Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative study
Context: Abnormal respiratory function is known to be detectable almost as soon as it can be measured reliably. Studies have identified the effect of respiratory muscle training as well as breathing exercises in improving pulmonary functions in children with Duchenne muscular dystrophy (DMD). Aims:...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2021-01-01
|
Series: | International Journal of Yoga |
Subjects: | |
Online Access: | http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2021;volume=14;issue=2;spage=133;epage=140;aulast=Pradnya |
_version_ | 1818667658637213696 |
---|---|
author | Dhargave Pradnya Atchayaram Nalini Raghuram Nagarathna Raghupathy Sendhilkumar Tittu Thomas James Trichur R Raju Talakad N Sathyaprabha |
author_facet | Dhargave Pradnya Atchayaram Nalini Raghuram Nagarathna Raghupathy Sendhilkumar Tittu Thomas James Trichur R Raju Talakad N Sathyaprabha |
author_sort | Dhargave Pradnya |
collection | DOAJ |
description | Context: Abnormal respiratory function is known to be detectable almost as soon as it can be measured reliably. Studies have identified the effect of respiratory muscle training as well as breathing exercises in improving pulmonary functions in children with Duchenne muscular dystrophy (DMD). Aims: This study aims to identify the add-on effect of yoga over physiotherapy on pulmonary functions in children with DMD. Settings and Design: One hundred and twenty-four patients with DMD were randomized to two groups. Group I received home-based physiotherapy and Group II received physiotherapy along with yoga intervention. Materials and Methods: Pulmonary function test (PFT) was assessed before the intervention (baseline data) and at regular intervals of 3 months for a period of 1 year. Statistical Analysis Used: Normality was assessed using Shapiro–Wilk normality test. The baseline data were analyzed using Mann–Whitney U-test to identify the homogeneity. Repeated measures analysis of variance was used to assess significant changes in study parameters during the assessment of every 3 months, both within and between the two groups of patients. Results: A total of 88 participants completed all the 5 assessments, with a mean age of 7.9 ± 1.5 years. PFT parameters such as forced vital capacity (FVC), peak expiratory flow rate, maximum voluntary ventilation (MVV), and tidal volume during maximum voluntary ventilation (MVt) demonstrated significant improvements in Group I. In Group II, FVC and MVt significantly improved from baseline up to 1 year, whereas MVV improved from baseline up to 9 months. Tidal volume did not show any changes in both the groups. Conclusions: The findings suggest that introduction of yoga with physiotherapy intervention at an early age can be considered as one of the therapeutic strategies in improving pulmonary functions in patients with DMD. |
first_indexed | 2024-12-17T06:23:56Z |
format | Article |
id | doaj.art-63fdca406e4a4473850ef99c478e4eb2 |
institution | Directory Open Access Journal |
issn | 0973-6131 |
language | English |
last_indexed | 2024-12-17T06:23:56Z |
publishDate | 2021-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | International Journal of Yoga |
spelling | doaj.art-63fdca406e4a4473850ef99c478e4eb22022-12-21T22:00:20ZengWolters Kluwer Medknow PublicationsInternational Journal of Yoga0973-61312021-01-0114213314010.4103/ijoy.IJOY_49_20Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative studyDhargave PradnyaAtchayaram NaliniRaghuram NagarathnaRaghupathy SendhilkumarTittu Thomas JamesTrichur R RajuTalakad N SathyaprabhaContext: Abnormal respiratory function is known to be detectable almost as soon as it can be measured reliably. Studies have identified the effect of respiratory muscle training as well as breathing exercises in improving pulmonary functions in children with Duchenne muscular dystrophy (DMD). Aims: This study aims to identify the add-on effect of yoga over physiotherapy on pulmonary functions in children with DMD. Settings and Design: One hundred and twenty-four patients with DMD were randomized to two groups. Group I received home-based physiotherapy and Group II received physiotherapy along with yoga intervention. Materials and Methods: Pulmonary function test (PFT) was assessed before the intervention (baseline data) and at regular intervals of 3 months for a period of 1 year. Statistical Analysis Used: Normality was assessed using Shapiro–Wilk normality test. The baseline data were analyzed using Mann–Whitney U-test to identify the homogeneity. Repeated measures analysis of variance was used to assess significant changes in study parameters during the assessment of every 3 months, both within and between the two groups of patients. Results: A total of 88 participants completed all the 5 assessments, with a mean age of 7.9 ± 1.5 years. PFT parameters such as forced vital capacity (FVC), peak expiratory flow rate, maximum voluntary ventilation (MVV), and tidal volume during maximum voluntary ventilation (MVt) demonstrated significant improvements in Group I. In Group II, FVC and MVt significantly improved from baseline up to 1 year, whereas MVV improved from baseline up to 9 months. Tidal volume did not show any changes in both the groups. Conclusions: The findings suggest that introduction of yoga with physiotherapy intervention at an early age can be considered as one of the therapeutic strategies in improving pulmonary functions in patients with DMD.http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2021;volume=14;issue=2;spage=133;epage=140;aulast=Pradnyaduchenne muscular dystrophyphysiotherapypulmonary function testrespiratory functionyoga |
spellingShingle | Dhargave Pradnya Atchayaram Nalini Raghuram Nagarathna Raghupathy Sendhilkumar Tittu Thomas James Trichur R Raju Talakad N Sathyaprabha Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative study International Journal of Yoga duchenne muscular dystrophy physiotherapy pulmonary function test respiratory function yoga |
title | Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative study |
title_full | Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative study |
title_fullStr | Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative study |
title_full_unstemmed | Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative study |
title_short | Effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy – A comparative study |
title_sort | effect of yoga and physiotherapy on pulmonary functions in children with duchenne muscular dystrophy a comparative study |
topic | duchenne muscular dystrophy physiotherapy pulmonary function test respiratory function yoga |
url | http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2021;volume=14;issue=2;spage=133;epage=140;aulast=Pradnya |
work_keys_str_mv | AT dhargavepradnya effectofyogaandphysiotherapyonpulmonaryfunctionsinchildrenwithduchennemusculardystrophyacomparativestudy AT atchayaramnalini effectofyogaandphysiotherapyonpulmonaryfunctionsinchildrenwithduchennemusculardystrophyacomparativestudy AT raghuramnagarathna effectofyogaandphysiotherapyonpulmonaryfunctionsinchildrenwithduchennemusculardystrophyacomparativestudy AT raghupathysendhilkumar effectofyogaandphysiotherapyonpulmonaryfunctionsinchildrenwithduchennemusculardystrophyacomparativestudy AT tittuthomasjames effectofyogaandphysiotherapyonpulmonaryfunctionsinchildrenwithduchennemusculardystrophyacomparativestudy AT trichurrraju effectofyogaandphysiotherapyonpulmonaryfunctionsinchildrenwithduchennemusculardystrophyacomparativestudy AT talakadnsathyaprabha effectofyogaandphysiotherapyonpulmonaryfunctionsinchildrenwithduchennemusculardystrophyacomparativestudy |