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Development of a Yoga-Based Cardiac Rehabilitation (Yoga-CaRe) Programme for Secondary Prevention of Myocardial Infarction

Chattopadhyay, Kaushik; Chandrasekaran, Ambalam M.; Praveen, Pradeep A.; Manchanda, Subhash C.; Madan, Kushal; Ajay, Vamadevan S.; Singh, Kavita; Tillin, Therese; Hughes, Alun D.; Chaturvedi, Nishi; Ebrahim, Shah; Pocock, Stuart; Reddy, K. Srinath; Tandon, Nikhil; Prabhakaran, Dorairaj; Kinra, Sanjay

Authors

Ambalam M. Chandrasekaran

Pradeep A. Praveen

Subhash C. Manchanda

Kushal Madan

Vamadevan S. Ajay

Kavita Singh

Therese Tillin

Alun D. Hughes

Nishi Chaturvedi

Shah Ebrahim

Stuart Pocock

K. Srinath Reddy

Nikhil Tandon

Dorairaj Prabhakaran

Sanjay Kinra



Abstract

Cardiac rehabilitation (CR) after myocardial infarction is highly effective. It is unavailable in public hospitals in India due to limited resources. Our objective was to develop a scalable model of CR for India based on yoga, which could also appeal to some groups with low uptake of CR (e.g., ethnic minorities, women, and older people) globally. The intervention was developed using a structured process. A literature review and consultations with yoga experts, CR experts, and postmyocardial infarction patients were conducted to systematically identify and shortlist appropriate yoga exercises and postures, breathing exercises, meditation and relaxation practices, and lifestyle changes, which were incorporated into a conventional CR framework. The draft intervention was further refined based on the feedback from an internal stakeholder group and an external panel of international experts, before being piloted with yoga instructors and patients with myocardial infarction. A four-phase yoga-based CR (Yoga-CaRe) programme was developed for delivery by a single yoga instructor with basic training. The programme consists of a total of 13 instructor-led sessions (2 individual and 11 group) over a 3-month period. Group sessions include guided practice of yoga exercises and postures, breathing exercises, and meditation and relaxation practices, and support for the lifestyle change and coping through a moderated discussion. Patients are encouraged to self-practice daily at home and continue long-term with the help of a booklet and digital video disc (DVD). Family members/carers are encouraged to join throughout. In conclusion, a novel yoga-based CR programme has been developed, which promises to provide a scalable CR solution for India and an alternative choice for CR globally. It is currently being evaluated in a large multicentre randomised controlled trial across India.

Journal Article Type Article
Publication Date May 2, 2019
Journal Evidence-Based Complementary and Alternative Medicine
Print ISSN 1741-427X
Electronic ISSN 1741-4288
Publisher Hindawi Publishing Corporation
Peer Reviewed Peer Reviewed
Volume 2019
Article Number 7470184
Pages 1-7
APA6 Citation Chattopadhyay, K., Chandrasekaran, A. M., Praveen, P. A., Manchanda, S. C., Madan, K., Ajay, V. S., …Kinra, S. (2019). Development of a Yoga-Based Cardiac Rehabilitation (Yoga-CaRe) Programme for Secondary Prevention of Myocardial Infarction. Evidence-Based Complementary and Alternative Medicine, 2019, 1-7. https://doi.org/10.1155/2019/7470184
DOI https://doi.org/10.1155/2019/7470184
Keywords Complementary and alternative medicine
Publisher URL https://www.hindawi.com/journals/ecam/2019/7470184/

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