Yoga practices such as specific poses, breathing techniques, and meditation can benefit those with respiratory disorders by improving flexibility, strength, coordination, respiratory function, and reducing stress and anxiety. Certain poses like Meru Asana, Padhasta Asana, Ushtra Asana, and pranayamas including Bhastrika, Pranava, and Kukkriya can effectively target different areas of the lungs to optimize breathing. Nasal cleansing techniques like Neti and nasal irrigation also help promote sinus and respiratory health.
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Yoga for respiratory disorders
1. Yoga for respiratoryYoga for respiratory
disordersdisorders
YogacharyaYogacharya
Dr. ANANDA BALAYOGI BHAVANANIDr. ANANDA BALAYOGI BHAVANANI
MBBS, ADY, DSM, DPC, PGDFH, PGDY, MD (Alt Med), FIAY, C-IAYTMBBS, ADY, DSM, DPC, PGDFH, PGDY, MD (Alt Med), FIAY, C-IAYT
Deputy DirectorDeputy Director
Centre for Yoga Therapy, Education and Research (CYTER),Centre for Yoga Therapy, Education and Research (CYTER),
Sri Balaji Vidyapeeth, Puducherry. www. sbvu.ac.inSri Balaji Vidyapeeth, Puducherry. www. sbvu.ac.in
WHO Workshop 2016WHO Workshop 2016
2. SBV AIM HIGH’sSBV AIM HIGH’s
Centre for Yoga Therapy, EducationCentre for Yoga Therapy, Education
and Researchand Research ((CYTERCYTER))
Salutogenesis, our focus!
3. SBV AIM HIGH’sSBV AIM HIGH’s
Centre for Yoga Therapy, EducationCentre for Yoga Therapy, Education
and Researchand Research ((CYTERCYTER))
Salutogenesis, our focus!
4. 1. Annamayakosha
(Anatomical existence)
2. Pranamayakosha
(Physiological existence)
3. Manomayakosha
(Psychological existence)
4. Vijnanamayakosha
(Intellectual existence)
5. Anandamayakosha
(Universal existence)
PANCHA KOSHAPANCHA KOSHA
- 55 levels of human existence
5. Deep breathing is economical *Deep breathing is economical *
NormalNormal ShallowShallow DeepDeep
VolumeVolume (ml)(ml) 500500 200200 10001000
Rate/minRate/min 1212 3030 66
VentilationVentilation (ml)(ml) 60006000 60006000 60006000
Dead spaceDead space (ml)(ml) 150150 150150 150150
Dead space VDead space V (ml)(ml) 18001800 45004500 900900
Alveolar VAlveolar V (ml)(ml) 42004200 15001500 51005100
* Prof Madanmohan, Director CYTER and Head Department of Physiology, MGMC & RI
6. Yoga Practices
Postures, Breathing, Relaxation, Meditation
Fitness
↑Flexibility
↑Strength
↑Coordination/Balance
↑Respiratory Function
↑Self-Efficacy
Global Human Functionality
↑Physical & Mental Health, ↑Physical, Mental, Emotional Performance,
↑Positive Behavior Change, ↑Social Responsibility, Values,
Relationships, ↑Quality of Life, ↑Life Purpose & Meaning, ↑Spirituality
Self-Regulation
↑Emotion Regulation
↑Stress Regulation
↑Resilience
↑Equanimity
↑Self-Efficacy
Awareness
↑Attention
↑Mindfulness
↑Concentration
↑Cognition
↑Meta-cognition
Spirituality
↑Transcendence
↑Unitive State
↑Flow
↑Transformation
↑Life Meaning/Purpose
* Concept and image courtesy of Sat Bir S Khalsa, PhD USA
7. Proposed relationships among dyspnea, benefits of yoga,Proposed relationships among dyspnea, benefits of yoga,
and outcomes of participation in a yoga program.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: 225–234.
11. CHANT YOUR WAY TOCHANT YOUR WAY TO
HEALTHY SINUSESHEALTHY SINUSES
Chanting creates sound vibrations encouraging airChanting creates sound vibrations encouraging air
to move back & forth between sinus membranesto move back & forth between sinus membranes
and nasal passages.and nasal passages.
This helps open the tiny ducts connecting the noseThis helps open the tiny ducts connecting the nose
to the sinuses, allowing the sinuses to drainto the sinuses, allowing the sinuses to drain
properly.properly.
Sinuses are effectively ventilated by humming.Sinuses are effectively ventilated by humming.
Previous research has shown that poor sinusPrevious research has shown that poor sinus
ventilation increases the risk for sinusitis.ventilation increases the risk for sinusitis.
12. Daily humming or "Om" chanting may preventDaily humming or "Om" chanting may prevent
infections from actually taking hold, according toinfections from actually taking hold, according to
Jon Lundberg and Eddie Weitzberg of theJon Lundberg and Eddie Weitzberg of the
Karolinska Institute, Sweden.Karolinska Institute, Sweden.
They found that humming increased nitric oxideThey found that humming increased nitric oxide
levelslevels fifteenfoldfifteenfold, compared to quiet exhalations, compared to quiet exhalations
without sound.without sound.
The exhalations of people with healthy sinusesThe exhalations of people with healthy sinuses
tend to have high nitric oxide levels, indicatingtend to have high nitric oxide levels, indicating
that more air is able to flow between the sinusesthat more air is able to flow between the sinuses
and the nose.and the nose.
Nada Pranayamas of Yoga such as Bhramari andNada Pranayamas of Yoga such as Bhramari and
the Pranava are similar to the humming used inthe Pranava are similar to the humming used in
the study.the study.
13. NETI: THE YOGIC NASALNETI: THE YOGIC NASAL
CLEANSING TECHNIQUECLEANSING TECHNIQUE
TYPES OF NETI:TYPES OF NETI:
Jala NetiJala Neti -Nasal irrigation with lukewarm saline-Nasal irrigation with lukewarm saline
Sutra Neti -cleaning with a thread or catheterSutra Neti -cleaning with a thread or catheter
Dugdha Neti -Nasal irrigation with milkDugdha Neti -Nasal irrigation with milk
Ghrta Neti -Nasal irrigation with melted gheeGhrta Neti -Nasal irrigation with melted ghee
Jala KapalabhatiJala Kapalabhati
Vyutkrama KapalabhatiVyutkrama Kapalabhati
Seetkrama KapalabhatiSeetkrama Kapalabhati
14. BENEFITS OF NETI KRIYABENEFITS OF NETI KRIYA
Removes mucus and dust particles from the nasalRemoves mucus and dust particles from the nasal
passages and the sinuses.passages and the sinuses.
All the five Jnanendriyas are purified, cleansed andAll the five Jnanendriyas are purified, cleansed and
activated by Neti Kriyaactivated by Neti Kriya
Excellent preventive against cold, cough, sinusitisExcellent preventive against cold, cough, sinusitis
and infections of the respiratory tract.and infections of the respiratory tract.
Neti also renders the nose resistant to irritants likeNeti also renders the nose resistant to irritants like
water, cotton, rubber, ghee, milk and thus helps inwater, cotton, rubber, ghee, milk and thus helps in
hypersensitivity eg. Allergic Rhinitis.hypersensitivity eg. Allergic Rhinitis.
Helps to overcome addictions especially to tobaccoHelps to overcome addictions especially to tobacco
and alcohol.and alcohol.
15. NASAL IRRIGATIONNASAL IRRIGATION
Hypertonic nasal irrigation is a therapy thatHypertonic nasal irrigation is a therapy that
flushes the nasal cavity with saline solution,flushes the nasal cavity with saline solution,
facilitating a wash of the structures within.facilitating a wash of the structures within.
Originally part of the Yogic tradition as Neti, thisOriginally part of the Yogic tradition as Neti, this
technique is anecdotally regarded as safe andtechnique is anecdotally regarded as safe and
effective.effective.
It has been suggested as adjunctive therapy forIt has been suggested as adjunctive therapy for
sinusitis related symptoms.sinusitis related symptoms.
Potential efficacy is supported by the observationPotential efficacy is supported by the observation
that hypertonic saline improves mucociliarythat hypertonic saline improves mucociliary
clearance, ciliary beat frequency thins mucus, andclearance, ciliary beat frequency thins mucus, and
may decrease inflammation.may decrease inflammation.
16. David Shoseyov and colleagues have shown thatDavid Shoseyov and colleagues have shown that
hypertonic saline improves both clinical scores andhypertonic saline improves both clinical scores and
plain Waters’ projection radiology scores inplain Waters’ projection radiology scores in
children with chronic sinusitis.children with chronic sinusitis.
They have also commented that the treatment isThey have also commented that the treatment is
tolerable, inexpensive, and effective.tolerable, inexpensive, and effective.
Dr. Marple, professor of otolaryngology at theDr. Marple, professor of otolaryngology at the
University of Texas says that saline nasal irrigationUniversity of Texas says that saline nasal irrigation
is a highly effective, minimally invasiveis a highly effective, minimally invasive
intervention for people suffering from nasal issues.intervention for people suffering from nasal issues.
He however adds,He however adds, “But it’s just not as sexy to talk“But it’s just not as sexy to talk
about. People want to hear about surgery orabout. People want to hear about surgery or
antibiotics.”antibiotics.”
17. David Rabago and colleagues at the University ofDavid Rabago and colleagues at the University of
Wisconsin have shown that daily hypertonic salineWisconsin have shown that daily hypertonic saline
nasal irrigation improves sinus-related quality ofnasal irrigation improves sinus-related quality of
life, decreases symptoms, and decreaseslife, decreases symptoms, and decreases
medication use in patients with frequent sinusitis.medication use in patients with frequent sinusitis.
They also recommended that primary careThey also recommended that primary care
physicians can feel comfortable recommendingphysicians can feel comfortable recommending
this therapy.this therapy.
18. KUNJAL KRIYA
One of the Shat Karmas
Immense value for mucous (Kapha) disorders
Done in the morning on an empty stomach.
One or two litres of lukewarm saline drunk rapidly
Abdomen churned with Nauli Kriya or Agnisara
Induce vomiting with fingers
Mechanism: Close functional relationship between
upper GIT and airways with reflex action in nerves
supplying both esophagus and bronchi.
Always relax after in Shavasana with deep breathing.
19.
20. Breath-body harmonizing practicesBreath-body harmonizing practices
Tala and Ardhakati kriyas
Nasarga Mukha Bhastrika
with Jathis
in Meru Asana
in Ushtra Asana
Vyagraha Pranayama
Pawan Mukta Kriya
Bhujangini Mudra
21. SURYA NAMASKARSURYA NAMASKAR
Ancient Yogic method of worshiping the sunAncient Yogic method of worshiping the sun
through a sequence of 12 postures that streamlinethrough a sequence of 12 postures that streamline
the functioning of all systems of the human body.the functioning of all systems of the human body.
Includes a breath sequence & chantingIncludes a breath sequence & chanting
Helps improve all aspects of physical fitnessHelps improve all aspects of physical fitness
including cardio-respiratory efficiency.including cardio-respiratory efficiency.
When done with the Surya Namaskar Mantras itWhen done with the Surya Namaskar Mantras it
has the added benefits of ventilating the sinuses.has the added benefits of ventilating the sinuses.
Helps develop breath-body movementHelps develop breath-body movement
coordination - corrects psychosomatic disorders bycoordination - corrects psychosomatic disorders by
reuniting the body and mind through the breath.reuniting the body and mind through the breath.
22.
23. POSTURES DONE FROM THEPOSTURES DONE FROM THE
STANDINGSTANDING
Meru AsanaMeru AsanaArdha Kati ChakrasanaArdha Kati Chakrasana
24. POSTURES DONEPOSTURES DONE
FROM THE SITTINGFROM THE SITTING
Ushtra AsanaUshtra Asana
ArdhaArdha
MatsyendrasanaMatsyendrasana
Chatus Pada Asana and Vyagrah PranayamaChatus Pada Asana and Vyagrah Pranayama
25. POSTURES DONE FROM LYING DOWNPOSTURES DONE FROM LYING DOWN
Bhujanga AsanaBhujanga Asana
Matsya AsanaMatsya Asana
Bala AsanaBala Asana
Pawan Mukta AsanasPawan Mukta Asanas
27. PRANAYAMASPRANAYAMAS
Bhastrika PranayamaBhastrika Pranayama
Bellows breathingBellows breathing
Surya BhedanaSurya Bhedana
Breathe in right andBreathe in right and
out left nostrilout left nostril
Pranava PranayamaPranava Pranayama
Chanting Akara,Chanting Akara,
Ukara, Makara andUkara, Makara and
OmkaraOmkara
Anu Nasika PranayamaAnu Nasika Pranayama
Blasting out through theBlasting out through the
nostrils in a specificnostrils in a specific
patternpattern
Kukkriya PranayamaKukkriya Pranayama
Dog pant breathingDog pant breathing
Bhramari PranayamaBhramari Pranayama
Bee sound breathingBee sound breathing
28.
29. HATHENAS
Asanas, Kriyas and Mudras
to mindfully utilize all parts of the lungs
by consciously forcing air
into all of the
bronco-pulmonary segments.
“Yatho mana, tatho prana”
Where the mind goes, ther the energy flows!
37. VibhagaVibhaga
PranayamaPranayama
Adham PranayamaAdham Pranayama
abdominal and lower limb disordersabdominal and lower limb disorders
Madhyam PranayamaMadhyam Pranayama
chest and upper limb disorderschest and upper limb disorders
Adhyam PranayamaAdhyam Pranayama
head and neck disordershead and neck disorders
Mahat Yoga PranayamaMahat Yoga Pranayama
affects the whole bodyaffects the whole body
Focusing consciousness into broncho-pulmonary segments
38. Pranava PranayamaPranava Pranayama
Using foundation of VibhagaUsing foundation of Vibhaga
Chanting Akara, Ukara, Makara andChanting Akara, Ukara, Makara and
Omkara NadaOmkara Nada
2 to 3 times longer exhalations2 to 3 times longer exhalations
Appropriate hand gestures (Mudras)Appropriate hand gestures (Mudras)
45. AN INTEGRATED APPROACHAN INTEGRATED APPROACH
The need of the modern age is to have an integratedThe need of the modern age is to have an integrated
approach towards therapy and to utilize Yoga therapyapproach towards therapy and to utilize Yoga therapy
with coordination and collaboration with other systemswith coordination and collaboration with other systems
of medicine such as Allopathy, Ayurveda, Siddha andof medicine such as Allopathy, Ayurveda, Siddha and
NaturopathyNaturopathy
Physiotherapy, osteopathy and chiropractic practicesPhysiotherapy, osteopathy and chiropractic practices
may be used with the Yoga if neededmay be used with the Yoga if needed
Advise on diet and life style is very importantAdvise on diet and life style is very important
Adoption of right attitudes through Yogic counsellingAdoption of right attitudes through Yogic counselling
46. IN CONCLUSIONIN CONCLUSION
The ancient art and science of Yoga has infiniteThe ancient art and science of Yoga has infinite
possibilities of solutions for the health related issuespossibilities of solutions for the health related issues
faced by modern humankind.faced by modern humankind.
We however want it to be a miracle pill, that we takeWe however want it to be a miracle pill, that we take
only once - immediate solution to all problems!only once - immediate solution to all problems!
Yoga is a wholistic science and must be learnt andYoga is a wholistic science and must be learnt and
practiced with a holistic view.practiced with a holistic view.
The dedicated practice of Yoga as aThe dedicated practice of Yoga as a way of lifeway of life is nois no
doubt a panacea for psychosomatic, stress relateddoubt a panacea for psychosomatic, stress related
disorders helping us to regain our birthright of naturaldisorders helping us to regain our birthright of natural
health and universal happiness.health and universal happiness.
The integration of Yoga and modern medicine can helpThe integration of Yoga and modern medicine can help
create a healthier and happier world.create a healthier and happier world.
47. ““Health and happiness are your birthright.Health and happiness are your birthright.
Do not forsake your golden culture for theDo not forsake your golden culture for the
plastic playthings of the modern world.plastic playthings of the modern world.
Learn and live Yoga for then you will knowLearn and live Yoga for then you will know
true health and happinesstrue health and happiness””
Yogamaharishi
Dr Swami Gitananda Giri
Guru Maharaj
(1907-1993)
Founder
ICYER at Ananda Ashram,
Pondicherry
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: 225–234.