TITLE

Effect of IAYT on Psychological Stress and Gastritis in Tuberculosis

Patients of age 15-35 of directly observed treatment center in Delhi through
online mode
Synopsis
Submitted Towards Fulfilment of
Master of Science (M.Sc.) in Yoga
By
Ravi Kumar
Registration Number
40122108
[M.Sc Yoga- January 2022 Batch]
Under the Guidance of
(Ms. Jintu Kurian)

Swami Vivekananda Yoga Anusandhana Samsthana

(declared as Deemed-to-be University under Section 3 of the UGC Act, 1956)
1. Introduction
Tuberculosis (TB) is a global health issue that affects millions of individuals, posing
significant challenges to both physical and mental well-being. TB patients often experience
high levels of stress due to the demanding treatment regimen and uncertainties associated
with the disease. Additionally, the prolonged use of anti-TB drugs can lead to
gastrointestinal (gastric) discomfort and side effects, further impacting the patient's quality
of life.
Integrated Approach of Yoga Therapy (IAYT) is an emerging intervention that offers a
promising avenue for managing Psychological stress and gastritis in TB patients. IAYT
combines various yogic practices, including asanas (physical postures), pranayama (breath
control), meditation, and relaxation techniques, to promote holistic healing and overall
well-being.

1.1 Need for Study

Studying the effect of Integrated Approach of Yoga Therapy (IAYT) on stress and gastrics
in tuberculosis (TB) patients is important for Holistic approach: IAYT combines various
elements of yoga, such as asanas, pranayama, and meditation, which may have holistic
benefits for patients with TB. Understanding its effects can lead to more comprehensive
treatment approaches.
Stress management: TB can be a physically and emotionally challenging condition.
Researching IAYT's impact on stress can provide insights into its potential as an adjunctive
therapy for managing stress in TB patients.
Gastric issues: TB medications can sometimes cause gastrointestinal side effects.
Investigating the effects of IAYT on gastritis may help identify if it can alleviate or manage
such issues, improving overall patient well-being and treatment adherence.
Complementary therapy: If research shows positive outcomes, IAYT could be integrated
into conventional TB treatment plans as a complementary therapy, enhancing the overall
effectiveness of patient care.
Evidence-based medicine: Gathering scientific data on IAYT's effects can strengthen the
evidence base for its use in clinical settings, promoting more informed medical decisions.
By conducting research on IAYT's impact on Psychological stress and gastritis in TB
patients, we can gain valuable knowledge that may lead to improved care and better quality
of life for individuals dealing with his health condition.
2. LITERATURE REVIEW
Sl.N Autho Title Sample Design Interventio Measuring Result Stren Limita
o. r& n Tools gth tion
Year
1 Ajay Complime 45 A List of Spirometry test The Yogic Limited
Kumar nting patients randomi Yogic for measuring data exerci general
Singh, Tuberculos zed Practices - the lung formula ses izabilit
Pramo is nested Sitting volumes, ted in increa y due
d Treatment case- posture (WHO) Paired se the to small
Kumar By Yogic control (Asana) wellbeing Sample breat sample
Shridh Exercises study Padmaasana questionnaire. s t- test hing
ar & with finding capac
(2019) cohort Breathing s ity
of 45 yogic enumer and
TB exercises ate the lung
patients Bhastrika statistic health
for 8 Kapalbhati ally . It
weeks Ujjaee signific event
Anulom ant ually
vilom improv impro
ement ves
observe the
d in the well
lung being
volume in TB
s of the patien
cases ts on
treat
ment.
2 Dr. Case A case Case 3 weeks on provisional The comp They
Rohit Report on of 46 study anti- diagnosis of inciden lete hadn’t
Bangw Anti- years tubercular anti-tubercular ce rate the given
al & Tuberculos old man, drugs drugs of anti- cours the
2020 is Drugs weighin treatment tubercu e of proper
induced g 35 kg, lar ATT solutio
Gastritis. drugs & n to
induced infor cure the
gastritis matio ATT
has n induced
found regar gastritis
to be ding through
36.1% diseas which
in e, kind of
India. side health
effect care
s camps.
under
the
patien
t
couns
elling
sectio
n.

3 Navee Randomize 73 prospect one group paired t-test, signific impro This
nk d trial of tubercul ive, practised chi(2) test ant ved paper
Viswes yoga as a osis randomi yoga (n = reducti level only
waraia compleme patients zed trial 25) and the on in of focusse
 h, ntary (Naveen other sympto infect d on
Shirley therapy for K practised m ion, weight,
Telles pulmonary Viswes breath scores, radio breathe
tuberculosi waraiah, awareness and an graph and
s 2004), (n = 23) for increas ic some
Quantita 6 h per e in pictur sympto
tive week, each weight, e, ms but
study session FVC FVC, ignored
being 60 and weigh the
min. FEV t gain adverse
(P = and effects
0.001) reduc like
ed gastritis
sympt and
oms stress
in the during
yoga ATT.
group
4 Kwang Effects of 52 quasi- The eight- t-test and the decreas They Replica
-Sim Simulated patients experim week Mann–Whitney ed could tion
Jang, Laughter in which ental laughter U-test, physica easily studies
Jeong- Therapy 26 ar study therapy, Pulmonary l make on
Euh oh Using a (Kwang- held twice a function by sympto the patients
Breathing Sim week in a diagnostic ms and interv with
Exercise: A Jang, 60-min pneumatometer , increas entio TB in
2022)e group Physical ed ns other
Study on
in session. Symptoms By pulmon depan types of
Hospitalize
laughter Simulated 16-item TB ary ding healthc
d group laughter symptom scale Psychol on are
Pulmonary and 26 therapy Questionnaire, ogical the instituti
Tuberculos in having Depressive health local ons and
is Patients control phases like Symptoms By also peopl commu
group – warm up CESD-10, improv e of nity-
(Moove (10 mins), HRQOL by ed, that dwellin
nthan, main Short-Form includi instit g
2014) activities Health Survey ng ution. patients
(40 mins) Instrument (SF- depress and
and cool- 36) ion further
down(10 researc
mins) h on
gender
perspec
tives
are
needed
5 A Effect of A case Case YBT for 45- Baseline and improv Yogic study
Moove yogic of 24- study & min a day post-assessment ement breat duratio
nthan, breathing year- quantitat for 3 test , Weight , in hing nand
vitthal techniques old, ive days/week BMI, Symptom weight techni Samsa
Khode, in new unmarri for 8 weeks scores, gain, ques m size
L sputum ed including Spirometry, BMI, with restrict
Nivent positive woman Om Sputum-FME, sympto ATT ed to
hitha & pulmonary Chanting, HRQL ms impro the
2014 tuberculosi Hand stretch score, ved intensiv
s breathing, spirom PTB e phase
Cat stretch etric outco of ATT
and variabl mes is
pranayama es limiting
the
scope
6 Ann Psychologi 86 a Routine Generalised Anxiet Routi small
Roy cal stress Patients prospect screening Anxiety y ne sample
Febi, and health- ive for Disorder sympto Scree size
Mohan related cohort depression questionnaire ms and ning and it
K. quality of study and anxiety for anxiety and Depres and was
Manu, life among and timely Patient Health sion timel conduct
Aswini tuberculosi referral to a Questionnaire sympto y ed in a
Kumar s patients psychiatrist for depression. ms referr hospital
Mohap HRQoL was reduced al to setting
atra assessed by from psych
(2021) using the the iatrist
WHOQOL- base
BREF line ,
questionnaire HRQo
L
showe
d
improv
ement
at
treatm
ent
compl
etion

3. AIM AND OBJECTIVES OF RESEARCH

3.1Aim

The study aims to investigate whether the addition of Integrated Approach to Yoga
Therapy (IAYT) to the treatment regimen for TB patients can lead to a reduction in
psychological stress and alleviate symptoms of gastritis compared to TB patients who
receive only standard medical treatment without the yoga intervention.

3.2.Objectives

a. To evaluate the impact of Integrated Approach to Yoga Therapy on the

psychological well-being of TB inpatients, including measures of depression,
stress, and anxiety.

b. To assess the effects of Integrated Approach to Yoga Therapy on the physical

symptoms experienced by TB patients, such as gastritis, stomach inflammation,
gastric upset.

c. To determine the impact of Integrated Approach to Yoga Therapy on TB

patients' quality of life (QOL), considering both physical and psychological
aspects.
 d. To understand the feasibility and acceptability of Integrated Approach to Yoga
Therapy as an intervention for TB inpatients in the clinical setting.

3.3. Hypothesis

H1: The experimental group that underwent IAYT will have reduced psychological
stress symptoms compared to control group
H2: The experimental group that underwent IAYT will have reduced physical
symptoms like gastritis compared to control group
The study findings provide evidence for developing effective care interventions to
promote the health of patients with TB and health problems.

4. METHODS
4.1. Participants
Patients aged 15-35 years, diagnosed with Tuberculosis, who at that time received
Directly Observed Treatment center care in a TB treatment facility.
Sample Size : 30 (15-35 age)
Control Group : 15
Experimental Group : 15

4.2. Design
Pre - Post Design

4.3. Intervention
Integrated Approach to Yoga Therapy (IAYT) includes yoga postures (asanas),
breathing (pranayama), cleansing techniques (kriyas), meditation, devotional songs and
lectures on yoga.

The Intervention includes the 8 weeks of IAYT Practice (50 Mintes Protocol).
Name of the Practices Duration Layer/Kosa
(min)
Breathing Practices 10 Pranayama Kosa
Standing
Hands in and out breathing 1
Hand Stretch breathing 1
Ankle stretch breathing 1
Sitting
 Dog breathing 1
Rabbit breathing 1
Tiger breathing 1
Shashankasana breathing 1
Prone
Bhujangasana breathing 1
Shalabhasana breathing 1
Supine
Straight leg raising breathing 1
Loosening practices 10 Annamaya Kosa
Forward and backward bending 1
Side bending 1
Twisting 1
Pavanamuktasana kriya (alternate leg) 1*2
Rocking and rolling 1*2
Surya Namaskara 3 rounds 1*3
Yogasanas (physical postures) 10 Annamaya Kosa
Standing
Ardhakati chakrasana 1
Padahastasana 1
Ardha chakrasana 1
Sitting
Vakrasana 1
Ardhamatsyendrasana 1
Paschimottanasana 1
Prone
Bhujangasana 1
Shalabhasana 1
Supine
Sarvangasana 1
Matsyasana 1

Kriya 2 Annamaya Kosa

Kapalabhati 2
Pranayama 8 Pranamaya Kosa
Vibhagiya pranayama 4
Nadishodhana pranayama 2
Ujjayi pranayama 2

Meditation 10 Manomaya Kosa

Nadaanusandhana (alternate day) 10
Om meditation (alternate day) 10
DRT in Savasana (corpse pose) 10

Yogic counseling/lectures provide online Vijnanamaya Kosa

 4.4. Assessments
The Participants will be asked to fill the Perceived Stress Scale (PSS-10), WHO Quality
of Life Scale-Bref (WHOQOL-BREF) .
Follow up assessment would be conduct at monthly basis to track any changes any time.

5. DATA ANALYSIS
All possible parameters from the following list would be considered for measurement before
and after the intervention. Once the data has been collected it would be used to find the
correlation through SPSS Software.
• WHO Quality of Life Scale-Bref (WHOQOL-BREF) for measuring Health related Quality
of Life
• PSS-10 for Stress readings.
Statistical analysis was performed using the software SPSS (Version 16.0, IBM Corporation,
USA). Data were checked for normality using a Shapiro-Wilk test. Wilcoxon signed rank test
was used to compare the “pre” and “post” values since data were not normally distributed.

References
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IJMSIR. Retrieved from https://www.ijmsir.com/asset/images/uploads/15660640153831.pdf

2. Ann Roy Febi, M. K. (2021). Psychological stress and health-related quality of life among
tuberculosis patients: a prospective cohort study. ERS. doi:10.1183/23120541.00251-2021

3. Kwang-Sim Jang, J.-E. O.-S. (2022). Effects of Simulated Laughter Therapy Using a Breathing
Exercise: A Study on Hospitalized Pulmonary Tuberculosis Patients. MDPI.
doi:10.3390/ijerph191610191

4. Mooventhan, A. V. (2014). Effect of Yogic Breathing Techniques in New Sputum Positive

Pulmonary Tuberculosis. Medknow Publications. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085933/

5. Naveen K Visweswaraiah, S. T. (2004). Randomized trial of yoga as a complementary therapy

for pulmonary tuberculosis. wiley. doi:10.1111/j.1440-1843.2003.00528.x

6. Rohit Bangwal, S. B. (2020). CASE REPORT ON ANTI-TUBERCULAR DRUGS INDUCED

GASTRITIS. World Journal of Pharmaceutical Research. doi:10.20959/wjpr20204-16960