Onlıne Yoga Compared to Face-To-Face Yoga on Dıaphragm Thıckness, Body Balance and Psychosocıal Status

NCT06107712 | Completed

• 1 other identifier: 25.06.2020/44
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized controlled study was to compared six-week online yoga program with six-week face-to-face yoga program on diaphragm thickness, body balance and physio social status in young female individuals. The main questions it aims to answer are:

• Does online yoga have similar effects compared to face-to-face yoga in terms of diaphragm thickness?
• Does online yoga have similar effects compared to face-to-face yoga in terms of body balance?
• Does online yoga have similar effects compared to face-to-face yoga in terms of psychosocial status such as level of anxiety and social media addiction? Participants completed the experimental steps of ultrasound scanning, balance testing and the scales questioning psychosocial status before and after 6-week online yoga program. After the pandemic conditions normalized, new participants were invited, and a 6-weeks face-to-face yoga program was applied and the same tests were applied before and after the program. As a control group, individuals whose physical activity levels were monitored and who did not participate in any exercise program were evaluated twice, six weeks apart. The researchers compared these three groups and examined whether there were differences between the groups in terms of the investigated parameters.

Conditions

Mind-Body Therapies; Yoga; Telerehabilitation

Keywords

Yoga; Postural Balance; Telerehabilitation; Diaphragm; Ultrasonography; Mental Health; Pandemics

Outcome Measures

Primary Outcomes (1)

• Diaphragmatic Ultrasonic Scanning

  Ultrasound scanning of the diaphragm was performed by a certificated physiotherapist. The researcher was blind to physical performance testing procedure and groups of participants. Real time ultrasound was performed to identify the intercostal space at which the diaphragm was most easily visualized between 2 ribs in the supine position. The eighth or ninth intercostal space at the anterior axillary line was imaged. When the ultrasound probe was located correctly to the intercostal space was identified, the subject was instructed to deep inhale and exhale slowly, and three images were collected at the point of maximum and minimum diaphragm thickness as identified visually by the examiner. The diaphragm was screened by its characteristic 3-layered appearance, location under the intercostal muscles and subcutaneous tissue. The thickness of diaphragm was frequently displayed thickest while inhaling at maximum level and thinnest while exhaling at maximum level.

  Baseline (T0, before beginning of the study); T1 (end of the 6-week programme/control period)

Secondary Outcomes (1)

• Body Balance Performance Testing

  Baseline (T0, before beginning of the study); T1 (end of the 6-week programme/control period)

Other Outcomes (2)

• Beck Depression Scale to detect level of distress

  Baseline (T0, before beginning of the study); T1 (end of the 6-week programme/control period)

• Perceived Stress Scale to measure the degree of perceived stress

  Baseline (T0, before beginning of the study); T1 (end of the 6-week programme/control period)

Study Arms (3)

Online yoga exercise group

EXPERIMENTAL

Online yoga practice was implemented in a calm and quiet environment in the individuals' own home or dormitory in a way that they could participate online.

Other: Online yoga exercise

Face-to-face yoga exercise group

ACTIVE COMPARATOR

Face-to-face yoga practice was carried out at therapeutic exercise laboratory at Marmara University Health Sciences Faculty.

Other: Face-to-face yoga exercise

control

NO INTERVENTION

Participants in the control group who continued their routine activities for six weeks after the initial evaluation and did not participate in any exercise, yoga, etc. program were included in the second evaluation.

Interventions

Online yoga exercise OTHER

The basic yoga poses of Shivananda Yoga included in the online yoga group were shoulder stand (sarvangasana), plough pose (halasana), fish pose (matsyasana), backstretch (paschimothanasana), cobra (bhujangasana), locust (shalabhasana), bow (dhanurasana), spinal twist (matsyendrasana), crow pose (kakasana), standing backstretch (pada hasthasana) and triangle pose (trikonasana). The yoga practice flow was designed for individuals who had never practiced yoga before. In the initial classes, there was a focus on breathing exercises and warming-up series such as "Sun Salutations". The instructor frequently reminded the participants to perform all the poses with full yoga breaths and without holding their breath. In the scope of the study, the physiotherapist researcher who is a certified as the Shivananda Yoga instructor, performed the same yoga practice flow and steps in the both groups during six-week.

Online yoga exercise group

Face-to-face yoga exercise OTHER

The basic yoga poses of Shivananda Yoga included in the face-to-face yoga group were shoulder stand (sarvangasana), plough pose (halasana), fish pose (matsyasana), backstretch (paschimothanasana), cobra (bhujangasana), locust (shalabhasana), bow (dhanurasana), spinal twist (matsyendrasana), crow pose (kakasana), standing backstretch (pada hasthasana) and triangle pose (trikonasana). The yoga practice flow was designed for individuals who had never practiced yoga before. In the initial classes, there was a focus on breathing exercises and warming-up series such as "Sun Salutations". The instructor frequently reminded the participants to perform all the poses with full yoga breaths and without holding their breath.

Face-to-face yoga exercise group

Eligibility Criteria

• Age: 18 Years - 25 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals between the ages of 18-25 who were continuing their university education
• who had not practiced yoga regularly before
• who had not engaged in regular exercise for the last six months
• who had no psychosocial problems

You may not qualify if:

• Individuals who had undergone feet, knee, hip, or spine surgeries
• had musculoskeletal pain or neurological problems related to orthopaedic, cardiopulmonary, cardiovascular, or rheumatic diseases; pregnant
• had a body mass index over 30
• who did not participate in two or more yoga sessions

Sponsors & Collaborators

• Marmara University: lead

Study Sites (1)

Bahar Özgül

Maltepe, Istanbul, Turkey (Türkiye)

Location

Related Publications (3)

• Dor-Haim H, Katzburg S, Revach P, Levine H, Barak S. The impact of COVID-19 lockdown on physical activity and weight gain among active adult population in Israel: a cross-sectional study. BMC Public Health. 2021 Aug 6;21(1):1521. doi: 10.1186/s12889-021-11523-z.

  PMID: 34362319 BACKGROUND

• Nieman DC, Wentz LM. The compelling link between physical activity and the body's defense system. J Sport Health Sci. 2019 May;8(3):201-217. doi: 10.1016/j.jshs.2018.09.009. Epub 2018 Nov 16.

  PMID: 31193280 BACKGROUND

• Pecanha T, Goessler KF, Roschel H, Gualano B. Social isolation during the COVID-19 pandemic can increase physical inactivity and the global burden of cardiovascular disease. Am J Physiol Heart Circ Physiol. 2020 Jun 1;318(6):H1441-H1446. doi: 10.1152/ajpheart.00268.2020. Epub 2020 May 15.

  PMID: 32412779 BACKGROUND

Related Links

• Organization, W. H. (2020). Coronavirus disease 2019 (COVID-19): situation report, 73

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Officials

• Zübeyir Sarı, Prof Dr

  Marmara University Health Science Faculty Physiotherapy and Rehabilitation Department

  STUDY DIRECTOR

• İlkşan Demirbüken, Prof Dr

  Marmara University Health Science Faculty Physiotherapy and Rehabilitation Department

  PRINCIPAL INVESTIGATOR

• Leila Abdolalizadeh Khaselouei, PT

  Marmara University Health Science Faculty Physiotherapy and Rehabilitation Department

  PRINCIPAL INVESTIGATOR

• Hilal B Can, MSc PT

  Marmara University Health Science Faculty Physiotherapy and Rehabilitation Department

  PRINCIPAL INVESTIGATOR

• Mine G Polat, Prof Dr

  Marmara University Health Science Faculty Physiotherapy and Rehabilitation Department

  STUDY CHAIR

• Bahar Özgül, PhD PT

  Marmara University Health Science Faculty Physiotherapy and Rehabilitation Department

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist Prof, PhD PT

Study Record Dates

• First Submitted: October 18, 2023
• First Posted: October 30, 2023
• Study Start: July 1, 2020
• Primary Completion: April 3, 2024
• Study Completion: April 3, 2024
• Last Updated: April 5, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)