Efficacy Of Yoga Nidra And Nadi Sodhana Pranayama In The Management Of Anidra- A Randomised Comparative Clinical Trial.

Research Question: Is there a difference between Yoga Nidra and Nadi Shodhana Pranayama on the Athens Insomnia Scale (AIS) in patients with Anidra?

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Hypotheses

• Null Hypothesis (H0): No difference exists between Yoga Nidra and Nadi Shodhana Pranayama in improving AIS in Anidra patients.
• Alternate Hypothesis (H1): There is a difference between Yoga Nidra and Nadi Shodhana Pranayama in improving AIS in Anidra patients.

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Introduction

• Sleep (Nidra) is one of the three pillars of life in Ayurveda, vital for maintaining health.
• Anidra (insomnia) is a psychosomatic condition caused by stress, poor lifestyle, and other factors, leading to impaired quality of life.
• Ayurveda describes imbalances in Tarpaka Kapha, Sadhaka Pitta, and Prana Vayu as the cause of Anidra.
• Yoga Nidra is a meditative technique offering mental and physiological relaxation, while Nadi Shodhana Pranayama (a breathing practice) improves stress levels, emotional stability, and sleep.

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Need for the Study

• Insomnia affects a large portion of the population and is often managed with sedative drugs, which can have side effects.
• Non-pharmacological, natural interventions like Yoga Nidra and Nadi Shodhana provide a safer and sustainable approach to managing insomnia.

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Objective

1. Primary: Compare the effects of Yoga Nidra and Nadi Shodhana Pranayama on improving AIS.
2. Secondary: Enhance the quality of sleep and life in Anidra patients.

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Literature Review

• Yoga Nidra improves sleep patterns, reduces stress, and enhances physiological rest.
• Nadi Shodhana Pranayama promotes emotional stability, reduces anxiety, and calms the nervous system.
• Previous research supports the effectiveness of both interventions in improving sleep quality and mental health.

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Study Design

• Type: Clinical, prospective study.
• Sample Size: 36 participants per group (72 total).
• Groups:
• Group A: Yoga Nidra (30 minutes daily at 10 PM).
• Group B: Nadi Shodhana Pranayama (15 minutes, twice daily at 8 AM and 8 PM).
• Duration: 30 days with a follow-up after 15 days.

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Outcome Measures

• Primary Outcome: Change in Athens Insomnia Scale (AIS) scores.
• Secondary Outcome: Improvement in sleep quality and overall quality of life.

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Data Analysis

• Categorical variables: Summarized with frequency and percentages.
• Quantitative variables: Analyzed using mean, SD, or non-parametric methods as appropriate.
• Tests: Paired t-test, Wilcoxon rank test, and unpaired t-test.
• Software: SPSS and EZR.

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Techniques and Interventions

1. Yoga Nidra: Guided meditation based on a recorded script, including body relaxation, breath awareness, and visualization.
2. Nadi Shodhana Pranayama: Alternate nostril breathing performed in a structured manner.

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Expected Outcomes

• Insight into the comparative effectiveness of Yoga Nidra and Nadi Shodhana Pranayama in managing Anidra.
• Recommendations for safer, non-invasive treatments for insomnia.

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