is a widely variable intervention. There garding a very helpful therapeutic intervention, yoga, in a are multiple styles of yogic breathing/pranayama, includ- 4-6 previously untapped demographic and patient population. ing bhastrika, kapalabhathi, anuloma, viloma, etc. Also, Despite being widely practiced yoga for several centuries as clarity is required as to how the various other yoga asanas, a form of meditation and exercise, yoga has not gained ac- including the 6 movements of the spine, have been per- ceptance as a mainstream therapeutic intervention. There formed as there are multiple asanas that provide similar could be several reasons for this; one of them could be action/range of motion. the lack of Level 1 research in this area. One of the key I look forward to the authors expanding that study as hurdles in this regard is the overgeneralization of what the well as clarifying what exact asanas (poses) the individual term “yoga” exactly means. Depending on the study re- groups performed as part of the research study. viewed, yoga could mean hatha yoga, breathing exercises, 1-3 —Gopi Kasturi, MD a combination of the above, meditation, etc. Sierra Pacific Orthopedic Center Therefore, it is very important in a study on yoga Fresno, California (especially if it is a pilot study that hopefully will be repro- gkasturi@spoc-ortho.com duced multiple times) to clearly state the exact asanas or poses that have been performed. Thereby, this study could be better understood from a mechanism of action stand- REFERENCES point. In addition, this would help with reproducibility in 1. Buffart LM, van Uffelen JG, Riphagen II, et al. Physical and psy- various settings. chosocial benefits of yoga in cancer patients and survivors, a system- “Yoga poses in the chair yoga sessions were adapted atic review and meta-analysis of randomized controlled trials. BMC from curriculum in the Yoga 4 Classrooms training.” But Cancer. 2012;12:559. the exact poses performed have not been specified. For 2. Beri K. Breathing to younger skin: “reversing the molecular mechanism bedside yoga, in the class description, it is mentioned that of skin aging with yoga.” Future Sci OA. 2016;2(2):FSO122 3. Hall A, Ofei-Tenkorang NA, Machan JT, Gordon CM. Use of yoga “The class was structured to include 10 minutes of breath- in outpatient eating disorder treatment: a pilot study. JEat Disord. ing, followed by 25 minutes of yoga asana (postures), in- 2016;4:38. cluding the 6 movements of the spine, tailored as needed 4. Jyotsna VP, Joshi A, Ambekar S, Kumar N, Dhawan A, Sreenivas V. to each patient’s medical condition and abilities.” Comprehensive yogic breathing program improves quality of life in patients with diabetes. Indian J Endocrinol Metab. 2012;16(3):423-428. doi:10.4103/2230-8210.95692. 5. Zope SA, Zope RA. Sudarshan kriya yoga: breathing for health. Int J Rehabilitation Oncology Yoga. 2013;6(1):4-10. doi:10.4103/0973-6131.105935. Copyright 2017 Oncology Section, APTA. 6. Turankar AV, Jain S, Patel SB, et al. Effects of slow breathing exercise The author declares no conflicts of interest. on cardiovascular functions, pulmonary functions & galvanic skin resistance in healthy human volunteers—a pilot study. Indian J Med DOI: 10.1097/01.REO.0000000000000059 Res. 2013;137(5):916-921. Rehabilitation Oncology Letter to the Editor 59 Copyright © 2017 Oncology Section, APTA. Unauthorized reproduction of this article is prohibited. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Rehabilitation Oncology Wolters Kluwer Health

Clarification on Methodology Requested for “Results of a Pilot Yoga Intervention to Improve Pediatric Cancer Patients”

Kasturi,, Gopi
Rehabilitation Oncology , Volume 35 (2) – Apr 1, 2017
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References (6)

Publisher
Wolters Kluwer Health
ISSN
2168-3808
eISSN
2381-2427
DOI
10.1097/01.REO.0000000000000059
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Abstract

LETTER TO THE E DITOR Clarification on Methodology Requested for “Results of a Pilot Yoga Intervention to Improve Pediatric Cancer Patients” I would like to congratulate the authors on a study re- However, this is a widely variable intervention. There garding a very helpful therapeutic intervention, yoga, in a are multiple styles of yogic breathing/pranayama, includ- 4-6 previously untapped demographic and patient population. ing bhastrika, kapalabhathi, anuloma, viloma, etc. Also, Despite being widely practiced yoga for several centuries as clarity is required as to how the various other yoga asanas, a form of meditation and exercise, yoga has not gained ac- including the 6 movements of the spine, have been per- ceptance as a mainstream therapeutic intervention. There formed as there are multiple asanas that provide similar could be several reasons for this; one of them could be action/range of motion. the lack of Level 1 research in this area. One of the key I look forward to the authors expanding that study as hurdles in this regard is the overgeneralization of what the well as clarifying what exact asanas (poses) the individual term “yoga” exactly means. Depending on the study re- groups performed as part of the research study. viewed, yoga could mean hatha yoga, breathing exercises, 1-3 —Gopi Kasturi, MD a combination of the above, meditation, etc. Sierra Pacific Orthopedic Center Therefore, it is very important in a study on yoga Fresno, California (especially if it is a pilot study that hopefully will be repro- gkasturi@spoc-ortho.com duced multiple times) to clearly state the exact asanas or poses that have been performed. Thereby, this study could be better understood from a mechanism of action stand- REFERENCES point. In addition, this would help with reproducibility in 1. Buffart LM, van Uffelen JG, Riphagen II, et al. Physical and psy- various settings. chosocial benefits of yoga in cancer patients and survivors, a system- “Yoga poses in the chair yoga sessions were adapted atic review and meta-analysis of randomized controlled trials. BMC from curriculum in the Yoga 4 Classrooms training.” But Cancer. 2012;12:559. the exact poses performed have not been specified. For 2. Beri K. Breathing to younger skin: “reversing the molecular mechanism bedside yoga, in the class description, it is mentioned that of skin aging with yoga.” Future Sci OA. 2016;2(2):FSO122 3. Hall A, Ofei-Tenkorang NA, Machan JT, Gordon CM. Use of yoga “The class was structured to include 10 minutes of breath- in outpatient eating disorder treatment: a pilot study. JEat Disord. ing, followed by 25 minutes of yoga asana (postures), in- 2016;4:38. cluding the 6 movements of the spine, tailored as needed 4. Jyotsna VP, Joshi A, Ambekar S, Kumar N, Dhawan A, Sreenivas V. to each patient’s medical condition and abilities.” Comprehensive yogic breathing program improves quality of life in patients with diabetes. Indian J Endocrinol Metab. 2012;16(3):423-428. doi:10.4103/2230-8210.95692. 5. Zope SA, Zope RA. Sudarshan kriya yoga: breathing for health. Int J Rehabilitation Oncology Yoga. 2013;6(1):4-10. doi:10.4103/0973-6131.105935. Copyright 2017 Oncology Section, APTA. 6. Turankar AV, Jain S, Patel SB, et al. Effects of slow breathing exercise The author declares no conflicts of interest. on cardiovascular functions, pulmonary functions & galvanic skin resistance in healthy human volunteers—a pilot study. Indian J Med DOI: 10.1097/01.REO.0000000000000059 Res. 2013;137(5):916-921. Rehabilitation Oncology Letter to the Editor 59 Copyright © 2017 Oncology Section, APTA. Unauthorized reproduction of this article is prohibited.

Journal

Rehabilitation Oncology – Wolters Kluwer Health

Published: Apr 1, 2017

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