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 2662 44 YOGA IN BURN: ROLE OF PRANAYAMA BREATHING EXERCISE ON PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY AND EXERCISE TOLERANCE IN FULL-THICKNESS CIRCUMFERENTIAL BURNS OF THE CHEST. BACKGROUND: CIRCUMFERENTIAL BURN OF CHEST (CBC) IS A SIGNIFICANT TYPE OF BURN AND CONSIDERS AS A MAJOR CAUSE OF RESTRICTIVE LUNG DISEASE (RLD). PATIENT WHO HAS CBC WITH RLD LEADS TO RESPIRATORY SYMPTOMS SUCH AS BREATHING DIFFICULTY, AIRWAY OBSTRUCTION, REDUCED EXERCISE CAPACITY AND ALTERED PULMONARY FUNCTIONS. HOWEVER, STUDIES EXAMINING THE ROLE OF PRANAYAMA BREATHING EXERCISE ON PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY AND EXERCISE TOLERANCE IN FULL THICKNESS CIRCUMFERENTIAL BURN OF CHEST ARE LACKING. OBJECTIVE: TO FIND THE SHORT TERM EFFECTS OF PRANAYAMA BREATHING EXERCISE ON PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY AND EXERCISE TOLERANCE IN FULL THICKNESS CIRCUMFERENTIAL BURNS OF CHEST. METHODS: THROUGH SIMPLE RANDOM SAMPLING METHOD THIRTY SUBJECTS (N = 30) WITH RLD FOLLOWING CBC WERE ALLOCATED TO PRANAYAMA BREATHING EXERCISE GROUP (PBE-G; N = 15) AND CONVENTIONAL BREATHING EXERCISE GROUP (CBE-G; N = 15). THEY RECEIVED PRANAYAMA BREATHING EXERCISE AND CONVENTIONAL BREATHING EXERCISE FOR 4 WEEKS RESPECTIVELY. ALL THE SUBJECTS RECEIVED CHEST MOBILITY EXERCISE AS COMMON TREATMENT. PRIMARY (NUMERIC PAIN RATING SCALE - NPRS, FORCED EXPIRATORY VOLUME (FEV1), FORCED VITAL CAPACITY (FVC) AND MAXIMUM VOLUNTARY VENTILATION (MVV) AND SECONDARY (ELECTROMYOGRAM OF STERNOCLEIDOMASTOID, SCALENE, EXTERNAL INTERCOSTAL AND DIAPHRAGM MUSCLE, 6 MIN WALK TEST & GLOBAL RATING OF CHANGE - GRC) OUTCOME MEASURES WERE MEASURED AT BASELINE, AFTER FOUR WEEKS AND AFTER THREE MONTHS FOLLOW UP. RESULTS: BASELINE DEMOGRAPHIC AND CLINICAL VARIABLES SHOW HOMOGENOUS DISTRIBUTION BETWEEN THE GROUPS (P > 0.05). FOUR WEEKS FOLLOWING DIFFERENT BREATHING EXERCISES, PBE-G GROUP SHOWS MORE SIGNIFICANT CHANGES IN PAIN INTENSITY, PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY, EXERCISE TOLERANCE AND GLOBAL RATING OF CHANGE THAN CBE-G GROUP (P 3000 M). INTERVENTION * THE SOLDIERS WERE DIVIDED INTO 2 GROUPS OF EQUAL SIZE. THE FIRST GROUP, THE CONTROL GROUP, CARRIED OUT THE ROUTINE ACTIVITIES FOR PHYSICAL TRAINING IN THE INDIAN ARMY. THE SECOND GROUP, THE INTERVENTION GROUP PRACTICED A COMPREHENSIVE YOGA PACKAGE, INCLUDING PHYSICAL ASANAS, PRANAYAMA, AND MEDITATION, AND DID NOT PERFORM THE PHYSICAL TRAINING THAT THE FIRST GROUP DID. BOTH GROUPS WERE MONITORED DURING THEIR ACTIVITIES. OUTCOME MEASURES * A WIDE AND COMPREHENSIVE RANGE OF ANTHROPOMETRICAL, PHYSIOLOGICAL, BIOCHEMICAL, AND PSYCHOLOGICAL PARAMETERS WERE MEASURED: (1) HEIGHT AND WEIGHT; (2) BODY FAT PERCENTAGE (BFP); (3) HEART RATE (HR); (4) RESPIRATORY RATE (RR); (5) SYSTOLIC AND DIASTOLIC BLOOD PRESSURE (DPB); (6) PERIPHERAL SATURATION OF OXYGEN; (7) END TIDAL CO2 (ETCO2); (8) CHEST EXPANSION; (9) PULMONARY FUNCTION; (10) PHYSICAL WORK CAPACITY (VO2MAX); (11) HEMATOLOGICAL VARIABLES; (12) LIPID PROFILE; (13) SERUM UREA; (14) CREATININE; (15) LIVER ENZYMES; (16) BLOOD GLUCOSE; AND (17) ANXIETY SCORES. MEASUREMENTS WERE MADE AT BASELINE AND POSTINTERVENTION. RESULTS * TWO-HUNDRED SOLDIERS TOOK PART IN THE STUDY. THE YOGA GROUP SHOWED A SIGNIFICANT IMPROVEMENT IN HEALTH INDICES AND PERFORMANCE AS COMPARED WITH THE CONTROL GROUP. THEY HAD LOWER WEIGHTS, BFPS, RRS, DBPS, AND ANXIETY SCORES. THEY ALSO HAD A SIGNIFICANTLY HIGHER ETCO2, FORCED VITAL CAPACITY, FORCED EXPIRATORY VOLUME IN THE FIRST SECOND (FEV1), AND VO2MAX. ALSO, THE YOGA GROUP SHOWED A SIGNIFICANT REDUCTION IN SERUM CHOLESTEROL, LOW-DENSITY LIPOPROTEIN, TRIGLYCERIDES, AND BLOOD UREA AS COMPARED WITH THEIR PREYOGA LEVELS AND WITH THE EXERCISE GROUP. CONCLUSIONS * PRACTICE OF YOGA FACILITATES IMPROVEMENTS IN HEALTH AND PERFORMANCE AT HAS AND IS SUPERIOR TO ROUTINE TRAINING WITH PHYSICAL EXERCISES. COMPREHENSIVE YOGIC PRACTICES ARE AN EFFECTIVE MODALITY FOR IMPROVING HEALTH AND PERFORMANCE AT HAS. 2016 4 880 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 5 2855 35 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 6 214 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 7 867 70 EFFECT OF YOGA REGIMEN ON LUNG FUNCTIONS INCLUDING DIFFUSION CAPACITY IN CORONARY ARTERY DISEASE PATIENTS: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: LUNG FUNCTIONS ARE FOUND TO BE IMPAIRED IN CORONARY ARTERY DISEASE (CAD), CONGESTIVE HEART FAILURE, LEFT VENTRICULAR DYSFUNCTION, AND AFTER CARDIAC SURGERY. DIFFUSION CAPACITY PROGRESSIVELY WORSENS AS THE SEVERITY OF CAD INCREASES DUE TO REDUCTION IN LUNG TISSUE PARTICIPATING IN GAS EXCHANGE. AIMS AND OBJECTIVES: PRANAYAMA BREATHING EXERCISES AND YOGIC POSTURES MAY PLAY AN IMPRESSIVE ROLE IN IMPROVING CARDIO-RESPIRATORY EFFICIENCY AND FACILITATING GAS DIFFUSION AT THE ALVEOLO-CAPILLARY MEMBRANE. THIS STUDY WAS DONE TO SEE THE EFFECT OF YOGA REGIMEN ON LUNG FUNCTIONS PARTICULARLY DIFFUSION CAPACITY IN CAD PATIENTS. MATERIALS AND METHODS: A TOTAL OF 80 STABLE CAD PATIENTS BELOW 65 YEARS OF AGE OF BOTH SEXES WERE SELECTED AND RANDOMIZED INTO TWO GROUPS OF 40 EACH. GROUP I CAD PATIENTS WERE GIVEN YOGA REGIMEN FOR 3 MONTHS WHICH CONSISTED OF YOGIC POSTURES, PRANAYAMA BREATHING EXERCISES, DIETARY MODIFICATION, AND HOLISTIC TEACHING ALONG WITH THEIR CONVENTIONAL MEDICINE WHILE GROUP II CAD PATIENTS WERE PUT ONLY ON CONVENTIONAL MEDICINE. LUNG FUNCTIONS INCLUDING DIFFUSION CAPACITY WERE RECORDED THRICE IN BOTH THE GROUPS: 0 DAY AS BASELINE, 22(ND) DAY AND ON 90(TH) DAY BY USING COMPUTERIZED MS MEDISOFT CARDIO-RESPIRATORY INSTRUMENT, HYP'AIR COMPACT MODEL OF CARDIO-RESPIRATORY TESTING MACHINE WAS MANUFACTURED BY P K MORGAN, INDIA. THE RECORDED PARAMETERS WERE STATISTICALLY ANALYZED BY REPEATED MEASURES ANOVA FOLLOWED BY TUKEY'S TEST IN BOTH THE GROUPS. CARDIOVASCULAR PARAMETERS WERE ALSO COMPARED BEFORE AND AFTER INTERVENTION IN BOTH THE GROUPS. RESULTS: STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE SEEN IN SLOW VITAL CAPACITY, FORCED VITAL CAPACITY, PEAK EXPIRATORY FLOW RATE, MAXIMUM VOLUNTARY VENTILATION, AND DIFFUSION FACTOR/ TRANSFER FACTOR OF LUNG FOR CARBON MONOXIDE AFTER 3 MONTHS OF YOGA REGIMEN IN GROUP I. FORCED EXPIRATORY VOLUME IN 1(ST) SEC (FEV1), AND FEV1 % ALSO SHOWED A TREND TOWARD IMPROVEMENT ALTHOUGH NOT STATISTICALLY SIGNIFICANT. HR, SBP AND DBP ALSO SHOWED SIGNIFICANT IMPROVEMENT IN GROUP-I PATIENTS WHO FOLLOWED YOGA REGIMEN. CONCLUSIONS: YOGA REGIMEN WAS FOUND TO IMPROVE LUNG FUNCTIONS AND DIFFUSION CAPACITY IN CAD PATIENTS BESIDES IMPROVING CARDIOVASCULAR FUNCTIONS. THUS, IT CAN BE USED AS A COMPLIMENTARY OR ADJUNCT THERAPY ALONG WITH THE CONVENTIONAL MEDICINE FOR THEIR TREATMENT AND REHABILITATION. 2015 8 1396 25 IMPACT OF YOGA IN A CASE OF VOCAL CORD DYSFUNCTION WITH DYSAUTONOMIA. A 23-YEAR-OLD FEMALE WITH A PAST MEDICAL HISTORY OF GASTROESOPHAGEAL REFLUX DISEASE PRESENTED WITH SHORTNESS OF BREATH INDUCED BY EXERCISE AND CERTAIN ODORS. SHE REPORTED THE SYMPTOMS OF AUTONOMIC DYSFUNCTION INCLUDING FATIGUE, CHEST PAIN, LIGHTHEADEDNESS, HEADACHES, NUMBNESS/TINGLING IN THE ARMS AND LEGS, AND EXERCISE INTOLERANCE. VITAL SIGNS WERE SIGNIFICANT FOR ORTHOSTATIC INTOLERANCE. VOLUME FLOW LOOP IN THE PULMONARY FUNCTION TESTS SHOWED A FLATTENING OF THE INSPIRATORY PORTION CHARACTERISTIC OF VOCAL CORD DYSFUNCTION. LARYNGOSCOPY SHOWED DYSKINESIA OF THE LEFT VOCAL CORD, ESPECIALLY AFTER EXERCISE. MULTIFACTORIAL APPROACH WAS USED INCLUDING INCREASED FLUID INTAKE AND BREATHING EXERCISES. AFTER 6 WEEKS OF BREATHING AND ISOMETRIC EXERCISES, THE PATIENT REPORTED IMPROVEMENT IN DYSPNEA AFTER EXERCISE. THIS CASE REPORT DEMONSTRATES THE THERAPEUTIC ROLE OF BREATHING AND ISOMETRIC EXERCISES IN THE MANAGEMENT OF VOCAL CORD AND AUTONOMIC DYSFUNCTION. 2017 9 572 22 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 10 751 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 11 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 12 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 13 1273 41 FRONTAL HEMODYNAMIC RESPONSES TO HIGH FREQUENCY YOGA BREATHING IN SCHIZOPHRENIA: A FUNCTIONAL NEAR-INFRARED SPECTROSCOPY STUDY. FRONTAL HEMODYNAMIC RESPONSES TO HIGH FREQUENCY YOGA BREATHING TECHNIQUE, KAPALABHATI (KB), WERE COMPARED BETWEEN PATIENTS OF SCHIZOPHRENIA (N = 18; 14 MALES, 4 FEMALES) AND AGE, GENDER, AND EDUCATION MATCHED HEALTHY SUBJECTS (N = 18; 14 MALES, 4 FEMALES) USING FUNCTIONAL NEAR-INFRARED SPECTROSCOPY. THE DIAGNOSIS WAS CONFIRMED BY A PSYCHIATRIST USING DSM-IV. ALL PATIENTS EXCEPT ONE RECEIVED ATYPICAL ANTIPSYCHOTICS (ONE WAS ON TYPICAL). THEY HAD OBTAINED A STABILIZED STATE AS EVIDENCED BY A STEADY UNCHANGED MEDICATION FROM THEIR PSYCHIATRIST FOR THE PAST 3 MONTHS OR LONGER. THEY LEARNED KB, AMONG OTHER YOGA PROCEDURES, IN A YOGA RETREAT. KB WAS PRACTICED AT THE RATE OF 120 TIMES/MIN FOR 1 MIN. HEALTHY SUBJECTS WHO WERE FRESHLY LEARNING YOGA TOO WERE TAUGHT KB. BOTH THE GROUPS HAD NO PREVIOUS EXPOSURE TO KB PRACTICE AND THE TRAINING WAS CARRIED OUT OVER 2 WEEKS. A CHEST PRESSURE TRANSDUCER WAS USED TO MONITOR THE FREQUENCY AND INTENSITY OF THE PRACTICE OBJECTIVELY. THE FRONTAL HEMODYNAMIC RESPONSE IN TERMS OF THE OXYGENATED HEMOGLOBIN (OXYHB), DEOXYGENATED HEMOGLOBIN (DEOXYHB), AND TOTAL HEMOGLOBIN (TOTALHB) OR BLOOD VOLUME CONCENTRATION WAS TAPPED FOR 5 MIN BEFORE, 1 MIN DURING, AND FOR 5 MIN AFTER KB. THIS WAS OBTAINED IN A QUIET ROOM USING A 16-CHANNEL FUNCTIONAL NEAR-INFRARED SYSTEM (FNIR100-ACK-W, BIOPAC SYSTEMS, INC., USA). THE AVERAGE OF THE EIGHT CHANNELS FOR EACH SIDE (RIGHT AND LEFT FRONTALS) WAS OBTAINED FOR THE THREE SESSIONS. THE CHANGES IN THE LEVELS OF OXYHB, DEOXYHB, AND BLOOD VOLUME FOR THE THREE SESSIONS WERE COMPARED BETWEEN THE TWO GROUPS USING INDEPENDENT SAMPLES T-TEST. WITHIN GROUP COMPARISON SHOWED THAT THE INCREASE IN BILATERAL OXYHB AND TOTALHB FROM THE BASELINE WAS HIGHLY SIGNIFICANT IN HEALTHY CONTROLS DURING KB (RIGHT OXYHB, P = 0.00; LEFT OXYHB, P = 0.00 AND RIGHT TOTALHB, P = 0.01; LEFT TOTALHB, P = 0.00), WHEREAS SCHIZOPHRENIA PATIENTS DID NOT SHOW ANY SIGNIFICANT CHANGES IN THE SAME ON BOTH THE SIDES. ON THE OTHER HAND, SCHIZOPHRENIA PATIENTS SHOWED SIGNIFICANT REDUCTION IN DEOXYHB IN THE RIGHT PRE-FRONTAL CORTEX (RIGHT DEOXYHB, P = 0.00). COMPARISON BETWEEN THE GROUPS SHOWED THAT SCHIZOPHRENIA PATIENTS HAVE REDUCED BILATERAL PRE-FRONTAL ACTIVATION (RIGHT OXYHB, P = 0.01; LEFT OXYHB, P = 0.03 AND RIGHT TOTAL HB, P = 0.03; LEFT TOTAL HB, P = 0.04) DURING KB AS COMPARED TO HEALTHY CONTROLS. THIS HYPO-FRONTALITY OF SCHIZOPHRENIA PATIENTS IN RESPONSE TO KB MAY BE USED CLINICALLY TO SUPPORT THE DIAGNOSIS OF SCHIZOPHRENIA IN FUTURE. 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 15 777 52 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 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 17 985 52 EFFECTS OF HATHA YOGA AND OMKAR MEDITATION ON CARDIORESPIRATORY PERFORMANCE, PSYCHOLOGIC PROFILE, AND MELATONIN SECRETION. OBJECTIVES: TO EVALUATE EFFECTS OF HATHA YOGA AND OMKAR MEDITATION ON CARDIORESPIRATORY PERFORMANCE, PSYCHOLOGIC PROFILE, AND MELATONIN SECRETION. SUBJECTS AND METHODS: THIRTY HEALTHY MEN IN THE AGE GROUP OF 25-35 YEARS VOLUNTEERED FOR THE STUDY. THEY WERE RANDOMLY DIVIDED IN TWO GROUPS OF 15 EACH. GROUP 1 SUBJECTS SERVED AS CONTROLS AND PERFORMED BODY FLEXIBILITY EXERCISES FOR 40 MINUTES AND SLOW RUNNING FOR 20 MINUTES DURING MORNING HOURS AND PLAYED GAMES FOR 60 MINUTES DURING EVENING HOURS DAILY FOR 3 MONTHS. GROUP 2 SUBJECTS PRACTICED SELECTED YOGIC ASANAS (POSTURES) FOR 45 MINUTES AND PRANAYAMA FOR 15 MINUTES DURING THE MORNING, WHEREAS DURING THE EVENING HOURS THESE SUBJECTS PERFORMED PREPARATORY YOGIC POSTURES FOR 15 MINUTES, PRANAYAMA FOR 15 MINUTES, AND MEDITATION FOR 30 MINUTES DAILY, FOR 3 MONTHS. ORTHOSTATIC TOLERANCE, HEART RATE, BLOOD PRESSURE, RESPIRATORY RATE, DYNAMIC LUNG FUNCTION (SUCH AS FORCED VITAL CAPACITY, FORCED EXPIRATORY VOLUME IN 1 SECOND, FORCED EXPIRATORY VOLUME PERCENTAGE, PEAK EXPIRATORY FLOW RATE, AND MAXIMUM VOLUNTARY VENTILATION), AND PSYCHOLOGIC PROFILE WERE MEASURED BEFORE AND AFTER 3 MONTHS OF YOGIC PRACTICES. SERIAL BLOOD SAMPLES WERE DRAWN AT VARIOUS TIME INTERVALS TO STUDY EFFECTS OF THESE YOGIC PRACTICES AND OMKAR MEDITATION ON MELATONIN LEVELS. RESULTS: YOGIC PRACTICES FOR 3 MONTHS RESULTED IN AN IMPROVEMENT IN CARDIORESPIRATORY PERFORMANCE AND PSYCHOLOGIC PROFILE. THE PLASMA MELATONIN ALSO SHOWED AN INCREASE AFTER THREE MONTHS OF YOGIC PRACTICES. THE SYSTOLIC BLOOD PRESSURE, DIASTOLIC BLOOD PRESSURE, MEAN ARTERIAL PRESSURE, AND ORTHOSTATIC TOLERANCE DID NOT SHOW ANY SIGNIFICANT CORRELATION WITH PLASMA MELATONIN. HOWEVER, THE MAXIMUM NIGHT TIME MELATONIN LEVELS IN YOGA GROUP SHOWED A SIGNIFICANT CORRELATION (R = 0.71, P < 0.05) WITH WELL-BEING SCORE. CONCLUSION: THESE OBSERVATIONS SUGGEST THAT YOGIC PRACTICES CAN BE USED AS PSYCHOPHYSIOLOGIC STIMULI TO INCREASE ENDOGENOUS SECRETION OF MELATONIN, WHICH, IN TURN, MIGHT BE RESPONSIBLE FOR IMPROVED SENSE OF WELL-BEING. 2004 18 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 19 438 31 CARDIOVASCULAR AND RESPIRATORY EFFECT OF YOGIC SLOW BREATHING IN THE YOGA BEGINNER: WHAT IS THE BEST APPROACH? SLOW BREATHING INCREASES CARDIAC-VAGAL BAROREFLEX SENSITIVITY (BRS), IMPROVES OXYGEN SATURATION, LOWERS BLOOD PRESSURE, AND REDUCES ANXIETY. WITHIN THE YOGA TRADITION SLOW BREATHING IS OFTEN PAIRED WITH A CONTRACTION OF THE GLOTTIS MUSCLES. THIS RESISTANCE BREATH "UJJAYI" IS PERFORMED AT VARIOUS RATES AND RATIOS OF INSPIRATION/EXPIRATION. TO TEST WHETHER UJJAYI HAD ADDITIONAL POSITIVE EFFECTS TO SLOW BREATHING, WE COMPARED BRS AND VENTILATORY CONTROL UNDER DIFFERENT BREATHING PATTERNS (EQUAL/UNEQUAL INSPIRATION/EXPIRATION AT 6 BREATH/MIN, WITH/WITHOUT UJJAYI), IN 17 YOGA-NAIVE YOUNG HEALTHY PARTICIPANTS. BRS INCREASED WITH SLOW BREATHING TECHNIQUES WITH OR WITHOUT EXPIRATORY UJJAYI (P < 0.05 OR HIGHER) EXCEPT WITH INSPIRATORY + EXPIRATORY UJJAYI. THE MAXIMAL INCREASE IN BRS AND DECREASE IN BLOOD PRESSURE WERE FOUND IN SLOW BREATHING WITH EQUAL INSPIRATION AND EXPIRATION. THIS CORRESPONDED WITH A SIGNIFICANT IMPROVEMENT IN OXYGEN SATURATION WITHOUT INCREASE IN HEART RATE AND VENTILATION. UJJAYI SHOWED SIMILAR INCREASE IN OXYGEN SATURATION BUT SLIGHTLY LESSER IMPROVEMENT IN BAROREFLEX SENSITIVITY WITH NO CHANGE IN BLOOD PRESSURE. THE SLOW BREATHING WITH EQUAL INSPIRATION AND EXPIRATION SEEMS THE BEST TECHNIQUE FOR IMPROVING BAROREFLEX SENSITIVITY IN YOGA-NAIVE SUBJECTS. THE EFFECTS OF UJJAYI SEEMS DEPENDENT ON INCREASED INTRATHORACIC PRESSURE THAT REQUIRES GREATER EFFORT THAN NORMAL SLOW BREATHING. 2013 20 879 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