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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  
S-VYASA UNIVERSITY 
 
Primary Sponsor  
Name  Tarun Kumar S 
Address  S-VYASA University, Kalluballu Post, Anekal, Swami Vivekananda Rd, Jigani, Karnataka 560105 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
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  
Status 
Not Applicable 
 
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.

 
 
Method of Generating Random Sequence   Computer generated randomization 
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
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. 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

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. 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.].

  6. 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.

  7. 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.
 
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