Impact of Hatha Yoga on the Airway Resistances in Healthy Individuals and Allergic Rhinitis Patients
- 55 Downloads
There have been limited studies on Hatha yoga training as a complementary therapy to manage the symptoms of Allergic Rhinitis. The main Aim of the study was to check the impact of Hatha yogasanas on the Airway resistances in Healthy volunteers, a baseline data can be established and also to study the impact of Hatha yogasanas on the Airway resistances in Allergic Rhinitis patients in Bangalore, India. This is a prospective case series of 51 healthy volunteers (18 Males and 33 Females) Group 1 and 51 Allergic Rhinitis patients (18 Males and 33 Females) Group 2. The Objective analysis of the upper airway resistance was measured using a rhinomanometer and the lower airway resistance was measured using a spirometer. Then the subjects practiced specific Hatha yogasanas for three months. Then the airway resistance tests were again done at 3 months interval. The subjective analysis was done pre yoga and post yoga using the Short form-12 (SF-12) and Sino Nasal Outcome Test (SNOT) Questionnaires to assess the quality of life. The data was analyzed by doing a Paired (2-tailed) T Test, using SPSS (Software Package for Social Sciences) version 16. Total Nasal Airway Resistance pre yoga and post yoga in 51 healthy volunteers had significantly reduced at 150 Pa and the Forced Vital Capacity(FVC) pre yoga and post yoga had significantly increased,Forced Expiratory volume (FEV1) & % Residual standard deviation (%RSD) had increased but not significant. The Physical component score (PCS) and Mental component score (MCS) of the SF-12 health survey questionnaire had significantly improved with and the SNOT questionnaire score had significantly reduced. The Total Nasal Airway Resistance in 51 Allergic Rhinitis had significantly reduced at 150 Pa and the FVC pre yoga and post yoga showed increase but change was not significant, FEV1 pre yoga and post yoga had significantly increased, %RSD pre yoga and post yoga had significantly increased. The PCS and MCS of the SF-12 health survey questionnaire had significantly increased and the SNOT questionnaire score had significantly decreased. The scientific documentation of the impact of Hatha Yoga on the airway resistances can be an eye opener in the management of several other diseases of the airways.
KeywordsNasal airway resistance Rhinomanometer Spirometer Hatha Yogasana SF-12 SNOT
The authors thank Indian council of medical research for funding the research study and St.John’s national academy of health sciences, Bangalore for providing the infrastructure to carry out the study.
Compliance with Ethical Standards
Conflict of interest
Chellaa. R, Dr. Soumya M.S., Dr. Inbaraj. G, Dr. Ravi Nayar, Dr. Poonam. K. Saidha, Vishma Hydie Menezes, Rajeeva, declare that we have do not have any conflicts of interest.
The study was carried out after obtaining permission from the Institutional Ethics Committee in St.John’s National Academy of Health Sciences which follows the 1964 Helsinki declaration and its later amendments.
Complete information about the study was clearly explained to all the subjects in the study and a proper informed consent was obtained from all the subjects in the study.
- 1.International Consensus Report on the Diagnosis and Management of Rhinitis (1994) International Rhinitis Management Working Group. Allergy 49 (Supply)):1–34Google Scholar
- 2.Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A et al (2008) World Health Organization; GA(2)LEN; AllerGen. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy 63(Suppl 86):8–160CrossRefGoogle Scholar
- 3.World Health Organization (2007) Global surveillance, prevention and control of chronic respiratory diseases: a comprehensive approach. http://www.who.int
- 5.G solelhac, D charpin (2014) Management of allergic rhinitis: F1000 Prime Reports, 6:94 (doi:10.12703/P6-94)Google Scholar
- 6.Taimini IK (1961) The Science of yoga. The Theosophical Publishing House, MadrasGoogle Scholar
- 10.Telles S, Naveen KV (2008) Voluntary breath regulation in yoga: its relevance and physiological effects. Biofeedback 36:70–73Google Scholar
- 12.Gupta Shailendra, Bansal Ankur, Ramnani Sunil, Kumar Sanjay, Goyal NK (2012) Assessment of Nasal Airflow Resistance in the Healthy population of Chattisgarh by active anterior rhinomanometry. Indian J Otolaryngol Head Neck Surg 64(4):338–340. doi: 10.1007/s12070-011-0300-0 CrossRefPubMedGoogle Scholar
- 13.Butler J (1960) The work of breathing through the nose. Clin Sci 19:5562Google Scholar
- 14.Thiagarajan B (2012) Nasal resistance. Its importance and measurement. RhinologyGoogle Scholar
- 15.Bailey B (ed) (1998) Nasal function and evaluation, nasal obstruction. In: Head and neck surgery: otolaryngology, 2nd edn. Lippincott-Raven, New York, pp 335–44, 376, 380–90Google Scholar
- 16.Kerr A (ed) (1997) Rhinology. In: Scott-Brown’s otolaryngology, 6th edn. Oxford, Butterworth-HeinemannGoogle Scholar
- 17.Cummings C (1999) Otolaryngology: head and neck surgery. St. Louis, Mosby Year-Book, 801–806, 816, 820Google Scholar
- 22.Eccles R (2011) A guide to practical aspects of measurement of human nasal airflow by rhinomanometry. Common cold centre and healthcare clinical trials, Cardiff school of Biosciences, Cardiff University, United Kingdom. Rhinology 2011(49):2–10Google Scholar
- 23.Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Strategy for the Diagnosis, Management and Prevention of COPD 2013Google Scholar
- 30.Bijlani RL (2004) The yogic practices: Asanas, pranayams and kriyas. In: Bijlani RL (ed) Understanding Medical Physiology, 3rd edn. Jaypee Brothers Medical Publishers, New Delhi, pp 883–889Google Scholar
- 33.Bal BS (2010) Effect of anulom vilom and bhastrika pranayama on the vital capacity and maximal ventilatory volume. J Phys Educ Sport Manag 1:11–15Google Scholar
- 34.Dinesh T, Gaur GS, Sharma VK, Madanmohan T, Harichandra Kumar KT, Bhavanani AB (2015) Comparative effect of 12 weeks of slow and fast pranayama training on pulmonary function in young, healthy volunteers: A randomized controlled trial. Int J Yoga 8(1):22–26. doi: 10.4103/0973-6131.146051 CrossRefPubMedPubMedCentralGoogle Scholar