Other non-pharmacological treatment modalities like cognitive behavioral therapy, relaxation training, stimulus control therapy, physical and breathing exercise, yoga have shown a beneficial role in improving nighttime sleep.
Sudarshan kriya research harvard professional#
As these interventions involve individualized attention by health care professional it becomes less cost-effective and less accessible.
Existing data advocates only use of short-term pharmacological treatment whereas long term treatment has been shown to decrease effectiveness. However, these treatments are often responsible for rebound insomnia, daytime drowsiness, physical and psychological dependence, disturbed rapid eye movement (REM) sleep, cognitive function impairment leading to overall decreased quality of life. amphetamine, methylphenidate) and non-sympathomimetic drugs (e.g. Ĭurrent management of EDS is largely directed towards treatment of the underlying cause with continued pharmacotherapy for EDS with psychostimulants viz., sympathomimetics (e.g. Sleep disturbances have decreased school and work performance and impaired psychosocial functioning. Sleepiness amongst medical caregivers has been shown to be an important factor affecting medical decisions and causing medical errors. Nearly 10–15% of motor vehicle accidents are due to sleepiness and fatigue. Hence sleep disturbances often are both the cause and effect of conditions like diabetes, obesity, chronic inflammatory processes, anxiety, and depression. Genetic studies suggest that circadian rhythm and health outcomes share common molecular and biochemical pathways. Such cases are very common in the population and are termed as idiopathic hypersomnia. Lack of standard definition of EDS and inability to identify the exact cause using standard investigating techniques have often underestimated the prevalence of EDS. Įxcessive Daytime Sleepiness (EDS) is the most common repercussion and reflection of impaired nighttime sleep and is commonly seen in people with chronic insomnia, obstructive sleep apnea, narcolepsy, diabetes, and obesity. While 30% adults have reported ‘some sleep issues over a year’, 10% present with a clinical picture of chronic insomnia. Nearly 20% adults report impaired nighttime sleep and sleep 90 min lesser than adequate. In the past 30 years, increased late-night entertainment and hectic routines have reduced 18 min of an adult’s nighttime sleep. Hence, any disturbance in this harmony can pose serious functional consequences. This synchronization called the circadian rhythm ensures homeostasis between the milieu interior and milieu exterior and makes the human body energy and resource-efficient. with light and dark changes in the environment.
The human body has adapted its sleep-wake (rest-activity) cycle diurnally i.e. Our study establishes effectivity of SKY in reducing EDS (total and situational), provides a clinical correlation for prior polysomnographic evidence and paves way for larger trials directed towards SKY prescriptions for insomnia. Increased heart rate variability (HRV) alterations and sympathetic hyperarousal in chronic insomnia and cholinergic and GABAergic dysregulation in anxiety disorders are countered by regulated vagal nerve stimulation post SKY. Improvement in subjects’ nighttime sleep and daytime wakefulness in SKY practitioners can be attributed to polyvagal theory. Improvement was most for obese people and those sitting in a halted car. SKY group showed significant ESS score improvement over controls at 4-weeks (difference=1.74 p=0.013) and 8-weeks (difference eight p=0.0001). Controls however failed to improve with score differences of 0.02 (p=0.892) and 0.02 (p=0.8212) respectively. SKY group showed significant ESS score improvements between 0–4 weeks and 4–8 weeks of 1.22 (p=0.0001) and 1.66 (p=0.001) respectively. Epworth Sleepiness Scale (ESS) was used to measure EDS at 0, 4, and 8 weeks. Subjects (n=52) performed 30 min of SKY for 6 days/week for 8 weeks, while controls (n=53) performed sitting activity and Suryanamaskar for 4-weeks each. This is a prospective, controlled study involving randomized subjects without any sleep-wake cycle anomalies and prior experience in SKY. We assess the scope of Sudarshan Kriya Yoga (SKY), a 4-component, breathing process in reducing EDS, generally and situationally.
Hectic, late-night lifestyle has reduced 90 min sleep in 20% adults resulting in insomnia and excessive daytime sleepiness (EDS).
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