Introduction
Parkinson’s Disease (PD) is a progressive neurodegenerative disorder primarily affecting motor control due to dopamine depletion in the basal ganglia. According to the World Health Organization, neurological disorders are among the leading causes of disability worldwide, and Parkinson’s Disease is one of the fastest-growing neurological conditions.
Beyond tremor, rigidity, bradykinesia, and postural instability, individuals with Parkinson’s Disease frequently experience respiratory dysfunction, anxiety, sleep disturbances, reduced vocal strength, and autonomic imbalance. Breathwork and pranayama offer a non-invasive, cost-effective, and empowering complementary therapy that directly addresses many of these symptoms.
Because breathing is both voluntary and autonomic, it provides a unique gateway to influence the nervous system, emotional regulation, and respiratory mechanics—three key areas affected in Parkinson’s Disease.
This chapter provides a detailed, structured, and clinically relevant guide to breathwork and pranayama practices specifically adapted for individuals with Parkinson’s Disease.
Why Breathwork is Important in Parkinson’s Disease
1. Respiratory Dysfunction in PD
Common breathing-related issues include:
- Shallow chest breathing
- Reduced diaphragmatic movement
- Decreased lung capacity
- Weak cough reflex
- Soft or weak voice (hypophonia)
- Irregular breathing rhythm
These occur due to rigidity of chest wall muscles, bradykinesia of respiratory muscles, and autonomic dysregulation.
2. Autonomic Nervous System Imbalance
Parkinson’s Disease often involves reduced parasympathetic activity and heightened sympathetic dominance. This leads to:
- Anxiety
- Poor sleep
- Blood pressure instability
- Reduced heart rate variability
Slow, rhythmic breathing enhances vagal tone and supports autonomic balance.
3. Emotional and Psychological Impact
Depression and anxiety are common in PD. Breathwork regulates stress hormones and calms the limbic system.
General Guidelines Before Practice
- Practice during “ON” medication phase when mobility is better.
- Choose a safe seated position with back support.
- Avoid long breath retention.
- Avoid forceful, rapid breathing.
- Stop if dizziness or fatigue occurs.
- Begin with 10–15 minutes and gradually increase duration.
Foundational Breathing Practices
1. Breath Awareness (Prana Chetana)
Purpose:
- Improve breath-mind connection
- Reduce anxiety
- Establish foundation for further practices
Method of Practice:
- Sit upright in a chair with feet grounded.
- Rest hands on thighs.
- Close eyes gently.
- Observe natural breath without changing it.
- Notice inhalation, exhalation, and pauses.
- Continue for 5–10 minutes.
Therapeutic Effects:
- Calms tremor aggravated by stress
- Enhances interoception
- Improves mental focus
2. Diaphragmatic Breathing
Purpose:
- Strengthen diaphragm
- Improve lung expansion
- Reduce shallow breathing
Method:
- Sit supported or lie semi-reclined.
- Place one hand on abdomen.
- Inhale slowly through nose for 4 counts.
- Expand abdomen gently.
- Exhale through nose for 6 counts.
- Practice 10–15 rounds.
Progression:
Gradually increase exhalation to 8 counts without strain.
Benefits:
- Improves oxygenation
- Strengthens inspiratory muscles
- Reduces rigidity related to stress
3. Sectional Breathing (Dirgha Shwas)
Purpose:
- Improve chest wall mobility
- Enhance lung capacity
- Counter rigidity
Method:
- Inhale into abdomen.
- Continue inhaling expanding ribs.
- Complete inhale lifting upper chest.
- Exhale slowly in reverse sequence.
- Practice 5–10 minutes.
Clinical Relevance:
Improves thoracic expansion restricted by rigidity.
Regulatory and Nervous System Practices
4. Coherent Breathing (5–5 Rhythm)
Purpose:
- Improve autonomic balance
- Increase heart rate variability
Method:
- Inhale for 5 seconds.
- Exhale for 5 seconds.
- Maintain steady rhythm.
- Practice 10 minutes.
Benefits:
- Reduces anxiety
- Stabilizes mood
- May reduce tremor amplitude during stress
5. Extended Exhalation Breathing (4–6 or 4–8)
Purpose:
- Stimulate vagus nerve
- Promote relaxation
Method:
- Inhale 4 counts.
- Exhale 6–8 counts.
- Continue 5–10 minutes.
Especially Helpful For:
- Sleep disturbances
- Evening calming practice
Vocal and Resonance Practices
6. Bhramari (Humming Bee Breath)
Purpose:
- Improve vocal strength
- Stimulate vagus nerve
- Reduce anxiety
Method:
- Inhale deeply.
- Exhale making soft humming sound.
- Feel vibration in throat and chest.
- Repeat 7–12 rounds.
Clinical Relevance:
Many individuals with PD develop soft speech. Humming improves breath support and vocal resonance.
7. OM Chanting (Gentle)
Purpose:
- Improve respiratory endurance
- Enhance vocal projection
Method:
- Inhale fully.
- Chant “O” for 70% of breath.
- Chant “M” for 30%.
- Repeat 5–10 rounds.
Benefits:
- Strengthens expiratory control
- Improves emotional stability
Balancing Practices
8. Nadi Shodhana (Without Retention)
Purpose:
- Balance hemispheric activity
- Improve concentration
Modified Method for PD:
- Use gentle alternate nostril breathing.
- Inhale left, exhale right.
- Inhale right, exhale left.
- Continue 5 minutes.
- No breath retention.
Benefits:
- Reduces anxiety
- Improves mental clarity
Strengthening Practices (Early Stage Only)
9. Mild Kapalbhati (Therapeutic Version)
⚠ Only for early-stage, medically stable patients.
Method:
- Sit upright.
- Gentle short exhalations (20 strokes).
- Passive inhalation.
- Rest between rounds.
- Maximum 3 rounds.
Avoid If:
- Advanced PD
- Blood pressure instability
- Dizziness
Benefit:
Improves expiratory muscle strength.
Structured 30-Minute Therapeutic Session
Phase 1: Grounding (5 minutes)
- Breath Awareness
Phase 2: Expansion (10 minutes)
- Diaphragmatic Breathing
- Sectional Breathing
Phase 3: Regulation (10 minutes)
- Coherent Breathing
- Extended Exhalation
Phase 4: Resonance (5 minutes)
- Bhramari or OM Chanting
Practice 5 days per week.
Application to Specific Parkinson’s Symptoms
1. Tremor
Slow breathing reduces sympathetic activation that can worsen tremor during stress.
2. Rigidity
Deep breathing improves chest wall mobility and muscle relaxation.
3. Bradykinesia
Rhythmic breathing enhances motor timing and coordination.
4. Postural Instability
Breath awareness improves trunk engagement and spinal alignment.
Breath regulation lowers cortisol and enhances parasympathetic tone.
6. Sleep Problems
Evening extended exhalation breathing promotes relaxation and sleep onset.
7. Voice Impairment (Hypophonia)
Humming and chanting strengthen vocal muscles and breath support.
Safety Considerations
Avoid:
- Long breath retention (Kumbhaka)
- Forceful Bhastrika
- Rapid hyperventilation
- Overexertion
Practice seated with support to prevent falls.
Stop immediately if:
- Dizziness
- Breathlessness
- Fatigue
- Chest discomfort
Consult physician before beginning practice.
Progression Over 12 Weeks
Weeks 1–4:
- Focus on breath awareness and diaphragmatic breathing.
Weeks 5–8:
- Add coherent breathing and Bhramari.
Weeks 9–12:
- Introduce alternate nostril breathing.
- Gradually increase duration to 30–40 minutes.
Integration with Multidisciplinary Care
Breathwork complements:
- Medication therapy
- Physical therapy
- Speech therapy
- Occupational therapy
It does not replace medical management but enhances functional capacity and quality of life.
Conclusion
Breathwork and pranayama provide a powerful, accessible, and scientifically grounded complementary therapy for Parkinson’s Disease. Through structured and safe practice, individuals can improve respiratory strength, autonomic balance, vocal function, emotional stability, and overall well-being.
When adapted thoughtfully to the stage and capacity of the individual, pranayama becomes not just a breathing exercise, but a therapeutic pathway toward resilience and self-empowerment in living with Prkinson’s Disease.
Yoga TTC Duration and Schedule: A Complete Guide Before Joining Yoga Teacher Training Yoga has become one of the most popular paths …
Yoga TTC Near Me Bangalore: How to Find the Right Yoga Teacher Training Course Yoga has become an important part of modern …
Yoga TTC for Beginners: A Complete Guide to Starting Your Yoga Teacher Training Journey Yoga is becoming increasingly popular among people who …
Yoga Teacher Salary in India: Complete Guide to Earnings and Career Opportunities Yoga has become one of the fastest-growing wellness careers in …
Important Links
- Apply Now Online Registration
- Review By Student
- Accreditation – Yoga Alliance USA
- Gallery
- FAQ
- KARUNA YOGA VIDYA PEETHAM
- Yoga PDF Book Free Download
- Asana Gallery
- Rules and Regulations
- Dr. S. Karuna Murthy
- Eligibility Criteria – TTC
- Admission Rules and Regulations – TTC
- Anti-Harassment/Sexual Misconduct Policy
- Refund & Cancellation Policy
- Week-Days 200 Hr Yoga Teacher Training Certificate Course
- Weekend 200 Hr – Yoga Teacher Training Certificate Course
- 200 Hour – Yoga Therapy Teacher Training Certificate Course
- 50 Hrs – Advanced Meditation Teacher Training Certificate Course
- 50 Hrs – Advanced Mudra Teacher Training Certificate Course
- 50 Hrs – Somatic Yoga Teacher Training Certificate Course
- Yoga PDF Book Free Download
Karuna Yoga Vidya Peetham – Yoga Teacher Training – J. P. Nagar
NO.1271, FIRST FLOOR, 20th Main, or, Central Mall, Ragigudda Metro Station, Marenahalli, 2nd Phase, J. P. Nagar, Bengaluru
-
I came to Bangalore to follow a 10 day private teacher training with Karuna, and it was a truly enriching experience.
I already hold a 200 h TTC in Hatha Yoga, as well as other diplomas. However, through my own experience, I feel that … More a 200 h yoga training is not enough to fully grasp the bigger picture of what yoga truly is. What I deeply appreciated with Karuna is that he also offers trainings focused on specific subjects, allowing for a much deeper and more embodied understanding.
For this private yoga training, I chose to explore mudras, mantras, and somatics. Being able to dive deeply into these themes helped me clarify and understand other aspects of yoga more clearly, not only intellectually, but also through direct experience, guided by Karuna.
The one to one format is a real gift. It creates space to ask questions, to slow down, and to spend more time on areas that personally need deeper integration. Karuna also shares related knowledge and encourages dialogue with what you are learning, making the whole process very alive and meaningful.
I truly appreciate how Karuna offers many different subjects and learning formats, and how he adapts his teaching to each person. His approach is attentive, sensitive, and respectful of individual paths.
Another beautiful aspect is that during the weekend, group students join the classes. Karuna skillfully manages to continue our individual learning while also allowing a collective learning experience. This opens the learning in a different and enriching way.
I had a wonderful time, and I will very likely continue other trainings with Karuna, either online (which is also an option 😉) or in Bangalore.
Namaste 🙏 -
I recently completed the 200 Hours Yoga Teacher Training Course with Karuna yoga Vidhya peetham .
I’m happy I chose Karuna yoga Vidhya peetham under the guidance of Dr Karuna murthy sir .
The program was well-structured and offered in-depth … More knowledge of yoga asanas, pranayama, meditation, anatomy, philosophy, and teaching methodology.
Dr.Karuna murthy sir were highly knowledgeable, supportive, and encouraging throughout the journey. The training helped me develop better alignment, discipline, confidence in teaching, and a deeper understanding of yoga both practically and theoretically. It was a highly enriching and transformative learning experience, and I am grateful for the guidance and support provided throughout the course. -
I completed my 200-hour TTC at Karuna Yoga Vidya Peetham in Bengaluru, and it was a truly enriching experience. Karuna sir is very knowledgeable, patient, and supportive, and gives personal attention to each student. The course is well-structured, … More covering not just asanas but also yoga philosophy, anatomy, and meditation in a balanced way. I felt more confident in my practice and gained a deeper understanding of yoga overall. It’s a great place for anyone looking for authentic and meaningful yoga training.
-
I, Pinkiey K, recently completed the Pranayama Teacher Training Program, and it was a truly enriching experience. The course was well-structured and covered both the depth and practical application of pranayama in a very meaningful way. … More The teachings were presented with clarity, patience, and authenticity, making even complex concepts easier to understand and integrate into practice.
What I appreciated most was the balance between traditional wisdom and practical guidance for teaching and personal growth. The program not only deepened my understanding of breathwork and its effects on the mind and body, but also strengthened my confidence in applying these practices responsibly.
I am grateful for the knowledge, discipline, and insights gained through this training, and I know these learnings will continue to support my personal journey and professional work over time. 🙏
Special gratitude to Trainer Dr. Murthy for sharing his knowledge and guidance throughout the program.
Highly recommended. -
Teacher Training Course offered at Karuna Yoga Vidyapeetham is unparalleled to any other course I’ve taken.
In my 13 years practice, Dr Karuna has so effectively shared his knowledge that the message will forever stay with me.
Will highly … More recommend learning from this institution- they offer various levels and forms of yoga teacher trainings.
Simply one of the best Yoga Schools in India -
This Advanced Mudra Therapy TTC is one of the most authentic and comprehensive yoga programs you could get.
What truly stands out is the integrity of the teaching. Sir is a sincere follower of yoga and its principles – nothing is faked … More or diluted for appearance. The teaching comes from real practice, which creates deep trust. There is a perfect balance of discipline and flexibility, allowing learning to be structured yet natural.
The range and depth of mudras covered is exceptional. Every possible mudra is taught systematically, and haven’t seen any other school approach Mudra Therapy with this level of completeness. The therapeutic application is clearly explained, with continuous guidance and hand-holding throughout the course, making the learning practical and confident. -
Completed my GID Teacher Training Certificate Course with Karuna yoga Vidya Peetham.
I’m so happy I chose my yoga teacher training with Karuna yoga Vidya Peetham under the guidance from the best knowledgeable teacher Dr.Karuna Murthy sir … More 🙏🙏
There are a lot of learning and unlearning involves in it. All the topics of Yoga Philosophy, Sat karma, Anatomy were taught very nicely.
Being a regular yoga practitioner I joined Karuna yoga and learnt more New asanas, Therapies and posture corrections.
I am glad that I choose Karuna yoga to be part of my journey🧘♂️ -
I recently completed an Advanced Pranayama course online with Dr. Murthy, and it more than met my expectations. The course materials were extensive and thoughtfully organized, covering a wide range of important topics and providing a strong … More foundation in traditional pranayama practices. Dr. Murthy is very knowledgeable and is a patient teacher. Overall, the training supported both my understanding and my ongoing practice, and it has given me tools I will continue to work with over time. 🙏
-
I recently completed my 200-hour Yoga Teacher Training Course (TTC) with Karuna Yoga Vidya Peetham, and it was a truly transformative experience. Under the expert guidance of Dr. Murthy sir, I gained deeper insights into Hatha Yoga practices … More and teaching ethics where this also covered essential topics like Yoga Philosophy, Yogic Physiology Anatomy, and Shathkarma practices. Dr. Murthy sir also focused on helping us learn new asanas, value of asanas- mudras, method of yoga teaching as well as posture balance and corrections. I highly recommend Karuna Yoga Vidya Peetham to anyone seeking a comprehensive yoga teacher training program.
-
Just completed a Somatic Yoga course online with Dr. Murthy, who was very informative, kind, and a good teacher. Dr. Murthy has extensive knowledge in the yogic sciences. He also provided in depth notes that were very helpful. I gained … More much insight through my course of study in Somatic Yoga.
-
I am very satisfied with the Online Yoga Nidra and Meditation Teacher Training. The course was very professional, with plenty of study materials, knowledge, and a well-balanced pace.
I truly appreciated the variety of practices combined … More with a broad theoretical foundation, including history and other essential aspects. The training was both practical and inspiring, and I am already applying what I have learned in my own work. -
I completed 200 hrs Yoga Teacher Training (TTC) Course at Karuna Yoga Vidya Peetham, under the guidance of Dr. S Karuna Murthi.The programme is very well designed. The yoga practice,teaching methodology ,offering traditional yogic principles … More and modern teaching techniques.
Dr.Karuna Murthi's expertise,supportive and personalized guidance made the experience better and boosted the confidence and made to achieve most of advanced level asanas.
For anyone seeking a world-class yoga education, Karuna Yoga Vidya Peetham is an excellent choice. Highly recommended. -
I just completed my yoga teacher training at Karuna Yoga Vidya Peetha, and I can honestly say it was one of the most enriching experiences of my life. From day one, the learning environment was warm and supportive, making it easy to grow, … More both physically and mentally. The course itself was well-structured, covering everything from asanas and alignment to pranayama, meditation, and the philosophy behind yoga. The classes were offered both online and offline, which made learning flexible and accessible.
What I appreciated most was how yoga was taught as a way of life, emphasizing the connection between body, mind, and spirit beyond just physical practice. Murthy Sir was incredibly knowledgeable and patient, always encouraging us to push our limits while respecting our own pace. His feedback made such a difference in my learning process, and the small class size allowed for plenty of individual attention.
If you’re looking for a yoga institute that truly cares about your growth, I’d highly recommend Karuna Yoga Vidya Peetha. It’s more than just a training program but a transformative experience that stays with you long after you leave. -
Hi, I am Valarmathi Ganesan.
I’ve joined the online Mantra Chanting Teacher Training Course, and it’s truly worth every rupee—structured, insightful, and transformative.
Dr. Kanura Moorthy is an exceptional mentor. His calm, patient approach … More and depth of knowledge elevate the entire learning experience. He addresses every doubt with clarity and precision, ensuring true understanding.
Under his guidance, mastery feels attainable.
Highly recommended for those seeking authentic and powerful mantra therapy training. The course quality is outstanding. -
I learned cyclic meditation, pranayama and some of the asanas as part of my PhD study. Sir's class was very good. He has given me so many references which help me to design my study as I was unaware more about meditation. He gives … More me online classes individually and in detail. I recommend karuna Yoga Vidya Peetham for others who wish to learn yoga and meditation.
-
🌟 Exceptional Yoga Teacher Training at Karuna Yoga Vidyapeetham, Bangalore 🌟
I completed Yoga Teacher Training Course at Karuna Yoga Vidyapeetham, led by the esteemed Dr. S Karuna Murthi and his dedicated faculty team. The program was … More meticulously designed, offering a harmonious blend of traditional yogic principles and modern teaching methodologies.
Dr.Karuna Murthi's expertise and personalized guidance made the experience truly enriching, fostering both professional growth and personal transformation. The serene environment and supportive atmosphere further enhanced the learning journey.
For anyone seeking a world-class yoga education, Karuna Yoga Vidyapeetham is an excellent choice. Highly recommended! 🧘♂️✨ -
Karuna Murthy is a good teacher. He teaches with patience and ensures that the students develop a good understanding of the subject.
-
Recently completed my 300 hr ttc yoga teacher training program, overall course designed unique, trained me versatile.
Thanks to
Karuna yoga team -
completed my 200-hour training in December 2022 from Karuna Yoga. One of my nicest and most
beautiful experiences ever I had in my life. I had such a wonderful time that I decided to prolong my stay
for a 300-hour advanced course. The instructors … More are highly supportive and professional. Since the
beginning, they have led me in the right direction. In addition, everyone in staff and in management is
really gracious and humble. I was given family-like treatment by them. If you're looking for a good place to
practise yoga, I absolutely suggest Karuna Yoga Vidya Peetham. -
Complted my 200 TTC Course with Karuna yoga Vidya Peetham.I’m so happy I chose my yoga teacher training with Karuna yoga Vidya Peetham under the guidance from the best knowledgeable teacher Dr.Karuna Murthy sir
There are a lot of learning … More and unlearning involves in it. All the topics of Yoga Philosophy, Sat karma, Anatomy were taught very nicely. As a new yoga learner I joined Karuna yoga and learnt more New asanas, Therapies and posture corrections. I am glad that I choose Karuna yoga to be part of my journey 😄 -
I recently had the pleasure of completing RYT 200 hrs TTC course at the Vidyaniketan Department of Yoga, and I must say it was an enriching experience. The instructors at Vidyaniketan are highly knowledgeable and experienced. Happy to have … More been a part of the team!
-
Yoga helps improve balance, strength, and flexibility. It reduces stress and feel happier and more well-being. Also improves mental and emotional health..
-
Accomplished 200 hours YOGA TTC with karuna yoga at Vidyanikethan, Ernakulam.
Profound knowledge of the faculties helped me to delve dive into the ocean of yoga philosophy
It was really a marvellous experience -
Very thorough, precise and knowledgeable Dr. Karuna Murthy Sir. Thank you very much for the opportunity allowing me to study at school. I recommend it to everyone who wants to get deeper knowledge.
-
Karuna Yoga Vidya Peetham, Yoga teacher training in Bangalore, is incredible! I did 500 hours course discovered a lot about yoga and about myself. I'd also like to
thank my wonderful teachers. Special thanks to my Guru Dr. Karuna sir … More for his extreme patience and deep knowledge.
Thank you 🙏 -
I recently completed Yoga Teachers Training Course with Karuna yoga vidya petham from Vidyaniketan College, Ernakulam. And It gave me so much of new insights in terms of personal health and overall wellbeing. I'm sure that I became … More more healthy, calm, and quality human by going through this yoga program. The faculties are really good and experienced.
If you are someone looking for a good career in Yoga, you can choose this institution without any hesitation.
