This pilot interventional study evaluated whether adding wheelchair-adapted Modified Yoga Therapy to conventional physical rehabilitation could improve pulmonary function, respiratory muscle strength, and quality of life in adults with traumatic thoracic spinal cord injury. Participants with operated traumatic thoracic spinal cord injury were assigned to either an experimental group or a control group. The control group received Conventional Physical Rehabilitation Therapy (CPRT), while the experimental group received CPRT together with a 20-minute Modified Yoga Therapy program, five days per week for four weeks. The yoga program included wheelchair-adapted postures, breathing exercises (Pranayama), and relaxation. Outcomes were assessed at baseline and after four weeks and included Peak Expiratory Flow Rate (PEFR), Maximum Inspiratory Pressure (MIP), and quality of life measured using the WHOQOL-BREF questionnaire. The study evaluated whether Modified Yoga Therapy could serve as an adjunct to conventional rehabilitation for individuals with thoracic spinal cord injury.
This pilot interventional study was conducted in the Physiotherapy Department of the General Hospital, Ahmedabad, and evaluated the addition of Modified Yoga Therapy (MYT) to Conventional Physical Rehabilitation Therapy (CPRT) in adults with operated traumatic thoracic spinal cord injury. Participants were assigned to either an experimental group or a control group. The control group received CPRT, which included respiratory exercises and conventional physical and occupational rehabilitation. The experimental group received the same conventional rehabilitation together with MYT. MYT was specifically adapted for participants using wheelchairs and was administered for 20 minutes per session, five days per week for four weeks. The program included Sukshmakriya as a warm-up; wheelchair-adapted Yogasana including Hastauttanasana, Padahastasana, Ardhmatsyendrasana, Garudasana, and Ardhachandrasana; Anulom Vilom Pranayama; and relaxation with Savasana. Assessments were performed at baseline and after four weeks to evaluate pulmonary function, respiratory muscle strength, and quality of life.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
29
Conventional Physical Rehabilitation Therapy included diaphragmatic breathing, pursed-lip breathing, upper-limb strengthening, passive and active lower-limb movements, pelvic bridging, abdominal curl-ups, balance training, mat activities, and standard occupational therapy.
Modified Yoga Therapy was administered for 20 minutes per session, 5 days per week for 4 weeks. The program included Sukshmakriya, wheelchair-adapted Hastauttanasana, Padahastasana, Ardhmatsyendrasana, Garudasana, Ardhachandrasana, Anulom Vilom Pranayama, and Savasana relaxation.
Government (CL&SC) Spine Institute and Hospital
Ahmedabad, Gujarat, India
Peak Expiratory Flow Rate (PEFR)
Peak Expiratory Flow Rate (PEFR) was assessed using a Helios 401 computerized spirometer to evaluate expiratory pulmonary function. PEFR was recorded in liters per second (L/m).
Time frame: Baseline and 4 weeks
Maximum Inspiratory Pressure (MIP)
Maximum Inspiratory Pressure (MIP) was measured using a MicroRPM respiratory pressure meter to assess inspiratory respiratory muscle strength. MIP was recorded in cmH2O.
Time frame: Baseline and 4 weeks
Quality of Life (WHOQOL-BREF)
Quality of life was assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire. The questionnaire evaluates physical health, psychological health, social relationships, and environmental domains.
Time frame: Baseline and 4 weeks
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