Complimenting Tuberculosis Treatment By Yogic Exercises
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 8
Abstract
Background: Tuberculosis (TB) entails loss of lung volumes (caseous tubercles, calcification, fibrosis or cavitations), hypoxia, hypercapnoea, type II respiratory failure and poor quality life. Treatment has its own challenges like adverse drug effects, non compliance. Henceforth, complimentary approaches are need of the hour. In Yoga, an alternative Indian Medicine system, sitting positions termed Asanas promote respiratory muscle relaxation and postural alteration- improving oxygenation, strength, endurance, alleviating fatigue and breathlessness. Methods: We assessed a cohort of 45 patients diagnosed with TB and on therapeutic treatment at a Tuberculosis centre, with informed written consent, after securing institutional Ethics Committee permission. A randomized nested case-control study with 22 cases (who performed Yoga) and 22 controls (who did not do Yoga) was formulated. Patients were trained to sit for 50 minutes in Padmasana and perform four Yogic exercises termed Pranayamas: Bhastrika- 7 minutes, Kapalbhati- 20 minutes, Ujjaee- 3 minutes, and Anulom vilom- 20 minutes. Forced vital capacity(FVC), Forced expiratory volume in 1 second (FEV1), FEV1/FVC ratio, and Peak expiratory flow rate (PEFR) were measured with Spirometry for both groups, at beginning and at the end of 8 weeks, along with administering World Health Organization- Five- Well- Being Index questionnaire. Results: Statistically significant improvement in lung volumes i.e. FVC (P= 0.009), FEV1 (P= 0.016), FEV1/FVC (0.010) and PEFR (0.000) was observed in Yoga group. Initially, mean well being score was 9.57 and 12.43 for the Yoga and the control group respectively (non significant) and 21.57 and 17.29 (statistical significant difference, P= 0.04) after 8 weeks. Yoga group had significantly higher mean well being score than controls (P= 0.00). Conclusion: Marked improvement in Lung volumes and well being of tubercular patients on treatment, performing Yoga substantiate its complimentary role.
Authors and Affiliations
Pramod Kumar Shridhar
Keywords
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