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Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijpr.2016.189 Page No.:  1771-1779
EFFICACY OF PRANAYAMIC BREATHING ON COGNITION AND BALANCE IN PARKINSON’S PATIENTS Neha Singh * 1 , K. Senthil. Assistant Professor, Faculty of Neurosciences, Dr A. P. J. Abdul Kalam College of Physiotherapy, PIMS, Loni-413736, Maharashtra, India. Associate Professor, Thanthai  Roever College of Physiotherapy, The Tamilnadu Dr. MGR Medical University, Perambalur-621212, Chennai, India. CORRESPONDENCE:    Dr   Neha   Singh   (PT),   Assistant   Professor,   Dr   A.   P.   J.      Abdul   Kalam   College   of   Physiotherapy,   PIMS,   Loni-413736,   Maharashtra,   India. Phone No: +91 9420327591  E-Mail:  drneha9559@gmail.com ABSTRACT Purpose:  To investigate the effects of Pranayamic breathing on cognition and balance in Parkinson’s patients. Introduction:   Recent   researches   have   shown   that   pranayamic   breathing   shifts   autonomic   nervous   system   away   from   sympathetic   dominance.   Other physical disorders that are caused by improper mental health have excellent cure through pranayamic breathing exercises. Materials   and   Methods:   Twenty   Parkinson’s   patients   between   50-80   years   of   age   and   stage   3   of   Hoehn   &   Yahr   scale   were   selected   purposively   and   were randomly   divided   into   two   groups.   Group   A   received   pranayamic   breathing   with   conventional   physiotherapy   for   4   days   a   week   for   4   weeks.   Group   B received   conventional   physiotherapy.   Mini   Mental   State   Examination   (MMSE),   Timed   Get   Up   Go   (TUG),   Tinetti’s   Performance   Oriented   Mobility   Assessment (POMA) were used to assess cognition and balance. Analysis:   To   compare   values   of   MMSE,   TUG   test   and   POMA   at   the   end   of   trial   in   each   group,   repeated   measure   ANOVA   with   Bonferroni   test   was   used.   To compare those differences between two groups univariate ANOVA was used. A level of significance was p<0.05. Results:   Comparison   of   MMSE   and   POMA   score   was   found   to   be   statistically   significant   in   group   A   (p<0.05).   Comparison   of   TUG   score   at   the   end   of   trial   in each   group   was   found   to   be   statistically   insignificant   (p>0.05).   Comparison   of   MMSE,   TUG   and   POMA   score   at   the   end   of   week   4   in   both   group   was   found   to statistically significant (p<0.05). Conclusion:   This   study   concluded,   pranayamic   breathing   with   conventional   physiotherapy   has   shown   improvement   in   cognition   and   balance   in   Parkinson’s patients. Implications :  Pranayamic breathing can be used along with conventional physiotherapy to improve cognition and balance in Parkinson’s patients. KEY WORDS: Pranayama, Parkinson’s disease, Balance, Cognition. References: 1 . Susan B O’Sullivan, PT, EdD: Physical Rehabilitation,5 th  edition: Chapter 21: Parkinson’s disease, 853-893. 2 . Calne DB, Teychenne PF, Claveria LE et al: Bromocriptine in parkinsonism, Br Med J 1974;4:442. 3 . Rajput   AH,   Uitti   RJ,   Stern   W,   et   al:   Geography,   drinking   well   water   chemistry,   pesticides   and   herbicides   and   the   aetiology   of   Parkinson   disease,   Can   J Neurol Sci 1987;14:414. 4 . Booij   J,   Tissingh   G,   Winogrodzka   A,   van   Royen   EA.   Imaging   of   the   dopaminergic   neurotransmission   system   using   single-proton   emission   tomography and positron emission tomography in patients with parkinsonism. Eur J Nucl Med 1999;26:171-82. 5 . Goldman   WP,   Baty   JD,   Buckles   VD,   et   al.   Cognitive   and   motor   functioning   in   Parkinson   disease:   subjects   with   and   without   questionable   dementia. Arch Neurol. 1998;55(5):674-680. 6 . Susan Spear Bassett, Cognitive impairment in Parkinson’s disease. Primary Psychiatry.2005;12(7):50-55 7 . Eugenia   Mamikonyan   et   al,   Mild   cognitive   impairment   is   common   in   Parkinson’s   disease   patients   with   normal   Mini-Mental   State   Examination   (MMSE) scores. Parkinsonism Relat Disord, 2009 March;15(3);226-231. 8 . Janvin   C, Aarsland   D,   Larsen   JP,   Hugdahl   K.   Neuropsychological   profile   of   patients   with   Parkinson’s   disease   without   dementia.   Dement   Geriatr   Cogn Disord.2003;15:126–31. 9 . Williams-Gray   CH,   Foltynie   T,   Brayne   CEG,   Robbins   TW,   Barker   RA.   Evolution   of   cognitive   dysfunction   in   an   incident   Parkinson’s   disease cohort.Brain.2007;130:1787–98. 1 0 . Muslimovic D, Post B, Speelman JD, Schmand B. Cognitive profile of patients with newly diagnosed Parkinson disease. Neurology. 2005;65:1239–45. 1 1 . Foltynie   T,   Brayne   CEG,   Robbins   TW,   Barker   RA.   The   cognitive   ability   of   an   incident   cohort   of   Parkinson’s   patients   in   the   UK.   The   Campaign   study Brain.2004;127:550–60. 1 2 . Joe Nocera et al. The relationship between balance and cognition in Parkinson’s disease. Movt Disord 2007;22:S358-366. 1 3 . Brunnstrom.   Walking   preparation   and   gait   training-   trunk   balance   In:   Brunnstorm’s   movement   therapy   in   hemiplegic:   a   neurological   approach;   second edition: medical Dept; Harper & Row, 1970, pg-146. 1 4 . Podsiadlo, D, and Richardson, S: The Timed “up and go”: A test of basic functional mobility for frail elderly patients. J Am Geriatr Soc 1991;39:142. 1 5 . Tinetti, M: Performance- oriented assessment of mobility problems in elderly patients, J Am Geriatr Soc 1986;34:119. 1 6 . Ravinder   Jerath,   et   al.   Physiology   of   long   pranayamic   breathing:   Neural   respiratory   elements   may   provide   a   mechanism   that   explains   how   slow   deep breathing shifts the autonomic nervous system. Medical hypothesis (2006). 1 7 . Chodzinski J. The effect of rhythmic breathing on blood pressure in hypertensive adults. J Undergrad Res 2000;1(6). 1 8 . Singh S et al. Role of yoga in modifying certain cardiovascular functions in type 2 diabetic patients. J Assoc Physician India 2004;52:203-6. 1 9 . Harinath   K   et   al.   Effects   of   Hatha   yoga   and   Omkar   meditation   on   cardiorespiratory   performance,   psychologic   profile,   and   melatonin   secretion.   J   Altern Complement Med 2004;10(2):261-8. 2 0 . Cooper S et al. Effect of two breathing exercises (Buteyko and Pranayam) in asthma: a randomized controlled trial. Thorax 2003;58(8):674 -9. 2 1 . Singh   V,   Chowdhary   R,   Chowdhary   N.   The   role   of   cough   and   hyperventilation   in   perpetuating   airway   inflammation   in   asthma.   J   Assoc   Physician   India 2000;48(3):343- 5. 2 2 . Vedanthan P et al. Clinical study of yoga techniques in university students with asthma: a controlled study. Allergy Asthma Proc 1998;19(1):3-9. 2 3 . Pal   G,   Velkumary   S,   Madanmohan.   Effect   of   short-   term   practice   of   breathing   exercises   on   autonomic   functions   in   normal   human   volunteers.   Indian   J Med Res 2004;120(2): 115-21. 2 4 . Brown   R,   Gerbarg   P.   Sudarshan   Kriya   Yogic   breathing   in   the   treatment   of   stree,   anxiety,   and   depression:   part   II-   clinical   applications   and   guidelines.   J Altern Complement Med 2005;11(4):711-7. 2 5 . Joe Nocera et al. The relationship between balance and cognition in Parkinson’s disease. Movt Disord 2007;22:S358-366. 2 6 . Aarsland D et al. The rate of cognitive decline in Parkinson Disease. Arch Neurol 2004;61:1906-1911. 2 7 . N.K.   Subbalakshmi   et   al.    The   Immediate   effect   of   “Nadi-Shodhana   Pranayama”   on   some   selected   parameters   of   cardiovascular,   pulmonary,   and   higher functions of brain. Thai Journal of Physiological Sciences, 2005;18(2):10-16. ISSN 0857-575 2 8 . E. Elgh, et.al. Cognitive function in early Parkinson’s disease: a population-based study.European journal of Neurology 2009. 2 9 . Lesley   A.   Brown   et   al   Attentional   Demands   and   Postural   Recovery:   The   Effects   of   Aging.   J   Gerontol   A   BioSci   Med   Sci   1999;54(4):M165-M171,   doi:10, 1093 /Gerona / 54.4. M165. 3 0 . Levy G et al, Arch Neurol 2000;55:539-544. 3 1 . Mohan SM. Svara (Nostril dominance) and bilateral volar GSR. Indian J Physiol Pharmacol.1996;40:58- 64 3 2 . Telles   S,   Nagratn   R,   Nagendra   HR.   Breathing   through   a   particular   nostril   can   alter   metabolism   and   autonomic   activities.   Indian   J   Physiol   Phaarmacol. 1994;38:133-7. 3 3 . Ghanshyam   Singh   thakur,   et   al   The   immediate   effect   of   nostril   breathing   on   memory   performance.   Scientific   research   department.   Indian   J   Physiol Pharmacol 2011;55(1):89-93. 3 4 . Schwartz JH, Kandel ER. Principles of Neural Science. 1985 Netherland: Elsevier. 3 5 . Wrentz   DA,   Bickford   RG,   Bloom   FE,   Shannahoff      K.   Alternating   cerebral   hemispheric   activity   and   the   lateral   action   of   autonomic   nervous   function. Human Neurobiol 1983;2:39–43. 3 6 . Stanley John winser. A case study of balance rehabilitation in Parkinson’s disease.Global Journal of health Science. 2011;3(1). 3 7 . Ward,   C:   does   Selegiline   delay   progression   of   Parkinson’s   disease?   A   critical   re-evaluation   of   the   DATATOP   study.   J   Neurol   Neurosurg   Psychiatry 1994;57;217. 3 8 . Schenkman, M, et al. Management of individual with Parkinson’s disease: Rationale and case studies. Phys Ther 1989;69:944. 3 9 . Jacobson, E: Progressive Relalaxation. University of Chicago Press, Chicago, 1938. 4 0 . Wade   DT,   Gage   H,   Owen   C,   Trend   P,   Grossmith   C,   Kaye   J.   Multidisciplinary   rehabilitation   for   people   with   Parkinson’s   disease:   a   randomized   controlled study. J Neurol Neurosurg Psychiatry 2003;74:158-62. 41. Terry Ellis et al. Efficacy of a Physical Therapy Program In Patients with Parkinson’s Disease: A Randomized Controlled Trial. Arch Phys Med Rehabil 2005;86:626-32.
How   to   cite   this   Article:    Neha   Singh,   K.   Senthil.    EFFICACY   OF   PRANAYAMIC   BREATHING   ON   COGNITION   AND   BALANCE   IN   PARKINSON’S PATIENTS.  Int J Physiother Res 2016;4(6):1771-1779. DOI: 10.16965/ijpr.2016.189.
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International Journal of Physiotherapy and Research ISSN (O): 2321-1822  ISSN (P): 2321-8975 Volume 4 |Issue 6 |  2016 Date of Publication:  11 December 2016 http://ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com HOME ABOUT US EDITORIAL BOARD AUTHOR GUIDELINES SPECIAL SERVICES CONTACT US
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