The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized Trial

Alisha Kulkarni,1,* Yogish Kamath,1,* Lavya Shetty,2 Neetha I R Kuzhuppilly1 1Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India; 2Division of Yoga, Centre for Integrative Medicine & Research, Manipal Acad...

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Main Authors: Kulkarni A, Kamath Y, Shetty L, Kuzhuppilly NIR
Format: Article
Language:English
Published: Dove Medical Press 2022-12-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/the-effect-of-specific-techniques-of-nasal-breathing-pranayama-on-intr-peer-reviewed-fulltext-article-OPTH
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author Kulkarni A
Kamath Y
Shetty L
Kuzhuppilly NIR
author_facet Kulkarni A
Kamath Y
Shetty L
Kuzhuppilly NIR
author_sort Kulkarni A
collection DOAJ
description Alisha Kulkarni,1,&ast; Yogish Kamath,1,&ast; Lavya Shetty,2 Neetha I R Kuzhuppilly1 1Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India; 2Division of Yoga, Centre for Integrative Medicine & Research, Manipal Academy of Higher Education, Manipal, Karnataka, India&ast;These authors contributed equally to this workCorrespondence: Neetha I R Kuzhuppilly, Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India, Tel +91 98861 61979, Fax +91-820-2571934, Email cinnineetha@gmail.com; neetha.kir@manipal.eduPurpose: Glaucoma is an optic neuropathy where intraocular pressure is the only modifiable risk factor. Yoga is thought to adversely affect intra-ocular pressure (IOP) but we do not know if yogic breathing exercises can influence IOP. With this study, we aimed to determine the effect of specific nasal breathing techniques on intra-ocular pressure in normal individuals.Patients and Methods: One hundred and sixty-four normal subjects were randomly assigned to one of four specific breathing groups - right nostril breathing (RNB), left nostril breathing (LNB), alternate nostril breathing (ANB), normal breathing (NB). The IOP was measured in both eyes at baseline and following the breathing exercise; and the change was analyzed.Results: Eighty-five women and 79 men participated and there was no significant difference in baseline age or IOP between the groups. In RNB, IOP reduced significantly in both right and left eyes, from 14.3 ± 3.0mmHg to 13.9 ± 2.6mmHg, (p=0.022) and from 14.7 ± 3.2mmHg to 14.2 ± 3mmHg (p=0.016) respectively. In LNB, there was no significant IOP change in the right eye, whereas in the left eye, there was a significant reduction from 14.2 ± 2.7mmHg to 13.3 ± 2.5mmHg (p< 0.0001). There was no significant IOP change in ANB and NB.Conclusion: Specific breathing techniques like right and left nostril breathing, alternate nostril breathing are safe and do not raise IOP in normal subjects. Additionally, right and left nostril breathing techniques have a beneficial effect of lowering IOP.Keywords: eye, glaucoma, yoga, risk-factor, breathing exercises
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spelling doaj.art-766ed5572eeb49299314db4904c98c062022-12-22T04:22:37ZengDove Medical PressClinical Ophthalmology1177-54832022-12-01Volume 164047405480212The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized TrialKulkarni AKamath YShetty LKuzhuppilly NIRAlisha Kulkarni,1,&ast; Yogish Kamath,1,&ast; Lavya Shetty,2 Neetha I R Kuzhuppilly1 1Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India; 2Division of Yoga, Centre for Integrative Medicine & Research, Manipal Academy of Higher Education, Manipal, Karnataka, India&ast;These authors contributed equally to this workCorrespondence: Neetha I R Kuzhuppilly, Department of Ophthalmology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India, Tel +91 98861 61979, Fax +91-820-2571934, Email cinnineetha@gmail.com; neetha.kir@manipal.eduPurpose: Glaucoma is an optic neuropathy where intraocular pressure is the only modifiable risk factor. Yoga is thought to adversely affect intra-ocular pressure (IOP) but we do not know if yogic breathing exercises can influence IOP. With this study, we aimed to determine the effect of specific nasal breathing techniques on intra-ocular pressure in normal individuals.Patients and Methods: One hundred and sixty-four normal subjects were randomly assigned to one of four specific breathing groups - right nostril breathing (RNB), left nostril breathing (LNB), alternate nostril breathing (ANB), normal breathing (NB). The IOP was measured in both eyes at baseline and following the breathing exercise; and the change was analyzed.Results: Eighty-five women and 79 men participated and there was no significant difference in baseline age or IOP between the groups. In RNB, IOP reduced significantly in both right and left eyes, from 14.3 ± 3.0mmHg to 13.9 ± 2.6mmHg, (p=0.022) and from 14.7 ± 3.2mmHg to 14.2 ± 3mmHg (p=0.016) respectively. In LNB, there was no significant IOP change in the right eye, whereas in the left eye, there was a significant reduction from 14.2 ± 2.7mmHg to 13.3 ± 2.5mmHg (p< 0.0001). There was no significant IOP change in ANB and NB.Conclusion: Specific breathing techniques like right and left nostril breathing, alternate nostril breathing are safe and do not raise IOP in normal subjects. Additionally, right and left nostril breathing techniques have a beneficial effect of lowering IOP.Keywords: eye, glaucoma, yoga, risk-factor, breathing exerciseshttps://www.dovepress.com/the-effect-of-specific-techniques-of-nasal-breathing-pranayama-on-intr-peer-reviewed-fulltext-article-OPTHeyeglaucomayogarisk-factorbreathing exercises
spellingShingle Kulkarni A
Kamath Y
Shetty L
Kuzhuppilly NIR
The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized Trial
Clinical Ophthalmology
eye
glaucoma
yoga
risk-factor
breathing exercises
title The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized Trial
title_full The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized Trial
title_fullStr The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized Trial
title_full_unstemmed The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized Trial
title_short The Effect of Specific Techniques of Nasal Breathing [Pranayama] on Intra-Ocular Pressure in Normal Individuals, a Randomized Trial
title_sort effect of specific techniques of nasal breathing pranayama on intra ocular pressure in normal individuals a randomized trial
topic eye
glaucoma
yoga
risk-factor
breathing exercises
url https://www.dovepress.com/the-effect-of-specific-techniques-of-nasal-breathing-pranayama-on-intr-peer-reviewed-fulltext-article-OPTH
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