title: The effect of add-on yogic prana energization technique (YPET) on healing of fresh fractures: a randomized control study.
abstract: OBJECTIVE
  The objective was to study the effect of the add-on yogic prana energization technique (YPET) on healing of fresh fractures.
  
  
  METHODS
  Thirty (30) patients (22 men and 8 women) between 18 and 55 years with simple extra-articular fractures of long and short bones were selected from the outpatient department of Ebnezar Orthopaedic Centre and Parimala Speciality Hospital, Bengaluru. They were randomized into yoga (n = 15) and control (n = 15) groups. Compound, complicated, pathologic fractures, old fractures, and those associated with dislocations were excluded. Both groups received the conventional plaster of paris immobilization of the fracture site as the primary treatment. The yoga group, in addition, practiced YPET twice a day (30 minutes/session) for 2 weeks using taped audio instructions after learning under supervision for 1 week. YPET is an advanced yoga relaxation practice that involves breath regulation, chanting, and visualization, which according to yogic science revitalizes the tissues by activating the subtle energies (prana) within the body. Both the groups were assessed on the 1st and 21st day by the Numerical Pain Rating Scale for pain (NRS), tenderness (0-4), swelling (0-4), fracture line density (1-4), and the bridging of cortices (1-4).
  
  
  RESULTS
  Two (2) groups were matched on all variables. The Wilcoxon test showed significant improvement in both groups on all variables. Pain reduction (NRS) was better (p = 0.001 Mann-Whitney test) in the YPET group (94.5%) than in the control group (58.6%); Tenderness reduced (p = 0.001) better in the YPET group (94.4 %) than in the control group (69.12%); Swelling reduced by 93% in the YPET group and by 69.4% in controls (between-groups p = 0.093, i.e., nonsignificant); increase in fracture line density was better (p = 0.001) in the YPET group (48%) than in the control group (18.25%). The number of cortices united was significantly better (p = 0.001) in the YPET group (81.4%) than in controls (39.7 %).
  
  
  CONCLUSIONS
  Add-on yoga-based YPET accelerates fracture healing.
authors.affiliation: Division of Yoga and Life-Sciences, Swami Vivekananda Yoga Research Foundation (SVYASA) , Bengaluru, India .
authors.forename: Pragati
authors.initials: P
authors.lastname: Oswal
authors.forename: Raghuram
authors.initials: R
authors.lastname: Nagarathna
authors.forename: John
authors.initials: J
authors.lastname: Ebnezar
authors.forename: Hongasandra Ramarao
authors.initials: HR
authors.lastname: Nagendra
mesh_terms: D000293:Adolescent; D000328:Adult; D015519:Bone Density; D001945:Breathing Exercises; D004487:Edema / Q000628:therapy; D005260:Female; D017102:Fracture Healing; D050723:Fractures, Bone / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D059408:Pain Management; D012064:Relaxation Therapy; D016037:Single-Blind Method; D018709:Statistics, Nonparametric; D015013:Yoga; D055815:Young Adult