Previous research has shown the vast mental and physical health benefits associated with yoga. Yoga practice can be divided into subcategories that include posture-holding exercise (asana), breathing (pranayama, Kriya), and meditation (Sahaj) practice. Studies measuring mental health outcomes have shown decreases in anxiety, and increases in cognitive performance after yoga interventions. Similar studies have also shown cognitive advantages amongst yoga practitioners versus non-practitioners. The mental health and cognitive benefits of yoga are evident, but the physiological and structural changes in the brain that lead to this remain a topic that lacks consensus. Therefore, the purpose of this study was to examine and review existing literature on the effects of yoga on brain waves and structural changes and activation. After a narrowed search through a set of specific inclusion and exclusion criteria, 15 articles were used in this review. It was concluded that breathing, meditation, and posture-based yoga increased overall brain wave activity. Increases in graygray matter along with increases in amygdala and frontal cortex activation were evident after a yoga intervention. Yoga practice may be an effective adjunctive treatment for a clinical and healthy aging population. Further research can examine the effects of specific branches of yoga on a designated clinical population.
Introduction
The popularity of yoga has risen in recent years as not just recreational exercise but as a means of reducing stress and anxiety, increasing physical fitness, and improving mood and overall wellbeing. It has been shown to improve mood and life satisfaction scores while reducing aggressiveness, emotional distress, and anxiety [10], [19]. Interventions involving yoga have also shown to improve various health, and physical fitness parameters at both physiological and cellular levels.
Yoga has been demonstrated to have several positive effects on cardiorespiratory health. Multiple studies provide evidence that yoga can increase cardiorespiratory efficiency and respiratory capacity [3], [12]. 6 months of yoga practice resulted in significantly decreased resting heart rate and blood pressure [3]. Yoga has also been beneficial for individuals with metabolic conditions such as Type 2 diabetes and obesity, as it has shown to increase glycemic control and nerve conduction velocity, and decrease BMI and total serum cholesterol level [4], [23].
In addition the cardiorespiratory and metabolic improvements, yoga practice has been correlated with musculoskeletal benefits. Weight-bearing yoga training can attenuate bone reabsorption and reduce the risk of osteoporosis in postmenopausal women [27]. Yoga has been shown to improve symptoms of OA of the hand as well as Carpal Tunnel Syndrome.
While some of the aforementioned studies have examined the effects of a general yoga practice on health, other have explored the effects, of a specific branch of yoga. Each branch of yoga involves a component of mindfulness and breathing, but the body system being used will vary. This variation between yoga branches may elicit different effects to the mind and body. The three main branches of yoga include asana-based yoga, meditation-based yoga, and breathing-based yoga.
An asana-based practice is what is traditionally thought of as āyogaā in Western culture. Among the three types of yoga practices, this practice is most considered as a form of exercise, as it demands the involvement of various muscle groups [4]. Asana-based yoga practice is comprised of various postures, or asanas, that the person performs dynamically. Each asana may also be held isometrically for an allotted amount of time or breath cycles. Vinyasa, hatha, bikram, and kundalini yoga are several styles of yoga that fall into the category of asana-based yoga. These styles can be practiced individually or in a classroom environment.
Many consider yoga a form of meditation. Meditation-based practice involves a purposeful relaxation of the mind through the dissociation of thoughts and/or concentration on one’s own breathing. Meditation is typically practiced sitting down and, aside from breathing, does not require any dynamic movements. Similar to asana-based practice, meditation can be practiced on an individual basis or can be instructed in a group environment [9].
The third type of yoga practice is a breathing-based practice. This practice involves purposeful inhalations and exhalations at a designated speed and intensity, which is referred to as pranayama. Pranayama can also be broken down into various breathing practices, which include sudarshan kriya and bhastrika pranayama. Breathing-based practices are also practiced in a still and seated position and can be practiced on an individual or classroom basis [15], [35].
The above three categories of yoga can be combined into one session or can be practiced separately. Asana, meditation, and breathing-based practices elicit various and specific effects on cognitive and neurological functions. In particular, their effects on brain waves and structural activation will be further explored in this review.
With the positive impact of yoga on the body, recent research has begun to explore the cognitive effects of yoga. Previous qualitative studies have shown subject self-reported positive effects of yoga on depression and anxiety [30], [33]. Various studies have also shown an increase in cognitive performance after a yoga intervention or greater perceived cognition in practitioners versus non practitioners. A study examining 108 school children, ages 10ā17, assessed spatial and verbal memory before and after a 10 day pranayama training protocol. The results showed an improvement in spatial and verbal memory scores after the Sudarshan Kriya yoga training protocol [24]. A study examining adjunctive treatments for bipolar patients saw a high rate of self-reported cognitive benefits as a result of yoga practice.
Many subjects with bipolar depression reported that ongoing yoga practice assisted with their focus and sense of acceptance [36]. Also related to cognitive benefits, another study showed that 6 weeks of hatha yoga improved working memory and attention-switching ability in healthy older adults [11]. Breathing based yoga, in the form of fast and slow pranayama practice has also shown to improve cognitive performance, in the domains of reaction time [29]. After 12 weeks of pranayama practice, 84 healthy adult participants had significantly improved scores in psychometric tests that included the letter cancellation test, trail making tests A and B, forward and reverse digit spans and auditory and visual reaction times for red light and green light.
The improvement in cognitive performance from yoga practice and interventions is evident, but the mechanisms behind this improvement remain unclear. Changes in cognition are often a result of changes in neuronal activity, structural activation, and general structural changes within the brain. Understanding what can elicit changes that are occurring within the brain that lead to improved cognition, can give insight into the development of cognitive interventions in both healthy and clinical populations. Therefore, the purpose of this review is to examine the specific neural changes that occur as a result of yoga practice which may influence the mental health and overall wellbeing.
Methods
The literature that was chosen for this review began by searching for the terms āyogaā and/or āpranayamaā with the terms āEEGā, ābrainā, ācognitionā, āactivationā, and/or ābrain wavesā. The databases used, to search for studies with these terms, included PubMed, Google Scholar, and EBSCO host. Potential articles were categorized into groups including, quantitative research, qualitative research, and single case studies.
Highlights
It was found that yoga has positive effects on brainwave activity, which has been associated with improvements in cognition. Yoga interventions also seem to have neuroplastic effects on various structures in the brain.
Discussion
The general trend that was evident, among the studies that were reviewed, was in favor of yoga practice. Despite the fact that yoga within this review was divided into three separate branches, all three branches elicited improvements in the variable of interest.
Among the studies that examined brain waves, alpha waves amplitude and frequency, which is associated with an increased perception of calmness, was increased after breathing, meditation, and asana-based yoga practice.
Conclusion
In conclusion, yoga seems to have positive effects on brainwave activity in terms of stimulating the activation of alpha, beta, and theta brainwaves, which have been associated with improvements in cognition, memory, mood, and anxiety. Yoga training has been correlated with decreased amygdala activation and decreased negative emotion in response to emotional distracter images. Alternate nostril breathing was reported to activate the contralateral brain hemisphere, providing neurocognitive protective effects.
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Complementary Therapies in Clinical Practice Volume 21, Issue 2,Ā May 2015, Pages 112-118 RadhikaĀ Desai, AnishaĀ Tailor, TanviĀ Bhatt, Department of Physical Therapy, University of Illinois at Chicago, Chicago, USA
https://doi.org/10.1016/j.ctcp.2015.02.002Get rights and content Available online 9 March 2015.

