{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T05:23:51Z","timestamp":1771997031527,"version":"3.50.1"},"reference-count":63,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:00:00Z","timestamp":1616025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:00:00Z","timestamp":1616025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T00:00:00Z","timestamp":1616025600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Department of Science and Technology, Government of India"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p><jats:italic>Yoga<\/jats:italic> as alternative form of therapy has shown positive impact on pulmonary functions, exercise capacity, behavioral changes, and inflammation in non\u2010trauma patients. However, the efficacy of <jats:italic>Yoga<\/jats:italic> has not been studied in chest trauma patients.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This randomized controlled trial was conducted at level\u20101 Trauma Centre. Isolated chest injury patients were randomized into either standard physiotherapy or <jats:italic>Yogatherapy<\/jats:italic> groups. Patients in physiotherapy group received conventional chest physiotherapy and <jats:italic>Yogatherapy<\/jats:italic> group received a set of <jats:italic>Yogic<\/jats:italic> exercises in addition to conventional chest physiotherapy. Primary outcome measure was changes in pulmonary function tests (PFT) at 4 weeks of discharge. Secondary outcomes were changes in quality of life (QoL), respiratory muscle strength and endurance, chest wall mobility, and levels of cytokines at 4 weeks. Data were analyzed using STATA v14.0.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 89 eligible patients were randomized to physiotherapy (<jats:italic>n<\/jats:italic>\u2009=\u200946) and <jats:italic>Yoga<\/jats:italic> therapy (<jats:italic>n<\/jats:italic>\u2009=\u200943) groups. Demographic characteristics were comparable in both the groups. There were statistically significant improvements in PFT in the <jats:italic>Yogatherapy<\/jats:italic> group compared with physiotherapy with an increase in Forced vital capacity (<jats:italic>p<\/jats:italic>\u2009=\u20090.02) and Forced expiratory volume (<jats:italic>p<\/jats:italic>\u2009=\u20090.01) at 4 weeks. In addition, there were significant improvement in physical component of QoL, respiratory muscle endurance (<jats:italic>p<\/jats:italic>\u2009=\u20090.003) and axillary cirtometry (<jats:italic>p<\/jats:italic>\u2009=\u20090.009) in the <jats:italic>Yogatherapy<\/jats:italic> group. However, no statistically significant difference in the trends of cytokine markers seen between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:italic>Yoga<\/jats:italic> was found to be effective in improving pulmonary functions and QoL in patients with chest trauma. (Trial registered at ctri.nic.in\/clinicaltrials\/login.php, numberREF\/2016\/05\/011,287).<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-06057-9","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T21:44:51Z","timestamp":1616103891000},"page":"2015-2026","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["<i>Yoga<\/i>\u2014An Alternative Form of Therapy in Patients with Blunt Chest Trauma: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"45","author":[{"given":"Mallikarjun","family":"Gunjiganvi","sequence":"first","affiliation":[{"name":"Sanjay Gandhi Post Graduate Institute of Medical Sciences, Specialty of Trauma Surgery, Apex Trauma Center Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Purva","family":"Mathur","sequence":"additional","affiliation":[{"name":"Department of Laboratory Medicine JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minu","family":"Kumari","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery and Critical Care JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karan","family":"Madan","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine and Sleep Disorders All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atin","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Radiology JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh","family":"Sagar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushma","family":"Sagar","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery and Critical Care JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery and Critical Care JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biplab","family":"Mishra","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery and Critical Care JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Altaf Hussain","family":"Mir","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, JPN Apex Trauma Center All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohini","family":"Meti","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery and Critical Care JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subodh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Division of Trauma Surgery and Critical Care JPN Apex Trauma Center, All India Institute of Medical Sciences New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,18]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Violence, Injuries, and Disability: Biennial 2006\u20102007 Report","author":"World Health Organization","year":"2008"},{"key":"e_1_2_8_3_1","volume-title":"Global Status Report on Road Safety 2015","author":"World Health Organization","year":"2015"},{"key":"e_1_2_8_4_1","volume-title":"Injuries and Violence: The Facts 2014","author":"World Health Organization","year":"2014"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxq009"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749\u20108090\u20107\u201035"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.206599"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/jramc\u2010156\u201001\u201002"},{"key":"e_1_2_8_9_1","first-page":"5","article-title":"Analytic study of chest injury","volume":"1","author":"Shah JV","year":"2015","journal-title":"IJSS J Surg"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010198708000\u201000013"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972\u20105229.24686"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2010.12.005"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010004\u20102370\u2010x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SHK.0b013e31819c385c"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","unstructured":"BagariaV MathurP MadanK et al (2020) Predicting Outcomes After Blunt Chest Trauma\u2014Utility of Thoracic Trauma Severity Score Cytokines (IL\u20101\u03b2 IL\u20106 IL\u20108 IL\u201010 and TNF\u2010\u03b1) and Biomarkers (vWF and CC\u201016).Indian J Surg(online ahead of print)https:\/\/doi.org\/10.1007\/s12262\u2010020\u201002407\u20104.","DOI":"10.1007\/s12262-020-02407-4"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000037095.83469.4C"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010200009000\u201000018"},{"key":"e_1_2_8_18_1","first-page":"150","article-title":"Thorax trauma severity score: is it reliable for patient's evaluation in a secondary level hospital?","volume":"4","author":"Mart\u00ednez Casas I","year":"2016","journal-title":"Bull Emerg Trauma"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010017\u20100154\u20101"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43057\u2010020\u20100015\u20107"},{"key":"e_1_2_8_21_1","first-page":"474","article-title":"Comparison of outcome between low and high thoracic trauma severity score in blunt trauma chest patients","volume":"26","author":"Subhani SS","year":"2014","journal-title":"J Ayub Med Coll Abbottabad"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.10.196"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2018.06.008"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2815"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049\u2010018\u20100535\u20109"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31818a4009"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.06.014"},{"key":"e_1_2_8_28_1","first-page":"62","article-title":"Assessment of the forced expiration technique, postural drainage and directed coughing in chest physiotherapy","volume":"64","author":"Sutton PP","year":"1983","journal-title":"Eur J Respir Dis"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2012.09.016"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12\u20102930"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwv071"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbi.2015.06.012"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3181cb9377"},{"key":"e_1_2_8_34_1","first-page":"105","article-title":"Effect of short term \u2018Pranayam\u2019 practice on breathing rate and ventilatory functions of lung","volume":"36","author":"Joshi LN","year":"1992","journal-title":"Indian J Physiol Pharmacol"},{"key":"e_1_2_8_35_1","first-page":"180","article-title":"An evaluation of pulmonary parameters in two groups of subjects during Yoga practice","volume":"12","author":"Ahmed QR","year":"2010","journal-title":"Nepal Med Coll J"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972\u20104958.182909"},{"key":"e_1_2_8_37_1","first-page":"61","article-title":"Effects of yoga training and detraining on physical performance measures in prepubertal children: a randomized trial","volume":"58","author":"D\u2019souza C","year":"2014","journal-title":"Indian J Physiol Pharmacol"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1519\/JPT.0b013e31829938bb"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1520\u2010037X.2001.00542.x"},{"key":"e_1_2_8_40_1","first-page":"79","article-title":"Elements of yoga therapy in the combined rehabilitation of myocardial infarct patients in the functional recovery period","volume":"4","author":"Bulavin VV","year":"1993","journal-title":"VoprKurortolFizioter Lech FizKult"},{"key":"e_1_2_8_41_1","first-page":"08","article-title":"Effect of yoga practice on levels of inflammatory markers after moderate and strenuous exercise","volume":"9","author":"Vijayaraghava A","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2007.12.007"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0100903"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21936"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1089\/acm.2005.11.189"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.01640"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00034505"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00034805"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201710\u20101981ST"},{"key":"e_1_2_8_50_1","volume-title":"WHOQOL\u2010BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996","author":"World Health Organization. Division of Mental Health","year":"1996"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2017.11.020"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2016.05.004"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262\u2010016\u20101554\u20102"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.20408\/jti.2017.30.4.179"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2016.12.004"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000744"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.5.3177"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl\u20102016\u2010208279"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215509358932"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.2121"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.29.2176"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02415"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(14)60687\u20105"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000749"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-021-06057-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-021-06057-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-021-06057-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-021-06057-9","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T16:12:20Z","timestamp":1703347940000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-021-06057-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,18]]},"references-count":63,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1007\/s00268-021-06057-9"],"URL":"https:\/\/doi.org\/10.1007\/s00268-021-06057-9","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,18]]},"assertion":[{"value":"28 February 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethics approval was taken from the Institutional Ethics Committee.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Ctri.nic.in\/clinicaltrials\/login.php, numberREF\/2016\/05\/011287.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Trial registration number"}},{"value":"Department of Science and Technology, Government of India.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Grant support"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}