scholarly journals Using Pranayama and Deep Breathing Exercises to Reduce Cancer-Related Fatigue and Insomnia During Radiotherapy: A Randomized Controlled Study

Author(s):  
Fatma Gündogdu ◽  
Sema Koçaşlı

Abstract Background: Patients receiving radiotherapy often experience cancer-related fatigue and insomnia. These experiences negatively affect patients’ physiological and psychological well-being. The study aims to evaluate the effectiveness of pranayama and deep breathing exercise in reducing fatigue and insomnia in patients receiving radiotherapy due to breast cancer.Materials and methods: This randomized controlled interventional study was carried out with 60 patients divided into the pranayama (20), deep breathing exercise (20) and control group (20). Data were collected with the Piper Fatigue Scale (PFS), the Pittsburgh Sleep Quality Index (PSQI) and the Visual Analog Scale (VAS).Results: While patient fatigue in the control group significantly increased during the treatment process (p<0.05), the deep breathing exercise group (p<0.05) did not experience the same increase in fatigue. The post-treatment insomnia VAS score of the pranayama and deep breathing exercise groups decreased compared to the pre-treatment scores (p<0.05). In the group comparison of PSQI scale scores, the subdimensions subjective sleep quality and daytime dysfunction were negatively affected at the end of the treatment in the control group (p<0.05) and the subdimension subjective sleep quality was positively affected in the deep breathing exercise group (p<0.05).Conclusion: Pranayama and deep breathing exercises are effective in reducing fatigue and insomnia in patients receiving radiotherapy due to breast cancer.

2020 ◽  
Vol 18 (3) ◽  
pp. 329-336
Author(s):  
Nasser Mohammad Rahimi ◽  
◽  
Reza Mahdavinejad ◽  
Seyyed Reza Attarzadeh Hosseini ◽  
Hossein Negahban ◽  
...  

Objectives: Dynamic Neuromuscular Stabilization (DNS) approach evaluates and activates the spinal stabilizers to optimize the performance of posture and respiratory system. This study investigated the effects of DNS breathing exercises on upper and lower chest wall mobility (UCM and LCM), trunk extensor endurance, and thoracic kyphosis in a group of sedentary students with poor posture. Methods: In this randomized, controlled 6-week trial, 52 participants were randomly divided into two groups: a DNS breathing exercise group (n=26) and a control group (n=26). First, a pre-test of the UCM, LCM, trunk muscle endurance and thoracic kyphosis was done on each participant in random order. DNS breathing exercise protocol (six times a week for six weeks) was implemented and after its completion, all post-test parameters were taken. Descriptive statistical and the paired-sample t test were used to analyze the obtained data. Results: Significant improvements were observed in the post-test compared with pre-test in DNS breathing exercise group in UCM (6.2±1.6 vs 4.4±0.9 cm, P<0.001), LCM (7.7±1.7 vs 5.5±1.0 cm, P<0.001), trunk muscle endurance (110.1±33.5 vs 88.7±34.1 s, P<0.001), and thoracic kyphosis (146.9±5.5 vs 142.7±4.0 degree, P<0.001). In contrast, the change in these parameters in the control group was not statistically significant. Discussion: DNS breathing exercise with a focus on the integrated spinal stabilizing system and breathing techniques is an effective protocol to significantly improve UCM and LCM, trunk muscle endurance, and thoracic kyphosis. It is suggested that DNS breathing exercises be introduced to improve chest mobility and posture and provide physiological stabilization for the overall health and performance of student


2020 ◽  
Vol 2 (1) ◽  
pp. 35-39
Author(s):  
Iman Zahra ◽  
Maria Liaqat ◽  
Ummara Qadeer

Objective: To determine the effect of deep breathing exercises on lung volumes and capacities among smokers. Methodology: The participants were divided into a control group and an experimental group. The control group was not given any treatment, while the experimental group performed deep breathing exercise techniques. The experimental group performed exercises for six weeks. After six weeks lung function tests were performed to evaluate the effects. Data were compared at baseline and after the intervention. To check within the group's changes paired sample t-test was used. To check between groups changes independent sample t-test was used for normally distributed data. Results: In the experimental group, significant changes (p ≤ 0.05) were observed after the intervention. While comparing groups, significant differences (p ≤ 0.05) were observed in some variables between experimental and control groups.Conclusion: It was concluded that deep breathing exercises are useful among smokers. As deep breathing helps in improving lung volumes and capacities.


2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Gopala Krishna Alaparthi ◽  
Alfred Joseph Augustine ◽  
R. Anand ◽  
Ajith Mahale

Objective.To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented incentive spirometry on pulmonary function and diaphragm excursion in patients undergoing laparoscopic abdominal surgery.Methodology.We selected 260 patients posted for laparoscopic abdominal surgery and they were block randomization as follows: 65 patients performed diaphragmatic breathing exercises, 65 patients performed flow incentive spirometry, 65 patients performed volume incentive spirometry, and 65 patients participated as a control group. All of them underwent evaluation of pulmonary function with measurement of Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), Peak Expiratory Flow Rate (PEFR), and diaphragm excursion measurement by ultrasonography before the operation and on the first and second postoperative days. With the level of significance set atp<0.05.Results.Pulmonary function and diaphragm excursion showed a significant decrease on the first postoperative day in all four groups (p<0.001) but was evident more in the control group than in the experimental groups. On the second postoperative day pulmonary function (Forced Vital Capacity) and diaphragm excursion were found to be better preserved in volume incentive spirometry and diaphragmatic breathing exercise group than in the flow incentive spirometry group and the control group. Pulmonary function (Forced Vital Capacity) and diaphragm excursion showed statistically significant differences between volume incentive spirometry and diaphragmatic breathing exercise group (p<0.05) as compared to that flow incentive spirometry group and the control group.Conclusion. Volume incentive spirometry and diaphragmatic breathing exercise can be recommended as an intervention for all patients pre- and postoperatively, over flow-oriented incentive spirometry for the generation and sustenance of pulmonary function and diaphragm excursion in the management of laparoscopic abdominal surgery.


2019 ◽  
Vol 8 (4) ◽  
pp. 219-224
Author(s):  
Azam Ghorbani ◽  
Fatemeh Hajizadeh ◽  
Mohammad Reza Sheykhi ◽  
Asghar Mohammadpoor asl

Introduction: Disordered sleep occurs frequently in patients who have undergone coronary bypass graft surgery, and it contributes to increased morbidity, mortality, and resource utilization. The present study aimed to determine the effects of deep-breathing exercises on postoperative sleep duration and quality in patients undergoing coronary artery bypass graft. Methods: This study was a clinical trial. The study sample included 64 patients who were coronary artery bypass graft hospitalized from January 2015 to April 2015 in Qazvin Booali-Sina hospital. The patients were selected by convenient sampling and then the participants were randomly allocated to the intervention and control groups. The baseline and postoperative (day 7) sleep duration and quality metrics were measured. The St Mary's Hospital Sleep Questionnaire was used to evaluate sleep quality in two groups. Results: Baseline night sleep duration was 5.72 (1.63) hours in the control group and 5.58 (1.07) hours in the intervention group. The initial findings showed that the mean of sleep quality score of patients in the intervention and control groups were 19.72 (2.68) and 18.22 (3.81) respectively. These measurements did not decline postoperatively in the intervention group while night sleep duration and quality declined in the control group. Deep breathing exercise program had a significant effect on sleep quality score in the intervention group compared to the control group. Conclusion: The results indicated that deep breathing exercises prevent decline in sleep quality postoperatively. It seems to be a safe method with no side effects for these patients. Furthermore, it is a simple method to implement and does not impose a high cost.


2019 ◽  
Vol 65 (3) ◽  
pp. 375-383 ◽  
Author(s):  
Helena Hachul ◽  
Daniel N. Polesel ◽  
Luciana Tock ◽  
Glaucia Carneiro ◽  
Andrea Z. Pereira ◽  
...  

SUMMARY OBJECTIVE: This study aims to evaluate the sleep of subjects with polycystic ovary syndrome (PCOS), with and without hyperandrogenism, in comparison with a healthy control group and examine the effects of hyperandrogenism and obesity on sleep parameters. METHODS: A total of 44 volunteers were recruited to participate in the study. Clinical, biochemical and polysomnographic parameters were used to diagnose PCOS and hyperandrogenism. The evaluation of sleep quality was made using validated questionnaires and polysomnography test. The frequency of obstructive sleep apnea was also compared between the groups. RESULTS: The study revealed that women with PCOS presented poorer subjective sleep quality, increased incidence of snoring and a higher risk of obstructive sleep apnea, based on the Berlin questionnaire. Also, after adjusting for body mass index, PCOS subjects had rapid eye movement (REM) time lower than those in the control group. PCOS women versus those without hyperandrogenism did not differ on any sleep measurement. Women with obstructive sleep apnea were only diagnosed in the PCOS group. CONCLUSIONS: Our results indicate that PCOS impairs subjective sleep quality, as well as objective sleep quality, due to a reduction in REM sleep stage time in women diagnosed with the syndrome. Obesity affected sleep-related parameters but hyperandrogenism had no effect. Only the PCOS group had obstructive sleep apnea diagnosis.


2019 ◽  
Vol 8 (2) ◽  
pp. 193 ◽  
Author(s):  
Sylvain Laborde ◽  
Thomas Hosang ◽  
Emma Mosley ◽  
Fabrice Dosseville

Breathing techniques are part of traditional relaxation methods; however, their influence on psychophysiological variables related to sleep is still unclear. Consequently, the aim of this paper was to investigate the influence of a 30-day slow-paced breathing intervention compared to social media use on subjective sleep quality and cardiac vagal activity (CVA, operationalized via high-frequency heart rate variability). Healthy participants (n = 64, 33 male, 31 female, M = 22.11, SD = 3.12) were randomly allocated to an experimental or control group. In the experimental group, they had to perform slow-paced breathing for 15 min each evening across a 30-day period. This was administered through a smartphone application. The control group used social media (e.g., Facebook, Instagram, Whatsapp) for the same duration. The night before and after the intervention, their CVA was assessed via a light portable Electrocardiogram (ECG) device, and they had to fill out the Pittsburgh Sleep Quality Index questionnaire. Results showed that in comparison to the use of social media, the slow-paced breathing technique improved subjective sleep quality and increased overnight CVA, while a tendency was observed for morning awakening CVA. Slow-paced breathing appears a promising cost-effective technique to improve subjective sleep quality and cardiovascular function during sleep in young healthy individuals.


2016 ◽  
Vol 24 (4) ◽  
pp. 14-22 ◽  
Author(s):  
Birna Baldursdottir ◽  
Richard E. Taehtinen ◽  
Inga Dora Sigfusdottir ◽  
Alexandra Krettek ◽  
Heiddis B. Valdimarsdottir

Background: The aim of this pilot study was to examine the impact of a brief physical activity intervention on adolescents’ subjective sleep quality. Cross-sectional studies indicate that physically active adolescents have better subjective sleep quality than those with more sedentary habits. However, less is known about the effectiveness of physical activity interventions in improving adolescents’ subjective sleep quality. Methods: In a three-week physical activity intervention, four Icelandic upper secondary schools were randomized to either an intervention group with pedometers and step diaries or a control group without pedometers and diaries. Out of 84, a total of 53 students, aged 15−16 years, provided complete data or a minimum of two days step data (out of three possible) as well as sleep quality measures at baseline and follow-up. Subjective sleep quality, the primary outcome in this study, was assessed with four individual items: sleep onset latency, nightly awakenings, general sleep quality, and sleep sufficiency. Daily steps were assessed with Yamax CW-701 pedometers. Results: The intervention group ( n = 26) had significantly higher average step-count ( p = 0.03, partial η2 = 0.093) compared to the control group ( n = 27) at follow-up. Subjective sleep quality improved ( p = 0.02, partial η2 = 0.203) over time in the intervention group but not in the control group. Conclusions: Brief physical activity interventions based on pedometers and step diaries may be effective in improving adolescents’ subjective sleep quality. This has important public health relevance as the intervention can easily be disseminated and incorporated into school curricula.


2018 ◽  
Vol 9 (2) ◽  
pp. 272
Author(s):  
Aprina Aprina ◽  
Rovida Hartika ◽  
Sunarsih Sunarsih

<p>The World Health Organization (WHO) sets the standard for the birth of a sexually assault operation in a country to be around 5-15 percent per 1000 births worldwide. Based on Basic Health Research (2013) the level of childbirth sectio caesarea in Indonesia has exceeded the maximum limit of 5-15% WHO standard. The rate of cesarean delivery in Indonesia 15.3% of the 20,591 mothers who gave birth within the last 5 years surveyed from 33 provinces. This cesarean delivery may allow for higher complications than normal delivery. The usual complication is a pain. One of the handling interventions of pain with minimal side effects is nonpharmacological management, such as slow-breathing exercises and lavender aromatherapy. This study aims to determine differences in the intensity of pain in postoperative patients sectio caesarea undertaken slow deep breathing exercise with aromatherapy lavender in RSUD Dr. H. Abdul Moeloek Lampung Province in 2018. This type of research uses a quantitative method using quasi-experimental design with Non-Equivalent Control Group design approach. A technique of sampling using purposive sampling technique as much as 60 respondents, 30 respondents group slow deep breathing and 30 respondents aromatherapy group lavender. The study period began on May 18, 2018, to June 30, 2018, in the Pomegranate Room RSUD Dr. H. Abdul Moeloek Lampung Province. Statistical test using t independent Mann Widney. The results showed that there was a difference of slow deep breathing exercise with lavender aromatherapy on the intensity of pain in patients in post sectio caesarea patients in the Pomegranate Room RSUD Dr. H. Abdul Moeloek Lampung Province Year 2018 (p-value=0.000). Researchers suggest that patients can use lavender aromatherapy to reduce the level of pain postoperative sectio caesarea.</p>


2021 ◽  
Author(s):  
Maryam Keshavarz ◽  
Azam Amzajerdi ◽  
Maryam Ezati ◽  
Fatemeh Sarvi

Abstract Background: Sleep quality and fatigue have been documented as a challenge for college students, with reports indicating impacts on daytime functioning and academic achievement. The present study evaluates the effect of Pilates exercise on sleep and fatigue among female student residents in the dormitory.Methods: This quasi-experimental study involving 67 participants consisted of one experimental group (assigned Pilates exercise) and one control group. Participants in the experimental group received three one-hour sessions of Pilates exercise weekly for eight-week. Sleep quality and fatigue levels were measured by the Pittsburgh Sleep Quality Index (PSQI) and standard Multidimensional Fatigue Inventory (MFI-20), respectively. These variables were assessed at baseline, weeks four and eight of the study.Results: After four and eight weeks, findings showed an improvement in the sleep quality score (p < 0.001 and p < 0.0001, respectively). After four weeks of intervention, the mean score of the subjective sleep quality and daytime dysfunction in the Pilates group was significantly less than the control group (p < 0.001 and p < 0.002, respectively). Eight weeks of intervention had an additional effect on sleep duration and habitual sleep efficiency (p < 0.04 and p < 0.034, respectively). Also, Pilates exercise significantly reduced the total score of fatigue and its dimensions in weeks four and eight, compared to the control group (p < 0.001).Conclusions: Eight weeks of the Pilate's exercises had a significant improvement in most components of sleep quality; however, the effect of Pilates exercise on fatigue was evident from week four of the intervention.Trial registration: The study was registered on 6/2/2015 in the Iranian Registry of Clinical Trials (IRCT) with IRCT201412282324N15.


2019 ◽  
Vol 6 (2) ◽  
pp. 56
Author(s):  
Siti Nur Hasina ◽  
Tintin Sukartini ◽  
Eppy Setiyowati

<p><em>Hemodialysis patients experienced sleep disturbance problems that directly affect sleep quality and quality of life of hemodialysis patients. Quality of life is an important part of hemodialysis patients that need attention. The purpose of this study was to analyze the effect of sleep hygiene and deep breathing exercise with spiritual care on sleep quality and quality of life of hemodialysis patients. The research design used a quasy experiment with the pretest posttest approach with control group. Population in this study were all of hemodialysis patients . Sample of this study </em><em>were </em><em>38 respondents divided into 19 respondents for intervention group and 19 respondents for control group. Sleep hygiene intervention and deep breathing exercise with spiritual care were applied every day for 30 days 30 minutes before going to sleep in the intervention group and in the control group only ran routine or habit before going to bed. Instrument used a PSQI questionnaire (Pittsburgh Sleep Quality Index) </em><em>and</em><em> KDQOL SF<sup>TM </sup>1.3 (Kidney Disease Quality of Life). </em><em>Data</em><em> analysis us</em><em>ed</em><em> MANOVA test with significance value α = 0.05. The results of this study indicated that p value 0,000 with the effect of R squared 72.7% on sleep quality and 66.4% on quality of life, which means that sleep hygiene and deep breathing exercise with spiritual care were significantly influence sleep quality and quality of life</em><em> on </em><em>hemodialysis patient </em><em>in </em><em>Ahmad</em><em> </em><em>Yani </em><em>Islamic Hospital </em><em>Surabaya. The application of sleep hygiene and deep breathing exercise with spiritual care had a strong influence on the quality of sleep and the quality of life of hemodialysis patients. Nurses are expected to be able to implement sleep hygiene interventions and deep breathing exercises with spiritual care to enhance sleep quality and quality of life for hemodialysis patients.</em></p><p><em> </em></p><p><strong>Keyword</strong>        : <em>Hemodialysis, Sleep Quality, Quality of Life, Sleep Hygiene, Deep Breathing Exercise, Spiritual care</em><em></em></p>


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