Academic journal article International Journal of Yoga

Effect of Yogic Colon Cleansing (Laghu Sankhaprakshalana Kriya) on Pain, Spinal Flexibility, Disability and State Anxiety in Chronic Low Back Pain

Academic journal article International Journal of Yoga

Effect of Yogic Colon Cleansing (Laghu Sankhaprakshalana Kriya) on Pain, Spinal Flexibility, Disability and State Anxiety in Chronic Low Back Pain

Article excerpt

Byline: Richa. Haldavnekar, Padmini. Tekur, Raghuram. Nagarathna, Hongasandra. Nagendra

Background: Studies have shown that Integrated Yoga reduces pain, disability, anxiety and depression and increases spinal flexibility and quality-of-life in chronic low back pain (CLBP) patients. Objective: The objective of this study was to compare the effect of two yoga practices namely laghu shankha prakshalana (LSP) kriya, a yogic colon cleansing technique and back pain specific asanas (Back pain special technique [BST]) on pain, disability, spinal flexibility and state anxiety in patients with CLBP. Materials and Methods: In this randomized control (self as control) study, 40 in-patients (25 were males, 15 were females) between 25 and 70 years (44.05 [+ or -] 13.27) with CLBP were randomly assigned to receive LSP or BST sessions. The measurements were taken immediately before and after each session of either of the practices (30 min) in the same participant. Randomization was used to decide the day of the session (3 [sup]rd or 5 [sup]th day after admission) to ensure random distribution of the hang over effect of the two practices. Statistical analysis was performed using the repeated measures analysis of variance. Results: Significant group FNx01 time interaction (P < 0.001) was observed in 11 point numerical rating scale, spinal flexibility (on Leighton type Goniometer) and (straight leg raise test in both legs), Oswestry Disability Index, State Anxiety (XI component of Spieldberger's state and trait anxiety inventory. There was significantly (P < 0.001, between groups) better reduction in LSP than BST group on all variables. No adverse effects were reported by any participant. Conclusion: Clearing the bowel by yoga based colon cleansing technique (LSP) is safe and offers immediate analgesic effect with reduced disability, anxiety and improved spinal flexibility in patients with CLBP.

INTRODUCTION

Chronic low back pain (CLBP) is a primary public health concern globally. [sup][1] Four categories were proposed by Dunn et al . [sup][2] to classify CLBP patients representing diverse paths over time: Persistent mild, recovering, severe chronic and fluctuating type. [sup][3] CLBP has turned out to be the cause for approximately 6-9% of middle-aged people to consult their family physician every year. [sup][4] The present day conventional biomedical system alone cannot bear the burden of life-style related diseases like back pain. This has led 38.4% of CLBP patients to use (Complementary and Alternative Medicine [CAM]) including yoga. [sup][5] Hsu et al . observed several positive outcomes that participants receiving CAM treatments reported which were not recorded with standardized quantitative outcome measures; these were increased body awareness, changes in thought process that facilitated the ability to cope with low back pain (LBP) and a positive emotional state of mind. [sup][6] Yoga is not only an Indian psychology, which is disciplined by physical, mental and spiritual practices, but also a scientifically studied therapy that has shown benefits in management of several chronic conditions. [sup][7] Previous studies on yoga and back pain have been successful in establishing the beneficial effects by reducing chronic pain and disability, anxiety and depression and also increasing flexibility and quality-of-life. [sup][8],[9],[10],[11],[12]

In our earlier studies on CLBP, we used an integrated module of yoga therapy that included selected Asanas , Pranayama , meditation and healthy life-style program. [sup][12] It is said by Patanjali Maharishi that all these yoga practices are meant to have a common end point, i.e., mastery over the modifications of the mind ( Chitta Vrtti Nirodhah ), which is the state of mind required for healing mind body diseases. [sup][13] Yoga emphasizes the value of clearing the bowel before preparing for any practice and has evolved several colon cleansing techniques ( Shankha Prakshalana, Basti etc ). …

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