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 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?
  • 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.
  • Sengupta P. Health Impacts of Yoga and Pranayama: A State-of-the-Art Review. Int J Prev Med 2012; 3: 444–458.
  • 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.
  • 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.
  • 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 health care

    1. 1. Yogacharya Dr. ANANDA BALAYOGI BHAVANANI MBBS, ADY, DSM, DPC, PGDFH, PGDY, FIAY, MD (AM) Chairman ICYER at Ananda Ashram & Deputy Director - CYTER Centre for Yoga Education, Therapy and Research (CYTER), MGMC & RI, SBVU, Puducherry.
    2. 2. • 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.
    3. 3. • Homeopathy • Naturopathy • Herbal supplements • Nutritional supplements • Vitamins • Meditation • Hypnotherapy • Flower essences • Mindfulness-based stress reduction • YogaYoga • Acupuncture • Hyperthermia • Energy work • Remote healing • Psycho-spiritual • Massage • Bioelectromagnetic therapy Ministry ofMinistry of AYUSHAYUSH
    4. 4. • Spiritual art and science of psychosomatic, spiritual integration • Promotes positive health – Yogic lifestyle & 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 • Enhanced self healing
    5. 5. YOGA & MODERN MEDICINE: MEETING POINTSYOGA & 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
    6. 6. 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
    7. 7. • 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
    8. 8. • LIFE STYLE MODIFICATIONS: “LIFE STYLE MODIFICATIONS: “Yoga is a system ofYoga is a system of perfect tools for achieving union as well as healingperfect tools for achieving union as well as healing”-”- Dr Dean OrnishDr Dean Ornish • REHABILITATION: “REHABILITATION: “Modern medicine kept me alive,Modern medicine kept me alive, Yoga gave me back my lifeYoga gave me back my life”- Dr Swami Gitananda Giri”- Dr Swami Gitananda Giri • COPING SKILLS: “COPING SKILLS: “Yoga may not be able to always cureYoga may not be able to always cure but it can surely help us to endurebut it can surely help us to endure”- Sri BKS Iyengar”- Sri BKS Iyengar • HEALTHY DIET : biogenic,HEALTHY DIET : biogenic, gunaguna based dietsbased diets • RELAXATION:RELAXATION: spanda -nishpandaspanda -nishpanda conceptsconcepts • EXPENDITURE: cost effective, cost loweringEXPENDITURE: cost effective, cost lowering • AGING : anti-aging, regenerating, “young at heart”AGING : anti-aging, regenerating, “young at heart” • PSYCHOTHERAPY: the mind and beyondPSYCHOTHERAPY: the mind and beyond • WOMEN’S HEALTH: puberty, pregnancy, menopauseWOMEN’S HEALTH: puberty, pregnancy, menopause • RESEARCH: Basic and applied scientific & literaryRESEARCH: Basic and applied scientific & literary
    9. 9. • Improved general health, posture, muscle tone, sleep, immunity and pain tolerance • Weight normalizes • Stable autonomic nervous system • Increased cardio-respiratory efficiency, musculo- skeletal flexibility, range of joint movement, physical endurance, strength and energy levels • Decreased HR, BP, RR and EMG activity • Normalizes GIT and endocrine function
    10. 10. • Improved Mood • Increased – Somatic Awareness,Kinesthetic Awareness, Subjective Well-being, – Self-acceptance – Self-actualization ,Social Adjustment • Decreased – Hostility, Anxiety, Depression
    11. 11. IMPROVED Attention Learning efficiency Depth perception Concentration Memory
    12. 12. The biochemical profile improves, Indicating an ANTI STRESS & ANTI OXIDANTANTI STRESS & ANTI OXIDANT EFFECT,EFFECT, important in prevention of degenerative disorders.
    13. 13. • 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?Are our doctors trained in it?
    14. 14. • 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.
    15. 15. • Yoga helps cultivation of positive health through three integral steps: 1. Cultivation of correct psychological attitudes, 2. Reconditioning of neuro-muscular and neuro- glandular 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.
    16. 16. 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
    17. 17. • 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 conditions- diabetes, obesity, metabolic syndrome etc • Psychiatry: OCD–improvement in Yale/Brown & perceived stress scales , anxiety, depression
    18. 18. • A bibliometric analysis on biomedical literature involving research on clinical application of Yoga from 1967-2013 (Jeter PE, 2015) revealed a three fold increase in number of publications in the past decade with substantial & growing use of RCTs. • Top 3 disorders addressed by Yoga interventions were mental health, cardiovascular disease, and respiratory disease. • In an earlier similar review (Khalsa, 2004), discrete disorders receiving most attention were asthma, hypertension, diabetes, depression, heart disease and anxiety. • Recent reviews by Innes (2005, 07, 12 and 2014), Yang (2007) and Sengupta (2012) have highlighted role of Yoga as a therapy based on indexed reports.
    19. 19. 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 far- reaching effects than we would have been led to believe
    20. 20. THETHE YOGICYOGIC CONCEPTCONCEPT OFOF ORIGINORIGIN OFOF DISEASEDISEASE -- YogaYoga VashishtaVashishta
    21. 21. Stress response
    22. 22. PSYCHO-NEURO-IMMUNO-ENDOCRINOLOGICAL CORRELATES OF STRESS NERVOUS SYSTEM ENDOCRINE SYSTEM IMMUNE SYSTEM MENTAL & PHYSICAL ILLNESS +ve YOGA -ve STRESS HEALTH
    23. 23. 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 neuro- transmitter, and increased allostatic load. • Yoga helps correct the underactivity of para- sympathetic nervous system and GABA systems in part through stimulation of vagus nerves with reduction in the allostatic load.
    24. 24. 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.
    25. 25. 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. Postulated mechanisms of yoga in diabetes mellitus
    26. 26. 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:
    27. 27. 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.
    28. 28. 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.
    29. 29. 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.
    30. 30. 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.
    31. 31. 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.
    32. 32. 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
    33. 33. Interconnections between Inner Correspondence / PeacefulInterconnections between Inner Correspondence / Peaceful Harmony (ICPH), mindful acceptance & mental /emotionalHarmony (ICPH), mindful acceptance & mental /emotional stabilization in response to mind-body interventions such as Yoga.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.
    34. 34. Bhavanani AB et al. IJPP 2003: 47:297-300 and IJPP 2012; 56 : 174–180.
    35. 35. 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
    36. 36. – Physical therapies – Emotional therapies – Mental therapies – Spiritual therapies – Preventive therapies – Rehabilitative therapies – Pain relief therapies
    37. 37. • 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
    38. 38. SOME YOGIC PRACTICES FOR GENERAL HEALTH
    39. 39. POSTURES DONE FROM STANDING Mehru AsanaMehru AsanaArdha Kati ChakrasanaArdha Kati Chakrasana
    40. 40. POSTURES DONE FROM SITTING Ushtra AsanaUshtra Asana ArdhaArdha MatsyendrasanaMatsyendrasana Chatus Pada Asana and Vyagrah PranayamaChatus Pada Asana and Vyagrah Pranayama
    41. 41. POSTURES DONE FROM LYING DOWN Bhujanga AsanaBhujanga Asana Matsya AsanaMatsya Asana Bala AsanaBala Asana Pawan Mukta AsanasPawan Mukta Asanas
    42. 42. PRANAYAMAS • Bhastrika Pranayama – Bellows breathing • Chandra Nadi Pranayama – Breathe in and out by left nostril • Pranava Pranayama – Chanting Akara, Ukara, Makara and Omkara • Anu Nasika Pranayama – Blasting out through nostrils in specific pattern • Kukkriya Pranayama – Dog pant breathing • Bhramari Pranayama – Bee sound breathing
    43. 43. YOGA RELAXATION Makara Asana Shpanda Nishpanda KriyaShpanda Nishpanda Kriya KayaKaya KriyaKriya
    44. 44. 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 !
    45. 45. 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
    46. 46. 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.
    47. 47. “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 (1907-1993) Founder ICYER at Ananda Ashram, Pondicherry
    48. 48. THANK YOU www.icyer.com

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