EFFECT OF YOGIC PRACTICES IN THE MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD): A CASE STUDY

Authors

  • Guru Deo Morarji Desai National Institute of Yoga
  • P. Geetha
  • Ishwar N. Acharya
  • Ishwar V. Basavaraddi

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease of lungs which is likely to get worse, if not treated in time. It is not fully reversible and one of the major contributors of morbidity and mortality across the globe. The treatment modalities available in modern times are having a lot of side effect on human health. The usage of these modalities ensures a tendency of habit in patients to continue the same treatment even after adverse effect on the body. In the current case study, a patient was diagnosed COPD and advised to practice yoga practices (suksmavyayama, cleansing techniques, asana, breathing practices and relaxation)for a period of six months. The objective of this case was to explore the effect of three months yoga practice and follow up on lung function, exercise capacity and modified life style. His Forced Expiratory Volume(FEV1)and other parameters were taken in the beginning and at the end of intervention. The invention was categorized in three phases for three months. The patient was not able to practice all yoga techniques when came to therapy center. After three months the patient was able to do all yoga practices on his own. He reported that after three months the intake of medicine also reduced and he started experiencing feeling of wellbeing. All the practices were focused to make the patient breathe deeply with expanded chest. These practices were effective to give the bronchodilatory effect. Thus, in this way, an integrated approach to disease like COPD can be effectively managed and improvement in Quality of Life will be exhibited. Yoga, particularly breathing methods, can be a beneficial adjunct intervention for COPD patients. In future studies, the safety of yoga should be examined in more depth.

Key Words: - COPD, Yoga, Breathing exercise, Cleansing technique.

Author Biography

  • Guru Deo, Morarji Desai National Institute of Yoga
    Department of Yoga Therapy, Assistant Professor (Yoga Therapy)

References

Aras, Y. G., Tunç, A., Güngen, B. D., Güngen, A. C., Aydemir, Y., & Demiyürek, B. E. (2017). The effects of depression, anxiety and sleep disturbances on cognitive impairment in patients with chronic obstructive pulmonary disease. Cognitive Neurodynamics, 11(6), 565–571. https://doi.org/10.1007/s11571-017-9449-x

Artyukhov, I. P., Arshukova, I. L., Dobretsova, E. A., Dugina, T. A., Shulmin, A. V, & Demko, I. V. (2015). Epidemiology of chronic obstructive pulmonary disease: a population-based study in Krasnoyarsk region, Russia. International Journal of Chronic Obstructive Pulmonary Disease, 10, 1781.

Deepak Yaduvanshi. (2020). The current challenges and opportunities in the management of COPD in a resource limited setting of an Indian subcontinent. Journal of Biomedical Sciences, 9(3).

Devine, J. F. (2008). Chronic obstructive pulmonary disease: an overview. American Health & Drug Benefits, 1(7), 34–42.

Donesky-Cuenco, D., Nguyen, H. Q., Paul, S., & Carrieri-Kohlman, V. (2009). Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. Journal of Alternative and Complementary Medicine (New York, N.Y.), 15(3), 225–234. https://doi.org/10.1089/acm.2008.0389

Gendron, L. M. C., Nyberg, A., Saey, D., Maltais, F., & Lacasse, Y. (2018). Active mind-body movement therapies as an adjunct to or in comparison with pulmonary rehabilitation for people with chronic obstructive pulmonary disease. The Cochrane Database of Systematic Reviews, 10. https://doi.org/10.1002/14651858.CD012290.pub2

Gloeckl, R., Schneeberger, T., Jarosch, I., & Kenn, K. (2018). Pulmonary Rehabilitation and Exercise Training in Chronic Obstructive Pulmonary Disease. Deutsches Aerzteblatt Online. https://doi.org/10.3238/arztebl.2018.0117

Kaminsky, D. A., Guntupalli, K. K., Lippmann, J., Burns, S. M., Brock, M. A., Skelly, J., DeSarno, M., Pecott-Grimm, H., Mohsin, A., LaRock-McMahon, C., Warren, P., Whitney, M. C., & Hanania, N. A. (2017). Effect of Yoga Breathing (Pranayama) on Exercise Tolerance in Patients with Chronic Obstructive Pulmonary Disease: A Randomized, Controlled Trial. The Journal of Alternative and Complementary Medicine, 23(9), 696–704. https://doi.org/10.1089/acm.2017.0102

Loganathan, R. S., Stover, D. E., Shi, W., & Venkatraman, E. (2006). Prevalence of COPD in women compared to men around the time of diagnosis of primary lung cancer. Chest, 129(5), 1305–1312.

Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., Aboyans, V., Abraham, J., Adair, T., Aggarwal, R., & Ahn, S. Y. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2095–2128.

Panicker, V. (2019). 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. Chest, 156(4). https://doi.org/10.1016/j.chest.2019.08.887

Pauwels, R. A., Buist, A. S., Calverley, P. M., Jenkins, C. R., & Hurd, S. S. (2001). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI/WHO Global Initiative for Chronic Obstructive Lung Disease (GOLD) Workshop summary. American Journal of Respiratory and Critical Care Medicine, 163(5), 1256–1276. https://doi.org/10.1164/ajrccm.163.5.2101039

Rabe, K. F., Hurd, S., Anzueto, A., Barnes, P. J., Buist, S. A., Calverley, P., Fukuchi, Y., Jenkins, C., Rodriguez-Roisin, R., van Weel, C., & Zielinski, J. (2007). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American Journal of Respiratory and Critical Care Medicine, 176(6), 532–555. https://doi.org/10.1164/rccm.200703-456SO

S., A., R., G., G., K., S.L., Y., & A., M. (2013). Efficacy of yoga on inflammatory markers, dyspnea, and quality of life in COPD. Chest, 144(4).

Salvi, S., Kumar, G. A., Dhaliwal, R. S., Paulson, K., Agrawal, A., Koul, P. A., Mahesh, P. A., Nair, S., Singh, V., Aggarwal, A. N., Christopher, D. J., Guleria, R., Mohan, B. V. M., Tripathi, S. K., Ghoshal, A. G., Kumar, R. V., Mehrotra, R., Shukla, D. K., Dutta, E., … Dandona, L. (2018). The burden of chronic respiratory diseases and their heterogeneity across the states of India: the Global Burden of Disease Study 1990–2016. The Lancet Global Health, 6(12), e1363–e1374. https://doi.org/10.1016/S2214-109X(18)30409-1

Varmaghani, M., Dehghani, M., Heidari, E., Sharifi, F., Moghaddam, S. S., & Farzadfar, F. (2019). Global prevalence of chronic obstructive pulmonary disease: systematic review and meta-analysis. East Mediterr Health J, 25(1), 47–57.

Viegi, G., Pistelli, F., Sherrill, D. L., Maio, S., Baldacci, S., & Carrozzi, L. (2007). Definition, epidemiology and natural history of COPD. The European Respiratory Journal, 30(5), 993–1013. https://doi.org/10.1183/09031936.00082507

Volpato, E., Banfi, P., Rogers, S. M., & Pagnini, F. (2015). Relaxation techniques for people with chronic obstructive pulmonary disease: a systematic review and a meta-analysis. Evidence-Based Complementary and Alternative Medicine, 2015.

Downloads

Published

2021-12-22

Issue

Section

Original Research Article