Effect of anulom vilom pranayama as an adjuvant treatment modality to improve the level of dyspnea in chronic asthma patients
Keywords:Asthma, Borg dyspnea score, Dyspnea, Forced expiratory volume, Pranayama
Background: Dyspnea is the main symptom suffered by bronchial asthma patients who are even under medical treatment. This study was aimed to evaluate the use of alternate nostril breathing as an adjuvant treatment modality to improve the level of dyspnea in patients with bronchial asthma.
Methods: Patients who were diagnosed to have bronchial asthma for more than 6 months with the modified Borg dyspnea score of more than 3 and forced expiratory volume (FEV1) for one second less than 80% included in the study. Anulom Vilom Pranayama was instructed to practice daily for 10 minutes for 4 weeks. The level of dyspnea in pre and post test was conducted using modified Borg dyspnea scale after doing six minute walk. Spirometer was used to assess the FEV1. The data was analysed statistically.
Results: Twenty patients were included in the study. Majority belonged to the age group of 20-29 with female dominance and no history of smoking. There was a significant (p = 0.0001) reduction in dyspnea after practicing Anulom Vilom Pranayama for one month. The median of Borg dyspnea scale in the pre-test was 4.5 and that of post-test was 3.5. The mean FEV1 score in the pre-test was 57.20 and that of post-test was 68.75 which was found to be statistically significant (p=0.0001).
Conclusions: One-month anulom vilom pranayama daily for 10 minutes improved the Borg dyspnea scale and FEV1 score. This indicates it as an effective intervention in reducing the level of dyspnea in chronic bronchial asthma patients.
World Health Organisation. Chronic respiratory diseases, 2017. Available at http:// http://www.who. int/respiratory/asthma/en/. Accessed on April 2017.
Vora CA. Bronchial asthma. J Assoc Physicians Ind. 2014;62:s5-6.
Aggarwal AN, Chaudhry K, Chhabra SK, D'Souza GA, Gupta D, Jindal SK, et al. Prevalence and risk factors for bronchial asthma in Indian adults: A multicentre study. Ind J Chest Diseases Allied Sci. 2006;48:13-5.
Anuradha A, Kalpana VL, Narsingarao S. Epidemiological study on bronchial asthma. Indian J Allergy Asthma Immunol. 2011;25(2):85-9.
Eakin G, Ries AL, Kaplan RM. Reliability and validity of dyspnea measures in patients with obstructive lung disease. Int J Behavioral Med. 1995;2:118-34.
Aggarwal T, Khatri A, Siddiqui S, Hasan SN, Deepankar, Kulshreshtha M, et al. Pranayama has additive beneficial effects along with medication in bronchial asthma patients. J Physiol Pharmacol Adv. 2013;3:292-7.
Lavietes MH. The interpretation of dyspnea in the patient with asthma. Pulmonary Med. 2015;2015:1-4.
Kumari S. Effect of alternate nostril breathing exercise on cardiovascular functions among hypertensive patients. Int J Nursing Edu. 2015;7:131-4 .
Satyanand V, Reddy B, Lilly N, Mahaboobvali S, Shaik AB, Aditya. Studying the role of yogic Pranayama in the management of blood pressure. Int J Biomed Adv Res. 2014;5:609-11.
Gupta PK, Kumar M, Kumari R, Deo JM. Anuloma-Viloma Pranayama and Anxiety and Depression among the Aged. J Indian Acad Appl Psychol. 2010;36:159-64.
Stevens JP, Baker K, Howel MD, Banzett RB. Prevalence and predictive value of dyspnea ratings in hospitalized patients: Pilot studies. PLOS One. 2016;11:e0152601.