Type of Article:  Original Research

Volume 5; Issue 4 (July 2017)

Page No.: 2220-2224

DOI: https://dx.doi.org/10.16965/ijpr.2017.176


T. Suresh Kumar *1, S. Senthilvelan 2, Rajesh Patil 3.

*1 Associate Professor,MIP college of Physiotherapy, Latur, Maharashtra, India

2 Professor, Annamalai University, Chidambaram,Tamilnadu, India.

3 Associate Professor, MIMSR Medical College, Latur, Maharashtra, India.

Correspondence Address: Dr. T.Sureshkumar, MPT (Neuro), Associate Professor, MIP College of Physiotherapy, Latur, Maharashtra, India. MOB: 9637677600 E-Mail: sureshphysio2000@gmail.com


Background:  Restless legs syndrome (RLS) is a neurological disorder characterized by an irresistible urge to move one’s body to stop uncomfortable or odd sensations. It most commonly affects the legs, but can affect the arms, torso, and even phantom limbs. Moving the affected body part modulates the sensations, providing temporary relief. RLS has been found to be associated with depression in clinical sample as well as epidemiological studies. Dopamine is implicated in the causation of Psychological symptoms like stress and fatigue. and treatment of RLS by non pharmalogic methods is thought to improve de in RLS patients.RLS is a hardly studied, probably under-diagnosed condition in India. The exact prevalence of restless legs syndrome in India is not known as not much literature available on restless legs syndrome from India.

Methodology: The age of the patients ranged 40 to 60 years. The patients were diabetic neuropathy with restless leg syndrome were selected as subjects for this study. The patients were divided into two groups. Group A as control group were given pharmacological treatment only. Group B as experimental group were given pharmacological therapy along with aerobic exercises and yogasana program.

Results: Stress: pre test, post test and the adjusted post tests indicates  significant difference. This indicates the aerobic exercise and yogasana programme on reducing perceived stress in the Group B after twelve weeks training period.

Fatigue: The pre test is statistically significant difference between the pre-test means of both the groups, The post test mean indicates there was no statistically significant difference between the pre test means of both the groups at 0.05 level of confidence.   The adjusted post test means indicates significant difference between the adjusted  means at  0.05 level of confidence. This indicates the aerobic exercise and yogasana programme to decrease fatigue in the Group B after twelve weeks training period.

Conclusion: Aerobic exercise and yogasana program with non pharmacological treatment given significant effect in reducing stress and fatigue in restless leg syndrome Patients. The dosage of drugs intake was reduced in group B after the course of the study. Hence this exercise regimen can be given as a adjunct therapy in treating restless less leg syndrome.

Key words: Restless leg syndrome, Aerobic Exercises, Yogasana programme, Stress and Fatigue.


  1. Christopher J, Early. Restless Legs Syndrome. New England Journal of Medicine 2003;348 (21).
  2. Skidmore, F M; Drago, V., Foster, P S, Heilman, K M. Bilateral restless legs affecting a phantom limb, treated with dopamine agonists. Journal of    Neurology, Neurosurgery & Psychiatry 2009;80(5):569–70.
  3. Harmeet Singh, Savita Verma, Sameer Aggarwal. Restless Leg syndrome. JIACM 2008;9(3):188-92.
  4. Hening W, Walters AS, Allen RP, Montplaisir J,Myers A, Ferini-Strambi Impact, diagnosis and treatment of restless legs syndrome (RLS) in a pri-mary care population: the REST (RLS epidemiology, symptoms, and treatment) primary care study. Sleep Med 2004;5:237–46.
  5. Sevim S, Dogu O, Kaleagasi H, Aral M, Metin O,Camdeviren Correlation of anxiety and depression symptoms in patients with restless legs syndrome: a population based survey. J Neurol Neuro-surg Psychiatry 2004;75:226–30.
  6. Hornyak M. Depressive disorders in restless legs syndrome: Epidemiology, pathophysiology and management. CNS Drugs. 2010;24:89–98.
  7. Cho SJ, Hong JP, Hahm BJ, Jeon HJ, Chang SM, Cho MJ, et al. Restless legs syndrome in a community sample of Korean adults: Prevalence, impact on quality of life, and association with DSM-IV psychiatric disorders. 2009;32:1069–76.
  8. Benes H, Mattern W, Peglau I, Dreykluft T, Bergmann L, Hansen C, et al. Ropinirole improves depressive symptoms and restless legs syndrome severity in RLS patients: A multicentre, randomized, placebo-controlled study. J Neurol. 2011;258:1046–54.
  9. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC, American Psychiatric Association, 2000. p. 356.
  10. Earley CJ. Clinical practice. Restless legs syndrome. N Engl J Med 2003;348:2103-9.
  11. Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisir J. Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 2003;4:101-19.
  12. Yue W, Hao W, Liu P, Liu T, Ni M, Guo Q. A case-control study on psychological symptoms in sleep apnea-hypopnea syndrome. Can J Psychiatry 2003;48:318-23.
  13. Dorsey CM, Lukas SE, Cunningham SL. Fluoxetine-induced sleep disturbance in depressed patients. Neuropsychopharmacology 1996;14:437-42.
  14. Cuellar NG, Hanlon A, Ratcliffe SJ.The Relationship with Iron and Health Outcomes in Persons With Restless Legs Syndrome. Clin nur res 2010.nov 1.
  15. Kim E. Innes, MSPH, PhD, Efficacy of an Eight-Week Yoga Intervention on Symptoms of Restless Legs Syndrome (RLS): A Pilot Study. J Altern Complement Med. 2013 Jun; 19(6): 527–535.
  16. Andrea Maculano Esteves, Marco Túlio de Mello, Ana Amélia Benedito-Silva, Sérgio Tufik. Impact of aerobic physical exercise on Restless Legs Syndrome. Sleep Sci. 2011;4(2): 45-48.

Cite this article: T. Suresh Kumar, S. Senthilvelan, Rajesh Patil. EFFECT OF AEROBIC EXERCISE AND YOGASANA PROGRAMME ON FATIGUE AND STRESS IN PERIPHERAL NEUROPATHY PATIENTS WITH RESTLESS LEG SYNDROME. Int J Physiother Res 2017;5(4):2220-2224. DOI: 10.16965/ijpr.2017.176