1 777 150 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 2 780 72 EFFECT OF YOGA AS AN ADD-ON THERAPY IN THE MODULATION OF HEART RATE VARIABILITY IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY. BACKGROUND: DUCHENE MUSCULAR DYSTROPHY (DMD) IS A PROGRESSIVE MUSCULAR DISORDER. CARDIAC DISORDER IS THE SECOND-MOST COMMON CAUSE OF DEATH IN CHILDREN WITH DMD, WITH 10%-20% OF THEM DYING OF CARDIAC FAILURE. HEART RATE VARIABILITY (HRV) IS SHOWN TO BE A PREDICTOR OF CARDIO-AUTONOMIC FUNCTION. PHYSIOTHERAPY (PT) IS ADVISED FOR THESE CHILDREN AS A REGULAR TREATMENT FOR MAINTAINING THEIR FUNCTIONAL STATUS. THE EFFECT OF YOGIC PRACTICES ON THE CARDIO-AUTONOMIC FUNCTIONS HAS BEEN DEMONSTRATED IN VARIOUS NEUROLOGICAL CONDITIONS AND MAY PROVE BENEFICIAL IN DMD. MATERIALS AND METHODS: IN THIS STUDY, 124 PATIENTS WITH DMD WERE RANDOMIZED TO PT ALONE OR PT WITH YOGA INTERVENTION. HOME-BASED PT AND YOGA WERE ADVISED. ADHERENCE WAS SERIALLY ASSESSED AT A FOLLOW-UP INTERVAL OF 3 MONTHS. ERROR-FREE, ELECTROCARDIOGRAM WAS RECORDED IN ALL PATIENTS AT REST IN THE SUPINE POSITION. HRV PARAMETERS WERE COMPUTED IN TIME AND FREQUENCY DOMAINS. HRV WAS RECORDED AT BASELINE AND AT AN INTERVAL OF 3 MONTHS UP TO 1 YEAR. REPEATED-MEASURES ANOVA WAS USED TO ANALYZE LONGITUDINAL FOLLOW-UP AND LEAST SIGNIFICANT DIFFERENCE FOR POST HOC ANALYSIS AND P < 0.05 WAS CONSIDERED STATISTICALLY SIGNIFICANT. RESULTS: IN OUR STUDY, WITH PT PROTOCOL, STANDARD DEVIATION OF NN, ROOT OF SQUARE MEAN OF SUCCESSIVE NN, TOTAL POWER, LOW FREQUENCY, HIGH-FREQUENCY NORMALIZED UNITS (HFNU), AND SYMPATHOVAGAL BALANCE IMPROVED AT VARYING TIME POINTS AND THE IMPROVEMENT LASTED UP FOR 6-9 MONTHS, WHEREAS PT AND YOGA PROTOCOL SHOWED AN IMPROVEMENT IN HFNU DURING THE LAST 3 MONTHS OF THE STUDY PERIOD AND ALL THE OTHER PARAMETERS WERE STABLE UP TO 1 YEAR. THUS, IT IS EVIDENT THAT BOTH THE GROUPS IMPROVED CARDIAC FUNCTIONS IN DMD. HOWEVER, NO SIGNIFICANT DIFFERENCE WAS NOTED IN THE CHANGES OBSERVED BETWEEN THE GROUPS. CONCLUSION: THE INTENSE PT AND PT WITH YOGA, PARTICULARLY HOME-BASED PROGRAM, IS INDEED BENEFICIAL AS A THERAPEUTIC STRATEGY IN DMD CHILDREN TO MAINTAIN AND/OR TO SUSTAIN HRV IN DMD. 2019 3 1026 46 EFFECTS OF YOGA BREATHING EXERCISES ON PULMONARY FUNCTION IN PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY: AN EXPLORATORY ANALYSIS. OBJECTIVE: DUCHENNE MUSCULAR DYSTROPHY (DMD) IS THE MOST COMMON FORM OF MUSCULAR DYSTROPHY IN CHILDREN, AND CHILDREN WITH DMD DIE PREMATURELY BECAUSE OF RESPIRATORY FAILURE. WE SOUGHT TO DETERMINE THE EFFICACY AND SAFETY OF YOGA BREATHING EXERCISES, AS WELL AS THE EFFECTS OF THOSE EXERCISES ON RESPIRATORY FUNCTION, IN SUCH CHILDREN. METHODS: THIS WAS A PROSPECTIVE OPEN-LABEL STUDY OF PATIENTS WITH A CONFIRMED DIAGNOSIS OF DMD, RECRUITED FROM AMONG THOSE FOLLOWED AT THE NEUROLOGY OUTPATIENT CLINIC OF A UNIVERSITY HOSPITAL IN THE CITY OF SAO PAULO, BRAZIL. PARTICIPANTS WERE TAUGHT HOW TO PERFORM HATHA YOGA BREATHING EXERCISES AND WERE INSTRUCTED TO PERFORM THE EXERCISES THREE TIMES A DAY FOR 10 MONTHS. RESULTS: OF THE 76 PATIENTS WHO ENTERED THE STUDY, 35 DROPPED OUT AND 15 WERE UNABLE TO PERFORM THE BREATHING EXERCISES, 26 HAVING THEREFORE COMPLETED THE STUDY (MEAN AGE, 9.5 +/- 2.3 YEARS; BODY MASS INDEX, 18.2 +/- 3.8 KG/M(2)). THE YOGA BREATHING EXERCISES RESULTED IN A SIGNIFICANT INCREASE IN FVC (% OF PREDICTED: 82.3 +/- 18.6% AT BASELINE VS. 90.3 +/- 22.5% AT 10 MONTHS LATER; P = 0.02) AND FEV1 (% OF PREDICTED: 83.8 +/- 16.6% AT BASELINE VS. 90.1 +/- 17.4% AT 10 MONTHS LATER; P = 0.04). CONCLUSIONS: YOGA BREATHING EXERCISES CAN IMPROVE PULMONARY FUNCTION IN PATIENTS WITH DMD. 2014 4 214 46 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 5 2786 57 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 6 727 51 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 7 572 26 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 8 286 31 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 9 1520 64 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 10 306 45 AN EVALUATION OF THE ABILITY TO VOLUNTARILY REDUCE THE HEART RATE AFTER A MONTH OF YOGA PRACTICE. THE STUDY AIMED AT DETERMINING WHETHER NOVICES TO YOGA WOULD BE ABLE TO REDUCE THEIR HEART RATE VOLUNTARILY AND WHETHER THE MAGNITUDE OF REDUCTION WOULD BE MORE AFTER 30 DAYS OF YOGA TRAINING. TWO GROUPS (YOGA AND CONTROL, N = 12 EACH) WERE ASSESSED ON DAY 1 AND ON DAY 30. DURING THE INTERVENING 30 DAYS, THE YOGA GROUP RECEIVED TRAINING IN YOGA TECHNIQUES WHILE THE CONTROL GROUP CARRIED ON WITH THEIR ROUTINE. AT EACH ASSESSMENT THE BASELINE HEART RATE WAS RECORDED FOR ONE MINUTE, THIS WAS FOLLOWED BY A SIX-MINUTE PERIOD DURING WHICH PARTICIPANTS WERE ASKED TO ATTEMPT TO VOLUNTARILY REDUCE THEIR HEART RATE, USING ANY STRATEGY. BOTH THE BASELINE HEART RATE AND THE LOWEST HEART RATE ACHIEVED VOLUNTARILY DURING THE SIX-MINUTE PERIOD WERE SIGNIFICANTLY LOWER IN THE YOGA GROUP ON DAY 30 COMPARED TO DAY 1 BY A GROUP AVERAGE OF 10.7 BEATS PER MINUTE (I.E., BPM) AND 6.8 BPM, RESPECTIVELY (P < .05, WILCOXON PAIRED SIGNED RANKS TEST). IN CONTRAST, THERE WAS NO SIGNIFICANT CHANGE IN EITHER THE BASELINE HEART RATE OR THE LOWEST HEART RATE ACHIEVED VOLUNTARILY IN THE CONTROL GROUP ON DAY 30 COMPARED TO DAY 1. THE RESULTS SUGGEST THAT YOGA TRAINING CAN ENABLE PRACTITIONERS TO USE THEIR OWN STRATEGIES TO REDUCE THE HEART RATE, WHICH HAS POSSIBLE THERAPEUTIC APPLICATIONS. 2004 11 1076 39 EFFECTS OF YOGA ON PHYSIOLOGICAL INDICES, ANXIETY AND SOCIAL FUNCTIONING IN MULTIPLE SCLEROSIS PATIENTS: A RANDOMIZED TRIAL. INTRODUCTION: MULTIPLE SCLEROSIS (MS) AS A CHRONIC DISEASE COULD AFFECT PATIENTS' VARIOUS DOMAINS OF LIFE. AIM: THIS STUDY WAS CONDUCTED TO STUDY THE EFFECT OF YOGA ON THE PHYSIOLOGICAL INDICES, ANXIETY AND SOCIAL FUNCTIONING OF PATIENTS WITH MS IN SOUTHWEST, IRAN. MATERIALS AND METHODS: IN THIS CLINICAL TRIAL STUDY, 60 MS PATIENTS WERE ENROLLED ACCORDING TO INCLUSION CRITERIA AND RANDOMLY ASSIGNED TO TWO GROUPS OF 30 EACH. PRIOR TO AND AFTER INTERVENTION, THE PATIENTS' VITAL SIGNS WERE MEASURED. FOR CASE GROUP YOGA EXERCISES WERE PERFORMED THREE SESSIONS A WEEK FOR 12 WEEKS WHILE CONTROL GROUP PERFORMED NO EXERCISE. THE DATA WERE GATHERED BY QUESTIONNAIRE AND ANALYSED BY DESCRIPTIVE AND ANALYTICAL STATISTICS IN SPSS. RESULTS: PRIOR TO INTERVENTION, THERE WAS NO SIGNIFICANT DIFFERENCE IN FATIGUE SEVERITY AND PAIN BETWEEN THE TWO GROUPS BUT THE MEAN FATIGUE SEVERITY AND PAIN IN CASE GROUP DECREASED COMPARED TO THE CONTROL GROUP AFTER THE INTERVENTION. PRIOR TO INTERVENTION, THERE WAS NO SIGNIFICANT DIFFERENCE IN MEAN PHYSIOLOGICAL INDICES BETWEEN THE TWO GROUPS BUT THE MEAN PHYSIOLOGICAL INDICES IN CASE GROUP DECREASED SIGNIFICANTLY AFTER THE INTERVENTION (P<0.05). CONCLUSION: YOGA IS LIKELY TO INCREASE SELF-EFFICACY OF MS PATIENTS THROUGH ENHANCING PHYSICAL ACTIVITY, INCREASING THE STRENGTH OF LOWER LIMBS AND BALANCE, AND DECREASING FATIGUE AND PAIN, AND FINALLY TO PROMOTE SOCIAL FUNCTIONING AND TO RELIEVE STRESS AND ANXIETY IN THESE PATIENTS. 2016 12 1060 46 EFFECTS OF YOGA ON FUNCTIONAL CAPACITY AND WELL BEING. YOGA HAS PROVEN BENEFICIAL EFFECTS ON VARIOUS HEALTH DOMAINS INCLUDING MUSCULOSKELETAL CONDITIONS, CARDIOPULMONARY CONDITIONS THROUGH THE PRACTICE OF ASANA AND PRANAYAMAS AS WELL AS ON MENTAL HEALTH, AS IT IS KNOWN TO ENHANCE THE BODY-AND MIND COORDINATION. THERE IS PAUCITY OF DATA ON THE EFFECT OF YOGA ON FUNCTIONAL CAPACITY IN LITERATURE USING 6 MIN WALK TEST. THE PRESENT STUDY AIMS TO LOOK AT THE EFFECT OF YOGA ON 6-MIN WALKED DISTANCE, RATING OF PERCEIVED EXERTION (RPE), RECOVERY TIME FOLLOWING THE WALK AND STATE OF WELL BEING. THIS IS A HOSPITAL-BASED LONGITUDINAL STUDY WHERE 30 PHYSIOTHERAPY STUDENTS OF THE AGE GROUP 18 - 22 YEARS OF EITHER SEX WERE ENROLLED. SUBJECTS HAVING MUSCULOSKELETAL PROBLEMS, CARDIO RESPIRATORY DISEASE AND THOSE WHO WERE NOT WILLING TO VOLUNTEER WERE EXCLUDED THEY RECEIVED YOGA INTERVENTION IN FORM OF YOGIC PRACTICES WHICH INCLUDED A COMBINATION OF ASANAS, PRANAYAMAS AND OMKAR CHANTING FOR 1 H FOR 30 SESSIONS. A BASELINE 6-MIN WALK TEST WAS CONDUCTED ON SUBJECTS AND THE 6-MIN WALKED DISTANCE, RATING OF PERCEIVED EXERTION (RPE) ON MODIFIED BORG'S SCALE WERE RECORDED. THE BASELINE STATE OF WELL-BEING WAS NOTED USING THE WARWICK- EDINBURGH MENTAL WELL-BEING SCALE AND SIMILAR RECORDING WAS DONE POST INTERVENTION AFTER 30 SESSIONS. OF THE 30 SUBJECTS, THERE WERE NO DROP OUTS AS THESE WERE COMMITTED COLLEGE STUDENTS. OF THEM, 24 WERE FEMALES AND 6 WERE MALES WITH A MEAN AGE OF 21.5 YEARS SD 2.38. STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE OBSERVED IN 6-MIN WALK DISTANCE (P VALUE = 0.000), RPE (P VALUE < 0.000), RECOVERY TIME (P VALUE < 0.000) AND SENSE OF WELL BEING SCORE (P VALUE < 0.000). YOGA PRACTICES ARE BENEFICIAL IN IMPROVING THE FUNCTIONAL CAPACITY IN YOUNG HEALTHY ADULTS. YOGA CAN VERY WELL BE INCORPORATED IN MEDICAL PRACTICE FOR INCREASING THE PATIENT'S FUNCTIONAL CAPACITY, FOR THOSE WHO HAVE LIMITATIONS IN PERFORMING AEROBIC TRAINING DUE TO VARIOUS HEALTH REASONS. THE IMPROVED STATE OF WELL BEING MOTIVATES THE PATIENTS TO ADHERE TO YOGIC PRACTICES. 2013 13 2109 35 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 14 2855 48 YOGA-AN ALTERNATIVE FORM OF THERAPY IN PATIENTS WITH BLUNT CHEST TRAUMA: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: YOGA AS ALTERNATIVE FORM OF THERAPY HAS SHOWN POSITIVE IMPACT ON PULMONARY FUNCTIONS, EXERCISE CAPACITY, BEHAVIORAL CHANGES, AND INFLAMMATION IN NON-TRAUMA PATIENTS. HOWEVER, THE EFFICACY OF YOGA HAS NOT BEEN STUDIED IN CHEST TRAUMA PATIENTS. METHODS: THIS RANDOMIZED CONTROLLED TRIAL WAS CONDUCTED AT LEVEL-1 TRAUMA CENTRE. ISOLATED CHEST INJURY PATIENTS WERE RANDOMIZED INTO EITHER STANDARD PHYSIOTHERAPY OR YOGATHERAPY GROUPS. PATIENTS IN PHYSIOTHERAPY GROUP RECEIVED CONVENTIONAL CHEST PHYSIOTHERAPY AND YOGATHERAPY GROUP RECEIVED A SET OF YOGIC EXERCISES IN ADDITION TO CONVENTIONAL CHEST PHYSIOTHERAPY. PRIMARY OUTCOME MEASURE WAS CHANGES IN PULMONARY FUNCTION TESTS (PFT) AT 4 WEEKS OF DISCHARGE. SECONDARY OUTCOMES WERE CHANGES IN QUALITY OF LIFE (QOL), RESPIRATORY MUSCLE STRENGTH AND ENDURANCE, CHEST WALL MOBILITY, AND LEVELS OF CYTOKINES AT 4 WEEKS. DATA WERE ANALYZED USING STATA V14.0. RESULTS: A TOTAL OF 89 ELIGIBLE PATIENTS WERE RANDOMIZED TO PHYSIOTHERAPY (N = 46) AND YOGA THERAPY (N = 43) GROUPS. DEMOGRAPHIC CHARACTERISTICS WERE COMPARABLE IN BOTH THE GROUPS. THERE WERE STATISTICALLY SIGNIFICANT IMPROVEMENTS IN PFT IN THE YOGATHERAPY GROUP COMPARED WITH PHYSIOTHERAPY WITH AN INCREASE IN FORCED VITAL CAPACITY (P = 0.02) AND FORCED EXPIRATORY VOLUME (P = 0.01) AT 4 WEEKS. IN ADDITION, THERE WERE SIGNIFICANT IMPROVEMENT IN PHYSICAL COMPONENT OF QOL, RESPIRATORY MUSCLE ENDURANCE (P = 0.003) AND AXILLARY CIRTOMETRY (P = 0.009) IN THE YOGATHERAPY GROUP. HOWEVER, NO STATISTICALLY SIGNIFICANT DIFFERENCE IN THE TRENDS OF CYTOKINE MARKERS SEEN BETWEEN THE GROUPS. CONCLUSION: YOGA WAS FOUND TO BE EFFECTIVE IN IMPROVING PULMONARY FUNCTIONS AND QOL IN PATIENTS WITH CHEST TRAUMA. (TRIAL REGISTERED AT CTRI.NIC.IN/CLINICALTRIALS/LOGIN.PHP, NUMBERREF/2016/05/011,287). 2021 15 2119 33 THE EFFECT OF YOGA THERAPY ON SELECTED PSYCHOLOGICAL VARIABLES AMONG MALE PATIENTS WITH INSOMNIA. BACKGROUND: AN ESTIMATED 30-50% OF THE GENERAL POPULATION IS AFFECTED BY INSOMNIA AND 10% HAVE CHRONIC INSOMNIA. YOGA THERAPY IS BENEFICIAL IN SUCH DISORDERS AND IT HAS FEWER SIDE EFFECTS. AIM: THE AIM OF THIS STUDY WAS TO FIND OUT THE EFFECT OF YOGA THERAPY ON SELECTED PSYCHOLOGICAL VARIABLES AMONG MEN WITH INSOMNIA. METHODS: FORTY MALES WITH INSOMNIA WERE DIVIDED RANDOMLY INTO 2 GROUPS (THE EXPERIMENTAL AND THE CONTROL GROUPS). THE EXPERIMENTAL GROUP RECEIVED EIGHT WEEKS OF YOGA THERAPY, WHILE THE CONTROL GROUP DID NOT RECEIVE ANY THERAPY. THE PRE AND POST TREATMENT STRESS AND THE SELF CONFIDENCE SCORES WERE TAKEN. RESULTS: THERE WAS A SIGNIFICANT IMPROVEMENT IN THE STRESS SCORES AND THE SELF CONFIDENCE SCORES IN THE EXPERIMENTAL GROUP. THERE WERE NEITHER ANY SIDE EFFECTS NOR ANY DROP OUTS. CONCLUSION: WE CONCLUDE THAT YOGA IS AN EFFECTIVE TREATMENT OPTION FOR THE PATIENTS WITH INSOMNIA. THERE ARE NO MAJOR SIDE EFFECTS. 2013 16 1318 46 HEART RATE VARIABILITY IN CHRONIC LOW BACK PAIN PATIENTS RANDOMIZED TO YOGA OR STANDARD CARE. BACKGROUND: CHRONIC PAIN CAN ALTER THE AUTONOMIC BALANCE WITH INCREASED SYMPATHETIC ACTIVITY REFLECTED IN ALTERED HEART RATE VARIABILITY (HRV). IT HAS BEEN PROPOSED THAT YOGA CAN BE USEFUL TO CORRECT THE AUTONOMIC IMBALANCE IN PATIENTS WITH CHRONIC PAIN WHO HAVE REDUCED HRV. METHODS AND DESIGNS: IN THE PRESENT RANDOMIZED CONTROLLED TRIAL 62 PATIENTS WITH CHRONIC LOW BACK PAIN ASSOCIATED WITH ALTERED ALIGNMENT OF INTERVERTEBRAL DISCS (AGED BETWEEN 20 AND 45 YEARS, 32 MALES) WERE RANDOMIZED TO 2 GROUPS. ONE GROUP RECEIVED YOGA FOR 3 MONTHS WHILE THE OTHER GROUP CARRIED OUT STANDARD MEDICAL CARE BASED ON THE PHYSICIAN'S ADVICE. THE DURATION WAS THE SAME, I.E., 3 MONTHS. THE HEART RATE VARIABILITY AND RATE OF RESPIRATION WERE ASSESSED AT BASELINE AND AT THE END OF 3 MONTHS. RESULTS: THERE WAS A SIGNIFICANT DIFFERENCE IN THE BASELINE (PRE) VALUES BETWEEN GROUPS (P = 0.008) FOR RESPIRATION RATE WHICH WAS HIGHER IN THE YOGA GROUP. THE CHANGES REPORTED BELOW ARE PRE-POST COMPARISONS WITHIN EACH GROUP. THE YOGA GROUP SHOWED A SIGNIFICANT (P < 0.05; REPEATED MEASURES ANOVA, POST-HOC ANALYSES) DECREASE IN THE LF POWER OF HRV, RATE OF RESPIRATION AND A SIGNIFICANT INCREASE IN THE HF POWER OF HRV AND IN THE PNN50. CONCLUSION: THE RESULTS SUGGEST THAT YOGA PRACTICE CAN SHIFT THE AUTONOMIC BALANCE TOWARDS VAGAL DOMINANCE IN PATIENTS WITH CHRONIC LOW BACK PAIN ASSOCIATED WITH ALTERED ALIGNMENT OF INTERVERTEBRAL DISCS. TRIAL REGISTRATION: THE STUDY IS REGISTERED WITH THE CLINICAL TRIALS REGISTRY OF INDIA ( CTRI/2012/11/003094 ) AND CAN BE ACCESSED AT. 2016 17 1835 26 PSYCHOPHYSIOLOGICAL CHANGES AT THE TIME OF EXAMINATION IN MEDICAL STUDENTS BEFORE AND AFTER THE PRACTICE OF YOGA AND RELAXATION. THE EFFECT OF YOGA AND RELAXATION CHANGES IN PSYCHOPHYSIOLOGICAL PARAMETERS IN RESPONSE TO THE STRESS OF EXAMINATION IN 75 MEDICAL STUDENTS WAS STUDIED. INITIALLY FIVE PARAMETERS (ANXIETY LEVEL, HEART RATE, BLOOD PRESSURE, GALVANIC SKIN RESISTANCE AND CHOICE REACTION TIME) WERE RECORDED, A MONTH BEFORE THE EXAMINATION AND ON THE DAY OF EXAMINATION. STUDENTS WERE THEN RANDOMLY DIVIDED INTO 3 GROUP OF 25 EACH. ONE GROUP PRACTICED YOGA (GROUP- Y), AND ANOTHER GROUP PRACTICED RELAXATION (GROUP-R) REGULARLY FOR THREE MONTHS. THE THIRD GROUP WAS CONTROL GROUP (GROUP-C). ALL THE PARAMETERS WERE RECORDED AFTER THE CHANGES IN ANXIETY LEVEL, HEART RATE, BLOOD PRESSURE, AND GALVANIC SKIN RESISTANCE IN RESPONSE TO STRESS OF EXAMINATION WERE SIGNIFICANTLY ATTENUATED AND THERE WAS SIGNIFICANT IMPROVEMENT IN CHOICE REACTION TIME IN GROUP-Y AND GROUP-R AS COMPARED TO GROUP-C AFTER YOGA AND RELAXATION. 1998 18 1008 45 EFFECTS OF MODIFIED HATHA YOGA IN INDUSTRIAL REHABILITATION ON PHYSICAL FITNESS AND STRESS OF INJURED WORKERS. PURPOSE: THE PURPOSE OF THIS STUDY WAS TO ASSESS THE EFFECTS OF 8 WEEKS OF MODIFIED HATHA YOGA TRAINING ON PHYSICAL FITNESS AND STRESS LEVEL IN INJURED WORKERS. METHODS: EIGHTEEN MALE AND FEMALE INJURED WORKERS, AGE BETWEEN 18 AND 55 YEARS, PARTICIPATED IN THIS STUDY. THEY WERE DIVIDED INTO TWO GROUPS: AN ADDITIVE HATHA YOGA TRAINING TO ROUTINE INDUSTRIAL REHABILITATION PROGRAM GROUP (HYG: N = 9) AND A CONTROL GROUP WITH NO YOGA TRAINING (CG: N = 9). A MODIFIED HATHA YOGA PROTOCOL WAS DESIGNED FOR THIS POPULATION BY TWO CERTIFIED YOGA INSTRUCTORS, APPROVED BY A PHYSICAL THERAPIST, AND CONDUCTED FOR 1 H, THREE TIMES WEEKLY FOR 8 WEEKS. PHYSICAL FITNESS VARIABLES INCLUDING FLEXIBILITY OF LOWER BACK AND HAMSTRINGS, HAND GRIP STRENGTH AND LUNG CAPACITY AND SCORES OF SENSITIVITY TO STRESS WERE EVALUATED AT THE TIME OF RECRUITMENT AND AFTER 8 WEEKS OF INTERVENTION. RESULTS: THE VALUES OF ALL PHYSICAL FITNESS VARIABLES AND STRESS SCORES WERE NO SIGNIFICANT DIFFERENCE BETWEEN THE TWO GROUPS AT BASELINE. SIGNIFICANT POST-YOGA IMPROVEMENTS FOR HYG GROUP WERE NOTED IN FLEXIBILITY, HAND GRIP STRENGTH, AND VITAL CAPACITY (P < 0.05). IN CONTRAST, THERE WAS NO SIGNIFICANT CHANGE IN THE CG GROUP. STRESS SCORES DID NOT CHANGE AS A RESULT OF HATHA YOGA TRAINING. CONCLUSION: AN 8-WEEK MODIFIED HATHA YOGA TRAINING EXPERIENCE EXERTED THERAPEUTIC EFFECTS ON PHYSICAL FITNESS VARIABLES INCLUDING FLEXIBILITY OF LOWER BACK AND HAMSTRINGS, HAND GRIP STRENGTH AND VITAL CAPACITY, BUT NOT ON STRESS LEVEL IN INJURED WORKERS. THESE FINDINGS INDICATE THAT HATHA YOGA CAN BE A BENEFICIAL ADJUNCT TO ROUTINE PHYSICAL THERAPY TREATMENT IN INDUSTRIAL REHABILITATION PROGRAMS. 2015 19 488 39 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 20 2547 29 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