Integrated Approach Of Yoga Therapy Research Articles

626-P: Integrated Approach of Yoga Therapy (IAYT) Improves Cerebrovascular Functions and Prefrontal Hemodynamic Activities Related to Cognition in Type 2 Diabetes

The present study aimed to assess the integrated approach of yoga therapy (IAYT) effect on cerebrovascular reactivity in middle cerebral artery (MCA), prefrontal cortex (PFC) oxygenation and cognitive functions in patients with T2DM. Method: 75 patients were randomized to the IAYT group [n=38; 07 female; mean age 52.95 (8.20) years] and the waitlist control group [n=37; 06female; mean age (SD) 49.62 (10.94) years]. The cerebral blood flow and prefrontal hemodynamic activities were assessed using transcranial doppler and functional near-infrared spectroscopy, respectively, during resting and cognitive performance. IAYT group participants received 3 months of intervention and assessments were done at baseline (0-week), mid (after 6-week), and post (after 12-week). Results: After a 12-week intervention, participants of the yoga group showed improved accuracy and reaction time in a 2-back condition of the working memory task, and the scores of the Corsi Block Tapping task. Further, cerebrovascular changes were observed in the middle cerebral artery, which showed increased peak systolic velocity, mean blood flow velocity, end-diastolic velocity, and breath-holding index after 12-week yoga practice. The oxygenation was also higher at dorsolateral, dorsomedial, and ventromedial and orbitofrontal PFC in the 12th week of the yoga practitioners group compared to the control group. Moreover, during 2-back working memory task, yoga group participants demonstrated increased oxygenation at dorsolateral PFC compared to pre and higher oxygenation at dorsolateral, ventrolateral, ventromedial and orbitofrontal PFC compared to control group. Conclusion: The results suggest that IAYT practice may improve cognitive functions by improving cerebral blood flow through the middle cerebral artery and hemodynamic activities in the prefrontal regions in patients with T2DM. Disclosure D.Singh: None. C.Kaligal: None. V.M: None. A.Kanthi: None. Funding Ministry of Ayush, Government of India (Z.280152092015-HPC(EMR)-AYUSH)

Molecular Approach of Vascular Functions to Integrated Approach of Yoga Therapy: A Report

Integrated approach of yoga therapy (IAYT) is defined as the use of yoga practices for the prevention and treatment of medical conditions. Beyond the physical elements of yoga, this incorporates appropriate breathing techniques, mindfulness, and meditation in order to achieve the maximum benefits. The practice of yoga (IAYT) is not easy or as quick as taking medication, but mounting evidence suggest it is worth the effort and investment. This is based on Pancha kosha concept, helps one to reconnect with oneself. This can ultimately help to relieve one from the pressures and stressors which we receive almost daily. Neuroendocrine involvement is brought here and interactions between regulatory bodies and vascular functions have been elaborated. Only physical exercise or yoga did not show much beneficial. It is also should be noted that the field of yoga research encompasses the inherent dilemma of the wide variety of yogic practices used as interventional therapies. It has also been shown to have psychological benefits, as the practice can help to increase mental energy, positive feeling and decrease negative feeling of aggressiveness, depression and anxiety. Keeping these in minds it is very much essential to understand the regulatory involvement and their basic interactions with vascular physiology in IAYT.

Impact of Mind Sound Resonance Technique (MSRT) as an add on to Integrated Approach of Yoga Therapy (IAYT) in stress-induced insomnia: A single case report

This case report represents a 36-year-old female patient who visited Arogyadhama (S-VYASA Deemed to be University, Bangalore), with the chief complaint of Chronic Insomnia along with comorbidities like Obesity grade II, Prediabetes Mellitus type II, and Prehypertension. The patient had a history of depression and anxiety brought on by a severely stressful life event. On 3rd January 2023, she visited a medical professional in Karnataka (Bangalore) and was diagnosed with Chronic Insomnia due to psychological stress and placed on medication. At Arogyadhama, during her 27 days of stay, the patient has introduced to IAYT (Integrated Approach of Yoga Therapy) practices and naturopathy treatments, amongst which MSRT (Mind Sound Resonance Technique) demonstrated notable improvements in the patient’s condition.

TO STUDY AND CORRELATE THE EFFECT OF INTEGRATED APPROACH OF YOGA THERAPY ON FREQUENCY DOMAIN PARAMETERS AND POINCARE PLOT OF HEART RATE VARIABILITY AMONG PREDIABETICS

Introduction- Prediabetes is demarcated as an intervening stage amongst normal glucose tolerance and type 2 diabetes mellitus. The present study aimed toevaluate the effects ofthe Integrated approach of yoga therapyonlinear andnonlinear dynamics ofheart rate variability and correlate between a linear component that was frequency domainand nonlinear dynamics that was Poine care plotof heart rate variability. Method-The study was conducted in the Department of physiology, Rajasthan University of Health Sciences, Jaipur in association with RDBP Jaipuria hospital.Group A wasinvolved in the Integrated Approach of Yoga Therapy (IAYT)including Prayer, Omkar recitation, yoga postures, breathing techniques, Shavasana,counseling, and dietary modification and Group B was not involved in any yoga sessions. Result-In this study, an attempt has been made to assess specifically the nonlinear dynamics of HRV using Poincare plotafter the integrated approach of yoga therapyand compare it with that of the frequency domain of HRV assessed by linear measures.Thehigh-frequency power( 46.04±11.75 to 67.56± 13.06) and SD1 ( 28.75 ±3.15 to 45.66±2.15) were increased andlow frequency (LF) power ( 66.67±11.87 to 40.67± 13.9) and the SD2 ( 55.76± 1.15 to 44.88 ± 2.15) of the Poincare plot decreased compared to baseline insubjects whofollowedthe integrated approach of yoga therapy, Additionally, significant correlations were found between high frequency (HF) and SD1 (p < 0.05), LF and SD2, (p < 0.05), and LF/HF and SD2/SD1 (p < 0.01). Conclusion-Integrated approach of yoga therapy practiced regularly can emerge as one of the important non-pharmacological tools for primary prevention of cardiovascular disease andrestoring sympathovagal balance. Poincare plot analysis is easier and more sensitive in evaluating the sympathovagal balance and observing the variation in heartbeats.

Mechanism of action of yoga on prevention and management of type 2 diabetes mellitus: Narrative review

BackgroundResearch in India has recognized Type 2 Diabetes Mellitus (t2dm) and prediabetes (pdm) as psychosomatic metabolic endocrine disorders characterized by glycemic disharmony. This review aimed at collating information from published e-papers on mechanism of action (MOA) of yoga therapy(YT) and integrated approach of yoga therapy (IAYT) on pdm and t2dm. MethodContent on YT and the MOA on prevention and management of t2dm were extracted from online sources such as PubMed, Google Scholar, Cochrane library and Library genesis. This review included 58 articles related to prediabetes, t2dm, pre-diabetes to t2dm conversion, mechanism of action of Yoga, Yoga and t2dm, prediabetes and yoga. Articles related to type 1 diabetes, diabetes insipidus and gestational diabetes were excluded. ResultCurrent scientific review resulted in understanding the different mechanisms involved in rejuvenating effect of Yoga as YT and IAYT in prediabetes and t2dm. However, the various mechanisms by which the interventions work are understood either through a single or combined impact on regaining autonomic balance, vagal modulation, regulation of hormones and thereby attaining glycemic control. Moreover, these mechanisms are the forthcomings of the cross talk between brain, mind and body systems under branches of neurophysiology, neuroendocrinology, psychophysiology, psycho neuroendocrinology and/or neuropsychology. ConclusionEvidence sought from published research works proclaim YT based life style modification for prevention and management of t2dm. Summing up, the effect is stipulated based on the approach, method of practice, time of the day, belief and dedication of the practitioners.

Integrated Approach of Yoga Therapy towards Chronic Low Back Pain: A Case Report

This case report represents the patient of lower back pain (LBP) who visited Arogyadhama (SVYASA University, Bangalore). Patient was suffering from low back pain and multiple joint pain at the time of visit and 14 days Yoga intervention was provided to the patient for pain management, which helped the patient in relieving the pain and improving the muscular strength and quality of life significantly. The present case study is an attempt to provide IAYT (Integrated approach of Yoga therapy) practices in combination with naturopathy and physiotherapy for the maintenance of LBP profile and symptoms.

Chronic low back pain: Can Yoga as an integrative approach be the best way forward?

Chronic Low Back pain (CLBP) is common public health problem, and globally one of the leading cause of disability. Several research studies advocate Yoga may add on as an effective therapy for CLBP patients. The present case study is an attempt to elucidate the outcome of Integrated Approach of Yoga Therapy (IAYT) intervention (which included loosening practices, asanas with breathing, relaxation, pranayama and meditation techniques) as an adjunct and integrative therapy to reduce pain symptoms, pain-associated disability and their overall quality of life in CLBP adult patients. The manuscript illustrates the two CLBP patients, refractory to conservative management, visiting pain clinic at Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. Both the patients received a series of 60 minutes IAYT class conducted for a span of 15 days along with the institutional usual care regime as their treatment protocol. Patients were evaluated at baseline, 1 month and 3 month using various assessment tools (for pain intensity, disability, neuropathic pain component, quality of life, pain experiences, mental health, fear of movements and overall clinical benefit). Both the patients showed steady and gradual progression in reducing their pain intensity and its associated disability, quality of life and mental health. The patients narrated their experience and their ability to manage bio-psycho-socio aspects associated with CLBP. They attributed their positive changes to IAYT protocol.

Efficacy of Yoga on pregnancy outcome, J Altern Complement Med. 2005 Apr;11(2):237-44

Pregnancy is a unique and challenging state, both physically and mentally. This requires mental, physical and social adaptation. Pregnancy related complications like pregnancy induced hypertension, preeclampsia, physiological and psychological stress, impaired placentation directly affect the fetal growth and also health of the neonate. It is already shown by animal experimentation that pregnancy outcomes are directly affected by prenatal maternal stress and it results in early programming of various organ systems that permanently changes neuroendocrine regulation and behavior in offspring. Various life events, illness, divorce, financial and social problems are some of the common stressor during pregnancy that activates hypothalamus-pituitary-adrenal cortex system (HPA axis) and sympathetic nervous system-adrenal medulla system (stress regulation system). Physical alteration, hormonal changes and anxiety are common during pregnancy period and these worsen the stress response. Already various attempts have been made to reduce pregnancy related stress. A study demonstrated that Yoga can be an effective therapy in reducing the pregnancy related complications and improving fetal outcomes. Satyapriya et al.showed that Yoga reduces anxiety, depression and pregnancy related uncomfortable experiences . Meditations inhibit the HPA axis that is activated during stress and calms the mind. Yoga is used to promote positive health and it uses holistic approach to reduce the stress. Integrated approach of Yoga therapy (IAYT) helps in reducing stress by practicing different postures (asanas), slow controlled breathing (Pranayama), Meditation and Chanting. This study tests the effect of IAYT on pregnancy related complications, stress and pregnancy outcome.

Yoga practice to improve sleep quality and body composition parameters of obese male - a randomized controlled trial.

Background Globally obesity increase is a big challenge. Obesity causes many non-communicable diseases. Options to control obesity are in search. Aim: To assess the outcome of 3 months follow-up period, after 14 weeks yoga intervention, for body composition and sleep quality parameters on obese male in urban setting. Materials and methods Design: Parallel group RCT (randomized controlled trial) on obese male. The two groups were yoga and control groups, with yoga (n = 37, age 40.03 ± 8.74), control (n = 35, age 42.20 ± 12.06). The IAYT (integrated approach of yoga therapy) training was given to yoga group for 14 weeks, and the unsupervised yoga practice was continued by the subjects at their home, for further 3 months. Training was 1.5 hour daily for 5 days in a week, which included the IAYT module of Suryanamaskara Asana Pranayama and relaxation. No yoga activity but walking etc. for the same time, was given to control group. Body composition parameters were assessed through BIA (bioelectrical impedance) method using InBody R 20 model. The sleep quality was assessed using PSQI (Pittsburgh sleep quality index). Within group and between group analysis were performed, using SPSS version 21. The correlation analysis was carried out on the difference in pre follow-up values. Results During the follow-up period within the group, the body composition parameters improved and the parameters of quality of sleep showed trends of improvement. Also some of the gain obtained during 14 weeks intervention was lost during follow-up period. Conclusions The changes observed may indicate the long-term benefits of yoga practice for control of obesity in urban setting for males.

Effect of Yoga Based Lifestyle Intervention on Patients With Knee Osteoarthritis: A Randomized Controlled Trial.

Objective: To investigate the effect of integrated approach of yoga therapy (IAYT) intervention in individual with knee Osteoarthritis.Design: Randomized controlled clincial trail.Participants: Sixty-six individual prediagnosed with knee osteoarthritis aged between 30 and 75 years were randomized into two groups, i.e., Yoga (n = 31) and Control (n = 35). Yoga group received IAYT intervention for 1 week at yoga center of S-VYASA whereas Control group maintained their normal lifestyle.Outcome measures: The Falls Efficacy Scale (FES), Handgrip Strength test (left hand LHGS and right hand RHGS), Timed Up and Go Test (TUG), Sit-to-Stand (STS), and right & left extension and flexion were measured on day 1 and day 7.Results: There were a significant reduction in TUG (p < 0.001), Right (p < 0.001), and Left Flexion (p < 0.001) whereas significant improvements in LHGS (p < 0.01), and right extension (p < 0.05) & left extension (p < 0.001) from baseline in Yoga group.Conclusion: IAYT practice showed an improvement in TUG, STS, HGS, and Goniometer test, which suggest improved muscular strength, flexibility, and functional mobility.CTRI Registration Number: http://ctri.nic.in/Clinicaltrials, identifier CTRI/2017/10/010141.

Effect of 1-Week Yoga-Based Residential Program on Cardiovascular Variables of Hypertensive Patients: A Comparative Study.

Introduction:Hypertension (HTN) is an important public health concern and a leading cause of morbidity and mortality worldwide. Yoga is a form of mind–body medicine shown to be effective in controlling blood pressure (BP) and reduces cardiac risk factors in HTN. Integrated approach of Yoga therapy (IAYT) is a residential yoga-based lifestyle intervention proven to be beneficial in several health conditions. Aim: To study the efficacy of 1 week of residential IAYT intervention on cardiovascular parameters in hypertensive patients.Methodology:Twenty hypertensive individuals (7 females) within age range between 30 and 60 years (average; 46.62 ± 9.9 years), who underwent 1 week of IAYT treatment for HTN, were compared with age- gender-matched non-IAYT group (5 females; average age; 47.08 ± 9.69 years) in terms of systolic BP (SBP), diastolic BP (DBP), mean arterial pressure (MAP), cardiac output (CO), stroke volume (SV), baroreflex sensitivity (BRS), and total peripheral vascular resistance (TPVR), IAYT program consisted of sessions of asanas, breathing practices, meditation and relaxation techniques, low salt, low-calorie diet, devotional session, and counseling. Individuals in non-IAYT group followed their normal routine. All the variables were assessed before and after one week. Data were analyzed using SPSS version 16. RM-ANOVA was applied to assess within group and between group changes after intervention.Results:There was a significant improvement in SBP (P = 0.004), DBP (P = 0.008), MAP (0.03), BRS (P < 0.001), and TPVR (P = 0.007) in IAYT, group whereas in control group, we did not find significant difference in any of the variables. Between-group comparison showed a significant improvement in SBP (P = 0.038), BRS (P = 0.034), and TPVR (P = 0.015) in IAYT group as compared to non-IAYT group.Conclusion:One-week IAYT intervention showed an improvement in baroreflex sensitivity, systolic BP, and total peripheral vascular resistance in hypertensive patients. However, further randomized control trials need to be performed to confirm the present findings.

Short-term effect of add on bell pepper (Capsicum annuum var. grossum) juice with integrated approach of yoga therapy on blood glucose levels and cardiovascular functions in patients with type 2 diabetes mellitus: A randomized controlled study

BackgroundType 2 diabetes mellitus (T2DM) is a major global health problem. Though various studies have reported the beneficial effect of Yoga in patient with T2DM, there is a lack of study in combination with bell pepper and yoga. Hence, the present study aims at evaluating short-term effect of add on bell pepper juice with integrated approach of yoga therapy (IAYT) on blood glucose levels and cardiovascular variables in patients with T2DM. Materials and methodsFifty T2DM subjects with the age varied from 34 to 69-years were recruited and randomly divided into either study group or control group. The study group received 100-ml of bell pepper juice (twice/day) along with IAYT while the control group received only IAYT for 4-consecutive days. Baseline and post-test assessments were taken before and after the intervention. Statistical analysis was performed using statistical package for the social sciences, version-16. ResultsResults of this study showed no significant difference in overall (fasting and post prandial) blood glucose level in the study group compared with control group. However, a significant reduction in Post prandial blood glucose (PPBG), systolic blood pressure (SBP), pulse pressure (PP), rate pressure product (RPP) and Double product (Do-P) was observed in the study group compared with control group. ConclusionResults of this study suggest that though an addition of 100-ml of bell pepper juice (twice/day) along with IAYT is not more effective in reducing fasting blood glucose, it may be more effective in reducing PPBG, SBP, PP, RPP and Do-P than IAYT alone.

Effect of Integrated Yoga Therapy on Arterial Stiffness: A Pilot Study on Young and Older Adults with Obesity

Background/Aims: The studies on the effect of integrated yoga therapy have shown significant results in improving the overall health. However, the effect of integrated yoga therapy on arterial stiffness is not yet established. The aim of the study was to investigate the effect of integrated yoga therapy on arterial stiffness measured at the radial artery. Methods: A total of 18 participants were included in the study. The participants were divided into three groups based on their age and body mass index. There were 5 participants in group 1 who were considered as nonobese, 7 younger adults with obesity were included in group 2, and 6 older adults with obesity were included in group 3. A 1-week integrated approach of yoga therapy (IAYT) was given as an intervention to the participants. The pulse data was acquired from participants using Nadi Tarangini at the beginning and end of the yoga program. The stiffness index (SI) and reflection index (RI) were computed from the pulse data. The data were analyzed using the paired-samples t test. Results: There was a significant reduction in SI (p < 0.05) after IAYT in young participants with obesity. There was a significant reduction in BMI after IAYT in older adults, but the SI was only significantly low in young adults. There were no significant changes in RI after IAYT. Conclusion: The pilot study has shown that arterial stiffness measured at the radial artery using Nadi Tarangini has decreased significantly after 1 week of IAYT in young adults with obesity compared to older adults.

Sleep Quality and Body Composition Variations in Obese Male Adults after 14 Weeks of Yoga Intervention: A Randomized Controlled Trial.

Background:Obesity is a big challenge all over the world. It is associated with many noncommunicable diseases. Yoga known to be add-on treatment may be effective for obesity control.Aim:To assess the effect of integrated approach of yoga therapy (IAYT) for body composition and quality of sleep in adult obese male.Subjects and Methods:A randomized controlled trial was conducted for 14 weeks on obese male of urban setting. Eighty individuals were randomly divided into two groups, i.e., yoga group (n = 40; age; 40.03 ± 8.74 years, body mass index [BMI] 28.7 ± 2.35 kg/m2) and control group (age; 42.20 ± 12.06 years, BMI 27.70 ± 2.05 kg/m2). The IAYT was imparted to yoga group for 1½ hour for 5 days in a week for 14 weeks. The control group continued their regular activities. The body composition by InBody R20 and sleep quality by Pittsburgh Sleep Quality Index (PSQI) were assessed. Statistical analysis was done for within and between groups using SPSS version 21. The correlation analysis was done on the difference in pre-post values.Results:The results showed that weight (P = 0.004), BMI (P = 0.008), bone mass (P = 0.017), obesity degree (P = 0.005), and mineral mass (P = 0.046) were improved in yoga group and no change in control group (P > 0.05). The global score of PSQI improved (P = 0.017) in yoga group alone.Conclusion:The results indicate the beneficial effects of IAYT on body composition and sleep quality in obese males. The yoga practice may reduce obesity with the improvement in quality of life.

Insomnia in Patients Suffering from Chronic Medical Illnesses: Prevalence and Impact of IAYT

Background: Sleep is an important lifestyle factor to be addressed in patients having chronic non-communicable diseases. Data revealing prevalence of insomnia in chronic medical illnesses (CMIs) in Indian population are lacking. Yoga has been found effective in improving sleep quality in patients with chronic medical illnesses (CMIs). Aim: To find the prevalence of insomnia in major chronic medical illnesses and to assess the effect of Integrated Approach of Yoga Therapy (IAYT) on them. Methods and Material: From the outpatients and inpatients of our integrative therapy clinics, 200 patients (116 males; 84 females) in the age range 49.57 ± 11.71 years, who satisfied the inclusion criteria and were diagnosed by the physician with any of the four major categories of CMIs: cardio-pulmonary, diabetes, musculoskeletal, and psychiatric were screened for insomnia using Insomnia Severity Index (ISI) scale. Those found suffering from clinically significant insomnia (ISI score > 14) were admitted and a residential IAYT intervention was given for a week. Before and after the intervention, ISI and Pittsburg insomnia rating scale (PIRS) were administered to assess extent of insomnia. Data was analyzed before and after the intervention using paired t-test. Results: Taking all patients of CMIs together, we found that 35% suffered from clinical insomnia, out of which, 12.5% had severe and 22.5% had moderate insomnia. We also found that prevalence of clinical insomnia was highest among those suffering from psychiatric illnesses (62.07%) and minimum in those having musculoskeletal disorders (28.05%). Those suffering from diabetes mellitus and cardio-pulmonary disorders reported prevalence of 32.25% and 31.94% respectively. After IAYT intervention of one week, extent of clinical insomnia reduced from 35% at the baseline to 8.5% in all patients of CMIs taken together. Following changes were observed in percentage of patients suffering from clinical insomnia in different CMIs before and after one week of IAYT intervention: 1) In psychiatric patients, the percentage reduced from 62.07% to 24.13%; 2) In diabetic patients, the percentage reduced from 32.27% to 3.0%; 3) In patients having musculoskeletal disorders, the percentage reduced from 28.05% to 8.53%; and 4) In patients having cardio-pulmonary illnesses, the percentage reduced from 31.94% to 2.7%. Conclusion: Prevalence of insomnia is higher in patients suffering from chronic medical illnesses. IAYT intervention of one week may be helpful in reducing extent of insomnia in this population.

Role of integrated yoga therapy in the management of a 49-year-old patient with trait anxiety

A 49 year old male participant with sedentary life style, diagnosed with Anxiety disorder (Neurosis) [Trait anxiety] and other anxiety related problems since 2013. He undergone with Integrated approach of Yoga Therapy (IAYT) for 2 weeks at Holistic Health home-Arogyadhama (known as Prashanti kutiram,Jigani) in Bengaluru between October and November 2016. The results showed that reduction in train anxiety or anxiety symptoms. There was significant reduction of STAI-X11 scores after two week of IAYT intervention. The percentage change of trait anxiety was 75 % after Integrated Yoga Therapy. His anxiety symptoms minimized and blood pressure, respiratory rate, pulse rate came to normal condition at the time of discharge. There was improvement in feeling of wellness and overall functional health. This case report suggests that yogic lifestyle and IAYT intervention is beneficial in the management of Anxiety disorder.

EFFECT OF YOGA THERAPY ON SPINAL FLEXIBILITY IN PATIENTS UNDERGOING CONVENTIONAL TREATMENT FOR CHRONIC LOW BACK ACHE: AN RCT

Th e objective of this st udy was to evaluate the role of Integrated Approach of Yoga Therapy (IAYT) a s an add - on on pain and spinal flexibility in patients undergoing conventional treatment for chronic low back ache . One hundred and twenty patients suffering from chronic low back ache (CLBA) aged between 18yrs to 75yrs Yoga( 41.29±15.87 ) and Control ( 41.63±13.48 ) from Ebnezar orthopedic center, Bengaluru were randomly assigned into two groups; yoga group (YG) and control group (CG) to receive IAYT or Therapeutic exercises after Intermittent l umbar traction and ultrasound (20 minutes per day). Both the groups practiced supervised interventions (40 minutes per day) for 3 weeks at the c enter and later for 12 weeks at their residences after the completion of treatment. 57 (yoga) and 55 (control) s ubjects were available for the final analysis. Both th e groups were assessed for pain and spinal flexibility on the 1 st day in the pretest and on the 21 st day in the post test. Data were analyzed using repeated measures analysis of variance (RMANOVA). Ther e were significant differences within (RMANOVA, P<0.001) and between the groups (RMANOVA, P <0.001) on pain and spinal flexibility with better improvements in the yoga group than the control group. Pain in the yoga (39.9%, 66%, 85%, and 98.9 %) and control (25.5%, 45%, 63% and 74%), movements - flexion in yoga (77%, 126%, 183%,232%) and control (33%, 64%, 99%, 132%), Extension in yoga (75%, 113%, 130%,132%) and control (34%,68%,102%,121%), right lateral flexion in yoga (78%,113%,126%,129%) and control (32%, 66%, 99%,117%), left lateral rotation in yoga (76%, 109%, 119%, 120%) and control (33% ,67%, 100%, 113%), right lateral rotation in yoga (70%, 107%, 136%, 143%) and control (29%, 58%, 89%, 114%), left lateral rotation in yoga (66%, 103%, 129%, 130%) and control (28%,55%, 84%, 107%). All these improved in the yoga group better than the control group on the 21st day, 3 rd month, 6th mont h and 1year respectively. Integrated approach of yoga therapy (IAYT) as an add - on with the conventional physiotherapy provides significantly better improvement in reducing pain and improving spinal flexibility than the therapeutic exercises in patients suf fering from chronic low back ache.

EFFICACY OF YOGA THERAPY (IAYT) ON PAIN IN PATIENTS UNDERGOING CONVENTIONAL PHYSIOTHERAPY FOR CHRONIC LOW BACK ACHE

The aim of this study was to evaluate the efficacy of Integrated Approach of Yoga Therapy (IAYT) as an add - on in patients undergoing conventional treatment for chronic low back ache . One hundred and twenty patients suffering from chronic low back ache (CLBA) aged between 18y ea rs to 75y ea rs Yoga( 41.29±15.87 ) and Control ( 41.63±13.48 ) from Ebnezar orthopedic center, Bengaluru were randomly assigned into two groups; yoga group (YG) and control group (CG) to receive IAYT or Therapeutic exercises after Intermittent lumbar traction and ultrasound (20 minutes per day). Both the groups practiced supervised interven tions (40 minutes per day) for 3 weeks at the center and later for 12 weeks at their residences after the completion of treatment. 57 (yoga) and 55 (control) subjects were available for the final analysis. Both the groups were assessed for pain on the 1 st day in the pretest and on the 21 st day in the post test. Data was analyzed using repeated measures analysis of variance (RMANOVA). There was significant difference within (RMANOVA, P<0.001) and between the groups (RMANOVA, P< 0.001) on pain with better improvements in the yoga group than the control group. Pain in the yoga (39.9%, 66%, 85%, and 98.9 %) and con trol (25.5%, 45%, 63% and 74%) improved in the yoga group better than the control group on the 21 st day, 3 rd month, 6 th month and 1y ea r respectivel y. Integrated approach of yoga therapy (IAYT) as an add - on with the conv entional physiotherapy significantly reduces the pain in pati ents suffering from chronic low back ache.

Yoga-based pulmonary rehabilitation for the management of dyspnea in coal miners with chronic obstructive pulmonary disease: A randomized controlled trial

BackgroundCoal mine dust exposure causes chronic airflow limitation in coal miners resulting in dyspnea, fatigue, and eventually chronic obstructive pulmonary disease (COPD). Yoga can alleviate dyspnea in COPD by improving ventilatory mechanics, reducing central neural drive, and partially restoring neuromechanical coupling of the respiratory system. ObjectivesTo evaluate the effectiveness of Integrated Approach of Yoga Therapy (IAYT) in the management of dyspnea and fatigue in coal miners with COPD. Materials and methodsRandomized, waitlist controlled, single-blind clinical trial. Eighty-one coal miners (36–60 years) with stable Stages II and III COPD were recruited. The yoga group received an IAYT module for COPD that included asanas, loosening exercises, breathing practices, pranayama, cyclic meditation, yogic counseling and lectures 90 min/day, 6 days/week for 12 weeks. Measurements of dyspnea and fatigue on the Borg scale, exercise capacity by the 6 min walk test, peripheral capillary oxygen saturation (SpO2%), and pulse rate (PR) using pulse oximetry were made before and after the intervention. ResultsStatistically significant within group reductions in dyspnea (P < 0.001), fatigue (P < 0.001) scores, PR (P < 0.001), and significant improvements in SpO2% (P < 0.001) and 6 min walk distance (P < 0.001) were observed in the yoga group; all except the last were significant compared to controls (P < 0.001). ConclusionsFindings indicate that IAYT benefits coal miners with COPD, reducing dyspnea; fatigue and PR, and improving functional performance and peripheral capillary SpO2%. Yoga can now be included as an adjunct to conventional therapy for pulmonary rehabilitation programs for COPD patients.

Effect of Integrated Approach of Yoga Therapy on Male Obesity and Psychological Parameters-A Randomised Controlled Trial.

Obesity is a growing global epidemic and cause of non-communicable diseases. Yoga is one of the effective ways to reduce stress which is one of the causes of obesity. To assess the effect of Integrated Approach of Yoga Therapy (IAYT) yoga module on adult male obesity in an urban setting. RCT (Randomized Controlled Trial) was conducted for 14 weeks on obese male subjects with yoga and control groups. Total number of subjects were 72 and they were randomized into two groups (Yoga n=37, Control n=35). The subjects were from an urban setting of Mumbai and were doing yoga for the first time. Special yoga training of IAYT was given to yoga group for one and half hour for 5 days in a week for 14 weeks. The control group continued regular physical activities and no specific physical activity was given. The assessments were anthropometric parameters of weight, Body Mass Index (BMI), MAC (Mid Upper Arm Circumferences) of Left and Right Arm, Waist Circumference (WC), HC (Hip Circumference), WHR (Waist Hip Ratio), SKF(Skin Fold Thickness of Biceps, Triceps, Sub scapular, suprailiac and cumulative), Percentage body fat based on SKF and Psychological Questionnaires of Perceived Stress Scale (PSS) and AAQW (Acceptance and Action Questionnaire for Weight Related Difficulty). These were taken before and after intervention for both yoga and control groups. Within and between group analysis & correlation of differences from post to pre readings among the variables, were carried out using SPSS 21. The anthropometric and psychological parameters were improved in both the groups but changes were significant in yoga group. Incorporating the IAYT for obese male in urban setting will be effective for obesity treatment and for reducing the obesity related problems.