| CTRI Number |
CTRI/2025/10/096245 [Registered on: 21/10/2025] Trial Registered Prospectively |
| Last Modified On: |
25/12/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Yoga & Naturopathy |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Study on effect of two yoga head-down postures on brain blood flow and heart activity. |
|
Scientific Title of Study
|
Immediate effects of 90 degree versus 45 degree inversion on cerebral hemodynamics and HRV in yoga practitioners: A randomized controlled trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Tarun Kumar S |
| Designation |
BNYS Intern |
| Affiliation |
S-VYASA University |
| Address |
S-VYASA University, Anvesana, Centre for Advanced Research in Integrative Medicine, Department of Neurophysiology,Lab No.3 Kalluballu Post, Anekal, Swami Vivekananda Rd, Jigani, Karnataka 560105.
Bangalore KARNATAKA 560105 India |
| Phone |
9626371370 |
| Fax |
|
| Email |
tk1379259@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Tarun Kumar S |
| Designation |
BNYS Intern |
| Affiliation |
S-VYASA University |
| Address |
S-VYASA University Kalluballu Post, Anekal, Swami Vivekananda Rd, Jigani, Karnataka 560105
Bangalore KARNATAKA 560105 India |
| Phone |
9626371370 |
| Fax |
|
| Email |
tk1379259@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Tarun Kumar S |
| Designation |
BNYS Intern |
| Affiliation |
S-VYASA University |
| Address |
Anvesana, Centre for Advanced Research in Integrative Medicine, Department of Neurophysiology,Lab No.3 Kalluballu Post, Anekal, Swami Vivekananda Rd, Jigani, Karnataka 560105.
Bangalore KARNATAKA 560105 India |
| Phone |
9626371370 |
| Fax |
|
| Email |
tk1379259@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Tarun Kumar S |
| Address |
S-VYASA University, Kalluballu Post, Anekal, Swami Vivekananda Rd, Jigani, Karnataka 560105 |
| Type of Sponsor |
Other [Self] |
|
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Details of Secondary Sponsor
|
|
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Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Tarun Kumar |
Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA) |
Anvesana, Centre for Advanced Research in Integrative Medicine, Department of Neurophysiology,Lab No.3
Kalluballu Post, Anekal, Swami Vivekananda Rd, Jigani, Karnataka 560105. Bangalore KARNATAKA |
9626371370
tk1379259@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| IEC-SVYASA |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Healthy yoga practitioners aged 18–30 years.
Minimum of 1 year of regular yoga practice, familiarity with inversion postures. |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Yoga posture at 45 degree inversion angle (vipareeta karani mudra). |
Participants will perform Vipareeta Karani Mudra, a supported inversion posture with approximately 45 degree inversion using a wall or bolster support.
The procedure involves lying on the back and elevating the legs and pelvis at a 45 degree angle while keeping the neck relaxed without Jalandhara Bandha activation.
The posture will be maintained for 2 to 3 minutes under supervision of a certified yoga instructor.
Physiological variables (cerebral blood flow and HRV) will be recorded before, during, and immediately after the posture. |
| Intervention |
Yoga posture at 90 degree inversion angle (sarvangasana). |
Participants will perform a yoga posture involving approximately 90 degree inversion (Sarvangasana type).
The procedure includes lying in supine position, lifting the legs and trunk vertically with chin resting on the upper chest (spontaneous Jalandhara Bandha activation).
The posture will be maintained for 2 to 3 minutes under supervision of a certified yoga instructor.
Continuous observation will ensure correct alignment and safety.
Cerebral blood flow and heart rate variability will be recorded before, during, and immediately after the posture.
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Both |
| Details |
Healthy yoga practitioners aged 18 to 30 years.
Minimum of 1 year of regular yoga practice, familiarity with inversion postures like sarvangasana and vipareeta karani mudra.
Ability to perform inversion postures safely under supervision.
Willing to participate and provide an informed consent form.
|
|
| ExclusionCriteria |
| Details |
History of cardiovascular, neurological, and psychiatric disorders.
Recent history of cervical spine, neck, and back injuries.
Vertigo, severe migraine, and neurological disorders affecting balance.
Pregnancy and lactation.
Current use of medications affecting autonomic function.
Any contraindications to yoga inversions, as determined by clinical assessment.
|
|
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Method of Generating Random Sequence
|
Computer generated randomization |
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Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
Change in cerebral haemodynamics (blood flow velocity in the middle cerebral artery measured by transcranial Doppler).
|
Assessed before, during, and immediately after a single session of the assigned inversion posture.
Baseline (Pre): before the inversion posture (resting supine position)
During: while maintaining the inversion posture (at 1–2 minutes)
Post: immediately after completion of the posture (within 1 minute of returning to supine) |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Change in heart rate variability (HRV) — time-domain (SDNN, RMSSD) and frequency-domain (LF, HF, LF/HF ratio) parameters.
|
Baseline (Pre): before posture
During: during posture
Post: immediately after posture |
|
|
Target Sample Size
|
Total Sample Size="30" Sample Size from India="30"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
01/12/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="3" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report Response - Analytic Code
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response - Proposals should be directed to [Proposals should be directed to tk1379259@gmail.com. To gain access, data requestors will need to sign a data access agreement. Data will be available for 5 years following publication.].
- For how long will this data be available start date provided 03-02-2026 and end date provided 03-02-2031?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - De-identified data will be shared on reasonable request to the corresponding author. No public repository URL is applicable
|
|
Brief Summary
|
This randomized controlled trial aims to compare the immediate physiological effects of two inversion angles, 90 degrees and 45 degrees, on cerebral hemodynamics and heart rate variability (HRV) in healthy yoga practitioners. The study is based on traditional yogic texts, which describe spontaneous activation of Jalandhara Bandha (throat lock) during deeper inversions that may influence cerebral autoregulation.
During 90-degree inversion (Sarvangasana), Jalandhara Bandha activation mechanically influences the carotid sinus. The carotid sinus baroreceptors act as sensors responding to the stretch in the carotid artery when the mean arterial pressure increases. Type 1 (dynamic) baroreceptors have large myelinated A-fibers, while Type 2 (tonic) have small A and unmyelinated C-fibers. When arterial pressure rises, these receptors in the carotid sinus and aortic arch send afferent signals via the glossopharyngeal nerve to the nucleus tractus solitarius (NTS) in the brainstem. This activation enhances parasympathetic tone and suppresses sympathetic activity, leading to reflex bradycardia and systemic vasodilatation.
Thirty yoga practitioners aged 18 to 35 years with a Minimum of 1 year of regular yoga practice, familiarity with inversion postures like sarvangasana and vipareeta karani. will be randomized equally into two groups. Group A will perform a 90-degree inversion posture (Sarvangasana type), and Group B will perform a 45-degree inversion posture (Vipareeta Karani Mudra).
Cerebral blood flow velocity will be measured using transcranial Doppler, and HRV parameters will be assessed using ECG at three time points – before, during, and immediately after the posture. Data will be analyzed using repeated measures ANOVA to compare within and between-group changes over time.
The study seeks to understand how inversion angle and Jalandhara Bandha activation influence cerebral autoregulation and autonomic modulation through carotid baroreceptor mechanisms in yoga practitioners. |