Therapeutic laughter exercises as conducted in a Laughter Club or in the workshop training How To Create Therapeutic Laughter and Laughter Clubs may not be suitable for everyone. In the book Laugh For No Reason, Dr. Madan Kataria offers the following guidance. Forceful laughter involves some physical strain and rise in abdominal pressure. People with the following complications are advised caution and to get medical advice prior to joining in a laughter therapy session. If you have any of these conditions or any other medical condition that might make participation questionable, please get medical advice.
Hernia is protrusion of abdominal contents through the muscle wall of the abdominal cavity.
This is because Laughter produces additional abdominal pressure and may aggravate the condition. The condition of patients with long standing piles may worsen with laughter therapy. They should get themselves treated before attending therapy. Heart patients who get chest pain while walking or during routine activity, should not participate. Patients whose conditions have stabilized and who can walk for 30-45 minutes without difficulty are fit to join the laughter session.