Title

Yoga versus pursed lip breathing in neurogenic orthostatic hypotension: A randomized controlled trial

Authors

Rupam Sarkar¹,*, Taniya Vaidya², Rushikesh Joshi³, Amit Kumar Singh³, Sharda Sharma⁴, Ojasvini Parihar⁵ & Neha Vyas⁶

Affiliation

¹Department of Cardiovascular Physiotherapy, Maharashtra University of Health Sciences, Nashik, Maharashtra, India; ²Department of Neurological Physiotherapy, Maharashtra University of Health Sciences, Nashik, Maharashtra, India; ³Department of Neuro Physiotherapy, Parul Institute of Physiotherapy and Research, Parul University, Vadodara, Gujarat, India; ⁴Department of Paramedical & Allied Health Sciences, Shri Guru Ram Rai University, Dehradun, India; ⁵Department of Allied Health Sciences, Galgotias University, Greater Noida, India; ⁶Department of Physiotherapy, University of Engineering & Management, Jaipur, India; *Corresponding author

Email

Rupam Sarkar - E-mail: dr.rupamsarkarpt@gmail.com
Taniya Vaidya - E-mail: taniyavaidya1997@gmail.com
Rushikesh Joshi - E-mail: dr.r.j.1988@gmail.com
Amit Kumar Singh - E-mail: amit160288@gmail.com
Sharda Sharma - E-mail: shardasharma.physio@gmail.com
Ojasvini Parihar - E-mail: ojasvini.parihar@galgotiasuniversity.edu.in
Neha Vyas - E-mail: nehavyas555@gmail.com

Article Type

Research Article

Date

Received September 1, 2026; Revised September 30, 2026; Accepted September 30, 2026, Published September 30, 2026

Abstract

Neurogenic orthostatic hypotension impairs cardiovascular autonomic regulation and the comparative effects of breathing techniques remain uncertain. Therefore, it is of interest to compare the slow-paced yoga breathing and pursed lip breathing in 60 patients with neurogenic orthostatic hypotension (n = 30/group). Both interventions significantly improved heart rate and orthostatic blood pressure compared with baseline (P < 0.01). Slow-paced yoga breathing produced greater reductions in heart rate and orthostatic systolic blood pressure drop than pursed lip breathing (P < 0.01). Thus, data shows that slow-paced yoga breathing is an effective, non-pharmacological strategy for improving short-term autonomic cardiovascular stability.

Keywords

Neurogenic orthostatic hypotension (nOH), slow-paced yoga breathing (SPYB), pursed lip breathing (PLB), cardiac autonomic modulation, heart rate, blood pressure, pranayama

Citation

Sarkar et al. Bioinformation 22(9): 5898-5901 (2026)

Edited by

Ruby Singh

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.