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Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial

BACKGROUND: Yoga as alternative form of therapy has shown positive impact on pulmonary functions, exercise capacity, behavioral changes, and inflammation in non-trauma patients. However, the efficacy of Yoga has not been studied in chest trauma patients. METHODS: This randomized controlled trial was...

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Autores principales: Gunjiganvi, Mallikarjun, Mathur, Purva, Kumari, Minu, Madan, Karan, Kumar, Atin, Sagar, Rajesh, Sagar, Sushma, Gupta, Amit, Mishra, Biplab, Mir, Altaf Hussain, Meti, Mohini, Kumar, Subodh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972014/
https://www.ncbi.nlm.nih.gov/pubmed/33738521
http://dx.doi.org/10.1007/s00268-021-06057-9
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author Gunjiganvi, Mallikarjun
Mathur, Purva
Kumari, Minu
Madan, Karan
Kumar, Atin
Sagar, Rajesh
Sagar, Sushma
Gupta, Amit
Mishra, Biplab
Mir, Altaf Hussain
Meti, Mohini
Kumar, Subodh
author_facet Gunjiganvi, Mallikarjun
Mathur, Purva
Kumari, Minu
Madan, Karan
Kumar, Atin
Sagar, Rajesh
Sagar, Sushma
Gupta, Amit
Mishra, Biplab
Mir, Altaf Hussain
Meti, Mohini
Kumar, Subodh
author_sort Gunjiganvi, Mallikarjun
collection PubMed
description BACKGROUND: Yoga as alternative form of therapy has shown positive impact on pulmonary functions, exercise capacity, behavioral changes, and inflammation in non-trauma patients. However, the efficacy of Yoga has not been studied in chest trauma patients. METHODS: This randomized controlled trial was conducted at level-1 Trauma Centre. Isolated chest injury patients were randomized into either standard physiotherapy or Yogatherapy groups. Patients in physiotherapy group received conventional chest physiotherapy and Yogatherapy group received a set of Yogic exercises in addition to conventional chest physiotherapy. Primary outcome measure was changes in pulmonary function tests (PFT) at 4 weeks of discharge. Secondary outcomes were changes in quality of life (QoL), respiratory muscle strength and endurance, chest wall mobility, and levels of cytokines at 4 weeks. Data were analyzed using STATA v14.0. RESULTS: A total of 89 eligible patients were randomized to physiotherapy (n = 46) and Yoga therapy (n = 43) groups. Demographic characteristics were comparable in both the groups. There were statistically significant improvements in PFT in the Yogatherapy group compared with physiotherapy with an increase in Forced vital capacity (p = 0.02) and Forced expiratory volume (p = 0.01) at 4 weeks. In addition, there were significant improvement in physical component of QoL, respiratory muscle endurance (p = 0.003) and axillary cirtometry (p = 0.009) in the Yogatherapy group. However, no statistically significant difference in the trends of cytokine markers seen between the groups. CONCLUSION: Yoga was found to be effective in improving pulmonary functions and QoL in patients with chest trauma. (Trial registered at ctri.nic.in/clinicaltrials/login.php, numberREF/2016/05/011,287).
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spelling pubmed-79720142021-03-19 Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial Gunjiganvi, Mallikarjun Mathur, Purva Kumari, Minu Madan, Karan Kumar, Atin Sagar, Rajesh Sagar, Sushma Gupta, Amit Mishra, Biplab Mir, Altaf Hussain Meti, Mohini Kumar, Subodh World J Surg Original Scientific Report BACKGROUND: Yoga as alternative form of therapy has shown positive impact on pulmonary functions, exercise capacity, behavioral changes, and inflammation in non-trauma patients. However, the efficacy of Yoga has not been studied in chest trauma patients. METHODS: This randomized controlled trial was conducted at level-1 Trauma Centre. Isolated chest injury patients were randomized into either standard physiotherapy or Yogatherapy groups. Patients in physiotherapy group received conventional chest physiotherapy and Yogatherapy group received a set of Yogic exercises in addition to conventional chest physiotherapy. Primary outcome measure was changes in pulmonary function tests (PFT) at 4 weeks of discharge. Secondary outcomes were changes in quality of life (QoL), respiratory muscle strength and endurance, chest wall mobility, and levels of cytokines at 4 weeks. Data were analyzed using STATA v14.0. RESULTS: A total of 89 eligible patients were randomized to physiotherapy (n = 46) and Yoga therapy (n = 43) groups. Demographic characteristics were comparable in both the groups. There were statistically significant improvements in PFT in the Yogatherapy group compared with physiotherapy with an increase in Forced vital capacity (p = 0.02) and Forced expiratory volume (p = 0.01) at 4 weeks. In addition, there were significant improvement in physical component of QoL, respiratory muscle endurance (p = 0.003) and axillary cirtometry (p = 0.009) in the Yogatherapy group. However, no statistically significant difference in the trends of cytokine markers seen between the groups. CONCLUSION: Yoga was found to be effective in improving pulmonary functions and QoL in patients with chest trauma. (Trial registered at ctri.nic.in/clinicaltrials/login.php, numberREF/2016/05/011,287). Springer International Publishing 2021-03-18 2021 /pmc/articles/PMC7972014/ /pubmed/33738521 http://dx.doi.org/10.1007/s00268-021-06057-9 Text en © Société Internationale de Chirurgie 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Scientific Report
Gunjiganvi, Mallikarjun
Mathur, Purva
Kumari, Minu
Madan, Karan
Kumar, Atin
Sagar, Rajesh
Sagar, Sushma
Gupta, Amit
Mishra, Biplab
Mir, Altaf Hussain
Meti, Mohini
Kumar, Subodh
Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial
title Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial
title_full Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial
title_fullStr Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial
title_full_unstemmed Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial
title_short Yoga—An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial
title_sort yoga—an alternative form of therapy in patients with blunt chest trauma: a randomized controlled trial
topic Original Scientific Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972014/
https://www.ncbi.nlm.nih.gov/pubmed/33738521
http://dx.doi.org/10.1007/s00268-021-06057-9
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