Progression of glaucoma associated with the Sirsasana (Headstand) yoga posture
University of Texas at Dallas, Richardson, Texas, United StatesAdvances in Therapy (Impact Factor: 2.27). 11/2006; 23(6):921-5. DOI: 10.1007/BF02850214
This article reports a case of progressive glaucomatous optic neuropathy and visual field loss that occurred in a patient who practiced the Sirsasana (headstand) yoga posture on a daily basis for many years. Visual field analysis was performed through standard automated perimetry. Intraocular pressure (IOP) was measured through pneumotonometry in the sitting position and in the head-down position. Stereo-optic disc photographs were obtained. IOP increased significantly in the head-down position. Optic disc evaluation revealed a new disc hemorrhage in the left eye. Visual field analysis over a period of 2 y showed progression of a superior arcuate defect in the left eye. Transient increases in IOP associated with the yoga headstand posture may lead to progressive glaucomatous optic nerve damage and visual field loss.
[Show abstract] [Hide abstract]
- "Yoga is deeply rooted in Indian philosophy and has been a part of traditional Indian spiritual, philosophical, and psychological practice for around 3 000 years (Feuerstein, 1998). While the ultimate goal of yoga has originally been described as uniting mind, body, and spirit, it has now become a popular means to promote "
ABSTRACT: Hypertension is a major public health problem and one of the most important causes of premature morbidity and mortality. Yoga is a traditional Indian practice that has been adapted for use in complementary and alternative medicine and mainly includes physical postures, breathing techniques, and meditation. The impact of yoga as a complementary intervention for hypertension has been investigated in a number of randomized controlled trials; with an overall effect of about 10 mmHg reduction in systolic and about 8 mmHg reduction in diastolic blood pressure. Yoga seems to be effective only for hypertension but not for prehypertension; and only as an adjunct to antihypertensive pharmacological treatment but not as an alternative therapy. Breathing and meditation rather than physical activity seem to be the active part of yoga interventions for hypertensive patients. These practices can increase parasympathic activity and decrease sympathetic activity, arguably mainly by increasing GABA activity; thus counteracting excess activity of the sympathetic nervous system which has been associated with hypertension. Although yoga has been associated with serious adverse events in single case reports, population-based surveys as well as clinical trials indicate that yoga is a relatively safe intervention that is not associated with more adverse events than other forms of physical activity. Yoga can thus be considered a safe and effective intervention for managing hypertension. Given the possibly better risk/benefit ratio, it may be advisable to focus on yogic meditation and/or breathing techniques.
[Show abstract] [Hide abstract]
- "on of cases from the CHIRPP database relied on key - word recognition , there may be an underestimation of the true number of cases if the keywords used were not included in the narrative . In addition , several studies indi - cate that certain yoga postures pose a higher risk of injury ( Dacci et al . , 2013 ; Ferreira & Galvez - Jimenez , 2013 ; Gallardo et al . , 2006 ; Le Corroller et al . , 2012 ; Penman et al . , 2012 ; Walker , Meekins , & Hu , 2005 ) and unfortu - nately , the yoga pose performed at time of injury was not collected in this data - set . Pertinent injury information including the type , style , or school of yoga practised , level of experience of the practitioner , and previous hi"
ABSTRACT: The aim is to describe the epidemiology of yoga injuries presenting to select Canadian emergency departments (EDs). Those who presented with a yoga injury to a Canadian ED participating in the Canadian Hospitals Injury Reporting and Prevention Program and had completed a data collection form between 1991 and 2010 were included. Demographic and injury characteristics were tabulated and injury profiles of children were compared to adults. Sixty-six individuals (48 female, 18 male) who sustained 67 injuries were included. The median age was 19 (intraquartile range: 13, 32) and 73% of individuals were injured after 2005 (p = 0.0003). Sprain was the most common injury (23/67, 34%) and the most common body region injured was the lower extremity (27/67, 42%). Significantly more children were injured while being instructed than adults (p = 0.003) but more adults required treatment (p = 0.023). Although yoga-related injuries presenting to an ED are not common, the number of injuries are increasing.
[Show abstract] [Hide abstract]
- "Regarding specific yoga postures, the headstand (Sirsasana) was practiced in 10 cases , , , , , , , , , , the shoulder stand in 3 cases , , , variations of the lotus position (Padmasana) in 3 cases , , , forceful breathing techniques in 3 cases , , , voluntary vomiting (Kunjal Kriya) in 2 cases , , and postures that included putting 1 or 2 feet behind the head in 2 cases , . Kneeling posture (Vajrasana) , locust pose (Salabhasana) , bridge pose (Setu bandha) , seated forward bend (Paschimottasana) , and downward-facing dog (Adho mukha savasana)  were practiced in 1 case each. "
ABSTRACT: While yoga is gaining increased popularity in North America and Europe, its safety has been questioned in the lay press. The aim of this systematic review was to assess published case reports and case series on adverse events associated with yoga. Medline/Pubmed, Scopus, CAMBase, IndMed and the Cases Database were screened through February 2013; and 35 case reports and 2 case series reporting a total of 76 cases were included. Ten cases had medical preconditions, mainly glaucoma and osteopenia. Pranayama, hatha yoga, and Bikram yoga were the most common yoga practices; headstand, shoulder stand, lotus position, and forceful breathing were the most common yoga postures and breathing techniques cited. Twenty-seven adverse events (35.5%) affected the musculoskeletal system; 14 (18.4%) the nervous system; and 9 (11.8%) the eyes. Fifteen cases (19.7%) reached full recovery; 9 cases (11.3%) partial recovery; 1 case (1.3%) no recovery; and 1 case (1.3%) died. As any other physical or mental practice, yoga should be practiced carefully under the guidance of a qualified instructor. Beginners should avoid extreme practices such as headstand, lotus position and forceful breathing. Individuals with medical preconditions should work with their physician and yoga teacher to appropriately adapt postures; patients with glaucoma should avoid inversions and patients with compromised bone should avoid forceful yoga practices.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.