The Effect of a Hatha Yoga Exercise Programme with Segmental Stabilisation Exercises on Trunk Flexibility

1. Institute for Health Metrics and Evaluation. GBD COMPARE data visualization, 2025. [cited 2025 Apr 2]. Available from: https://vizhub.healthdata.org/gbd-compare/ Institute for Health Metrics and Evaluation GBD COMPARE data visualization 2025 [cited 2025 Apr 2]. Available from: https://vizhub.healthdata.org/gbd-compare/ Search in Google Scholar

2. Chen S, Chen M, Wu X, Lin S, Tao C, Cao H, et al. Global, regional and national burden of low back pain 1990–2019: a systematic analysis of the global burden of disease study 2019. J Orthop Translat. 2021;32:49–58. doi: 10.1016/j.jot.2021.07.005. ChenS ChenM WuX LinS TaoC CaoH Global, regional and national burden of low back pain 1990–2019: a systematic analysis of the global burden of disease study 2019 J Orthop Translat 2021 32 49 58 10.1016/j.jot.2021.07.005 Open DOISearch in Google Scholar

3. de Campos TF, Maher CG, Fuller JT, Steffens D, Attwell S, Hancock MJ. Prevention strategies to reduce future impact of low back pain: a systematic review and meta-analysis. Br J Sports Med. 2021;55(9):468–476. doi: 10.1136/bjsports-2019-101436. de CamposTF MaherCG FullerJT SteffensD AttwellS HancockMJ Prevention strategies to reduce future impact of low back pain: a systematic review and meta-analysis Br J Sports Med 2021 55 9 468 476 10.1136/bjsports-2019-101436 Open DOISearch in Google Scholar

4. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992;5(4):383–397. doi: 10.1097/00002517-199212000-00001. PanjabiMM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement J Spinal Disord 1992 5 4 383 397 10.1097/00002517-199212000-00001 Open DOISearch in Google Scholar

5. Kisner C, Colby LA, Borstad J. Therapeutic exercise: Foundations and techniques. 7th ed. Philadelphia: F. A. Davis Company, 2018. KisnerC ColbyLA BorstadJ. Therapeutic exercise: Foundations and techniques 7th ed Philadelphia F. A. Davis Company 2018 Search in Google Scholar

6. Sadler SG, Spink MJ, Ho A, De Jonge XJ, Chuter VH. Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies. BMC Musculoskelet Disord. 2017;18(1):179. doi: 10.1186/s12891-017-1534-0. SadlerSG SpinkMJ HoA De JongeXJ ChuterVH Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies BMC Musculoskelet Disord 2017 18 1 179 10.1186/s12891-017-1534-0 Open DOISearch in Google Scholar

7. Lopes TJA, Simic M, Chia L, Terra BS, Alves DS, Bunn PDS, et al. Trunk endurance, posterior chain flexibility, and previous history of musculoskeletal pain predict overuse low back and lower extremity injury: a prospective cohort study of 545 Navy Cadets. J Sci Med Sport. 2021;24(6):555–560. doi: 10.1016/j.jsams.2020.11.020. LopesTJA SimicM ChiaL TerraBS AlvesDS BunnPDS Trunk endurance, posterior chain flexibility, and previous history of musculoskeletal pain predict overuse low back and lower extremity injury: a prospective cohort study of 545 Navy Cadets J Sci Med Sport 2021 24 6 555 560 10.1016/j.jsams.2020.11.020 Open DOISearch in Google Scholar

8. Worthington V. A history of yoga. London, UK: Routledge and Kegan Paul; 1982. WorthingtonV. A history of yoga London, UK Routledge and Kegan Paul 1982 Search in Google Scholar

9. National Center for Complementary and Integrative Health. Yoga for health (eBook). Maryland, USA: National Institute of Health; 2023. National Center for Complementary and Integrative Health Yoga for health (eBook) Maryland, USA National Institute of Health 2023 Search in Google Scholar

10. Anheyer D, Haller H, Lauche R, Dobos G, Cramer H. Yoga for treating low back pain: a systematic review and meta-analysis. Pain. 2022;163:e504–517. doi: 10.1097/j.pain.0000000000002416. AnheyerD HallerH LaucheR DobosG CramerH Yoga for treating low back pain: a systematic review and meta-analysis Pain 2022 163 e504 517 10.1097/j.pain.0000000000002416 Open DOISearch in Google Scholar

11. Ward L, Stebbings S, Cherkin D, Baxter GD. Components and reporting of yoga interventions for musculoskeletal conditions: a systematic review of randomised controlled trials. Complement Ther Med. 2014;22:909–919. doi: 10.1016/j.ctim.2014.08.007. WardL StebbingsS CherkinD BaxterGD Components and reporting of yoga interventions for musculoskeletal conditions: a systematic review of randomised controlled trials Complement Ther Med. 2014 22 909 919 10.1016/j.ctim.2014.08.007 Open DOISearch in Google Scholar

12. Goode AP, Coeytaux RR, McDuffie J, Duan-Porter W, Sharma P, Mennella H, et al. An evidence map of yoga for low back pain. Complement Ther Med. 2016;25:170–177. doi: 10.1016/j.ctim.2016.02.016. GoodeAP CoeytauxRR McDuffieJ Duan-PorterW SharmaP MennellaH An evidence map of yoga for low back pain Complement Ther Med 2016 25 170 177 10.1016/j.ctim.2016.02.016 Open DOISearch in Google Scholar

13. Petrič M, Zaletel-Kragelj L, Jakovljević M, Vauhnik R. Hatha yoga, integrating the segmental stabilization exercise model, can improve trunk muscle endurance in healthy adults. Front Public Health. 2024;12:1487702. doi: 10.3389/fpubh.2024.1487702. PetričM Zaletel-KrageljL JakovljevićM VauhnikR Hatha yoga, integrating the segmental stabilization exercise model, can improve trunk muscle endurance in healthy adults Front Public Health 2024 12 1487702 10.3389/fpubh.2024.1487702 Open DOISearch in Google Scholar

14. Petrič M. Učinek joge in stabilizacijskih vaj na vzdržljivost in raztegljivost mišic trupa pri zdravih odraslih osebah [doktorska disertacija]. Ljubljana: Medicinska fakulteta Univerze v Ljubljani, 2023. PetričM. Učinek joge in stabilizacijskih vaj na vzdržljivost in raztegljivost mišic trupa pri zdravih odraslih osebah [doktorska disertacija] Ljubljana Medicinska fakulteta Univerze v Ljubljani 2023 Search in Google Scholar

15. Petrič M, Zaletel-Kragelj L, Vauhnik R. Učinek hatha joge, stopnjevane po načelih stabilizacijske vadbe, na izboljšanje vzdržljivosti in raztegljivosti mišic trupa pri zdravih odraslih: predstavitev rezultatov doktorskega dela. In: Grapar Žargi T, Kovačič T, editors. 70 let v gibanju - tradicija napredka. 20. kongres fizioterapevtov Slovenije: zbornik povzetkov. Fizioterapija. 2024;32(1):37–38. PetričM Zaletel-KrageljL VauhnikR Učinek hatha joge, stopnjevane po načelih stabilizacijske vadbe, na izboljšanje vzdržljivosti in raztegljivosti mišic trupa pri zdravih odraslih: predstavitev rezultatov doktorskega dela In: Grapar ŽargiT KovačičT editors. 70 let v gibanju - tradicija napredka. 20. kongres fizioterapevtov Slovenije: zbornik povzetkov Fizioterapija 2024 32 1 37 38 Search in Google Scholar

16. Mansournia MA, Jewell NP, Greenland S. Case-control matching: effects, misconceptions, and recommendations. Eur J Epidemiol. 2018;33:5–14. doi: 10.1007/s10654-017-0325-0. MansourniaMA JewellNP GreenlandS Case-control matching: effects, misconceptions, and recommendations Eur J Epidemiol 2018 33 5 14 10.1007/s10654-017-0325-0 Open DOISearch in Google Scholar

17. Jakovljević M, Knific T, Petrič M. Testiranje telesne pripravljenosti odraslih oseb: priročnik za preiskovalce. Ljubljana, Slovenia: Nacionalni inštitut za javno zdravje; 2017. p. 40–43. JakovljevićM KnificT PetričM Testiranje telesne pripravljenosti odraslih oseb: priročnik za preiskovalce Ljubljana, Slovenia Nacionalni inštitut za javno zdravje 2017 40 43 Search in Google Scholar

18. Harvey D. Assessment of the flexibility of elite athletes using the modified Thomas test. Br J Sports Med. 1998;32(1):68–70. doi: 10.1136/bjsm.32.1.68. HarveyD. Assessment of the flexibility of elite athletes using the modified Thomas test Br J Sports Med 1998 32 1 68 70 10.1136/bjsm.32.1.68 Open DOISearch in Google Scholar

19. Miñarro PA, Andújar PS, García PL, Toro EO. A comparison of the spine posture among several sit-and-reach test protocols. J Sci Med Sport. 2007;10(6):456–462. doi: 10.1016/j.jsams.2006.10.003. MiñarroPA AndújarPS GarcíaPL ToroEO A comparison of the spine posture among several sit-and-reach test protocols J Sci Med Sport 2007 10 6 456 462 10.1016/j.jsams.2006.10.003 Open DOISearch in Google Scholar

20. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. 3rd ed. USA: F.A. Davis Company; 2003. NorkinCC WhiteDJ Measurement of joint motion: a guide to goniometry 3rd ed USA F.A. Davis Company 2003 Search in Google Scholar

21. Jakovljević M, Hlebš S. Meritve gibljivosti sklepov, obsegov in dolžin udov. Ljubljana: Zdravstvena fakulteta; 2011. JakovljevićM HlebšS Meritve gibljivosti sklepov, obsegov in dolžin udov Ljubljana Zdravstvena fakulteta 2011 Search in Google Scholar

22. Berryman Reese N, Bandy WD. Joint range of motion and muscle length testing. Philadelphia, Pa: W.B. Saunders Company; 2002. Berryman ReeseN BandyWD Joint range of motion and muscle length testing Philadelphia, Pa W.B. Saunders Company 2002 Search in Google Scholar

23. Gabbe BJ, Bennell KL, Wajswelner H, Finch CF. Reliability of common lower extremity musculoskeletal screening tests. Phys Ther Sport. 2004;5(2):90–97. doi: 10.1016/j.ptsp.2004.01.003. GabbeBJ BennellKL WajswelnerH FinchCF Reliability of common lower extremity musculoskeletal screening tests Phys Ther Sport 2004 5 2 90 97 10.1016/j.ptsp.2004.01.003 Open DOISearch in Google Scholar

24. Fraeulin L, Holzgreve F, Brinkbäumer M, Dziuba A, Friebe D, Klemz S, et. al. Intra- and inter-rater reliability of joint range of motion tests using tape measure, digital inclinometer and inertial motion capturing. PloS ONE. 2020;15(12):e0243646. doi:10.1371/journal.pone.0243646. FraeulinL HolzgreveF BrinkbäumerM DziubaA FriebeD KlemzS Intra- and inter-rater reliability of joint range of motion tests using tape measure, digital inclinometer and inertial motion capturing PloS ONE 2020 15 12 e0243646 10.1371/journal.pone.0243646 Open DOISearch in Google Scholar

25. Richardson C, Hodges P, Hides J. Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain. 2nd ed. UK: Churchill Livingstone; 2004. RichardsonC HodgesP HidesJ Therapeutic exercise for lumbopelvic stabilization: a motor control approach for the treatment and prevention of low back pain 2nd ed UK Churchill Livingstone 2004 Search in Google Scholar

26. Arney BE, Glover R, Fusco A, Cortis C, de Koning JJ, van Erp T, et al. Comparison of RPE (rating of perceived exertion) scales for session RPE. Int J Sports Physiol Perform. 2019;14:994–996. doi: 10.1123/ijspp.2018-0637. ArneyBE GloverR FuscoA CortisC de KoningJJ van ErpT Comparison of RPE (rating of perceived exertion) scales for session RPE Int J Sports Physiol Perform 2019 14 994 996 10.1123/ijspp.2018-0637 Open DOISearch in Google Scholar

27. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54:1451–1462. doi: 10.1136/bjsports-2020-102955. BullFC Al-AnsariSS BiddleS BorodulinK BumanMP CardonG World Health Organization 2020 guidelines on physical activity and sedentary behaviour Br J Sports Med 2020 54 1451 1462 10.1136/bjsports-2020-102955 Open DOISearch in Google Scholar

28. Mullerpatan RP, Agarwal BM, Shetty TV. Exploration of muscle activity using surface electromyography while performing Surya Namaskar. Int J Yoga. 2020;13:137–143. doi: 10.4103/ijoy.IJOY_72_19. MullerpatanRP AgarwalBM ShettyTV Exploration of muscle activity using surface electromyography while performing Surya Namaskar Int J Yoga 2020 13 137 143 10.4103/ijoy.IJOY_72_19 Open DOISearch in Google Scholar

29. LaSala TT, Run-Kowzun T, Figueroa M. The effect of a hatha yoga practice on hamstring flexibility. J Bodyw Mov Ther. 2021;28:439–449. doi: 10.1016/j.jbmt.2021.06.012. LaSalaTT Run-KowzunT FigueroaM The effect of a hatha yoga practice on hamstring flexibility J Bodyw Mov Ther 2021 28 439 449 10.1016/j.jbmt.2021.06.012 Open DOISearch in Google Scholar

30. Petrič M, Vauhnik R, Jakovljević M. The impact of hatha yoga practice on flexibility: a pilot study. Altern Integr Med. 2014;3(2):160. doi: 10.4172/2327-5162.1000160. PetričM VauhnikR Jakovljević M The impact of hatha yoga practice on flexibility: a pilot study Altern Integr Med 2014 3 2 160 10.4172/2327-5162.1000160 Open DOISearch in Google Scholar

31. Rathore V, Singh S, Katiyar VK. Exploring the therapeutic effects of yoga on spine and shoulder mobility: A systematic review. J Bodyw Mov Ther. 2024;40:586–596. doi: 10.1016/j.jbmt.2024.04.029. RathoreV SinghS KatiyarVK Exploring the therapeutic effects of yoga on spine and shoulder mobility: A systematic review J Bodyw Mov Ther 2024 40 586 596 10.1016/j.jbmt.2024.04.029 Open DOISearch in Google Scholar

32. Sandler RD, Sui X, Church TS, Fritz SL, Beattie PF, Blair SN. Are flexibility and muscle-strengthening activities associated with a higher risk of developing low back pain?. J Sci Med Sport. 2014;17(4):361–365. doi: 10.1016/j.jsams.2013.07.016. SandlerRD SuiX ChurchTS FritzSL BeattiePF BlairSN Are flexibility and muscle-strengthening activities associated with a higher risk of developing low back pain? J Sci Med Sport 2014 17 4 361 365 10.1016/j.jsams.2013.07.016 Open DOISearch in Google Scholar

33. Krejčí M, Hill M, Kajzar J, Tichý M, Hošek V. Yoga exercise intervention improves balance control and prevents falls in seniors aged 65. Zdr Varst. 2022; 61:85–92. doi: 10.2478/sjph-2022-0012. KrejčíM HillM KajzarJ TichýM HošekV Yoga exercise intervention improves balance control and prevents falls in seniors aged 65 Zdr Varst 2022 61 85 92 10.2478/sjph-2022-0012 Open DOISearch in Google Scholar

34. Tišlar MH, Starc G, Kukec A. Work-related musculoskeletal disorders among physiotherapists and physiotherapy students in Croatia and their association with physical fitness. Zdr Varst. 2022;61:171–180. doi: 10.2478/sjph-2022-0023. TišlarMH StarcG KukecA Work-related musculoskeletal disorders among physiotherapists and physiotherapy students in Croatia and their association with physical fitness Zdr Varst. 2022 61 171 180 10.2478/sjph-2022-0023 Open DOISearch in Google Scholar