Chronic Obstructive Pulmonary Diseases (COPD)

Improve the Symptoms of COPD with Mindful Movement Practices

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Improve the Symptoms of COPD with Mindful Movement Practices

 

By John M. de Castro, Ph.D.

 

“a low-cost exercise intervention is equivalent to formal pulmonary rehabilitation, and this may enable a greater number of patients to be treated. Physical activity is key to reducing symptoms in COPD. We do recommend [pulmonary rehabilitation], but our study shows that tai chi is a viable alternative when there is no local [pulmonary rehabilitation] service.” – Yuan-Ming Luo

 

Chronic obstructive pulmonary diseases (COPD) are progressive lung diseases that obstruct airflow. The two main types of COPD are chronic bronchitis and emphysema. COPD is very serious being the third leading cause of death in the United States, over 140,000 deaths per year and the number of people dying from COPD is growing. More than 11 million people have been diagnosed with COPD, but an estimated 24 million may have the disease without even knowing it. COPD causes serious long-term disability and early death. Symptoms develop slowly. Over time, COPD can interfere with the performance of routine tasks and is thus a major cause of disability in the United States. The most common cause of COPD is smoking. But, COPD also occurs with miners and is called black lung disease. COPD is not contagious. Most of the time, treatment can ease symptoms and slow progression.

 

There is no cure for COPD. Treatments include lifestyle changes, medicine, bronchodilators, steroids, pulmonary rehabilitation, oxygen therapy, and surgery. They all attempt to relieve symptoms, slow the progress of the disease, improve exercise tolerance, prevent and treat complications, and improve overall health. Gentle exercise such as Yoga practice could improve COPD symptoms as it has been shown to improve exercise tolerance and overall health and includes breathing exercises. Indeed, it has been shown that yoga practice improves the mental and physical health of patients with COPD. Mindful Movement practices such Tai Chi and qigong are ancient Chinese practices involving mindfulness and gentle movements. They are easy to learn, safe, and gentle. So, it may be appropriate for patients with COPD who lack the ability to engage in strenuous exercises to engage in these gentle practices.

 

In today’s Research News article “Effectiveness of meditative movement on COPD: a systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909800/ ), Wu and colleagues review and summarize the published literature on the use of yoga practice or Tai Chi and qigong (meditative movements) for the treatment of Chronic obstructive pulmonary diseases (COPD). They discovered 16 studies of which 7 evaluated yoga, 4 tai chi, 3 qigong, and 2 tai chi and qigong combined. The studies involved 1176 total COPD patients.

 

They found that the studies reported that COPD patients who engaged in meditative movements were able to walk further in 6 minutes than controls even when the control condition was walking exercise. Further meditative movement was reported to significantly improve lung function and quality of life with COPD and reduce fatigue. Hence the published literature supports the use of meditative movements, yoga, Tai Chi and Qigong, for the treatment of the symptoms of Chronic obstructive pulmonary diseases (COPD).

 

These findings are particularly important as mindful movement practices, are gentle and safe, having no appreciable side effects, they appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion, are inexpensive to administer, can be performed in groups or alone, at home or in a facility, and can be quickly learned. In addition, they can be practiced in social groups. This can make it fun, improving the likelihood of long-term engagement in the practice. So, the mindful movement practices of yoga, Tai Chi and Qigong would appear to be almost ideal, safe and effective treatments for the symptoms of Chronic obstructive pulmonary diseases (COPD).

 

So, improve the symptoms of COPD with mindful movement practices.

 

“Finding a way to relieve stress when dealing with COPD is key to sustaining good health.  Tai Chi is an easy, graceful exercise that is highly effective for reducing stress levels.” – Lung Institute

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Wu, L.-L., Lin, Z.-K., Weng, H.-D., Qi, Q.-F., Lu, J., & Liu, K.-X. (2018). Effectiveness of meditative movement on COPD: a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 13, 1239–1250. http://doi.org/10.2147/COPD.S159042

 

Abstract

Background

The effectiveness of meditative movement (tai chi, yoga, and qigong) on COPD remained unclear. We undertook a systematic review and meta-analysis to determine the effectiveness of meditative movement on COPD patients.

Methods

We searched PubMed, Web of Science, EMBASE, and the Cochrane Center Register of Controlled Trials for relevant studies. The methods of standard meta-analysis were utilized for identifying relevant researches (until August 2017), quality appraisal, and synthesis. The primary outcomes were the 6-minute walking distance (6MWD), lung function, and dyspnea levels.

Results

Sixteen studies involving 1,176 COPD patients were included. When comparing with the control group, the 6MWD was significantly enhanced in the treatment group (3 months: mean difference [MD]=25.40 m, 95% CI: 16.25 to 34.54; 6 months: MD=35.75 m, 95% CI: 22.23 to 49.27), as well as functions on forced expiratory volume in 1 s (FEV1) (3 months: MD=0.1L, 95% CI: 0.02 to 0.18; 6 months: MD=0.18L, 95% CI: 0.1 to 0.26), and FEV1 % predicted (3 months: 4L, 95% CI: 2.7 to 5.31; 6 months: MD=4.8L, 95% CI: 2.56 to 7.07). Quality of life for the group doing meditative movement was better than the control group based on the Chronic Respiratory Disease Questionnaire dyspnea score (MD=0.9 units, 95% CI: 0.51 to 1.29) and fatigue score (MD=0.75 units, 95% CI: 0.42 to 1.09) and the total score (MD=1.92 units, 95% CI: 0.54 to 3.31).

Conclusion

Meditative movement may have the potential to enhance lung function and physical activity in COPD patients. More large-scale, well-designed, multicenter, randomized controlled trials should be launched to evaluate the long-range effects of meditative movement.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909800/

 

Improve Chronic Obstructive Pulmonary Diseases (COPD) with Yoga

psyjdc 1 Comment

 

By John M. de Castro, Ph.D.

 

 “practicing yoga is one of the best things you can do for the health of your lungs. Yoga will strengthen the muscles of your chest, increase your lung capacity and boost oxygen intake.” – Tania Tarafdar

 

Chronic obstructive pulmonary diseases (COPD) are progressive lung diseases that obstruct airflow. The two main types of COPD are chronic bronchitis and emphysema. COPD is very serious being the third leading cause of death in the United States, over 140,000 deaths per year and the number of people dying from COPD is growing. More than 11 million people have been diagnosed with COPD, but an estimated 24 million may have the disease without even knowing it. COPD causes serious long-term disability and early death. Symptoms develop slowly. Over time, COPD can interfere with the performance of routine tasks and is thus a major cause of disability in the United States. The most common cause of COPD is smoking. But, COPD also occurs with miners and is called black lung disease. COPD is not contagious. Most of the time, treatment can ease symptoms and slow progression.

 

There is no cure for COPD. COPD treatments include lifestyle changes, medicine, bronchodilators, steroids, pulmonary rehabilitation, oxygen therapy, and surgery. They all attempt to relieve symptoms, slow the progress of the disease, improve exercise tolerance, prevent and treat complications, and improve overall health. Yoga practice would seem to be a useful lifestyle change that could improve COPD symptoms as it has been shown to improve exercise tolerance and overall health and includes breathing exercises. Indeed, it has been shown that yoga practice improves the mental and physical health of patients with COPD.

 

In today’s Research News article “Yoga-based pulmonary rehabilitation for the management of dyspnea in coal miners with chronic obstructive pulmonary disease: A randomized controlled trial.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1413254018698520/?type=3&theater

or see summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052394/

Ranjita and colleagues studied the effectiveness of yoga practice on Chronic obstructive pulmonary diseases (COPD) by recruiting non-smoking male coal miners with COPD and randomly assigned them to a treatment as usual group or a yoga practice group. Yoga was practiced in 90-minute session, 6 days per week for 12 weeks. Before and after training the participants were measured for exercise tolerance with a walking test, breathing difficulty, blood oxygen levels, pulse rate, and fatigue.

 

They found that the miners who participated in the yoga practice had a significant (24.4%) improvement in breathing, a 25.9% decrease in fatigue, a 19.9% increase in the walking test distance covered, a 1.3% increase in blood oxygen levels, and a 4.3% decrease in resting pulse rate. Hence, yoga practice significantly improved the miners’ lung function, energy level, and physical fitness.

 

These are excellent results and suggest that yoga practice may be a very useful additional treatment for Chronic obstructive pulmonary diseases (COPD). Previous research has shown that yoga practice improved overall health, depression, anxiety in COPD sufferers. Since, yoga practice is a gentle exercise that includes breathing exercises, it seems reasonable that it would have these beneficial effects for COPD sufferers. It would be useful if future research compared yoga practice to other forms of exercise as treatments for COPD. The yoga practice used in this study was exceptionally intensive. Many patients would not be willing to engage in such an intense practice. Future research should also look at whether less intensive yoga practice might be beneficial.

 

So, improve chronic obstructive pulmonary diseases (COPD) with yoga.

 

“A comprehensive yoga program can have a salutary effect on general health and respiratory health and thereby help increase a person’s ability to perform activities of daily living. COPD is known to increase the level of stress, emotional vulnerability, inactivity and muscle wasting. Yoga techniques are particularly suited for promoting relaxation, psycho-emotional stability and exercise tolerance.” – Vijai Sharma

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

 

Study Summary

Ranjita, R., Hankey, A., Nagendra, H. R., & Mohanty, S. (2016). Yoga-based pulmonary rehabilitation for the management of dyspnea in coal miners with chronic obstructive pulmonary disease: A randomized controlled trial. Journal of Ayurveda and Integrative Medicine, 7(3), 158–166. http://doi.org/10.1016/j.jaim.2015.12.001

 

Abstract

Background: Coal mine dust exposure causes chronic airflow limitation in coal miners resulting in dyspnea, fatigue, and eventually chronic obstructive pulmonary disease (COPD). Yoga can alleviate dyspnea in COPD by improving ventilatory mechanics, reducing central neural drive, and partially restoring neuromechanical coupling of the respiratory system.

Objectives: To evaluate the effectiveness of Integrated Approach of Yoga Therapy (IAYT) in the management of dyspnea and fatigue in coal miners with COPD.

Materials and methods: Randomized, waitlist controlled, single-blind clinical trial. Eighty-one coal miners (36–60 years) with stable Stages II and III COPD were recruited. The yoga group received an IAYT module for COPD that included asanas, loosening exercises, breathing practices, pranayama, cyclic meditation, yogic counseling and lectures 90 min/day, 6 days/week for 12 weeks. Measurements of dyspnea and fatigue on the Borg scale, exercise capacity by the 6 min walk test, peripheral capillary oxygen saturation (SpO2%), and pulse rate (PR) using pulse oximetry were made before and after the intervention.

Results: Statistically significant within group reductions in dyspnea (P < 0.001), fatigue (P < 0.001) scores, PR (P < 0.001), and significant improvements in SpO2% (P < 0.001) and 6 min walk distance (P < 0.001) were observed in the yoga group; all except the last were significant compared to controls (P < 0.001).

Conclusions: Findings indicate that IAYT benefits coal miners with COPD, reducing dyspnea; fatigue and PR, and improving functional performance and peripheral capillary SpO2%. Yoga can now be included as an adjunct to conventional therapy for pulmonary rehabilitation programs for COPD patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052394/

 

Improve COPD with Yoga

psyjdc 3 Comments

By John M. de Castro, Ph.D.

 

“I am 63 years old. Ten years ago I was diagnosed with emphysema. Emphysema is a progressive disease that increasingly damages the lung structure and impairs the lung function. However, I am pleased to say that my lung function has essentially remained unchanged from the day I was first tested. Credit for this “miracle” primarily goes to nine years of almost daily practice of yoga.” – Vijai Sharma

 

Chronic obstructive pulmonary diseases (COPD) are progressive lung diseases that obstruct airflow. The two main types of COPD are chronic bronchitis and emphysema. COPD is very serious being the third leading cause of death in the United States, over 140,000 deaths per year. More than 11 million people have been diagnosed with COPD, but an estimated 24 million may have the disease without even knowing it. COPD causes serious long-term disability and early death. Symptoms develop slowly. Over time, COPD can interfere with the performance of routine tasks and is thus a major cause of disability in the United States. The most common cause of COPD is smoking. COPD also occurs with miners and is called black lung disease which has symptoms and progression very similar to cigarette smoking. COPD is not contagious. Most of the time, treatment can ease symptoms and slow progression. At this time the number of people dying from COPD is growing.

 

COPD has no cure yet. However, lifestyle changes and treatments can help you feel better, stay more active, and slow the progress of the disease. COPD treatments include lifestyle changes, medicine, bronchodilators, steroids, pulmonary rehabilitation, oxygen therapy, and surgery. They all attempt to relieve symptoms, slow the progress of the disease, improve exercise tolerance, prevent and treat complications, and improve overall health. Yoga practice would seem to be a useful lifestyle change that could improve COPD symptoms as it has been shown to improve exercise tolerance and overall health and includes breathing exercises.

 

In today’s Research News article “A randomized controlled study on assessment of health status, depression, and anxiety in coal miners with chronic obstructive pulmonary disease following yoga training.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1269208726436384/?type=3&theater

or below or view the full text of the study at:

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2016;volume=9;issue=2;spage=137;epage=144;aulast=Ranjita

Ranjita and colleagues recruited adult non-smoking coal miners who had been diagnosed with COPD. They were randomly assigned to a yoga practice or a wait-list control condition. yoga training consisted of a set of integrated yoga practices adapted for COPD. Yoga was practiced for 90 min daily, 6 days/week for 12 weeks. The control group simply continued conventional therapy. The miners were assessed before and after the 12-weeks of treatment for COPD effects on health and well-being, depression, and anxiety. They found that yoga practice, compared to the wait-list control condition, had a significant, 23%, improvement in overall health, 26% reduction in depression, and a 16% reduction in anxiety. These are impressive findings and suggest that yoga practice is an effective means to improve the symptoms of chronic obstructive pulmonary diseases (COPD).

 

There are a number of ways that yoga practice may improve COPD symptoms. Firstly, it is a mild exercise involving breathing exercises that may directly assist lung function. Secondly, yoga practice is known to reduce the psychological and physiological responses to stress, making the miners less reactive to their stressful disease. Thirdly, yoga practice has been shown to generally improve emotion regulation and reduce depression and anxiety. And finally, by promotion of present moment awareness, yoga practice may reduce the worry and catastrophizing that is characteristic of sufferers from chronic diseases. It remains for future research to pinpoint the mechanism(s) for the effectiveness of yoga practice in treating the symptoms of COPD.

 

Regardless, improve COPD with yoga.

 

“We found that yoga can be a simple, cost-effective method that can help improve quality of life in patients with COPD” – Randeep Guleria

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts

 

Study Summary

Ranjita R, Badhai S, Hankey A, Nagendra HR. A randomized controlled study on assessment of health status, depression, and anxiety in coal miners with chronic obstructive pulmonary disease following yoga training. Int J Yoga 2016;9:137-44

 

Abstract
Context: Psychological comorbidities are prevalent in coal miners with chronic obstructive pulmonary disease (COPD) and contribute to the severity of the disease reducing their health status. Yoga has been shown to alleviate depression and anxiety associated with other chronic diseases but in COPD not been fully investigated.
Aim: This study aimed to evaluate the role of yoga on health status, depression, and anxiety in coal miners with COPD.
Materials and Methods: This was a randomized trial with two study arms (yoga and control), which enrolled 81 coal miners, ranging from 36 to 60 years with stage II and III stable COPD. Both groups were either on conventional treatment or combination of conventional care with yoga program for 12 weeks.
Results: Data were collected through standardized questionnaires; COPD Assessment Test, Beck Depression Inventory and State and Trait Anxiety Inventory at the beginning and the end of the intervention. The yoga group showed statistically significant (P < 0.001) improvements on all scales within the group, all significantly different (P < 0.001) from changes observed in the controls. No significant prepost changes were observed in the control group (P > 0.05).
Conclusion: Yoga program led to greater improvement in physical and mental health status than did conventional care. Yoga seems to be a safe, feasible, and effective treatment for patients with COPD. There is a need to conduct more comprehensive, high-quality, evidence-based studies to shed light on the current understanding of the efficacy of yoga in these chronic conditions and identify unanswered questions.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2016;volume=9;issue=2;spage=137;epage=144;aulast=Ranjita