Effect of comprehensive yoga therapy on pulmonary function among various groups with chronic obstructive pulmonary disease

Authors

  • Jessy John
  • Venugopal P.
  • Shajahan P. S.

DOI:

https://doi.org/10.51248/.v42i2.1267

Keywords:

Yoga, COPD, lung function

Abstract

Introduction and Aim: COPD is a disease with involvement of multiple organ system. Our previous study has proved yoga to be useful in improving the lung function. The current study assesses the effect of yoga on lung function with respect to age, duration of illness and severity of disease due to COPD.

 

Materials and Methods: Thirty cases of COPD were recruited in this study. Cases  were assessed for lung function, peripheral oxygen saturation and exercise tolerance by 6MWT. Patients were exposed to yoga within their capacity of feasibility, and assessed for above parameters at the end of each month for about three months. A comparison study of various parameters following yoga based on age, duration of illness and severity of disease was done applying independent t test. Variables were expressed as Mean±SD. P<0.05 was considered the threshold for statistical significance.

 

Results: there was an average increase in FEV1% by 5.2 in <65 years, compared to FEVI% by11.4 in >65yrs (p<0.05). FEV1/FVC (%) in both the age groups showed similar response following yoga intervention (p< 0.01 level). We did not get any significant results with duration of illness and severity of disease.

 

Conclusion: Regular yoga practice improves the lung parameters and also the respiratory muscle strength. In this study, COPD patients falling under higher age groups showed more of benefit with yoga. We could not elucidate any response in lung function following yoga based on duration of illness and disease severity. Yoga practice is useful in improving lung parameters in higher age groups. Regular practice of yoga has helped patients with relief from frequent exacerbation of respiratory symptoms.

Author Biographies

Jessy John

Department of Physiology, Govt. Medical College, Kollam, 691574,  Kerala, India

Venugopal P.

Department of Pulmonary Medicine, Govt. T. D. Medical College, Vandanam, 688005, Kerala, India

Shajahan P. S.

Department of Pulmonary Medicine, Govt. T. D. Medical College, Vandanam, 688005, Kerala, India

References

Bott, J., Blumenthal, S., Buxton, M., Ellum, S., Falconer, C., Garrod, R., et al. Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax. 2009;64(Suppl1):1-51.

John, J., Venugopal, P., Shajahan, P.S. Effect of yoga as an adjunctive therapy on the respiratory function of COPD patients with mild to severe grades of severity in a tertiary care centre in Kerala. International Journal of Contemporary Medical Research 2019;6(3):C1-C5.

Rojas, M., Meiners, S., Le Saux, C. J., eds. Molecular Aspects of Aging: Understanding Lung Aging. Hoboken, John Wiley & Sons Inc, 2014.

Miller, M.R. Structural and physiological age-associated changes in aging lungs. Semin Respir Crit Care Med 2010; 31: 521–527

Halbert, R.J., Natoli, J.L., Gano, A., Badamgarav, E., Buist, A.S., Mannino, D.M. Global burden of COPD: systemic review and meta-analysis. Eur Respir J 2006;28:523-532.

Buist, A.S., McBurnie, M.A., Vollmer, W.M., Gillespie, S., Burney, P., Mannino, D.M., et al., BOLD Collaborative Research Group. International variation in the prevalence of COPD (the BOLD Study): a population-based prevalence study. Lancet 2007;370:741-750.

Global Strategy for Diagnosis, Management, and Prevention of COPD, Updated January 2014.

Katiyar, S.K., Bihari, S. Role of Pranayama in Rehabilitation of COPD patients – A Randomized Controlled Study, Indian J Allergy Asthma Immunol 2006; 20: 98-104.

Hamilton, M. Development of a rating scale; for primary depressive illness. Br J Soc Clin Psychol. 1967 Dec; 6(4): 278-296.

Jones, P.W., Brusselle, G., Dal Negro, R.W., Ferrer, M., Kardos, P., Levy, M.L. Properties of the COPD assessment test in a cross-sectional European study. Eur Respir J. 2011; 38(1):29-35.

Troosters, T., Gosselink, R., Decramer, N. Six minute walk distance in healthy elderly subjects. Eur Respir J.1999; 270-274.

Bestall, J.C., Paul, E.A., Garrod, R., Garnham, R., Jones, P.W., Wedzicha, J.A. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999; 54(7):581-586.

Maruthy, K.N., Vaz, M. The development and validation of a digital peak respiratory pressure monitor and its characteristics in healthy human subjects, Indian J Physiol Pharmacol 1999; 43:186-192.

Rai, L. A physiological approach to yoga. Gurgaon. India: Anubhav Rai publishers; 1996. Discovering human potential energy: Health, stress, illness, lifestyle and disease reversal.

Nagarathna, R., Nagendra, H.R. Integrated approach of yoga therapy for positive health. 2nd ed. Bangalore: Swami Vivekananda Yoga Prakashan; 2013.

Bernardi, L., Sleight, P., Bandinelli, G., Cencetti, S., Fattorini, L., Wdowczyc-Szulc, J., et al., Effect of rosary prayer and yoga mantras on autonomic cardiovascular rhythms: comparative study. BMJ 2001;323:1446-1449.

Gosselink, R. Controlled breathing and dyspnea in patients with chronic obstructive pulmonary disease (COPD). J Rehabil Res Dev 2003;40(5 Suppl. 2):25-33.

Crapo, R.O., Casaburi, R., Coates, A.L., Enright, P.L., MacIntyre, N.R., McKay, R.T. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111-117.

Soni, R., Munish, K., Singh, K., Singh, S. Study of the effect of yoga training on diffusion capacity in chronic obstructive pulmonary disease patients: a controlled trial. Int J Yoga 2012;5:123-127.

Donesky-Cuenco, D.A., Nguyen, H.Q., Paul, S., Carrieri-Kohlman, V. Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. J Altern Complement Med 2009;15:225-234.

Santana, M.J., S-Parrilla, J., Mirus, J., Loadman, M., Lien, D.C., Feeny, D. An assessment of the effects of Iyengar yoga practice on the health-related quality of life of patients with chronic respiratory diseases: A pilot study. Can Respir J 2013;20:17-23.

Tran, M.D., Holly, R.G., Lashbrook, J., Amsterdam, E.A. Effects of hatha yoga practice on the health-related aspects of physical fitness. Preventive Cardiology. 2001; 4(4):165-170.

Gonçalves, L.C., Vale, R.G., Barata, N.J., Varejão, R.V., Dantas, E.H. Flexibility, functional autonomy and quality of life (QoL) in elderly yoga practitioners. Arch Gerontol Geriatr 2011;53:158-162.

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Published

2022-05-01

How to Cite

1.
John J, P. V, P. S. S. Effect of comprehensive yoga therapy on pulmonary function among various groups with chronic obstructive pulmonary disease. Biomedicine [Internet]. 2022 May 1 [cited 2022 Nov. 27];42(2):395-400. Available from: https://biomedicineonline.org/home/article/view/1267

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Original Research Articles

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