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Yoga versus Physiotherapy: Effect on Pulmonary function, Breath Holding Time & Quality of Life in Asthmatics
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Aim: To compare effect of yoga versus physiotherapy on Pulmonary function , Breath holding time and quality of life in asthmatics.
Subjects and method: Randomized experimental study with two parallel groups was designed to compare the effect of yoga & physiotherapy on Pulmonary Function (PFT) , Quality of Life (QOL) and Breath holding time (BHT) in patients with Asthma . Patients diagnosed with Asthma from a tertiary care hospital, Mumbai were included . Subjects were excluded if in acute exacerbation of asthma or associated with any other lung or cardiac disease, were pregnant or were treated with steroids in the past three months, who practiced yoga or any other form of exercise. Selected patients were randomly divided by BINGO method into two groups - Group A & Group B. Group A received yoga and Group B received physiotherapy. Educational programs for asthma management were conducted for both the groups. Total duration of intervention was seven weeks. PFT , QOL and BHT were measured pre and post intervention.
Result & Statistical Analysis: Student's paired t test was used to examine data within groups while repeated measure ANOVA (RMANOVA) was used with Bonfferoni adjustment to compare the parameters between Yoga and Physiotherapy. Both Yoga & Physiotherapy showed statistically significant improvement in all components of SGRQ .Yoga group showed statistically significant improvement in Breath holding time and all components of PFT except Forced Vital Capacity(FVC) . Physiotherapy group showed statistically significant improvement in all parameters of PFT except FVC and mid expiratory flow rates.
Conclusions: Yoga along with physiotherapy would be more beneficial for asthmatics.
Keywords
- P Weinet, Y Azgad, R Ganam & M Weiner, Inspiratory muscle training in patient with bronchial asthma, Chest 1992,102, 1357-1361.
- Nagndra H.R., Nagarathna S, An integrated approach of Yoga Therapy for bronchial asthma: A 3-54 Month prospective study, J. of asthma 1986, 23(3), 129-137.
- R. Nagrathana, H R Nagendra, Yoga for Bronchial asthma: A controlled study British Medical Journal 1985, 291, 19:1077-1079.
- R. Nagrathana, H R Nagendra, R Seethalakshrni, Daily PEFR studies in Bronchial Asthma during Yoga therapy, The Indian Practioner July 1991, 491-493.
- R Manocha, G B Marks, P Kenchington, D Peters, C M Salome, Sahaj Yoga in management of moderate to severe asthma: randomized controlled trial. Thorax 2002, 57(2): 110-115.
- Validity and reliability of SGRQ after adaptation to different language and culture, the Spanish example, Euro. Res. J. 1996, 9: 1160-1166.
- Darbee, Joanc, Ontake, Petricia, Outcome measure in cardio pulmonary physical therapy: Medical research council (MRC) Dyspnea scle, Cardiopulmonary Physiotherapy Journal March 2006.
- Rochester D I, Arora N S, The respiratory muscles in Asthma. In: Lavietes MH, Reichman L, eds. Symposium on Bronchial Asthma: Diagnostic aspects and management of asthma.
- Rahn H, Otis AB, Chadwick LE, The pressure volume diagram of Thorax and Lung. Am. J. Physiology 1946, 146: 161-178.
- Sharp JT, The respiratory muscle in chronic obstructive pulmonary disease. Am. Rev. Resp. Dis. 1986, 134:1089-1091.
- Minh VD, Dolan GF, Konopka RF, Moser KM, Effect of hyperinflation on inspiratory function of diaphragm. J. App. Physiol. 1976, 40:67-73.
- Mead J. Functional significance of area of option of diaphragm to rib cage. Am. Rev. Respir. Dis. 1979, 119; 31-32.
- Sharp JT, The respiratory muscle in emphysema. Clin Chest Med. 1983, 4: 421-432,
- De Troyer A, Kelly S, Macklem PT, Zin WA. Mechanics of intercostals space and actions of external and internal intercostals muscle. J. Clean. Invest. 1985 75:850-857.
- Bellemare F, Grassino A. Effect of pressure and timing of contraction of Human diaphragm fatigue. J. App. Physiol. 1982, 55:1190-1195.
- I. Killian KG, Jones NL. The use exercise testing and other method in investigations of Dyspnea. Clin. Chest. Med. 19845:99-108. II. Jones JL, Killan KJ, Summers E. The sense of effort, oxygen cost and pattern of breathing associates with progressive elastic loading to fatigue. Feb. Proc. 1984, 42:1420. III. Killian KG, Gandevia SC, Summers E. Effect of increase lung volume on perception of breathlessness, effort and tension. J.Appl. Physiol. 1984, 57:686-691.
- MC Fadden ER: Pathogenesis of Asthma. J. Allergy Clin Immunology 1984, 73 (4): 413-422.
- Scanlon RT: Asthma a panoramic view & hypothesis. Ann. Allergy 1984, 53: 203-212.
- Crisan HG: Pranayama in Anxiety Neurosis- a Pilot study (German) Thesis for MD, University of Heidelberg, West Germany, 1984.
- Udupa KN, Singh RH, Yadav RA: Certain study on psychological and biochemical responses to the practice of Hatha Yoga in young normal volunteers. Ind E Med. Res. 1973, 61 (2), 237-241.
- Ph.D. study on psychological changes after Yoga practices in bronchial asthma by Sudharani A. Feb. 2005.
- Murthy, K.R.J. Sahay, B. K., Sitaramaraju, P., Madhavi Sunita, Ramananda Yogi, Venkatareddy, Annapurna, N., Ramesh, M., Vijayalakshmi Prasad & Reddy, E.,Effect of Pranayama (Rechaka, Puraka and Kumbhaka) on bronchial asthma- an oped study, Lung India 1984, 2,187- 191.
- Singh, V. Wisniewski, A., Britton, J. & Attersfield, A, Effect of yoga breathing excerises (Pranayama) on airway reactivity in sujects with asthma, Lancet 1990, 355, 1381-1383.
- Makwana et al, 1988.
- Birkel D A & Edgren L. Hatha yoga: improved vital capacity of college students Altern Ther Health Med 2000, 6 (6): 55-63.
- K.T. Dehanan, 1937.
- P K Vedanthan, Lakshmayya N Kesavalu, B V Scetc, Clinical study of Yoga technique in University student in asthma: A controlled study, Allergy and Asthma Proc. 1998, 19, (1): 3-9.
- R. Nagrathana, Preliminary study of Yoga Therapy for Bronchial Asthma, Indian J. Exp. Med., Vol. 1, March 1982.
- Creer, T L, Response: Self-management psychology and the treatment childhood asthma, J Allergy Clin Immunology, 1993, 72, 607-610.
- Fari, R S, Coping styles in asthma J Allergy Clin Immunology 1999, 103: 29-35.
- Brooke and Tepper, Self-image, coping and familial interaction among asthmatic children in Israel Patient education and counseling 1997, 30, 187-192.
- Goyche J R, Ago Y. & Ikemi, Asthma: The yoga perspective Part I. The somatopsychic imbalance in asthma: towards a holistic therapy, J Asthma Res. 1982, 17 (3):111-115. Goyche J R, Ago Y. & Ikemi, Asthma: The yoga perspective Part II. The somatopsychic imbalance in asthma: towards a holistic therapy, J Asthma Res. 1982, 19:189-201.
- Shirley Telles, Nagarathna S, Nagndra H.R., & Desiraju, T., Alterations in auditory middle latency evoked potentials during meditations on a meaningful symbol, “OM” Intern. J. Neuroscience 1994 vol. 76, 87-93.
- Shirley Telles, Nagarathna S, Nagndra H.R., Autonomic changes while mentally repeating two syllables one meaningful and other neutral. Indian J. Physiol. Pharmacology; 1998, 42 (1) 57-63.
- Khananm, A. A, Sachdeva, U., Guleria, R. & Deepak, K K, Study of pulmonary and autonomic functions of asthma patients after yoga training, Indian J. Physiol. Pharmacology. 1996, 40 (4): 318-324.
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