CLINICAL STUDY: Original Article

Effect of Yoga Protocol in Primary Snoring: A Pilot study

Abstract Jojan J. Jerone,

Introduction: Snoring is a highly prevalent condition characterized as “audible vibrations of the Ashok Patil,
upper airway during sleep respirations.” The currently available treatment modalities are costly
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Savita S. Angadi1,
and are associated with various complications. Methods: After obtaining ethical clearance and
CTRI registration, twenty patients with primary snoring were recruited into the study group to Amal S. Chandran
follow a yoga protocol for 30 days. Participants were assessed on the baseline, 15th, and 30th days. Departments of Swasthavritta
The subjective parameters and objective parameters were assessed using Snoring Symptom and Yoga and 1Shalakya Tantra,
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KLE Academy of Higher

Inventory (SSI) questionnaire and Snore lab mobile application respectively. Self‑reported Education and Research Shri
habitual snoring, a partner to provide the snoring report, turbinate hypertrophy grade I and BMK Ayurveda Mahavidyalaya,
II, mild deviated nasal septum, Body Mass Index <35 kg/m2, and age group 20-80 years were Belagavi, Karnataka, India
included. Patients with obstructive sleep apnea (OSA) and undergoing treatment for snoring or
OSA, case of chronic rhinitis, three or more alcoholic drinks per day, conditions likely to affect
OSA physiology were excluded. SSI questionnaire and snore score, percentage and time, and
sleeping time were assessed using Friedman and Paired t‑test. Results: Out of the 25 questions
in the SSI questionnaire, 13 showed significant results. Highly significant improvement was seen
in the snore score, time, and percentage. Significant changes were seen in the parameter neck
circumference (P < 0.05) before and after the treatment. Conclusion: It can be concluded that
yoga protocol is cost‑effective, easy to administer, and effective nonpharmacological treatment in
the management of primary snoring.

Keywords: Asana, Kriya, nonpharmacological intervention, pranayama, sleep breathing disorders

Introduction recurrent awakenings from sleep, daytime

The International Classification of
Sleep Disorders‑3 includes snoring
under sleep‑related disorders which are
characterized as “audible vibrations of the
upper airway during sleep respirations,”
with inspiration being more pronounced than
expiration.[1,2] Snoring is often a symptom
of upper airway resistance syndrome or
obstructive sleep apnea (OSA) and affects
40% of the adult population.[3,4] Males,
heredity, cigarette smoking habits, obesity,
alcohol and sedatives before bedtime, and
disorders such as airway blockage and
hypothyroidism are the major risk factors
for the development of this condition. The
prevalence of snoring varies from 2% to
85%.[5] Because most snorers are unaware of
the problem, individuals who disclose this
condition are often unreliable. According to
studies, 25% of males and 15% of females
snore regularly.[6] If a snorer experiences
unrefreshing sleep, choking sensations,
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fatigue, or personality changes, he or she
has crossed the line between snoring and
potentially life‑threatening disease.[7] It has
been related to serious health implications
such as drowsiness and risk factors for
the development of noncommunicable
diseases such as diabetes, hypertension, and
stroke.[8,9] Daytime tiredness, hypertension,
and carotid atherosclerosis have all been
linked to nonapneic snoring. Sleep problems
have a large economic cost: In Australia,
Address for correspondence:
poor sleep accounted for 4.6 per cent of
Dr. Ashok Patil,
the national disease burden.[10] According Department of Swasthavritta
to a study, when men’s nasal breathing and Yoga, KLE Academy
of Higher Education and
was improved at night, their quality of life
Research Shri BMK Ayurveda
improved significantly, and their female
Mahavidyalaya, Belagavi,
sleeping partner’s sleep disturbances Karnataka, India.
decreased.[11] E‑mail: drashu2727@gmail.com
Yoga is one of the ancient systems in India
which promote physical, mental, social, and Access this article online
spiritual well‑being through mainly asanas, Website: https://journals.lww.
pranayama, bandhas, mudras, kriyas, and com/joay
others. It incorporates a variety of breathing, DOI: 10.4103/joa.joa_144_22
Quick Response Code:
How to cite this article: Jerone JJ, Patil A, Angadi SS,
Chandran AS. Effect of yoga protocol in primary
snoring: A pilot study. J Ayurveda 2023;17:114-22.
Submitted: 30‑May‑2022 Revised: 16-Sep-2022
Accepted: 18‑Sep‑2022 Published: 06-Jul-2023

114 © 2023 Journal of Ayurveda | Published by Wolters Kluwer - Medknow

 Jerone, et al.: Snoring and Yoga protocol
oropharyngeal, and facial expression exercises, which helps
to maintain airway patency by regulating the muscle tone of
the airway dilator. There are different treatment modalities
such as surgery, oral appliances, continuous positive airway
pressure, and others.[12‑14] Altering the force of breath and
targeting throat tone and/or size are the currently available
treatments for snoring patients. To alter breath force during
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sleeping, many devices are available to broaden the nostrils
or hold the mouth shut and the tongue forward. However,
this is quite uncomfortable to wear during sleep, so it is
often disliked by the patients.[15] The surgical approach
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is still more painful, and expensive and even can lead to
long‑term side effects, especially swallowing problems.[12,16]
Hence, an effective, risk‑free, and low‑cost intervention
like yoga protocol which is easy to practice by the patient
himself is the need of the hour.
Material and Methods
Patients from the institute’s outpatient and inpatient
departments were enrolled in the study. The CONSORT[17]
statement rules are followed for documenting the study’s
findings.
Drugs
Saindava lavana was procured and packed as sachets from
GMP Certified KLE’s Ayurveda pharmacy, Khasbag, Belagavi.
Subjects
A total of 20 patients with primary snoring were
recruited from the OPD and IPD of the Swasthavritta and
Shalakyatantra departments of KLE Ayurveda Hospital,
Shahapur, Belagavi.
Inclusion criteria
Self‑reported habitual snoring, a partner who will be able
to come up with snoring report, Turbinate hypertrophy
grade I and grade II, Mild DNS, Body mass index (BMI)
<35 kg/m2, age group 20-80 years, irrespective of sex, and
occupation were enrolled in the study.
Exclusion criteria
Known case of OSA, undergoing therapy for OSA or case
of chronic rhinitis, Self‑reported average of three or more
alcoholic drinks per day, neuromuscular disorder or some
other severe neurological disorder, or any other unstable
significant medical state are all conditions that are likely to
impair OSA physiology.
Screening methods
The recruited patients in the study were clinically
examined, and data were recorded systematically
Research study design
The study included a single group clinical trial with 20
participants. Figure 1 depicts the study’s CONSORT Flow
diagram.
Journal of Ayurveda ¦ Volume 17 ¦ Issue 2 ¦ April-June 2023
Treatment protocol
A detailed treatment protocol is attached in Table 1.
Intervention
The trial began with a 30‑day intervention period after
receiving approval from the Institutional Ethics Committee
with Protocol Id BMK/19/PG/SW/04, dated 13 June,
2020, with CTRI registration (CTRI/2020/09/02701) and
informed consent from the participants. From January 2021
until December 2021, data were collected. During the trial
period, participants were requested to follow the treatment
protocol and keep a yoga practice record book. The patient
was advised to notify the investigators in the event of any
adverse effects. The yoga session was performed under the
guidance of a certified yoga instructor at our hospital.
Assessment criteria
Subjective parameter
Snoring Symptoms Inventory (SSI) is a verified and
sensitive snoring assessment tool. This parameter has used
in this study for assessing the snoring before and after in
20 subjects.[18] The SSI includes 25 questions which clarify
the snoring symptoms.
Objective parameter
Assessment of Snoring score, snoring percentage, and
sleeping time done by the smartphone application
Snorelab.[19] This application had the features like the
ability to record audio, graphically display data, store data
for multiple nights, a Delayed start option, dB (decibel)
results, and the Option to E‑mail/share.[20] Data were
taken from the four nights before and after the treatment
protocol.
Statistical analysis
SPSS software version 20 (Statistical Package for Socical
Science, IBM, Armonk, New York, USA) was used for
statistical analysis. The assessment of height, weight, BMI,
and Neck circumference was made by repeated measures
of analysis of variance and SSI questionnaire by Friedman
test on the baseline, 15th, and 30th days. Paired t‑test was
used to assess snore score, percentage, snore time, and
sleeping time before and after the study. The parameters
were considered statistically significant if the P < 0.05.
Results
Out of twenty enrolled participants, nineteen completed the
study.
Characteristics of the Subject
Age
Among 19 participants, 42.2% belonged to 20-30 years,
21% to 31-40 years, 21.1% in the age group of 41-50 years,
and 15.9% in the age group of 51-60 years.
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 Jerone, et al.: Snoring and Yoga protocol
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Figure 1: CONSORT flow diagram of the study
Sex incidence
About 52.6% of male participants and 47.4% of female
participants participated in the study.
Sleep position
Among 19 participants, 73.7% were observed sleeping on the
back (supine), 5.3% were observed sleeping on the back or
side, and 21.1% observed sleeping sidewise more frequently.
Exercise
Among 19 participants, 68% were observed not involved
in any sort of exercise, 15.8% were performing routine
exercise, 10.5% were observed doing exercise in the gym,
and 5.3% were practising yoga as exercise.
Body mass index
Among 19 participants, 74% were overweight, 5% were
observed as obese class I, and 21% were within the normal
range of BMI.
Subjective parameters
Subjective parameters questions related to snoring
concerning personal relationship (s) (P < 0.000),
feeling tired (P < 0.000), family complains about
snoring (P < 0.001), dry mouth or throat (P < 0.001), feeling
embarrassed to stay overnight (P < 0.009), strain on personal
relationship (s) (P < 0.001), losing temper and becoming
irritable (P < 0.001), fall asleep during the day (P < 0.000),
feeling depressed (P < 0.000), headaches (P < 0.000),
difficulty in concentration (P < 0.007) showed statistically
significant results [Table 2].
Objective parameters
Yoga protocol showed highly significant
improvement (P < 0.000) in the Snore score and protocol
116
showed highly significant (P < 0.005) improvement in
Snoring time and Snoring percentage. Significant changes
were seen in the parameter Neck Circumference (P < 0.05)
before and after the treatment [Tables 3 and 4].
Discussion
Yoga and primary snoring
Yoga is a way of life which sustains the healthy living
of the body and mind. Snoring has been shown to have
a significant impact on one’s quality of life, and yoga is
a proven way to improve one’s quality of life.[21,22] The
pathogenesis of snoring is multifactorial.[23] According
to research, both anatomical and neuromuscular aspects
have a role in the development of snoring.[24] Enlargement
of the tonsils, increased bulk of the tongue, increased
length of the soft palate, and aberrant placement of the
maxilla and mandible, and lax lateral pharyngeal walls
are all variables that contribute to snoring. Upper airway
dilator muscles are important in maintaining pharyngeal
patency and may contribute to the onset of snoring.[25]
The nose is the more efficient way of breathing, and when
dysfunctional, mouth breathing ensues and heightens the
risk of snoring. Breathing through a partially blocked nose
can also create whistling and popping sounds, or even
cause suction that collapses your airway. Pranayama and
Shadkarma, like Jalaneti and kapalapathi, may reduce the
enlargement in the nasal cavity and strengthen the upper
airway. All the asana are stretching the neck muscles and
maintains pharyngeal patency. Asana reduces body weight
by which the reduction of the fat in the body, especially
in the neck area, may also contribute in reducing snoring.
Studies show that yoga intervention for people improved
their overall respiratory and physical functions. In addition
to improving inspiratory muscle strength, pranayama has
been used for centuries to treat sinusitis, nasal blockage,
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 Jerone, et al.: Snoring and Yoga protocol

Table 1: Detailed yoga protocol

Procedure Details Rounds Duration
Prayer Yoga mantra – Yogenachittasya 1 2 min
Standing warm‑up exercises Ankle joint moments – Rotation, flexion and extension 10 Half min
Knee joint moments – Rotation, flexion and extension 7 Half min
Waist moments – Rotation, backward and forward bending 10 Half min
Wrist moments – Rotation, flexion, extension, closing and opening 10 Half min
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Elbow joint – Flexion and extension 5 Half min

Hand rotation 5 Half min
Shoulder joint – Rotation, lateral stretching 5 Half min
Neck moments – Rotation, lateral moments and bending 5 1 min
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Eye ball moments – Lateral and upward, downward moments and rotation 5 Half min
Jumping jack 15 Half min
Jogging 20 Half min
Relaxing Shavasana ‑ 3 min
Asana (includes standing, sitting, Standing asana ‑ 15 min
supine and prone positioned asanas) Ardha chakrasana‑1
Sitting asana
Matsyasana‑1*
Ushtrasana‑1
Simhasana‑1
Supine asana
Setubandasana‑1
Chakrasana‑1**
Prone asana
Dhanurasana‑1
Bhujangasana
Pranayama Normal relaxed breathing/anuloma viloma ‑ 5 cycles ‑ 15 min
A/U/M chanting ‑ 3 cycles
Surya anuloma viloma ‑ 3 cycles
Chandra anuloma viloma ‑ 3 cycles
Ujjayi pranayama ‑ 5 cycle
Bramaripranayama ‑ 5 cycle
Bhastrika pranayama ‑ 5 cycles
Bandas Jalandara banda 5 min
Mudra Agni mudra 10 min
Shatkriya Jalaneti 20 min
Kapalbhati‑2
Prayer Yoga shanti mantra – sarvebhavantusukhina 2 min
Total 1 h and 15 min
*For those who are unable to perform the asanas as per the classical asana procedure, the variations described in Asana Pranayama Banda
Mudra textbook were adopted, **As chakrasana was an asana which was a bit difficult to perform, so it was done with support

and other nasal airway diseases, which are the root causes
of snoring.[26,27]
Asanas on snoring
Asana includes sequential movement of body parts with
breathing and concentration. There are many factors
that influence the practice of yoga such as motivation,
flexibility, age, environment, and others. Snoring is caused
by a combination of anatomical alterations, neuromuscular
variables, and hereditary susceptibility. The dilator muscles
of the upper airway play a critical role in maintaining
pharyngeal patency.[28] Ardhachakrasana, Matsyasana,
Ushtrasana, Simhasana, Setubandasana, Chakrasana,
Bhujangasana, and Dhanurasana yoga postures enhance
muscle tone by involving the whole facial, oropharyngeal,
jaw, tongue, and neck muscles. These asanas also help to
maintain the platysma firm by stretching it and relieving
chest congestion. Bhujangasana strengthens the neck
musculature and the muscles of the upper body. It also helps
to clean the airways and energizes the heart. Setubandasana

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 Jerone, et al.: Snoring and Yoga protocol

Table 2: Statistical analysis of snoring symptom inventory using Friedman test

Variable Follow up Mean±SD χ2 Level of significance (P<0.05)
My family complains about my snoring (FC) (n=19) FC_0th day 3.63±0.496 31.684 0.000*
FC_15th day 3.32±0.820
FC_30th day 2.16±0.501
I feel tired (FT) (n=19) FT_0 2.00±1.291 17.081 0.000*
FT_15 1.74±1.147
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FT_30 1.21±0.918
I am concerned about disturbing my partner’s sleep or the PS_0 2.89±1.286 19.846 0.000*
sleep of others in the home (PS) (n=19) PS_15 2.53±1.073
PS_30 2.00±1.000
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I have a dry mouth or throat (DM) (n=19) DM_0 1.79±1.398 14.364 0.001*
DM_15 1.58±1.261
DM_30 1.16±0.958
I am embarrassed when I stay overnight with friends or OF_0 2.00±1.528 9.500 0.009*
relatives (OF) (n=19) OF_15 1.95±1.471
OF_30 1.63±1.300
I have a blocked nose (BN) (n=19) BN_0 0.89±1.197 2.667 0.264
BN_15 0.95±1.268
BN_30 0.79±1.084
Because of my snoring, I sometimes have to sleep in a SR_0 0.84±1.214 4.667 0.097
separate room from my partner or others in the home (SR) SR_15 0.79±1.134
SR_30 0.68±0.946
I am concerned that my snoring puts a strain on my SP_0 2.11±1.286 14.857 0.001*
personal relationship (s) (SP) SP_15 1.89±1.197
SP_30 1.53±0.964
I worry about falling asleep while driving (WD) WD_0 0.26±0.562 3.000 0.223
WD_15 0.32±0.582
WD_30 0.21±0.419
I am embarrassed when I am on holiday or staying in HH_0 0.53±0.772 1.000 0.607
hotels (HH) HH_15 0.58±0.769
HH_30 0.53±0.697
I feel bad‑tempered and irritable (TI) TI_0 1.68±1.157 13.520 0.001*
TI_15 1.68±1.108
TI_30 1.26±0.933
I sometimes fall asleep during the day (DD) DD_0 2.05±1.026 21.385 0.000*
DD_15 1.84±1.015
DD_30 1.21±0.787
I have a sore throat (ST) ST_0 0.63±1.012 2.000 0.368
ST_15 0.53±0.841
ST_30 0.53±0.697
My sex life has been affected by my snoring (SX) SX_0 0.42±0.838 4.000 0.135
SX_15 0.42±0.838
SX_30 0.32±0.749
I have problems concentrating on my work (CW) CW_0 1.05±1.079 9.909 0.007*
CW_15 1.00±0.943
CW_30 0.68±0.749
My neighbors complain about my snoring (NC) NC_0 0.21±0.419 4.000 0.135
NC_15 0.32±0.582
NC_30 0.21±0.419
I am unable to concentrate during the day (UD) UD_0 1.00±1.000 4.333 0.115
UD_15 0.84±0.834
UD_30 0.79±0.787
I have a choking feeling (CF) CF_0 0.26±0.452 0.667 0.717
CF_15 0.21±0.419

Contd...

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 Jerone, et al.: Snoring and Yoga protocol

Table 2: Contd...
Variable Follow up Mean±SD χ2 Level of significance (P<0.05)
CF_30 0.26±0.562
I feel depressed because I cannot do anything about my AS_0 2.26±1.195 24.326 0.000*
snoring (AS) AS_15 2.00±1.106
AS_30 1.21±0.713
I get headaches (GH) GH_0 2.26±1.195 24.326 0.000*
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GH_15 2.00±1.106
GH_30 1.21±0.713
I have problems breathing (PB) PB_0 0.53±0.612 2.000 0.368
PB_15 0.53±0.612
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PB_30 0.47±0.612
I feel frightened of going to sleep (FG) FG_0 0.63±0.761 4.000 0.135
FG_15 0.53±0.612
FG_30 0.53±0.612
I am embarrassed by my snoring (ES) ES_0 1.42±1.170 2.273 0.321
ES_15 1.32±1.057
ES_30 1.21±0.855
I lack self‑confidence (LC) LC_0 1.00±1.054 6.000 0.050*
LC_15 1.00±1.054
LC_30 0.84±0.834
SD: Standard Deviation, n: number of subjects, *Significant

Table 3: Statistical analysis of snore score, time (minutes) of yoga. We conclude that the above‑said factors might
and percentage, and sleeping time using Friedman test have contributed to the reduction of the snoring time and
Parameter Mean±SD Percentage Significance percentage.
change (p<0.05) Pranayama on snoring
Snore score
BF Snore score 46.5526±34.40118 59.29894 0.000* Pranayama lowers dead space ventilation and works on
AF Snore score 18.9474±12.98465 breathing. It also refreshes the air throughout the lungs, as
Snoring time opposed to shallow breathing, which primarily refreshes the
BF Snoring time 97.68±66.436 47.44113 0.005* air at the bottom of the lungs.[31] Pranayama has a beneficial
AF Snoring time 51.3395±30.15899 effect on cardiovascular and respiratory functions.[32,33] Each
Snoring percentage form of pranayama has its beneficial effect depending on
BF Snoring 25.6006±17.33506 48.3563 0.005* the process of breathing, tidal volume, and other variables
percentage such as the usage of the contraction of the laryngeal
AF Snoring 13.2211±7.01475 muscles, mouth, position of the glottis, and nostrils.[34]
percentage Nadi Shodhana aids in the cleaning and balancing of the
Sleeping time respiratory channels as well as relief of allergies related to
BF Sleeping time 472.63±78.740 10.1898 0.768 the respiratory system. It also provides oxygen to the brain
AF Sleeping time 424.47±45.764 and respiratory system, soothing and revitalizing them. The
BF: Before intervention, AF: After intervention, SD: Standard practices of nadi shuddhi pranayama regularly have been
deviation, *significant shown to normalize peak expiratory flow rate, and set pulse
rate to a lower normal range, increase breath holding time,
helps in proper stretching, compression, and relaxation of and help to reduce excessive sympathetic tone. According
the abdomen as well as strengthens the diaphragm, which to yogic literature, OM transcends beyond measurable
might have reduced the belly fat, thereby lowering the outputs. As your chest vibrates from creating the sounds,
risk of OSA‑related comorbidities. Dhanurasana realigns the mantra is claimed to produce a soothing effect on the
the spine, which improves breathing processes and allows body. In the literature, stomatognathic breathing, speaking,
air to move freely through the nasal passages. More and swallowing exercises are indicated for the therapy
than 75% of the participants in the current study were of snoring.[27] The key to Ujjayi pranayama is to make a
obese, and yoga was found to be an effective method for hissing frictional sound at the throat (by partial contraction
controlling obesity and improving muscle tonicity, which of the epiglottis) while inhaling and exhaling. It helps to
may have contributed to overcoming primary snoring.[29,30] strengthen the epiglottis muscles, which helps to reduce
The significant reduction (P < 0.05) in neck circumference snoring and improve voice culture.[35] Breathing exercises
before and after the treatment might be due to the practice will not only improve your airway, but they will also
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 Jerone, et al.: Snoring and Yoga protocol
Table 4: Statistical analysis of height, weight, body mass index, and neck circumference within the group using
repeated measures of ANOVA
Variables Mean±SD Type III sum of squares
Weight 0th day 70.32±13.250
Weight 15th day 69.84±13.141
Weight 30th day 69.816±12.6120
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BMI 0th day 26.095±3.2979
BMI 15th day 25.995±3.2319
BMI 30th day 25.900±2.9891
Neck circumference 0th day 33.42±4.207
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Neck circumference 15th day 33.342±4.1367
Neck circumference 30th day 33.126±4.0028
*Significant, SD: Standard Deviation, df: degree of freedom, f: f value
strengthen your muscles and prevent you from dropping
too much while you sleep.[36]
Shatkriya on snoring
Acharya Sushruta mentions the word kradhanam as a
symptom of obesity. Dalhana, the commentator of Susrutha
Samhita explains the meaning of the word kradhanam
as ghurghuram (grumbling sound) during sleep. Further,
he explains that this condition, if not treated, may lead
to the sudden cessation of breath (OSA).[37] Shatkriyas
is indicated in condition when there is excess Meda and
Sleshma. Nowadays, due to improper diets and lifestyles,
the samavastha of dosa is often not appreciated. So as a
measure to eliminate the accumulated dosa, Shatkarma
needs to be performed. Excess medas extend beyond
the concept of BMI since some people with normal
BMI may have sthanika meda accumulation. Netikriya
is especially indicated in urdwajatru vikara. Studies
showed that netikriya was beneficial in reducing severe
snoring.[38] Jalaneti aids in the management of snoring
by promoting good secretory and drainage processes in
the nose and throat, which may help in the prevention of
common colds, coughs, allergic rhinitis, and tonsillitis.[39]
Kapalabhati or Bhalabhai is a body cleansing technique
in Yogic science[40] that works on the respiratory system
and the abdominal muscles, which help to improve body
tone.[41]
Mudra and bandhas on snoring
Mudra is regarded mentioned in all ancient yogic books as
having unrivalled benefits and is also described as effective
in reducing the deposition of fat.[42] Agni mudra aids in
the reduction of abdominal fat, increases metabolism, and
controls obesity. It also improves digestion and strengthens
the body. Snoring is considered to be a kaphaja vataja
vyadhi, and agni mudra increases the agni mahabhoota
and also reduces the kapha, thereby reducing the snoring.
Regular practice of Agni mudra boosts metabolic rates,
promotes weight loss, and reduces sugar levels.[43]
Jalandhara bandha revitalizes the muscles, oral cavity,
palate, and tongue, and helps to lower BMR, obesity,
120
df Mean square F Significance
(p<0.05)
3.009 2 1.504 2.242 0.121
0.360 2 0.180 1.444 0.249
0.885 2 0.442 6.088 0.005*
anti‑aging effects, and the sensations of thirst and hunger,
which improves the condition of snoring.
Conclusion
Yoga protocol has shown significant improvement in
subjective like a strain on a personal relationship, feeling
tired, family complaints about my snoring, dry mouth or
throat, bad‑tempered and irritability, feeling depression
due to snoring and headache. Yoga protocol has not
shown significant improvement in the blocked nose,
choking feeling, embarrassment from snoring, inability
to concentrate, neighbors complaining about snoring, and
sexual life affected by snoring. Yoga protocol has shown
significant improvement in objective parameters such as
snore score, snore percentage, and snoring time. Hence,
it can be concluded that yoga protocol is cheap, easy to
administer, and effective nonpharmacological treatment in
the management of primary snoring.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
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सारांश

परिचय: खर्रा टे लेना अत्यधिक प्रचलित स्थिति है जिसे “नींद की सां स के दौरान ऊपरी वायुमार्ग के श्रव्य कंपन” के रूप में जाना जाता
है । वर्तमान में उपलब्ध उपचार के तौर‑तरीके महं गे हैं और विभिन्न जटिलताओं से जुड़े हैं । विधियाँ: नैतिक मंजूरी और सीटीआरआई
पंजीकरण प्राप्त करने के बाद प्राथमिक खर्रा टों वाले बीस रोगियों को 30 दिनों के लिए योग प्रोटोकॉल का पालन करने के लिए
अध्ययन समूह में भर्ती किया गया था। प्रतिभागियों का मूल्यां कन बेसलाइन, 15वें और 30वें दिन किया गया। व्यक्तिपरक मापदं डों और
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वस्तुनिष्ठ मापदं डों का मूल्यां कन क्रमशः मान्य मानक प्रश्नावली खर्रा टों के लक्षण सूची (एसएसआई) और स्नोरे लैब मोबाइल एप्लिकेशन
का उपयोग करके किया गया था। स्व‑रिपोर्ट किए गए आदतन खर्रा टे, खर्रा टों पर प्रतिक्रिया प्रदान करने के लिए एक बेड‑पार्टनर की
उपस्थिति, टर्बा इनेट हाइपरट् रॉफी ग्रेड I और II, माइल्ड डिविएटे ड नेज़ल सेप्टम, बॉडी मास इं डेक्स <35 किग्रा/मी 2, आयु वर्ग 20 से
nYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC4/OAVpDDa8K2+Ya6H515kE= on 07/14/2023

80 वर्ष शामिल थे। ऑब्सट्रक्टिव स्लीप एपनिया (ओएसए) के ज्ञात मामले, ओएसए या खर्रा टों के लिए वर्तमान उपचार, क्रोनिक
राइनाइटिस का मामला, प्रति दिन तीन या अधिक मादक पेय, ओएसए फिजियोलॉजी को प्रभावित करने वाली स्थितियां : न्यूरोमस्कुलर
रोग या अन्य प्रमुख तंत्रिका संबंधी विकार, दिल की विफलता, कोई अन्य अस्थिर प्रमुख चिकित्सा स्थिति को बाहर रखा गया था।
फ्रीडमैन और पेयर टी‑टे स्ट का उपयोग करके एसएसआई प्रश्नावली और खर्रा टे स्कोर, प्रतिशत और समय, सोने के समय का आकलन
किया गया। परिणाम: एसएसआई प्रश्नावली के 25 प्रश्नों में से 13 ने महत्वपूर्ण परिणाम दिखाए। खर्रा टे के स्कोर, समय और प्रतिशत में
अत्यधिक महत्वपूर्ण सुधार दे खा गया। उपचार से पहले और बाद में पैरामीटर गर्दन परिधि (पी <0.05) में महत्वपूर्ण परिवर्तन दे खे गए।
निष्कर्ष: हम अनुमान लगा सकते हैं कि प्राथमिक खर्रा टों के प्रबंधन में योग प्रोटोकॉल सस्ता, प्रशासित करने में आसान, प्रभावी
गैर‑औषधीय उपचार है ।

122 Journal of Ayurveda ¦ Volume 17 ¦ Issue 2 ¦ April-June 2023