1 214 94 A STUDY OF THE EFFECT OF YOGA TRAINING ON PULMONARY FUNCTIONS IN PATIENTS WITH BRONCHIAL ASTHMA. THE ROLE OF YOGA BREATHING EXERCISES, AS AN ADJUNCT TREATMENT FOR BRONCHIAL ASTHMA IS WELL RECOGNIZED. ONE HUNDRED TWENTY PATIENTS OF ASTHMA WERE RANDOMIZED INTO TWO GROUPS I.E GROUP A (YOGA TRAINING GROUP) AND GROUP B (CONTROL GROUP). EACH GROUP INCLUDED SIXTY PATIENTS. PULMONARY FUNCTION TESTS WERE PERFORMED ON ALL THE PATIENTS AT BASELINE, AFTER 4 WEEKS AND THEN AFTER 8 WEEKS. MAJORITY OF THE SUBJECTS IN THE TWO GROUPS HAD MILD DISEASE (34 PATIENTS IN GROUP A AND 32 IN GROUP B). GROUP A SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT INCREASING TREND (P < 0.01) IN % PREDICTED PEAK EXPIRATORY FLOW RATE (PEFR), FORCED EXPIRATORY VOLUME IN THE FIRST SECOND (FEV1), FORCED VITAL CAPACITY (FVC), FORCED MID EXPIRATORY FLOW IN 0.25-0.75 SECONDS (FEF25-75) AND FEV1/FVC% RATIO AT 4 WEEKS AND 8 WEEKS AS COMPARED TO GROUP B. THUS, YOGA BREATHING EXERCISES USED ADJUNCTIVELY WITH STANDARD PHARMACOLOGICAL TREATMENT SIGNIFICANTLY IMPROVES PULMONARY FUNCTIONS IN PATIENTS WITH BRONCHIAL ASTHMA. 2009 2 2786 48 YOGA THERAPY AS AN ADJUVANT IN MANAGEMENT OF ASTHMA. OBJECTIVE: TO ASSESS THE EFFECT OF YOGA ON CONTROL OF ASTHMA IN CHILDREN WITH BRONCHIAL ASTHMA. METHODS: THIS HOSPITAL-BASED INTERVENTIONAL RANDOMIZED CONTROLLED TRIAL CONDUCTED IN THE DEPARTMENT OF PEDIATRICS AT A TERTIARY CARE CENTER OF NORTH INDIA FROM NOVEMBER 2017 TO OCTOBER 2018 ENROLLED 140 NEWLY DIAGNOSED CASES OF ASTHMA OF AGE 10-16 Y WHO WERE RANDOMLY DIVIDED INTO TWO GROUPS. SEVENTY CHILDREN IN THE CASE GROUP PRACTICED YOGA UNDER SUPERVISION FOR A PERIOD OF 3 MO IN ADDITION TO PHARMACOLOGICAL TREATMENT. SEVENTY CONTROLS RECEIVED ONLY PHARMACOLOGICAL TREATMENT. PULMONARY-FUNCTION TESTS WERE DONE AT BASELINE, 6 WK, AND 12 WK ALONG WITH QUALITY OF LIFE (QOL) ASSESSMENT BY PEDIATRIC ASTHMA QUALITY OF LIFE QUESTIONNAIRE (PAQLQ). THE OUTCOME MEASURES ASSESSED WERE FORCED VITAL CAPACITY (FVC), FORCED EXPIRATORY VOLUME IN ONE SECOND (FEV1), FEV1/FVC AND PEAK EXPIRATORY FLOW RATE (PEFR). QOL EVALUATION WAS DONE IN 3 DOMAINS: ACTIVITY LIMITATION, SYMPTOMS, AND EMOTIONAL FUNCTION. RESULTS: THE ASTHMATIC CHILDREN PRACTICING YOGA HAVE SHOWN SIGNIFICANT IMPROVEMENT IN FVC, FEV1, FEV1/FVC AND PEFR WHICH WAS BETTER AS COMPARED TO CONTROLS. IMPROVEMENT WAS ALSO NOTED IN MEAN-PAQLQ SCORE IN CASES WHICH WAS STATISTICALLY SIGNIFICANTLY BETTER AS COMPARED TO CONTROLS. CONCLUSION: YOGA APPEARS TO HAVE SIGNIFICANT POSITIVE EFFECT ON CONTROL OF ASTHMA MEASURED BY PULMONARY-FUNCTION TEST AND QOL. THEREFORE YOGA THERAPY CAN BE RECOMMENDED AS AN ADJUVANT IN MANAGEMENT OF ASTHMA ALONG WITH STANDARD PHARMACOLOGICAL MANAGEMENT. 2021 3 1520 48 IS YOGA TRAINING BENEFICIAL FOR EXERCISE-INDUCED BRONCHOCONSTRICTION? BACKGROUND: SOME STUDIES HAVE SHOWN THE BENEFICIAL EFFECTS OF YOGA FOR INDIVIDUALS WITH BRONCHIAL HYPERREACTIVITY WITH REGARD TO (1) A REDUCTION IN THE USE OF RESCUE MEDICATION, (2) AN INCREASE IN EXERCISE CAPACITY, AND (3) AN IMPROVEMENT IN LUNG FUNCTION. DESPITE THE FACT THAT YOGA IS PROMISING AS A NEW TREATMENT FOR PEDIATRIC PATIENTS, FURTHER STUDIES ARE NEEDED TO ASSESS THE USE OF THIS TRAINING FOR ASTHMA MANAGEMENT. OBJECTIVE: THIS STUDY WAS PERFORMED TO ASSESS THE BENEFICIAL EFFECTS OF YOGA IN EXERCISE-INDUCED BRONCHOCONSTRICTION (EIB) IN CHILDREN. DESIGN: THE STUDY WAS PROSPECTIVE, WITH NO CONTROL GROUP. PARTICIPANTS WERE RANDOMLY CHOSEN AMONG THE NEW PATIENTS AT THE UNIT. SETTING: THIS STUDY WAS CONDUCTED IN THE ERCIYES UNIVERSITY SCHOOL OF MEDICINE, PEDIATRIC ALLERGY UNIT, IN KAYSERI, TURKEY. PARTICIPANTS: TWO GROUPS OF ASTHMATIC CHILDREN AGED 6-17 Y WERE ENROLLED IN THE STUDY: (1) CHILDREN WITH POSITIVE RESPONSES TO AN EXERCISE CHALLENGE (N = 10), AND (2) THOSE WITH NEGATIVE RESPONSES (N = 10). INTERVENTION: BOTH GROUPS ATTENDED 1-H SESSIONS OF YOGA TRAINING 2 X/WK FOR 3 MO. OUTCOME MEASURES: RESEARCHERS ADMINISTERED SPIROMETRIC MEASUREMENT TO ALL CHILDREN BEFORE AND IMMEDIATELY AFTER PARTICIPATING IN AN EXERCISE CHALLENGE. THIS PROCESS WAS PERFORMED AT BASELINE AND AT THE STUDY'S END. AGE, GENDER, IGE LEVELS, EOSINOPHIL NUMBERS, AND SPIROMETRIC MEASUREMENT PARAMETERS INCLUDING FORCED EXPIRATORY VOLUME IN 1 SEC (FEV1), FORCED EXPIRATORY FLOW 25%-75% (FEF25%-75%), FORCED VITAL CAPACITY (FVC), PEAK EXPIRATORY FLOW PERCENTAGE (PEF%), AND PEAK EXPIRATORY FLOW RATE (PEFR) WERE COMPARED USING THE MANN-WHITNEY U TEST AND THE WILCOXON TEST. A P VALUE < .05 WAS CONSIDERED SIGNIFICANT. RESULTS: AT BASELINE, NO SIGNIFICANT DIFFERENCES WERE OBSERVED BETWEEN THE GROUPS REGARDING DEMOGRAPHICS OR PRE-EXERCISE SPIROMETRIC MEASUREMENTS (P > .05, MANN-WHITNEY U TEST). LIKEWISE, NO SIGNIFICANT DIFFERENCES IN SPIROMETRIC MEASUREMENTS EXISTED BETWEEN THE GROUPS REGARDING THE CHANGE IN RESPONSES TO AN EXERCISE CHALLENGE AFTER YOGA TRAINING (P > .05, WILCOXON TEST). FOR THE EXERCISE-RESPONSE-POSITIVE GROUP, THE RESEARCH TEAM OBSERVED A SIGNIFICANT IMPROVEMENT IN MAXIMUM FORCED EXPIRATORY VOLUME 1% (FEV1%) FALL FOLLOWING THE EXERCISE CHALLENGE AFTER YOGA TRAINING (P > .05, WILCOXON TEST). ALL EXERCISE-RESPONSE-POSITIVE ASTHMATICS BECAME EXERCISERESPONSE-NEGATIVE ASTHMATICS AFTER YOGA TRAINING. CONCLUSION: THIS STUDY SHOWED THAT TRAINING CHILDREN IN THE PRACTICE OF YOGA HAD BENEFICIAL EFFECTS ON EIB. IT IS THE RESEARCH TEAM'S OPINION THAT YOGA TRAINING CAN SUPPLEMENT DRUG THERAPY TO ACHIEVE BETTER CONTROL OF ASTHMA. 2014 4 353 48 ASSESSMENT OF THE QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA, BEFORE AND AFTER YOGA: A RANDOMISED TRIAL. YOGA WHICH IS USED AS AN ADJUNCT TREATMENT FOR BRONCHIAL ASTHMA IS GAINING POPULARITY THROUGHOUT THE WORLD. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFECT OF YOGA ON QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA. 120 NON-SMOKING MALE AND FEMALE PATIENTS OF ASTHMA IN THE AGE GROUP OF 17-50 YEARS WERE RANDOMIZED INTO TWO GROUPS I.E. GROUP A (YOGA GROUP) AND GROUP B (CONTROL GROUP). ALL PATIENTS REMAINED ON THEIR PRESCRIBED MEDICATION, BUT GROUP A PATIENTS PRACTICED YOGA BREATHING EXERCISES FOR 8 WEEKS. ASTHMA QUALITY OF LIFE QUESTIONNAIRE (AQLQ) AND DIARY RECORD WAS USED TO ASSESS QUALITY OF LIFE, NUMBER AND SEVERITY OF ASTHMATIC ATTACKS, AND THE DOSAGE OF THE MEDICATION REQUIRED AT BASELINE AND AFTER 8 WEEKS. GROUP A SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN "SYMPTOMS", "ACTIVITIES" AND "ENVIRONMENTAL" DOMAINS OF AQLQ AT 8 WEEKS (P<0.01) AND SIGNIFICANT REDUCTION IN DAILY NUMBER AND SEVERITY OF ATTACKS, AND THE DOSAGE OF MEDICATION REQUIRED AT 4 AND 8 WEEKS (P<0.01) COMPARED TO THE BASELINE. YOGA BREATHING EXERCISES USED ADJUNCTIVELY WITH STANDARD PHARMACOLOGICAL TREATMENT SIGNIFICANTLY IMPROVED QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA. 2014 5 2547 31 YOGA FOR BRONCHIAL ASTHMA: A CONTROLLED STUDY. FIFTY THREE PATIENTS WITH ASTHMA UNDERWENT TRAINING FOR TWO WEEKS IN AN INTEGRATED SET OF YOGA EXERCISES, INCLUDING BREATHING EXERCISES, SURYANAMASKAR, YOGASANA (PHYSICAL POSTURES), PRANAYAMA (BREATH SLOWING TECHNIQUES), DHYANA (MEDITATION), AND A DEVOTIONAL SESSION, AND WERE TOLD TO PRACTISE THESE EXERCISES FOR 65 MINUTES DAILY. THEY WERE THEN COMPARED WITH A CONTROL GROUP OF 53 PATIENTS WITH ASTHMA MATCHED FOR AGE, SEX, AND TYPE AND SEVERITY OF ASTHMA, WHO CONTINUED TO TAKE THEIR USUAL DRUGS. THERE WAS A SIGNIFICANTLY GREATER IMPROVEMENT IN THE GROUP WHO PRACTISED YOGA IN THE WEEKLY NUMBER OF ATTACKS OF ASTHMA, SCORES FOR DRUG TREATMENT, AND PEAK FLOW RATE. THIS STUDY SHOWS THE EFFICACY OF YOGA IN THE LONG TERM MANAGEMENT OF BRONCHIAL ASTHMA, BUT THE PHYSIOLOGICAL BASIS FOR THIS BENEFICIAL EFFECT NEEDS TO BE EXAMINED IN MORE DETAIL. 1985 6 879 23 EFFECT OF YOGA TRAINING ON EXERCISE TOLERANCE IN ADOLESCENTS WITH CHILDHOOD ASTHMA. FORTY SIX YOUNG ASTHMATICS WITH A HISTORY OF CHILDHOOD ASTHMA WERE ADMITTED FOR YOGA TRAINING. EFFECTS OF TRAINING ON RESTING PULMONARY FUNCTIONS, EXERCISE CAPACITY, AND EXERCISE-INDUCED BRONCHIAL LABILITY INDEX WERE MEASURED. YOGA TRAINING RESULTED IN A SIGNIFICANT INCREASE IN PULMONARY FUNCTION AND EXERCISE CAPACITY. A FOLLOW-UP STUDY SPANNING TWO YEARS SHOWED A GOOD RESPONSE WITH REDUCED SYMPTOM SCORE AND DRUG REQUIREMENTS IN THESE SUBJECTS. IT IS CONCLUDED THAT YOGA TRAINING IS BENEFICIAL FOR YOUNG ASTHMATICS. 1991 7 572 20 DEFINITION OF A YOGA BREATHING (PRANAYAMA) PROTOCOL THAT IMPROVES LUNG FUNCTION. THIS STUDY TESTS THE HYPOTHESIS THAT YOGA BREATHING (PRANAYAMA) IMPROVES LUNG FUNCTION IN HEALTHY VOLUNTEERS DURING A 6-WEEK PROTOCOL. A RANDOMIZED CONTROLLED PILOT STUDY DEMONSTRATED AN IMPROVEMENT IN PEAK EXPIRATORY FLOW RATE AND FORCED EXPIRATORY VOLUME. THE EASY-TO-LEARN APPROACH CAN BE TRANSLATED TO THE INPATIENT AND OUTPATIENT SETTINGS. 2019 8 2929 31 [YOGA TO IMPROVE ASTHMA CONTROL IN SEVERE ASTHMATICS TREATED WITH BIOLOGICS]. WE CONDUCTED A PROSPECTIVE OBSERVATIONAL STUDY TO EVALUATE THE EFFICACY OF YOGA IN POORLY CONTROLLED SEVERE ASTHMATIC PATIENTS TREATED WITH MAXIMAL INHALED THERAPY AND BIOLOGICS. THE OBJECTIVE OF YOGA WAS TO IMPROVE BREATHING CONSCIOUSNESS, EXERCISING CONTROLLED VENTILATION WITH AND WITHOUT RETENTION, ABDOMINAL BREATHING OBSERVATION, IMPROVEMENT OF INSPIRATORY AND EXPIRATORY MUSCLES, OPENING OF THE CHEST, DIAPHRAGM EXERCISES AND RELAXATION. WE MEASURED EXHALED NITRIC OXIDE, FORCED EXPIRATORY VOLUME IN ONE SECOND, FORCED VITAL CAPACITY, ASTHMA CONTROL AND QUALITY OF LIFE QUESTIONNAIRES, ANXIETY AND DEPRESSION QUESTIONNAIRES BEFORE AND AFTER THE TENTH YOGA COURSE (PERFORMED TWICE A WEEK). HALF OF THE PATIENTS WHO WERE INVITED TO PARTICIPATE TO THE STUDY DECLINED DUE TO ORGANIZATION PROBLEMS. TWO PATIENTS WERE EXCLUDED DUE TO BRONCHITIS AND ARTHRALGIA RESPECTIVELY. THE ANALYSIS OF THE DATA FROM 12 PARTICIPANTS REVEALED SIGNIFICANT IMPROVEMENT IN ASTHMA CONTROL AND ASTHMA QUALITY OF LIFE QUESTIONNAIRES AND A REDUCTION OF ANXIETY.THE REGULAR PRACTICE OF YOGA IN SEVERE ASTHMATICS INSUFFICIENTLY CONTROLLED DESPITE MAXIMAL INHALED TREATMENT AND BIOTHERAPY SEEMS TO BE AN INTERESTING COMPLEMENTARY OPTION TO IMPROVE ASTHMA CONTROL. OUR RESULTS MUST BE CONFIRMED IN LARGER RANDOMIZED CONTROLLED TRIALS. 2020 9 2197 48 THE EFFICACY OF A COMPREHENSIVE LIFESTYLE MODIFICATION PROGRAMME BASED ON YOGA IN THE MANAGEMENT OF BRONCHIAL ASTHMA: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: THERE IS A SUBSTANTIAL BODY OF EVIDENCE ON THE EFFICACY OF YOGA IN THE MANAGEMENT OF BRONCHIAL ASTHMA. MANY STUDIES HAVE REPORTED, AS THE EFFECTS OF YOGA ON BRONCHIAL ASTHMA, SIGNIFICANT IMPROVEMENTS IN PULMONARY FUNCTIONS, QUALITY OF LIFE AND REDUCTION IN AIRWAY HYPER-REACTIVITY, FREQUENCY OF ATTACKS AND MEDICATION USE. IN ADDITION, A FEW STUDIES HAVE ATTEMPTED TO UNDERSTAND THE EFFECTS OF YOGA ON EXERCISE-INDUCED BRONCHOCONSTRICTION (EIB) OR EXERCISE TOLERANCE CAPACITY. HOWEVER, NONE OF THESE STUDIES HAS INVESTIGATED ANY IMMUNOLOGICAL MECHANISMS BY WHICH YOGA IMPROVES THESE VARIABLES IN BRONCHIAL ASTHMA. METHODS: THE PRESENT RANDOMIZED CONTROLLED TRIAL (RCT) WAS CONDUCTED ON 57 ADULT SUBJECTS WITH MILD OR MODERATE BRONCHIAL ASTHMA WHO WERE ALLOCATED RANDOMLY TO EITHER THE YOGA (INTERVENTION) GROUP (N = 29) OR THE WAIT-LISTED CONTROL GROUP (N = 28). THE CONTROL GROUP RECEIVED ONLY CONVENTIONAL CARE AND THE YOGA GROUP RECEIVED AN INTERVENTION BASED ON YOGA, IN ADDITION TO THE CONVENTIONAL CARE. THE INTERVENTION CONSISTED OF 2-WK SUPERVISED TRAINING IN LIFESTYLE MODIFICATION AND STRESS MANAGEMENT BASED ON YOGA FOLLOWED BY CLOSELY MONITORED CONTINUATION OF THE PRACTICES AT HOME FOR 6-WK. THE OUTCOME MEASURES WERE ASSESSED IN BOTH THE GROUPS AT 0 WK (BASELINE), 2, 4 AND 8 WK BY USING GENERALIZED LINEAR MODEL (GLM) REPEATED MEASURES FOLLOWED BY POST-HOC ANALYSIS. RESULTS: IN THE YOGA GROUP, THERE WAS A STEADY AND PROGRESSIVE IMPROVEMENT IN PULMONARY FUNCTION, THE CHANGE BEING STATISTICALLY SIGNIFICANT IN CASE OF THE FIRST SECOND OF FORCED EXPIRATORY VOLUME (FEV1) AT 8 WK, AND PEAK EXPIRATORY FLOW RATE (PEFR) AT 2, 4 AND 8 WK AS COMPARED TO THE CORRESPONDING BASELINE VALUES. THERE WAS A SIGNIFICANT REDUCTION IN EIB IN THE YOGA GROUP. HOWEVER, THERE WAS NO CORRESPONDING REDUCTION IN THE URINARY PROSTAGLANDIN D2 METABOLITE (11BETA PROSTAGLANDIN F2ALPHA) LEVELS IN RESPONSE TO THE EXERCISE CHALLENGE. THERE WAS ALSO NO SIGNIFICANT CHANGE IN SERUM EOSINOPHILIC CATIONIC PROTEIN LEVELS DURING THE 8-WK STUDY PERIOD IN EITHER GROUP. THERE WAS A SIGNIFICANT IMPROVEMENT IN ASTHMA QUALITY OF LIFE (AQOL) SCORES IN BOTH GROUPS OVER THE 8-WK STUDY PERIOD. BUT THE IMPROVEMENT WAS ACHIEVED EARLIER AND WAS MORE COMPLETE IN THE YOGA GROUP. THE NUMBER-NEEDED-TO-TREAT WORKED OUT TO BE 1.82 FOR THE TOTAL AQOL SCORE. AN IMPROVEMENT IN TOTAL AQOL SCORE WAS GREATER THAN THE MINIMAL IMPORTANT DIFFERENCE AND THE SAME OUTCOME WAS ACHIEVED FOR THE SUB-DOMAINS OF THE AQOL. THE FREQUENCY OF RESCUE MEDICATION USE SHOWED A SIGNIFICANT DECREASE OVER THE STUDY PERIOD IN BOTH THE GROUPS. HOWEVER, THE DECREASE WAS ACHIEVED RELATIVELY EARLIER AND WAS MORE MARKED IN THE YOGA GROUP THAN IN THE CONTROL GROUP. CONCLUSION: THE PRESENT RCT HAS DEMONSTRATED THAT ADDING THE MIND-BODY APPROACH OF YOGA TO THE PREDOMINANTLY PHYSICAL APPROACH OF CONVENTIONAL CARE RESULTS IN MEASURABLE IMPROVEMENT IN SUBJECTIVE AS WELL AS OBJECTIVE OUTCOMES IN BRONCHIAL ASTHMA. THE TRIAL SUPPORTS THE EFFICACY OF YOGA IN THE MANAGEMENT OF BRONCHIAL ASTHMA. HOWEVER, THE PRELIMINARY EFFORTS MADE TOWARDS WORKING OUT THE MECHANISM OF ACTION OF THE INTERVENTION HAVE NOT THROWN MUCH LIGHT ON HOW YOGA WORKS IN BRONCHIAL ASTHMA. TRIAL REGISTRATION: CURRENT CONTROLLED TRIALS ISRCTN00815962. 2009 10 286 26 ADJUNCT TREATMENT WITH YOGA IN CHRONIC SEVERE AIRWAYS OBSTRUCTION. ELEVEN PATIENTS WITH SEVERE CHRONIC AIRWAYS OBSTRUCTION WERE GIVEN TRAINING IN YOGIC BREATHING EXERCISES AND POSTURES. A MATCHED GROUP OF 11 PATIENTS WERE GIVEN PHYSIOTHERAPY BREATHING EXERCISES. BOTH GROUPS OF PATIENTS WERE FOLLOWED UP AT MONTHLY INTERVALS FOR NINE MONTHS WITH PULMONARY FUNCTION TESTS, TESTS OF EXERCISE TOLERANCE, AND INQUIRY INTO THEIR SYMPTOMS. AFTER TRAINING IN YOGA THE MEAN MAXIMUM WORK INCREASED SIGNIFICANTLY BY 60.55 KPM; WHEREAS NO SUCH RISE OCCURRED AFTER TRAINING IN PHYSIOTHERAPY. THIS OBJECTIVE IMPROVEMENT WAS ASSOCIATED WITH SYMPTOMATIC IMPROVEMENT IN A SIGNIFICANTLY HIGHER NUMBER OF PATIENTS GIVEN TRAINING IN YOGA. 1978 11 2109 22 THE EFFECT OF YOGA ON RESPIRATORY FUNCTIONS, SYMPTOM CONTROL AND LIFE QUALITY OF ASTHMA PATIENTS: A RANDOMIZED CONTROLLED STUDY. AIM: THIS STUDY WAS CONDUCTED TO FIND OUT THE EFFECT OF YOGA APPLIED TO ASTHMA PATIENTS ON THE PATIENTS' RESPIRATORY FUNCTIONS, SYMPTOM CONTROL AND QUALITY OF LIFE. METHODS: THE SAMPLE OF THE STUDY CONSISTED OF A TOTAL OF RANDOMLY CHOSEN 112 ASTHMA PATIENTS, 56 IN THE EXPERIMENTAL GROUP AND 56 IN THE CONTROL GROUP, WHO MET THE RESEARCH CRITERIA AND WHO AGREED TO PARTICIPATE IN THE STUDY. A TOTAL OF 12 YOGA SESSIONS, 2 SESSIONS A WEEK FOR 6 WEEKS, WAS APPLIED TO THE PATIENTS IN THE EXPERIMENTAL GROUP. THE PATIENTS IN THE CONTROL GROUP DID NOT RECEIVE ANY INTERVENTION. RESULTS: IN THE INTRAGROUP COMPARISON OF AVERAGE PRE-TEST AND POST-TEST SCORES OF RESPIRATORY FUNCTION AND ASTHMA CONTROL TEST (ACT) AND ASTHMA QUALITY OF LIFE SCALE (AQLQ) TOTAL AND SUB-DIMENSION SCORES OF THE PATIENTS IN THE EXPERIMENTAL AND CONTROL GROUP, THE DIFFERENCE WAS FOUND TO BE STATISTICALLY SIGNIFICANT (P<0.05). IN ADDITION, POST-TEST SCORE AVERAGES WERE FOUND TO INCREASE IN THE EXPERIMENTAL GROUP, WHILE THEY WERE FOUND TO DECREASE IN THE CONTROL GROUP. CONCLUSION: IT WAS FOUND THAT YOGA INFLUENCED RESPIRATORY FUNCTIONS, SYMPTOM CONTROL AND QUALITY OF LIFE POSITIVELY IN ASTHMA PATIENTS. THE CLINICAL TRIAL REGISTRATION NUMBER IS NCT04107415/HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT04107415. 2020 12 878 40 EFFECT OF YOGA TRAINING AND DETRAINING ON RESPIRATORY MUSCLE STRENGTH IN PRE-PUBERTAL CHILDREN: A RANDOMIZED TRIAL. OBJECTIVE: TO EVALUATE THE EFFECT OF YOGA ON FORCED VITAL CAPACITY (FVC), FORCED EXPIRATORY VOLUME IN I(ST) SECOND (FEV1), PEAK EXPIRATORY FLOW RATE (PEFR), FEVI/FVC RATIO, AND PULMONARY PRESSURES [MAXIMUM INSPIRATORY PRESSURE (MIP), MAXIMUM EXPIRATORY PRESSURE (MEP) AT THE END OF 3 MONTHS YOGA TRAINING AND THE DETRAINING EFFECT ON THE ABOVE PARAMETERS IN 7-9-YEARS-OLD SCHOOL GOING CHILDREN. MATERIALS AND METHODS: A TOTAL OF 100 PARTICIPANTS WERE RECRUITED FROM A SCHOOL IN BANGALORE. AFTER BASELINE ASSESSMENTS, THE PARTICIPANTS WERE RANDOMLY ALLOCATED TO EITHER YOGA OR PHYSICAL ACTIVITY GROUP. INTERVENTION WAS GIVEN FOR 3 MONTHS, AND MEASURES OF PULMONARY FUNCTION AND PULMONARY PRESSURES WERE DETERMINED IMMEDIATELY POST-INTERVENTION AND AT 3-MONTHS FOLLOW-UP. RESULTS: ALTHOUGH SIGNIFICANT INCREASE WAS OBSERVED IN FVC, FEV1, PEFR, FEV1/FVC, MIP, AND MEP AT POST-INTERVENTION, THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN THE TWO STUDY GROUPS AFTER ADJUSTING FOR HEIGHT AND AGE POST TRAINING . HOWEVER, MIP INCREASED SIGNIFICANTLY IN BOTH THE GROUPS POST-INTERVENTION, BUT THE YOGA GROUP PERFORMED SIGNIFICANTLY HIGHER THAN THE PE GROUP. THE EFFECTS OF TRAINING DID NOT FADE OFF EVEN AFTER 3 MONTHS OF DETRAINING. IN FACT, THE FVC AND FEV1 CONTINUED TO INCREASE SIGNIFICANTLY. A TREND OF DECREASE WAS OBSERVED IN PEFR, MIP, AND MEP. HOWEVER, THE VALUES DID NOT REGRESS TO THE BASELINE VALUE. CONCLUSIONS: THIS STUDY SUGGESTS THAT PRACTICE OF YOGA FOR A SHORT DURATION (3 MONTHS) OF TIME CAN SIGNIFICANTLY IMPROVE RESPIRATORY MUSCLE STRENGTH IN PEDIATRIC POPULATION. 2014 13 727 37 EFFECT OF LONG-TERM REGULAR YOGA ON PHYSICAL HEALTH OF YOGA PRACTITIONERS. BACKGROUND: YOGA IS A PHYSICAL, MENTAL, AND SPIRITUAL DISCIPLINE. THE EFFECT OF YOGA ON MENTAL HEALTH HAS BEEN STUDIED EXTENSIVELY IN INDIA BUT LESS IN THE CONTEXT OF PHYSICAL HEALTH. OBJECTIVE: THE OBJECTIVE WAS TO EXPLORE THE EFFECT OF LONG-TERM REGULAR YOGA ON PHYSICAL HEALTH OF YOGA PRACTITIONERS. MATERIALS AND METHODS: IT WAS AN INTERVENTIONAL STUDY. INCLUSION CRITERIA WERE STUDENTS WHO ENROLLED FOR 1-YEAR DIPLOMA COURSE AT THE YOGA CENTER. EXCLUSION CRITERIA WERE NONREGULAR YOGA PRACTITIONERS DURING THE COURSE. PHYSICAL HEALTH PARAMETERS CONSIDERED FOR ASSESSMENT BEFORE AND AFTER THE YOGA COURSE WERE PULMONARY FUNCTION TESTS, MAXIMUM OXYGEN CONSUMPTION (VO2 MAX) USING BRUCE TREADMILL TEST, FLEXIBILITY, BODY COMPOSITION ANALYSIS, AND HEMOGLOBIN LEVEL. PAIRED SAMPLE T-TEST AND CHI-SQUARE TEST WERE USED FOR STATISTICAL ANALYSIS. RESULTS: THE AEROBIC CAPACITY IMPROVED SIGNIFICANTLY IN TERMS OF MEAN (STANDARD DEVIATION [SD]) FORCED VITAL CAPACITY (P < 0.001), FORCED EXPIRATION VOLUME AT THE END OF THE FIRST SECOND (P < 0.001) AS WELL AS PEAK EXPIRATORY FLOW RATE (P = 0.04). THE MEAN (SD) FLEXIBILITY SCORE IMPROVED SIGNIFICANTLY (P < 0.001). SIMILARLY, THE ENDURANCE IMPROVED SIGNIFICANTLY IN TERMS OF MEAN (SD) VO2 MAX (< 0.001) AND TREADMILL TIME (P < 0.001). THERE WAS NO SIGNIFICANT CHANGE IN BODY COMPOSITION AND HEMOGLOBIN LEVEL. CONCLUSIONS: REGULAR YOGA PRACTITIONERS DEMONSTRATED THE IMPROVEMENT IN PULMONARY FUNCTIONS, CARDIORESPIRATORY FITNESS, ENDURANCE, AND FLEXIBILITY. 2021 14 777 46 EFFECT OF YOGA AND PHYSIOTHERAPY ON PULMONARY FUNCTIONS IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY - A COMPARATIVE STUDY. CONTEXT: ABNORMAL RESPIRATORY FUNCTION IS KNOWN TO BE DETECTABLE ALMOST AS SOON AS IT CAN BE MEASURED RELIABLY. STUDIES HAVE IDENTIFIED THE EFFECT OF RESPIRATORY MUSCLE TRAINING AS WELL AS BREATHING EXERCISES IN IMPROVING PULMONARY FUNCTIONS IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY (DMD). AIMS: THIS STUDY AIMS TO IDENTIFY THE ADD-ON EFFECT OF YOGA OVER PHYSIOTHERAPY ON PULMONARY FUNCTIONS IN CHILDREN WITH DMD. SETTINGS AND DESIGN: ONE HUNDRED AND TWENTY-FOUR PATIENTS WITH DMD WERE RANDOMIZED TO TWO GROUPS. GROUP I RECEIVED HOME-BASED PHYSIOTHERAPY AND GROUP II RECEIVED PHYSIOTHERAPY ALONG WITH YOGA INTERVENTION. MATERIALS AND METHODS: PULMONARY FUNCTION TEST (PFT) WAS ASSESSED BEFORE THE INTERVENTION (BASELINE DATA) AND AT REGULAR INTERVALS OF 3 MONTHS FOR A PERIOD OF 1 YEAR. STATISTICAL ANALYSIS USED: NORMALITY WAS ASSESSED USING SHAPIRO-WILK NORMALITY TEST. THE BASELINE DATA WERE ANALYZED USING MANN-WHITNEY U-TEST TO IDENTIFY THE HOMOGENEITY. REPEATED MEASURES ANALYSIS OF VARIANCE WAS USED TO ASSESS SIGNIFICANT CHANGES IN STUDY PARAMETERS DURING THE ASSESSMENT OF EVERY 3 MONTHS, BOTH WITHIN AND BETWEEN THE TWO GROUPS OF PATIENTS. RESULTS: A TOTAL OF 88 PARTICIPANTS COMPLETED ALL THE 5 ASSESSMENTS, WITH A MEAN AGE OF 7.9 +/- 1.5 YEARS. PFT PARAMETERS SUCH AS FORCED VITAL CAPACITY (FVC), PEAK EXPIRATORY FLOW RATE, MAXIMUM VOLUNTARY VENTILATION (MVV), AND TIDAL VOLUME DURING MAXIMUM VOLUNTARY VENTILATION (MVT) DEMONSTRATED SIGNIFICANT IMPROVEMENTS IN GROUP I. IN GROUP II, FVC AND MVT SIGNIFICANTLY IMPROVED FROM BASELINE UP TO 1 YEAR, WHEREAS MVV IMPROVED FROM BASELINE UP TO 9 MONTHS. TIDAL VOLUME DID NOT SHOW ANY CHANGES IN BOTH THE GROUPS. CONCLUSIONS: THE FINDINGS SUGGEST THAT INTRODUCTION OF YOGA WITH PHYSIOTHERAPY INTERVENTION AT AN EARLY AGE CAN BE CONSIDERED AS ONE OF THE THERAPEUTIC STRATEGIES IN IMPROVING PULMONARY FUNCTIONS IN PATIENTS WITH DMD. 2021 15 488 35 CLINICAL STUDY OF YOGA TECHNIQUES IN UNIVERSITY STUDENTS WITH ASTHMA: A CONTROLLED STUDY. ADULT ASTHMATICS, RANGING FROM 19 TO 52 YEARS FROM AN ASTHMA AND ALLERGY CLINIC IN A UNIVERSITY SETTING VOLUNTEERED TO PARTICIPATE IN THE STUDY. THE 17 STUDENTS WERE RANDOMLY DIVIDED INTO YOGA (9 SUBJECTS) AND NONYOGA CONTROL (8 SUBJECTS) GROUPS. THE YOGA GROUP WAS TAUGHT A SET OF BREATHING AND RELAXATION TECHNIQUES INCLUDING BREATH SLOWING EXERCISES (PRANAYAMA), PHYSICAL POSTURES (YOGASANAS), AND MEDITATION. YOGA TECHNIQUES WERE TAUGHT AT THE UNIVERSITY HEALTH CENTER, THREE TIMES A WEEK FOR 16 WEEKS. ALL THE SUBJECTS IN BOTH GROUPS MAINTAINED DAILY SYMPTOM AND MEDICATION DIARIES, COLLECTED A.M. AND P.M. PEAK FLOW READINGS, AND COMPLETED WEEKLY QUESTIONNAIRES. SPIROMETRY WAS PERFORMED ON EACH SUBJECT EVERY WEEK. ANALYSIS OF THE DATA SHOWED THAT THE SUBJECTS IN THE YOGA GROUP REPORTED A SIGNIFICANT DEGREE OF RELAXATION, POSITIVE ATTITUDE, AND BETTER YOGA EXERCISE TOLERANCE. THERE WAS ALSO A TENDENCY TOWARD LESSER USAGE OF BETA ADRENERGIC INHALERS. THE PULMONARY FUNCTIONS DID NOT VARY SIGNIFICANTLY BETWEEN YOGA AND CONTROL GROUPS. YOGA TECHNIQUES SEEM BENEFICIAL AS AN ADJUNCT TO THE MEDICAL MANAGEMENT OF ASTHMA. 1998 16 751 24 EFFECT OF SHORT TERM YOGA PRACTICE ON VENTILATORY FUNCTION TESTS. TWENTYFIVE NORMAL MALE VOLUNTEERS UNDERGOING A TEN WEEKS COURSE IN THE PRACTICE OF YOGA HAVE BEEN STUDIED BY SOME PARAMETERS OF VENTILATORY FUNCTIONS TESTS. THE OBSERVATIONS RECORDED AT THE END OF TEN WEEKS OF THE COURSE HAVE SHOWN IMPROVED VENTILATORY FUNCTIONS IN THE FORM OF LOWERED RESPIRATORY RATE, INCREASED FORCED VITAL CAPACITY, FEV1, MAXIMUM BREATHING CAPACITY AND BREATH HOLDING TIME, WHILE TIDAL VOLUME AND %FEV1, DID NOT REVEAL ANY SIGNIFICANT CHANGE. THUS, A COMBINED PRACTICE OF YOGA SEEMS TO BE BENEFICIAL ON RESPIRATORY EFFICIENCY. 1988 17 351 33 ASSESSMENT OF SIGNIFICANCE OF YOGA ON QUALITY OF LIFE IN ASTHMA PATIENTS: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: ASTHMA IS A CHRONIC INFLAMMATORY RESPIRATORY DISEASE CHARACTERIZED BY PERIODIC ATTACKS OF WHEEZING, SHORTNESS OF BREATH AND A TIGHT FEELING IN THE CHEST. THE CURRENT STUDY IS BASED ON THE EFFECT OF YOGA ON QUALITY OF LIFE IN ASTHMATICS IN NORTHERN INDIA. MATERIALS AND METHODS: A TOTAL OF 300 PARTICIPANTS OF MILD-TO-MODERATE PERSISTENT ASTHMA (FEV1 >60%) AGED BETWEEN 12 AND 60 YEARS WERE RECRUITED FROM THE DEPARTMENT OF PULMONARY MEDICINE. THEIR QUALITY OF LIFE WAS ASSESSED WITH THE HELP OF MINI ASTHMA QUALITY-OF-LIFE QUESTIONNAIRE (AQLQ) AT BASELINE AND THEN AFTER 3(RD) AND 6(TH) MONTH FROM BASELINE. FORTY-FIVE PARTICIPANTS WERE DROPPED OUT DURING THE STUDY WHILE 255 PARTICIPANTS COMPLETED THE STUDY SUCCESSFULLY. RESULTS: IN "THE YOGA GROUP," SIGNIFICANT IMPROVEMENTS WERE FOUND IN ALL THE SUBDOMAINS OF AQLQ AT 3(RD) MONTH AND AT 6(TH) MONTH IN COMPARISON TO "THE CONTROL GROUP." THE NUMBER NEEDED TO TREAT WAS FOUND TO BE 2.67 FOR THE TOTAL AQLQ SCORE WHICH WAS GREATER THAN THE MINIMAL IMPORTANT DIFFERENCE. CONCLUSION: "THE YOGA GROUP" GOT SIGNIFICANTLY BETTER IMPROVEMENT IN ASTHMA QUALITY-OF-LIFE SCORES THAN "THE CONTROL GROUP." THUS, YOGA CAN BE USED AS AN ADJUVANT THERAPY IN THE MANAGEMENT OF ASTHMA. 2017 18 787 37 EFFECT OF YOGA BREATHING EXERCISES (PRANAYAMA) ON AIRWAY REACTIVITY IN SUBJECTS WITH ASTHMA. THE EFFECTS OF TWO PRANAYAMA YOGA BREATHING EXERCISES ON AIRWAY REACTIVITY, AIRWAY CALIBRE, SYMPTOM SCORES, AND MEDICATION USE IN PATIENTS WITH MILD ASTHMA WERE ASSESSED IN A RANDOMISED, DOUBLE-BLIND, PLACEBO-CONTROLLED, CROSSOVER TRIAL. AFTER BASELINE ASSESSMENT OVER 1 WEEK, 18 PATIENTS WITH MILD ASTHMA PRACTISED SLOW DEEP BREATHING FOR 15 MIN TWICE A DAY FOR TWO CONSECUTIVE 2-WEEK PERIODS. DURING THE ACTIVE PERIOD, SUBJECTS WERE ASKED TO BREATHE THROUGH A PINK CITY LUNG (PCL) EXERCISER--A DEVICE WHICH IMPOSES SLOWING OF BREATHING AND A 1:2 INSPIRATION:EXPIRATION DURATION RATIO EQUIVALENT TO PRANAYAMA BREATHING METHODS; DURING THE CONTROL PERIOD, SUBJECTS BREATHED THROUGH A MATCHED PLACEBO DEVICE. MEAN FORCED EXPIRATORY VOLUME IN 1 S (FEV1), PEAK EXPIRATORY FLOW RATE, SYMPTOM SCORE, AND INHALER USE OVER THE LAST 3 DAYS OF EACH TREATMENT PERIOD WERE ASSESSED IN COMPARISON WITH THE BASELINE ASSESSMENT PERIOD; ALL IMPROVED MORE WITH THE PCL EXERCISER THAN WITH THE PLACEBO DEVICE, BUT THE DIFFERENCES WERE NOT SIGNIFICANT. THERE WAS A STATISTICALLY SIGNIFICANT INCREASE IN THE DOSE OF HISTAMINE NEEDED TO PROVOKE A 20% REDUCTION IN FEV1 (PD20) DURING PRANAYAMA BREATHING BUT NOT WITH THE PLACEBO DEVICE. THE USEFULNESS OF CONTROLLED VENTILATION EXERCISES IN THE CONTROL OF ASTHMA SHOULD BE FURTHER INVESTIGATED. 1990 19 792 35 EFFECT OF YOGA IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. YOGA IS ADJUNCTIVELY UTILIZED OUTSIDE THE UNITED STATES IN THE TREATMENT OF A VARIETY OF DISEASES, INCLUDING CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), BUT THERE ARE NO STUDIES ASSESSING ITS ADJUNCTIVE EFFICACY IN THE UNITED STATES. WE PROSPECTIVELY EVALUATED THE EFFECTS OF YOGA TRAINING ON THE QUALITY OF LIFE (QOL) AND THE PARAMETERS OF LUNG FUNCTION IN PATIENTS WITH COPD. THIRTY-THREE PATIENTS WITH DOCUMENTED COPD, PER GLOBAL INITIATIVE FOR OBSTRUCTIVE LUNG DISEASE CRITERIA, WERE RECRUITED. ALL PATIENTS RECEIVED STANDARD COPD CARE. THE QOL WAS ASSESSED BY THE ST. GEORGE RESPIRATORY QUESTIONNAIRE. STANDARD SPIROMETRY AND MAXIMUM INSPIRATORY (MAXIMAL INSPIRATORY PRESSURE) AND EXPIRATORY PRESSURE (MAXIMAL EXPIRATORY PRESSURE) WERE MEASURED. PATIENTS WERE TAUGHT SELECTED YOGA EXERCISES INCLUDING BREATHING EXERCISES, MEDITATION, AND YOGA POSTURES FOR 1 HOUR, THRICE A WEEK FOR 6 WEEKS BY A CERTIFIED YOGA THERAPIST. THE QUALITY OF LIFE AND LUNG FUNCTION WERE AGAIN ASSESSED AT THE END OF 6 WEEKS. TWENTY-TWO PATIENTS COMPLETED THE STUDY. DIFFERENCES IN PREYOGA VERSUS POSTYOGA SCORES WERE EVALUATED USING PAIRED T-TESTS. STATISTICALLY SIGNIFICANT IMPROVEMENTS (P < 0.05) WERE OBSERVED FOR THE ST. GEORGE RESPIRATORY QUESTIONNAIRE [95% CONFIDENCE INTERVAL (CI) 43.13-58.47], VITAL CAPACITY (95% CI 2.53-7.65), MAXIMAL INSPIRATORY PRESSURE (95% CI 6.62-23.64), AND MAXIMAL EXPIRATORY PRESSURE (95% CI 1.63-13.81). YOGA WHEN PRACTICED BY PATIENTS WITH COPD RESULTS IN IMPROVEMENT IN THE QOL AND LUNG FUNCTION ON A SHORT-TERM BASIS. ADDITIONAL RESEARCH IS NEEDED TO CONFIRM THESE FINDINGS IN A RANDOMIZED CONTROLLED TRIAL AND IN THE LONGER TERM. 2012 20 1123 30 EFFICACY OF NATUROPATHY AND YOGA IN BRONCHIAL ASTHMA. THE AIM OF THE STUDY WAS TO TEST THE EFFICACY OF A ONE MONTH IN-PATIENT NATUROPATHY AND YOGA PROGRAMME FOR PATIENTS WITH ASTHMA. RETROSPECTIVE DATA OF 159 BRONCHIAL ASTHMA PATIENTS, UNDERGOING THE NATUROPATHY AND YOGA PROGRAMME, WAS ANALYZED FOR FORCED VITAL CAPACITY, FORCED EXPIRATORY VOLUME AT THE END OF 1 SECOND, MAXIMUM VOLUNTARY VENTILATION AND PEAK EXPIRATORY FLOW RATE ON ADMISSION, 11TH DAY, ON DISCHARGE AND ONCE IN THREE MONTHS FOR THREE YEARS. THE PAIRED SAMPLE T TEST RESULTS SHOWED SIGNIFICANT INCREASE IN THE FORCED VITAL CAPACITY AND FORCED EXPIRATORY VOLUME FROM THE DATE OF ADMISSION UP TO 6TH MONTH (P < 0.0035) POST BONFERRONI CORRECTION. MAXIMUM VOLUNTARY VENTILATION SIGNIFICANTLY INCREASED FROM ADMISSION TILL THE DATE OF DISCHARGE (P < 0.0035) AND PEAK EXPIRATORY FLOW RATE SIGNIFICANTLY INCREASED FROM ADMISSION TILL THE 36TH MONTH OF FOLLOW-UP (P < 0.0035), POST BONFERRONI CORRECTION. THIS VALIDATED THE BENEFICIAL EFFECT OF COMBINING NATUROPATHY AND YOGA FOR THE MANAGEMENT OF BRONCHIAL ASTHMA. 2014