Can the practice of yoga be dangerous? Considerations over a case of epiphyseal separation of the distal tibia in a teenager

Bianchi, G; Cavenago, C.; Marchese, Marcella

doi:10.1007/s10195-004-0069-y

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…Of the included 37 reports, 19 originated from the USA [28], [31]–[33], [35], [38]–[40], [43]–[47], [49], [52], [55]–[57], [61], 1 from Canada [60], 2 from the UK [51], [59], 1 from Germany [42], 1 from Switzerland [25], 2 from Italy [26], [34], 1 from Denmark [36], 5 from India [29], [41], [48], [53], [54], and 1 each from Nepal [27], China [37], Taiwan [58], South Korea [30], and Australia [50]. The first included report was published in 1969, the number of reports published each year gradually increased until 2012 (Figure 2).…”

Section: Resultsmentioning

confidence: 99%

“…Regarding specific yoga postures, the headstand (Sirsasana) was practiced in 10 cases [25], [27], [28], [32], [35], [37], [38], [46], [52], [53], the shoulder stand in 3 cases [36], [39], [52], variations of the lotus position (Padmasana) in 3 cases [26], [47], [56], forceful breathing techniques in 3 cases [40], [41], [55], voluntary vomiting (Kunjal Kriya) in 2 cases [27], [48], and postures that included putting 1 or 2 feet behind the head in 2 cases [34], [50]. Kneeling posture (Vajrasana) [31], locust pose (Salabhasana) [36], bridge pose (Setu bandha) [49], seated forward bend (Paschimottasana) [57], and downward-facing dog (Adho mukha savasana) [58] were practiced in 1 case each.…”

Section: Resultsmentioning

confidence: 99%

“…Another case was reported doing “extreme yoga postures” that were not further characterized [29]. In 10 cases, the yoga practice that was associated with the adverse event was practiced under supervision [26], [42], [43], [45], [51], [54], [56], [58], [59], [61], in 4 cases it was unsupervised [33], [53], [55], [61]. The remaining reports did not state whether the practice was supervised or not.…”

Section: Resultsmentioning

confidence: 99%

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Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

2013

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

2013

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“…Clinical trials of yoga lack adverse event reporting and few case reports are scattered through the literature. [45][46][47][48][49][50][51][52] We report a positive association of musculoskeletal conditions and severe sprains with yoga use that may represent injuries secondary to yoga.…”

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confidence: 99%

Characteristics of Yoga Users: Results of a National Survey

et al. 2008

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BACKGROUND: There are limited data on the characteristics of yoga users in the U.S. OBJECTIVE:To characterize yoga users, medical reasons for use, perceptions of helpfulness, and disclosure of use to medical professionals. METHODS:Utilizing cross-sectional survey data from the 2002 National Health Interview Survey (NHIS) Alternative Medicine Supplement (n=31044), we examined correlates of yoga use for health. The estimated prevalence from 2002 NHIS of yoga for health was 5.1% corresponding to over 10 million adults. RESULTS:In 2002, yoga users were predominately Caucasian (85%) and female (76%) with a mean age of 39.5 years. Compared to non-yoga users, yoga users were more likely female (OR 3.76, 95% CI 3.11-4.33); less likely black than white (OR 0.65, 95% CI 0.53-0.80); tended to be younger; and more likely college educated (OR 2.70, 95% CI 2.37-3.08). Musculoskeletal conditions (OR 1.61, 95% CI 1.42-1.83), mental health conditions (OR 1.43, 95% CI 1.22-1.67), severe sprains in the last 12 months (OR 1.49, 95% CI 1.22-1.81), and asthma (OR 1.27, 95% CI 1.05-1.54) were independently associated with higher yoga use, while hypertension (OR 0.78, 95% CI 0.64-0.95) and chronic obstructive lung disease (OR 0.69, 95% CI 0.48-1.00) were associated with lower use. Yoga was most commonly used to treat musculoskeletal or mental health conditions, and most users reported yoga to be helpful for these conditions. A majority of yoga users (61%) felt yoga was important in maintaining health, though only 25% disclosed yoga practice to their medical professional. CONCLUSIONS:We found that yoga users are more likely to be white, female, young and college educated. Yoga users report benefit for musculoskeletal conditions and mental health, indicating that further research on the efficacy of yoga for the treatment and/or prevention of these conditions is warranted.KEY WORDS: yoga; complementary and alternative medicine (CAM); behavioral medicine.

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“…These included a distal tibia epiphysial separation in a teenager, a proximal phalanx of the great toe fracture and a case series of vertebral compression fractures in osteoporotic or osteopaenic individuals 4 5. There are also a few reports of rare femoral shaft stress fractures in athletes; however, these injuries are typically attributed to repetitive trauma in vigorous weight bearing activities such as long-distance running 6–8.…”

Section: Discussionmentioning

confidence: 99%

A low-energy femoral shaft fracture from performing a yoga posture

2015

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The femoral shaft is rarely the site of a low-energy fracture in a healthy individual. The vast majority of these fractures are due to major trauma such as motor vehicle accidents. Although low-energy femoral shaft fractures do occur, they are typically in patients with osteoporotic bone, or prosthesis related. In this case report, we present a man in his late 30s who was practising a specific yoga stance when he experienced a femoral shaft fracture.

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Can the practice of yoga be dangerous? Considerations over a case of epiphyseal separation of the distal tibia in a teenager

Cited by 9 publications

References 6 publications

Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

Adverse Events Associated with Yoga: A Systematic Review of Published Case Reports and Case Series

Characteristics of Yoga Users: Results of a National Survey

A low-energy femoral shaft fracture from performing a yoga posture

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