International Journal of Yoga

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 10  |  Issue : 3  |  Page : 145--151

Assessment for efficacy of additional breathing exercises over improvement in health impairment due to asthma assessed using St. George's respiratory questionnaire


Dipti Agarwal1, Prem Parkash Gupta2, Sushma Sood1 
1 Department of Physiology Postgraduate Institute of Medical Sciences, Pt. B. D. Sharma University of Health Sciences, Rohtak, Haryana, India
2 Department of TB and Respiratory Medicine, Postgraduate Institute of Medical Sciences, Pt. B. D. Sharma University of Health Sciences, Rohtak, Haryana, India

Correspondence Address:
Prem Parkash Gupta
Department of TB and Respiratory Medicine, Postgraduate Institute of Medical Sciences, Pt. B. D. Sharma University of Health Sciences, Rohtak, Haryana
India

Background: Breathing exercises have been described to be useful in asthma management by few researchers in the past. Objective: To assess the efficacy of breathing exercises (Pranayamas) added to regular optimal medications in asthma patients in improving health impairment using St. George's Respiratory Questionnaire (SGRQ). Methods: Sixty stable asthma patients (34 females) receiving optimal treatment at our institute for 3 months or more as per the Global Initiative for Asthma guidelines were included in the study. They performed seven breathing exercises under supervision at yoga center of our institute for 3 months in addition to their regular medications. SGRQ (1 month symptoms version) was used to assess the quality of life before and after breathing exercises intervention for following subsets: Symptom score, activity score, impact score, and total score to assess the efficacy of breathing exercises. Results: Of 60 asthma patients, 34 were females and 26 were males, and their mean age was 25.45 ± 5.41 years. Their baseline spirometric values were as follow: Forced expiratory volume in 1 s (FEV1) - 2.492 ± 0.358 L and peak expiratory flow rate (PEFR) - 283.82 ± 51.12 L/min. The SGRQ scores after breathing exercises intervention decreased from 45.98 ± 5.61 to 38.78 ± 4.92 for symptom subset, from 15.45 ± 3.33 to 12.34 ± 2.39 for activity subset, from 17.95 ± 4.22 to 12.12 ± 3.82 for impact subset, and from 25.83 ± 8.31 to 19.20 ± 7.09 for total scores. All these reductions were statistically highly significant (P < 0.001). Decrease in symptoms, activity, and total SGRQ scores each was significantly correlated with FEV1, FEV1/forced vital capacity (FVC) ratio, and PEFR; decrease in impact score was significantly related only with FEV1/FVC ratio. Conclusions: Breathing exercises significantly decreased all component scores of SGRQ, signifying a global improvement in health impairment due to asthma; this improvement was in addition to that was achieved with optimal asthma therapy alone.


How to cite this article:
Agarwal D, Gupta PP, Sood S. Assessment for efficacy of additional breathing exercises over improvement in health impairment due to asthma assessed using St. George's respiratory questionnaire.Int J Yoga 2017;10:145-151


How to cite this URL:
Agarwal D, Gupta PP, Sood S. Assessment for efficacy of additional breathing exercises over improvement in health impairment due to asthma assessed using St. George's respiratory questionnaire. Int J Yoga [serial online] 2017 [cited 2020 Jan 18 ];10:145-151
Available from: http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2017;volume=10;issue=3;spage=145;epage=151;aulast=Agarwal;type=0