Meditative Movement for Respiratory Function: A Systematic Review

Lorenc, Ava; Wang, Yuyi; Madge, Susan; Hu, Xiao-Yang; Mian, Awais; Robinson, Nicola

doi:10.4187/respcare.02570

Cited by 18 publications

(14 citation statements)

References 62 publications

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“…Effectively, previous systematic studies and meta-analyses investigated the efficacy of cognitive behavioral or psychotherapeutically based interventions and progressive muscle relaxation, though not distinguishing them [ 16 ]. Others examined the effects of education, exercise, and/or psychosocial support [ 65 ] in COPD patients, the effects of psychologically based treatments only on anxiety and panic in people with COPD [ 66 ], or the improvements in respiratory functions in people with Cystic Fibrosis (CF) generated by meditative movements [ 67 ]. Finally, other authors investigated the effectiveness of nonpharmacological and noninvasive interventions to relieve breathlessness in participants with advanced stages of cancer, Chronic Obstructive Pulmonary Disease (COPD), interstitial lung disease, chronic heart failure, or motor neuron disease [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

Relaxation Techniques for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and a Meta-Analysis

Volpato

Banfi

Rogers

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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Introduction. Chronic Obstructive Pulmonary Disease (COPD) people suffer from severe physical impairments, which often elicit significant psychological distress and impact their quality of life. This meta-analysis aimed to assess evidence from the scientific literature on the effects of relaxation techniques. Methods. We investigated 9 databases to select 25 RCTs. Studies included both inpatients and outpatients with COPD. Both respiratory and psychological outcomes were considered. Results. Relaxation techniques showed a little positive effect on the value of the percentage of predicted FEV1 (d = 0.20; 95% Cl: 0.40–−0.01) as well as a slight effect on levels of both the anxiety (d = 0.26; 95% Cl: 0.42–0.10) and depression (d = 0.33; 95% Cl: 0.53–0.13). The higher effect size was found in the quality of life value (d = 0.38; 95% Cl: 0.51–0.24). The assessed quality of the studies, based on the PEDro Scale, was generally medium/high. Conclusion. Relaxation training can have a moderate impact on both psychological well-being and respiratory function, resulting in noticeable improvements in both. Although higher quality research is required, our results sustain the importance of relaxation techniques as a tool to manage COPD.

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Section: Discussionmentioning

confidence: 99%

Relaxation Techniques for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and a Meta-Analysis

Volpato

Banfi

Rogers

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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“… 4 Yoga has the potential to be beneficial for patients with CF by impacting many aspects of their disease; however, yoga has not previously been investigated in patients with CF. 13 There are several potential mechanisms by which yoga may benefit patients with CF, including improved airway clearance secondary to deep-breathing exercises and strengthening of respiratory muscles. The potential psychosomatic effects of yoga include stress reduction and an improved sense of wellbeing.…”

Section: Introductionmentioning

confidence: 99%

Yoga as a Therapy for Adolescents and Young Adults with Cystic Fibrosis: A Pilot Study

Ruddy

Emerson

McNamara

et al. 2015

Glob Adv Health Med

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Rationale:Yoga has been shown to improve outcomes in patients with asthma but has not been investigated in cystic fibrosis (CF) patients.Methods:This was a prospective pilot study to evaluate the safety of a standardized yoga program among CF patients aged 12 to 25 years. Participants engaged in a 50-minute yoga session twice weekly for 8 weeks conducted by a certified yoga instructor using a standardized program designed to be safe for health-compromised individuals. Yoga sessions were individual to avoid transmission of infections. Primary outcome was safety and tolerability. Secondary outcome measures included respiratory symptoms, the Cystic Fibrosis Quality of Life instrument (CFQ-R), lung function, Ease of Breathing Score (measure of exercise tolerance), and weight.Results:Eleven participants were enrolled, and 10 completed the study. Adherence was very good; the mean (SD) number of sessions completed was 14.2 (1.3) out of 16 sessions. Eight patients reported 25 adverse events. The most common was cough, reported in 7. Two events were possibly related to study procedures: calf pain and headache. There were no significant changes in dyspnea or pain scales. The mean (SD) CFQ-R respiratory domain score increased from screening to end of study: 67.9 (11.4) to 82.1 (9.9), P=.04. There were no significant changes in the other outcome measures.Conclusions:In this pilot study, a standardized 8-week yoga program was safe and well tolerated among adolescent and young adult CF patients with mild to moderate lung disease. This study may be helpful to yoga instructors who are interested in working with CF patients. Larger controlled trials are warranted to determine further benefits.

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“…After systematic review [75, 76] we found only one prior study performed by Ruddy et al to evaluate yoga as a complementary therapeutic practice in children with cystic fibrosis [76]. The study presented here is the largest to date and the first with a primary aim is to evaluate therapeutic benefit; however, this is a pilot study and the results should be considered suggestive but not conclusive.…”

Section: Discussionmentioning

confidence: 90%

Yoga Therapy in Children with Cystic Fibrosis Decreases Immediate Anxiety and Joint Pain

McNamara¹,

Johnson

Read

et al. 2016

Evidence-Based Complementary and Alternative Medicine

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This study was designed to determine whether yoga might alleviate symptoms of pain, sleep disturbance, anxiety, and depression in children with cystic fibrosis (CF). CF is the most common genetic, life-limiting chronic disease among Caucasian populations. It primarily affects the lungs but also many other secretory organs and consequently leads to significant morbidities. Research has shown that children with CF have significantly increased depression, anxiety, and pain compared to their healthy counterparts. Subjects participated in six one-on-one sessions over a 10-week period with a certified instructor who designed each yoga practice based on a preestablished list of 30 yoga asanas. Questionnaires evaluating pain, sleep disturbance, sustained anxiety, immediate anxiety, and depression were administered. Differences between premeasures and postmeasures were evaluated using a two-sided test. Twenty subjects were assessed (12 females/8 males), median age of 11 (7–20) years. Mean immediate anxiety scores decreased (before session to after session 29 to 23.6, respectively, p < 0.001). Joint pain improved (3.25 to 3.65, p = 0.028). CFQ-R emotion subscale improved from 79.2 to 85 (p = 0.073), and the respiratory subscale improved from 66.7 to 79.2 (p = 0.076). Other results were less notable. We conclude that yoga may reduce immediate anxiety and joint pain in patients with CF.

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Meditative Movement for Respiratory Function: A Systematic Review

Cited by 18 publications

References 62 publications

Relaxation Techniques for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and a Meta-Analysis

Relaxation Techniques for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and a Meta-Analysis

Yoga as a Therapy for Adolescents and Young Adults with Cystic Fibrosis: A Pilot Study

Yoga Therapy in Children with Cystic Fibrosis Decreases Immediate Anxiety and Joint Pain

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