1 865 130 EFFECT OF YOGA PRACTICES ON PULMONARY FUNCTION TESTS INCLUDING TRANSFER FACTOR OF LUNG FOR CARBON MONOXIDE (TLCO) IN ASTHMA PATIENTS. PRANA IS THE ENERGY, WHEN THE SELF-ENERGIZING FORCE EMBRACES THE BODY WITH EXTENSION AND EXPANSION AND CONTROL, IT IS PRANAYAMA. IT MAY AFFECT THE MILIEU AT THE BRONCHIOLES AND THE ALVEOLI PARTICULARLY AT THE ALVEOLO-CAPILLARY MEMBRANE TO FACILITATE DIFFUSION AND TRANSPORT OF GASES. IT MAY ALSO INCREASE OXYGENATION AT TISSUE LEVEL. AIM OF OUR STUDY IS TO COMPARE PULMONARY FUNCTIONS AND DIFFUSION CAPACITY IN PATIENTS OF BRONCHIAL ASTHMA BEFORE AND AFTER YOGIC INTERVENTION OF 2 MONTHS. SIXTY STABLE ASTHMATIC-PATIENTS WERE RANDOMIZED INTO TWO GROUPS I.E GROUP 1 (YOGA TRAINING GROUP) AND GROUP 2 (CONTROL GROUP). EACH GROUP INCLUDED THIRTY PATIENTS. LUNG FUNCTIONS WERE RECORDED ON ALL PATIENTS AT BASELINE, AND THEN AFTER TWO MONTHS. GROUP 1 SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT (P<0.001) IN TRANSFER FACTOR OF THE LUNG FOR CARBON MONOXIDE (TLCO), FORCED VITAL CAPACITY (FVC), FORCED EXPIRATORY VOLUME IN 1ST SEC (FEV1), PEAK EXPIRATORY FLOW RATE (PEFR), MAXIMUM VOLUNTARY VENTILATION (MVV) AND SLOW VITAL CAPACITY (SVC) AFTER YOGA PRACTICE. QUALITY OF LIFE ALSO INCREASED SIGNIFICANTLY. IT WAS CONCLUDED THAT PRANAYAMA & YOGA BREATHING AND STRETCHING POSTURES ARE USED TO INCREASE RESPIRATORY STAMINA, RELAX THE CHEST MUSCLES, EXPAND THE LUNGS, RAISE ENERGY LEVELS, AND CALM THE BODY. 2012 2 1123 35 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 3 480 42 CLINICAL EFFECTS OF YOGA ON ASTHMATIC PATIENTS: A PRELIMINARY CLINICAL TRIAL. BACKGROUND: ASTHMA IS ONE OF THE COMMONEST RESPIRATORY DISEASES IN JIMMA AREA AS WELL AS A SIGNIFICANT DISEASE BURDEN WORLDWIDE COSTING BILLIONS OF DOLLARS. ANTI-ASTHMATIC DRUGS THAT ARE AVAILABLE IN THE MARKET ARE EXPENSIVE AND HAVE ADVERSE EFFECTS. THUS, IT IS WISE TO LOOK FOR AN ADJUNCT THERAPY TO ALLEVIATE THESE PROBLEMS. THEREFORE, THE MAIN AIM OF THIS STUDY IS TO SEE THE EFFECT OF YOGA ON PATTERNS OF CLINICAL FEATURES, PEAK EXPIRATORY FLOW RATES AND USE OF DRUGS IN ASTHMATIC PATIENTS. METHODS: A PRELIMINARY CONTROLLED CLINICAL TRIAL STUDY WAS CONDUCTED ON 24 VOLUNTEER ASTHMATIC PATIENTS WHO WERE GETTING SUPPORT AT THE MISSIONARY OF CHARITY. THEY WERE GROUPED IN YOGA AND CONTROL GROUPS. AN INDIAN YOGA EXPERT THROUGH A TRANSLATOR CONDUCTED THE TRAINING ON YOGIC PRACTICE, YOGIC POSTURE, BREATH SLOWING TECHNIQUE AND DISCUSSION AT THE END. THEN, THE YOGA GROUPS WERE SUPERVISED FOR FOUR WEEKS TAKING YOGA EXERCISE DAILY FOR 50 MINUTES. PEAK EXPIRATORY FLOW RATE WAS TAKEN USING THE MINI WRIGHT PEAK FLOW METER AND VITAL SIGNS WERE MEASURED IN BOTH GROUPS. DATA WERE ANALYZED USING WEB BASED GRAPH PAD QUICK CALCS STATISTICAL SOFTWARE. RESULTS: THE MALE TO FEMALE RATIO WAS 1:1 IN BOTH CASES AND CONTROL GROUPS, 8(66.7%) WERE CHRISTIAN AND 9 (75.0%) WERE FARMERS. THE YOGA GROUP SHOWED 66.7% REDUCTION IN THE USE OF SALBUTAMOLE PUFF AND 58.3% SALBUTAMOLE TABLETS. THERE WAS A 10% INCREMENT IN THE PEFR IN THE YOGA GROUP WHILE ONLY 2% IN THE CONTROL GROUP. THERE WAS STATISTICALLY SIGNIFICANT REDUCTION IN DAY AND NIGHT ASTHMA ATTACKS IN THE YOGA GROUP. CONCLUSION: YOGA EXERCISE AMONG ASTHMATIC PATIENTS RESULTED IN A DECREASED NUMBER OF DAY AND NIGHT ATTACKS AND USE OF DRUGS. IT ALSO SHOWS SIGNIFICANT IMPROVEMENT IN THE PEAK EXPIRATORY FLOW RATE. FURTHER LARGE SCALE STUDY IS RECOMMENDED. 2010 4 214 55 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 5 879 27 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 6 2528 20 YOGA EDUCATION PROGRAM FOR REDUCING DRUG DEPENDENCY AND PROMOTING BETTER ASTHMA CONTROL FOR CHRONIC ASTHMATIC CHILDREN: A MULTICITY EXPERIMENT. THIS ARTICLE REPORTS A 1-YEAR LONG YOGA EDUCATION PROGRAM (YEP) EXPERIMENT AIMED AT REDUCING DRUG DEPENDENCY AND PROMOTING BETTER ASTHMA CONTROL FOR CHRONIC ASTHMATIC CHILDREN. PARTICIPANTS WERE 450 CHRONIC ASTHMATIC CHILDREN ACROSS 4 CITIES. TWO MEASURES WERE USED: PEDIATRIC ASTHMA DIARY (PAD) AND CHILDHOOD ASTHMA CONTROL TEST (C-ACT). RESULTS INDICATED THAT INTERVENTION GROUP CHILDREN HAD BETTER ASTHMA CONTROL IN TERMS OF LOWER AVERAGE PAD SCORES AND HIGHER C-ACT SCORES AND REDUCED DRUG INTAKE VIS-A-VIS THE CONTROL GROUP. WITHIN THE INTERVENTION COHORT, ASTHMA SYMPTOMS PERSISTENCE WAS LOWER AND CONTROL WAS HIGHER FOR CHILDREN FROM ASIAN CITIES, BOYS, HINDUS, MIDDLE-CLASS CHILDREN, THOSE WHOSE MOTHERS WERE THEIR PRIMARY CAREGIVERS, WHO LIVED IN STANDARD FAMILY SETUPS, WHO ALSO ATTENDED THE OPTIONAL YEP ROUNDS, AND REGULARLY SELF-PRACTICED. THE STRONGEST PREDICTOR OF LOWER POSTTEST PAD SCORES AND HIGHER C-ACT SCORES WAS SELF-PRACTICE. THE YEP CAN BE USED AS AN EFFECTIVE COMPLEMENTARY TREATMENT FOR CHRONIC ASTHMATIC CHILDREN. 2019 7 2786 46 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 8 2929 36 [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 9 316 27 AN INTEGRATED APPROACH OF YOGA THERAPY FOR BRONCHIAL ASTHMA: A 3-54-MONTH PROSPECTIVE STUDY. AFTER AN INITIAL INTEGRATED YOGA TRAINING PROGRAM OF 2 TO 4 WEEKS, 570 BRONCHIAL ASTHMATICS WERE FOLLOWED UP FOR 3 TO 54 MONTHS. THE TRAINING CONSISTED OF YOGA PRACTICES--YOGASANAS, PRANAYAMA, MEDITATION, AND KRIYAS--AND THEORY OF YOGA. RESULTS SHOW HIGHLY SIGNIFICANT IMPROVEMENT IN MOST OF THE SPECIFIC PARAMETERS. THE REGULAR PRACTITIONERS SHOWED THE GREATEST IMPROVEMENT. PEAK EXPIRATORY FLOW RATE (PFR) VALUES SHOWED SIGNIFICANT MOVEMENT OF PATIENTS TOWARD NORMALCY AFTER YOGA, AND 72, 69, AND 66% OF THE PATIENTS HAVE STOPPED OR REDUCED PARENTERAL, ORAL, AND CORTISONE MEDICATION, RESPECTIVELY. THESE RESULTS ESTABLISH THE LONG-TERM EFFICACY OF THE INTEGRATED APPROACH OF YOGA THERAPY IN THE MANAGEMENT OF BRONCHIAL ASTHMA. 1986 10 1184 29 EVALUATION OF YOGA THERAPY PROGRAMME FOR PATIENTS OF BRONCHIAL ASTHMA. A STUDY OF THE EFFECT OF YOGA THERAPY PROGRAMME ON 46 INDOOR PATIENTS OF CHRONIC BRONCHIAL ASTHMA ON EXERCISE CAPACITY, PULMONARY FUNCTIONS AND BLOOD GASES WAS CONDUCTED. EXERCISE CAPACITY WAS MEASURED BY 3 TESTS: (I) 12 MIN WALK TEST (12-MD); (II) PHYSICAL FITNESS INDEX (PFI) BY MODIFIED HARVARD STEP TEST; AND (III) EXERCISE-LIABILITY INDEX (ELI). YOGA THERAPY PROGRAMME RESULTED IN A SIGNIFICANT INCREASE IN THE PULMONARY FUNCTIONS AND EXERCISE TOLERANCE. A ONE-YEAR FOLLOW-UP STUDY SHOWED A GOOD TO FAIR RESPONSE WITH REDUCED SYMPTOMS SCORE AND DRUG REQUIREMENTS IN THESE SUBJECTS. IT IS CONCLUDED THAT YOGA THERAPY IS BENEFICIAL FOR BRONCHIAL ASTHMA. 1993 11 2005 38 STUDY OF PULMONARY AND AUTONOMIC FUNCTIONS OF ASTHMA PATIENTS AFTER YOGA TRAINING. "THE CONCEPT OF YOGA IS HELPFUL FOR THE TREATMENT OF BRONCHIAL ASTHMA", HAS CREATED A GREAT INTEREST IN THE MEDICAL RESEARCH FIELD. IN ORDER TO INVESTIGATE WHETHER AUTONOMIC FUNCTIONS AND PULMONARY FUNCTIONS ARE IMPROVED IN ASTHMA PATIENTS AFTER SHORT TERM YOGA TRAINING, A STUDY WAS CONDUCTED WITH NINE DIAGNOSED BRONCHIAL ASTHMA PATIENTS. YOGA TRAINING WAS GIVEN FOR SEVEN DAYS IN A CAMP IN ADHYATMA SADHNA KENDRA, NEW DELHI. THE AUTONOMIC FUNCTION TESTS TO MEASURE THE PARASYMPATHETIC REACTIVITY (DEEP BREATHING TEST, VALSALVA MANOUEVER), SYMPATHETIC REACTIVITY (HAND GRIP TEST, COLD PRESSURE TEST), AND PULMONARY FUNCTION TESTS FVC, FEV1, PEFR, PIF, BHT AND CE WERE RECORDED BEFORE AND AFTER YOGA TRAINING. THE RESTING HEART RATE AFTER YOGA TRAINING (P < 0.05) WAS SIGNIFICANTLY DECREASED (89.55 +/- 18.46/MIN TO 76.22 +/- 16.44/MIN). THE SYMPATHETIC REACTIVITY WAS REDUCED FOLLOWING YOGA TRAINING AS INDICATED BY SIGNIFICANT (P < 0.01) REDUCTION IN DBP AFTER HGT. THERE WAS NO CHANGE IN PARASYMPATHETIC REACTIVITY. THE FVC, FEV1, PEFR DID NOT SHOW ANY SIGNIFICANT CHANGE. THE PIF (P < 0.01), BHT (P < 0.01) AND CE (P < 0.01) SHOWED SIGNIFICANT IMPROVEMENT. THE RESULTS CLOSELY INDICATED THE REDUCTION IN SYMPATHETIC REACTIVITY AND IMPROVEMENT IN THE PULMONARY VENTILATION BY WAY OF RELAXATION OF VOLUNTARY INSPIRATORY AND EXPIRATORY MUSCLES. THE "COMPREHENSIVE YOGIC LIFE STYLE CHANGE PROGRAMME FOR PATIENTS OF BRONCHIAL ASTHMA" HAVE SHOWN SIGNIFICANT BENEFIT EVEN WITHIN A SHORT PERIOD. 1996 12 787 40 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 13 1520 57 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 14 351 36 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 15 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 16 878 44 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 17 880 46 EFFECT OF YOGA TRAINING ON HANDGRIP, RESPIRATORY PRESSURES AND PULMONARY FUNCTION. ALTHOUGH THERE ARE A NUMBER OF REPORTS ON THE EFFECT OF YOGA TRAINING ON PULMONARY FUNCTIONS, VERY FEW STUDIES HAVE BEEN UNDERTAKEN ON THE EFFECT OF YOGA TRAINING ON RESPIRATORY PRESSURES AND HANDGRIP ENDURANCE. HENCE THE PRESENT WORK WAS PLANNED TO STUDY THE EFFECT OF YOGA TRAINING ON HAND GRIP STRENGTH (HGS), HAND GRIP ENDURANCE (HGE), MAXIMUM EXPIRATORY PRESSURE (MEP), MAXIMUM INSPIRATORY PRESSURE (MIP), FORCED EXPIRATORY VOLUME (FEV), FORCED EXPIRATORY VOLUME IN FIRST SECOND (FEV1) AND PEAK EXPIRATORY FLOW RATE (PEFR). 20 SCHOOL CHILDREN IN THE AGE GROUP OF 12 TO 15 YEARS WERE GIVEN YOGA TRAINING (ASANS AND PRANAYAMS) FOR 6 MONTHS. 20 AGE AND GENDER-MATCHED STUDENTS FORMED THE CONTROL GROUP. YOGA TRAINING PRODUCED STATISTICALLY SIGNIFICANT (P < 0.05) INCREASE IN HGS AND HGE. MEP, MIP, FEV, FEV1 AND PEFR ALSO INCREASED SIGNIFICANTLY (P < 0.001) AFTER THE YOGA TRAINING. IN CONTRAST, THE INCREASE IN THESE PARAMETERS IN THE CONTROL GROUP WAS STATISTICALLY INSIGNIFICANT. OUR STUDY SHOWS THAT YOGA TRAINING FOR 6 MONTHS IMPROVES LUNG FUNCTION, STRENGTH OF INSPIRATORY AND EXPIRATORY MUSCLES AS WELL AS SKELETAL MUSCLE STRENGTH AND ENDURANCE. IT IS SUGGESTED THAT YOGA BE INTRODUCED AT SCHOOL LEVEL IN ORDER TO IMPROVE PHYSIOLOGICAL FUNCTIONS, OVERALL HEALTH AND PERFORMANCE OF STUDENTS. 2003 18 2006 55 STUDY OF THE EFFECT OF YOGA TRAINING ON DIFFUSION CAPACITY IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS: A CONTROLLED TRIAL. BACKGROUND: PATIENTS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ARE AT HIGH RISK FOR DEPRESSION AND ANXIETY. YOGA TECHNIQUES ARE SUITED FOR PROMOTING RELAXATION, PSYCHO-EMOTIONAL STABILITY AND EXERCISE TOLERANCE. STUDIES SHOWING THE EFFECT OF YOGA IN DIFFUSION CAPACITY ARE NOT AVAILABLE; HENCE THIS STUDY WAS PLANNED. MATERIALS AND METHODS: THE STUDY WAS CONDUCTED ON 60 DIAGNOSED STABLE MILD-TO-MODERATE COPD PATIENTS IN THE AGE GROUP OF 30-60 YEARS, OF EITHER SEX, IN THE DEPARTMENT OF PHYSIOLOGY. PATIENTS WERE TAKEN FROM GURU TEG BAHADUR HOSPITAL, DELHI AND DIVIDED INTO TWO GROUPS: CONTROL AND THE YOGA GROUP. BOTH THE GROUPS WERE ON CONVENTIONAL DRUG THERAPY. SUBJECTS FROM THE YOGA GROUP WAS CALLED TO CARDIOPULMONARY LABORATORY DAILY FOR 21 DAYS AND THEN WEEKLY FOR THE COMPLIANCE. YOGA INSTRUCTOR TAUGHT THEM THE TECHNIQUE OF PRANAYAMA AND VARIOUS POSTURES EVERY DAY. THEY PRACTICED YOGA AT HOME FOR 2 MONTHS FOR 45 MIN IN THE MORNINGS. DIFFUSION CAPACITY WAS RECORDED BY USING COMPUTERIZED MEDISOFT INSTRUMENT (HYPAIR COMPACT), IN BOTH THE GROUPS BEFORE AND AFTER 2 MONTHS. RESULTS: STATISTICAL ANALYSIS SHOWED SIGNIFICANT IMPROVEMENT IN TLCO OF THE YOGA GROUP. TRANSFER FACTOR OF LUNG FOR CARBON MONOXIDE I.E. TLCO IN MILD COPD INCREASED FROM 17.61 +/- 4.55 TO 19.08 +/- 5.09 ML/MMHG/MIN, AND IN MODERATE COPD IT INCREASED FROM 14.99 +/- 4.02 TO17.35 +/- 3.97 ML/MMHG/MIN. CONCLUSION: IT WAS CONCLUDED THAT YOGIC BREATHING EXERCISES IMPROVE DIFFUSION CAPACITY. THEY ARE BENEFICIAL TO COPD PATIENTS AND THEY CAN BE USED AS AN ADJUNCT THERAPY WITH THE CONVENTIONAL MEDICAL THERAPY. 2012 19 1401 43 IMPACT OF YOGA ON BIOCHEMICAL PROFILE OF ASTHMATICS: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: ASTHMA IS A CHRONIC INFLAMMATORY DISORDER OF THE AIRWAYS. THE CHRONIC INFLAMMATION CAUSES AN ASSOCIATED INCREASE IN AIRWAY HYPERRESPONSIVENESS THAT LEADS TO RECURRENT EPISODES OF WHEEZING, BREATHLESSNESS, CHEST TIGHTNESS, AND COUGHING AT NIGHT OR IN THE EARLY MORNING. MOST OF THE STUDIES HAVE REPORTED, AS THE EFFECTS OF YOGA ON BRONCHIAL ASTHMA, SIGNIFICANT IMPROVEMENTS IN PULMONARY FUNCTIONS, QUALITY OF LIFE, AND DECREASE IN MEDICATION USE, BUT NONE OF THE STUDIES HAS ATTEMPTED TO SHOW THE EFFECT OF YOGA ON BIOCHEMICAL CHANGES. OBJECTIVE: TO EVALUATE THE EFFECT OF YOGA ON BIOCHEMICAL PROFILE OF ASTHMATICS. MATERIALS AND METHODS: IN THE PRESENT STUDY, 276 PATIENTS OF MILD TO MODERATE ASTHMA (FEV 1> 60%) AGED BETWEEN 12 TO 60 YEARS WERE RECRUITED FROM THE DEPARTMENT OF PULMONARY MEDICINE, KING GEORGE'S MEDICAL UNIVERSITY, U.P., LUCKNOW, INDIA. THEY WERE RANDOMLY DIVIDED INTO TWO GROUPS: YOGA GROUP (WITH STANDARD MEDICAL TREATMENT AND YOGIC INTERVENTION) AND CONTROL GROUP AS STANDARD MEDICAL TREATMENT (WITHOUT YOGIC INTERVENTION). AT COMPLETION OF 6 MONTHS OF THE STUDY PERIOD, 35 SUBJECTS WERE DROPPED OUT, SO OUT OF 276 SUBJECTS, ONLY 241 SUBJECTS COMPLETED THE WHOLE STUDY (121 SUBJECTS FROM YOGA GROUP AND 120 SUBJECTS FROM CONTROL GROUP). BIOCHEMICAL ASSESSMENT WAS CARRIED OUT AT BASELINE AND AFTER 6 MONTHS OF THE STUDY PERIOD. RESULTS: IN YOGA GROUP, THERE WAS SIGNIFICANT IMPROVEMENT FOUND IN THE PROPORTION OF HEMOGLOBIN AND ANTIOXIDANT SUPEROXIDE DISMUTASE IN COMPARISON TO CONTROL GROUP AND SIGNIFICANT DECREASE WAS FOUND IN TOTAL LEUKOCYTE COUNT (TLC) AND DIFFERENTIAL LEUKOCYTES COUNT IN COMPARISON TO CONTROL GROUP. THERE WAS NO SIGNIFICANT CHANGE FOUND IN TLC, POLYMORPHS, AND MONOCYTES IN BETWEEN GROUP COMPARISON. CONCLUSIONS: YOGA GROUP GOT SIGNIFICANTLY BETTER IMPROVEMENT IN BIOCHEMICAL VARIABLES THAN CONTROL GROUP. RESULT SHOWS THAT YOGA CAN BE PRACTICED AS ADJUVANT THERAPY WITH STANDARD INHALATION THERAPY FOR BETTER OUTCOME OF ASTHMA. 2014 20 751 27 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