Chronic Obstructive Pulmonary Disease (COPD) is a common lung disease that causes restricted airflow and breathing problems. It is a non-communicable disease affecting 300 million people globally, which is 10.3% of the population. According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD, India has 55.3 million cases of COPD. The Symptoms include difficulty in breathing, persistent cough, and mucus production, there is also abstracted attention and delayed recall in COPD patients, especially in the exacerbation group where there is cognitive alternation.  Cognitive impairment has been demonstrated in 77% of patients with COPD, Additionally, difficulty in performing instrumental activities of daily living due to COPD is associated with cognitive deficits. Despite the high prevalence, the awareness level in India is low, emphasizing the need for education and proactive strategies to mitigate the disease’s impact. Comprehensive management of COPD includes standard preventive measures like bronchodilators such as beta-2 agonist inhalers such as salbutamol, formoterol and terbutaline, antimuscarinic inhalers such as ipratropium, tiotropium and glycopyronnium. Anti-inflammatories, regular exercise, and pulmonary rehabilitation are also important, along with standard care treatment for COPD. A comprehensive yoga program, including physical postures, breathing exercises, and meditation may improve Forced expiratory volume (FEV1), Forced vital capacity (FVC), Peak expiratory flow rate (PEFR), and FEV1/FVC ratio. Specific yogic Breathing techniques showed a significant positive impact on pulmonary functions. Studies show yoga’s holistic benefits to improve health-related quality of life (HRQoL) in various populations, including patients with chronic illnesses like Diabetes Mellitus, asthma, Myocardial Infarction (MI), and cancer.
Lacuna in Knowledge: The efficacy of yoga as a complementary intervention for respiratory disorders and obstructive breathing has been explored by many studies. Therapies used for COPD studies differ significantly in terms of their practices and, only a few studies have explored the potential benefits of various yogic tools on lung parameters and overall health-related quality in COPD patients. COPD is a multi-component disease, but little attention has been paid to its effects on cognitive function, and studies suggest that cognitive function should be screened in people with COPD, due to a lack of attention and vigilance   in determining the cognitive domain that has been affected. The strength of these findings remains uncertain due to a lack of substantial evidence. The integration of yoga into COPD is a long-conventional treatment that poses a significant challenge for researchers, and also Additionally, the socio-economic burden on patients to access standard treatments is substantial. Recognizing yoga as a cost-effective, safe, and holistic approach, there are limited studies available in the Tertiary Care population. Hence our study aims to determine the mechanisms underlying yoga-based comprehensive therapy.  This study intends to assess the effects of yoga on pulmonary functions, health-related quality-of-life outcomes, and cognitive function, ultimately providing more effective and accessible interventions for COPD and other respiratory conditions.