{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:05:22Z","timestamp":1791828322278,"version":"4.3.4"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>A multitude of modalities are available for the treatment of chronic rhinosinusitis, however, each has its side effects and compliance issues. Bhramari pranayama, which is a breathing exercise in the practice of yoga, offers an inexpensive and free from side effect modality in this regard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of this study was to evaluate the efficacy of Bhramari pranayama in relieving the symptoms of chronic sinusitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>A total of 60 patients with chronic sinusitis were randomly divided into two groups, one received conventional treatment of chronic sinusitis and the other group was in addition taught to practice yogic breathing exercise Bhramari pranayama. The patients were advised to practice this breathing exercise twice a day and were followed up at 1, 4, and 12 weeks using the Sino-Nasal Outcome Test (SNOT-22 score).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean SNOT-22 score in the group following the Bhramari pranayama breathing exercise using the ANOVA test improved from 39.13 \u00b1 9.10 to 24.79 \u00b1 8.31 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0002), this improvement was seen by the end of 4 weeks itself and continued until the 12\n                      <jats:sup>th<\/jats:sup>\n                      week of assessment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Integrating regular practice of Bhramari pranayama along with the conventional management of chronic rhinosinusitis is more effective than conventional management alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijoy.ijoy_32_18","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T01:12:37Z","timestamp":1556845957000},"page":"120-123","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":21,"title":["The efficacy of yogic breathing exercise Bhramari pranayama in relieving symptoms of chronic rhinosinusitis"],"prefix":"10.4103","volume":"12","author":[{"given":"K","family":"Abishek","sequence":"first","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satvinder Singh","family":"Bakshi","sequence":"additional","affiliation":[{"name":"Department of ENT and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananda Balayogi","family":"Bhavanani","sequence":"additional","affiliation":[{"name":"Centre for Yoga Therapy and Research, Sri Balaji Vidyapeeth, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251201","doi-asserted-by":"crossref","first-page":"328","DOI":"10.2500\/aap.2013.34.3675","article-title":"Chronic rhinosinusitis: Epidemiology and cost","volume":"34","author":"Halawi","year":"2013","journal-title":"Allergy Asthma Proc"},{"key":"R2-20251201","doi-asserted-by":"crossref","first-page":"54","DOI":"10.5935\/1808-8694.20130010","article-title":"Evaluation of the quality of life of patients with chronic rhinosinusitis by means of the SNOT-22 questionnaire","volume":"79","author":"Marambaia","year":"2013","journal-title":"Braz J Otorhinolaryngol"},{"key":"R3-20251201","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1001\/jama.2015.7544","article-title":"Medical therapies for adult chronic sinusitis: A Systematic review","volume":"314","author":"Rudmik","year":"2015","journal-title":"JAMA"},{"key":"R4-20251201","doi-asserted-by":"crossref","first-page":"306","DOI":"10.5935\/1808-8694.20130055","article-title":"Long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis with and without nasal polyps","volume":"79","author":"Mascarenhas","year":"2013","journal-title":"Braz J Otorhinolaryngol"},{"key":"R5-20251201","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.bjorl.2015.07.002","article-title":"Nasal saline irrigation: Therapeutic or homeopathic","volume":"81","author":"Barham","year":"2015","journal-title":"Braz J Otorhinolaryngol"},{"key":"R6-20251201","first-page":"34","article-title":"Sinusitis survival: Vibrations created from chanting Om can help clear your sinuses and ward off infections","volume":"3","author":"Bauman","year":"2003","journal-title":"Yoga J"},{"key":"R7-20251201","first-page":"S1","article-title":"Clinical practice guideline (update): Adult sinusitis","volume":"152","author":"Rosenfeld","year":"2015","journal-title":"Otolaryngol Head Neck Surg"},{"key":"R8-20251201","doi-asserted-by":"crossref","first-page":"134","DOI":"10.2500\/ajra.2016.30.4297","article-title":"Chronic rhinosinusitis: Epidemiology and burden of disease","volume":"30","author":"DeConde","year":"2016","journal-title":"Am J Rhinol Allergy"},{"key":"R9-20251201","doi-asserted-by":"crossref","first-page":"120","DOI":"10.2500\/ajra.2012.26.3752","article-title":"Functional limitations and workdays lost associated with chronic rhinosinusitis and allergic rhinitis","volume":"26","author":"Bhattacharyya","year":"2012","journal-title":"Am J Rhinol Allergy"},{"key":"R10-20251201","doi-asserted-by":"crossref","first-page":"467","DOI":"10.2500\/ajra.2013.27.3960","article-title":"Chronic rhinosinusitis and antibiotics: The good, the bad, and the ugly","volume":"27","author":"Kennedy","year":"2013","journal-title":"Am J Rhinol Allergy"},{"issue":"16","key":"R11-20251201","first-page":"30136","article-title":"Medical adherence to intranasal corticosteroids in adult patients","volume":"S1808-8694","author":"Ocak","year":"2016","journal-title":"Braz J Otorhinolaryngol"},{"key":"R12-20251201","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1002\/alr.21096","article-title":"Topical therapies in the management of chronic rhinosinusitis: An evidence-based review with recommendations","volume":"3","author":"Rudmik","year":"2013","journal-title":"Int Forum Allergy Rhinol"},{"key":"R13-20251201","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1067\/mhn.2001.115909","article-title":"Nasal irrigation for the alleviation of sinonasal symptoms","volume":"125","author":"Heatley","year":"2001","journal-title":"Otolaryngol Head Neck Surg"},{"key":"R14-20251201","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.bjorl.2015.03.014","article-title":"Topical therapy with high-volume budesonide nasal irrigations in difficult-to-treat chronic rhinosinusitis","volume":"82","author":"Kosugi","year":"2016","journal-title":"Braz J Otorhinolaryngol"},{"key":"R15-20251201","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/j.mehy.2005.11.035","article-title":"Strong humming for one hour daily to terminate chronic rhinosinusitis in four days: A case report and hypothesis for action by stimulation of endogenous nasal nitric oxide production","volume":"66","author":"Eby","year":"2006","journal-title":"Med Hypotheses"},{"key":"R16-20251201","first-page":"3239","article-title":"Humming, nitric oxide and paranasal sinuses ventilation","volume":"22","author":"Maniscalo","year":"2003","journal-title":"Eur Respir J"},{"key":"R17-20251201","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1111\/j.1749-4486.2009.01995.x","article-title":"Psychometric validity of the 22-item sinonasal outcome test","volume":"34","author":"Hopkins","year":"2009","journal-title":"Clin Otolaryngol"}],"container-title":["International Journal of Yoga"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01370257-201912020-00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:48:45Z","timestamp":1787068125000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01370257-201912020-00006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.4103\/ijoy.ijoy_32_18","relation":{},"ISSN":["0973-6131","0973-6131"],"issn-type":[{"value":"0973-6131","type":"print"},{"value":"0973-6131","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5]]},"assertion":[{"value":"2018-05-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}