Asthma, COPD
Conditions
Brief summary
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
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.
Interventions
OTHERYogic exercises
Yogic exercises (YE) - 2 hours per week, 1h in each session
OTHERPhysiotherapy
Physiotherapy (low intensity cardiovascular training and strength training) - 2 hours per week, 1 h in each session
Sponsors
Karolinska Institutet
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 85 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dyspnea related distress (DD) | Patients will be followed 10-12 weeks, with follow-up after 6 months | — |
| Functional capacity | Patients will be followed 10-12 weeks, with follow-up after 6 months | 6 minutes Walking test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiration rate | Patients will be followed 10-12 weeks, with follow-up after 6 months | Measured manually |
| CRQ, Chronic respiratory disease questionnaire | Patients will be followed 10-12 weeks, with follow-up after 6 months | — |
| VAS- scale - perceived health | Patients will be followed 10-12 weeks, with follow-up after 6 months | Scoring between 0 (worst possible) and 10 (best possible) |
| Maximal inspiratory and maximal expiratory pressure | Patients will be followed 10-12 weeks, with follow-up after 6 months | — |
| Perceived stress | Patients will be followed 10-12 weeks, with follow-up after 6 months | Will be measured using PSS-14 scale |
| Sleep quality | Patients will be followed 10-12 weeks, with follow-up after 6 months | Measured with Pittsburgh sleep questionnaire index scale |
| Anxiety and depression | Patients will be followed 10-12 weeks, with follow-up after 6 months | Measured with HADS-scale |
| 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 | — |
| Spirometry, Vital capacity | Patients will be followed 10-12 weeks, with follow-up after 6 months | — |
| Health behaviour | Patients will be followed 10-12 weeks, with follow-up after 6 months | Measured with public health questionnaire (Folkhälsoenkäten in Swedish) |
| 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 | Patients will be followed for 10-12 weeks, with follow-up after 6 months | Measured with insomnia index scale |
| Heart rate variability | Patients will be followed for 10-12 weeks, with follow-up after 6 months | Measured with Polar heart rate monitor |
| Qualitative content analysis | After Yoga intervention - one interview, with follow-up after 6 months | Inteviews with participants in yoga Group, and at follow-up also physiotherapy group |
| Weight and height | 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 | — |
Countries
Sweden
Outcome results
None listed