2.295.58 1.235.33
1.285.13 1.495.17
5.044.97 <0.0001
DP 0.365. 91 2.426.94 4.176.46** 2.057.59
6.1211.70
12.8315.04 0.0008
MP 0.343.85 2.405.62 2.804.98** 1.765.70
0.335.36 2.024.86
0.0027
RPP 1.037.83 6.847.25 3.6410.25** 5.909.74
2.7410.65
4.828.70
<0.0001
DoP 0.477.11 6.93***7.52 5.209.77 6.3310.15
1.5610.70
1.828.46 <0.0001
Values are given as meanSD. P values are given for intergroup compassions done by repeated measures of analysis of variance with Tukey-Kramer Multiple
Comparisons Test. For HR: *P<0.05 for CB versus SB;
P<0.05
for NB versus NS; For DP: **P<0.01 for CB versus SB;
P<0.05
for NB versus NS; For MP: **P<0.01 for CB versus SB;
P<0.05 for SB versus NS; For RPP: **P<0.01 for CB versus SB;
P<0.01
for CB versus SN;
P<0.05 for CN versus SN; For all other comparisons, P>0.05. HR = Heart rate;
SP = Systolic pressure; DP = Diastolic pressure; PP = Pulse pressure; MP = Mean pressure; RPP = Rate-pressure product; Dop = Double product; NB = Normal
breathing; CB = Chandra bhedana; SB = Surya bhedana; CN = Chandra nadi; SN = Surya nadi; NS = Nadi shuddhi
Table 2: Overall comparison of % changes in auditory reaction time and visual reaction time in 20 subjects
following a control period of nine rounds of normal breathing as well as nine rounds of chandra bhedana, surya
bhedana, chandra nadi, Surya nadi, nadi shuddhi pranayamas
(%) % after NB % after CB % after SB % after CN % after SN % after NS P value
ART 2.62
(7.35,7.23)
4.73
(6.88, 7.43)
4.84
(12.75,8.40)***
3.95
(9.42,10.67)
6.596
(15.05,4.82)
1.09
(8.38,8.97)
<0.0001
VRT 1.40
(4.09, 5.18)
2.02
(6.86,9.89)
6.05
(13.04,6.64)**
2.83
(9.31,10.17)
6.67
(0.89,10.94)
1.28
(7.58,10.66
<0.0001
Values are given as median (range).P values are given for intergroup compassions done by Kruskal Wallis (nonparametric analysis of variance) with Dunns Multiple
Comparisons Test. For ART:***P<0.001 for CB versus SB;
P<0.05
for SN versus NB;
P<0.01 for SN versus NS; For VRT: **P<0.01 for CB versus SB;
P<0.05 for SB
versus NB;
97.48
774.22
134.76
786.83
127.29
*
P =0.1219
P=0.0187
with * for
D vs HT
SDNN
(ms)
30.44
16.33
34.14
15.62
33.16
15.21
29.12
14.70
20.30
10.32
23.31
12.91
P =0.0224
with * for
DM vs DMHT
P =0.0782
Mean
HR
(1/min)
71.56
8.68
69.40
8.84**
78.53
7.89
79.24
9.07
79.40
11.23
77.93
10.31
*
P =0.0724
P =0.0184
with * for
DM vs HT
RMSS
D (ms)
35.51
23.92
36.45
18.38
39.16
19.84
29.17
14.50
23.15
12.08
24.35
9.75
p =0.0087
with ** for
DM vs DMHT
P =0.1145
LF
Power
(ms
2
)
407.00
493.854
615.143
638.313
507.33
750.13
475.00
613.00
163.15
170.29
331.85
396.50
P=0.0675
P=
0.3237
HF
Power
(ms
2
)
576.93
1092.44
379.79
580.14
536.83
483.83
372.58
429.20
212.77
339.50
301.85
478.96
P=0.0125
with * for
DM vs DMHT
P=
0.4891
LF
(n.u)
47.19
23.61
58.03
20.60
45.36
19.46
59.13
21.00*
46.38
15.65
52.39
16.95
P =0.9731 P =0.6499
HF
(n.u)
52.81
23.61
41.97
20.60
54.64
19.46
40.88
21.00*
53.62
15.65
47.61
16.95
P =0.9731 P =0.6499
Total
Power
(ms
2
)
984.29
1501.74
994.86
1105.56
1044.0
1143.18
848.00
867.43
376.00
494.36
633.69
774.61
P=0.0115
with * for
DM vs DMHT
and * for HT vs
DMHT
P =0.2979
LF/HF
1.44
1.44
2.02
1.52
1.03
0.64
2.06
1.42*
1.09
0.92
1.39
0.93
P =0.9994 P =0.3614
Values are given as mean SD. * p <0.05, ** p <0.01, *** p <0.001 by Wilcoxon matched-
pairs signed-ranks test for intra group comparisons. Inter group comparisons by ANOVA with
Tukey-Kramer Multiple Comparisons Test for data with identical SDs and Kruskal Wallis with
Dunns Multiple Comparisons Test for data with non identical SDs. * p <0.05 for intergroup
post hoc comparisons.
Bhavanani et al. Yoga Mimamsa 2013; 45 (1&2): 1-13
8
Table 3: Heart rate (HR), systolic pressure (SP), diastolic pressure (DP), pulse pressure
(PP), mean pressure (MP), rate-pressure product (RPP) and double product (Do P) in of
patients of hypertension (HT), diabetes mellitus (DM) and both hypertension and diabetes
mellitus (DMHT) before (B) and after (A) the performance of 5 minutes of chandra nadi
pranayama (left uninostril breathing).
HT
(n=14)
DM
(n=12)
DMHT
(n=13)
ANOVA
B A B A B A B A
HR (beats/min)
70.86
11.18
67.86
9.80 *
74.67
6.62
71.08
7.49 **
74.69
11.31
71.92
10.07 **
P=0.6415 P=0.4894
SP (mm Hg)
137.00
14.54
130.50
13.53 *
126.00
12.48
123.25
12.75 *
130.85
8.19
128.00
12.27
P=0.0804 P=0.2332
DP (mm Hg)
83.71
8.42
80.86
8.37 *
80.08
8.58
78.67
9.36
82.00
7.78
79.08
6.93 *
P=0.5412 P=0.7686
PP (mm Hg)
53.29
14.54
49.64
9.20
45.92
6.60
44.58
6.99
48.85
10.60
48.92
12.12
P=0.2555 P=0.2440
MP (mm Hg)
101.48
8.41
97.40
9.43 **
95.39
9.55
93.53
10.09 **
98.28
6.14
95.38
7.04
P=0.1762 P=0.5478
RPP (units)
97.47
20.57
89.27
19.14 **
94.03
11.70
87.32
10.14 **
97.48
14.46
91.46
11.68 **
P=0.8306 P=0.7747
DoP (units)
72.35
15.22
66.66
14.02**
71.13
8.42
66.25
7.86***
73.50
12.38
68.41
9.45**
P=0.8938 P=0.8693
Values are given as mean SD. * p <0.05, ** p <0.01, *** p <0.001 by Wilcoxon matched-
pairs signed-ranks test for intra group comparisons. Inter group comparisons by ANOVA with
Tukey-Kramer Multiple Comparisons Test for data with identical SDs and Kruskal Wallis with
Dunns Multiple Comparisons Test for data with non identical SDs. * p <0.05 for intergroup
post hoc comparisons.
DISCUSSION AND CONCLUSION:
This is the first report of the immediate cardiovascular effects of CNP in patients of HT and DM
utilizing HRV analysis. We have also measured resting cardiovascular parameters, thus
enabling us to understand the resultant effects and also to confirm previous reports on
cardiovascular effects of CNP.
There was a significant fall of HR and BP indices in all three groups of patients and this
reduction may be attributed to an overall normalization of autonomic cardiovascular rhythms
along with improvement in baroreflex sensitivity irrespective of the underlying disorder. It has
been previously reported that sympathetic activity is lower during left nostril breathing.
(11)
This
Bhavanani et al. Yoga Mimamsa 2013; 45 (1&2): 1-13
9
is also supported by Innes et al who had earlier postulated two interconnected pathways by
which Yoga reduces the risk of cardiovascular diseases through the mechanisms of
parasympathetic activation coupled with decreased reactivity of sympathoadrenal system and
HPA axis.
(2)
The cardiovascular effects with regard to the RPP and Do P are more significant (p<0.01 to p<
0.001) and this can be attributed to the cumulative benefits from a reduction in HR as well as
BP. RPP and Do P are especially important in patient care as they are indirect indicators of
myocardial oxygen consumption and load on the heart, and hence this reduction implies a
lowering of the strain on the heart.
(12)
As RPP is also a surrogate marker of overall HRV, its
reduction implies an improved cardiac autonomic regulation in our subjects.
(13)
As the HR also
reduced significantly in our study, the fall in SP can be attributed to a reduction in cardiac output
due to decreased venous return as well as decreased HR. Slow and deep regular breathing is
known to harmonize respiratory and cardiovascular Meyer rhythms that then result in changes in
HR as well as BP. Increased vagal modulation of SA and AV nodes along with enhancement of
baroreceptor sensitivity may be responsible for reduction in HR and subsequent fall in SP in our
subjects irrespective of their condition.
The HRV findings in all three groups are more complicated but show a trend towards a
normalization of the pre existing autonomic differences between groups that is typical of Yoga
techniques. Preexisting intergroup differences with regard to SDNN, RMSSD, HF power and
total power were negated after the performance of CNP.
Significant increases in Mean RR with conversely significant decreases in Mean HR in both the
HT and DMHT groups may be explained by the factors discussed above and strengthen the
possibility of an enhanced harmonization of cardiac autonomic function. This seems to be more
evident in the patients of HT and DMHT as LF power and total power also increased in these
groups while it reduced in DM group. Increases in LF power are traditionally interpreted as an
index of enhanced sympathetic activity but recent understanding is that LF power reflects
baroreflex function and not cardiac sympathetic innervation. Moak et al reported that LF power
derived from the interbeat interval spectrogram predominantly reflects baroreflex-mediated,
phasic changes in cardiovagal and sympathetic noradrenergic outflows.
(14)
They concluded that
in the setting of baroreflex failure, baseline LF power is reduced, regardless of the status of
cardiac sympathetic innervation.
Changes in all three groups following CNP suggests that an improvement is occurring in the
cardiac autonomic modulation irrespective of the increase or decrease in different HRV
Bhavanani et al. Yoga Mimamsa 2013; 45 (1&2): 1-13
10
parameters. This implies a healthier heart, capable of responding to external and internal
changes in an adequate manner. Our hypothesis is supported by a recent report that the period
immediately following alternate nostril breathing as well as paced breathing is marked by
elevated autonomic modulation of the heart.
(15)
It is to be noted that in virtually all of the short term HRV analysis, there were differences
between the responses of DM and HT patients with regard to mean RR and mean HR. This may
be attributed to a greater degree of cardiac autonomic neuropathy that is known to occur in
patients of DM. Pre-post intra group comparisons showed significant increases in Mean RR and
Mean HR in both HT and DMHT groups while there were significant increases in LFnu and
LF/HF ratio with significant decrease in HFnu in DM group. The post CNP responses of DM
group in Mean RR, SDNN, Mean HR, RMSSD, LF power and total power were contrary to
responses in the other groups.
HRV is known to be lower in patients of DM and HT and in our study, SDNN, RMSSD, LF
power, HF power and total power were much lower in the DMHT group compared to the other
groups and this may be attributed to a synergetic detrimental effect on the cardiac autonomic
nervous system due to concurrent DM and HT. a previous study by Sridar et al has also reported
reduced baseline HRV in patients having DMHT as compared to those having only DM
(16)
This
can be attributed to the cardiac aautonomic neuropathy in DM and HT resulting in impaired
regulation of BP and HRV due to a shift in cardiac autonomic balance towards sympathetic
dominance. Improvements in all HRV parameters following CNP in our patients may be
attributed to a balancing of the autonomic function with a shift from the sympathetic dominant
state to one of parasympathetic balance. Sridar et all had also reported that the degree of
increase in HRV was greater in hypertensive diabetic patients as opposed to normotensive
diabetic patients
(16)
and our findings are similar to some extent as there was a greater % change
in DMHT group.
A recent study from J IPMER assessing sympathovagal imbalance by spectral analysis of HRV
reported that that autonomic imbalance in pre-hypertensives was due to proportionate increased
sympathetic activity and vagal inhibition, whereas in hypertensives, vagal withdrawal was more
prominent than sympathetic over activity.
(17)
This may explain the major differences between
the groups at baseline and also the changes in DMHT group as the cardiac autonomic imbalance
was of a greater degree of severity. Increased sympathetic activity, enhanced cardiovascular
reactivity and reduced parasympathetic tone have been strongly implicated in the pathogenesis
of insulin resistance syndrome, atherosclerosis and cardiovascular diseases. Innes and Vincent
Bhavanani et al. Yoga Mimamsa 2013; 45 (1&2): 1-13
11
have suggested that yoga reduces this risk profile by decreasing activation of the sympatho-
adrenal system and the hypothalamic-pituitary-adrenal axis and also by promoting a feeling of
wellbeing along with direct enhancement of parasympathetic activity via vagus nerve.
(18)
Although decreased HRV is the most powerful predictor of cardiac mortality, there are a few
limitations in any study using HRV as a tool for research. It is still unclear as to which is the best
HRV variable to measure as none provides significant, consistent and accurate outcome.
(19)
Since HRV deals with RR interval variations, its measurement is limited to subjects with sinus
rhythm and to those with low number of ectopic beats.
(20)
As the present study lacked an appropriate paired control group of patients, further controlled
studies are planned to ascertain a deeper understanding of the mechanisms involved. Such
studies can also determine how long such an autonomic modifying effect persists in clinical
situations. It is recommended that this simple and cost effective technique be added to the
regular management protocol of HT and DM and utilized when immediate reduction of HR and
BP are required in day-to-day as well as clinical situations.
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11. Mitti Mohan S. Svara (Nostril dominance) and bilateral volar GSR. Indian J Physiol Pharmacol
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Journal of Clinical and Diagnostic Research. 2014 May, Vol-8(5): BC01-BC03 11
DOI: 10.7860/JCDR/2014/7452.4390
Original Article
Effect of Slow and Fast Pranayama
Training on Handgrip Strength and
Endurance in Healthy Volunteers
P
h
y
s
i
o
l
o
g
y
S
e
c
t
i
o
n
DINESH THANGAVEL
1
, GIRWAR SINGH GAUR
2
, VIVEK KUMAR SHARMA
3
,
ANANDA BALAYOGI BHAVANANI
4
, RAJAJEYAKUMAR M.
5
, SYAM SUNDER A.
6
Keywords: Pranayama, Physiological parameters
ABSTRACT
Background: Pranayama has been assigned very important
role in yogic system of exercises and is said to be much more
important than yogasanas for keeping sound health. Also different
pranayamas produce divergent physiological effects.
Aim: To study the effect of 12 weeks training of slow and fast
pranayama on handgrip strength and endurance in young,
healthy volunteers of JIPMER population.
Settings and Design: Present study was conducted in the
Department of Physiology, JIPMER in 2011-12 (1.06.11 to
1.04.12).
Materials and Methods: Total of 91 volunteer subjects were
randomised into slow pranayama (SPG) (n=29), fast pranayama
(FPG) (n=32) and control groups (CG) (n=30). Supervised
pranayama training (SPG - Nadisodhana, Pranav pranayama and
Savitri pranayama; FPG - Kapalabhati, Bhastrika and Kukkuriya
pranayama) was given for 30 minutes thrice a week for 12 weeks
to both slow and fast pranayama groups by certied yoga trainer.
Hand grip strength (HGS) and endurance (HGE) parameters were
recorded using handgrip dynamometer (Rolex, India) at baseline
and after 12 weeks of pranayama training.
Statistical Analysis Used: Longitudinal changes in each group
were compared by using Students paired t-test. Delta changes
in each group were analysed by ANOVA with Tukey post-hoc
analysis.
Results: In SPG signicant improvement occurred only in HGE
parameter from 83.9545.06 to 101.6253.87 (seconds) (p<0.001)
whereas in FPG, signicant improvement was observed in HGS
from 33.319.83 to 37.99.41 (Kilograms) (p=0.01) as well as in
HGE from 92.7841.37 to 116.5658.54 (seconds) (p=0.004).
Using Students unpaired t-test difference between the groups in
HGS is found to be 1.175.485 in SPG and in FPG is 4.597.26
(p=0.39); HGE difference in SPG is 1.7721.17 and in FPG is
2.3843.27 (p>0.05).
Conclusion: Pranayama training decreases sympathetic
activity, resulting in mental relaxation and decreased autonomic
arousal thereby, decreasing force uctuations during isometric
contraction. This is reected as improvement in HGS and HGE.
INTRODUCTION
The spiritual-scientic discipline of yoga incorporates a wide
variety of practices and many scientic researches conclusively
document its preventive, therapeutic and excelling powers in the
individuals [1,2].
The versions of pranayama vary from single nostril breathing to
bellow breathing and it consists of three phases: purak (inhalation),
kumbhak (retention) and rechak (exhalation) and these phases can
be practised in either slow or fast manner [3]. Hand grip strength
(HGS) is an indicator of muscle function and nutritional status.
It has been used as an objective clinical measure in a variety of
situations including assessing the general strength in order to
determine work capacity [4]. HGS is inuenced by effort, skeletal
muscle bulk and contractility. Regular practice of pranayama has
shown improvement in HGS of both hands [5]. One previous
study has compared the effect of six months practice of fast
(FSN) and slow (SSN) practice of Suryanamaskar (SN) (type of
yogasana) on adolescents and found out that both types of SN
had positive physiological benets but the effects of FSN were
similar to physical aerobic exercises, whereas the effects of SSN
were similar to those of yoga training [6]. As different types of
pranayamas have also been demonstrated to produce different
physiological benets in the subjects [79], the present study
was planned to study the effect of 12 weeks of slow and fast
pranayama training on handgrip strength and handgrip endurance
in young adult subjects of JIPMER population.
SUBJECTS AND METHODS
Present study was conducted in the Department of Physiology,
JIPMER, Puducherry. The subjects were recruited from the students
of various courses conducted in JIPMER, Puducherry as well as
staff, friends and relatives of them. The study involved less than
minimal risk.
Inclusion criteria
Healthy volunteers of both gender in the age group of 18-30
years.
Exclusion criteria
History of chronic respiratory illness.
Subjects receiving medication for any chronic ailment.
Smokers and alcoholics.
Athletes.
Any history of previous yoga or bio feedback techniques
training in last one year.
The purpose of the study, procedures and benets were briefed to
them. The willing participants were randomised into SPG (n=29),
FPG (n=32) and CG (n=30) after getting informed written consent,
by simple randomisation method using random numbers generated
through computer. Average age of the volunteers was average age
of 18.58 2.27 (mean SD) were considered for analysis. Among
these 91 volunteers, 72 were females and the remaining 19 were
Vivek Kumar Sharma et al., Effect of Slow and Fast Pranayama Training on Handgrip Strength and Endurance in Healthy Volunteers www.jcdr.net
Journal of Clinical and Diagnostic Research. 2014 May, Vol-8(5): BC01-BC03 22
Control Group: consisted of group of volunteers who were not
included in 12 week training of pranayama.
RESULTS
The comparison of parameters between baseline and post test
amongst the groups on hand grip dynamometry parameters are
given in [Table/Fig-1]. The details on the comparison of handgrip
dynamometry parameters considered for the study at baseline were
comparable (p>0.05).
The analysis on the effect of 12 weeks of slow pranayama on HGS
and HGE parameters shows a statistically signicant improvement
(p<0.001) for HGE and statistically insignicant change (p>0.05)
for HGS parameter. The analysis on the effect of 12 weeks of
fast pranayama on HGS and HGE shows statistically signicant
improvement in both HGS and HGE (p=0.01 and p=0.004,
respectively).
In CG there was no signicant change observed in both HGS and
HGE parameters (p>0.05) after 12 weeks of study period. In HGS
parameter, longitudinal changes amongst the groups were not
statistically signicant (p>0.05). In HGE parameter, changes
amongst the groups were statistically signicant (p=0.003).An
average increase of 2.38 43.27in FPG and 1.77 21.17in SPG
was observed (P=0.003 and P=0.03 respectively) compared to
the CG.
Also, [Table/Fig-2] demonstrates that on comparing HGS and HGE
parameters, there was no signicant difference between SPG and
FPG groups. Therefore, our study demonstrates that the effect of
slow and fast pranayama groups can be considered comparable on
handgrip dynamometer parameters (HGS & HGE).
DISCUSSION
Since pranayama can be practiced in either slow or fast manner
[3], the benecial effects obtained by the practice of different prana-
yamas may be derived from the differences in duration of the phases
of the breathing cycle, tidal volume and other factors including the
use of mouth, nostrils, constriction of the laryngeal muscles and
position of the glottis [10].
Results of our study demonstrate that there was no signicant differ-
ence in the baseline values of handgrip dynamometry parameters.
Therefore, all the three groups can be considered comparable for
the present study. There was signicant improvement in HGS and
HGE in fast pranayama group whereas in slow pranayama group,
there was signicant improvement in only HGE parameter (p<0.001)
along with statistically non signicant but denite trend towards
increase in HGS. However, on comparing longitudinal changes
males. The study did not involve invasive procedures at any stage.
Hand grip strength (HGS) and endurance (HGE) parameters were
recorded at baseline and after 12 weeks of pranayama training
using handgrip dynamometer (Rolex, India). The subjects were
asked to sit comfortably and proper instructions were given to them.
They were asked to perform maximum voluntary contraction (MVC)
using the handgrip dynamometer. The test was repeated three
times with a gap of two minutes and the highest value was recorded
as HGS. Following HGS, the subjects were instructed to maintain
one-third of HGS for as long as possible. Duration in seconds was
noted as HGE using the stop watch. Supervised pranayama training
(SPG - Nadisodhana, Pranav pranayama and Savitri pranayama;
FPG - Kapalabhati, Bhastrika and Kukkuriya pranayama) was given
for 30 minutes/ day, thrice/week for the duration of 12 weeks by
certied yoga trainer as per the guidelines of Morarji Desai National
Institute of Yoga, New Delhi. The details of pranayama training are
as follows:
1. Fast Pranayama: Each cycle consisted of practicing one minute
of Kapalabhati, Bhastrika and Kukkriya pranayama interspersed
with one minute of rest between each pranayama. Subjects
were asked to complete three or more cycles in each session.
Kapalabhati pranayama: The subjects forcefully expelled during
the expiration but the inhalation was passive. One hundred
and twenty rounds per sitting was the maximum allowed.
Bhastrika pranayama (Bellows): Subjects were instructed to
take deep inspiration followed by rapid expulsion of breath
following one another in rapid succession. This is called as
bellow type of breathing. Each round consisted of 10 such
bellows.
Kukkriyapranayama (Dog Pant): The subjects sat in vajrasana
with both palms on the ground in front with wrists touching
knees and ngers pointing forward. With wide open mouth and
the tongue pushed out as far as possible subjects breathed in
and out at a rapid rate with their tongue hanging out of their
mouth. The whole practice was repeated for three rounds.
2. Slow Pranayama: Each round (seven minutes) of session
consisted of practicing two minutes of nadishodhana, pranava
and savitri pranayama interspersed with one minute of rest
between each pranayama done in comfortable posture
(sukhasana). Subjects were asked to perform nine or more
rounds according to their capacity.
Nadishodhana pranayama: is rhythmic and slow alternate
nostril breathing. One round consisted of inhaling through one
nostril, exhaling through other nostril and repeating the same
procedure through other nostril.
Savitri pranayama is a slow, deep and rhythmic breathing,
each cycle having a ratio of 2:1:2:1 between inspiration
(purak), held-in breath (kumbhak), expiration (rechak), and held
out breath (shunyak) phases of the respiratory cycle.
Pranava pranayama is slow, deep and rhythmic breathing
where emphasis is placed on making the sound AAA, UUU
and MMM while breathing out for duration of two to three
times the duration of the inhaled breath.
At the end of session, all SPG and FPG subjects were instructed to
lie down in shavasana and relax for 10 minutes.
Parameters
SPG(n=29) FPG (n=32) CG (n=30)
Baseline Post test Baseline Post test Baseline Post test
HGS (Kg) 32.83 11.33 34 11.90 33.31 9.83 37.9 9.41* 30.43 10.15 32.40 9.25
HGE (s) 83.95 45.06 101.62 53.87*** 92.78 41.37 116.56 58.54** 71.83 40.86 65.80 34.06
[Table/Fig-1]: Comparison of handgrip dynamometry parameters between baseline and post test amongst the study groups (Mean SD)
SPG - slow pranayama group, FPG - fast pranayama group,CG - control group. Handgrip strength (HGS) in Kilograms and handgrip endurance (HGE) in seconds. Analysis
done by Students paired t-test. *p<0.05, **p<0.01, ***p<0.001.
Parameters SPG (n=29) FPG (n=32) CG (n=30)
HGS (Kg) 1.17 5.28 4.59 7.26 1.97 7.42
HGE (s) 1.77 21.17 2.38 43.27 -6.03 35.53*
, ##
[Table/Fig-2]: Comparison of the delta changes (difference between post test &
baseline) amongst the studygroups on handgrip strength (HGS) and endurance
(HGE) parameters (Mean SD).
SPG - slow pranayama group, FPG - fast pranayama group, CG - control group.
*with respect to slow pranayama group,
#
with respect to fast pranayama group.
Analysis done by one way ANOVA with Tukey post-hoc analysis .*p<0.05, **p<0.01,
***p<0.001.
#
p<0.05,
##
p<0.01,
###
p<0.001.
Journal of Clinical and Diagnostic Research. 2014 May, Vol-8(5): BC01-BC03 33
www.jcdr.net Vivek Kumar Sharma et al., Effect of Slow and Fast Pranayama Training on Handgrip Strength and Endurance in Healthy Volunteers
between fast and slow pranayama groups, there was no statistically
signicant difference between these groups. Therefore, our study
demonstrates that both slow and fast pranayamas are benecial
on the handgrip dynamometer parameters (HGS & HGE) and the
benecial effect of the two groups can be considered comparable.
To the best of our knowledge, there is no previous study which
compared the effect of slow and fast pranayamas on HGE and
HGS. However, many previous studies had shown benecial effect
of integrated yoga practices which included various pranayama
techniques. A study by Madanmohan et al., observed 21 percent
increase in HGS on healthy volunteers with 12 weeks of yoga training
[11]. Another study done by Raghuraj et al. on school children aged
1118 years found that 10 days of pranayama training signicantly
improved HGS ranging from 4.1 percent to 6.5 percent without
lateralised effect [5].
The improvement in HGS & HGE after pranayama training can be
ascribed to the state of calm alertness, better subjective wellbeing
and hypo metabolic state in the subjects which may have resulted
in better concentration on the task. This may be due to improved
autonomic tone resulting in increased parasympathetic drive,
calming of stress responses, neuroendocrine release of hormones
and thalamic generators [12]. Improved autonomic tone may reduce
oxygen requirement by pranayama practice, as the availability of
energy and oxidation of glucose is believed to inuence the HGS [13].
Also, cognitive components and non specic arousal can be
the possible factors for the improvement in HGS [14]. Ray et al.,
reported that yogic exercises produce signicant increase in muscle
endurance and delay in onset of fatigue [15]. Raju et al., also reported
that yoga training resulted in a signicant increase in maximal work
output with a signicantly reduced level of oxygen consumption per
unit work [16].
To conclude, our results demonstrate that both slow and fast
pranayamas are benecial on handgrip dynamometry parameters
and fast pranayama was more effective than slow pranayama.
KEY MESSAGES
Different pranayamas produce different physiological effects.
Especially fast pranayama training when practiced regularly for
longer duration, it produces parasympatho dominance in contrast
to the short duration training which evokes sympathetic activity.
ACKNOWLEDGEMENT
Special thanks are due to the Advanced Centre for Yoga Therapy
Education and Research (ACYTER) team of Mr. Dayanidy G and
Ms. Vithiyalakshmi L, Yoga Instructors, for an excellent conduct of
pranayama training sessions. We are also grateful to the subjects
for cooperating during the study in all possible aspects.
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[4] Gilbert JC, Knowlton RG. Simple method to determine sincerity of effort during a
maximal isometric test of grip strength. Am J Phys Med. 1983; 62(3): 13544.
[5] Raghuraj P, Nagarathna R, Nagendra HR, Telles S. Pranayama increases
grip strength without lateralized effects. Indian J Physiol Pharmacol. 1997; 41(2):
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and fast suryanamaskar on physiological function. Int J Yoga. 2011; 4(2): 7176.
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training on handgrip, respiratory pressures and pulmonary function. Indian J
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Understanding medical physiology, Third edition. New Delhi, India: Jaypee
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[10] Telles, Desiraju T. Heart rate alterations in different types of pranayamas. Indian J
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krishnamurthy N, Chandrabose A. Effect of yoga training on reaction time,
respiratory endurance and musle strength. Indian J Physiol Pharmacol. 1992; 36:
22933.
[12] Brown RP, Gerbarg PL. SudarshanKriya yogic breathing in the treatment of stress,
anxiety, and depression: part I-neurophysiologic model. J Altern Complement
Med. 2005; 11(1):189201.
[13] Mohinder P, Malik SL. Effect of smoking on anthropometric somatotype and grip
strength. Indian J Med Res. 1988;87: 49499.
[14] Peynirciolu ZF, Thompson JL, Tanielian TB: Improvement strategies in free-throw
shooting and grip-strength tasks. J Gen Psychol. 2000; 127(2): 14556.
[15] Ray US, Hegde KS, Selvamurthy W. Improvement in muscular efciency as
related to a standard task after yogic exercises in middle aged men. Indian J Med
Res. 1986; 83: 34348.
[16] Raju PS, Madhavi S, Prasad KV, Reddy MV, Reddy ME, Sahay BK, Murthy KJ.
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PARTICULARS OF CONTRIBUTORS:
1. Assistant Professor, Department of Physiology, Vinayaka Missions Medical College, Karaikal-609605, India.
2. Additional Professor, Department of Physiology, JIPMER, Puducherry-605006, India.
3. Assistant Professor, Department of Physiology, JIPMER, Puducherry-605006, India.
4. Deputy Director, CYTER, Mahatma Gandhi Medical College and Research Institute, Puducherry-607 402, India.
5. Assistant Professor, Department of Physiology, Chennai Medical College Hospital and Research Centre,Tiruchirappalli, Tamilnadu-621105, India.
6. Phd Scholar, Department of Physiology, JIPMER, Puducherry-605006, India.
NAME, ADDRESS, E-MAIL ID OF THE CORRESPONDING AUTHOR:
Dr. Vivek Kumar Sharma,
Assistant Professor, Department of Physiology, JIPMER, Puducherry-605006, India.
Phone: 9442529673, E-mail: drviveksharma@yahoo.com
FINANCIAL OR OTHER COMPETING INTERESTS: None.
Date of Submission: Aug 25, 2013
Date of Peer Review: Jan 17, 2014
Date of Acceptance: Mar 12, 2014
Month of Publishing: May, 2014
Ann. SBV, Jan - Jun 2014;3(1)
Page 29 Annals of SBV
Introduction
Oh, East is East, and West is West, and never
the twain shall meet, said Rudyard Kipling. Tis
dichotomy however seems to have been overcome
in recent times, as many eastern healing traditions
have slowly and steadily percolated the health care
system worldwide. Tis is especially true of mind
body therapies that focus on the health promotive
intrinsic connections that exist between the human
brain, mind, body, and individual behaviour.
Tis includes techniques of meditation (mantra
meditation, mindfulness meditation, and others), qi
gong, tai chi, and yoga.
1
In the USA, reported use
of deep breathing, meditation, and yoga increased
between 2002 and 2007 with 12.7% of adults
using deep-breathing exercises, 9.4% practicing
meditation, and 6.1% taking up yoga.
2,3
Pain
related issues were the top usage statistics while
more than 40% of adults with neuropsychiatric
symptoms were drawn to the usage of various
mindbody therapies.
4
Yoga As A Terapy
Yoga as a mode of therapy (yoga chikitsa) has
become extremely popular, and a great number
of studies and systematic reviews ofer scientifc
evidence of its potential in treating a wide range of
psychosomatic conditions. Yoga understands health
and well-being as a dynamic continuum of human
nature and not merely a state to be reached and
maintained. Yoga helps the individual to establish
sukha sthanam, which may be defned as a dynamic
sense of physical, mental, and spiritual well-being.
Yogamaharishi Dr. Swami Gitananda Giri Guru
Maharaj, the visionary founder of Ananda Ashram
at the ICYER, Pondicherry (www.icyer.com) and
one of the foremost authorities on Yoga in the past
century exclaimed lucidly, Yoga chikitsa is virtually
as old as yoga itself, indeed, the return of mind that
feels separated from the Universe in which it exists
represents the frst yoga therapy. Yoga chikitsa
could be termed as mans frst attempt at unitive
understanding of mind-emotions-physical distress
and is the oldest wholistic concept and therapy in
the world.
5
To achieve this yogic integration at all
levels of our being, it is essential that we take
into consideration the all encompassing multi
dimensional aspects of yoga that include the
following: a healthy life-nourishing diet, a healthy
and natural environment, a wholistic lifestyle,
adequate bodywork through asana, mudra-bandha
and kriya, invigorating breath work through
pranayama and the cultivation of a healthy thought
process through jnana yoga and raja yoga.
Te International Association of Yoga
Terapists (IAYT), USA has taken this idea into
account in defning Yoga therapy as follows
6
: Yoga
therapy is the process of empowering individuals
to progress toward improved health and well-being
through the application of the philosophy and
practice of yoga. Tis has been further elabourated
by the IAYT in its Recommended Educational
Standards for the Training of Yoga Terapists,
published on 1 July, 2012
.7
Tis is one of the best
documents on standards in yoga therapy and is a
path breaking efort covering comprehensively all
aspects of yoga as a holistic therapy.
Te need of the hour is for a symbiotic
relationship between yoga and modern science. To
satisfy this need, living, human bridges combining
the best of both worlds need to be cultivated. It
is important that more dedicated scientists take
up yoga and that more yogis study science, so that
we can build a bridge between these two great
evolutionary aspects of our civilization. Te process
as well as the goal of yoga is all about becoming
one with an integrated state of being.
8
YOGA AND MIND BODY THERAPIES IN HEALTH AND DISEASE: A BRIEF REVIEW
Ananda Balayogi Bhavanani
*
, Meena Ramanathan
**
, Madanmohan
***
* Ananda Balayogi Bhavanani , Deputy Director, E mail: yognat@gmail.com
** Meena Ramanathan, Co-ordinator and Yoga therapist, E mail: saineema@yahoo.com
*** Madanmohan, Director, Prof & Head, Dept. of Physiology, E mail: drmadanmohan999@rediffmail.com
Centre for Yoga Therapy, Education and Research (CYTER)
Mahatma Gandhi Medical College and Research Institute, Puducherry 607402, India
Ann. SBV, Jan - Jun 2014;3(1)
Page 30 Annals of SBV
Promotes Positive Health
Healthy life can be considered as a by-product
of practicing yogic techniques since it has been
observed that Yoga practitioners are physically and
mentally healthier and have better coping skills to
stressors than the normal population. Knowledge
of inexpensive, efective and easily administrable
yogic techniques by health professionals will go
a long way in helping us achieve the goal of the
World Health Organisation to provide physical,
mental, spiritual and social health for all sections
of human society.
Some of the important documented health
promoting benefts of mind-body practices such as
yoga and meditation include:
1. Improvement in cardio-respiratory efciency
9,
10, 11, 12
2. Improvement in exercise tolerance
13, 14, 15, 16
3. Harmonious balance of autonomic function
17,
18, 19, 20
4. Improvement in dexterity, strength, steadiness,
stamina, fexibility, endurance, and neuro-
musculo-skeletal coordination
13, 21, 22, 23, 24, 25, 26
5. Increase in alpha rhythm, inter-hemispheric
coherence and homogeneity in the brain
27, 28,
29, 30
6. Improved sleep quality
31
7. Improved cognitive functions
9, 32, 33, 34, 35, 36, 37, 38
8. Alteration in brain blood fow and brain
metabolism
39, 40, 41, 42
9. Modulation of the neuro-endocrine axis
43, 44, 45,
46, 47, 48
We can say that the eastern mind-body
techniques afect every cell of the human
body. Tey bring about better neuro-efector
communication, improve strength, and enhance
optimum functioning of all organ-systems while
increasing resistance against stress and diseases
with resultant tranquillity, balance, positive attitude
and equanimity.
Figure1: Possible Factors Responsible For Physical Performance Improvement By Yoga
(Ray US, Pathak A, Tomer OS. Hatha Yoga Practices: Energy Expenditure, Respiratory Changes And Intensity Of
Exercise. Evid based complement alternat med. 2011; 2011: 241294.)
Managing Stress
It is well established that stress weakens our
immune system. Scientifc research in recent times
has shown that the physiological, psychological and
biochemical efects of yoga are of an anti-stress nature.
A majority of studies have described benefcial efects
of yoga interventions in stress with an Agency for
Healthcare Research and Quality (AHRQ) report
stating that Yoga helped reduce stress.
49
Reductions
in perceived stress following yoga are reported to be
as efective as therapies such as relaxation, cognitive
behavioural therapy and dance therapy.
Ann. SBV, Jan - Jun 2014;3(1)
Page 31 Annals of SBV
Mechanisms postulated include the restoration
of autonomic balance as well as an improvement
in restorative, regenerative and rehabilitative
capacities of the individual. A healthy inner sense
of wellbeing produced by a life of yoga percolates
down through the diferent levels of our existence
from the higher to the lower levels producing health
and wellbeing of a holistic nature. Streeter et al
recently proposed a theory to explain the benefts
of yoga practices in diverse, frequently co-morbid
medical conditions based on the concept that yoga
practices reduce allostatic load in stress response
systems so that optimal homeostasis is restored.
50
Tey hypothesized that stress produces an:
Imbalance of the autonomic nervous
system with decreased parasympathetic
and increased sympathetic activity,
Under activity of the gamma amino-
butyric acid (GABA) system, the primary
inhibitory neurotransmitter system, and
Increased allostatic load.
Tey further hypothesized that yoga-
based practices i) correct under activity of the
parasympathetic nervous system and GABA
systems in part through stimulation of the vagus
nerves, the main peripheral pathway of the
parasympathetic nervous system, and ii) reduce
allostatic load.
According to the theory proposed by them,
decreased parasympathetic nervous system and
GABAergic activity that underlies stress-related
disorders can be corrected by yoga practices
resulting in amelioration of disease symptoms. A
review by Bhavanani concluded that heart rate
variability (HRV) testing has a great role to play
in our understanding of the intrinsic mechanisms
behind such potential autonomic balancing efects
of yoga.
51
Innes et al had earlier postulated two
interconnected pathways by which yoga reduces
the risk of cardiovascular diseases through the
mechanisms of parasympathetic activation coupled
with decreased reactivity of sympathoadrenal
system and HPA axis.
52
It is notable that one of the newer applications
of yoga has been in managing the aftermaths of
natural disasters. Studies have shown that yoga
signifcantly reduces symptoms of posttraumatic
stress disorder (PTSD), self-rated symptoms of
stress (fear, anxiety, disturbed sleep, and sadness)
and respiration rate.
53
Figure 2: Impact Of Stress On HypothalamicPituitaryAdrenal (Hpa) Axis And Sympathetic Nervous System.
(Sengupta P. Health Impacts of Yoga and Pranayama: A State-of-the-Art Review.Int J Prev Med 2012; 3:44458.
* Yoga has signifcant benefcial efects at these levels)
Ann. SBV, Jan - Jun 2014;3(1)
Page 32 Annals of SBV
Mental Health
Yoga can enhance ones spiritual life and
perspective beyond the physical life regardless
of ones particular religion.
54
It enables people to
attain and maintain a balance between exertion
and relaxation, and this produces a healthy and
dynamic state of homeostatic equilibrium.
5
Recent
studies have shown that yoga improves mood
and reduces depression scores.
55,56
Tese changes
have been attributed to an increased secretion
of thalamic GABA with greater capacity for
emotional regulation.
56,57
Even a 10 day yoga-based
lifestyle modifcation program has been reported to
improve subjective wellbeing scores of patients.
20
Tere has been extensive work done on
Sudarshan Kriya Yoga and depression at the
National Institute of Mental Health and Neuro
Sciences (NIMHANS) in India. Tis technique
has been recommended as a potential alternative
to drugs for melancholia as a frst-line treatment.
58
A review by Carim-Todd et al on yoga and
smoking cessation, reported positive benefts of
mindbody interventions.
59
Tese interventions
produced changes in smoking behaviour/in
predictors of smoking behaviour such as abstinence,
decreased number of cigarettes smoked, lower
intensity of cravings and attitudinal changes
regards smoking. However, defnite conclusions
on their benefts for smoking cessation couldnt be
drawn due to scarcity of papers, low quality of some
publications, and numerous limitations of these
studies like inadequate sample size, limitations of
study design, lack of adherence monitoring, lack of
objective measures, inadequate or absent control
conditions and absence of blinding.
A large number of studies show that the
practice of yoga can produce signifcant decrease
in the basal anxiety scores in diferent populations.
60, 61, 62, 63, 64, 65
Tese reports have shown signifcant
improvements in perceived stress, state and trait
anxiety, subjective well-being, vigour and decrease
in salivary cortisol, fatigue and depression. Physical
well-being also increased, and those subjects
sufering from headache or back pain reported
marked pain relief. We can conclude that yoga and
other mind body therapies do have a potential role
in management of depressive and anxiety disorders.
In addition to its benefts for patients themselves,
yoga also has a great role for managing depression
manifesting in family caregivers of patients with
dementia.
66
Researchers also support the promising
role of yoga as an intervention for depression
because it is cost-efective and easy to implement.61
However a point to consider is that all the mind-body
interventions do seem to be efective when compared
to passive controls but reports are less conclusive
when compared with active controls.
67
Figure 3: Interconnections Between Inner Correspondence / Peaceful Harmony (Icph), Mindful Acceptance &
Mental /Emotional Stabilization In Response To Mind-Body Interventions Such As Yoga.
(Arndt Bussing et al. Inner Correspondence and peacefulness with practices among participants in Eurythmy
Therapy & Yoga: A Validation Study. Evid Based Complement Alternat Med 2011; 2011: 329023.)
Ann. SBV, Jan - Jun 2014;3(1)
Page 33 Annals of SBV
Cardiovascular Conditions
Many studies have tried to explore the
mechanisms by which yoga modifes coronary
artery disease risk factors. Manchanda et al
68
,
Ornish et al
69
and Yogendra et al
70
have conducted
prospective, randomized and controlled trials on
angiographically proven coronary artery disease
patients with yoga intervention and demonstrated
that yoga based lifestyle modifcation helps in
regression of coronary lesions and improvement in
myocardial perfusion. Te efect of yogic lifestyle on
some of the modifable risk factors could probably
explain the preventive and therapeutic benefcial
efect observed in coronary artery disease.
A review of 70 eligible studies investigating the
efects of yoga on risk indices associated with the
insulin resistance syndrome, cardiovascular disease,
and possible protection with yoga, reported that
most had a reduction of systolic and/or diastolic
pressure. However, the reviewers also noted that
there were several noted potential biases and
limitations that made it difcult to detect an efect
specifc to yoga.
52
Another literature review reported
signifcant improvements in overall cardiovascular
endurance of young subjects who were given
varying periods of yoga training.
71
Physical ftness
increased as compared to other forms of exercise
and longer duration of yoga practice produced
better cardiopulmonary endurance. In fact a
detailed review of yoga in cardiac health concluded
that it can be benefcial in the primary and
secondary prevention of cardiovascular disease and
that it can play a primary or a complementary role
in this regard.
72
Respiratory Disorders
Scientifc basis of using yoga as an adjunct
therapy in chronic obstructive pulmonary diseases
is well established with signifcant improvements in
lung function, quality of life indices and bronchial
provocation responses coupled with decreased need
for regular and rescue medicinal usage.
73,74
Behera
reported perceptible improvement in dyspnea and
lung function in patients of bronchitis after 4 weeks
of yoga therapy that used a variety of postures and
breathing techniques.
75
Yogic cleaning techniques
such as dhautikriya (upper gastrointestinal cleaning
with warm saline or muslin cloth) and netikriya
(warm saline nasal wash) remove excessive mucous
secretions, decrease infammation and reduce
bronchial hypersensitivity thereby increasing
provocation threshold while kapalabhati through
forceful exhalations improves the capacity to
exhale against resistance.
76
A nonspecifc broncho
protective or broncho relaxing efect has been also
postulated
77
while improved exercise tolerance has
been reported following yoga therapy in patients
of chronic severe airways obstruction.
78
It has
been reported that well-performed slow yogic
breathing maintains better blood oxygenation
without increasing minute ventilation, reduces
sympathetic activation during altitude-induced
hypoxia
79
and decreased chemorefex sensitivity
to hypoxia and hypercapnia
80
. Tese help bring
about both objective and subjective improvements
in the condition of patients with bronchitis. Yoga
as a therapy is also cost efective, relatively simple
and carries minimal risk and hence should be
advocated as an adjunct, complementary therapy
in our search for an integrated system of medicine
capable of producing health and wellbeing for all.
Metabolic/Endocrine Conditions
A few RCTs have suggested that yoga and
meditation practices act on the hypothalamic
pituitaryadrenal axis (HPA) axis to reduce
cortisol levels in plasma,
81, 82, 83, 84
as well as reduce
sympathetic nervous system tone, increase vagal
activity,
85,86
and elevate brain GABA levels
62
.
Major systematic reviews of the efects of yoga
on risk indices associated with insulin resistance
syndrome and risk profles in adults with type 2
diabetes have been done in recent times.
52,87
Tey
reported post-intervention improvement in various
indices but with results varying by population and
study design. Another systematic review addressed
the management of type 2 diabetes and concluded
that the reviewed trials suggest favourable efects of
yoga on short-term parameters related to diabetes
but not necessarily for long-term outcome.
88
Te
AHRQ cites two studies comparing yoga versus
medication which reported a large and signifcant
reduction of fasting glucose in individuals with type
2 diabetes in one, and a smaller but still signifcant
improvement in the other.
49
Ann. SBV, Jan - Jun 2014;3(1)
Page 34 Annals of SBV
Figure 4: Proposed Relationships Among Dyspnea, Benefts of Yoga, and Outcomes of Participation In A Yoga
Program. (Donesky-Cuenco D, Nguyen Hq, Paul S, Carrieri-Kohlman V. Yoga Therapy Decreases Dyspnea-Related
Distress and Improves Functional Performance In People With Chronic Obstructive Pulmonary Disease: A Pilot Study.
J Altern Complement Med 2009; 15: 225234).
Figure 5 Postulated Mechanisms By Which Yoga Can Help Reduce Risk For Type 2 Diabetes Mellitus And Its
Complications (Innes Ke, Vincent Hk. The Infuence Of Yoga-Based Programs On Risk Profles In Adults With Type 2
Diabetes Mellitus: A Systematic Review. Ecam 2007; 4: 469-86.)
Ann. SBV, Jan - Jun 2014;3(1)
Page 35 Annals of SBV
A recent systematic review of yoga on
menopausal symptoms reported small efects
on psychological symptoms with no efects on
total menopausal symptoms, somatic symptoms,
vasomotor symptoms, or urogenital symptoms.
89
Musculoskeletal Conditions
A review by Posadzki et al
90
found that 10 of 11
RCTs reported signifcantly greater efects in favor
of Yoga when compared to standard care, self-care,
therapeutic exercises, relaxing yoga, touch and
manipulation, or no intervention. Yoga was more
efective for chronic back pain than the control
interventions such as usual care or conventional
therapeutic exercises though some studies
showed no between group diferences.
91
Recently
two well designed trials of yoga for back pain
reported clinically meaningful benefts over usual
medical care but not over an intensive stretching
intervention.
92,93
Figure 6: Mechanisms Underlying Efectiveness Of Yoga For Chronic Low Back Pain. (Sherman et al., Comparison
of yoga versus stretching for chronic low back pain: protocol for the Yoga Exercise Self-care trial. Trials 2010; 11:36
Cancer
According to the fndings of a comprehensive
meta-analysis of role of yoga in cancer, improvements
in psychological health were seen in yoga groups when
compared to waitlist or supportive therapy groups.
94
With respect to overall quality of life, there was a
trend towards improvement. To explain the positive
outcomes, Smith and Pukall suggested various
complex pathways which may involve relaxation,
coping strategies, acceptance, and self-efcacy.
95
Kochupillai et al reported increase in natural killer
cells in cancer patients who had completed their
standard therapy after practicing Sudarshan Kriya
Yoga and pranayam breathing techniques.
96
A systematic review and meta-analysis of RCTs
on the physical and psychosocial benefts of yoga in
cancer patients and survivors by Bufart and colleagues
concluded that yoga may be a feasible intervention as
benefcial efects on several physical and psychosocial
symptoms were reported.
97
Tey showed that it
has strong benefcial efects on distress, anxiety and
depression, moderate efects on fatigue, general
HRQoL, emotional function and social function, small
efects on functional well-being, and no signifcant
efects on physical function and sleep disturbances. It
was suggested that yoga can be an appropriate form
of exercise for cancer patients and survivors who are
unable or unwilling to participate in other traditional
aerobic or resistance exercise programs.
Ann. SBV, Jan - Jun 2014;3(1)
Page 36 Annals of SBV
Pregnancy
Preliminary evidence from various scientifc studies
supports yogas potential efcacy, particularly if
started early in the pregnancy. Women practicing
yoga in their second trimester reported signifcant
reductions in physical pain from baseline to post
intervention compared with women in the third
trimester whose pain increased.
98
Women in
their third trimester showed greater reductions in
perceived stress and trait anxiety. Another study
reported signifcantly fewer pregnancy discomforts
at 38-40 weeks of gestation.
99
Subjects who
participated in the yoga programme exhibited
higher outcome and self-efcacy expectancies
during active and second stage of labour. Provision
of booklets and videos on yoga during pregnancy
may contribute to a reduction in pregnancy
discomforts and improved childbirth self-efcacy.
Satyapriya et al concluded that yoga reduces
perceived stress and improves adaptive autonomic
response to stress in healthy pregnant women
100
while Chuntharapat et al
101
concluded that yoga
produced higher levels of maternal comfort during
labour and 2 hour post-labour with a decrease in
subject evaluated labour pain. Tey also reported
shorter duration of the frst stage of labour, as well
as total time of labour in subjects practicing yoga.
A study by Narendran et al reported a
lower trend in the occurrence of complications
of pregnancy such as pregnancy-induced
hypertension, intrauterine growth retardation and
pre-term delivery in subjects who practiced yoga.
102
Tey concluded that an integrated approach to yoga
during pregnancy is safe and that it improved birth
weight, decreased preterm labour, and reduced
IUGR either in isolation or associated with PIH,
with no increased complications.
A review by Field reported that alternative
therapies have been found efective for reducing
pregnancy-related back and leg pain and nausea
and for reducing depression and cortisol levels and
the associated prematurity rate.
103
It also noted
that alternative therapies reduce pain and thereby
the need for medication.
Figure 7: Postulated Mechanisms of Benefts of Yoga In Pregnancy. Chuntharapat S, Petpichetchian W, Hatthakit U.
Yoga during pregnancy: efects on maternal comfort, labor pain and birth outcomes. Complement Ther Clin Pract
2008; 14(2): 105-15.
Paediatric Population
Clinical applications of Yoga have been studied in
paediatric and young adult populations with focus
on physical ftness, cardio-respiratory efects, mental
health, behaviour and development, irritable bowel
syndrome, eating disorders, and prenatal efects on
birth outcomes. Tough a large majority of studies
are positive, due to methodological limitations,
evidence provided is still in its infancy.
104
Yoga has
been suggested as an option for children to increase
physical activity and ftness and that yoga may be
a gateway for adopting a healthy active lifestyle in
sedentary children who are intimidated by more
vigorous forms of exercise. Tey recommended
Ann. SBV, Jan - Jun 2014;3(1)
Page 37 Annals of SBV
that further research is necessary to identify
clinical applications of yoga for children and that
such research needs to be conducted with rigorous
methodology in RCTs with detailed description of
protocols and reporting of results. Methodological
issues specifc to mind-body interventions should
be addressed including adequate description of the
intervention and control group, and single blinding
of the outcome assessor.
A review by Galantino et al concluded that the
evidence shows physiological benefts of yoga for
the paediatric population that may beneft children
through the rehabilitation process, but larger
clinical trials, including specifc measures of QOL
are necessary to provide defnitive evidence.
105
Tey rightly suggested that the type and intensity
of yoga, the specifc postures for the intended
outcome, and the measurement of adherence
beyond the clinic have to be determined. Teir
review showed that yoga may beneft children with
mental challenges by improving their mental ability,
along with motor coordination and social skills and
that restoration of some degree of functional ability
is possible in those having physical disabilities.
It was suggested that physical therapists might
apply these fndings in the neuromuscular areas
of learning, motor control, and coordination.
A notable point mentioned by them was that,
Regardless of the goal, yoga appears to be a
multitasking modality that simultaneously treats
both physical impairments as well as more global
issues such as stress, anxiety, or hyperactivity.
In Conclusion
All of the above studies and reviews suggest a
number of areas where mind-body therapies such
as yoga may be benefcial, but more research is
required for virtually every one of them to establish
their benefts conclusively. Tis is true in the
process of introducing any new therapy into the
modern health care system and is not surprising
when we realize that the proper studies on yoga
as a therapeutic modality are not older than a few
decades.
Some of the major issues highlighted by these
studies and reviews include:
1. Individual studies on yoga for various
conditions are small
2. Poor-quality trials in general with multiple
instances for bias
3. Substantial heterogeneity with regards to the
populations studied,
yoga interventions,
duration and frequency of yoga practice,
comparison groups, and
outcome measures.
4. Compliance was not routinely noted, thus
preventing an understanding of the apt dosage
requirements with regard to the mind-body
interventions
5. Yoga requires active participation and
motivation that requires active eforts from
both the researcher as well as the participants.
6. Changes in attitudes and behavior need to be
documented and understood better, especially
in the lifestyle, stress induced psychosomatic
conditions.
7. It is not clear which patients may beneft
from the mind-body interventions, and which
aspects of the interventions or which specifc
styles were more efective than others.
It has been suggested that yoga may help
improve patient self-efcacy, self-competence,
physical ftness, and group support, and may well
be efective as a supportive adjunct to mitigate
medical conditions. Bssing et al concluded that
yoga may have potential to be implemented as a
safe and benefcial supportive/adjunct treatment
that is relatively cost-efective, may be practiced
at least in part as a self-care behavioral treatment,
provides a life-long behavioral skill, enhances self-
efcacy and self-confdence, and is often associated
with additional positive side efects.
106
It is important to develop objective measures of
various mind-body therapies and their techniques
while including them in intervention trials. It has
also been suggested that the publication of specifc
interventions used in future studies in manual
form can allow reliable replication and future
implementation. It is also important to develop tools
to monitor objectively the participants self-practice,
compliance, and adherence to the interventions. Yoga
has preventive, promotive as well as curative potential
and a yogic lifestyle confers many advantages to
Ann. SBV, Jan - Jun 2014;3(1)
Page 38 Annals of SBV
the practitioner. Since lifestyle related diseases are
alarmingly on the rise in our modern society, yogic
lifestyle should be given a special place in preventing
and managing these diseases.
As suggested by Bussing et al, Yoga may well
be efective as a supportive adjunct to mitigate some
medical conditions, but not yet a proven stand-alone,
curative treatment. Larger-scale and more rigorous
research with higher methodological quality and
adequate control interventions is highly encouraged
because yoga may have potential to be implemented
as a benefcial supportive/adjunct treatment that is
relatively cost-efective, may be practiced at least in
part as a self-care behavioural treatment, provides a
life-long behavioural skill, enhances self-efcacy and
self-confdence and is often associated with additional
positive side efects.
106
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Based Complementary and Alternative Medicine 2011; 2011:
659876.
95. Smith KB, Pukall CF. An evidence-based review of Yoga as a
complementary intervention for patients with cancer. Psycho-
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Introduction:
Yoga is frst and foremost a moksha shastra meant
to facilitate the individual to attain the fnal
freedom, liberation or emancipation. One of the
important by-products of the Yogic way of living is
attainment of health and well being. Tis is brought
about by right-use-ness of the body, emotions and
mind with awareness and consciousness. Tis must
be understood to be as healthy a dynamic state
that may be attained in spite of the individuals
sabija karma that manifests as their genetic
predispositions and the environment into which
they are born. Yoga also helps maintain and sustain
this dynamic positive state of health after it has
been attained through disciplined self efort.
Te central theme of Yoga is the golden
mean, fnding the middle path, a constant search
for moderation and a harmonious homoeostatic
balance. Yoga is the unitive impulse of life, which
always seeks to unite diverse streams into a single
powerful force. Proper practice produces an inner
balance of mind that remains stable and serene
even in the midst of chaos. Tis ancient science
shows its adherents a clear path to the eye of the
storm and ensures a stability that endures within,
even as the cyclone rages externally.
Causation of Psychosomatic Disorders:
Yogamaharishi Dr Swami Gitananda Giri, founder
of Ananda Ashram at Pondicherry (www.icyer.
com) has written extensively about the relationship
between health and disease. He says, Yoga views
the vast proliferation of psychosomatic diseases as
a natural outcome of stress and strain created by
desire fostered by modern propaganda and abuse
of the body condoned on all sides even by religion,
science and philosophy. Add to this the synthetic
junk food diet of modern society and you have
the possibility of endless disorders developing
even the extinction of man by his own ignorance
and misdeeds.
He explains the root cause of disease as follows.
Yoga, a wholistic, unifed concept of oneness,
is adwaitam or non-dual in nature. It suggests
happiness, harmony and ease. Dis-ease is created
when duality or dwaitam arises in the human
mind. Tis false concept of duality has produced all
conficts of human mind and the vast list of human
disorders. Duality (dis-ease) is the primary cause
of mans downfall. Yoga helps return man to his
pristine, whole nature.
All diseases, maladies, tensions, are
manifestations of divisions of what should be mans
complete nature, the atman or Self . Tis Self is
ease. A loss of ease creates dis-ease. Duality is
the frst insanity, the frst disease, the unreasonable
thought that I am diferent from the whole. I
am unique. I am me. Te ego is a manifestation
of disease. Only a distorted ego could feel alone,
sufer from the lonely disease, in a Universe, a
Cosmos totally flled with the Self .
Interestingly, he points out that one of the oldest
words for man is insan. Man is insane. A return
to sanity, going sane, is the subject of real Yoga
Sadhana and Yoga Abhyasa. Yoga Chikitsa is one of
the methods to help insane man back onto the path
of sanity. A healthy man or woman may be known by
the term-Yogi. A very strongly worded yet very true
statement indeed from the Lion of Pondicherry!
Yogic Perspective of Depression:
According to the Yoga Darshan codifed by Maharishi
Patanjali, depression or rather daurmanasya is
one of the four vikshepa sahabhuvah that are
the manifestations that accompany the obstacles
to yoga sadhana, the nava antaraya. Te other
sahabhuvah are duhkha or sufering, angamejayatva
or tremors and shvasaprasvasa or irregular respiration.
(duhkhadaurmanasya angamejayatva shvasaprasvasa
vikshepasahabhuvah Yoga Darshan -1:31). When we
analyze this sutra deeply we fnd that they are very
true refections of our inner state.
YOGIC PERSPECTIVES ON MENTAL HEALTH
Dr Ananda Balayogi Bhavanani *
* Dr Ananda Balayogi Bhavanani, Deputy Director, CYTER, Mahatma Gandhi Medical College and Research
Institute, Puducherry 607402, India, Email: yognat@gmail.com
Ann. SBV, Jan - Jun 2014;3(1)
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Duhkha or painful sufering at the physical,
emotional and mental level can drive us to despair.
Sufering is an excellent trick our mind plays as
very few can overcome the moment of sufering.
Very few are capable of realizing what is really
happening in the process of their evolutionary
journey. Te moment sufering is felt, most people
give up, and the lower mind survives to fght
another day.
Daurmanasya refers to dejection and despair.
We must remember that depression is not just in
the mind but has many physical aspects too. A
state of depression is another tool by which the
lower mind tries to halt the spiritual progress of a
sadhaka. However we must realise that the greatest
teachings are often given at moments of great
despair. Te art and science of Yoga understands
that this may be the best teachable moment and
hence we fnd the highest teachings of the Bhagavad
Gita and Ramayana coming at this point.
Our Guru Swami Gitananda Giri Guru
Maharaj used to say, A nervous breakdown is
actually an opportunity for a spiritual breakthrough
if we can realise the positive implications in our
moment of despair and dejection. Te teachings
of the Yoga Vasishtha and the Bhagavad Gita
which may be said to be the frst and second
recorded psychological counseling sessions in
human history were delivered when both Lord
Rama and Arjuna respectively were at the depths
of their depression. If we realise that this is indeed
a window of opportunity for growth, success will
come to us the soonest. But if we miss this golden
chance, then even the Divine will struggle to help
us out of our own deep pit of self pity.
Angamejayatva are the physical tremors of the
body. Te practice of asana helps us to attain to a
state of physical control over our body. Tis enables
us to go beyond the dwandwa, the pair of opposites
that are the cause of these tremors. Tremors are an
externalized manifestation of internal imbalances
of our emotions and mind. Imbalance at the higher
level causes the imbalance in the neuro-chemical
transmitters and psycho-physiological pathways of
the body, resulting in these physical tremors. When
confronted with such a frightening manifestation,
many aspirants get scared whether they are harming
themselves and stop their Sadhana out of fear.
Shvasaprasvasa refers to the irregularity in
breathing patterns. One of the main physical
manifestations of mental and emotional upsets
is the haphazardness of respiration. Ancient
Yogis contemplated this deeply and found that
mental disturbances cause irregularity and
instability of respiration. Though their jnana
drishti (perspective of wisdom) they realised
that by stabilizing the breath, we can conversely
produce a stability of emotions and mind. This
knowledge is used even today in the practice
of pranayama, when it is used as a means of
altering the higher (mind) through the lower
(body). This is one of the best examples of the
numerous somato-psychic applications found in
the practices of hatha yoga, the physical science
of balancing equal and opposite energies.
Yogic Methods To Attain and Maintain
Health:
Te science of Yoga has numerous practical
techniques as well as advice for proper life style in
order to attain and maintain health and well being.
Bahiranga practices such as yama, niyama, asana
and pranayama help produce physical health while
antaranga practices of dharana and dhyana work
on producing mental health along with pratyahara.
Yoga works towards restoration of normalcy in all
systems of the human body with special emphasis
on the psycho-neuro-immuno-endocrine axis.
In addition to its preventive and restorative
capabilities, Yoga also aims at promoting positive
health that will help us to tide over health challenges
that occur during our lifetime. Just as we save
money in a bank to tide over fnancial crises, so also
we can build up our positive health balance to help
us manage unforeseen health challenges with faster
recovery and recuperation. Tis concept of positive
health is one of Yogas unique contributions to
modern healthcare as Yoga has both a preventive
as well as promotive role in the healthcare of our
masses. It is also inexpensive and can be used in
tandem with other systems of medicine in an
integrated manner to beneft patients.
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Becoming One With Te Breath:
In the science of Yoga, body movement and
breath must be synchronized. Te breath pattern
is important. Particularly in the use of kriya or
structured movements like Surya namaskar, the
body is normally lifted on an incoming breath and
lowered on an outgoing breath. Some of the breath
patterns such as the bhastrika strengthen the whole
solar plexus area as well as the diaphragm, building
up stamina while producing internal cleansing
of organs and the blood stream. Kapalbhathi
is another dynamic technique that enables us
to break out of the deep hole of depression by
creating a sense of activation. Surya nadi and ujjayi
pranayama can also help in activating those who
need the activation for healthy well being. Te
bandha trayam as well as the aswini mudra are both
a God-send for those sufering from depression as
they revitalise the entire psycho-neuro-endocrine
system. Te pranava and bhramari pranayama work
towards creating an inner harmony that results in
the attainment of a state of mental calmness.
According to Dr Swami Gitananda Giri, one
of the foremost exponents of Yoga in the 20th
century, the inherent message of Pranayama can be
summarised as follows:
Tere is an absolute and direct correlation
between the way an organism breathes and
its energy level.
Tere is an absolute and direct correlation
between the way a man breathes and the
length of his life span.
Tere is an absolute and direct correlation
between the way a man breathes and the
state of mind and clarity of thought, which
he enjoys.
Tere is an absolute correlation between
the way a man breathes and the quality of
emotions, which he experiences.
Tere is an absolute and direct correlation
between the way a man breathes and
the subtlety of the thoughts, which pass
through his mind.
Shifting From Individuality To Universality:
Yoga, which emphasizes the universal, is a perfect
foil to those human activities, which glorify the
personal. Te ego which is fxated only on its own
shallow self will soon run into the blank wall of
depression and despair, overwhelmed by its own
superfciality. Tat striving spirit which looks
within at the universal aspect of its own nature and
sees the oneness of the whole of creation will fnd
an endless fountain of inspiration and joy. In short
it may be safely said that the practice of Yoga as
a unifed whole helps the individual shift from an
I-centric approach to a we-centric approach.
Te Srimad Bhagavad Gita says, yogaha karmasu
koushalam meaning thereby that Yoga is skill in
action (BG 2:50). Te real Yogi, immensely conscious
and aware at the physical, mental and emotional
levels gains great control through that consciousness
over all aspects of life thus developing a real skill in
living. Part of that skill springs from his cultivated
detachment, his ability to work for works sake,
and not for the sake of the reward. He realizes that
his duty is to do his best but that the ultimate result
is not in his hands. Te Yogi performs the needed
action not for the sake of the fruits of that action, but
because it is good and necessary to do so.
Such an attitude of mind produces consummate
skill in whatever action the Yogi undertakes.
Consummate concentration, consummate controls
are all ofshoots of good Yoga Sadhana. Tis
belies the age-old belief that the competitive
spirit produces the highest skill. To this the
Yogic answer is: detachment from the fruits of the
action produces the greatest efciency, for one is
then emotions connected with goal-oriented,
competitive thinking. Te beauty of Yoga is that
these abstract principles become concrete in the
daily practice of the techniques available in the
Yoga system. Once the seed of Yoga fnds fertile
soil, these concepts grow naturally, slowly but surely
taking root in all aspects of life.
Wholistic Approach of Yoga:
Te Yogic wholistic approach to life that everything
is important and everything has its efect could do
much to improve the mind, body and emotional
states of well being. Tese practical approaches to
health include:
Te use of early morning sunlight for
healing and rejuvenative activities
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Te use of water for internal and external
cleansing
Careful attention to diet of a sattvic nature
Realising the necessity for balance between
exertion and relaxation as all tension must be
balanced using concept of spanda nishpanda
or exertion-relaxation-exertion-relaxation
in an alternating rhythm of activity,
Learning how to unwind through the
many relaxation techniques available in
the Yoga science which can balance the
immense amount of stress and strain that
are part and parcel of day to day life
Realising the need for clean air, water and
food
Becoming aware of the efect of modern
modes of entertainment and addictive
habits in general debilitation of the physical,
emotional and mental nature
Providing a working philosophy which
will sustain one in triumph and defeat
Learning to be sensitive to ones own bio-
rhythms, ones own physical, mental and
emotional cycles
Being aware of the efects of the seasons
and the various unnatural life styles to
which the modern man is exposed
In short, all of these aspects of Yoga as a way
of natural living can provide relief for many of
the psychosomatic ailments afecting humankind
today.
Cultivation of Positive Health:
According to Yogacharini Meenakshi Devi
Bhavanani, Director ICYER at Ananda Ashram
in Pondicherry, Yoga has a step-by-step method
for producing and maintaining perfect health at all
levels of existence. She explains that social behaviour
is frst optimized through an understanding and
control of the lower animal nature (pancha yama)
and development and enhancement of the higher
humane nature (pancha niyama).
Te body is then strengthened, disciplined,
purifed, sensitized, lightened, energized and
made obedient to the higher will through asana.
Universal pranic energy that fows through body-
mind-emotions-spirit continuum is intensifed and
controlled through pranayama using breath control
as a method to attain controlled expansion of the
vital cosmic energy. Te externally oriented senses
are explored, refned, sharpened and made acute,
until fnally the individual can detach themselves
from sensory impressions at will through
pratyahara.
Te restless mind is then purifed, cleansed,
focused and strengthened through concentration
(dharana). If these six steps are thoroughly
understood and practiced then the seventh, dhyana
or meditation (a state of union of the mind with
the object of contemplation) is possible. Intense
meditation produces samadhi, or the enstatic
feeling of Union, Oneness with the Universe. Tis
is the perfect state of integration or harmonious
health.
Yogic Tools For Positive Mental Health:
In order to create an environment conducive to the
development of positive mental health as also to
prevent and manage the psychosomatic lifestyle
disorders that are threatening humankind, Yoga
ofers us many practical day-to-day methods of
action. Some of these tools for positive health are
as follows.
1. Become aware of your body, emotions and
mind: Without awareness there cannot be health or
healing. Awareness of body implies conscious body
work that needs to be synchronized with breath to
qualify as a psychosomatic technique of health and
healing. Psychosomatic disorders cannot be tackled
without awareness.
2. Improve your dietary habits: Most disorders
are directly or indirectly linked to improper dietary
patterns that need to be addressed in order to fnd
a permanent solution to health challenges. One of
the most important lifestyle changes that needs
be implemented in management of any lifestyle
disorder is diet.
3. Relax your whole body: Relaxation is
most often all that most patients need in order
to improve their physical condition. Stress is the
major culprit and may be the causative, aggravating,
or precipitating factor in so many psychosomatic
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disorders. Doctors are often found telling their
patients to relax, but never tell them how to do it!
Te relaxation part of every Yoga session is most
important for it is during it that beneft of practices
done in the session seep into each and every cell
producing rest, rejuvenation, reinvigoration and
reintegration.
4. Slow down your breath making it quiet and
deep: Rapid, uncontrolled, irregular breathing is
a sign of ill health whereas slow, deep and regular
controlled breathing is a sign of health. Breath is
the link between body and mind and is the agent
of physical, physiological and mental unifcation.
When breath is slowed down, metabolic processes
are also slowed and anabolic activities begin the
process of healing and rebuilding. If breath is calm,
mind is calm and life is long!
5. Calm down your mind and focus it
inwardly: Te mind is as disturbed as a drunken
monkey bitten by a scorpion say our scriptures. To
bring that wayward agitated mind under control,
and take it on a journey into our inner being is
fundamental in fnding a way out of the disease
maze in which we are entangled like a fy in the
spiders web. Breath work and sensory control
are the base on which mind training can occur;
hence much importance is given to pranayama and
pratyahara. It is only after this that concentration
practices leading to meditation can have any use.
Just sitting and thinking about something is not
meditation!
6. Improve the fow of healing Pranic Life
Energy: Improve the fow of healing Pranic Life
Energy to all parts of the body, especially to those
diseased parts, thus relaxing, regenerating and
reinvigorating ourselves. Prana is life and without
it there cannot be healing. Te diferent prana and
upa prana vayu that are energies driving diferent
physiological functions of the body need to be
understood and applied as per needs of the patient.
7. Fortify yourself against omnipresent
stressors: Decrease your stress level by fortifying
yourself against the various omnipresent stressors
in your life. When face to face with the innumerable
thorns in a forest, one may either choose to spend
all their time picking them up one by one while
other thorns continue falling or choose to wear
a pair of shoes and walk through the forest. Te
diference is in attitude. Choosing the right attitude
can change everything and bring about a resolution
of the problem by healing the core. Stress is more
about how you react to the stressor than about the
nature of the stressor itself !
8. Increase your self reliance and self
confdence: Life is full of challenges that are there
only to make us stronger and better. Te challenges
should be understood as opportunities for change
and faced with confdence. We must understand we
have the inner power to overcome each and every
challenge that is thrown at us by life. Te Divine is
not a sadist to give us challenges that are beyond
our capacity!
9. Facilitate natural emanation of wastes:
Facilitate natural emanation of waste from the body
by practicing shuddi kriyas like dhauti, basti and neti.
Accumulation and stagnation of waste materials
either in inner or outer environment always causes
problems. Yogic cleaning practices help wash out
impurities (mala shodhana) thus helping the process
of regeneration and facilitating healing.
10. Take responsibility for your own health:
Remember that ultimately it is YOU who are
responsible for your own health and well being and
must take the initiative to develop positive health
to tide you over challenging times of ill health.
Yoga fxes responsibility for our health squarely
upon our own shoulders. If we do healthy things
we are healthy and if we do unhealthy things we
become sick. No use complaining that we are not
well when we have been the cause of our problem.
As Swamiji Gitananda Giri would say, You dont
have problems-you are the problem!
11. Health and happiness are your birthright:
Health and happiness are your birthright, claim
them and develop them to your maximum potential.
Tis message of Swamiji is a frm reminder that the
goal of human existence is not health and happiness
but is moksha (liberation). Most people today are
so busy trying to fnd health and happiness that
they forget why they are here in the frst place.
Yoga helps us regain our birthright and attain the
goal of human life.
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Conclusion:
Te dedicated practice of Yoga as a way of life
is no doubt a panacea for problems related to
psychosomatic, stress related physical, emotional
and mental disorders and helps us regain our
birthright of health and happiness. It is only when
we are healthy and happy that we can fulfl our
destiny.
Recommended Reading:
1. Yoga Chikitsa: Te application of Yoga as a Terapy.
Dr. Ananda Balayogi Bhavanani. Dhivyananda Creations,
Iyyanar Nagar, Pondicherry. 2013.
2. Ancient Yoga and Modern Science. TR
Anantharaman. Mushiram Manoharlal Publishers Pvt Ltd,
New Delhi. 1996
3. Back issues of International Journal of Yoga Terapy.
Journal of the International Association of Yoga Terapists,
USA. www.iayt.org
4. Back issues of Yoga Life, Monthly Journal of
ICYER at Ananda Ashram, Pondicherry. www.icyer.com
5. Four Chapters on Freedom. Commentary on Yoga
Sutras of Patanjali by Swami Satyananda Saraswathi, Bihar
School of Yoga, Munger, India. 1999
6. Srimad Bhagavad Gita by Swami Swarupananda.
Advaita Ashrama, Kolkata. 2007
7. Yoga and Sport. Dr Swami Gitananda Giri and
Meenakshi Devi Bhavanani. Satya Press. Pondicherry. 1991.
www.icyer.com
Ann. SBV, Jan - Jun 2014;3(1)
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Introduction:
All aspects of our human personality are cultured
through the process of Yoga helping us evolve
towards perfection until we are One with the
Divine Self. Yoga helps destroy the Kleshas, the
psychological afictions that warp our vision, as well
as eradicates Karma Bandha that prevents us from
realizing our potential Divinity. Our great Rishis
like Veda Vyasa and Maharishi Patanjali have given
us a clear road map for this evolutionary journey
with vital clues towards understanding both the
internal and external culturing processes of Yoga.
Te cultural teachings of Yoga help us become All
One by losing our sense of individuality to gain an
unparalleled sense of universality.
In our day-to-day personal and inter-personal
social life, Yoga has given us multitudes of tools,
concepts, attitudes and techniques through which we
can attain inner contentment leading to happiness
and spiritual realization while simultaneously
creating harmony in all relationships. All psycho-
social qualities essential for healthy inter-personal
relationships are cultivated when we live a life of
Yoga that is in tune with the eternal Dharma. Tese
humane qualities include loving understanding,
innate sensibility that sees others perspectives,
compassion, empathy, respect, gratitude, fdelity
and responsibility. In fact the Srimad Bhagavad
Gita delineates very similar qualities of a spiritually
healthy person in Chapter XVI. Tese include:
fearlessness (Abhayam), purity of inner being
(Sattva Samshuddhih), steadfastness in the path
of knowledge ( Jnanayoga Vyavasthitih), charity
(Danam), self control (Dama), spirit of sacrifce
(Yajna), self analysis (Svadhyaya), disciplined
life (Tapa), uprightness (Arjavam), non violence
(Ahimsa), truthfulness (Satyam), freedom from
anger (Akrodhah), spirit of renunciation (Tyagah),
tranquility (Shanti), aversion to defamation
(Apaishunam), compassion to all living creatures
(Daya Bhutesv), non covetedness (Aloluptvam),
gentleness (Maardavam), modesty (Hrir
Acaapalam), vigor (Tejah), forgiveness (Kshama),
fortitude (Dhritih), cleanliness of body and mind
(Saucam), freedom from malice (Adroho), and
absence of pride (Naa Timaanita). One who is
blessed with these qualities is indeed a divine
blessing to the social life of their immediate family,
friends, relatives and their society itself.
Te Four Pronged Approach:
Our ancient Indian culture, a vibrant living culture
till even today, has a lot to ofer in every sphere
of life. Te elevated spiritual, psychological and
metaphysical concepts of our great Maharishis
hold true even today and it is up to us to delve into
them and reap benefts of psycho-physiological
health, happiness as well as intra-personal and
inter-personal social harmony. Our Rishis were
visionary seers who codifed innumerable concepts
that produce physically, emotionally and mentally
healthy individuals who are valuable for betterment
of society.
Our ancients in their infnite wisdom realised
that we need to deal with diferent people diferently.
Some people can be held close whereas with others
an arms length or often a six feet poles length is
required. Sensitive, sensible people may respond
to a soft carrot approach while the arrogant who
are usually dull and inert may only respond to a
heavy and strong stick. Te Rishis have codifed a
four pronged approach to deal with diferent types
of human personalities at diferent times and in
diferent ways. Saint Tiyagaraja in his composition
sarasa sama dana bheda danda chatura describes
Lord Rama as the perfect example of a human
possessing these qualities of Kingship and kinship.
Te frst of these four methods is known as
Sama and is the dealing with people using a sense
of equanimity and treating them as equals in the
search for truth. Tis can only be applied with the
noble ones and will be misused by others as seen in
THE YOGA OF INTERPERSONAL RELATIONSHIPS
Dr Ananda Balayogi Bhavanani *
* Dr Ananda Balayogi Bhavanani, Deputy Director, CYTER, Mahatma Gandhi Medical College and Research
Institute, Puducherry 607402, India and Chairman: International Centre for Yoga Education and Research,
and Yoganjali Natyalayam Puducherry. www.rishiculture.org and www.icyer.com
Ann. SBV, Jan - Jun 2014;3(1)
Page 54 Annals of SBV
todays chaotic environment. Te second method is
Dana, which implies the afording of concessions
towards those who are truly needy. Tis may be in
the material, physical, mental or emotional form
and is the giving of a bit of leeway that can help
those who are in trouble to come up to par with
others and then slowly develop into one who can
be treated at the Sama level. Bheda is the third
method and is a separation from troublesome
elements in order to reduce the extent of the
problem. When used in a proper and judicious
manner this can help many situations to normalize
and prevent them from going from bad to worse.
When things get really bad or worse, then Danda
or minimal deterrent action through judicious
punishment can be of use when we considering the
holistic picture.
In modern times the spare the rod mentality
is prevalent and we do seem to end up spoiling
our children and youth by making them weaker
in all aspects. We take away their ability to be
responsible citizens by teaching then indirectly
that anything that happens is not your fault- you
are the victim. I reiterate clearly that I am not a
supporter of any form of corporal punishment, but
I do realize the need for a determent in order for
the betterment of the whole. One rotten apple is all
that we need to spoil a barrel and the same can be
said of the repeated ofenders. Such situations need
to be nipped in the bud and the Danda method
has its uses too in such situations. Of course this
requires a lot of Viveka on the part of the parent,
teacher or person in authority and also needs safety
precautions so that it is not misused by ignorant
egotistical persons who want to be the star of the
show at the cost of the others. Te most basic
qualities required for a good parent, teacher and
leader in any feld of endeavor are intelligence and
empathy. Yet how many of our people have these
qualities today?
Evolutionary Quirks of the Human Brain:
Ammaji, Kalaimamani Meenakshi Devi Bhavanani
often talks about the fve quirks of the human
brain and quotes the Ken Keyes Jr who in his book
Your Road Map to Lifelong Happiness argues
that there is an essential lack of communication
between the old (reptilian - mammalian) and the
new (conscious, neo-cortex) parts of the human
brain. As the old brain developed over 60 to 375
million years it is powerful and well-set in its ways.
Its habitual responses to environmental survival
challenges are strong and automatic kill or be
killed. On the other hand, the New Brain of
human consciousness is only 40 to 100 thousand
years old and hence the new boy on the block.
Te lack of communication between the old and
new brains produces the Five Quirks that are the
major causes behind innumerable problems we face
in all interpersonal relationships. Tese quirks are:
1. Te Object Quirk the animal brain sees
objects only in a very vague, hazy, general sense and
not in a specifc sense. It views objects and classifes
them as to how they may fulfll its needs or in what
way they may threaten its safety. Tus, it confuses
diferent people and things. It sees everything
generally as friend or foe, provider of food or as a
sexual possibility. It does not need to see any object
with specifc characteristics. For example, it does
not choose a mate on personal charm or elevated
character but simply as a means to gratify sex drive.
Other objects and other creatures are important
only as means to satisfy basic needs.
2. Te Time Quirk Keyes says the Old
Brain has no time sense. It does not perceive past
or future. It lives only in the present moment. It
eats or is eaten. Tere is no sense of tomorrow
or yesterday. Everything is immediate, now, urgent.
At that lower level of life, every experience is in the
Now of survival.
3. Te Unsafe Stranger Quirk Te Old
Brain views all strangers with suspicion. Te
unknown stranger is a possible threat to survival or
a competitor for resources. Any creature diferent
from oneself and ones species is a potential threat.
4. Te Unchanging Entity Quirk To the
Old Brain incapable of perceiving subtleties,
everything remains the same a tree is always a
tree. It does not perceive the various changes,
which all things pass through. It sees all things
as unchanging as the perception of intricate
subtleties of change is not necessary for survival.
Ann. SBV, Jan - Jun 2014;3(1)
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5. Adaptable Memory Quirk Te animal
does not need memory. Te only memory
necessary is what enables it to survive. Hence, what
it remembers can be adjusted to whatever best
helps it to survive. Tere is no objective truth. Te
only Truth to the animal brain is survival of the
fttest.
Te manner in which animals and reptiles
perceive the world is a much dimmer, less precise,
less clear, survival-oriented perception totally geared
to survival. Tis is much less than that available
to the conscious mind. Te Old Brain is fuelled
by emotional responses. Te basic motivating
emotion is fear. Te other important drives-sex,
survival instinct, herd mentality, dominance, power
struggles, nurturing and being nurtured-are all tied
to the organisms basic need to survive at all costs
and fear of death or extinction.
For example, the Object Quirk manifests
in human experience when a person in the past
was abused by a red-haired woman and hence, in
future, always has a dislike for red-haired women.
Te Old Brain cannot see the possibility that all
red-haired women will not abuse it. Similarly the
Time Quirk manifests itself in human behavior in
this manner: when one experiences unhappiness,
one feels one is always unhappy. Tis may cause
one to perceive another person as always angry,
even though the person may only be angry at that
moment. Witness how many husband-wife or
parent-child quarrels begin with the words You
always do this
Te Unsafe Stranger Quirk is evidenced in
the suspicion that people feel when a foreigner
enters their circle, or someone of a diferent religion
a diferent race, a diferent culture etc comes into
their social circle. Tere is an instinctual fear, even
though that person may be perfectly harmless. Tis
is highly visible in todays society where everyone
wants their country, state, language, religion
etc to be the best. Linguistic, religious and
regional fanaticism springs forth from such old
conditioned responses that are so deeply ingrained
in the animal brain that people lose all sense and
do things that they would never do in even their
wildest dreams.
Te Unchanging Entity Quirk manifests
when people cannot see that those around them are
constantly changing, that they are not what they
were yesterday. A thief may have reformed himself,
but others may always perceive him as a thief. Te
husband may have overcome his bad habit, but the
wife cannot see him anew. Tis is carried further by
the Adjustable Memory Quirk that occurs when
people deliberately or unconsciously re-arrange
their memories to support or justify their emotions
or desires. For example, a couple who wish to
divorce may adjust their memories to remember
only the bad times or the bad characteristics
of their partners. Tis is very common in most
relationships and cannot be overcome without
awareness and consciousness that springs from
introspectional self analysis of Swadyaya.
Animals are prisoners of their genes. Tey are
incarnated into a conditioned, stimulus-response
programming and they have no choice, but to
follow their instincts. Man, the new being, the frst
Conscious Organism has the power of choice.
He / she may now act, and choose to respond in
a dignifed and adequate manner, rather than re-
act in an uncontrolled and totally inappropriate
manner. Te human being has the power to think,
to recall past situations and compare them to
the present reality. Man has the power of reason
which frees him from the instinctive responses to
challenge which is the mode of behavior of the
reptilian and mammalian kingdom. But the power
of the unconscious emotions and instincts rising
from the Old Brain in a kind of evolutionary lag
sometimes overpowers the Rational Brain and
causes Te New Being to react in an irrational
manner. Man as a social, conscious being has lifted
himself from the jungle environment with its
moment to moment dangers and constant life and
death challenges. He no longer faces challenges
to his very survival on a constant basis. His life
is relatively secure on the physical level (barring
wars and other unusual circumstance). Yet, his
Old Brain is hard wired to react as though every
threat (physical or psychological) is a life and death
matter. Hence, even psychological challenges, or
innocuous frictions trigger of Old Brain extreme
responses, especially on the emotional level.
Ann. SBV, Jan - Jun 2014;3(1)
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We can witness in so many human relationships
that the old, animal and reptilian autonomic
responses and reactions cloud the human or
conscious perception. Te Old Brain reacts out
of past conditioning. It is heavily loaded with
emotions which are part of the mammalian complex,
and hence, unconscious. Te animal-reptile
(Pashu) is not free to choose as it is bound by the
tight noose (Pasha) of its conditioned stimulus-
response mechanism. If it is threatened, it will fee
or fght. Tese are the only options open to it. We
must remember that on the other hand, the New
Brain has the power to act after considering the
reality of the present situation. We have the choice
of using discernment, rationality and deliberation
to choose consciously our actions and responses
in any given circumstance. Tis power of choice
is concomitant to the event of consciousness. Te
multiple million dolor question is however, Are we
ready and willing to be real human beings?
Importance of Adhikara Yoga:
Te Pancha Yama and Pancha Niyama are considered
as Adhikara Yoga by Dr TR Anantharaman as they
give us the self resplendent authority and inner
resolve for spiritual realizations. Tey provide
a strong moral and ethical foundation for our
personal and social life. Tey guide our attitudes
with regard to the right and wrong in our life and
in relation to our self, our family unit and the entire
social system.
Te higher, conscious power to refect, to perceive
the current situation freed of all past conditioning,
and then to consciously choose an appropriate
response is the essence of Yama-Niyama, the
moral and ethical system of Rishiculture Ashtanga
Yoga. Yama may be understood to be a conscious
restraint of primitive instincts and impulses rising
from the Old Brain. Yama is thus the control
of our unconsciousness tendencies, our Vasanas
and the deeply ingrained habitual patterns of our
Samskaras. Niyama may be on the other hand said
to be a positive and conscious reinforcement of the
higher consciousness, those Divine characteristics
that propel ones evolution into more advanced
states of being. Niyama is the cultivation of
consciousness. Pujya Swamiji, Gitananda Giri
called the Yama and Niyama as No-Option Yoga
for they are the sarvabhauma mahavratam of
Maharishi Patanjali. If we want to grow, to evolve
out of our reptilian mammalian past into the
truly human, humane and divine nature, we must
restrain the primordial instincts through Yama and
consciously reinforce our Divine nature through
the observances and practice of Niyama.
Te Pancha Yamas are Ahimsa (Non violence),
Satya (truthfulness), Asteya (non-stealing),
Brahmacharya (control of the creative impulse)
and Aparigraha (non covetedness). Tese are the
DO NOTS in a Yoga Sadhakas life. Do not kill,
do not be untruthful, do not steal, do not waste
your god given creativity and do not covet that
which does not belong to you. Tese guide us to say
a big NO to our lower self and the lower impulses
of violence etc. When we apply these to our life
we can defnitely have better personal and social
relationships as social beings.
Te Pancha Niyamas are Soucha (cleanliness),
Santhosha (contentment), Tapa (discipline),
Swadyaya (study of ones-self ) and Ishwar
Pranidhana (gratitude to the Divine). Te Pancha
Niyamas guide us with DOS - do be clean, do
be contented, do be disciplined, do self - study
(introspection) and do be thankful to the divine
for all of his blessings. Tey help us to say a big
YES to our higher self and the higher impulses.
Defnitely a person with such qualities is a God-
send to humanity.
We must remember that even if we are
unable to live the Yama-Niyama completely, the
attempt by us to do so will bear fruit and make us
a better person, of value to those around us and
a valuable person within our family and society.
These are values which need to be introduced to
our children and youth, making them aware and
conscious of these wonderful concepts of daily
living. These are indeed qualities that are to be
imbibed in a natural and Sahaja manner and not
learnt under the threat of fear or compulsion.
The parents and teachers can by example show
their children the importance of these qualities
and when the children see the good examples of
their parents and teachers living there principles
they will surely follow suit sooner than later.
Ann. SBV, Jan - Jun 2014;3(1)
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Other Important Yogic Concepts:
Tere are many important Yogic concepts that
help guide us in shaping our personal lives as well
as helping us to create harmonious interpersonal
relationships that make up our daily social life.
Some examples of these spiritually uplifting
concepts that transform all aspects of our social life
include:
Vasudeiva Kudumbakam: Te whole
world is one family. Tis is an excellent concept
which helps one to understand that division on
the basis of class, creed, religion and geographical
distribution are all man made obstructions
towards oneness. One can then look upon all as
his own and can bond with everyone irrespective
of any barrier. All the great Yogic saints such as
Tirumoolar, Tiruvalluvar, Basava, Periyalvar and
Tirunavukkarasar have reminded us again and
again in so many lovely verses of the singular
teachings that there is only One Humanity and
One God.
Chaturvidha Purusharthas: Te four
legitimate goals of life tell us how we can set
legitimate goals in this life and work towards
attaining them in the right way, following our
dharma to attain Artha (material prosperity), Kama
(emotional prosperity) and fnally the attainment
to the real goal of our life, Moksha (spiritual
prosperity). Tese four are termed as Aram, Porul,
Inbam and Veedu respectively in Nannool, an
ancient Dravidian text and the great life enhancing
teachings in the Tirukkural of Tiruvalluvar deal
directly with the frst three and hints at the fourth.
Pancha Klesha: Avidya (ignorance), Asmita
(ego), Raaga (attraction), Dwesha (repulsion) and
Abinivesha (urge to live at any cost) are the fve
Kleshas or mental afictions with which we are
born into this human life. Trough Yoga we can
understand how these control our life and see their
efects on our behavior. Tese Kleshas hinder
our personal and social life and must be destroyed
through the practice of Patanjalis Kriya Yoga
which is Tapa, Swadyaya and Ishwar Pranidhana.
Jiva Karunya: Empathic compassion
towards all living beings is extolled in the
teachings of Tirumoolar, Tiruvalluvar and Vallalar
Ramalinga Adigalar. Tirumoolar says that the most
important aspects of right living are the devoted
loving ofering to the Divine while in daily life
the feedings of other human beings and animals
with loving compassion. He also stresses the need
of speaking good and kind words to others as the
means to spiritual upliftment. Tiruvalluvar asks us
the poignant question, Of what use is intelligence
if one cannot empathize with the pain of others
and help them
Chatur Bhavana: Te four attitudes that
Patanjali advises us to cultivate are given in the
33rd Sutra of the Samadhi Pada. Tese attitudes
that help us to control our mental processes are:
friendliness towards those who are happy (Maitri
Sukha); compassion towards those who are
miserable (Karuna Dukha); cheerfulness towards
the virtuous (Mudhita Punya); and indiference
towards the wicked (Upekshanam Apunya).
Tese help us create a Yogic attitude of Sama
Bhava or equal mindedness in all situations. Tey
also help us to overcome the Kleshas, and provide
us with answers on how to live a Yogic life. Tey
make us humane and help us to live within the
social structure in a healthy and happy manner.
Pratipaksha Bhavanam: Te concept of
Pratipaksha Bhavanam is an amazing teaching
and must be inculcated in our Sadhana of day-
to-day living as we face it so many times each
day. Even if we cannot replace negative thoughts
with emotion-laden positive reinforcements, we
must at least make an attempt to stop them in
their troublesome track! I have personally found
that a strong STOP statement works wonders
in helping block out the negative thoughts that
otherwise lead us into the quicksand-like cesspool
of deeper and greater trouble. Tiruvalluvar advises
us to repay negative actions done to us by others
with positive selfess actions towards them.
Karma Yoga: Selfess action and the
performance of our duty without any motive are
qualities extolled by the Bhagavad Gita which
is one of the main Yogic texts. Performing ones
duty for the sake of the duty itself and not with
any other motive helps us to develop detachment
(Vairagya) which is a quality vital for a good
life. Karma Yoga includes important concepts of
Ann. SBV, Jan - Jun 2014;3(1)
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action-reaction and teaches us the importance of
right action. Tis includes the concepts of selfess
action (Nishkama Karma) as well as skill in action
(Karmasu Koushalam). Selfess action and the
performance of our duty without any motive are
qualities extolled by the Bhagavad Gita which is
one of the main yogic texts. Performing ones duty
for the sake of the duty itself and not with any other
motive helps us to develop detachment (Vairagya)
which is a quality vital for a good life. Yoga is skill
in action according to Yogeshwar Krishna in the
Bhagavad Gita. To do our best and leave the rest is
how Pujya Swamiji Gitananda Giri Guru Maharaj
used to describe the best way of life. Even if we
dont practice the other aspects of Yoga, we can be
living Yoga, by performing all our duties skill fully
and to the best of our ability. A great teacher can
be a true Yogi by performing doing their duty to
perfection and without care for the rewards of the
action, even if they do not practice any Asanas or
Pranayama.
Samatvam: Yoga is equanimity says
the Bhagavad Gita. Development of a complete
personality who is neither afected by praise
nor blame through development of Vairagya
(detachment) leads to the state of Stitha Prajna
or Sama Bhava. Tis is a state of mind which is
equally predisposed to all that happens, be it good
or bad. Such a human is a boon to society and a
pleasure to live and work with.
Bhakti Yoga: Te self efacing, loving path
of Bhakti enables us to realize the greatness of the
Divine and understand our puniness as compared
to the power of the Divine or nature. We realize
that we are but puppets on a string following his
commands on the stage of the world and then
perform our activities with the intention of them
being an ofering to the Divine and gratefully
receive HIS blessings. It is only with the blessings
of the Divine, that we can even worship his holy
feet (avanarulal avan thal vanangi) says the Shiva
Puranam, a Shaivite Dravidian classic.
Shifting From Individuality To
Universality:
Yoga, which emphasizes the universal, is a perfect
foil to those human activities, which glorify the
personal. Te ego which is fxated only on its own
shallow self will soon run into the blank wall of
depression and despair, overwhelmed by its own
superfciality. Tat striving spirit which looks
within at the universal aspect of its own nature and
sees the oneness of the whole of creation will fnd
an endless fountain of inspiration and joy. In short
it may be safely said that the practice of Yoga as
a unifed whole helps the individual shift from an
I-centric approach to a we-centric approach.
Tirumoolar stresses the importance of cutting the
ego sense (Anava Mala) in countless verses of the
3000 versed classic Tirumandiram.
Yoga not only considers the importance of
attaining a dynamic state physical health but
also more importantly mental health. Qualities
of a mentally healthy person (Stitha Prajna) are
enumerated in the Bhagavad Gita as follows:
Beyond passion, fear and anger (veeta raga
bhaya krodhah- II.56)
Devoid of possessiveness and egoism
(nirmamo nirahamkarah- II.7)
Firm in understanding and un bewildered
(sthira buddhir asammudhah- V.20)
Engaged in doing good to all creatures
(sarva bhutahiteratah- V.25)
Friendly and compassionate to all ( maitrah
karuna eva ca- XII.13)
Pure hearted and skilful without expectation
(anapekshah sucir daksah- XII.16)
Maharishi Patanjali tells us that we can gain
unexcelled happiness, mental comfort, joy and
satisfaction by practicing and attaining a state of
inner contentment (santoshat anuttamah sukha
labhah- PYS II: 42). Tis link is quite apparent once
we think about it, but not too many associate the
need for contentment in their greed for anything
and everything in this material world. Te Srimad
Bhagavad Gita says, yogaha karmasu koushalam
meaning thereby that Yoga is skill in action (II.50).
Te real Yogi, immensely conscious and aware at
the physical, mental and emotional levels gains
great control through that consciousness over
all aspects of life thus developing a real skill in
living. Part of that skill springs from his cultivated
detachment, his ability to work for works sake,
Ann. SBV, Jan - Jun 2014;3(1)
Page 59 Annals of SBV
and not for the sake of the reward. He realizes that
his duty is to do his best but that the ultimate result
is not in his hands. Te Yogi performs the needed
action not for the sake of the fruits of that action,
but because it is good and necessary to do so. Such
an attitude of mind produces consummate skill in
whatever action the Yogi undertakes. Consummate
concentration, consummate controls are all
ofshoots of good Yoga Sadhana. Tis belies the
age-old belief that the competitive spirit produces
the highest skill. To this the Yogic answer is:
detachment from the fruits of the action produces
the greatest efciency, for one is then emotions
connected with goal-oriented, competitive
thinking. Te beauty of Yoga is that these abstract
principles become concrete in the daily practice of
the techniques available in the Yoga system. Once
the Seed of Yoga fnds fertile soil, these concepts
grow naturally, slowly but surely taking root in all
aspects of life.
Regaining Our Health And Happiness
Trough Yoga:
Health and happiness are your birthrights,
Moksha is your goal. Reclaim your birthrights
and attain your goal though Yoga roared the
Lion of Modern Yoga, Yogamaharishi Dr Swami
Gitananda Giri. Living a happy and healthy
life on all planes is possible through the unifed
practice of Hatha Yoga Asanas and Pranayamas,
Dharana, Dhyana and Bhakti Yoga especially
when performed consciously and with awareness.
Asanas help to develop strength, fexibility, will
power, good health, and stability and thus when
practiced as a whole give a person a stable and
unifed strong personality. Pranayama helps us to
control our emotions which are linked to breathing
and the Pranamaya Kosha (the vital energy sheath
or body). Slow, deep and rhythmic breathing helps
to control stress and overcome emotional hang-
ups. Dharana and Dhyana help us to focus our
mid and dwell in it and thus help us to channel
our creative energy in a wholistic manner towards
the right type of evolutionary activities. Tey help
us to understand our self better and in the process
become better humans in this social world.
Te true Yogic life involves a sustained struggle
against past conditioning, an attempt to control
ones inner environment in order to focus inward.
Yoga is isometric, pitting one part of the body
against the other and the Yogi strives to be more
perfect today, than he/she was yesterday. It is
practically impossible for classical Yoga Sports,
Pranayamas and other Yoga practices to harm the
practitioner when they are performed in the proper
manner.
Yoga is not just performing some contortionist
poses or hufng and pufng some Pranayama or
sleeping our way through any so-called meditation.
It is an integrated way of life in which awareness
and consciousness play a great part in guiding
our spiritual evolution through life in the social
system itself and not in some remote cave in the
mountains or hut in the forest. Yoga can be rightly
said to be the science and art of right-useness of
body, emotions and mind.
Tiruvalluvar says, Te loving ones live for
the sake of others while the unloving live only
for themselves. Yogis have immense love and
compassion for all beings and wish peace and
happiness not only for themselves, but for all
living beings. Tey are not individualists seeking
salvation for themselves but on the contrary are
universalists seeking to live life in the proper
evolutionary manner to the best of their ability
and with care and concern for their fellow human
brethren and those beings living at all planes of
existence. Tis is well exemplifed by Yogic prayers
such as, Om, loka samasta sukhino bhavanthu
sarve janaha sukhino bhavanthu Om shanti, shanti,
shanti Om.
May we all become true Yogis as extolled by
Yogeshwar Sri Krishna when he says, tasmad yogi
bhavarjuna become thou a Yogi, Oh Arjuna. Hari
Om Tat Sat- May that be the reality!
Suggested Reading:
1. A Primer of Yoga Teory. Dr. Ananda Balayogi
Bhavanani. Dhivyananda Creations, Iyyanar Nagar,
Pondicherry. 2008.
2. A Yogic Approach to Stress. Dr Ananda Balayogi
Bhavanani.. Dhivyananda Creations, Iyyanar Nagar,
Pondicherry. (2nd edition) 2008.
3. Ancient Yoga and Modern Science. Dr. TR
Ann. SBV, Jan - Jun 2014;3(1)
Page 60 Annals of SBV
Anantharaman. Mushiram Manoharlal Publishers Pvt Ltd,
New Delhi. 1996
4. Ashtanga Yoga of Patanjali. Dr Swami Gitananda
Giri. Edited by Meenakshi Devi Bhavanani. Satya Press,
Pondicherry.1995
5. Culturing ones self though Yoga. Ananda Balayogi
Bhavanani. Yoga Mimamsa 2011; 43 (1): 84-94.
6. Evolutionary quirks, yama niyama & the human
brain. Meenakshi Devi Bhavanani. Yoga Vijnana 2009; 2 (3
&4): 1-8.
7. Frankly speaking. Dr Swami Gitananda Giri. Edited
by Meenakshi Devi Bhavanani. Satya Press, Pondicherry.1995
8. Srimad Bhagavad Gita. Swami Swarupananda.
Advaita Ashrama, Kolkata. 2007
9. Tiruvalluvar on Yogic Concepts. Meena
Ramanathan, Aarogya Yogalayam, Venkateswara Nagar,
Saram, Pondicherry-13.2007
10. Tirumandiram: A Tamil Scriptural Classic.
Translated by Dr. B. Natarajan, Sri Ramakrishna Math,
Chennai. 2006
11. Understanding the Yoga Darshan. An Exploration
of the Yoga Sutras of Maharishi Patanjali by Ananda Balayogi
Bhavanani. Dhivyananda Creations, Pondicherry. 2011
12. Yoga for Health and Healing. Dr Ananda Balayogi
Bhavanani. Dhivyananda Creations, Iyyanar Nagar,
Pondicherry. 2007
13. Yoga Terapy Notes. Dr Ananda Balayogi Bhavanani.
Dhivyananda Creations, Iyyanar Nagar, Pondicherry. 2007
14. Yoga: Step by Step. Dr Swami Gitananda Giri.
Satya Press, Pondicherry. 1975
Volume 7 | Issue 2 | J uly-December | 2014
Official Publication of
Swami Vivekananda Yoga Anusandhana Samsthana University
Online full text at
http://www.ijoy.org.in
IJ Y O
International J ournal of Yoga
Guest Editorial
Original Articles
Comparative immediate effect of different yoga asanas on heart rate and blood pressure in healthy young volunteers
Effect of trataka on cognitive functions in the elderly
Effect of Bhramari pranayama and OM chanting on pulmonary function inhealthy individuals: A prospective randomized control trial
Effect of yogic colon cleansing (Laghu Sankhaprakshalana Kriya) on pain, spinal flexibility, disability and state anxiety in chronic low back pain
Toward building evidence for yoga
Contents
ISSN 0973-6131
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International Journal of Yoga Vol. 7 Jul-Dec-2014
Comparative immediate effect of different yoga asanas on
heart rate and blood pressure in healthy young volunteers
Ananda Balayogi Bhavanani, Meena Ramanathan, Balaji R, Pushpa D
Centre for Yoga Therapy, Education and Research, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
Address for correspondence: Dr. Ananda Balayogi Bhavanani,
Centre for Yoga Therapy, Education and Research,
Mahatma Gandhi Medical College and Research Institute, Puducherry, India.
E-mail: yognat@gmail.com
Original Article
of studies documenting various facets of this art and
science.
[1-4]
However, though many studies have elucidated
applied aspects of Yoga in different health conditions,
very few have focused on the basic research needed to
understand the intricate mind-body mechanisms involved
in the different yogic techniques.
[5]
The different Yogic psychophysiological techniques are
bound to have different effects on each and every cell
of the human body and this in turn will depend on the
various body systems, organs, and tissues involved in the
performance of such practices.
[6]
As the role of the spinal
INTRODUCTION
Yoga has truly captured the imagination of scientists
in recent times with a dramatic increase in the number
Introduction: This study planned to compare immediate cardiovascular effects of different yoga asanas in healthy young
volunteers.
Materials and Methods: Heart rate (HR), systolic pressure (SP), and diastolic pressure (DP), blood pressure (BP), were
recorded using the non invasive blood pressure (NIBP) apparatus in 22 healthy young subjects, before and after the performance
of Dhanurasana (DA), Vakrasana (VA) (both sides), Janusirasasana (JSA) (both sides), Matsyasana and Shavasana for 30 s.
HR and BP were further recorded during supine recovery at 2, 4, 6, 8, and 10 min. A repeated measure of ANOVA was used
for statistical analysis.
Results: There were signifcant changes in HR and BP both immediately after the Asanas as well as during the recovery period.
Overall comparisons of % changes immediately after the performance of the Asanas revealed signifcant differences with regard
to HR that increased signifcantly after DA. In the recovery phase, there were signifcant intergroup differences from 2 min onward in
both SP and DP. The decrease of SP after VA (right side) (VAR) was signifcantly greater than Shavasana (4
th
, 6
th
, and 8
th
min) and
JSA (left side) (JSA-L) at 6
th
and 8
th
min. DP decreased signifcantly after performing JSAL compared to VAR at the 6
th
and 8
th
min.
Discussion: The cardiovascular changes immediately after the Asanas and during the recovery phase reveal inherent differences
between the selected postures. The rise of HR in DA may be attributed to increased sympathetic response due to the relative
diffculty of the posture as well as abdominal compression occurring in it. The effect of supine relaxation is more pronounced
after the performance of the Asanas as compared to mere relaxation in Shavasana. This may be attributed to a normalization
and resultant homeostatic effect occurring due to a greater, healthier de-activation of the autonomic nervous system occurring
towing to the presence of prior activation. There were also subtle differences between the right sided and left sided performance
of VA and JSA that may be occurring due to the different internal structures being either compressed or relaxed on either side.
Conclusion: Our study provides initial evidence of differential cardiovascular effects of Asanas and subtle differences between
right and left sided performance. Further, cardiovascular recovery is greater after the performance of the Asanas as compared
to shavasan; thus, implying a better response when effort precedes relaxation.
Key words: Asana; cardiovascular effects; research; Yoga.
ABSTRACT
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10.4103/0973-6131.133870
Bhavanani, et al.: Differential effects of Asanas
International Journal of Yoga Vol. 7 Jul-Dec-2014
90
column is emphasized in Yoga, it follows logically that the
effects of forward bending postures would be different than
those of back bending ones and that these in turn may be
different from the physiological effects of twisting postures.
As both intra thoracic and intra-abdominal pressure-volume
changes affect the cardiovascular system, it is plausible that
these Asanas will produce changes in the heart rate (HR)
and blood pressure (BP). The conscious self-effort made in
Asana practice may be understood as the Spanda (tension)
component whereas the relaxation of effort (Prayatna
shaithilya) may be understood as the Nishpanda (relaxation)
component. Even Maharishi Patanjali tells us that the pair
of opposites (Dwandwa) is transcended (Dwandanabigata)
when one perfects the state of Asana. Hence, it is essential
to physiologically evaluate not only the actual performance
of an Asana, but also the period of recovery following it.
However, there is a lacuna of studies on such effects
and there is only one study
[7]
comparing cardiovascular
effects of some Asanas and that too was carried out in
untrained subjects with only a single recording without
pre-post comparisons. That study had evaluated only the
BP during the performance of Sukhasana, Vajrasana, and
Dhanurasana (DA) by 25 medical students and compared
these findings with the supine, sitting, and standing
positions. As a pre-post comparison was lacking in that
study, no concrete conclusion could be inferred about the
actual effects of performing Asanas or about the recovery
following their performance.
The Swara Yoga tradition
[8]
also emphasizes the subtle
differences existing between energy flows on the right and
left sides (Pingala and Ida nadi respectively) manifesting
through the ultradian rhythmicity of right or left nostril
dominance (Surya and Chandra Swara respectively).
Autonomic function is affected by right-left brain
activity
[9,10]
and as there is a sensory-motor crossover
relationship between right and left sides of the body and
the contralateral hemispheres, this leads to speculation
to differences in autonomic function depending on
techniques performed utilizing either right/left sides.
With the above rational in mind, this study was planned to
compare the immediate cardiovascular effects of different
Yoga Asanas in healthy young volunteers. In addition
to studying the immediate effect of the Asanas, we also
studied the post posture supine recovery period for ten
min. Hence, Shavasana also served as a control to the
supine rest being carried out after the performance of the
other Asanas.
MATERIALS AND METHODS
This study was conducted at the Center for Yoga Therapy
Education and Research (CYTER) functioning in Mahatma
Gandhi Medical College and Research Institute, Puducherry,
India. Ethical clearance was obtained from the Institutional
Human Ethics Committee and 22 students (16 female,
6 male), aged 19.05 0.79 standard deviation (SD) years,
with body mass index of 20.54 3.15 (SD) undergoing
the B Sc., Nursing course at Kasthurba Gandhi Nursing
College, Sri Balaji Vidyapeeth, Puducherry were recruited
for the study by convenience sampling. CYTER staff was
conducting regular Yoga training sessions twice weekly
for 6 months for nursing students and these participants
were selected as they could perform the required set of
Asanas with an adequate level of proficiency. Asanas
selected for the study were: DA, Vakrasana (VA) (both
sides), Janusirasasana (JSA) (both sides), Matsyasana, and
Shavasana [Figure 1].
We selected these Asanas as they manipulated the spinal
column indifferent positions. The human spine is given
great importance in the Yoga tradition (Brahma Danda
or Meru Danda). The forward bending (JSA), backward
bending (DA from the prone position and Matsyasana
from supine position) and twisting VA nature of the
Asanas was taken into consideration and also the fact
that the effects of two of them (VA and JSA) could be
evaluated on both right and left sides. These Asanas were
also part of the syllabus of Yoga training the subjects
had received earlier and hence an adequate level of
proficiency in performance of the postures was also
ensured.
Each subject came to CYTER on seven different days and
the entire study took 3 weeks for its completion as all
subjects couldnt be studied on the same day due to the
lack of space and manpower. On each of the days, they
performed one of the Asanas that was selected by random
selection of both subject and technique so as to avoid any
bias or influence of different days on the group. All tests
were carried out in CYTER between 10 and 12 noon. The
environment was quiet, with a comfortable temperature
and subdued lighting. The subjects were briefed about the
study protocol and written informed consent was obtained
from them. They were advised to finish their breakfast
at least 2 h earlier and come after emptying bowel and
bladder.
To ensure objectivity in measuring HR and BP, the
recordings were performed using non-invasive
semi-automatic BP monitor (CH 432, Citizen Systems,
Tokyo, Japan) with an instrumental accuracy of 5% for
HR and 3 mm Hg for BP. Pre intervention HR and BP
was recorded after 5 min of supine rest. The subjects then
performed one of the Asanas for 30 s, following which
the post-intervention recordings were taken. HR and BP
were further recorded during the supine recovery period
at 2,4,6,8 and 10 min.
Bhavanani, et al.: Differential effects of Asanas
91
International Journal of Yoga Vol. 7 Jul-Dec-2014
Data were assessed for normality using GraphPad InStat
version 3.06 for Windows 95, (GraphPad Software, San
Diego California USA, www.graphpad.com). As all data
passed normality testing by Kolmogorov-Smirnov Test,
statistical analysis was carried out using repeated measures
of ANOVA with Tukey-Kramer multiple comparisons test to
compare differences between groups at each point of time.
Students paired t test and P values less than 0.05 were
accepted as indicating significant differences for pre-post
and recovery period intra-group comparisons.
RESULTS
There were significant changes in HR and BP both
immediately after performing asanas as well as during
the recovery period [Tables 1-3 and Figures 2-4].
Overall comparisons of changes immediately after the
performance of the Asanas revealed significant differences
with regard to HR that increased significantly after
DA [Table 1, Figure 2]. In the recovery phase, there were
significant intergroup differences from 2 min onward in
both systolic pressure (SP) and diastolic pressure (DP) as
given in Tables 2 and 3 and Figures 3 and 4. The decrease
of SP after VA (right side) (VA-R) was significantly greater
than Shavasana (4
th
, 6
th
, and 8
th
min) and JSA-L at 6
th
and
8
th
min [Table 2 and Figure 3]. DP decreased significantly
after performing JSA-L compared to VA-R at the 6
th
and
8
th
min [Table 3 and Figure 4]. The plot of % changes
during the recovery period showed greater fall in SP and
DP after all the other Asanas as compared to that following
Shavasana [Figures 3 and 4].
DISCUSSION
The cardiovascular changes immediately after performing
the Asanas and during the recovery phase as evidenced in
this study reveal inherent differences between the selected
postures [Tables 1-3, Figures 2-4]. Differences between
Figure 1: Asanas performed by participants in the study: Janusirasasana (right), Janusirasasana (left), Vakrasana (right), Vakrasana (left), Dhanurasana, Matsyasana,
and Shavasana
Bhavanani, et al.: Differential effects of Asanas
International Journal of Yoga Vol. 7 Jul-Dec-2014
92
the selected Asanas were especially significant for HR
immediately after performing DA [Table 1 and Figure 2].
There was a higher stress response to DA as opposed
to the other Asanas and this may be attributed to an
increased sympathetic response due in part to the relative
difficulty of the posture as well as the intense abdominal
compression occurring while performing it.
Each of the Asanas had its own pattern and through there
were overall similarities, some differences can be made out
in a detailed examination. VA-R had the greatest fall in HR
during the recovery period while JSA-R had the greatest
fall of both SP and DP by the end of the 10 min recovery
period [Tables 1-3, Figures 2-4]. There were significant
differences between the selected Asanas mainly during
the recovery period after 2 min and this finding helps us
to understand that the effects of the Asanas is quite similar
after 2 min. This also implies that a rest of 2 min should
be given in between the Asanas if one is to attain the best
relaxatory effect of Yoga practices.
A previous study on individual Asanas evaluated the
BP while 25 medical students performed Sukhasana,
Vajrasana and DA and also compared these findings
with the supine, sitting, and standing positions.
[7]
DA
had the highest BP as compared to all other postures in
that study too. The main difference between our present
study and that study is that they had measured the BP
while the subjects were in the posture, whereas we
have measured before and after the posture along with
a 10 min recovery period. They had only recorded a
single value and thus there was no pre-post comparison
in their study. It is also to be noted that their subjects
were not regular practitioners of Yoga while our subjects
Table 1: Immediate HR response to the performance of DA, JSA-R, JSA-L, VA-R, VA-L, MA and SA for 30 s followed
by subsequent HR recovery at 2,4,6,8 and 10 min
Time
frame
DA JSA-R JSA-L VA-R VA-L MA SA P
Pre 73.9110.01 74.277.64 76.4111.49 80.098.27 75.5510.31 72.2312.34 73.5010.19 0.1367
Zero 89.1411.21***
96.328.23***
96.688.23***
P<0.05 for JSA-L versus VA-R at 6 and 8 min by RMANOVA with Tukey-Kramer Multiple comparisons test
Table 3: Immediate DP response to the performance of DA, JSA-R, JSA-L, VA-R, VA-L, MA and SA for 30 s followed
by subsequent HR recovery at 2,4,6,8 and 10 min
Time
frame
DA JSA-R JSA-L VA-R VA-L MA SA P
Pre 64.827.03 69.4111.93 68.186.49 67.277.9 68.097.62 68.418.25 64.186.48 0.2195
Zero 62.8211.75 61.918.69** 63.828.15* 60.326.18*** 64.418.2 59.236.47*** 60.556.16** 0.2150
2 min 57.094.75*** 57.005.03*** 59.557.18*** 55.867.17*** 58.324.61*** 57.145.66*** 60.866.87* 0.0438
4 min 56.554.91*** 57.004.84*** 59.955.74*** 56.646.08***
54.916.04***
P<0.05 for JSA-L versus VA-R at 8 min by RMANOVA with Tukey-Kramer Multiple comparisons test
Bhavanani, et al.: Differential effects of Asanas
93
International Journal of Yoga Vol. 7 Jul-Dec-2014
Figure 2: Heart rate response in % immediately following performance of Dhanurasana, JanusirasasanaR, JanusirasasanaL, VakrasanaR, VakrasanaL, Matsyasana,
and Shavasana for 30 s and at 2,4,6,8, and 10 min
-20
-15
-10
-5
0
5
10
15
20
Pre mmediate 2 min 4 min 6min 8 min 10min
DA JSA-R JSA-L VA-R VA-L MA SA
-13
-11
-9
-7
-5
-3
-1
Pre mmediate 2 min 4 min 6min 8 min 10min
DA JSA-R JSA-L VA-R VA-L MA SA
Figure 3: Systolic pressure response in % immediately following performance of Dhanurasana, JanusirasasanaR, JanusirasasanaL, VakrasanaR, VakrasanaL,
Matsyasana and Shavasana for 30 s and at 2, 4, 6, 8 and 10 min
were undergoing a Yoga training program and had been
practicing the techniques for more than 3 weeks at the
time of the study.
Previous studies have reported the energy expenditure
and ventilatory responses of Yogic standing (Virasana)
and sitting (Siddhasana) postures.
[11,12]
They reported
that Virasana induces temporarily a hyper metabolic
state characterized by enhance sympathetic activity
that gets inhibited upon the adoption of Shavasana.
[11]
Siddhasana was reported to be a mild type of exercise
as it had higher energy expenditure and ventilatory
responses as compared to supine and chair sitting
postures.
[12]
Bhavanani, et al.: Differential effects of Asanas
International Journal of Yoga Vol. 7 Jul-Dec-2014
94
The effect of supine relaxation is more pronounced
after the performance of the Asanas as compared to just
relaxing in Shavasana [Figures 2-4]. This may be attributed
to a normalization and resultant homeostatic effect
occurring towing to a greater, healthier de-activation of the
autonomic nervous system occurring due to the presence
of prior activation.
A study by Telles et al. studied O
2
consumption and
respiration following four Yoga postures interspersed with
relaxation and supine relaxation alone, and concluded that
the combination of stimulating and relaxing techniques
reduced physiological arousal better than the mere practice
of relaxation techniques alone.
[13]
They also pointed out
that though the practical performance of Yoga techniques
seem to be stimulatory in nature, their physiological
effects are in fact more relaxatory. This is corroborated by
a previous study from JIPMER reporting that Shavasana
relaxation is enhanced with the addition of Savitri
Pranayama thus decreasing O
2
consumption by 26%.
[14]
Manjunatha et al. studied the effects of selected Yogic
postures on fasting and postprandial glycaemia and
insulinemia in healthy young subjects and concluded
that the performance of Asanas led to increased
sensitivity of the cells of the pancreas to the glucose
signal.
[15]
It was found in that study that the performance
of four different sets of Asanas had similar effects of
reducing fasting and postprandial glycaemia and that
blood insulin levels also fell after the performance of the
Asanas. However, when oral glucose tolerance test ( GTT)
was administered, there was a greater insulin response
that may be interpreted as an enhanced sensitivity of
pancreatic cells to the glucose challenge too. At the
metaphysical level, this may be taken to imply a dynamic
state of balance where one is balanced, yet ready to face
any challenge that may occur.
One of the extra findings of this study is the revelation of
subtle differences between the right sided and left sided
performance of VA and JSA that may be occurring as a
result of the different internal structures being either
compressed or relaxed on either side. This requires further
exploration and studies with a greater number of subjects
and doing the Asanas in different positions may help
unravel the scientific basis of such differences.
The aim of Yoga is harmony or homeostatic balance at all
levels of existence (Samatvam yogah uchyate) as elucidated
in the Bhagavad Gita
[16]
and the psychophysiological
nature of Yoga Asanas may be producing such a
balance even if they initially have a hyper metabolic
or cardio-respiratory stimulatory action. This is well
evidenced by the cardiovascular responses to all the
Asanas in our study, as the post postural HR and BP both
fell below the initial values during the recovery period
and this was consequently seen to be even lower than the
responses to supine relaxation in Shavasana. This has been
corroborated by recent reports that both the sympathetic
and parasympathetic limbs of the autonomic nervous
-20
-18
-16
-14
-12
-10
-8
-6
-4
-2
0
Pre mmediate 2 min 4 min 6min 8 min 10min
DA JSA-R JSA-L VA-R VA-L MA SA
Figure 4: Diastolic pressure response in % immediately following performance of Dhanurasana, JanusirasasanaR, JanusirasasanaL, VakrasanaR, VakrasanaL,
Matsyasana, and Shavasana for 30 s and at 2, 4, 6, 8 and 10 min
Bhavanani, et al.: Differential effects of Asanas
95
International Journal of Yoga Vol. 7 Jul-Dec-2014
system activity were enhanced in hypertensives following
Yoga training.
[17,18]
In conclusion, our study provides initial evidence of
differential cardiovascular effects of Asanas and subtle
differences between right and left sided performance.
Further, cardiovascular recovery is greater after the
performance of the Asanas as compared to Shavasana;
thus, implying a better response when effort precedes
relaxation.
ACKNOWLEDGMENTS
The authors thank the management and authorities of Sri
Balaji Vidyapeeth University for setting up the Centre for
Yoga Therapy, Education and Research (CYTER) in Mahatma
Gandhi Medical College and Research Institute (MGMCRI).
The authors are grateful to Yogacharini Meenakshi Devi
Bhavanani, Director ICYER and Dr. Madanmohan, Professor
and Head Department of Physiology, MGMCRI for their constant
motivation, encouragement and supportive guidance. We thank
Miss Subashana, ANM for her valuable assistance during the
recording sessions and data entry.
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12. Rai L, Ram K, Kant U, Madan SK, Sharma SK. Energy expenditure and
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13. Telles S, Reddy SK, Nagendra HR. Oxygen consumption and respiration
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14. Madanmohan S, Rai UC, Balavittal V, Thombre DP, Gitananda S.
Cardiorespiratory changes during savitri pranayama and shavasan. Yoga Rev
1983;3:25-34.
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the acute and long-term effects of selected yogic postures on fasting and
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17. Vijayalakshmi P, Madanmohan, Bhavanani AB, Patil A, Babu K. Modulation
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How to cite this article: Bhavanani AB, Ramanathan M, Balaji R,
Pushpa D. Comparative immediate effect of different yoga asanas on
heart rate and blood pressure in healthy young volunteers. Int J Yoga
2014;7:89-95.
Source of Support: Nil, Confict of Interest: None declared
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ONGOING PROJECTS
ONGOING RESEARCH PROJECTS
1. EFFECT OF 12-WEEKS OF YOGA TRAINING ON CARDIO-
RESPIRATORY, NEUROLOGICAL AND PSYCHOLOGICAL
PARAMETERS IN A GERIATRIC POPULATION. Pre and post test
recordings have been completed and 12 weeks Yoga training sessions
conducted twice weekly in the Hospice of St. Cluny, Pondicherry.
2. INTRA OCULAR PRESSURE VARIATIONS IN FORWARD
BENDING YOGA POSTURES. Collaborative project with Department
of Ophthalmology, MGMCRI. Proposal approved by IHEC in April 2014
and subjects are being recruited.
3. EFFECTS OF TRATAK AND BHRAMARI PRANAYAMA
(YOGIC EYE CARE MODULE) ON OCULAR MUSCLE
BALANCE AND ACCOMMODATION IN COMPUTER VISION
SYNDROME. Collaborative project with Department of Ophthalmology,
MGMCRI. Proposal approved by IHEC in April 2014 and subjects are
being recruited.
4. A STUDY TO ASSESS THE EFFECTIVENESS OF PRANAYAMA
ON LEVEL OF DEPRESSION AMONG THE TRANSGENDER.
Collaborative project with KGMC. Proposal approved by IHEC, KGNC
in March 2014 and subjects are being recruited.
5. EFFECT OF YOGA TRAINING ON CARDIORESPIRATORY
HEALTH IN OBESE SUBJECTS. Proposal submitted to CCRYN,
Deptt of AYUSH, Ministry of Health & FW, Govt of India after
clearance from IHEC.
CHRONOLOGICAL REPORT
Sri Balaji Vidyapeeth
Mahatma Gandhi Medical College & Research Institute
Pillaiyarkuppam, Pondicherry - 607 402
CENTRE FOR YOGA THERAPY, EDUCATION AND RESEARCH (CYTER)
CHRONOLOGY OF IMPORTANT EVENTS
MONTH DATE EVENTS M F TG Total
2010
NOVEMBER 1.11.2010 Inaugural function: lamp lighted by
Yogacharya Dr. Ananda Balayogi
Bhavanani, Hon Advisor CYTER in presence
of Yoga Therapy and Music Therapy unit
members.
3 5 - 8
DECEMBER
15.12.2010
Chairman visited CYTER, had a discussion
and asked for our suggestions to improve
therapy unit.
MCI team visited CYTER
25
25
-
50
2011
JANUARY 25.1.2011 CYTER unit shifted to deluxe ward. 38 25 - 63
FEBRUARY
Regular therapy, consultation and classes.
65
63
6
134
MARCH
10.3.2011
11.3.2011
Shifted back into the renovated therapy
unit.
A team of doctors from Royal College of
London visited the therapy unit.
42
52
-
94
APRIL 5.4.2011
29.4.2011
Yoga therapy unit members participated in
the CAM seminar conducted by SAF team
of MGMC&RI.
Yogacharini Kalaimamani Smt. Meenakshi
Devi Bhavanani (Ammaji) visited CYTER,
with her students from ICYER.
41
71
3
115
MAY 25.5.2011 A group of students along with their
professor and ethical committee members
visited the dept. a yoga demonstration
was given to them and the students also
participated and did the practices.
45
51
-
96
JUNE Regular therapy consultation and classes 30 92 - 122
JULY Regular therapy consultation and classes 29 105 - 134
AUGUST
Regular therapy, consultation and classes
24
82
-
106
SEPTEMBER
9.11.2011
A team of faculty members from Glasgow
University visited the therapy unit and
Yoga demonstration was given to them.
26
38
-
64
OCTOBER
Regular therapy consultation and classes 33
39 7 79
NOVEMBER Regular therapy consultation and classes 37
61 7 105
DECEMBER 7.12.2011
9.12.2011
23.12.2011
MCI team visited our department.
Inaugural Yoga session for 2
nd
year nursing
students of KGNC (Kasturuba Gandhi
Nursing College) by CYTER team.
A write up about CYTER was published in
the Tamil daily, Dinakaran and
Tamilmurasu.
32
69
4
105
2012
JANUARY
Regular therapy consultation and classes
23 35 2 60
FEBRUARY
Regular therapy consultation and classes
26
57
- 84
MARCH
Regular therapy consultation and classes
31
65
96
APRIL
Regular therapy consultation and classes
20 76 96
MAY 14.5.2012 Visitors from United Kingdom High
Commission visited the department.
29 42 8 79
JUNE Regular therapy consultation and classes 11 39 50
JULY 06.7.2012
27.7.2012
Valedictory function of Yoga training for
2
nd
year nursing students of KGNC
(Kasturuba Gandhi Nursing College)
CME/workshop on synergistic effect of
yoga and music-CYTER gave a presentation
and demonstration.
5
46
51
AUGUST
Regular therapy consultation and classes
21
25
46
SEPTEMBER Regular therapy consultation and classes 8 44 52
OCTOBER
26.10.2012
Regular therapy, consultation and classes.
Awareness programme for obesity -
presentation & demonstration
15 32 47
NOVEMBER Regular therapy, consultation and classes. 6 33 39
DECEMBER Regular therapy, consultation and classes.
15 48 63
2013
JANUARY Regular therapy, consultation and classes.
5 55 2 62
FEBRUARY
25.2.13
Regular therapy, consultation and classes.
A team of international music therapists
visited and discussed on the various
modalities of Yoga as a form of therapy
3 50
53
MARCH 9.3.13 The yoga instructors of the yoga therapy
unit participated in the workshop medical
student well being conducted on March
9
th,
under the guidance of dr.
Madanmohan, Professor & Head Dept of
Physiology, on Stress and its Management
by Yoga,(Lecture Demonstration).
6 64 70
27.3.2013 Members of Yoga therapy unit
attended/participated/conducted the
workshop ZENFORIANS, conducted by
the MSc Nursing students of KGNC,
MGMCRI, on 27.3.13, as part of their
Staff/Faculty welfare programme.
Workshop was conducted on Yoga and
lifestyle modification to combat stress
followed by a practice session for
alleviating STRESS. All the participants
enjoyed the sessions.
APRIL Regular therapy, consultation and classes. 17 76 93
MAY
19.5.2013
Regular therapy, consultation and classes.
An interactive session was conducted on
19.5.2013 by CYTER as a CNE for nurses,
staff and faculty of Rajiv Gandhi
Government Women and Children
Hospital, Ellapillaichavadi, Pondicherry.
Mrs Meena Ramanathan gave an
interactive talk cum practical session on
Stress destructs- yoga constructs with a
demo by Sangeeta.
59 57 116
JUNE Regular therapy consultation and classes.
Yoga Instructor Ms. Sarulatha gave classes
for the Nursing students more than two
weeks as part of Phd study for the
Mr.Vasantham and Dr. Prem.
37 54 91
JULY
5.7.2013
Regular therapy consultation and classes.
Yoga therapy unit members participated in
the programme conducted by SAF
(Scientific Academic Forum) of MGMC&RI
on 5.7.2013.
A presentation was given by the
coordinator Meena Ramanathan on Yoga
29 105 134
11.7.2013
& Psychosomatic Ailments, following
which an interactive demonstration was
conducted with demo by Ms. Sarulatha.
Dr. Ananda Balayogi Bhavanani joined as
Deputy Director CYTER (Department of
Yoga and Music Medicine), MGMC & RI on
11
th
July 2013. He had been previously
associated with the centre as Honorary
Advisor since its inception in 2010.
Proposal for a RCT on Effect of yoga
training on cardio-respiratory health in
obese subjects was prepared for
submission to CCRYN, Ministry of Health &
FW, New Delhi.
Detailed syllabus for a PG Diploma in Yoga
therapy for medical professionals was
prepared and submitted to Dean, PG
Studies.
AUGUST
7.8.2013
18.8.2013
Regular therapy, consultation and classes.
Proposal for a RCT on Effect of yoga
training on cardiorespiratory health in
obese subjects was presented in the IHEC
for its approval.
A research paper entitled, Hematological,
biochemical and psychological effects of a
yoga training programme in nursing
students was submitted to Biomedical
Human Kinetics.
Five posters and abstracts were prepared
for presentation in Sanjeevita 2013.
20 50 70
SEPTEMBER
6.9.2013
Regular therapy consultation and classes.
Dr. Madanmohan (Professor & Head,
Department of Physiology and Director
CYTER) was an invited speaker in the panel
discussion on medical pluralism during
Sanjeevita 2013, Annual Summit organized
by CIDRF at MGMC&RI on 6
th
September
2013. Dr. Madanmohan, Dr. Ananda
Balayogi Bhavanani (Deputy Director
54 109 - 163
4, 18 & 25
September
13.9.2013
CYTER) and Mrs. Meena Ramanathan
(Coordinator and Yoga Therapist) also
presented five posters and abstracts on
behalf of CYTER.
Topics presented included:
1. Health, rejuvenation and longevity:
an Ayurvedic perspective,
2. Yoga and modern medicine: need
for integration,
3. Yoga works, but how?
4. Immediate cardiovascular effects
of pranayamas in patients of
hypertension,
5. Effect of Yoga training on
cardiorespiratory health in obese
subjects.
Yoga Awareness and Counselling
Programmes are being held in the MRD of
MGMC & RI from 10AM to 12 noon every
Wednesday since 4
th
September 2013 with
good response from patients to this
initiative. The programme was conducted
on 4, 18 & 25
September and 63 patients
benefited from the consultation and
cessing sessions.
Two new books namely, Yoga Chikitsa: the
Application of Yoga as a Therapy and
Saraswatis Pearls: Dialogues on the Yoga
of Sound authored by Dr. Ananda Balayogi
Bhavanani (Deputy Director CYTER) were
released on September 13
th
2013 by
Kalaimamani Yogacharini Meenakshi Devi
Bhavanani, Director, ICYER at Ananda
Ashram, Pondicherry. The book on Yoga
Chikitsa also has chapters contributed by
Dr. Madanmohan (Professor & Head,
Department of Physiology and Director
CYTER) and Mrs. Meena Ramanathan
(Coordinator and Yoga Therapist) while
Saraswatis Pearls is a series of
conversations between Dr. Ananda
Balayogi Bhavanani and Dr. Sangeeta Laura
Biagi of Italy who is visiting professor in
Italian Folklore and Music at New York
University and Vassar College (NY).
OCTOBER
1.10.2013
6.10.2013
10.10.2013
15.10.2013
and
16.10.2013
29.10.2013
9,16, 23 &
30.10.2013
Regular therapy consultation and classes.
Paper entitled, Immediate cardiovascular
effects of a single yoga session in different
conditions based on a review of data at
CYTER was submitted to the Journal of
Alternative & Integrative Medicine.
An article entitled, Modern Medicine,
Meet Yoga! by Dr Ananda Balayogi
Bhavanani was published in the Fall 2013
issue (Pg 21-23) of the prestigious Integral
Yoga Magazine, USA.
A group of Yoga teachers and students
from Yoga Academy of Berlin, Germany led
by Yogacharya Ananda Leone, visited
CYTER and expressed appreciation of the
good work being done and admired the
management for this novel integration of
yoga with modern medicine.
CYTER participated in the Orthopedic
Awareness Week conducted by the
orthopedic department, MGMCRI in MRD.
Meena Ramanathan gave a talk on
Importance of Yoga for maintaining the
Spinal health, and a presentation on Yoga
for Arthritis and Yoga for Low Back Pain on
15
th
and 16
th
along with demonstration by
Yoga Instructors M. Sangeetha and G.
Sarulatha.
CYTER participated in the Obesity
Awareness conducted by the MGMCRI in
MRD Meena Ramanathan gave a talk on
Importance of Yoga for obesity with
demonstration by Yoga Instructors
M.Sangeetha and G.Sarulatha.
Yoga Awareness and Counselling
Programmes are being held in the MRD of
MGMC & RI from 10AM to 12 noon every
Wednesday with good response from
patients to this initiative. 58 patients
benefited from the programme.
102 75 - 177
30.10.2013 Paper entitled, Immediate effect of
chandra and suryanadi pranayamas on
cardiovascular parameters and reaction
time in a geriatric population was
submitted to the International Journal of
Physiology and accepted for publication.
NOVEMBER
14.11.2013
22.11.2013
Regular therapy consultation and classes.
Orientation session was conducted by Dr
Ananda and Mrs Meena for 20 newly
joined nursing staff members who visited
CYTER supervised by Mrs Deepa, Nursing
educator, MGMCRI.
Department of Medicine with Dietetics
and Yoga in association with Department
of Corporate Health Services organized a
public awareness programme on 14th
November 2013, at 9 am in MRD ,
MGMCRI in view of WORLD DIABETIC DAY
celebration. Meena Ramanathan gave a
talk on Importance of Yoga for diabetes
mellitus with demonstration by Yoga
Instructor G. Sarulatha.
CME cum Workshop on Yoga & Lifestyle
Disorders was organized by CYTER and
Dept of Physiology at MGMCRI. More than
250 delegates participated and CYTER
Phase-II was officially inaugurated by Prof
KR Sethuraman, VC, SBVU.
Research paper entitled, Immediate
cardiovascular effects of a single yoga
session in different conditions was
published in the journal of Alternative and
Integrative Medicine. It also received wide
publicity through news coverage in The
Hindu newspaper.
127 51 - 178
DECEMBER
2.12.2013
Regular therapy consultation and classes.
Health Awareness camp for Senior Citizen
at the Serene Pelican Belfort Township as
part of the Out-reach program of CYTER.
Consultation and Yoga Therapy advice was
95 70 - 165
3.12.2013
given to 15 senior citizens during this
occasion.
CYTER was part of the Team from
MGMCRI, who attended the Health
Awareness camp at NCR, a company in
Pillayar Kuppam- consultation , Yoga
Therapy and dietary advice was given to
more than 35 staff members there at their
office as part of the CYTER Out-reach Prog.
Paper entitled, Differential effects of
uninostril and alternate nostril
pranayamas on cardiovascular parameters
and reaction time was published in
International Journal of Yoga.
A research paper entitled, Hematological,
biochemical and psychological effects of a
yoga training programme in nursing
students was published in International
Research Journal of Pharmacological and
Applied Sciences.
Immediate effect of chandra and
suryanadi pranayamas on cardiovascular
parameters and reaction time in a geriatric
population was submitted to the
International Journal of Physiology and
accepted for publication.
2014
JANUARY
4.1.2014 to
7.1.2014
8.1.2014
Regular therapy consultation and classes.
The CYTER team of Prof Madanmohan
(Director), Dr Ananda Balayogi Bhavanani
(Deputy Director) and Smt. Meena
Ramanathan (Coordinator - cum- Yoga
therapist) presented a special Workshop
on Yoga Therapy and Yoga awareness
programme was conducted via a CYTER
stall at the 20
th
International Yoga festival
organized by the Department of Tourism,
Government of Pondicherry at Gandhi
Tidal.
CYTER received wide publicity through
coverage in national editions of The Times
90 74 164
21.1.2014
27
th
& 28
th
Jan 2014
30.1.2014
of India newspaper.
Orientation visit by nursing students from
Pauls Nursing college.
Introductory Yoga session conducted by
CYTER for 150 students of 1
st
MBBS at
MGMCRI by Dr Madanmohan, Dr Ananda
and Smt Meena.
Inauguration of PGDYT course.
FEBRUARY 1,8,15 &
22.2.2014
2.2.2014
6.2.2014
20, 22, &
26-2-2014
24 and 26,
2.2014
Regular therapy consultation and classes.
Regular classes for the students of PGDYT
course from 9am to 2pm
Presentation on Yoga for pediatricians
by Meena Ramanathan during CME for
Pondy Pediatric Forum at Annamalai
International.
A group of 20 Nurses of MGMC&RI
attended a orientation session at CYTER
The well-known Yoga therapists and
directors of Integrative Yoga Therapy (IYT),
USA & Enchanted Mountain Center for
Yoga and Well-Being in Brazil, Joseph and
Lilian le Page visited CYTER. They
interacted and interviewed the VC-SBVU,
Dean (PG&R) and Director CYTER and
observed the various yoga therapy
sessions and PGDYT classes at CYTER. They
were making an educational video on Yoga
Therapy in India and interviewed
recipients of yoga therapy, students of
PGDYT as well as Dr Ananda and Smt.
Meena on the novel, integrative approach
to yoga therapy adopted at CYTER.
Dr Ananda gave an introductory session on
Yoga for health for senior teachers of
Pondicherry at State training Centre,
Directorate of School Education,
Pondicherry.
100 93 193
MARCH
1,8,15,22&
29.3.2014
7.3.2014
21.3.2014
23
.
3.2014
24.3.2014
Regular therapy consultation and classes.
Regular classes for the students of PGDYT
course from 9am to 2pm
Smt. Meena gave a special presentation on
Yoga for women at the VCRC,
Pondicherry during the International
Womens Day celebrations organised on
7
th
March 2014.
An inspector from MCI (Psychiatry) visited
CYTER and inspected the proceedings.
Smt Meena directed a special
demonstration by the SADAY students at
Gandhi Tidal as part of the Womens day
celebration of ARUMAI rehabilitation
organization.
Dr Ananda was invited to present
workshops, seminars and talks at various
venues in Australia and New Zealand from
24
th
March to 14
th
April 2014. He
presented highly successful programmes
organized by the Gitananda Yoga
Association of Australia at IYTA-
Wellington, Lotus Yoga Centre-
Paraparaumu in New Zealand and Anand
Yoga Academy at Adelaide. He also
conducted intensive 3-day retreats at
Tatum Park, NZ and Integral Yoga
Academy of Australasia at Adelaide. He
presented a special 2-day workshop at the
International Yoga Teachers Association at
Sydney, Australia and visited the Sivanna
Integrative Health Centre, Sydney to
discuss further collaboration in Yoga
therapy. He had special personal meetings
with Yogashri Dr Eric Dornekamp, the
senior most Yoga authority of New
Zealand and the world famous authority
on Yantra-Tantra, Dr. Swami Anandakapila
Saraswathi (Jonn Mumford) of Sydney,
Australia.
153 179 --
332
APRIL
5,12.19&
26.4.2014
8.4.14
15.4.14
16.4.14
Regular therapy consultation and classes.
Regular classes for the students of PGDYT
course from 9am to 2pm
Nine TG members from the SCHOD
(Sagodaran Community Health
Development Society) attended Yoga
sessions @CYTER
IHEC meeting approved the following
studies from CYTER.
1. Effect of 12-weeks yoga training on
cardiorespiratory, neurological &
psychological parameters in a geriatric
population.
2. Effect of tratak and bhramari
pranayama on ocular muscle balance
and accommodation in computer
vision syndrome.
3. Intra ocular pressure variations in
head below the heart yoga postures.
Dr Ananda rejoined duty after successful
tour down under.
200 179 9 388
MAY
3, 10, 24
and 31
19.5.14
Regular therapy consultation and classes.
Regular classes for the students of PGDYT
course from 9am to 2pm.
Dr. Ananda was nominated to the Editorial
Board of Yoga Mimamsa, the bimonthly
Yoga journal of Kaivalyadhama, Lonavla.
He has previously served as an advisor to
the journal since 2010. This appointment is
prestigious as Yoga Mimamsa is one of the
oldest and premier Yoga journals of India
having been founded by the legendary
Swami Kuvalayananda.
155 216 - 371
JUNE
14
th
&15
th
Regular therapy consultation and classes.
Regular classes for the students of PGDYT
course from 9am to 2pm
Dr. Ananda was invited to attend the
Board of Studies meeting of the GS College
of Yoga and Cultural Synthesis, at
123 177 - 300
16.6.2014
25.6.2014
Kaivalyadhama in Lonavla. He has been
nominated as the chairperson for the
subject, Anatomy and Physiology of the
Human Body in the Context of Yoga. This
appointment is prestigious as
Kaivalyadhama is one of the oldest and
premier Yoga institutions of India. He was
also Chief Guest for the inauguration of
the Foundation Course in Yoga & Ayurveda
at Kaivalyadhama.
Smt. Meena Ramanthan, Coordinator and
Yoga Therapist CYTER submitted her PhD
dissertation to the Tamil Nadu Physical
Education and Sports University, Chennai.
The title of her 250 page dissertation is
Effect of selected yogasanas and
pranayama on selected cardiorespiratory,
psychological and psychomotor variables
among low and highly depressed geriatric
women.
Dr. Ananda attended the Governing Body
Meeting of the South Zone Cultural Centre
at Chennai that was presided by the
Governor of Tamil Nadu who is also
Chairman of the SZCC. Dr. Ananda was
nominated by Pondicherry Govt
Department of Art and Culture to the
Governing Body of the South Zone Cultural
Centre, Tanjavur under Ministry of Culture,
Govt of India in 2013. He has also served
as member in the Expert committee of
SZCC to select Young Talented Artistes
awardees for 2013-14.
JULY
2.7.2014
Regular therapy consultation and classes.
Regular classes for the students of PGDYT
course from 9am to 2pm
A group of 11 staff nurses who joined duty
in MGMCRI from July visited CYTER and
had an interactive pranayama / relaxation
session.
124 217 - 341
4.7.2014
29.7.2014
28, 30 and
31
st
July
Dr. Ananda Balayogi Bhavanani was invited
to be Resource Person for the One Day
National Seminar on "Dimensions of Yoga
and its dynamics" at MoP Vaishnav College
for Women, Chennai. He delivered an
invited lecture on Diverse Dimensions of
Yoga for the youth" in the event organized
jointly by the Krishnamacharya Yoga
Mandiram and MoP Vaishnav College.
Dr. Ananda Balayogi Bhavanani was invited
to be a peer reviewer for BioPsychoSocial
Medicine, an open access, peer-reviewed
online journal that is the official journal of
the Japanese Society of Psychosomatic
Medicine, and publishes research on
psychosomatic disorders and diseases that
are characterized by objective organic
changes and/or functional changes that
could be induced, progressed, aggravated,
or exacerbated by psychological, social,
and/or behavioral factors and their
associated psychosomatic treatments.
Model/send-up theory examinations were
conducted for students of PGDYT course
from 10am to 12.30pm.
AUGUST
2.8.2014
3.8.2014
Regular therapy consultation and classes.
Model/send-up practical examination
conducted for students of PGDYT course
from 10am to 1pm.
An interactive session was conducted by
CYTER as a CNE for nurses, staff and
faculty of Indira Gandhi Government
General Hospital and Post Graduate
Institute (IGGGH&PGI) Pondicherry. Mrs
Meena Ramanathan gave an interactive
talk cum practical session on Stressa
Curse; Yoga- a Boon; Yogic Integration for
Healthcare Givers with a demo by
Sangeeta and Danush Apnadesh.
190 184 7 381
7.8.2014
2,5,7,9 &
12 August
18,19 & 20
August
21 August
25 August
28 August
Yoga Awareness programme was
conducted by Smt Meena Ramanathan,
Coordinator-cum-Yoga therapist CYTER for
Senior Citizens at the Serene Pelican
Belfort Township as part of Out-reach
programs of CYTER. Consultation and Yoga
Therapy advice was given to more than 25
senior citizens on the occasion. Smt Latha,
the Yoga instructor from CYTER gave a
demonstration and then Smt Meena led a
practical session on simple practices for
seniors.
Revision classes for the students of PGDYT
course from 9am to 2pm.
Final theory examinations conducted for
students of PGDYT course from 10am to
12.30pm.
CYTER inaugurated a special Silver Citizens
Yoga and Health Programme for Senior
Citizens of the Serene Pelican Belfort
Township. More than 25 senior citizens
attended the sessions at CYTER. Dr Ananda
gave an introduction and then the practice
session was led by Meena Ramanthan and
supported by Yoga instructors Latha and
Dhanush.
Practical examination was conducted for
students of PGDYT course from 10am to
12.30pm.
Silver Citizens Yoga and Health Programme
SEPTEMBER
4
th
Sept
10
th
Sept
Regular therapy consultation and classes.
Silver Citizens Yoga and Health Programme
Inauguration of classes for 1
st
and 2
nd
batches of PGDYT.
PHOTO GALLERY
INTERNATIONAL YOGA FESTIVAL 2014
Department of Tourism, Government of Pondicherry -
Y YO OG GA A F FO OR R 1 1
s st t
M MB BB BS S S ST TU UD DE EN NT TS S O OF F
M MG GM MC C& &R RI I, , S SB BV VU U- -2 20 01 14 4
4/25/2014 Lowering pressure without medicine no longer a stretch - The Hindu
http://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/lowering-pressure-without-medicine-no-longer-a-stretch/article4388329.ece?css=print 1/1
Today's Paper NATIONAL TAMIL NADU
Published: February 7, 2013 00:00 IST | Updated: February 7, 2013 06:01 IST
Lowering pressure without medicine no longer a stretch
Kavita Kishore
Expert advises simple yoga and chanting for decreasing ones blood pressure
Calming chantsA study conducted at the Advanced Centre for Yoga Therapy, Education and Research, showed that pranava pranayama , a yogic
technique with chanting, could significantly blood pressure
If you are suffering from hypertension, new research shows that a certain yoga posture could help you significantly
lower your blood pressure fairly rapidly. The results can be seen with a very simple aasana and just involves basic
chanting, the study has found.
According to a study conducted at the Advanced Centre for Yoga Therapy, Education and Research (ACYTER), by Dr.
Anandan Balayogi Bhavanani, pranava pranayama , when performed in the supine position, could significantly
reduce systolic pressure, pulse pressure and mean pressure (diastolic pressure + 1/3 pulse pressure). These results
were not observed when the subjects underwent what Dr. Bhavanani terms sham relaxation a technique where
they were asked to lie down and relax various parts of their bodies.
According to Dr. Bhavanani, pranava pranayama is the practice of taking three slow and deep breaths followed by
making a prolonged aaa ooo mmm sound when exhaling. This pranayama is typically done in a seated posture, but
for the sake of this research he decided to experiment with it in a supine position to see if it was more effective.
For the purpose of the study, 29 subjects (15 male and 14 female), with the average age of 57 years, were chosen. All
the subjects were undergoing treatment for hypertension and diabetes for more than three years. They were then
divided into two groups. One group was asked to practice the pranava pranayama , while the other group underwent
sham relaxation. Both these groups were asked to do the exercise for 10 minutes a day.
The pranava group was asked to practice shavasana simple conscious resting for the first two and the last two
minutes and for the remaining six minutes they were asked to perform pranava pranayama in the supine position.
The pre-relaxation and post-relaxation heart rate and blood pressure was taken from all of the patients and the
required variables were calculated.
For the patients that underwent the sham relaxation, the results were not as striking as for those who performed the
pranava relaxation, he said.
The ACYTER group is now conducting a similar research on the effect of pranava pranayama on patients who have
suffered from stroke, he said.
Printable version | Apr 25, 2014 5:49:14 PM | http://www.thehindu.com/todays-paper/tp-national/tp-
tamilnadu/lowering-pressure-without-medicine-no-longer-a-stretch/article4388329.ece
The Hindu
4/25/2014 Yoga could reduce cardiovascular markers - The Hindu
http://www.thehindu.com/todays-paper/tp-national/tp-tamilnadu/yoga-could-reduce-cardiovascular-markers/article5438837.ece?css=print 1/1
Today's Paper NATIONAL TAMIL NADU
Published: December 9, 2013 00:00 IST | Updated: December 9, 2013 05:53 IST
Yoga could reduce cardiovascular markers
Kavita Kishore
CYTERs study concludes one yoga session can reduce heart rate, BP
For the study, data of 1896 patients, from the ages of 24 to 48, was analysed. Yoga session in progress at CYTER
A new study by the Centre of Yoga Therapy, Education and Research, Mahatma Gandhi Medical College & Research
Institute reveals that a single session of yoga can significantly reduce heart rate and blood pressure
According to the conclusion of the study, a single yoga session can reduce the heart rate, blood pressure and derived
cardiovascular indices. The magnitude of the reduction depends on the pre-existing medical conditions, as well as the
protocol of yoga therapy that is adopted.
The changes in cardiovascular could be attributed to an enhanced harmony in cardiac autonomic functions, resulting
from the coordinated breath-body work, as well as the relaxation of mind and body, Deputy Director (Yoga) of CYTER
Ananda Balayogi Bhavanani told The Hindu .
For the study, data of 1896 patients 1229 women, 633 men and 34 transgender from the ages of 24 to 48 was
analysed. These people attended yoga sessions between November 2010 and September 2012 and heart rate, systolic
and diastolic pressure were measured after a 60 minute yoga session. Pulse pressure, mean pressure, rate pressure
product and double produce were derived from the data.
In patients with hypertension, there was a significant reduction in cardiovascular parameters following the session.
People with skin problems and musculoskeletal problems, the reduction was less significant, while in patients with no
health conditions as well as those with psychiatric and respiratory conditions, there was a moderate change in the
cardiovascular markers, the study indicates.
According to Dr. Bhavanani, although there have been several studies on the physiological, psychological and
biochemical changes following yoga practice, only very few have focussed on the effect of a single session. CYTER also
conducted a one day CME to discuss papers on Lifestyle Diseases and Yoga recently.
Printable version | Apr 25, 2014 5:50:09 PM | http://www.thehindu.com/todays-paper/tp-national/tp-
tamilnadu/yoga-could-reduce-cardiovascular-markers/article5438837.ece
The Hindu