MR-spectroscopy in Post-covid Condition Prior to and Following a Yoga Breathing Intervention

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-50
SponsorMedical University Innsbruck

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 volunteers

Qualifiers

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

Design model

Sequential

Treatments tested in this trial

  • yoga

    Behavioral

    yoga breathing techniques for dysfunctional breathing

  • social contact

    Behavioral

    social contact as active comparator

Treatment groups

320 Participants
are divided into 2 treatment groups
Group A: yoga interventionExperimental treatment 1 intervention
Group B: social contactActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

brain imaging

31P MRI

Time frame
10 weeks

Secondary outcomes

1

comparison with control groups

resting state functional MRI (rs-MRI),diaphragmatic function in spirometry and MRI, laboratory analyses, autonomic testing, questionnaires

Time frame
10 weeks

Other outcomes

Sponsors and contacts

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