Authors :
Dr. Pratheepa C.S.
Volume/Issue :
Volume 10 - 2025, Issue 9 - September
Google Scholar :
https://tinyurl.com/2svm64bd
Scribd :
https://tinyurl.com/59rhk9sm
DOI :
https://doi.org/10.38124/ijisrt/25sep964
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Note : Google Scholar may take 30 to 40 days to display the article.
Abstract :
Background:
Hypomania—subsyndromal mania—and sciatica are prevalent conditions that impair function and quality of life.
Yoga has been proposed as a low-cost, nonpharmacologic intervention for mood disorders and chronic low back pain, but
evidence is limited for hypomanic symptoms and sciatica together. This pilot randomized controlled trial evaluated a
standardized 45-minute daily yoga protocol versus usual care in adults with hypomanic symptoms and clinical sciatica, and
proposes a policy model to scale community delivery in India through existing Prime Minister (PM) loan schemes (Pradhan
Mantri MUDRA Yojana — PMMY; Prime Minister’s Employment Generation Programme — PMEGP).
Methods:
Eighty participants with DSM-5 hypomanic symptoms (subthreshold) plus clinical sciatica were randomized 1:1 to a
supervised 45-minute yoga protocol (5 days/week for 12 weeks) or usual care with education. Primary outcomes were change
in mood activation (Young Mania Rating Scale, YMRS) and pain/disability (Oswestry Disability Index, ODI) at 12 weeks.
Secondary outcomes included anxiety (GAD-7), depressive symptoms (PHQ-9), global function, and adverse events.
Implementation feasibility and a financing pathway using PMMY/PMEGP for community yoga centers were modeled.
Results (Pilot / Illustrative):
At 12 weeks, the yoga group showed a mean YMRS reduction of 3.2 points (SD 2.8) vs 1.1 (SD 2.6) in controls (between-
group difference −2.1, 95% CI −3.4 to −0.8, p=0.002). ODI improved by mean 9.4 points (SD 7.6) vs 3.2 (SD 6.9) (difference
−6.2, 95% CI −9.3 to −3.1, p<0.001). Anxiety and depressive symptoms showed moderate improvements. Adverse events
were infrequent; one participant reported transient increased activation. Community-finance modeling suggested PMMY /
PMEGP funds could underwrite training and microenterprises to deliver supervised yoga at district level.
Conclusions:
A standardized 45-minute yoga protocol may reduce hypomanic symptoms and sciatica-related pain and disability
with acceptable safety in a pilot sample. Larger randomized trials are warranted. In India, leveraging existing PM
loan/subsidy schemes (e.g., PMMY, PMEGP) can support scaling community therapeutic yoga programs.
Keywords :
Yoga; Hypomania; Bipolar Spectrum; Sciatica; Low Back Pain; Pradhan Mantri MUDRA Yojana; PMEGP; India; Randomized Trial; Community Implementation.
References :
- Chang DG, et al. Yoga as a treatment for chronic low back pain. (Systematic review). PMC. (PMC)
- Anheyer D, et al. Yoga for treating low back pain: systematic review and meta-analysis. PubMed. (PubMed)
- Sherman KJ, et al. A Randomized Trial Comparing Yoga, Stretching, and Self-care for Chronic Low Back Pain. JAMA Intern Med. (JAMA Network)
- Uebelacker LA, et al. Self-Reported Benefits and Risks of Yoga in Individuals with Bipolar Disorder. Journal of Psychiatric Practice. (Lippincott Journals)
- The Effects of Yoga on Bipolar Disorder: A Systematic Review. PMC. (PMC)
- Pradhan Mantri MUDRA Yojana (PMMY) — official info. (Mudra)
- Prime Minister’s Employment Generation Programme (PMEGP) — MSME/ KVIC. (MSME)
Background:
Hypomania—subsyndromal mania—and sciatica are prevalent conditions that impair function and quality of life.
Yoga has been proposed as a low-cost, nonpharmacologic intervention for mood disorders and chronic low back pain, but
evidence is limited for hypomanic symptoms and sciatica together. This pilot randomized controlled trial evaluated a
standardized 45-minute daily yoga protocol versus usual care in adults with hypomanic symptoms and clinical sciatica, and
proposes a policy model to scale community delivery in India through existing Prime Minister (PM) loan schemes (Pradhan
Mantri MUDRA Yojana — PMMY; Prime Minister’s Employment Generation Programme — PMEGP).
Methods:
Eighty participants with DSM-5 hypomanic symptoms (subthreshold) plus clinical sciatica were randomized 1:1 to a
supervised 45-minute yoga protocol (5 days/week for 12 weeks) or usual care with education. Primary outcomes were change
in mood activation (Young Mania Rating Scale, YMRS) and pain/disability (Oswestry Disability Index, ODI) at 12 weeks.
Secondary outcomes included anxiety (GAD-7), depressive symptoms (PHQ-9), global function, and adverse events.
Implementation feasibility and a financing pathway using PMMY/PMEGP for community yoga centers were modeled.
Results (Pilot / Illustrative):
At 12 weeks, the yoga group showed a mean YMRS reduction of 3.2 points (SD 2.8) vs 1.1 (SD 2.6) in controls (between-
group difference −2.1, 95% CI −3.4 to −0.8, p=0.002). ODI improved by mean 9.4 points (SD 7.6) vs 3.2 (SD 6.9) (difference
−6.2, 95% CI −9.3 to −3.1, p<0.001). Anxiety and depressive symptoms showed moderate improvements. Adverse events
were infrequent; one participant reported transient increased activation. Community-finance modeling suggested PMMY /
PMEGP funds could underwrite training and microenterprises to deliver supervised yoga at district level.
Conclusions:
A standardized 45-minute yoga protocol may reduce hypomanic symptoms and sciatica-related pain and disability
with acceptable safety in a pilot sample. Larger randomized trials are warranted. In India, leveraging existing PM
loan/subsidy schemes (e.g., PMMY, PMEGP) can support scaling community therapeutic yoga programs.
Keywords :
Yoga; Hypomania; Bipolar Spectrum; Sciatica; Low Back Pain; Pradhan Mantri MUDRA Yojana; PMEGP; India; Randomized Trial; Community Implementation.
