G. SVYASA Ph. D. Theses
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Yoga Theses by Yoga PhD Students at SVYASA. These pages present some efforts at Scientific Validation of Yoga. You may receive full text of available yoga research papers
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Item A study on the effect of integrated yoga program on self satisfaction among T2DM patients of Mongoloid origin attending JNIMS, Imphal(SVYASA, 2022-12-22) Nongthombam Ibohal, Singh; Balaram Pradhan; KSH Achouba SinghBackground Type 2 Diabetes mellitus (T2DM) is becoming a leading metabolic disorder characterised by a chronic hyperglycaemic condition and change in lipid profile resulting from insufficient action of insulin. Many studies on the beneficial effects of yoga on T2DM patients of different races and ethnic groups of urban and semi-urban areas of developed and developing countries have been widely reported. However, there is lack of systematic research work on the efficacy of yoga on management of patients with T2DM of Mongoloid race of North-East India. Aim and objectives The present study aimed to investigate the efficacy of yoga lifestyle intervention on clinical outcome measures coupled with evaluation of Health Satisfaction and Quality of Life using appropriate self-reported questionnaires among the T2DM patients of mongoloid race of Oriental region of Manipur, a remotest boundary state of India neighbouring to Myanmar. Methods The current study was a randomized control study. Of the 1980 candidates enrolled for treatment of diabetes as OPD patients at the Endocrinology Department of JNIMS Hospital, 450 patients proved to be T2DM based on the clinical tests data and anthropometric characteristics were screened out for randomization. On further examination applying inclusive and exclusive criteria, three hundred and four patients confirmed for T2DM of both sexes were randomized into 151 experimental group (EG) and 153 control group (CG).The experimental yoga group was prescribed oral anti-glycaemic agents and in addition followed an ideal yoga module intervention for one and half hour daily for 6 days a week for 4 months. The control group was prescribed oral anti-glycaemic agents only and did not perform any type of exercise during the period. Before and after intervention Glycaemic status, Lipid parameters and information on Health Satisfaction and Quality of Life questionnaires were collected. Results Primary outcome measures of Glycaemic indices had significant reduction in (p < 0.001) in both groups. There was a significant reduction in Group x Time interaction for HbA1c [p< 0.001, η2 = 0.179], FBG [p<0.001, η2 =0.054] and PPBG [p <0.001, η2 = 0.029]. Significant reduction (p < 0.001) was observed in Lipid parameters except HDL that indicated significant increase (p < 0.001). There was a significant reduction in Group x Time interaction for TC [p < 0.001, η2 = 0.061], TG [p < 0.001, η2 = 0.097], LDL [p <0.001, η2 = 0.067], and VLDL [p < 0.001 η2 = 0.038], and increase in HDL [p< 0.001, η2 = 0.198]. The secondary outcome measures such as SBP, DBP had significant reduction (p <0.001) in both groups. But BW and BMI had significant reduction (p< 0.001) in the yoga group but negatively significant (p< 0.001) in the control group. Group x Time interaction also showed significant positive reduction in BMI [p < 0.001, η2 = 0.300], SBP [p< 0.001, η 2 = 0.060] and DBP [p< 0.001, η 2 = 0.034] whereas BMI showed negatively significant in control group. Overall comparison of the results, the yoga intervention group outperforms over the control group. Conclusions: The study inferred that the T2DM patients of mongoloid race could manage diabetes in improving hormonal homeostasis and controlling the glycaemic status with the life style modification through yoga practice. The study supports yoga as body and mind medicine leading to balancing and harmonising the physical and psychological stress holistically. The study discusses how the T2DM patients achieve the treatment goal of self-satisfaction through yogic life style which could reduce or stop the conventional medication treatment. Keywords: T2DM, Glycaemic control, Lipid profile, Current Health Satisfaction, Quality of Life, Self satisfactionItem EFFECT OF INTEGRATED YOGA IN NURSING PROFESSIONALS WITH CHRONIC LOW BACK PAIN – A RANDOMIZED CONTROL TRIAL(S-VYASA, 2018-11) PATIL, NEETINAKUMAR; Tekur, Padmini; Nagendra, H. R.; Monohar, P.V.Background: Chronic Low back pain (CLBP) adversely affects health-related quality of life in nursing professionals. Yoga has positive impact on LBP. Studies assessing the effects of Yoga on CLBP in nursing population are lacking. Aim: Present study is conducted to evaluate and compare the effect of integrated Yoga and physical exercises on pain, disability, psychological parameters and quality of life in nurses with CLBP. Methods: It is a prospective randomized control trail.88 female nursing professionals of age 33.77±3.44 years from a tertiary care hospital of South India were randomized in to yoga group (YG) (n=44; 31.45 ± 3.47 years) and control [exercise] group (CG) (n=44; 32.75 ± 3.71). YG was intervened with Integrated Yoga Therapy Module (IYTM) practices, one hour per day, five days week for six weeks. CG practiced a set of physical exercises for the same duration. All subjects were assessed using Numerical Rating Scale (NRS) for pain, Roland Morris Disability Questionnaire (RMDQ) for functional disability, Fear Avoidance Belief Questionnaire- physical (FABQpa), Fear Avoidance Belief Questionnaire - work (FABQw), State and Trait Anxiety Inventory (STAI), Beck’s Depression Inventory (BDI), and Perceived Stress Scale (PSS), Heart Rate Variability (HRV) [low frequency (LF), high frequency (HF), LF/HF ratio] and WHO quality of life questionnaire (WHOQOL-BREF) at baseline and end of six week intervention. Data were analyzed by paired samples t test and independent samples t test for within group and between group comparisons respectively by using SPSS version 22. Results: After six weeks of Yoga intervention, we found a significant decrease in NRS (p<0.001), RMDQ (p<0.001), FABQpa (p<0.001), FABQw (p<0.001), State Anxiety (p<0.001), Trait Anxiety (p<0.001), BDI (p<0.001), and PSS (p<0.001), LF/ HF ratio (p<0.001), WHOQOL-BREF [Physical (p<0.001), Psychological(p<0.001), Social(p<0.001)] but did not differ statistically for HF (p=0.24) and LF (p=0.103), environmental-QoL (p=0.078) variables compared to baseline in YG. After six weeks of physical exercise intervention, there was a significant decrease in NRS (p<0.001), RMDQ (p<0.001), FABQpa (p<0.001), FABQw (p<0.001), State Anxiety (p=0.031), BDI (p<0.001), and PSS (p<0.001), WHOQOL-BREF [Physical (p<0.001), Psychological(p<0.001), Social(p<0.001)] but did not differ statistically for Trait Anxiety (p=0.29), LF (p=0.513), HF (p=0.555) and LF/HF ratio (p=0.615), environmental- QoL (p=0.0957) variables compared to baseline in CG. On comparison between groups, YG showed a significant decrease in NRS (p<0.001), RMDQ (p<0.001), FABQpa (p<0.001), FABQw (p<0.001), State Anxiety (p<0.001), Trait Anxiety (p=0.025), BDI (p<0.001), and PSS (p<0.001), LF (p=0.01), LF/ HF ratio (p<0.001), WHOQOL-BREF [Physical (p<0.001), Psychological(p<0.001), Social(p<0.001)] but did not differ statistically for in HF (p=0.32) and environmental-QoL (p=0.25) variables compared to control group for post assessment. Conclusions: Integrated Yoga intervention was found to be more beneficial in improving pain, disability, anxiety, stress, fear avoidance, heart rate variability and quality of life among nursing professionals with chronic low back pain. There was a negative correlation between psychological parameters and quality of life at baseline.Item Yoga for Psychological Wellbeing of Orphan Children(S-VYASA, 2018-12) Sharma, Shambhu Dayal; Subramanya, P.; Rajesh, S.K.INTRODUCTION Orphan children are the most vulnerable individuals receiving the ill effects of the crisis and conflicts happening around the world. Orphaned children staying in the orphanages have multi-dimensional problems which encompass the domains of psychophysiological, social well-being, quality of life and other health related issues. Yoga in its classical form consisted of a system of ethical, psychological and physical practices which develops the person at biopsychosocial-spiritual level. LITERARY REVIEW Happiness is a subjective experience; its understanding differs in every person. From the review of ancient scriptures, it was very clear that happiness is a state of silence of mind. Agitation caused by lust and anger, attachment, the desire of the mind, arrogance and ignorance are the root causes for the unhappiness. Solution to achieve eternal happiness is calming down the mind. Review of scientific literature enumerates contributions and findings of various studies done in the psychological well-being in orphans. Further, emotional regulation, mental well-being, and happiness, yoga and mindfulness among children were explored. A growing number of studies have confirmed relation between psychological wellbeing and orphan hood. Further the scope of yoga as feasible intervention. AIMS The main aims of the studies were, to explore the relationship between mindfulness and psychological well-being in orphan children, and evaluate the effect of Yoga based program on psychological well-being in orphan children. METHODS SUBJECTS In this thesis, two different studies were reported. For the Study I, mindfulness and psychological well-being study, 42 Boys and 98 Girls with a mean age of 12.41 years (SD=1.18) were selected from three orphan homes in Tamil Nadu. For Yoga based program on psychological well-being – Study II, 26 Boys and 41 Girls with a mean age of 12.42 years (SD=1.03) were recruited from Good Life Centre in Tamil Nadu. DESIGN The research design was a cross-sectional (Study I), and randomized control trial (Study II). ASSESSMENT TOOLS Self-report measures were administered to understand the psychological wellbeing. Assessment tools consisted of Child and Adolescent Mindfulness Measure (CAMM), Cognitive Functioning Scale (CFS), Short Mood and Feelings Questionnaire (SMFQ), Emotion Regulation Questionnaire (ERQ), Short Depression Happiness Scale (SDHS) and Positive and Negative Affect Schedule for Children (PANAS-C). DATA EXTRACTION AND ANALYSIS The data was collected using self-reported questionnaires. All statistical analysis was performed using the computing environment R (version 3.4.0). Pearson correlations, Independent-samples t-tests and Paired sample t-tests procedures were used for statistical analyses.RESULTS The results of two different studies can be summarized as: 1) There was significant correlation observed between mindfulness and depression among orphan adolescents (r=-.53, p<0.01). Further, mindfulness had significant relationships to cognitive function (r=.30, p<0.01), positive affect (r=.33, p<0.01) and negative emotion (r=-.38, p<0.01). Regression analysis showed that depression accounted 39% of variance in the model contains mindfulness, positive affect, and negative affect. 2) Post yoga intervention showed statistically significant differences in mindfulness (p < 0.005 d=0.52), happiness (p < 0.023 d=0.41), depression (p < 0.002 d=0.58), suppression (p < 0.037, d=0.37), positive affect (p < 0.040 d=-0.36) and negative affect (p < 0.040, d=0.37) in yoga group, while in the control group, did not find significant differences. CONCLUSIONS This study supports the emerging literature on the benefits of mindfulness construct. Results from this first study offered initial information on the possible interaction between mindfulness and wellbeing among orphan children. Present findings will encourage the mindfulness-based interventions targeting well-being of an orphan adolescent. Further, study II results have shown promising effects of yoga-based intervention on enhancement of psychological wellbeing among orphan children. Furthermore, rigorous trials are needed to explore the long-term effect and its implication in the objective measures and to explore the underlying mechanisms.