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Hindawi Publishing Corporation Evidence-Based Complementary and Alternative Medicine Volume 2012, Article ID 174291, 1 page doi:10.1155/2012/174291 Editorial Yoga as a Therapeutic Intervention Arndt B¨ ussing, 1 Sat Bir S. Khalsa, 2 Andreas Michalsen, 3 Karen J. Sherman, 4 and Shirley Telles 5 1 Department of Quality of Life, Spirituality, and Coping, Center of Integrative Medicine, Faculty of Healthy, Witten/Herdecke University, 58313 Witten, Germany 2 Division of Sleep Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02215, USA 3 Department of Internal and Complementary Medicine, Immanuel Hospital Berlin and Institute of Social Medicine, Epidemiology & Health Economics, Charite-University Medical Center, 14109 Berlin, Germany 4 Group Health Research Institute, Group Health Cooperative, Seattle, WA 98101, USA 5 Patanjali Research Foundation, Uttarakhand, Haridwar 249405, India Correspondence should be addressed to Arndt B¨ ussing, [email protected] Received 11 September 2012; Accepted 11 September 2012 Copyright © 2012 Arndt B¨ ussing et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Yoga is an ancient mind/body practice, which originated in the Indian subcontinent, that promotes overall health and well-being. Yoga’s ultimate goal is the achievement of a state of unified consciousness. Historically, the practice of yoga included eight steps towards spiritual emancipation and included practices involving physical postures, breathing techniques, and meditation. Today, yoga is very popular in the West amongst the general public. Numerous modern schools or styles of yoga exist (i.e., Iyengar, Ashtanga, Viniyoga, Bikram, Sivananda, Kripalu, Kundalini, Integral, among others), most of which are forms of traditional Hatha yoga, each with their own distinct priorities in terms of the balance of inclusion of spiritual and physical practices, with some styles focusing more exclusively on physical postures despite the historical focus of yoga on inner development. Research on the psychophysiological benefits of yoga and meditation practice has revealed benefits in physical, mental, and emotional self-regulation. Demonstrated improvements in stress, anxiety, mood, and physical health and well-being have proven useful for therapeutic purposes, and this has led to the popular implementation of yoga as a primary or adjunctive therapy. Despite several clinical studies and systematic reviews on the eects of the dierent yoga styles, further research is required to clarify yoga’s value as an intervention. With respect to yoga’s value for specific indications and disorders, most studies report positive eects in favor of yoga interven- tions, although there are a variety of eect sizes observed. The degree of clinical benefit of yoga in any specific research trial may depend on a variety of factors including participant characteristics (age, gender, health status, etc.), diagnoses and study entry criteria, yoga intervention characteristics (e.g., yoga styles, intensities, and frequencies and durations of practice), compliance and attrition eects, and so forth. Moreover, as a relatively new field of research, most of the research trials are pilot studies, with typically small samples sizes, moderate methodological quality, and often inadequate control groups rendering the general findings tentative and in need of further research validation. For this special issue, we have invited investigators to sub- mit original research articles and systematic reviews/meta- analyses on the clinical eects of yoga intervention programs. The special issue starts with a summarizing overview of published literature reviews on the clinical eects of yoga interventions on physical and mental health, and it continues with a wide range of scientific contributions, addressing specific aspects of a colorful field of research. Of course we are aware of the many unanswered questions and the methodological flaws and limitations of several of these studies, yet we believe that the papers of this special issue will shed light on a fascinating and expanding field within mind- body medicine that is rich with promising findings. Arndt B¨ ussing Sat Bir S. Khalsa Andreas Michalsen Karen J. Sherman Shirley Telles

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Hindawi Publishing CorporationEvidence-Based Complementary and Alternative MedicineVolume 2012, Article ID 174291, 1 pagedoi:10.1155/2012/174291

Editorial

Yoga as a Therapeutic Intervention

Arndt Bussing,1 Sat Bir S. Khalsa,2 Andreas Michalsen,3

Karen J. Sherman,4 and Shirley Telles5

1 Department of Quality of Life, Spirituality, and Coping, Center of Integrative Medicine, Faculty of Healthy,Witten/Herdecke University, 58313 Witten, Germany

2 Division of Sleep Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02215, USA3 Department of Internal and Complementary Medicine, Immanuel Hospital Berlin and Institute of Social Medicine,Epidemiology & Health Economics, Charite-University Medical Center, 14109 Berlin, Germany

4 Group Health Research Institute, Group Health Cooperative, Seattle, WA 98101, USA5 Patanjali Research Foundation, Uttarakhand, Haridwar 249405, India

Correspondence should be addressed to Arndt Bussing, [email protected]

Received 11 September 2012; Accepted 11 September 2012

Copyright © 2012 Arndt Bussing et al. This is an open access article distributed under the Creative Commons Attribution License,which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Yoga is an ancient mind/body practice, which originatedin the Indian subcontinent, that promotes overall healthand well-being. Yoga’s ultimate goal is the achievement ofa state of unified consciousness. Historically, the practiceof yoga included eight steps towards spiritual emancipationand included practices involving physical postures, breathingtechniques, and meditation. Today, yoga is very popular inthe West amongst the general public. Numerous modernschools or styles of yoga exist (i.e., Iyengar, Ashtanga,Viniyoga, Bikram, Sivananda, Kripalu, Kundalini, Integral,among others), most of which are forms of traditional Hathayoga, each with their own distinct priorities in terms of thebalance of inclusion of spiritual and physical practices, withsome styles focusing more exclusively on physical posturesdespite the historical focus of yoga on inner development.Research on the psychophysiological benefits of yoga andmeditation practice has revealed benefits in physical, mental,and emotional self-regulation. Demonstrated improvementsin stress, anxiety, mood, and physical health and well-beinghave proven useful for therapeutic purposes, and this hasled to the popular implementation of yoga as a primary oradjunctive therapy.

Despite several clinical studies and systematic reviewson the effects of the different yoga styles, further researchis required to clarify yoga’s value as an intervention. Withrespect to yoga’s value for specific indications and disorders,most studies report positive effects in favor of yoga interven-tions, although there are a variety of effect sizes observed.The degree of clinical benefit of yoga in any specific research

trial may depend on a variety of factors including participantcharacteristics (age, gender, health status, etc.), diagnosesand study entry criteria, yoga intervention characteristics(e.g., yoga styles, intensities, and frequencies and durationsof practice), compliance and attrition effects, and so forth.Moreover, as a relatively new field of research, most of theresearch trials are pilot studies, with typically small samplessizes, moderate methodological quality, and often inadequatecontrol groups rendering the general findings tentative andin need of further research validation.

For this special issue, we have invited investigators to sub-mit original research articles and systematic reviews/meta-analyses on the clinical effects of yoga intervention programs.The special issue starts with a summarizing overview ofpublished literature reviews on the clinical effects of yogainterventions on physical and mental health, and it continueswith a wide range of scientific contributions, addressingspecific aspects of a colorful field of research. Of coursewe are aware of the many unanswered questions and themethodological flaws and limitations of several of thesestudies, yet we believe that the papers of this special issue willshed light on a fascinating and expanding field within mind-body medicine that is rich with promising findings.

Arndt BussingSat Bir S. Khalsa

Andreas MichalsenKaren J. Sherman

Shirley Telles

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