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RxCare | Vibes communications, Yoga funzone, Health Care products, Health Care portal, doctor zone, online doctor networking, health tips, doctor blog, doctor corner

RxCare | Vibes communications, Yoga funzone, Health Care products, Health Care portal, doctor zone, online doctor networking, health tips, doctor blog, doctor corner

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  • 1. Yoga and Medicine
  • 2. 3 Questions
    • What is Yoga?
    • What is the evidence that Yoga has health benefits?
    • How do I use and prescribe Yoga as a physician?
  • 3. Yoga
    • 5000 years old
    • founded in India
    • The word “Yoga” means “yoke” or “unity” translated from Sanskrit, the classical language of India.
    • It also means “discipline” or “effort.”
  • 4. Yoga
    • Yoga requires you to make an effort to unify your body and mind.
    • You do this by concentrating your awareness on your physical body through breathing and postures.
  • 5. Meditation is part of Yoga
    • Meditation is a technique in which the meditator seeks not only to reach a deep state of relaxation, but to quiet the mind.
    • The mind is a chattering monkey that one tries to make quiet with meditation.
  • 6. Meditation seeks a state of enlightenment, a freedom from the tyranny of our worries.
  • 7. Types of Yoga
    • The approach to Yoga that focuses on postures is called Hatha (haht-hah) Yoga.
    • Ananda
    • Ashthanga
    • Bikram
    • Iyengar
    • Kundalini
    • Sivananda
    • Viniyoga
  • 8.  
  • 9.  
  • 10.  
  • 11. Yoga breathing
    • Abdominal breathing
    • Sends a fax to the brain to relax
    • Close your eyes
    • Put your hand on your belly
    • Imagine …..
  • 12.  
  • 13. Yoga postures (Asanas)
    • Asanas are the heart of Hatha Yoga
    • Stretching that maintains and enhances flexibility
    • Many poses are a form of isometric strengthening exercise, which involve the contraction of muscles without moving the joint.
    • Isometric exercise is often used in physical therapy for the rehabilitation of injured joints.
  • 14.  
  • 15. Meditation techniques
    • Focused
    • Mantra
    • Walking
  • 16. Focused Meditation
    • is a technique in which you direct your awareness onto something.
      • a picture or statue of a deity
      • a universal principle such as compassion or forgiveness
      • or the syllable OM, the famous Hindu mantra.  
  • 17. Mantra meditation
    • In Sanskrit, the “man” in mantra means “to think,” and “tra” suggests instrumentality.
    • Mantra literally means an instrument of thought.
    • You repeat a word, phrase or sound in order to transcend the constant distractions of the mind.
  • 18. Transcendental Meditation (TM)
    • movement founded by Maharshi Mahesh Yogi of India.
  • 19. Beatles
  • 20.  
  • 21.  
  • 22. Functional Mapping of Meditation
    • Meditation is a conscious mental process that induces a set of integrated physiologic changes termed the “relaxation response” by Herbert Benson.
    • Functional magnetic resonance imaging (fMRI) was used to identify and characterize the brain regions that are active during a simple form of meditation.
  • 23. Results
    • 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.
    • This indicates that the practice of meditation activates neural structures involved in attention and control of the autonomic nervous system.
      • Neuroreport. 2000 May 15;11(7):1581-5. Functional brain mapping of the relaxation response and meditation. Lazar SW,…, Benson H.
  • 24.  
  • 25. Decrease in Beta-wave activity after meditation
  • 26. Question
    • What is the evidence that Yoga/meditation have health benefits?
  • 27. There is good scientific evidence that exercise:
    • Increases muscle and bone strength
    • Increases lean muscle and decreases body fat
    • Helps control weight
    • Enhances your psychological well-being, reduces depression
    • Reduces symptoms of anxiety and improves your general mood
  • 28. Yoga is exercise
    • Stretching for flexibility
    • Improved Strength
    • Improved Balance
  • 29. Evidence for Health Benefits of Yoga
    • HTN – Relaxation Response
    • Carpal Tunnel Syndrome
    • Asthma and improved vital capacity
    • Stress reduction to diminish the many conditions caused or made worse by stress.
  • 30. Relaxation Response
    • Herbert Benson, MD
    • founding President of the Mind/Body Medical Institute
    • Associate Professor of Medicine, Harvard Medical School
  • 31. Relaxation Response
    • Sit comfortably with your eyes closed.
    • Pay attention to your breathing, and repeat a word or phrase or prayer silently to yourself as you exhale.
    • When you notice your mind wandering (It will) just notice it and passively bring your attention back to your breathing .
      • A form of meditation.
  • 32. Autonomic NS
    • Sympathetic NS
    • Parasympathetic NS
  • 33. Fight or Flight
    • Whether you fight or run, your sympathetic nervous system will be on overdrive pumping out nor-epinephrine.
    • What are the physiological effects of this process?
    • Why would you not want this to be a chronic state of existence?
  • 34. Fight or Flight
    • Yoga and meditation decrease this sympathetic tone and reduce feelings of stress and anxiety
    • Many modern health problems are worsened by stress and anxiety
    • Yoga works to decrease sympathetic tone
  • 35. Relaxation Response
    • Significantly greater reductions in psychological distress, anxiety, and perceived stress were found in the experimental group who had learned the relaxation response.
      • The evaluation of a mind/body intervention to reduce psychological distress and perceived stress in college students.
      • Deckro GR, …, Benson H.
      • J Am Coll Health. 2002 May;50(6):281-7.
  • 36. Yoga can prevent Seizures
    • More than 50% reduction in seizure frequency and duration compared with the control groups.
      • Cochrane Database Systematic Rev. 2000;(3)
  • 37. Yoga for Poststroke Rehabilitation
    • A yoga-based exercise program for people with chronic poststroke hemiparesis.
      • Pilot study with four patients
    • Gentle exercise program adapted for people who have had a stroke.
    • Yoga showed some benefit.
      • Bastille JV, Gill-Body KM. Phys Ther. 2004 Jan;84(1):33-48.
  • 38. Yoga to improve quality of life of patients with cancer
    • Persons with breast or prostate cancer were taught to use Yoga.
    • Significant improvements were seen in overall quality of life, symptoms of stress, and sleep quality.
    • Carlson LE, et al. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress … in breast and prostate cancer outpatients.
    • Psychoneuroendocrinology. 2004 May;29(4):448-74
  • 39. Pain in the hands
    • Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands.
    • The Yoga program was effective in providing relief in hand osteoarthritis.
        • Garfinkel MS, et al. J Rheumatol. 1994 Dec;21(12):2341-3.
  • 40. Carpal Tunnel Syndrome
  • 41. Carpal Tunnel Syndrome
    • “ Current evidence shows significant short-term benefit from oral steroids, splinting, ultrasound and yoga.”
    • Cochrane review, Issue 1, 2004.
    • Garfinkel, et al. Yoga-Based Intervention for Carpal Tunnel Syndrome. A Randomized Trial. JAMA. 1998
  • 42. Eczema Story
  • 43. Health Conditions in which Yoga may help heal or treat
    • Arthritis
    • Allergies
    • Asthma
    • Hypertension
    • Coronary Artery Disease
    • Irritable Bowel Syndrome
    • Heartburn (GERD)
    • Constipation
    • Tension Headaches and Migraines
    • PMS and Menstrual Discomfort
    • Menopause
    • Pain of the Back, Hips, Knees
    • Depression & Anxiety
    • Substance Abuse
    • Skin Disorders
    • Chronic Fatigue Syndrome
    • Overweight
    • Sleep Problems
  • 44. Yoga and Meditation to stay healthy
    • Exercise and relaxation can reduce feelings of stress and keep the body and mind healthy
  • 45. Question
    • How do I use and prescribe Yoga as a physician?
  • 46. Treating Back Pain with Yoga
    • Similarities to PT
      • Williams flexion exercises
      • McKenzie extension exercises
    • Addition of breathing and relaxation
  • 47.  
  • 48. Yoga and Meditation
    • As forms of medical treatments do Yoga and Meditation meet standards for being safe and effective ?
    • Safer than most medications
      • No adverse effects such as allergic reactions, liver or kidney damage as seen with some medications.
  • 49. Safety
    • Safe from musculoskeletal injuries if you listen to your own body
    • No pain and a lot of gain
    • Avoid postures that you can’t handle
    • Can continue in to older age – 80 year old yoga teacher in San Antonio
  • 50. Effective
    • We have reviewed some studies showing effectiveness for certain conditions
    • More studies are being done
    • People only continue Yoga when they find that it works for them
    • Built in effectiveness meter
    • People often continue medications when they see or feel no benefit and are subject to real side effects
    • Can be free – cost effective
  • 51. Yoga and Meditation
    • Best when they are practiced as part of an overall healthy lifestyle:
      • Good diet
      • Aerobic exercise
      • No smoking
      • Safe drinking
      • Wearing seatbelts
  • 52. How to get started
    • Books - hundreds
    • Videos - many
    • Classes – all over San Antonio
    • http://www.texasyoga.com/directories/san_antonio_yoga.html
  • 53. http://www.santosha.com/asanas/index.html
  • 54. Conclusion
    • Yoga can be valuable to:
      • You
      • Your patients
    • WE can write prescriptions for healthy lifestyles (not just medications)
      • Diet and exercise
      • Smoking cessation
      • Yoga
  • 55.  
  • 56.  
  • 57.