Yoga and Medicine
3 Questions <ul><li>What is Yoga? </li></ul><ul><li>What is the evidence that Yoga has health benefits? </li></ul><ul><li>...
Yoga <ul><li>5000 years old </li></ul><ul><li>founded in India </li></ul><ul><li>The word “Yoga” means “yoke” or “unity” t...
Yoga <ul><li>Yoga requires you to make an effort to unify your body and mind.  </li></ul><ul><li>You do this by concentrat...
Meditation is part of Yoga <ul><li>Meditation is a technique in which the meditator seeks not only to reach a deep state o...
Meditation seeks a state of enlightenment, a freedom from the tyranny of our worries.
Types of Yoga <ul><li>The approach to Yoga that focuses on postures is called Hatha (haht-hah) Yoga. </li></ul><ul><li>Ana...
 
 
 
Yoga breathing <ul><li>Abdominal breathing </li></ul><ul><li>Sends a fax to the brain to relax </li></ul><ul><li>Close you...
 
Yoga postures (Asanas) <ul><li>Asanas are the heart of Hatha Yoga </li></ul><ul><li>Stretching that maintains and enhances...
 
Meditation techniques <ul><li>Focused </li></ul><ul><li>Mantra </li></ul><ul><li>Walking </li></ul>
Focused Meditation <ul><li>is a technique in which you direct your awareness onto something.  </li></ul><ul><ul><li>a pict...
Mantra  meditation <ul><li>In Sanskrit, the “man” in mantra means “to think,” and “tra” suggests instrumentality.  </li></...
Transcendental  Meditation (TM) <ul><li>movement founded by Maharshi Mahesh Yogi of India.  </li></ul>
Beatles
 
 
Functional Mapping of Meditation <ul><li>Meditation is a conscious mental process that induces a set of integrated physiol...
Results <ul><li>Significant signal increases were observed in the dorsolateral prefrontal and parietal cortices, hippocamp...
 
Decrease in Beta-wave activity after meditation
Question <ul><li>What is the evidence that Yoga/meditation have health benefits? </li></ul>
There is good scientific evidence that exercise: <ul><li>Increases muscle and bone strength </li></ul><ul><li>Increases le...
Yoga is exercise <ul><li>Stretching for flexibility </li></ul><ul><li>Improved Strength </li></ul><ul><li>Improved Balance...
Evidence for Health Benefits of Yoga <ul><li>HTN – Relaxation Response </li></ul><ul><li>Carpal Tunnel Syndrome </li></ul>...
Relaxation Response <ul><li>Herbert Benson, MD </li></ul><ul><li>founding President of the Mind/Body Medical Institute </l...
Relaxation Response <ul><li>Sit comfortably with your eyes closed.  </li></ul><ul><li>Pay attention to your breathing, and...
Autonomic NS <ul><li>Sympathetic NS </li></ul><ul><li>Parasympathetic NS </li></ul>
Fight or Flight <ul><li>Whether you fight or run, your sympathetic nervous system will be on overdrive pumping out nor-epi...
Fight or Flight <ul><li>Yoga and meditation decrease this sympathetic tone and reduce feelings of stress and anxiety </li>...
Relaxation Response <ul><li>Significantly greater reductions in psychological distress, anxiety, and perceived stress were...
Yoga can prevent Seizures <ul><li>More than 50% reduction in seizure frequency and duration compared with the control grou...
Yoga for Poststroke Rehabilitation <ul><li>A yoga-based exercise program for people with chronic poststroke hemiparesis. <...
Yoga to improve quality of life of patients with cancer <ul><li>Persons with breast or prostate cancer were taught to use ...
Pain in the hands <ul><li>Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. </li></ul><ul><...
Carpal Tunnel Syndrome
Carpal Tunnel Syndrome <ul><li>“ Current evidence shows significant short-term benefit from oral steroids, splinting, ultr...
Eczema Story
Health Conditions in which Yoga may help heal or treat <ul><li>Arthritis </li></ul><ul><li>Allergies </li></ul><ul><li>Ast...
Yoga and Meditation to stay healthy <ul><li>Exercise and relaxation can reduce feelings of stress and keep the body and mi...
Question <ul><li>How do I use and prescribe Yoga as a physician? </li></ul>
Treating Back Pain with Yoga <ul><li>Similarities to PT </li></ul><ul><ul><li>Williams flexion exercises </li></ul></ul><u...
 
Yoga and Meditation <ul><li>As forms of medical treatments do Yoga and Meditation meet standards for being  safe and effec...
Safety <ul><li>Safe from musculoskeletal injuries if you listen to your own body </li></ul><ul><li>No pain and a lot of ga...
Effective <ul><li>We have reviewed some studies showing effectiveness for certain conditions </li></ul><ul><li>More studie...
Yoga and Meditation <ul><li>Best when they are practiced as part of an overall healthy lifestyle: </li></ul><ul><ul><li>Go...
How to get started <ul><li>Books - hundreds </li></ul><ul><li>Videos - many </li></ul><ul><li>Classes – all over San Anton...
http://www.santosha.com/asanas/index.html
Conclusion <ul><li>Yoga can be valuable to: </li></ul><ul><ul><li>You </li></ul></ul><ul><ul><li>Your patients </li></ul><...
 
 
 
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RxCare Yoga funzone

  1. 1. Yoga and Medicine
  2. 2. 3 Questions <ul><li>What is Yoga? </li></ul><ul><li>What is the evidence that Yoga has health benefits? </li></ul><ul><li>How do I use and prescribe Yoga as a physician? </li></ul>
  3. 3. Yoga <ul><li>5000 years old </li></ul><ul><li>founded in India </li></ul><ul><li>The word “Yoga” means “yoke” or “unity” translated from Sanskrit, the classical language of India. </li></ul><ul><li>It also means “discipline” or “effort.” </li></ul>
  4. 4. Yoga <ul><li>Yoga requires you to make an effort to unify your body and mind. </li></ul><ul><li>You do this by concentrating your awareness on your physical body through breathing and postures. </li></ul>
  5. 5. Meditation is part of Yoga <ul><li>Meditation is a technique in which the meditator seeks not only to reach a deep state of relaxation, but to quiet the mind. </li></ul><ul><li>The mind is a chattering monkey that one tries to make quiet with meditation. </li></ul>
  6. 6. Meditation seeks a state of enlightenment, a freedom from the tyranny of our worries.
  7. 7. Types of Yoga <ul><li>The approach to Yoga that focuses on postures is called Hatha (haht-hah) Yoga. </li></ul><ul><li>Ananda </li></ul><ul><li>Ashthanga </li></ul><ul><li>Bikram </li></ul><ul><li>Iyengar </li></ul><ul><li>Kundalini </li></ul><ul><li>Sivananda </li></ul><ul><li>Viniyoga </li></ul>
  8. 11. Yoga breathing <ul><li>Abdominal breathing </li></ul><ul><li>Sends a fax to the brain to relax </li></ul><ul><li>Close your eyes </li></ul><ul><li>Put your hand on your belly </li></ul><ul><li>Imagine ….. </li></ul>
  9. 13. Yoga postures (Asanas) <ul><li>Asanas are the heart of Hatha Yoga </li></ul><ul><li>Stretching that maintains and enhances flexibility </li></ul><ul><li>Many poses are a form of isometric strengthening exercise, which involve the contraction of muscles without moving the joint. </li></ul><ul><li>Isometric exercise is often used in physical therapy for the rehabilitation of injured joints. </li></ul>
  10. 15. Meditation techniques <ul><li>Focused </li></ul><ul><li>Mantra </li></ul><ul><li>Walking </li></ul>
  11. 16. Focused Meditation <ul><li>is a technique in which you direct your awareness onto something. </li></ul><ul><ul><li>a picture or statue of a deity </li></ul></ul><ul><ul><li>a universal principle such as compassion or forgiveness </li></ul></ul><ul><ul><li>or the syllable OM, the famous Hindu mantra.   </li></ul></ul>
  12. 17. Mantra meditation <ul><li>In Sanskrit, the “man” in mantra means “to think,” and “tra” suggests instrumentality. </li></ul><ul><li>Mantra literally means an instrument of thought. </li></ul><ul><li>You repeat a word, phrase or sound in order to transcend the constant distractions of the mind. </li></ul>
  13. 18. Transcendental Meditation (TM) <ul><li>movement founded by Maharshi Mahesh Yogi of India. </li></ul>
  14. 19. Beatles
  15. 22. Functional Mapping of Meditation <ul><li>Meditation is a conscious mental process that induces a set of integrated physiologic changes termed the “relaxation response” by Herbert Benson. </li></ul><ul><li>Functional magnetic resonance imaging (fMRI) was used to identify and characterize the brain regions that are active during a simple form of meditation. </li></ul>
  16. 23. Results <ul><li>Significant signal increases were observed in the dorsolateral prefrontal and parietal cortices, hippocampus/parahippocampus, temporal lobe, pregenual anterior cingulate cortex, striatum, and pre- and post-central gyri during meditation. </li></ul><ul><li>This indicates that the practice of meditation activates neural structures involved in attention and control of the autonomic nervous system. </li></ul><ul><ul><li>Neuroreport. 2000 May 15;11(7):1581-5. Functional brain mapping of the relaxation response and meditation. Lazar SW,…, Benson H. </li></ul></ul>
  17. 25. Decrease in Beta-wave activity after meditation
  18. 26. Question <ul><li>What is the evidence that Yoga/meditation have health benefits? </li></ul>
  19. 27. There is good scientific evidence that exercise: <ul><li>Increases muscle and bone strength </li></ul><ul><li>Increases lean muscle and decreases body fat </li></ul><ul><li>Helps control weight </li></ul><ul><li>Enhances your psychological well-being, reduces depression </li></ul><ul><li>Reduces symptoms of anxiety and improves your general mood </li></ul>
  20. 28. Yoga is exercise <ul><li>Stretching for flexibility </li></ul><ul><li>Improved Strength </li></ul><ul><li>Improved Balance </li></ul>
  21. 29. Evidence for Health Benefits of Yoga <ul><li>HTN – Relaxation Response </li></ul><ul><li>Carpal Tunnel Syndrome </li></ul><ul><li>Asthma and improved vital capacity </li></ul><ul><li>Stress reduction to diminish the many conditions caused or made worse by stress. </li></ul>
  22. 30. Relaxation Response <ul><li>Herbert Benson, MD </li></ul><ul><li>founding President of the Mind/Body Medical Institute </li></ul><ul><li>Associate Professor of Medicine, Harvard Medical School </li></ul>
  23. 31. Relaxation Response <ul><li>Sit comfortably with your eyes closed. </li></ul><ul><li>Pay attention to your breathing, and repeat a word or phrase or prayer silently to yourself as you exhale. </li></ul><ul><li>When you notice your mind wandering (It will) just notice it and passively bring your attention back to your breathing . </li></ul><ul><ul><li>A form of meditation. </li></ul></ul>
  24. 32. Autonomic NS <ul><li>Sympathetic NS </li></ul><ul><li>Parasympathetic NS </li></ul>
  25. 33. Fight or Flight <ul><li>Whether you fight or run, your sympathetic nervous system will be on overdrive pumping out nor-epinephrine. </li></ul><ul><li>What are the physiological effects of this process? </li></ul><ul><li>Why would you not want this to be a chronic state of existence? </li></ul>
  26. 34. Fight or Flight <ul><li>Yoga and meditation decrease this sympathetic tone and reduce feelings of stress and anxiety </li></ul><ul><li>Many modern health problems are worsened by stress and anxiety </li></ul><ul><li>Yoga works to decrease sympathetic tone </li></ul>
  27. 35. Relaxation Response <ul><li>Significantly greater reductions in psychological distress, anxiety, and perceived stress were found in the experimental group who had learned the relaxation response. </li></ul><ul><ul><li>The evaluation of a mind/body intervention to reduce psychological distress and perceived stress in college students. </li></ul></ul><ul><ul><li>Deckro GR, …, Benson H. </li></ul></ul><ul><ul><li>J Am Coll Health. 2002 May;50(6):281-7. </li></ul></ul>
  28. 36. Yoga can prevent Seizures <ul><li>More than 50% reduction in seizure frequency and duration compared with the control groups. </li></ul><ul><ul><li>Cochrane Database Systematic Rev. 2000;(3) </li></ul></ul>
  29. 37. Yoga for Poststroke Rehabilitation <ul><li>A yoga-based exercise program for people with chronic poststroke hemiparesis. </li></ul><ul><ul><li>Pilot study with four patients </li></ul></ul><ul><li>Gentle exercise program adapted for people who have had a stroke. </li></ul><ul><li>Yoga showed some benefit. </li></ul><ul><ul><li>Bastille JV, Gill-Body KM. Phys Ther. 2004 Jan;84(1):33-48. </li></ul></ul>
  30. 38. Yoga to improve quality of life of patients with cancer <ul><li>Persons with breast or prostate cancer were taught to use Yoga. </li></ul><ul><li>Significant improvements were seen in overall quality of life, symptoms of stress, and sleep quality. </li></ul><ul><li>Carlson LE, et al. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress … in breast and prostate cancer outpatients. </li></ul><ul><li>Psychoneuroendocrinology. 2004 May;29(4):448-74 </li></ul>
  31. 39. Pain in the hands <ul><li>Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. </li></ul><ul><li>The Yoga program was effective in providing relief in hand osteoarthritis. </li></ul><ul><ul><ul><li>Garfinkel MS, et al. J Rheumatol. 1994 Dec;21(12):2341-3. </li></ul></ul></ul>
  32. 40. Carpal Tunnel Syndrome
  33. 41. Carpal Tunnel Syndrome <ul><li>“ Current evidence shows significant short-term benefit from oral steroids, splinting, ultrasound and yoga.” </li></ul><ul><li>Cochrane review, Issue 1, 2004. </li></ul><ul><li>Garfinkel, et al. Yoga-Based Intervention for Carpal Tunnel Syndrome. A Randomized Trial. JAMA. 1998 </li></ul>
  34. 42. Eczema Story
  35. 43. Health Conditions in which Yoga may help heal or treat <ul><li>Arthritis </li></ul><ul><li>Allergies </li></ul><ul><li>Asthma </li></ul><ul><li>Hypertension </li></ul><ul><li>Coronary Artery Disease </li></ul><ul><li>Irritable Bowel Syndrome </li></ul><ul><li>Heartburn (GERD) </li></ul><ul><li>Constipation </li></ul><ul><li>Tension Headaches and Migraines </li></ul><ul><li>PMS and Menstrual Discomfort </li></ul><ul><li>Menopause </li></ul><ul><li>Pain of the Back, Hips, Knees </li></ul><ul><li>Depression & Anxiety </li></ul><ul><li>Substance Abuse </li></ul><ul><li>Skin Disorders </li></ul><ul><li>Chronic Fatigue Syndrome </li></ul><ul><li>Overweight </li></ul><ul><li>Sleep Problems </li></ul>
  36. 44. Yoga and Meditation to stay healthy <ul><li>Exercise and relaxation can reduce feelings of stress and keep the body and mind healthy </li></ul>
  37. 45. Question <ul><li>How do I use and prescribe Yoga as a physician? </li></ul>
  38. 46. Treating Back Pain with Yoga <ul><li>Similarities to PT </li></ul><ul><ul><li>Williams flexion exercises </li></ul></ul><ul><ul><li>McKenzie extension exercises </li></ul></ul><ul><li>Addition of breathing and relaxation </li></ul>
  39. 48. Yoga and Meditation <ul><li>As forms of medical treatments do Yoga and Meditation meet standards for being safe and effective ? </li></ul><ul><li>Safer than most medications </li></ul><ul><ul><li>No adverse effects such as allergic reactions, liver or kidney damage as seen with some medications. </li></ul></ul>
  40. 49. Safety <ul><li>Safe from musculoskeletal injuries if you listen to your own body </li></ul><ul><li>No pain and a lot of gain </li></ul><ul><li>Avoid postures that you can’t handle </li></ul><ul><li>Can continue in to older age – 80 year old yoga teacher in San Antonio </li></ul>
  41. 50. Effective <ul><li>We have reviewed some studies showing effectiveness for certain conditions </li></ul><ul><li>More studies are being done </li></ul><ul><li>People only continue Yoga when they find that it works for them </li></ul><ul><li>Built in effectiveness meter </li></ul><ul><li>People often continue medications when they see or feel no benefit and are subject to real side effects </li></ul><ul><li>Can be free – cost effective </li></ul>
  42. 51. Yoga and Meditation <ul><li>Best when they are practiced as part of an overall healthy lifestyle: </li></ul><ul><ul><li>Good diet </li></ul></ul><ul><ul><li>Aerobic exercise </li></ul></ul><ul><ul><li>No smoking </li></ul></ul><ul><ul><li>Safe drinking </li></ul></ul><ul><ul><li>Wearing seatbelts </li></ul></ul>
  43. 52. How to get started <ul><li>Books - hundreds </li></ul><ul><li>Videos - many </li></ul><ul><li>Classes – all over San Antonio </li></ul><ul><li>http://www.texasyoga.com/directories/san_antonio_yoga.html </li></ul>
  44. 53. http://www.santosha.com/asanas/index.html
  45. 54. Conclusion <ul><li>Yoga can be valuable to: </li></ul><ul><ul><li>You </li></ul></ul><ul><ul><li>Your patients </li></ul></ul><ul><li>WE can write prescriptions for healthy lifestyles (not just medications) </li></ul><ul><ul><li>Diet and exercise </li></ul></ul><ul><ul><li>Smoking cessation </li></ul></ul><ul><ul><li>Yoga </li></ul></ul>

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