Effect of paranyama exercises on functional capacity in patient with interstitial lung disease

Author: 
Rana Essam EL Din, Nesreen Gharib El- Nahas, Heba A. Abd El- Ghaffar and Youssef Mohamed A. soliman

Background: Interstitial lung disease (ILD) is a heterogeneous group of disorders characterized by a common presentation of cough (mostly dry), breathlessness, and related symptoms with a systemic disorder when present. ILD is also recognized as diffuse parenchymal lung disease (DPLD) and is divided into two categories: idiopathic interstitial pneumonia (IIP) and other than IIP. Interstitial lung disease and pulmonary fibrosis are two types of lung diseases that involve inflammation and fibrosis of the lung parenchyma. Objective: This study aimed to investigate the effect of paranyama exercises on functional capacity in patient with interstitial lung disease, to determine its benefit as a simple, safe exercises, and to determine how much paranyama exercises useful in enhancing the functional capacity and quality of life in patient with interstitial lung disease. Methods: Sixty patients of both sex (26 men & 34 women), their age ranged from 40 to 50years, their body mass index (BMI) ranged from 25 to 30 Kg/m2, referred and they were selected from the Outpatient clinic and the chest department of El-Kasr El aini Teaching Hospital, Cairo, Egypt . Patients were randomly assigned into two equal groups; Group A: This group included 30 patients received paranyama exercises in addition to medical treatment. Group B: This group included 30 patients received medical control only. The treatment session for both groups was conducted for 30 to 45 minutes, three days per week, for eight weeks. Data obtained from both groups regarding measurement of Arterial blood gases (ABG), and anthropometric measurements (weight and BMI), and quality of life (QOL) assessment using the SF-12 Health Survey Questionnaire, were statistically analyzed and compared. Results: Comparing both groups post treatment revealed a significant increase of PaO2, SaO2 for group (A) (with P value=0.0001; P<0.05), There was also a significant decrease in HCO3 and PaCO2 for group (A) (with P value=0.0001; P<0.05). Conclusion: Pranayama exercises are important in improving blood gases, dypsnea and quality of life in patient with interstitial lung disease (ILD), and also, strengthens respiratory muscles, increases surfactant levels, stimulates stretch receptors, and relieves tension, all of which increase lung volumes and capacities. It aids in the treatment of respiratory diseases. Pranayama aids in the maintenance of vital energy in the body, the maintenance of body rhythms, and the detoxification of internal organs. Pranayama improves the efficiency of the respiratory system and regulates the overall circulatory process of the body. So paranyama adjunct to conventional therapy for pulmonary rehabilitation programs for ILD patients. Background: Interstitial lung disease (ILD) is a heterogeneous group of disorders characterized by a common presentation of cough (mostly dry), breathlessness, and related symptoms with a systemic disorder when present. ILD is also recognized as diffuse parenchymal lung disease (DPLD) and is divided into two categories: idiopathic interstitial pneumonia (IIP) and other than IIP. Interstitial lung disease and pulmonary fibrosis are two types of lung diseases that involve inflammation and fibrosis of the lung parenchyma. Objective: This study aimed to investigate the effect of paranyama exercises on functional capacity in patient with interstitial lung disease, to determine its benefit as a simple, safe exercises, and to determine how much paranyama exercises useful in enhancing the functional capacity and quality of life in patient with interstitial lung disease. Methods: Sixty patients of both sex (26 men & 34 women), their age ranged from 40 to 50years, their body mass index (BMI) ranged from 25 to 30 Kg/m2, referred and they were selected from the Outpatient clinic and the chest department of El-Kasr El aini Teaching Hospital, Cairo, Egypt . Patients were randomly assigned into two equal groups; Group A: This group included 30 patients received paranyama exercises in addition to medical treatment. Group B: This group included 30 patients received medical control only. The treatment session for both groups was conducted for 30 to 45 minutes, three days per week, for eight weeks. Data obtained from both groups regarding measurement of Arterial blood gases (ABG), and anthropometric measurements (weight and BMI), and quality of life (QOL) assessment using the SF-12 Health Survey Questionnaire, were statistically analyzed and compared. Results: Comparing both groups post treatment revealed a significant increase of PaO2, SaO2 for group (A) (with P value=0.0001; P<0.05), There was also a significant decrease in HCO3 and PaCO2 for group (A) (with P value=0.0001; P<0.05). Conclusion: Pranayama exercises are important in improving blood gases, dypsnea and quality of life in patient with interstitial lung disease (ILD), and also, strengthens respiratory muscles, increases surfactant levels, stimulates stretch receptors, and relieves tension, all of which increase lung volumes and capacities. It aids in the treatment of respiratory diseases. Pranayama aids in the maintenance of vital energy in the body, the maintenance of body rhythms, and the detoxification of internal organs. Pranayama improves the efficiency of the respiratory system and regulates the overall circulatory process of the body. So paranyama adjunct to conventional therapy for pulmonary rehabilitation programs for ILD patients.

Paper No: 
4055