Clinical Research, Symbiosis Medical College for Women, Pune, Maharashtra, India
Interdisciplinary School of Health Sciences, Savitribai Phule Pune University, Pune, Maharashtra, India.
BMJ Open Respir Res. 2021 Nov;8(1). doi: 10.1136/bmjresp-2021-000966.
There is a rising burden of chronic obstructive pulmonary disease (COPD) in India. Pulmonary rehabilitation (PR), is a universally recommended multidisciplinary therapeutic strategy for the management of COPD; however, its needs are unmet. The diversity in the healthcare systems, availability of PR specialists and sociocultural multiformity requires contextualised and innovative PR models. Culturally sensitive elements, such as yoga, have some evidence of a positive impact in the management of COPD. Yoga and PR are based on similar principles with a holistic approach of involving physical activities, behaviour change techniques and psychological support to improve disease outcomes. Arguably the principles of PR and yoga are complementary but there are some important differences in the intensities of activities, exercise types and inclusion of mindfulness in components that must be considered. Components of PR enable aerobic capacity building, strengthening of muscles of the upper and lower extremities and building awareness towards disease management. Yoga, on the other hand, primarily can focus on core strengthening, breathing control, mindfulness and self-awareness. We discuss the potential of integrating the sociocultural appeal of yoga with PR delivered at international standards, and how an integrated approach may lead to optimal referral, uptake and completion.
印度慢性阻塞性肺疾病（COPD）的负担日益加重。肺康复（PR）是一种被广泛推荐的 COPD 管理多学科治疗策略；然而，其需求尚未得到满足。医疗保健系统的多样性、PR 专家的可用性以及社会文化的多样性需要有针对性和创新的 PR 模式。具有文化敏感性的元素，如瑜伽，在 COPD 的管理中具有一些积极影响的证据。瑜伽和 PR 基于相似的原则，采用整体方法，包括身体活动、行为改变技术和心理支持，以改善疾病结果。可以说 PR 和瑜伽的原则是互补的，但在活动强度、运动类型以及对必须考虑的组成部分的正念的纳入方面存在一些重要差异。PR 的组成部分能够增强有氧能力、加强上下肢肌肉力量，并提高对疾病管理的认识。另一方面，瑜伽主要可以专注于核心力量增强、呼吸控制、正念和自我意识。我们讨论了将瑜伽的社会文化吸引力与按照国际标准提供的 PR 相结合的潜力，以及这种综合方法如何能够实现最佳转介、参与和完成。
