Iyengar Yoga Case Study

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Introduction
Chronic constipation is one of the most common functional gastrointestinal disorders (Liu, 2011). It’s a chronic health problem all over the world (Thomsen et al., 2010) affecting patients of all ages, different cultures, both sexes and ethnicities. But it is commonly prevalent in women, elderly patients and patients with concurrent psychiatric illness (Liu, 2011) which leads to self-medication and/or medical consultation (Dennison et al., 2005). Constipation has an impact on health-related quality of life, social functioning and compromises the ability to perform daily activities (Jamshed, Lee, & Olden, 2011).
Comorbid conditions:
1.1 Prevalence
According to a global survey, the prevalence of self-reported constipation in Asia
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The patients were randomly assigned to standardized 6-week twice weekly iyengar yoga group-based program or wait-lst usual care control group. The primary clinical outcomes of irritable bowel syndrome symptoms, Quality of Life and global improvement will be compared between the groups at post-treatment and 2- month follow-up. The secondary outcomes include visceral pain sensitivity assessed with a standardized laboratory task (water load task), functional disability and psychospiritual variables including catastrophizing, self-efficacy, mood, acceptance and mindfulness. The proposed beneficial effects of yoga upon clnical outcomes comprising the mechanism of action will be examined, and also includes increased psychospiritual resources, the mediating effects of visceral sensitivity, regulated autonomic nervous system responses and regulated hormonal stress response determined by salivary cortisol (Evans, Cousins, Tsao, Sternlieb, & Zeltzer, …show more content…
Symptoms, pain, health related Quality of Life, global improvement, psychological distress, fatigue, functional disability and sleep were assessed and collected pre- and post treatment. Yoga group had 29 participants and usual care waitlist had 22 participants. Ratings of pain, IBS symptoms, and global improvement were recorded weekly until 2 month follow- up. Analyses were done according to age group. Compared to controls, adolescents (14-17 yrs) assigned to yoga group recorded significant improvement in physical functioning, while YA(126 yrs) assigned to yoga group recorded significant improvement n IBS symptoms, global improvement, disability, sleep quality, fatigue and psychological distress. Even though abdominal pain intensity was statistically unchanged, a minimal clinical significant reduction in pain in 44% of adolescents and 46% of YA was recorded and one third of YA reported clinically significant improvement in global symptom. Evaluation of the uncontrolled effects and maintenance of treatment effects for adolescents reported global improvements immediately post yoga but was not maintained until the follow up stage and even there was a significant improvement in global improvement, nausea, worst pain and constipation post yoga, but constipation was not

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