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Yoga in health care

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We are today faced with numerous debilitating chronic illnesses related to aging, environment, and hedonistic lifestyle, such as cancer, diabetes, osteoporosis, and cardiovascular diseases as well as ...

We are today faced with numerous debilitating chronic illnesses related to aging, environment, and hedonistic lifestyle, such as cancer, diabetes, osteoporosis, and cardiovascular diseases as well as many incurable diseases such as AIDS. Modern medical advancements provide the rationale for the integration of various traditional healing techniques including Yoga to promote healing, health, and longevity. It is imperative that advances in medicine include the wholistic approach of Yoga to face the current challenges in health care. The antiquity of Yoga must be united with the innovations of modern medicine to improve quality of life throughout the world. While modern medicine has a lot to offer humankind in its treatment and management of acute illness, accidents and communicable diseases, Yoga has a lot to offer in terms of preventive, promotive and rehabilitative methods in addition to many management methods to tackle modern illnesses. While modern science looks outward for the cause of all ills, the Yogi searches the depth of his own self. This two way search can lead us to many answers for the troubles that plague modern man. It is suggested that a two way integration of the experimentally tempered modern science with the experientially modelled science of Yoga can lead us to many answers for challenges plaguing modern humankind such as debilitating chronic illnesses related to aging, environment, and hedonistic lifestyle. Modern medical advancements provide the rationale for the integration of various traditional healing techniques including Yoga to promote healing, health, and longevity. It is imperative that advances in medicine include the wholistic approach of Yoga to face the current challenges in health care. The antiquity of Yoga must be united with the innovations of modern medicine to improve quality of life throughout the world.

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  • Are Botanicals and Herbal Supplements the same? <br />
  • Innes KE, Selfe TK. The Effects of a Gentle Yoga Program on Sleep, Mood, and Blood Pressure in Older Women with Restless Legs Syndrome (RLS): A Preliminary Randomized Controlled Trial.Evid Based Complement Alternat Med. 2012; 2012: 294058. <br />
  • Sengupta P. Health Impacts of Yoga and Pranayama: A State-of-the-Art Review. Int J Prev Med 2012; 3: 444–458. <br />
  • Ray US, Pathak A, Tomer OS. Hatha Yoga Practices: Energy Expenditure, Respiratory Changes and Intensity of Exercise. Evid Based Complement Alternat Med. 2011; 2011: 241294. <br />
  • Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga Therapy Decreases Dyspnea-Related Distress and Improves Functional Performance in People with Chronic Obstructive Pulmonary Disease: A Pilot Study. J Altern Complement Med 2009; 15: 225–234. <br />
  • Chuntharapat S, Petpichetchian W, Hatthakit U. Yoga during pregnancy: effects on maternal comfort, labor pain and birth outcomes. Complement Ther Clin Pract 2008; 14(2): 105-15. <br />

Yoga in health care Yoga in health care Presentation Transcript

  • Yogacharya Dr. ANANDA BALAYOGI BHAVANANI MBBS, ADY, DSM, DPC, PGDFH, PGDY, FIAY Deputy Director- CYTER Centre for Yoga Education, Therapy and Research (CYTER), MGMC & RI, SBVU, Puducherry.
  • • CAM includes all types of healing practices that range from cultural tradition medical systems and practices to products that are not presently considered to be part of conventional medicine • Complementary medicine is used together with conventional medicine to create integrative medicine, and alternative medicine is used instead of conventional medicine.
  • • • • • • • • • • Homeopathy Naturopathy Herbal supplements Nutritional supplements Vitamins Meditation Hypnotherapy Flower essences Mindfulness-based stress reduction • Yoga • • • • • • • Acupuncture Hyperthermia Energy work Remote healing Psycho-spiritual Massage Bioelectromagnetic therapy
  • • Spiritual art and science of psychosomatic, spiritual integration • Promotes positive health – Yogic lifestyle and techniques like asana, pranayama, shatkriya, mudra, relaxation, meditation etc • Improved psycho-neuro-immune function • Yogic lifestyle (yama-niyama) is preventive • Improved sense of well being and QOL • Positive attitude towards suffering -Bhavana
  • YOGA & MODERN MEDICINE: MEETING POINTS • Modern medical advancements provide the rationale for the integration of various traditional healing techniques including Yoga to promote healing, health, and longevity • Potential to provide us with a holistic health science - a boon for psychosomatic health • WHO : spiritual health in the “state of health’ • Modern medicine : accidents, acute illness, emergencies and communicable diseases • Yoga: preventive, promotive and rehabilitative methods in addition to many management methods to tackle modern illnesses
  • RELEVANCE TO MEDICAL PROFESSIONALS • Yoga is an experiential science and a dynamic state of health is a by-product of Yoga • “Re-orients the functional hierarchy of the entire nervous system” - Dr B Ramamurthy • Effective in preventing and combating the modern pandemic of stress borne disorders. • Scientific evidence indicates that Yoga has – promotive, preventive and curative potential, – is a safe, non-pharmacological therapy and is – an effective lifestyle adjunct to reduce drug dosage and improve QOL of patients
  • • Psychosomatic and stress related disorders – DM, hypertension, bronchial asthma, IBS, epilepsy, back pain and functional disorders • Reduce / eliminate drug dosage / dependence in – DM, hypertension, epilepsy, anxiety, bronchial asthma, constipation, dyspepsia, insomnia, arthritis, sinusitis and dermatological disorders • Yoga therapists must work in tandem with medical doctors when treating patients on allopathic treatment • “The treatment of the part shouldn’t be attempted without a treatment of the entirety” - the treatment of the body without treating the mind and soul is a useless waste of time”- Plato
  • • LIFE STYLE MODIFICATIONS: “Yoga is a system of perfect tools for achieving union as well as healing”Dr Dean Ornish • REHABILITATION: “Modern medicine kept me alive, Yoga gave me back my life”- Dr Swami Gitananda Giri • COPING SKILLS: “Yoga may not be able to always cure but it can surely help us to endure”- Sri BKS Iyengar • HEALTHY DIET : biogenic, guna based diets • RELAXATION: spanda -nishpanda concepts • EXPENDITURE: cost effective, cost lowering • AGING : anti-aging, regenerating, “young at heart” • PSYCHOTHERAPY: the mind and beyond • WOMEN’S HEALTH: puberty, pregnancy, menopause • RESEARCH: Basic and applied scientific & literary
  • • Improved general health, posture, muscle tone, sleep, immunity and pain tolerance • Weight normalizes • Stable autonomic nervous system • Increased cardio-respiratory efficiency, musculoskeletal flexibility, range of joint movement, physical endurance, strength and energy levels • Decreased HR, BP, RR and EMG activity • Normalizes GIT and endocrine function
  • • Improved Mood • Increased – Somatic Awareness,Kinesthetic Awareness, Subjective Well-being, – Self-acceptance – Self-actualization ,Social Adjustment • Decreased – Hostility, Anxiety, Depression
  • IMPROVED Memory Attention Concentration Depth perception Learning efficiency
  • The biochemical profile improves, Indicating an ANTI STRESS & ANTI OXIDANT EFFECT, important in prevention of degenerative disorders.
  • • • • Natural, effective and safe Complementary to “modern” medicine Cost effective Should be the basis of our public health policy and clinical approach- yet, Are our doctors trained in it?
  • • • • • • • • Wholistic: Body, mind, soul Preventive, promotive, curative Science, philosophy, art Desirable +ve “side benefits” Simultaneous improvement in health and control of other diseases Relief from stress - the main cause of Adhija Vyadhi (psychosomatic disorders) Yoga enables us to attain and maintain a dynamic Sukha Sthanam - a dynamic sense of physical, mental and spiritual well being.
  • • Yoga helps cultivation of positive health through three integral steps: 1. Cultivation of correct psychological attitudes, 2. Reconditioning of neuro-muscular and neuroglandular system – in fact, the whole body – enabling it to withstand stress and strain better, 3. Laying great emphasis on appropriate diet conducive to such a peak state of health, and encouraging natural processes of elimination through various processes of Shuddhi.
  • Components of a healthy Yogic lifestyle : ACHAR – healthy physical activities and exercise VICHAR – right thoughts and right attitude AHAR – healthy, nourishing diet VIHAR – proper recreational activities
  • • Yoga modifies coronary artery disease risk factors and helps reverse heart disease • Patients of respiratory disorders have shown improvement with Yoga therapy • Therapeutic tool for MR children -improvement in IQ and social adaptation • Has shown great potential in metabolic conditionsdiabetes, obesity, metabolic syndrome etc • Psychiatry: OCD–improvement in Yale/Brown & perceived stress scales , anxiety, depression
  • • A bibliometric analysis on biomedical literature involving research on clinical application of Yoga (Khalsa - IJPP 2004) revealed an increase in publication frequency over past 3 decades with a substantial and growing use of RCTs. • The 3 types of disorders most evaluated have been psychiatric conditions, CV disorders, & respiratory disorders. • Discrete disorders receiving most attention were asthma, hypertension, diabetes, depression, heart disease and anxiety. • Recent reviews by Innes (2005, 2007 and 2012), Yang (2007) and Sengupta (2012) have highlighted role of Yoga as a therapy based on indexed reports.
  • Most yogic phenomena are beyond the mere physical manifestation of their effects To conclude that shavasana has only the physical effect of lowering BP and HR is to sight merely the iceberg’s tip, missing the other 90%. The real effects of shavasana as the ultimate relaxation & true renunciation may have more farreaching effects than we would have been led to believe
  • THE YOGIC CONCEPT OF ORIGIN OF DISEASE Yoga Vashishta
  • Stress response
  • PSYCHO-NEURO-IMMUNO-ENDOCRINOLOGICAL CORRELATES OF STRESS NERVOUS SYSTEM -ve S ES TR S ve + A OG Y ENDOCRINE SYSTEM IMMUNE SYSTEM HEALTH MENTAL & PHYSICAL ILLNESS
  • Overexposure to stress DISEASE
  • Streeter CC et al. Med Hypotheses 2012; 78: 571-9 • Stress induces autonomic imbalance • Decreased para-sympathetic & increased sympathetic activity, under activity of GABA system, the primary inhibitory neurotransmitter, and increased allostatic load. • Yoga helps correct the underactivity of parasympathetic nervous system and GABA systems in part through stimulation of vagus nerves with reduction in the allostatic load.
  • Postulated mechanisms by which Yoga reduces cardiovascular risk Innes KE, Bourguignon C, Taylor AG. Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: a systematic review. J Am Board Fam Pract 2005;18:491-519.
  • Postulated mechanisms of yoga in diabetes mellitus Innes KE, Vincent HK. The Influence of yoga-based programs on risk profiles in adults with type 2 diabetes mellitus: A systematic review. eCAM 2007; 4: 469-86.
  • Possible pathways by which yoga may attenuate the distressing symptoms associated with RLS Innes KE, Selfe TK. The Effects of a Gentle Yoga Program on Sleep, Mood, and Blood Pressure in Older Women with Restless Legs Syndrome (RLS): A Preliminary Randomized Controlled Trial.Evid Based Complement Alternat Med. 2012; 2012:
  • Impact of stress on hypothalamic–pituitary–adrenal (HPA) axis and sympathetic NS. * Yoga has been shown to have significant beneficial effects in these Sengupta P. Health Impacts of Yoga and Pranayama: A State-of-the-Art Review. Int J Prev Med 2012; 3:444–58.
  • Possible factors responsible for improvement of physical performance by yoga Ray US, Pathak A, Tomer OS. Hatha Yoga Practices: Energy Expenditure, Respiratory Changes and Intensity of Exercise. Evid Based Complement Alternat Med. 2011; 2011: 241294.
  • Proposed relationships among dyspnea, benefits of yoga, and outcomes of participation in a yoga program. Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga Therapy Decreases Dyspnea-Related Distress and Improves Functional Performance in People with Chronic Obstructive Pulmonary Disease: A Pilot Study. J Altern Complement Med 2009; 15: 225–234.
  • Postulated mechanisms for role of yoga in pregnancy outcomes Chuntharapat S, Petpichetchian W, Hatthakit U. Yoga during pregnancy: effects on maternal comfort, labor pain and birth outcomes. Complement Ther Clin Pract 2008; 14(2): 105-15.
  • Yoga in cancer related fatigue Bower JE, Garet D, Sternlieb B. Yoga for persistent fatigue in breast cancer survivors: results of a pilot study. Evid Based Complement Alternat Med 2011; 2011:623168.
  • Yoga in chronic low back pain-mechanisms Sherman et al., Comparison of yoga versus stretching for chronic low back pain: protocol for the Yoga Exercise Self-care (YES) trial. Trials 2010; 11:36
  • Interconnections between Inner Correspondence / Peaceful Harmony (ICPH), mindful acceptance & mental /emotional stabilization in response to mind-body interventions such as Yoga. Arndt B¨ussing et al. Inner Correspondence and peacefulness with practices among participants in Eurythmy Therapy & Yoga: A Validation Study. Evid Based Complement Alternat Med 2011; 2011: 329023.
  • Bhavanani AB et al. IJPP 2003: 47:297-300 and IJPP 2012; 56 : 174–180.
  • Bhavanani AB et al. Int J Yoga Ther 2011; 21: 73-76 & Yoga Mimamsa 2012; 44: 101-112. Indian J Physiol Pharmacol 2012; 56: 273–78 & Biomed Human Kin 2012: 4: 66 – 69. Int J Yoga 2012; 5: 108-11
  • – Physical therapies – Emotional therapies – Mental therapies – Spiritual therapies – Preventive therapies – Rehabilitative therapies – Pain relief therapies
  • • • • • • • • • C.V.S : Essential HT, CAD Respiratory : Asthma, COAD Stress : Tension headache M.S : Backache, RA, spondilitis Metabolic : DM, thyroid disorders, obesity G.I.T : IBS, dyspepsia, ulcerative colitis Psychiatric : Anxiety, depression, phobias C.N.S : Mental retardation, epilepsy, migraine
  • LIMITATIONS OF YOGA THERAPY • • • • • • • Not a miracle cure for all problems Use discernment (Viveka) Not for emergencies Consult a doctor where in doubt Each patient is different Different approaches of different traditions Don’t be a quack !
  • AN INTEGRATED APPROACH • The need of the modern age is to have an integrated approach towards therapy and to utilize Yoga therapy with coordination and collaboration with other systems of medicine such as Allopathy, Ayurveda, Siddha and Naturopathy • Physiotherapy, osteopathy and chiropractic practices may be used with the Yoga if needed • Advise on diet and life style is very important • Adoption of right attitudes through Yogic counselling
  • IN CONCLUSION • The ancient art and science of Yoga has infinite possibilities of solutions for the health related issues faced by modern humankind. • We however want it to be a miracle pill, that we take only once - immediate solution to all problems! • Yoga is a wholistic science and must be learnt and practiced with a holistic view. • The dedicated practice of Yoga as a way of life is no doubt a panacea for psychosomatic, stress related disorders helping us to regain our birthright of natural health and universal happiness. • The integration of Yoga and modern medicine can help create a healthier and happier world.
  • “Health and happiness are your birthright. Do not forsake your golden culture for the plastic playthings of the modern world. Learn and live Yoga for then you will know true health and happiness” Yogamaharishi Dr Swami Gitananda Giri Guru Maharaj Founder: ICYER at Ananda Ashram, Pondicherry (1907-1993)