Yoga

ADHDAnxiety Arthritis Asthma Attitudes Balance Blood Pressure Body Image Cancer Cardiovascular Children Cognition Cortisol Depression Diabetes EEG EMG Epilepsy Exercise Headache Heart Rate Hormones Hypertension Mental Retardation Mood Pain Physiology Pulmonary Function Steadiness

 

Attention-Deficit/Hyperactivity Disorder (ADHD)

Jensen PS, Kenny DT. The effects of yoga on the attention and behavior of boys with Attention-Deficit/ hyperactivity Disorder (ADHD). J Atten Disord. 2004 May;7(4):205-16.

 METHOD: Boys diagnosed with ADHD by specialist pediatricians and stabilized on medication were randomly assigned to a 20-session yoga group or a control group. RESULTS: Improvements from pre-test to post-test were found for the yoga, but not for the control group on five subscales of the Conners' Parents Rating Scales

Anxiety

Sahasi, G., Mohan, D., and Kacker, C. (1989). Effectiveness of yogic techniques in the management of anxiety. Journal of Personality and Clinical Studies 5, 51-55.

METHOD: Evaluated the efficacy of selected yoga practices (Group 1, N = 38) as compared with drug (diazepam) therapy (Group 2, N = 53) in anxiety-neurotic outpatients (aged 18-47 yrs). Subjects were administered a battery of tests pre- and post-treatment. RESULTS: Data indicated a significant rate of improvement in Group 1 Ss who completed the prescribed length (5 days/wk for 3 months) of yoga practices as compared with Group 2 Ss. At least 7% of Group 1 Ss were reported to be completely asymptomatic as compared with none of the Group 2 Ss.

Platania-Solazzo, A., Field, T. M., Blank, J., Seligman, F., Kuhn, C., Schanberg, S., and Saab, P. (1992). Relaxation therapy reduces anxiety in child and adolescent psychiatric patients. Acta Paedopsychiatrica 55, 115-120.

METHOD: The immediate effects of relaxation therapy (RT) were assessed in 40 hospitalized children and adolescents with diagnoses of adjustment disorder and depression. These effects were assessed using a within subjects pre-test/post-test design and by comparison with a control group of 20 depressed and adjustment disorder patients who watched a 1-h relaxing videotape. The 1-h RT class consisted of yoga exercise, a brief massage and progressive muscle relaxation. RESULTS: Decreases were noted in both self-reported anxiety and in anxious behavior and fidgeting as well as increases in positive affect in the RT, but not the video group. In addition, adjustment disorder patients and a third of the depressed patients showed decreases in cortisol levels following RT, while no changes were noted in the video group. Thus, both diagnostic groups appeared to benefit from the RT class.

Miller, J. J., Fletcher, K., and Kabat-Zinn, J. (1995). Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. General Hospital Psychiatry 17, 192-200.

METHOD: A previous study of 22 medical patients with DSM-III-R-defined anxiety disorders showed clinically and statistically significant improvements in subjective and objective symptoms of anxiety and panic following an 8-week outpatient physician-referred group stress reduction intervention based on mindfulness meditation. Twenty subjects demonstrated significant reductions in Hamilton and Beck Anxiety and Depression scores post intervention and at 3-month follow-up. In this study, 3-year follow-up data were obtained and analyzed on 18 of the original 22 subjects to probe long-term effects. RESULTS: Analysis showed maintenance of the gains obtained in the original study on the Hamilton and Beck anxiety scales as well as on their respective depression scales, on the Hamilton panic score, the number and severity of panic attacks, and on the Mobility Index-Accompanied and the Fear Survey. A 3-year follow-up comparison of this cohort with a larger group of subjects from the intervention who had met criteria for screening for the original study suggests generalizability of the results obtained with the smaller, more intensively studied cohort. Ongoing compliance with the meditation practice was also demonstrated in the majority of subjects at 3 years. We conclude that an intensive but time-limited group stress reduction intervention based on mindfulness meditation can have long-term beneficial effects in the treatment of people diagnosed with anxiety disorders.

Arthritis

Garfinkel, M. S., Schumacher, H. R. Jr, Husain, A., Levy, M., and Reshetar, R. A. (1994). Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. Journal of Rheumatology 21, 2341-2343.

METHOD: Yoga and relaxation techniques have traditionally been used by non medical practitioners to help alleviate musculoskeletal symptoms. The objective of this study was to collect controlled observations of the effect of yoga on the hands of patients with osteoarthritis (OA). Patients with OA of the hands were randomly assigned to receive either the yoga program or no therapy. Yoga techniques were supervised by one instructor once/week for 8 weeks. Variables assessed were pain, strength, motion, joint circumference, tenderness, and hand function using the Stanford Hand Assessment questionnaire. RESULTS: The yoga treated group improved significantly more than the control group in pain during activity, tenderness and finger range of motion.

Asthma

Sathyaprabha TN. Murthy H. Murthy BT. (2001). Efficacy of naturopathy and yoga in bronchial asthma--a self controlled matched scientific study. Indian Journal of Physiology & Pharmacology 4, 80-6.

METHOD: Asthma is a common psychosomatic illness influenced by many factors. Bronchodilators give temporary relief and have side effects. The present study was aimed at finding the efficacy of a non-pharmacological approach of naturopathy and Yoga in bronchial asthma. 37 patients (19 men, 18 women) with mean age 35 received treatment including 1. Diet therapy 2. Nature cure treatment and 3. Yoga therapy. The various parameters including lung function test were measured on admission and once a week. RESULTS: The results showed significant improvement in PEFR, VC, FVC, FEV1, FEV/FEC %, MVV, ESR and absolute eosinophil count. The patients reported a feeling of well being, freshness and comfortable breathing. Naturopathy and yoga helps in inducing positive health, alleviating the symptoms of disease by acting at physical and mental levels.

Ritz T. (2001). Relaxation therapy in adult asthma. Is there new evidence for its effectiveness?. [Review] [80 refs]. Behavior Modification. 25, 640-66.


METHOD: Studies of relaxation training for adult asthma patients were reviewed for the period between 1980 and 2000. Six controlled and three uncontrolled studies were identified, employing a variety of methods, such as progressive relaxation, functional relaxation, autogenic training, or yoga. Most studies had low sample sizes and suffered from one or more methodological deficiencies, such as suboptimal data analysis, high dropout rates, problematic measurement procedures, or insufficient descriptions of methodology and results. Overall effects on parameters of lung function, symptoms, medication consumption, and health care use were generally negligible. Problems with the underlying rationale of relaxation therapy in asthma are discussed from a psychophysiological viewpoint. Examples are given of potential beneficial and detrimental effects of these techniques on lung function with respect to emotional processes, the musculoskeletal system, and ventilation as targets of a relaxation intervention.

Wilson, A. F., Honsberger, R., Chiu, J. T., and Novey, H. S. (1975). Transcendental meditation and asthma. Respiration 32, 74-80.

METHOD: A 6-month study with crossover at 3 months was designed to evaluate the possible beneficial effects of transcendental meditation upon bronchial asthma. 21 patients kept daily diaries of symptoms and medications and answered questionnaires at the end of the study and 6 months later. Other measurements included physician evaluation, pulmonary function testing, and galvanic skin resistance. RESULTS: The results indicated that transcendental meditation is a useful adjunct in treating asthma.

Tandon, M. K. (1978). Adjunct treatment with yoga in chronic severe airways obstruction. Thorax 33, 514-517.

METHOD: Eleven patients with severe chronic airways obstruction were given training in yogic breathing exercises and postures. A matched group of 11 patients were given physiotherapy breathing exercises. Both groups of patients were followed at monthly intervals for nine months with pulmonary function tests, tests of exercise tolerance, and inquiry into their symptoms. RESULTS: After training in yoga the mean maximum work increased significantly; whereas no such rise occurred after training in physiotherapy. This objective improvement was associated with symptomatic improvement in a significantly higher number of patients given training in yoga.

Nagarathna, R. and Nagendra, H. R. (1985). Yoga for bronchial asthma: a controlled study. British Medical Journal Clinical Research Ed . 291, 1077-1079.

METHOD: Fifty three patients with asthma underwent training for two weeks in an integrated set of yoga exercises including breathing exercises, physical postures, breath slowing techniques, meditation, and a devotional session, and were told to practice these exercises for 65 minutes daily. They were then compared with a control group of 53 patients with asthma matched for age, sex, and type and severity of asthma, who continued to take their usual drugs. There was a significantly greater improvement in the group who practiced yoga in the weekly number of attacks of asthma, scores for drug treatment, and peak flow rate. This study shows the efficacy of yoga in the long term management of bronchial asthma, but the physiological basis for this beneficial effect needs to be examined in more detail.

Nagendra, H. R. and Nagarathna, R. (1986). An integrated approach of yoga therapy for bronchial asthma: a 3-54-month prospective study. Journal of Asthma 23, 123-137.

METHOD: After an initial integrated yoga training program of 2 to 4 weeks, 570 bronchial asthmatics were followed up for 3 to 54 months. The training consisted of yoga practices and theory of yoga. RESULTS: Results showed significant improvement in most of the specific parameters. The regular practitioners showed the greatest improvement. Peak expiratory flow rate (PFR) values showed significant movement of patients toward normalcy after yoga, and 72, 69, and 66% of the patients have stopped or reduced parenteral, oral, and cortisone medication, respectively.

Jain, S. C., Rai, L., Valecha, A., Jha, U. K., Bhatnagar, S. O., and Ram, K. (1991). Effect of yoga training on exercise tolerance in adolescents with childhood asthma. Journal of Asthma 28, 437-442.

METHOD: Forty six young asthmatics with a history of childhood asthma were admitted for yoga training. Effects of training on resting pulmonary functions, exercise capacity, and exercise-induced bronchial lability index were measured. RESULTS: Yoga training resulted in a significant increase in pulmonary function and exercise capacity. A follow-up study spanning two years showed a good response with reduced symptom score and drug requirements in these subjects.

Jain, S. C. and Talukdar, B. (1993). Evaluation of yoga therapy programme for patients of bronchial asthma. Singapore Medical Journal 34, 306-308.

METHOD: The effects of a yoga therapy program were studied on 46 patients of chronic bronchial asthma including exercise capacity, pulmonary functions and blood gases. Exercise capacity was measured by 3 tests: (i) 12 min walk test: (ii) physical fitness index by modified Harvard step test; and (iii) Exercise-Liability index. RESULTS: Yoga therapy resulted in an increase in pulmonary functions and exercise tolerance. A one-year follow-up study showed a good to fair response with reduced symptoms scores and drug requirements in these subjects.

Khanam, A. A., Sachdeva, U., Guleria, R., and Deepak, K. K. (1996). Study of pulmonary and autonomic functions of asthma patients after yoga training. Indian Journal of Physiology & Pharmacology 40, 318-324.

METHOD: Nine diagnosed bronchial asthma patients were given yoga training for seven days. The autonomic function tests to measure parasympathetic reactivity (Deep Breathing test, Valsalva Manouever), sympathetic reactivity (Hand Grip test, Cold Pressure test), and pulmonary function tests FVC, FEV1, PEFR, PIF, BHT and CE were recorded before and after yoga training. The resting heart rate after yoga training was significantly decreased. The sympathetic reactivity was reduced following yoga training. There was no change in parasympathetic reactivity. The FVC, FEV1, PEFR did not show any significant change. The PIF (P < 0.01), BHT (P < 0.01) and CE (P < 0.01) showed significant improvement. The results indicated the reduction in sympathetic reactivity and improvement in pulmonary ventilation by way of relaxation of voluntary inspiratory and expiratory muscles.

Manocha, R., Marks, G.B., Kenchington, P., Peters, D., & Salome, C.M. (2002). Sahaja yoga in the management of moderate to severe asthma: a randomised controlled trial. Thorax, 57, 110-115.

METHOD: Yoga and control groups attended a 2 hour session once a week for 4 months. Asthma related quality of life (AQLQ), Profile of Mood States (POMS), level of airway hyperesponsiveness to methacholine (AHR), and a diary card based combined asthma score (CAS) reflecting symptoms, bronchodilator usage, and peak expiratory flow rates were measured at the end of the treatment period and again 2 months later. RESULTS: The improvement in AHR at the end of treatment was 1.5 doubling doses in the yoga group than in the control group. The AQLQ mood subscale improved more in the yoga group as did the summary POMS score.

Attitudes

Malathi A. Damodaran A. Shah N. Patil N. Maratha S. (2000). Effect of yogic practices on subjective well being.
Indian Journal of Physiology & Pharmacology. 44(2):202-6.

METHOD: Forty eight healthy volunteers who participated in the practice of yoga over a period of 4 months were assessed on Subjective Well Being Inventory (SUBI) before and after the course in order to evaluate the effect of practice of yoga on subjective feelings of well-being and quality of life. A significant improvement in 9 of the 11 factors of SUBI was observed at the end of 4 months, in these participants. The paper thus, reiterates the beneficial effects of regular practice of yoga on subjective well being.

Grover, P., Varma, V. K., Pershad, D., and Verma, S. K. Construction of a scale for the measurement of attitudes to yoga (a preliminary report). Indian Journal of Clinical Psychology 10(2), 173-378. 9-1983.

METHOD: Describes the development and evaluation of a 14-item Likert-type scale assessing attitudes toward yoga. The scale was standardized on 71 Ss-26 who regularly practiced yoga and 45 who did not (mean ages 32.85 and 30.67 yrs, respectively). Test-retest, validity, and discriminability data for the scale are presented.

Balance

Dhume, R. R. and Dhume, R. A. (1991). A comparative study of the driving effects of dextroamphetamine and yogic meditation on muscle control for the performance of balance on balance board. Indian Journal of Physiology & Pharmacology 35, 191-194.

METHOD: This study compared the relative strength of dextroamphetamine and yogic meditation on the performance of 3 different groups of medical students using balance on a balance board as the measure. Group A subjects received yoga, group B subjects were given orally 5 and 10 mg of dextroamphetamine in a capsule, 1 hr prior to the test. Group C subjects were given same capsule but with lactose in place of the drug (placebo). RESULTS: The balance index taking into account balance time and error scores at each trial of 5 min duration showed that the performance of the group B (drug) declined with overall percentile fall of 40.6% as compared to the performance of the controls (placebo) whereas, the performance of Group A (meditators) progressively increased throughout the period of 10 trial days with an overall percentile increase of 27.8%.

Blood Pressure

Blackwell, B., Bloomfield, S., Gartside, P., Robinson, A., Hanenson, I., Magenheim, Nidich, S., and Zigler, R. (1976). Transcendental meditation in hypertension. Individual response patterns. Lancet 1, 223-226.

METHOD: Seven selected hypertensive patients were stabilized on drugs at a research clinic. Subjects learned transcendental meditation (T.M.), were seen weekly, and took their own blood pressure several times daily. RESULTS: After 12 weeks of T.M. six subjects showed psychological changes and reduced anxiety scores. Six subjects also showed significant reductions in home and four in clinic blood-pressures. Six months later four subjects continued to derive psychological benefit and two showed significant blood-pressure reductions attributable to T.M. at home and clinic.

Body Image

Clance, P. R., Mitchell, M., and Engelman, S. R. (1980). Body cathexis in children as a function of awareness training and yoga. Journal of Clinical Child Psychology 9, 82-85.

METHOD: The present study was designed to test a means of increasing body satisfaction in children. 12 3rd graders, 10 girls and 2 boys, who demonstrated low body satisfaction and poor physical coordination, were randomly assigned to either an experimental group that received awareness training and yoga exercises or to a control group. A before-after 2-group design was used. Measures of body satisfaction were obtained from an adapted children's version of the Body Cathexis Scale and the Human Figures Drawing Test. RESULTS: The results indicated that experimental Ss increased in body satisfaction; no change was found in controls.

 

Cancer

Cohen, L., et al. Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer. 2004 May 15;100(10):2253-60.

METHOD: Thirty-nine patients with lymphoma were assigned to a TY group or to a wait-list control group. Patients in the TY group participated in 7 weekly yoga sessions, and patients in the wait-list control group were free to participate in the TY program after the 3-month follow-up assessment. RESULTS: Patients in the TY group reported significantly lower sleep disturbance scores.

 

Cardiovascular

Manchanda SC. Narang R. Reddy KS. Sachdeva U. Prabhakaran D. Dharmanand S. Rajani M. Bijlani R. (2000). Retardation of coronary atherosclerosis with yoga lifestyle intervention. Journal of the Association of Physicians of India. 48, 687-94.

METHOD: Yoga effects were evaluated on retardation of coronary atherosclerotic disease. In this prospective, randomized, controlled trial, 42 men with angiographically proven coronary artery disease (CAD) were randomized to control (n = 21) and yoga intervention group (n = 21) and were followed for one year. The active group was treated with a user-friendly program consisting of yoga, control of risk factors, diet control and moderate aerobic exercise. The control group was managed by conventional methods i.e. risk factor control and American Heart Association step I diet. RESULTS: At one year, the yoga groups showed significant reduction in number of anginal episodes per week, improved exercise capacity and decrease in body weight. Serum total cholesterol, LDL cholesterol and triglyceride levels also showed greater reductions as compared with the control group. Revascularisation procedures (coronary angioplasty or bypass surgery) were less frequently required in the yoga group. Coronary angiography repeated at one year showed that significantly more lesions regressed (20% versus 2%) and less lesions progressed (5% versus 37%) in the yoga group. Compliance with the program was excellent and no side effects were observed.

Vempati,-R-P; Telles,-Shirley (1999). Yoga based isometric relaxation versus supine rest: A study of oxygen consumption, breath rate and volume and autonomic measures. Journal-of-Indian-Psychology 17, 46-52.


METHOD: Studied physiological variables in 40 men (aged 16-46 yrs) before and after yoga-based isometric relaxation technique and supine rest. Assessments of autonomic parameters included oxygen consumption, breath rate, and breath volume. There was a significant decrease in breath rate after yoga and in finger plethysmogram after supine rest.

Telles S. Reddy SK. Nagendra HR. (2000). Oxygen consumption and respiration following two yoga relaxation techniques. Applied Psychophysiology & Biofeedback 25, 221-7.

METHOD: Two yoga practices, one combining "calming and stimulating" measures and the other, a "calming" technique, were compared. The oxygen consumption, breath rate, and breath volume of 40 male volunteers were assessed before and after sessions of cyclic meditation (CM) and before and after the sessions. RESULTS: There was a significant decrease in the amount of oxygen consumed and in breath rate and an increase in breath volume after both types of sessions. However, the magnitude of change on all 3 measures was greater after the calming and stimulating session: (1) Oxygen consumption decreased 32% compared with 10%; (2) breath rate decreased 18% versus 15%; and (3) breath volume increased 29% versus 16%. These results support the idea that a combination of yoga postures interspersed with relaxation reduces arousal more than relaxation alone does.

Bernardi L. Passino C. Wilmerding V. Dallam GM. Parker DL. Robergs RA. Appenzeller O. (2001). Breathing patterns and cardiovascular autonomic modulation during hypoxia induced by simulated altitude. Journal of Hypertension. 19, 947-58.


METHOD: To assess the influence of different breathing patterns on autonomic cardiovascular modulation during acute exposure to altitude-induced hypoxia. Relative changes in minute ventilation (VE), oxygen saturation (%SaO2), spectral analysis of RR interval and blood pressure, and response to stimulation of carotid baroreceptors (neck suction) at baseline and after acute (1 h) hypobaric hypoxia (equivalent to 5,000 m, in a hypobaric chamber) were measured in 19 subjects (nine controls and 10 Western yoga trainees of similar age). These were measured while breathing spontaneously, at 15 breaths/min (controlled breathing) and during 'complete yogic breathing' (slow diaphragmatic + thoracic breathing, approximately 5 breaths/min) in yoga trainees, or simple slow breathing in controls. RESULTS: At baseline %SaO2, VE and autonomic pattern were similar in both groups; simulated altitude increased VE in controls but not in yoga trainees; %SaO2 decreased in all subjects, but more in controls than in yoga trainees (17 versus 12%, 14 versus 9%, 14 versus 8% during spontaneous breathing, controlled breathing and yogic or slow breathing, respectively). Simulated altitude decreased RR interval and increased indices deducted from spectral analysis of heart rate variability and systolic blood pressure in controls, indicating sympathetic activation; these changes were blunted in yoga trainees, and in both groups during slow or yogic breathing. No effect of altitude was seen on stimulation of carotid baroreceptors in both groups. Thus, slow yogic breathing maintains better blood oxygenation without increasing VE (i.e. seems to be a more efficient breathing) and reduces sympathetic activation during altitude-induced hypoxia.

Chohan, I. S., Nayar, H. S., Thomas, P., and Geetha, N. S. (1984). Influence of yoga on blood coagulation. Thrombosis & Haemostasis 51, 196-197.

METHOD: A study was conducted in seven previously untrained male adults who underwent a combination of yogic exercises, daily for one hour, over a period of four months. Parameters of blood coagulation were estimated before and after the end of yoga training. RESULTS: The following changes were observed: Fibrinolytic activity increased significantly with a concomitant fall in fibrinogen; activated partial thromboplastin time and platelet aggregation time were prolonged; blood and plasma platelets showed a rise; and both hemoglobin and hematocrit were raised at the end of the training. These findings suggest that yoga induces a state of blood hypocoagulability suggesting positive effects of yoga on prevention of cardiovascular and thrombotic disorders.

Bowman, A. J., Clayton, R. H., Murray, A., Reed, J. W., Subhan, M. M., and Ford, G. A. (1997). Effects of aerobic exercise training and yoga on the baroreflex in healthy elderly persons. European Journal of Clinical Investigation 27, 443-449.

METHOD: The effects of aerobic exercise training and yoga, a non-aerobic control intervention, on the baroreflex of elderly persons were determined. Baroreflex sensitivity was quantified by the alpha-index, at high frequency (reflecting parasympathetic activity) and mid-frequency (reflecting sympathetic activity as well), derived from spectral and cross-spectral analysis of spontaneous fluctuations in heart rate and blood pressure. Twenty-six (10 women) sedentary, healthy, normotensive elderly (mean 68 years) subjects were studied. Fourteen (4 women) of the sedentary elderly subjects completed 6 weeks of aerobic training, while the other 12 (6 women) subjects completed 6 weeks of yoga. RESULTS: Heart rate decreased following yoga but not aerobic training. VO2 max increased by 11% following yoga and by 24% following aerobic training. No significant change in alpha MF or alpha HF occurred after aerobic training. Following yoga, alpha HF but not alpha MF increased.

Damodaran, A., et al. Therapeutic potential of yoga practices in modifying cardiovascular risk profile in middle aged men and women. J Assoc Physicians India. 2002 May;50(5):633-40.

 METHOD: Twenty patients with mild to moderate essential hypertension underwent yogic practices daily for one hour for three months. RESULTS: Results showed decrease in blood pressure and drug score modifying risk factors, i.e. blood glucose, cholesterol and triglycerides decreased overall improvement in subjective well being and quality of life. There was decrease in VMA catecholamine, and decrease MDA level suggestive decrease sympathetic activity and oxidant stress.

 Harinath, K., et al. Effects of Hatha yoga and Omkar meditation on cardiorespiratory performance, psychologic profile, and melatonin secretion. J Altern Complement Med. 2004 Apr;10(2):261-8.

 METHOD: Thirty healthy men were randomly divided in two groups. Group 1 subjects served as controls and performed body flexibility exercises for 40 minutes and slow running for 20 minutes during morning hours and played games for 60 minutes during evening hours daily for 3 months. Group 2 subjects practiced selected yogic (postures) for 45 minutes. RESULTS: Yogic practices for 3 months resulted in an improvement in cardiorespiratory performance and psychologic profile. The plasma melatonin also showed an increase after three months of yogic practices.

  Manchanda, SC., et al. Retardation of coronary atherosclerosis with yoga lifestyle intervention. J Assoc Physicians India. 2000 Jul;48(7):687-94.

 METHOD: 42 men with angiographically proven coronary artery disease were randomized to control and yoga interventiongroup. RESULTS: At one year, the yoga groups showed significant reduction in number of anginal episodes per week, improved exercise capacity and decrease in body weight. Serum total cholesterol, LDL cholesterol and triglyceride levels also showed greater reductions. Revascularisation procedures (coronary angioplasty or bypass surgery) were less frequently required in the yoga group. Coronary angiography repeated at one year showed that significantly more lesions regressed and less lesions progressed.

Yogendra, J., et al. Beneficial effects of yoga lifestyle on reversibility of ischaemic heart disease: caring heart project of International Board of Yoga. J Assoc Physicians India. 2004; 52:283-9.

METHOD: This prospective, controlled, open trial included angiographically proven coronary artery disease patients (71 patients in study group and 42 patients in control group). The study group patients were given a family based Yoga Program. RESULTS: At the end of one year of yoga training, statistical significant changes were found in serum total cholesterol (reduction by 23.3% in study group patients as compared to 4.4% in controls); serum LDL cholesterol (reduction of 26% in study group patients as compared to 2.6% in the control group), regression of disease (43.7% of study group patients v/s 31% control group on MPI and 70.4% of study group v/s 28% of control group on angiography).

Carpal Tunnel

Garfinkel, M.S., Singhal, A., Katz, W.A., Allan, D.A., Reshetar, R. & Schumacher, H.R.J. (1998). Yoga-based intervention for carpal tunnel syndrome: a randomized trial. Jama, 280, 1601-1603.

METHOD: This study determined the effectiveness of a yoga-based regimen for relieving symptoms of carpal tunnel syndrome. Forty-two employed or retired individuals with carpal tunnel syndrome (median age, 52 years) were assigned to the yoga group receiving a yoga-based intervention consisting of 11 yoga postures designed for strengthening, stretching, and balancing each joint in the upper body along with relaxation given twice weekly for 8 weeks. Patients in the control group were offered a wrist splint to supplement their current treatment. Yoga was more effective than wrist splinting or no treatment in relieving symptoms and signs of carpal tunnel syndrome including grip strength, pain intensity, sleep disturbance, Phalen sign, and Tinel sign, and in median nerve motor and sensory conduction time.

Children

Manjunath,-N-K; Telles,-Shirley (1999). Improvement in visual perceptual sensitivity in children following yoga training. Journal-of-Indian-Psychology 17, 41-45.

METHOD: 14 children (aged 12-17 yrs) who received 10 days of yoga training and 14 age- and sex-matched controls who did not receive yoga training were assessed on Day 1 and Day 10 for visual perceptual sensitivity through Critical Flicker Fusion Frequency (CFF) and degree of illusion. The yoga group practiced postures and meditation, along with specially designed games to improve memory and attention. The control group experienced their routine activity. RESULTS: Following 10 days of yoga training, the yoga group showed a significant increase in CFF and a decrease in degree of illusion; the control group showed no change.

Cognition

Telles S. Ramaprabhu V. Reddy SK. (2000). Effect of yoga training on maze learning. Indian Journal of Physiology & Pharmacology 44,197-201.

METHOD: Performance on a maze learning task was assessed in 31 adults before and after 30 days of yoga training and in an age and gender matched control group of subjects who did not receive yoga training. Subjects were blind folded and used the dominant hand to trace a path in a wooden pencil maze. At each assessment, subjects were given 5 trials, without a gap between them. Performance was based on the time taken to complete the maze and the number of blind alleys taken. RESULTS: The time and error scores of Trial 1 were significantly less after yoga. Repeating trials significantly decreased time scores at Trial 5 versus Trial 1 for both groups on Day 1 and for the control group on Day 30. Hence the yoga group showed improved performance in maze tracing at retest 30 days later but did not influence maze learning, based on the performance in 5 repeat trials.

Cortisol

Kamei T. Toriumi Y. Kimura H. Ohno S. Kumano H. Kimura K. (2000). Decrease in serum cortisol during yoga exercise is correlated with alpha wave activation. Perceptual & Motor Skills 90, 1027-32.

METHOD: Changes in brain waves and blood levels of serum cortisol were examined during yoga in 7 yoga instructors. RESULTS: Alpha waves increased and serum cortisol decreased. These two measures were negatively correlated.

Jevning, R., Wilson, A. F., and Davidson, J. M. (1978). Adrenocortical activity during meditation. Hormones & Behavior 10, 54-60.

METHOD: Acute plasma cortisol and testosterone concentration changes were measured during transcendental meditation (TM) and during rest. Three groups of normal, young adult volunteers were studied: a group of controls, these same controls restudied as practitioners after 3 to 4 months of TM practice, and a group of long-term, regular TM practitioners (3 to 5 years of practice). RESULTS: No change was found in controls during rest. Cortisol declined, but not significantly, in restudied controls, while cortisol decreased significantly in long-term practitioners during meditation and remained somewhat low afterward. No change in testosterone concentration was noted during either rest or TM. Apparently, the TM becomes associated with psychophysiologic responses that acutely inhibit pituitary-adrenal activity.

Harte, J. L., Eifert, G. H., and Smith, R. (1995). The effects of running and mediation on beta-endorphin, corticotropin-releasing hormone and cortisol in plasma, and on mood. Biological Psychology 40, 251-265.

METHOD: The relations between three hormones of the hypothalamic-pituitary-adrenocortical (HPA) axis, beta-endorphin (beta-EP), corticotropin-releasing hormone (CRH) and cortisol, and mood change were examined in 11 elite runners and 12 highly trained meditators matched in age, sex, and personality. Despite metabolic differences between running and meditation, we predicted that mood change after these activities would be similar when associated with similar hormonal change. RESULTS: Compared to pre-test and control values, mood was elevated after both activities but not significantly different between the two groups at post-test. Significant elevations of beta-EP and CRH occurred after running and of CRH after meditation, but no significant differences in CRH increases occurred between groups. CRH was correlated with positive mood changes after running and meditation. Cortisol levels were generally high but erratic in both groups. Thus, positive affect was associated with plasma CRH immunoreactivity which itself was significantly associated with circulating beta-EP supporting a role for CRH in the release of beta-EP. Increased CRH immunoreactivity following meditation indicates, however, that physical exercise is not an essential requirement for CRH release.

Depression

Khumar, S. S. Kaur P. & Kaur S. (1993). Effectiveness of Shavasana on depression among university students. Indian Journal of Clinical Psychology 20, 82-87.

METHOD: The effectiveness of yoga was examined as a therapeutic technique to alleviate depression. 50 female university students were diagnosed with severe depression; 25 experienced 30 Yoga sessions and 25 served as controls. RESULTS: The results revealed that (1) Yoga was an effective technique for alleviating depression and (2) continuation of the treatment for a longer period resulted in a significantly increased positive change in the Ss.

Diabetes

Jain, S. C., Uppal, A., Bhatnagar, S. O., & Talukdar, B. (1993). A study of response pattern of non-insulin dependent diabetics to yoga therapy. Diabetes Research & Clinical Practice 19, 69-74.

METHOD: Changes in blood glucose and glucose tolerance by oral glucose tolerance test (OGTT) were investigated after 40 days of yoga in 149 non-insulin-dependent diabetics. The response to yoga in these subjects was categorized according to a severity scale index (SSI) based on area index total (AIT) under OGTT curve. RESULTS: One hundred and four patients showed a fair to good response to the yoga therapy. There was a significant reduction in hyperglycemia and AIT with a decrease in oral hypoglycemia and AIT, and a decrease in oral hypoglycemic drugs required for maintenance of normoglycemia.

Malhotra, V., et al. Effect of Yoga asanas on nerve conduction in type 2 diabetes. Indian J Physiol Pharmacol. 2002 Jul;46(3):298-306.

 METHOD: Twenty Type 2 diabetic subjects between the age group of 30-60 years were studied to see the effect of 40 days of Yoga asanas on the nerve conduction velocity. The Yoga exercises were performed for 30-40 minutes every day for 40 days in the above sequence. RESULTS: Right hand and left hand median nerve conduction velocity increased. Control group nerve function parameters deteriorated over the period of study. 

Singh, S., et al. Role of yoga in modifying certain cardiovascular functions in type 2 diabetic patients. J Assoc Physicians India. 2004 Mar;52:203-6.

METHOD: The present study done in twenty-four Type 2 DM cases. Patients training in yoga asanas and they pursued those 30-40 min/day for 40 days under guidance. RESULTS: There was significant decrease in fasting blood glucose levels from basal 190. Blood glucose levels as well as glycosylated hemoglobin levels decreased. The pulse rate, systolic and diastolic blood pressure also decreased.

 

EEG

Aftanas L. I. & Golocheikine S. A. (2001). Human anterior and frontal midline theta and lower alpha reflect emotionally positive state and internalized attention: high-resolution EEG investigation of meditation. Neuroscience Letters 310, 57-60.

METHOD: EEG spectral power and coherence estimates in the individually defined delta, theta, alpha-1, alpha-2, and alpha-3 bands were used to identify and characterize brain regions involved in meditative states, in which focused internalized attention gives rise to emotionally positive "blissful" experience. RESULTS: Blissful state was accompanied by increased anterior frontal and midline theta synchronization as well as enhanced theta long-distant connectivity between prefrontal and posterior association cortex with distinct "center of gravity" in the left prefrontal region. Subjective scores of emotional experience significantly correlated with theta, whereas scores of internalized attention with both theta and alpha lowered synchronization.

Corby, J. C., Roth, W. T., Zarcone, V. P. Jr, & Kopell, B. S. (1978). Psychophysiological correlates of the practice of Tantric Yoga meditation. Archives of General Psychiatry 35, 571-577.

METHOD: Autonomic and electroencephalographic (EEG) correlates of Yoga meditation were studied in three groups of subjects as they progressed from normal consciousness into meditation. The groups differed in their level of meditation proficiency. Measures were taken of skin resistance, heart rate, respiration, autonomic orienting responses, resting EEG, EEG alpha and theta frequencies, sleep-scored EEG, averaged evoked responses, and subjective experience. RESULTS: Proficient meditators demonstrated increased autonomic activation during meditation while unexperienced meditators demonstrated autonomic relaxation. During meditation, proficient meditators demonstrated increased alpha and theta power, minimal evidence of EEG-defined sleep, and decreased autonomic orienting to external stimulation. An episode of sudden autonomic activation was observed that was characterized by the meditator as an approach to the Yogic ecstatic state of intense concentration.

EMG

Narayan, R., Kamat, A., Khanolkar, M., Kamat, S., Desai, S. R., & Dhume, R. A. (1990). Quantitative evaluation of muscle relaxation induced by Kundalini yoga with the help of EMG integrator. Indian Journal of Physiology & Pharmacology 34, 279-281.

METHOD: The present work quantified the degree of muscle relaxation following Yoga. RESULTS: The EMG data collected from 8 individuals (4 males 4 females) on the degree of muscle relaxation at the end of Yoga revealed a significant decrease in muscle activity amounting to 58% of the basal level in both the sexes.

Epilepsy

Panjwani U. Selvamurthy W. Singh SH. Gupta HL. Mukhopadhyay S. & Thakur L. (2000). Effect of Sahaja yoga meditation on auditory evoked potentials (AEP) and visual contrast sensitivity (VCS) in epileptics. Applied Psychophysiology & Biofeedback 25, 1-12.

METHOD: The effects of yoga meditation were studied in 32 patients with primary idiopathic epilepsy on regular and maintained antiepileptic medication. The patients were randomly divided into 3 groups: group I practiced Yoga meditation twice daily for 6 months under proper guidance; group 2 practiced postural exercises mimicking the meditation for the same duration; and group 3 was the control group. Visual Contrast Sensitivity (VCS), Auditory Evoked Potentials (AEP), Brainstem Auditory Evoked Potentials (BAEP), and Mid Latency Responses (MLR) were recorded initially (0 month) and at 3 and 6 months for each group. RESULTS: There was a significant improvement in VCS following meditation practice in group I participants. Na, the first prominent negative peak of MLR and Pa, the positive peak following Na did not register changes in latency. The Na-Pa amplitude of MLR also showed a significant increase. There were no significant changes in the absolute and interpeak latencies of BAEP. The reduced level of stress following meditation practice may make patients more responsive to specific stimuli. Sahaja Yoga meditation appears to bring about changes in some of the electrophysiological responses studied in epileptic patients.

Ramaratnam S. (2001). Yoga for epilepsy: methodological issues. Seizure 10, 3-6.


METHOD:This paper reviews methodological issues that might be encountered in designing and conducting a randomized controlled study on the effects of yoga in the treatment of epilepsy. Methodological issues relating to patient selection, randomization, blinding, type of intervention, outcome measures and analysis are highlighted.

Yardi, N. (2001). Yoga for control of epilepsy. Seizure 10, 7-12. (Review).

Yoga is an age-old traditional Indian psycho-philosophical-cultural method that alleviates stress, induces relaxation and provides multiple health benefits to the person. Commonly practiced yoga methods are 'Pranayama' (controlled deep breathing), 'Asanas' (physical postures) and 'Dhyana' (meditation) that are mixed in varying proportions depending on the type of Yoga. This paper reviews studies related to yoga and epilepsy, seizures, EEG, autonomic changes, neuropsychology, limbic system, arousal, sleep, brain plasticity, motor performance, brain imaging studies, and rehabilitation. There is a dearth of randomized, blinded, controlled studies related to yoga and seizure control. A multi-centre, cross-cultural, preferably blinded (difficult for yoga), well-randomized controlled trial, especially using a single yogic technique in a homogeneous population such as Juvenile myoclonic epilepsy is justified to find out how yoga affects seizure control and QOL of the person with epilepsy.

Ramaratnam, S. & Sridharan, K. (2000). Yoga for epilepsy. Cochrane Database of Systematic Reviews [computer file]. (3):CD001524

METHOD: Stress is considered an important precipitating factor for seizures. Yoga is believed to induce relaxation and stress reduction. The effect of yoga on EEG and the autonomic nervous system have been reported. To assess the efficacy of yoga in the treatment of patients with epilepsy, the Cochrane Controlled Trials Register (The Cochrane Library Issue 4, 1998), MEDLINE for articles published up to the middle of 1998, and also registries of the research council for complimentary medicine were searched. In addition, the references of all the identified studies were searched. Finally, members of the Neurological Society of India, several neurophysiology institutions and yoga institutes were contacted to seek any ongoing studies or studies published in nonindexed journals or unpublished studies. Randomized control trials and controlled clinical trials of treatment of epilepsy with yoga. RESULTS: Only one study met the selection criteria, and recruited a total of 32 patients, 10 to yoga and 22 to control treatments. Antiepileptic drugs were continued in all. Randomization was by roll of a dice. The results of this study are as follows: (1) Four patients treated with yoga were seizure free for six months compared to none in the control groups. The Odds Ratio (OR) (95% Confidence Interval (CI)) for yoga versus sham yoga group was 14.5 (0.7, 316.7) and for yoga versus no treatment group 17.3 (0.8, 373.5). (2) Nine patients in the yoga group had more than a 50% reduction in seizure frequency compared to only one among the controls. (3) There was a decline in the average number of attacks per month compared to the baseline frequency among the patients treated with yoga. (4) More than a 50% reduction in seizure duration was found in seven of the 10 patients treated with yoga, compared to none among the 22 controls.

Panjwani, U., Gupta, H. L., Singh, S. H., Selvamurthy, W., & Rai, U. C. (1995). Effect of Sahaja yoga practice on stress management in patients of epilepsy. Indian Journal of Physiology & Pharmacology 39, 111-116.

METHOD: The effect of Sahaja yoga on stress management was evaluated in patients with epilepsy. 32 patients with epilepsy were randomly divided into 3 groups: group I subjects practiced Sahaja yoga meditation for 6 months, group II subjects practiced postural exercises mimicking Sahaja yoga and group 3 served as the epileptic control group. Galvanic skin resistance (GSR), blood lactate and urinary vinyl mandelic acid (U-VMA) were recorded at 0, 3 and 6 months. RESULTS: There were significant changes at 3 & 6 months as compared to 0 month values in GSR, blood lactate and U-VMA levels in group 1 subjects, but not in group 2 and group 3 subjects.

Panjwani, U., Selvamurthy, W., Singh, S. H., Gupta, H. L., Thakur, L., & Rai, U. C. (1996). Effect of Sahaja yoga practice on seizure control & EEG changes in patients of epilepsy. Indian Journal of Medical Research 103, 165-172.

METHOD: Yoga effects on seizure control and electroencephalographic alterations were assessed in 32 patients with idiopathic epilepsy. The subjects were randomly divided into 3 groups. Group1 (n = 10) practiced Sahaja yoga for 6 months, Group 2 (n = 10) practiced exercises mimicking yoga for 6 months and Group 3 (n = 12) served as the epileptic control group. RESULTS: Group 1 subjects reported a 62 per cent decrease in seizure frequency at 3 months and a further decrease of 86 per cent at 6 months of intervention. Power spectral analysis of EEG showed a shift in frequency from 0-8 Hz towards 8-20 Hz. The ratios of EEG powers in delta (D), theta (T), alpha (A) and beta (B) bands i.e., A/D, A/D + T, A/T and A + B/D + T were increased. Per cent D power decreased and per cent A increased. No significant changes in any of the parameters were found in Groups 2 and 3, indicating that yoga practice brings about seizure reduction and EEG changes.

Exercise

Bera, T. K. & Rajapurkar, M. V. (1993). Body composition, cardiovascular endurance and anaerobic power of yogic practitioner. Indian Journal of Physiology & Pharmacology 37(3), 225-228.

METHOD: Forty male high school students, age 12-15 yrs, participated in a study on yoga in relation to body composition, cardiovascular endurance and anaerobic power. The Ss were assigned to a yoga group and control group. Body composition, cardiovascular endurance anaerobic power were measured. RESULTS: The results revealed a significant improvement in ideal body weight, body density, cardiovascular endurance and anaerobic power following yoga.

Raju, P. S., Madhavi, S., Prasad, K. V., Reddy, M. V., Reddy, M. E., Sahay, B. K., & Murthy, K. J. (1994). Comparison of effects of yoga & physical exercise in athletes. Indian Journal of Medical Research 100, 81-86.

METHOD: The effect of yoga breathing practice on exercise tests was studied in athletes in two phases; sub-maximal and maximal exercise tests. RESULTS: At the end of phase I (one year) both groups (control and experimental) achieved significantly higher work rate and reduction in oxygen consumption per unit work. There was a significant reduction in blood lactate and an increase in P/L ratio in the experimental group, at rest. At the end of phase II (two years), the oxygen consumption per unit work was found to be significantly reduced and the work rate significantly increased in the experimental group. Blood lactate decreased significantly at rest in the experimental group only. Pyruvate and pyruvate-lactate ratio increased significantly in both groups after exercise and at rest in the experimental group. The results in both phases showed that the subjects who practiced yoga breathing could achieve higher work rates with reduced oxygen consumption per unit work and without increase in blood lactate levels. The blood lactate levels were significantly lower at rest.

Headache

Vasudevan, A., Kumariah, V., Mishra, H., & Balodhi, J. P. (1994). Yogic meditation in tension headache. NIMHANS Journal 12, 69-73.

METHOD: 7 Ss with tension headache were taught and underwent 30 sessions of yogic meditation. Pre, mid, and post assessments were made using psychophysiological measures. RESULTS: The results indicated no statistically significant reduction in the frontalis muscle tension and skin conductance, although clinically there was a decline. A significant reduction in pain perception was observed.

Latha, D. & Kaliappan, K. V. (1987). The efficacy of yoga therapy in the treatment of migraine and tension headaches. Journal of the Indian Academy of Applied Psychology 13, 95-100.

METHOD: 20 patients (aged 16-55 yrs) with migraine and tension headaches were randomly assigned to yoga therapy (YT) or no therapy. RESULTS: YT Ss compared with controls showed a significant reduction in headache activity, medication intake, symptoms, and perceived stress, and they had a significant improvement in coping behavior.

Latha, D & Kaliappan, K. V. (1992). Efficacy of yoga therapy in the management of headaches. Journal of Indian Psychology 10, 41-47.

METHOD: The effect of yoga was investigated as treatment for migraine and tension headaches in 20 patients. Ss were randomly assigned to 4 months of yoga therapy and no treatment control conditions. Ss in both groups were assessed for headache activity (in terms of frequency, duration, and intensity), sources of stress, coping patterns, and somatic symptoms before and after the therapeutic intervention. RESULTS: Reduction occurred in headache activity, medication intake, symptoms, and stress perception for the yoga group. They also showed improved coping behavior.

Heart Rate

Schell, F. J., Allolio, B., & Schonecke, O. W. (1994). Physiological and psychological effects of Hatha-Yoga exercise in healthy women. International Journal of Psychosomatics 41, 46-52.

METHOD: Heart rate, blood pressure, and the hormones cortisol, prolactin and growth hormone were measured in a yoga group and a control group of young female volunteers reading in a comfortable position during the experimental period. RESULTS: The yoga group had decreased heartrate during yoga. The yoga group had higher scores on life satisfaction and lower scores on excitability, aggressiveness, openness, emotionality and somatic complaints and coping with stress and mood by the end of the experiment. The yoga group also had higher scores on high spirits and extravertedness.

Hormones

Tooley G. A., Armstrong, S. M., Norman, T. R., & Sali A. (2000). Acute increases in night-time plasma melatonin levels following a period of meditation. Biological Psychology. 53, 69-78.

METHOD: To determine whether a period of meditation could influence melatonin levels, two groups of meditators were tested for changes in plasma melatonin levels at midnight. RESULTS: Experienced meditators practicing yoga showed significantly higher plasma melatonin levels in the period immediately following meditation compared with the same period at the same time on a control night. Facilitation of higher physiological melatonin levels at appropriate times of day might be one avenue through which the claimed health promoting effects of meditation occur.

Hypertension

Murugesan R., Govindarajulu, N., & Bera, TK. (2000). Effect of selected yogic practices on the management of hypertension. Indian Journal of Physiology & Pharmacology. 44, 207-10.

METHOD: Thirty three (N = 33) hypertensives, aged 35-65 years were examined with four variables including systolic and diastolic blood pressure, pulse rate and body weight. The subjects were randomly assigned to three groups: a yoga group, a group who received medical treatment by the physician of the said hospital and a control group. Yoga was offered in the morning and in the evening with 1 hr/session for 11-weeks. Medical treatment comprised drug intake every day for the experimental period. RESULTS: The result of pre-post test revealed that both the treatment stimuli (i.e., yoga and drug) were effective in controlling the measures of hypertension.

Patel, C. (1975). Yoga and biofeedback in the management of 'stress' in hypertensive patients. Clinical Science & Molecular Medicine - Supplement 2, 171-174.

METHOD: Yoga and biofeedback were used for behavior modification in 16 hypertensive subjects. RESULTS: The pressor response to emotional and physical stimuli became less exaggerated and less protracted compared with controls.

Patel, C. and North, W. R. (1975). Randomised controlled trial of yoga and bio-feedback in management of hypertension. Lancet 2, 93-95.

METHOD: 34 hypertensive patients were assigned at random either to six weeks of yoga methods with biofeedback or to general relaxation. RESULTS: Both groups showed a reduction in blood-pressure although the decrease was significantly greater for the yoga group. The control group was then trained in yoga relaxation and their blood-pressure fell to that of the other group (now used as controls).

Patel, C. (1975). 12-month follow-up of yoga and bio-feedback in the management of hypertension. Lancet 1, 62-64.

METHOD: Twenty hypertensive patients treated by yoga were followed up monthly for 12 months. RESULTS: Significant reductions in blood-pressure (BP) and antihypertensive drug requirements were satisfactorily maintained in the treatment group. Repetition of B.P. measurements and increased medical attention did not reduce B.P. significantly in control patients.

Mental retardation

Uma, K., Nagendra, H. R., Nagarathna, R., Vaidehi, S., & Seethalakshmi, R. The integrated approach of yoga: a therapeutic tool for mentally retarded children: a one-year controlled study. Journal of Mental Deficiency Research 33, 415-421. (1989).

METHOD: Ninety children with mental retardation of mild, moderate and severe degree were selected for the study. Forty-five children experienced yoga for one academic year (5 h in every week) including breathing exercises and meditation. They were compared before and after yoga with a control group of 45 mentally retarded children matched for chronological age, sex, IQ, socio-economic status and socio environmental background who were not exposed to yoga but continued their usual school routine during that period. RESULTS: Significant improvement in IQ and social adaptation parameters occurred in the yoga group as compared to the control group.

Mood

Harvey, J. R. (1983). The effect of yogic breathing exercises on mood. Journal of the American Society of Psychosomatic Dentistry and Medicine 30, 39-48.

METHOD: In this study, 6 Ss (aged 20-55 yrs) participated in a 4-wk class of yoga breathing exercises, 6 Ss (aged 22-35 yrs) took a 6-wk on the philosophy of meditation, and 8 Ss (aged 25-48 yrs) took a course in psychology. RESULTS: The group who learned breathing exercises showed significant changes on several dimensions of mood, (including the Profile of Mood States), including increased vigor and decreased tension, fatigue and depression relative to the control groups.

Berger, B. G. & Owen, D. R. (1992). Mood alteration with yoga and swimming: aerobic exercise may not be necessary. Perceptual & Motor Skills 75, 1331-1343.

METHOD: College students (N = 87) in two swimming classes, a yoga class, and a lecture-control class completed mood and personality inventories before and after class on three occasions. RESULTS: Both the yoga (n = 22) and the swimmers (n = 37) groups reported greater decreases in scores on Anxiety, Confusion, Tension, and Depression than the control group (n = 28).

Wood, C. (1993). Mood change and perceptions of vitality: a comparison of the effects of relaxation, visualization and yoga. Journal of the Royal Society of Medicine 86, 254-258.

METHOD: Relaxation, visualization and yogic breathing and stretch on perceptions of physical and mental energy and on positive and negative mood states were assessed in a group of 71 normal volunteers. RESULTS: Stretching produced a significantly greater increase in perceptions of mental and physical energy and feelings of alertness and enthusiasm than the other two procedures. Relaxation made subjects significantly more sleepy and sluggish immediately after the session than stretching. Visualization made them more sluggish but less content than stretching and more upset than relaxation after the second session.

Pain

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry 4, 33-47.

METHOD: Meditation was used in a 10-week Stress Reduction and Relaxation Program to train chronic pain patients in self-regulation. 51 chronic pain patients who had not improved with traditional medical care and had low back, neck and shoulder, and headache were recruited for the study. Facial pain, angina pectoris, noncoronary chest pain, and GI pain were also represented. RESULTS: At 10 weeks, 65% of the patients showed a reduction of greater than or equal to 33% in the mean total Pain Rating Index (Melzack) and 50% showed a reduction of greater than or equal to 50%. Similar decreases were recorded on other pain indices and in the number of medical symptoms. Significant reductions in mood disturbance and psychiatric symptomatology accompanied these changes and were relatively stable on follow-up. These improvements were independent of the pain category.

Physiology

Baldwin, M. C (1999). Psychological and physiological influences of Hatha Yoga training on healthy, exercising adults. (yoga, stress, wellness). Dissertation Abstracts International Section A: Humanities and Social Sciences 60, 1031.

METHOD: The purpose of this study was to explore the psychological and physiological differences between adult exercisers who added a weekly yoga class to their regular exercise program and those who did not. Subjects were pre tested and post tested for mood state, stress response, recovery heart rate, and spinal/hamstring flexibilty. Over a period of eight weeks, subjects in both groups continued their normal exercise habits mid maintained exercise logs. Subjects in the Yoga Group added a weekly yoga class. Subjects in the Control Group received a yoga class at a later time. At the end of eight weeks, exercise logs were collected and post tests were conducted. RESULTS: The results suggested: (1) more positive mood change in the Yoga Group over eight weeks, (2) more immediate positive affect from yoga than from cardiovascular or resistance training activities, (3) more compliance with yoga than with cardiovascular or resistance training activities, (4) comparable perceived exertion ratings for 'moderate' Hatha Yoga and routine aerobic exercise (13 on the Borg RPE scale), (5) an 8% gain in spinal and hamstring flexibility in the Yoga Group over eight weeks, and (6) decreased vulnerability to stress in the Yoga Group, at the same time that sources of stress for that group increased.

Telles, S., Nagarathna, R., Nagendra, H. R., & Desiraju, T. (1993). Physiological changes in sports teachers following 3 months of training in Yoga. Indian Journal of Medical Sciences 47, 235-238.

1. This report shows that in a group of 40 physical education teachers who already had an average of 8.9 years physical training, 3 months of yogic training produced significant improvement in general health (in terms of body weight and BP reduction and improved lung functions). 2. There was also evidence of decreased autonomic arousal and more of psychophysiological relaxation (heart rate and respiratory rate reduction), and improved somatic steadiness (decreased errors in the steadiness test). 3. The changes at the end of 3 months in volar GSR in different directions (increase/decrease/no change), depending on the initial values, suggests that practicing yoga may help to bring about a balance in different autonomic functions, so that functioning is optimized.

Pulmonary function

Spicuzza L. Gabutti A. Porta C. Montano N., & Bernardi L. (2000). Yoga and chemoreflex response to hypoxia and hypercapnia. Lancet 356, 1495-6.

METHOD : This study assessed whether chemoreflex sensitivity could be affected by the practice of yoga, and whether it was specifically because of a slow breathing rate obtained during yoga or as a general consequence of yoga. RESULTS: Slow breathing rate per se substantially reduced chemoreflex sensitivity, but long-term yoga practice was responsible for a generalised reduction in chemoreflex.

Birkel D. A. & Edgren L. (2000). Hatha yoga: improved vital capacity of college students. Alternative Therapies in Health & Medicine 6, 55-63.

METHOD: To determine the effects of yoga postures and breathing exercises on vital capacity, researchers measured vital capacity using the Spiropet spiromete. Vital capacity determinants were taken near the beginning and end of two 17-week semesters. 89 men and 198 women were taught yoga poses, breathing techniques, and relaxation in two 50-minute class meetings for 15 weeks. RESULTS: The study showed a significant improvement in vital capacity across all categories over time. The subjects' class attendance was 99.96%.

Prakasamma, M. & Bhaduri, A. (1984). A study of yoga as a nursing intervention in the care of patients with pleural effusion. Journal of Advanced Nursing 9, 127-133.

METHOD: Yogic breathing as a method of re-expansion of lungs in patients with pleural effusion was studied. Ten patients with pleural effusion practiced alternate nostril breathing for 20 days after aspiration of fluid. An equal number matched for age and smoking habits experienced physiotherapy for the same period. Lung function was measured: before aspiration; immediately after aspiration; and, 5, 10, 15 and 20 days after aspiration. The FVC, FEV1, MVV, PEFR, CE and RS, were used to measure lung function. RESULTS: The results revealed that the patients practicing nostril breathing demonstrated a quicker re-expansion of the lungs in most of the measures of lung function. The findings are discussed in relation to implications for nursing care.

Rai, L., Ram, K., Kant, U., Madan, S. K., & Sharma, S. K. (1994). Energy expenditure and ventilatory responses during Siddhasana--a yogic seated posture. Indian Journal of Physiology & Pharmacology 38, 29-33.

METHOD: Various cardio-ventilatory responses were studied in states of the horizontal supine, chair-sitting and Siddhasana (a yoga seated posture). RESULTS: Sitting in the yoga posture was characterised by greater minute ventilation, larger tidal volume, higher oxygen consumption, greater CO2 elimination, higher heartrate frequency, greater oxygen pulse compared with other two postures.

Makwana, K., Khirwadkar, N., & Gupta, H. C. (1988). Effect of short term yoga practice on ventilatory function tests. Indian Journal of Physiology & Pharmacology 32, 202-208.

METHOD: Twenty five normal male volunteers undergoing a ten weeks course yoga were assessed by ventilatory functions tests. RESULTS: The observations recorded at the end of ten weeks of the course showed improved ventilatory functions in the form of lowered respiratory rate, increased forced vital capacity, FEV1, maximum breathing capacity and breath holding time, while tidal volume and %FEV1, did not reveal any significant change.

Joshi, L. N., Joshi, V. D., & Gokhale, L. V. (1992). Effect of short term 'Pranayam' practice on breathing rate and ventilatory functions of lung. Indian Journal of Physiology & Pharmacology 36, 105-108.

METHOD: Thirty-three normal male and forty-two normal female subjects, of average age of 18.5 years, underwent a six weeks course in yoga breathing exercises and their ventilatory lung functions were studied before and after the course. RESULTS: They had improved ventilatory functions in the form of lowered respiratory rate (RR), and increases in the forced vital capacity (FVC), forced expiratory volume at the end of 1st second (FEV1%), maximum voluntary ventilation (MVV), peak expiratory flow rate (PEFR-lit/sec), and prolongation of breath holding time.

Malhotra, V., et al. Study of yoga asanas in assessment of pulmonary function in NIDDM patients. Indian J Physiol Pharmacol. 2002 Jul;46(3):313-20.

 METHOD: The present study done in twenty four NIDDM patients. These middle-aged subjects were type II diabetics on antihyperglycaemic and dietary regimen. Monitored along with pulmonary function studies. The expert gave these patients training in yoga asanas and were pursed 30-40 min/day for 40 days under guidance. The results indicate that there was significant decrease in fasting blood glucose levels. The postprandial blood glucose levels also decreased. The FEV1, FVC, PEFR, MVV increased significantly.

 

Steadiness
Telles, S., Hanumanthaiah, B., Nagarathna, R., & Nagendra, H. R. (1993). Improvement in static motor performance following yogic training of school children. Perceptual & Motor Skills 76, 1264-1266.

METHOD: Two groups of 45 children each, whose ages ranged from 9 to 13 years, were assessed on a steadiness test, at the beginning and again at the end of a 10-day period during which one group received training in yoga, while the other group did not. The steadiness test required insertion of and holding for 15 sec. a metal stylus without touching the sides of holes of decreasing sizes in a metal plate. The contacts were counted as 'errors'. During the 10-day period, one group (the 'Yoga' group) received training in special physical postures (asanas), voluntary regulation of breathing (Pranayama), maintenance of silence, as well as visual focusing exercises (tratakas) and games to improve the attention span and memory. The other group (control) carried out their usual routine. RESULTS: After 10 days, the 'Yoga' group showed a significant improvement.