Incorporação da técnica de Ujjayi Pranayama no tratamento manipulativo osteopático para melhorar a função pulmonar e a capacidade funcional em estudantes universitários com síndrome cruzado superior

Autores

  • Mohamed S. Zidan ssistant Professor, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon) https://orcid.org/0009-0004-8464-4547
  • Amira Ezzat M. Abd-ElHay Assistant professor of physical therapy, Rehabilitation sciences Department, Faculty of Applied Medical Sciences, Al al-BAYT University, El Mafraq, Jordon
  • Ahmed M. Elfahl Assistant Professor, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon) https://orcid.org/0000-0001-5475-1676
  • Rashed S. Al-Kafian Demonstrator, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon) https://orcid.org/0009-0005-5361-529X
  • Mohammad M. M. Arafah Assistant Professor at Department of Physical Therapy, Faculty of Applied Medical Sciences, Al-Zaytoonah University of Jordan, Amman, (Jordon) https://orcid.org/0009-0003-1464-3453
  • Mohamed M. Elsharkawy Associate Professor at Ajloun National University, Ajloun 26810, (Jordan) https://orcid.org/0009-0000-9810-2547
  • Sahar M. Hassan Department of physical therapy, Cairo university hospitals, Cairo, Egypt and Department of physical therapy, College of Applied Medical Sciences, Qassim University, Buraidah, Saudi Arabia https://orcid.org/0000-0002-0132-1733
  • Heba Elfeky Physiotherapy Department, Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, (Jordon) https://orcid.org/0009-0008-4462-388X
  • Marwa Ahmed Saad Radwa Lecturer of physical therapy for burn and surgery, Faculty of physical therapy, Galala University, Suez, (Egypt)
  • Hadeer A. Morsi Lecturer of physical therapy, Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Kafrelsheikh University, Kafrelsheikh (Egypt)

DOI:

https://doi.org/10.47197/retos.v75.118225

Palavras-chave:

Ujjayi pranayama, tratamento manipulativo osteopático, funções pulmonares, síndrome cruzado superior

Resumo

Contexto: Tanto a prática de Ujjayi pranayama como o tratamento manipulativo osteopático (TMO) melhoram a função respiratória e o alinhamento musculoesquelético. Em indivíduos com síndrome cruzado superior, estes métodos podem ter um impacto significativo.

Objectivo: Investigar o efeito da adição de Ujjayi pranayama à manipulação osteopática (MO) na função pulmonar e na capacidade funcional de estudantes universitários diagnosticados com síndrome cruzado superior (SCS).

Métodos: Um ensaio clínico randomizado controlado (ECR) de dois braços, com grupos paralelos, alocação oculta e avaliação cega do desfecho, foi conduzido com 40 participantes com SCS, divididos aleatoriamente em dois grupos. O grupo experimental recebeu Ujjayi pranayama e MO, enquanto o grupo controlo recebeu apenas manipulação osteopática. Ambos os grupos participaram em sessões de 45 minutos, cinco vezes por semana, durante oito semanas. O volume expiratório forçado (VEF), o pico de fluxo expiratório (PFE), a ventilação voluntária máxima (VVM) e a capacidade inspiratória (CI) foram medidos com recurso a um espirómetro portátil.

Resultados: A adição de ujjayi pranayama à OM demonstrou melhorias significativamente maiores no PEF (variação na MD: 0,76 ± 0,07 L/s vs. 0,49 ± 0,09 L/s no grupo controlo (p = 0,025)), VRE (variação na MD: 0,29 ± 0,06 L vs. 0,08 ± 0,01 L no grupo controlo (p = 0,002)), distância percorrida no teste de marcha de 6 minutos (TC6M) (variação na MD: 23,60 ± 2,05 metros vs. 14,70 ± 1,54 metros no grupo controlo (p = 0,001)) e no teste TUG (variação na MD: -2,20 ± 0,20 s vs. -1,15 ± 0,11 s no grupo controlo (p = 0,001). Alguns parâmetros não apresentaram diferenças significativas entre os grupos: MVV: A diferença e a variação percentual não foram significativas (p = 0,250).

Conclusão: A aplicação do pranayama Ujjayi à osteopatia produziu melhorias superiores em ambas as funções respiratórias na síndrome cruzada superior, em comparação com a osteopatia isolada.

Biografias do Autor

  • Mohamed S. Zidan, ssistant Professor, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon)

    Dr. Mohamed S. Zidan is an Assistant Professor, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon) ORCID:   https://orcid.org/0009-0004-8464-4547drmohzidan2015@gmail.com

  • Ahmed M. Elfahl, Assistant Professor, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon)

    Dr. Ahmed M.Elfahl is an Assistant Professor, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon),     ORCID : https://orcid.org/0000-0001-5475-1676        ;       a.ahmed@zuj.edu.jo      

  • Rashed S. Al-Kafian, Demonstrator, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon)

    Dr. Rashed S. Al-Kafian is an demonstrator, Department of Physical Therapy, Faculty of Applied Medical Science, Al-Zaytoonah University of Jordan, Amman, (Jordon).        ORCID: https://orcid.org/0009-0005-5361-529X ;       rashed.alkafian@gmail.com.

     

  • Mohammad M. M. Arafah, Assistant Professor at Department of Physical Therapy, Faculty of Applied Medical Sciences, Al-Zaytoonah University of Jordan, Amman, (Jordon)

    Dr. Mohammad Maher Mohammad Arafah  is an Assistant Professor at Department of Physical Therapy, Faculty of Applied Medical Sciences, Al-Zaytoonah University of Jordan, Amman, (Jordon). ORCID: https://orcid.org/0009-0003-1464-3453      ,            arafeh058@gmail.com.

  • Mohamed M. Elsharkawy, Associate Professor at Ajloun National University, Ajloun 26810, (Jordan)

    Dr. Mohamed M. Elsharkawy is an Associate Professor at Ajloun National University, Ajloun 26810, (Jordan);  ORCID:  https://orcid.org/0009-0000-9810-2547                                m.sharkawi@anu.edu.jo

  • Sahar M. Hassan, Department of physical therapy, Cairo university hospitals, Cairo, Egypt and Department of physical therapy, College of Applied Medical Sciences, Qassim University, Buraidah, Saudi Arabia

    Dr. Sahar Mahmoud Hassan is an Assistant Professor at Department of physical therapy, Cairo university hospitals, Cairo, Egypt also at Department of physical therapy, College of Applied Medical Sciences, Qassim University, Buraidah, Saudi Arabia; ORCID : https://orcid.org/0000-0002-0132-1733  ;  Email: s.hassan@qu.edu.sa

    smmh007@yahoo.com                             

  • Heba Elfeky, Physiotherapy Department, Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, (Jordon)

    Dr. Heba elfeky  is an Assistant Professor at Physiotherapy Department, Faculty of Allied Medical Sciences, Al-Ahliyya Amman University, (Jordon) ORCID :     https://orcid.org/0009-0008-4462-388X         ,                elfeky@ammanu.edu.jo      

  • Marwa Ahmed Saad Radwa, Lecturer of physical therapy for burn and surgery, Faculty of physical therapy, Galala University, Suez, (Egypt)

    Dr. Marwa Ahmed Saad Radwan is an Lecturer of physical therapy for burn and surgery, Faculty of physical therapy, Galala University, Suez, (Egypt) ; marwa.radwan@gu.edu.eg

  • Hadeer A. Morsi, Lecturer of physical therapy, Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Kafrelsheikh University, Kafrelsheikh (Egypt)

    Dr. Hadeer Morsi  is an Lecturer of physical therapy, Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Kafrelsheikh University, Kafrelsheikh, Egypt.           Hader_Awad@pt.kfs.edu.eg

Referências

Abazari, L., Abazari, A., Emamgholi, M., & Asadi, N. (2025). Effect of Pranayama Practice on Emotional Intelligence and Spiritual Intelligence in Nursing Students. SAGE open nursing, 11, 23779608251371103. https://doi.org/10.1177/23779608251371103

Abd ElHay, A., Elsayed, M. A., Tammam, D., Tawfick, A., Shalaby, R., & Morsi, H. (2025). Investigating forward head posture and its influence on postural alignment among desk-based employees. Retos, 73, 1529-1545. https://doi.org/10.47197/retos.v73.117904

Afari, N., Ahumada, S. M., Wright, L. J., Mostoufi, S., Golnari, G., Reis, V., & Cuneo, J. G. (2014). Psychologi-cal trauma and functional somatic syndromes: a systematic review and meta-analysis. Biop-sychosocial Science and Medicine, 76(1), 2-11.‏ https://doi.org/10.1097/psy.0000000000000010

Ahmed Mahmoud, et al. (2025). The correlation between forward head posture and neck pain in Jorda-nian university students with chronic non-specific neck pain. Egyptian Journal of Physical The-rapy and Rehabilitation. https://doi.org/10.21608/ejptr.2025.387716.1034

Akhani, P., Banode, S., & Shah, N. (2019). Effect of 4 weeks' yoga practice on respiratory function tests in young adults. National Journal of Physiology, Pharmacology and Pharmacology, 9, 1. https://doi.org/10.5455/njppp.2019.9.0309122032019

AlAnazi, M., & Mani, P. (2025). Breaking the backbone of productivity: work-related musculoskeletal pain among KSAU-HS employees and its impact on performance and rehabilitation strategies. Retos, 70, 1255-1263.‏ DOI: https://doi.org/10.47197/retos.v70.116889

Almomani, F., Alghwiri, A. A., Alghadir, A. H., Al-Momani, A., & Iqbal, A. (2019). Prevalence of upper limb pain and disability and its correlates with demographic and personal factors. Journal of Pain Re-search, 12, 2691–2700. https://doi.org/10.2147/JPR.S198480

American Thoracic Society. (1995). Standardization of spirometry: 1994 update. American Journal of Respiratory and Critical Care Medicine, 152(3), 1107–1136.

American Thoracic Society. (2002). ATS statement: Guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166(1), 111–117.

Audoux CR, Estrada C, Martínez-Pozas O, et al. What Concept of Manual Therapy Is More Effective to Improve Health Status in Women with Fibromyalgia Syndrome? IJERPH. 2023;20(2):1061. DOI: 10.3390/ijerph20021061

Bordoni, B., & Escher, A. R. Jr. (2021). Osteopathic principles: The inspiration of every science is its change. Cureus, 13(1), e12478. https://doi.org/10.7759/cureus.12478

Cai, B., Gui, C. Z., & Chen, S. Q. (2017). Research on the etiology and pathogenesis of upper crossed syn-drome. Chinese Manipulation Rehabilitation Medicine, 8(1), 10–13.

California Yoga Teachers Association. (2002). Yoga journal. Retrieved from https://books.google.co.in/books?id=PuoDAAAAMBAJ&pg=RA1-PA46&dq=ujjayi+sanskrit&hl=en&sa=X&ved=0ahUKEwi-voq67fnhAhVE63MBHb8mBcMQ6AEIKjAA#v=onepage&q=ujjayi%20sanskrit&f=false

Campanelli, S., Tort, A. B. L., & Lobão-Soares, B. (2020). Pranayamas and their neurophysiological ef-fects. International Journal of Yoga, 13(3), 183–192. https://doi.org/10.4103/ijoy.IJOY_91_19

Castellote-Caballero, Y., Carcelén Fraile, M., Aibar-Almazán, A., et al. (2024). Effect of combined physi-cal–cognitive training on the functional and cognitive capacity of older people with mild cogni-tive impairment: A randomized controlled trial. BMC Medicine, 22, 281. https://doi.org/10.1186/s12916-024-03469-x

Cobos-Bermeo, N. A., Barreto-Andrade, J. A., Aldas-Arcos, H. G., Abril-Ulloa, S. V., & Encalada-Torres, L. E. (2025). Prevalencia de trastornos musculoesqueléticos asociados a variables antropométri-cas en el personal administrativo de la Universidad de Cuenca. Retos, 73, 40-55.‏ DOI: https://doi.org/10.47197/retos.v73.117031

Feyrouz, et al. (2003). Interpreting pulmonary function tests: Recognize the pattern, and the diagnosis will follow. Cleveland Clinic Journal of Medicine, 70(10), 1-10.

Gaid, D., Eilayyan, O., Ahmed, S., & Bussières, A. (2024). Enrollment, adherence and retention rates among musculoskeletal disorders rehabilitation practitioners in knowledge translation studies: A systematic review and meta-regression. Implementation Science Communications, 5(1), 51. https://doi.org/10.1186/s43058-024-00585-w

Goorts, K., Dizon, J., & Milanese, S. (2021). The effectiveness of implementation strategies for promo-ting evidence-informed interventions in allied healthcare: A systematic review. BMC Health Services Research, 21(1), 241. https://doi.org/10.1186/s12913-021-06190-0

Greenman, P. E., & DeStefano, L. A. (2021). Greenman’s Principles of Manual Medicine (5th ed.). Wol-ters Kluwer Health.

Han, J., Park, S., Kim, Y., Choi, Y., & Lyu, H. (2016). Effects of forward head posture on forced vital capa-city and respiratory muscle activity. Journal of Physical Therapy Science, 28(1), 128–131. https://doi.org/10.1589/jpts.28.128

Harold, A., Matos Casano, I., Intisar, A., & Fatima, A. (2025). Six-Minute Walk Test. National Library of Medicine. Retrieved from https://www.ncbi.nlm.nih.gov/

Hassan, M. G., Ali, A. F. M., Samy, H., Hamdy, M., Attia, A. S. A., El-Din, S. S., Ahmed, S. S. M., Bondok, S. M. M., Abdelaziz, S. S., Hassan, E. J., & Hassan, S. S. (2025). Telerehabilitation for carpal tunnel syn-drome: A new treatment style with new possibilities: A randomized controlled trial. Retos, 72, 1141–1150. DOI: https://doi.org/10.47197/retos.v72.117333

Hawamdeh, M., Al-Nassan, S. M., Obaidat, S. M., Shallan, A., Hawamdeh, Z. M., Eilayyan, O., ... & Alanazi, F. (2023). The relationship between using smartphones and text neck syndrome in online learning among university students in Jordan: A survey study. Ortopedia Traumatologia Rehabilitacja, 25(6), 315-320. https://doi.org/10.5604/01.3001.0054.2883

Holland, A. E., Spruit, M. A., Troosters, T., Puhan, M. A., Pepin, V., Saey, D., McCormack, M. C., Carlin, B. W., Sciurba, F., Pitta, F., Wanger, J., MacIntyre, N., Kaminsky, D. A., Culver, B. H., Revill, S. M., & Singh, S. J. (2014). An official European Respiratory Society/American Thoracic Society techni-cal standard: Field walking tests in chronic respiratory disease. European Respiratory Journal, 44(6), 1428–1446.

Huesing, P., Smakowski, A., Loewe, B., Kleinstaeuber, M., Toussaint, A., & Shedden-Mora, M. C. (2023). The framework for systematic reviews on psychological risk factors for persistent somatic symptoms and related syndromes and disorders (PSY-PSS). Frontiers in Psychiatry, 14, 1142484.‏ https://doi.org/10.3389/fpsyt.2023.1142484

Janagiraman, R., Subramanian, S. S., Srivatsan, M., Vishnuram, S., Alfawaz, S. S., Ramanathan, K., ... & Raj, N. B. (2025). Comparison of sternocleidomastoid and trapezius muscle stretches in the mana-gement of symptomatic non specific cervical pain. Retos: nuevas tendencias en educación físi-ca, deportey recreación, 68, 1971-1978.‏ https://doi.org/10.47197/retos.v68.113822

Jayawardena, R., Ranasinghe, P., Ranawaka, H., Gamage, N., Dissanayake, D., & Misra, A. (2020). Explo-ring the therapeutic benefits of pranayama (yogic breathing): A systematic review. Internatio-nal Journal of Yoga, 13(2), 99–110. https://doi.org/10.4103/ijoy.IJOY_37_19

Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2006). Physiology of long pranayamic breathing: Neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Medical Hypotheses, 67(3), 566–571.

Jiang, L., Thadanatthaphak, Y., & Tudpor, K. (2025). Effects of Pilates Training Combined with Fascial Massage on Upper Cross Syndrome in Office Workers. Healthcare, 13(4), 410. https://doi.org/10.3390/healthcare13040410

John, J., Venugopal, P., & Shajahan, P. S. (2022). Effect of comprehensive yoga therapy on pulmonary function among various groups with chronic obstructive pulmonary disease. Biomed, 42, 395–400. https://doi.org/10.51248/v42i2.1267

Katz, S., Arish, N., Rokach, A., Zaltzman, Y., & Marcus, E. L. (2018). The effect of body position on pul-monary function: A systematic review. BMC Pulmonary Medicine, 18, 1–16. https://doi.org/10.1186/s12890-018-0723-4

Kuppusamy, M., Dilara, K., Ravishankar, P., & Julius, A. (2017). Effect of Bhramari Pranayama practice on pulmonary function in healthy adolescents: A randomized control study. Ancient Science of Life, 36, 196. https://doi.org/10.4103/asl.asl_220_16

Lathadevi, G. V., et al. (2017). Modulation of cardiovascular response after Ujjayi pranayama and Sha-vasana training in normal human volunteers. Journal of Clinical and Diagnostic Research, 6(4), 571–573.

Li, C., Liu, Y., Ji, Y., Xie, L., & Hou, Z. (2018). Efficacy of yoga training in chronic obstructive pulmonary disease patients: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 30, 33–37. https://doi.org/10.1016/j.ctcp.2017.11.006

Lin, F., Parthasarathy, S., Taylor, S. J., Pucci, D., Hendrix, R. W., & Makhsous, M. (2006). Effect of diffe-rent sitting postures on lung capacity, expiratory flow, and lumbar lordosis. Archives of Physical Medicine and Rehabilitation, 87(4), 504–509. https://doi.org/10.1016/j.apmr.2005.11.031

Lindsay, M., & Robertson, C. (2008). Fascia: Clinical applications for health and human performance. Delmar Cengage Learning.

Mahour, J., & Verma, P. (2017). Effect of Ujjayi Pranayama on cardiovascular autonomic function tests. National Journal of Physiology, Pharmacology, and Pharmacology. https://doi.org/10.5455/njppp.2017.7.1029809122016

Miller, M. R., Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R., Coates, A., Crapo, R., Enright, P., van der Grinten, C. P., Gustafsson, P., Jensen, R., Johnson, D. C., MacIntyre, N., McKay, R., Navajas, D., Pe-dersen, O. F., Pellegrino, R., Viegi, G., & Wanger, J. (2005). Standardisation of spirometry. Euro-pean Respiratory Journal, 26(2), 319–338.

Mohamed, R. A., Alhujaily, M., Ahmed, F. A., Nouh, W. G., & Almowafy, A. A. (2024). Nurses' experiences and perspectives regarding evidence-based practice implementation in the healthcare context: A qualitative study. Nursing Open, 11(1), e2080. https://doi.org/10.1002/nop2.2080

Mütze, C., Mitzinger, D., & Haller, H. (2025). Effectiveness of pranayama for mental disorders: a syste-matic review and meta-analysis of randomized controlled trials. Frontiers in psychiatry, 16, 1616996. https://doi.org/10.3389/fpsyt.2025.1616996

Naci, B., Demir, R., Onder, O. O., Sinan, U. Y., & Kucukoglu, M. S. (2022). Effects of adding respiratory training to osteopathic manipulative treatment on exhaled nitric oxide level and cardiopulmo-nary function in patients with pulmonary arterial hypertension. American Journal of Cardio-logy, 162, 184–190. https://doi.org/10.1016/j.amjcard.2021.09.023

Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive-behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. Biop-sychosocial Medicine, 15(1), 16. https://doi.org/10.1186/s13030-021-00219-w

Nicholas, A. S., & Nicholas, E. A. (2012). Atlas of osteopathic techniques. Lippincott Williams & Wilkins.

Okuro, R. T., Morcillo, A. M., Ribeiro, M. A., Sakano, E., Conti, P. B., & Ribeiro, J. D. (2011). Mouth breat-hing and forward head posture: Effects on respiratory biomechanics and exercise capacity in children. Journal of Brazilian Pneumology, 37(4), 471–479. https://doi.org/10.1590/s1806-37132011000400009

Osses-Anguita ÁE, Sánchez-Sánchez T, Soto-Goñi XA, et al. Awake and Sleep Bruxism Prevalence and Their Associated Psychological Factors in First-Year University Students: A Pre-Mid-Post CO-VID-19 Comparison. IJERPH. 2023;20:2452. DOI: 10.3390/ijerph20032452

Pal, G. K., Velkumary, S., & Madanmohan. (2014). Effect of short-term practice of breathing exercises on autonomic functions in normal human volunteers. Indian Journal of Medical Research, 120(2), 115–121.

Panwar, S., Chourishi, A., & Makwana, J. (2012). Effect of pranayama (yoga) on pulmonary function test of young healthy students. International Journal of Pharmaceutical and Biological Sciences, 3(4), 12–16.

Patel, R., & Veidlinger, D. (2023). Exploring the Benefits of Yoga for Mental and Physical Health during the COVID-19 Pandemic. Religions, 14(4), 538. https://doi.org/10.3390/rel14040538

Pedraza-Ricra, D., Basauri-Delgado, M., Santiago, R. J. M., & Saintila, J. (2025). Influence of kinanthro-pometric characteristics on spinal health among Peruvian university students. Retos, 73, 288-299.‏ DOI: https://doi.org/10.47197/retos.v73.115780

Podsiadlo, D., & Richardson, S. (1991). The Timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–148.

Rathore, V. K., Singh, S., & Yadav, N. (2025). Impact of yoga on pulmonary functions in clinical popula-tion: A systematic review and meta-analysis of randomized controlled trials (RCTs). Journal of Ayurveda and integrative medicine, 16(5), 101189. https://doi.org/10.1016/j.jaim.2025.101189

Sangeethalaxmi, M. J., & Hankey, A. (2023). Impact of yoga breathing and relaxation as an add-on thera-py on quality of life, anxiety, depression, and pulmonary function in young adults with bron-chial asthma: A randomized controlled trial. Journal of Ayurveda and Integrative Medicine, 14. https://doi.org/10.1016/j.jaim.2022.100546

Saoji, A. A., Raghavendra, B. R., & Manjunath, N. K. (2019). Effects of yogic breath regulation: A narrative review of scientific evidence. Journal of Ayurveda and Integrative Medicine, 10(1), 50–58.

Saoji, A. A., Raghavendra, B. R., & Nagendra, H. R. (2020). Immediate effects of yogic breathing with dif-ferent ratios of inspiration to expiration: A randomized controlled trial. Journal of Alternative and Complementary Medicine, 26(7), 557–565.

Sarkar, S., Rathee, R., & Malik, S. (2017). Autonomic responses to breathing maneuvers in health and disease: Insights from yoga and pranayama. Frontiers in Physiology, 8, 634.

Shah, S. G., Choezom, T., & Raja, G. P. (2019). Comparison of respiratory parameters in participants with and without chronic low back pain. Journal of Bodywork and Movement Therapies, 23(4), 894–900. https://doi.org/10.1016/j.jbmt.2019.03.008

Shumway-Cook, A., Brauer, S., & Woollacott, M. (2000). Predicting the probability for falls in communi-ty-dwelling older adults using the Timed Up & Go Test. Physical Therapy, 80(9), 896–903.

Swami, G., Singh, S., Singh, K. P., & Gupta, M. (2010). Effect of yoga on pulmonary function tests of hy-pothyroid patients. Indian Journal of Physiology and Pharmacology, 54, 51–56.

Talia, H., et al. (2010). Properties of the ‘Timed Up and Go’ Test: More than Meets the Eye. Gerontology, 57(3), 203–210. https://doi.org/10.1159/000314963

Telles, S., Sharma, S. K., & Balkrishna, A. (2014). Effects of slow and fast pranayamas on reaction time and cardiorespiratory variables. Indian Journal of Physiology and Pharmacology, 58(1), 42–46.

Usha, M., Bhat, J. S., Radish Kumar, B., Bajaj, G., & Poovitha Shruthi, P. (2022). Immediate effects of 'Ujjayi Pranayama' on aerodynamic, acoustic and self perception parameters of voice in teachers. Journal of Ayurveda and integrative medicine, 13(1), 100490. https://doi.org/10.1016/j.jaim.2021.07.006

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02-02-2026

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Zidan, M. S., Abd-ElHay, A. E. M., Elfahl, A. M., Al-Kafian, R. S., Arafah, M. M. M., Elsharkawy, M. M., Hassan, S. M., Elfeky, H., Radwa, M. A. S., & Morsi, H. A. (2026). Incorporação da técnica de Ujjayi Pranayama no tratamento manipulativo osteopático para melhorar a função pulmonar e a capacidade funcional em estudantes universitários com síndrome cruzado superior. Retos, 75, 453-470. https://doi.org/10.47197/retos.v75.118225