About this trial
From a clinical perspective, we find that many patients with Post COVID condition suffer from severe and debilitating shortness of breath, while routine pulmonary investigations fail to find the cause of the problems experienced. If dyspnea is associated with palpitations, dizziness or anxiety, patients are commonly diagnosed with "dysfunctional breathing". From a psychosomatic perspective, the symptom of dysfunctional breathing can be classified as a "functional symptom" under the umbrella term of somatic symptom disorder. Therefore, Yoga interventions with special emphasis on breath-guided relaxation are a promising approach. We aim to investigate the psycho-somatic and somato-psychic pathophysiology on a morphological, psychological, functional and biological basis underlying the symptom of dysfunctional breathing. Furthermore, we plan to investigate the mechanism of Yoga intervention on the mental and somatic symptom burden of participants with Post COVID condition. Then, we aim to compare the impact of Yoga on other groups - healthy individuals, patients with chronic obstructive lung disease (COPD), as well as those with somatic symptom disorder. As a control intervention to Yoga guided breathing exercises a social contact group will be used.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Inclusion criteria for participants with Post COVID condition
Eligible patients will be recruited at the Respiratory Outpatient Clinic (Medical University Innsbruck, Internal Medicine II) from the PRECISE registry or from other participating clinics at Medical University Innsbruck and via local advertisement.
Persistent respiratory symptoms for 3 months after infection (mMRC dyspnea score ≥ 1).
Absence of obstructive or restrictive lung disease or unilateral diaphragmatic paresis.
Disqualifiers
Exclusion criteria for participants with post COVID condition
Conditions precluding magnetic resonance imaging (MRI) such as metal implants in the body (e.g., pacemakers, surgical devices), phobic anxiety, claustrophobia, or pregnancy.
Active psychiatric conditions interfering with study participation such as psychosis or acute suicidality.
Severe fatigue interfering with study participation.
Trial design
Sequential
Treatments tested in this trial
yoga
Behavioralyoga breathing techniques for dysfunctional breathing
social contact
Behavioralsocial contact as active comparator
Treatment groups
Trial outcomes
Primary outcomes
brain imaging
31P MRI
Secondary outcomes
comparison with control groups
resting state functional MRI (rs-MRI),diaphragmatic function in spirometry and MRI, laboratory analyses, autonomic testing, questionnaires
Sponsors and contacts
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