Is Patients With Pulmonary Disease Benefit a Program With Yogic Exercises?

Study Overview
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Brief Summary
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Is Yogic Exercises (12 weeks) increasing respiratory function, functional capacity and quality of life in patients with obstructive lung diseases. With follow up after 6 months.

Detailed Description
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Is Yogic Exercises increasing respiratory function in patients with obstructive lung diseases. Will YE improve respiratory muscle strength, functional capacity, inspiratory and expiratory pressure, lung function, perceived dyspnea, dyspnea-related distress (DD), less frequency of dyspnea and heart rate variability in patients with pulmonary disease. Qualitative content analysis will be performed on approximately 15 interviews with patients participated in the yoga group about their experiences and their benefits perceived/experienced of the yogic exercises We want to try YE as an alternative treatment in patients with mild to severe pulmonary disease.

Official Title
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Subjective and Objective Effects After Yogic Exercises

Conditions
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COPD, Asthma

Intervention / Treatment
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* Other: Yogic exercises
* Other: Physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mild to severe pulmonary obstructions according to GOLD 1-3 (Global Initiative for Chronic Obstructive Lung Disease), FEV (forced expiratory volume) in one second (FEV1) % of predicted respiratory function (30% ≤ FEV1 ≤ 90%) FEV1/FVC < 0.70 (<65 over 65 yrs). *FVC=forced vital capacity Exclusion Criteria: Severe neurological, orthopedic or rheumatologic injuries Severely decreased thorax mobility and lung function. Severe lung diseases Other chronic diseases that will interfere with performance. Under 200 meters on the 6MWT Acute dyspnea Surgery within 6 months Medication affecting attention, sudden change of medication.

Ages Eligible for Study
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Minimum Age: 35 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Yogic exercises<br>Yogic exercises for lung disorders | Other: Yogic exercises<br>* Yogic exercises (YE) - 2 hours per week, 1h in each session<br>|
| Active Comparator: physiotherapy<br>Physiotherapy during the yogic exercises | Other: Physiotherapy<br>* Physiotherapy (low intensity cardiovascular training and strength training) - 2 hours per week, 1 h in each session<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dyspnea related distress (DD) |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Functional capacity | 6 minutes Walking test | Patients will be followed 10-12 weeks, with follow-up after 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Spirometry, Vital capacity |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Oxygen saturation (periphery) |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Respiration rate | Measured manually | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| CRQ, Chronic respiratory disease questionnaire |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| VAS- scale - perceived health | Scoring between 0 (worst possible) and 10 (best possible) | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Maximal inspiratory and maximal expiratory pressure |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Perceived stress | Will be measured using PSS-14 scale | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Sleep quality | Measured with Pittsburgh sleep questionnaire index scale | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Anxiety and depression | Measured with HADS-scale | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Self rated health |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Subjective complaints (perceived symptoms) |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Blood pressure |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Weight and height |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Health behaviour | Measured with public health questionnaire (Folkhälsoenkäten in Swedish) | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Exercise diary |  | Patients will be followed 10-12 weeks, with follow-up after 6 months | 
| Spirometry, forced vital capacity (FVC) |  | Patients will be followed for 10-12 weeks, with follow-up after 6 months | 
| Spirometry, Forced expiratory volume |  | Patients will be followed for 10-12 weeks, with follow-up after 6 months | 
| Spirometry, Forced expiratory volume in one second (FEV1) |  | Patients will be followed for 10-12 weeks, with follow-up after 6 months | 
| Spirometry, Ratio between forced expiratory volume in 1 second and forced vital capacity |  | Patients will be followed for 10-12 weeks, with follow-up after 6 months | 
| Spirometry, peak expiratory flow (PEF) |  | Patients will be followed for 10-12 weeks, with follow-up after 6 months | 
| Insomnia | Measured with insomnia index scale | Patients will be followed for 10-12 weeks, with follow-up after 6 months | 
| Heart rate variability | Measured with Polar heart rate monitor | Patients will be followed for 10-12 weeks, with follow-up after 6 months | 
| Qualitative content analysis | Inteviews with participants in yoga Group, and at follow-up also physiotherapy group | After Yoga intervention - one interview, with follow-up after 6 months |