Personalized Movement Therapy for Chronic Pain

DrBonnie360
DrBonnie360Building Bridges Across the Autoimmune Abyss as an entrepreneur, speaker, writer, and digital health consultant at DrBonnie360
FOR CHRONIC PAIN
PERSONALIZED MOVEMENT THERAPY
@DrBonnie360
@DrBonnie360
@YourAutoimmunityConnection
linkedin.com/in/bonniefeldman
+1 310 666 5312
drbonnie360.com
drbonnie360@gmail.com
Bonnie Feldman, DDS, MBA
DrBonnie360’s mission is to create a
connected world of personalized care for
patients with chronic diseases using the
best of conventional, functional, and digital
medicine.
We consult to entrepreneurs and others
who are developing new products and
services to improve chronic disease
research, diagnosis and care.
DISCLOSURE
I have no financial disclosure or conflicts of
interest with the presented material in this
presentation.
LEARNING OBJECTIVES
1
2
3
Why physical therapy is
not enough to manage
chronic musculoskeletal
pain and improve
mobility.
How to create
personalized
movement therapy
programs that
enhance your
patients’ mobility.
Find and explore
different kinds of
movement therapies.
DRBONNIE360’S STORY
• Family history of several autoimmune diseases.
• 35 years of chronic musculoskeletal pain.
• Diagnosed with Fibromyalgia 30 years ago.
• Weekly physical therapy for over 30 years.
LIMITATIONS OF PHYSICAL THERAPY
Reactive not
proactive
Temporary
benefits
Need long term
alternatives
WHY WE EXERCISE?
REDUCE MORTALITY
PREVENT & REDUCE
MORBIDITY
IMPROVE CHRONIC PAIN &
IMMUNE FUNCTION
Hoffmann, Tammy C., et al. "Prescribing exercise interventions for patients with chronic conditions." Cmaj 188.7 (2016): 510-518.
Sharif, Kassem, et al. "Physical activity and autoimmune diseases: Get moving and manage the disease." Autoimmunity reviews 17.1 (2018): 53-72.
Vina, Jose, et al. "Exercise acts as a drug; the pharmacological benefits of exercise." British journal of pharmacology 167.1 (2012): 1-12.
Personalized Movement Therapy for Chronic Pain
BONNIE’S EXERCISE PROGRAM ON PAUSE
• Bar Method
• 3-4 times per week for 10
years
• Shingles outbreak
• Post-Shingles Chronic Fatigue
EXERCISE INTOLERANCE
Noakes, Timothy David OMS. "Fatigue is a brain-derived emotion that regulates the exercise behavior to ensure the protection of whole body homeostasis." Frontiers in physiology 3 (2012): 82.
What is exercise intolerance?
Why does it happen?
Why are autoimmune patients & certain other populations more likely to suffer exercise
intolerance?
ONE SIZE DOES NOT FIT ALL
Varied symptoms
of chronic musculoskeletal
pain
Conventional care may not
be enough
Individuals have different
symptom clusters
Hoffmann, Tammy C., et al. "Prescribing exercise interventions for patients with chronic conditions." Cmaj 188.7 (2016): 510-518.
Vina, Jose, et al. "Exercise acts as a drug; the pharmacological benefits of exercise." British journal of pharmacology 167.1 (2012): 1-12.
FUN
REBUILDIN
G MUSCLE
MEMORY
HYDROSTATIC
PRESSURE
DULLED
SENSE OF
TOUCH
IMPROVED
CIRCULATIO
N
RESISTANC
E
MASSAGE
MUSCLE
RELAXATI
ON
Becker, Bruce E. "Aquatic therapy: scientific foundations and clinical rehabilitation applications." Pm&r 1.9 (2009): 859-872.
Mooventhan, A., and L. Nivethitha. "Scientific evidence-based effects of hydrotherapy on various systems of the body." North American journal of medical sciences 6.5 (2014): 199.
HOW AND WHY POOL THERAPY WORKS
BONNIE BECOMES A FEARLESS EXPERIMENTOR
• I realized a need for mind & body exercise
• So I became a fearless experimenter:
Yoga therapy
Pilates
Gyrotonic
Feldenkrais
INTEGRATING MIND AND BODY VIA SOMATIC PRACTICES
UNDERSTANDING
HOW BODY WORKS
PAIN RELIEF
GREATER BODY
AWARENESS
YOGA THERAPY
WHAT HOW TYPES
Arora, Sarika, and Jayashree Bhattacharjee. "Modulation of immune responses in stress by Yoga." International journal of yoga 1.2 (2008): 45.
Büssing, Arndt, et al. "Effects of yoga on mental and physical health: a short summary of reviews." Evidence-Based Complementary and Alternative Medicine 2012 (2012).
Gothe, Neha P., et al. "Differences in brain structure and function among yoga practitioners and controls." Frontiers in integrative neuroscience 12 (2018).
Empowers practitioners
to progress toward
improved health & well-
being through the
application of yoga
teachings
Gentle to vigorous
movements
Breathing techniques
Meditation &
visualization practices
One-on-one private
coaching
Small-to-large
group classes
YOGA THERAPY VS PILATES
YOGA PILATES
Flexibility, endurance, stretch Core strength, stretch, posture
A variety of
breathing techniques
Breathing in through nose &
out through mouth
Poses/Asanas on mat
with props or not
Dynamic exercises on mat with
machines
PILATES THERAPY
Core strength, muscle
balance
& postural alignment
Low-impact flexibility,
strength & endurance
exercises
Mat
Machine
Group classes & one-
on-one coaching
WHAT HOW TYPES
Wells, Cherie, Gregory S. Kolt, and Andrea Bialocerkowski. "Defining Pilates exercise: a systematic review." Complementary therapies in medicine 20.4 (2012):
253-262.
PILATES GYROTONIC
2-dimensional
Uses spring resistance &
own weight
Teaches control &
alignment
Requires careful attention
to form & breathing
BOTH
Help elongate muscles &
build strength
Teach how to move
fluidly & create greater
body awareness
3-dimensional
Uses a pulley and weight
system
Circling, spiraling &
undulating motions to
strengthen all of the body's
internal support structures
GYROTONIC/GYROKENESIS METHOD
A holistic movement
system that supports
the energy opening of
pathways by
stimulating the nervous
system
Increases range of
motion and improves
strength and
movement efficiency
through circular
movements
Gyrotonic
uses proprietary
machines
Gyrokenesis |uses
mats and chairs
WHAT HOW TYPES
Seo, Hye-Ran, and Tae-Ho Kim. "The effects of Gyrotonic expansion system exercise and trunk stability exercise on muscle activity and lumbar stability for the subjects with chronic low back
pain." Journal of exercise rehabilitation 15.1 (2019): 129.
QI GONG
A mind-body-spirit practice
to improve mental &
physical health by
integrating posture,
movement, breathing, self-
massage, sound, and
focused intent
Slow, gentle
standing movements
More vigorous in
martial
3 types:
Medical
Martial
Meditative
WHAT HOW TYPES
Jahnke, Roger, et al. "A comprehensive review of health benefits of qigong and tai chi." American Journal of Health Promotion 24.6 (2010): e1-e25.
Wang, Chong-Wen, et al. "Managing stress and anxiety through qigong exercise in healthy adults: a systematic review and meta-analysis of randomized controlled trials." BMC complementary and
alternative medicine 14.1 (2014): 8.
TAI CHI
Sometimes described
as meditation in motion
& body
Improves muscle
strength, flexibility &
balance
A series of gentle
standing exercises &
stretches
Each posture flows
into the next without
pause
5 Types: different
styles, Yang is the best
for beginners
WHAT HOW TYPES
Jahnke, Roger, et al. "A comprehensive review of health benefits of qigong and tai chi." American Journal of Health Promotion 24.6 (2010): e1-e25.
FELDENKRAIS
A practice, a process &
a system of self-
improvement.
Curiosity is
the underlying driver
A philosophy
or way of life
Uses gentle movement
& directed attention
based upon physics &
biomechanics to help
people learn new &
more effective ways of
moving
Private
Functional Integration
Instruction
Awareness through
movement classes
WHAT HOW TYPES
Hillier, Susan, and Anthea Worley. "The effectiveness of the feldenkrais method: a systematic review of the evidence." Evidence-Based Complementary and
Alternative Medicine 2015 (2015).
WHAT I LEARNED
CONSIDER 4 MAIN FACTORS WHEN
EXERCISING WITH AUTOIMMUNE
DISEASE
Frequen
cy
Duration Intensity Type
Wool, Andrea. “The Four Factors You Need To Consider When Exercising With Autoimmune Disease.” Autoimmune Strong,
https://www.getautoimmunestrong.com/blog/four-factors-exercise-and-autoimmune-disease.
WELL-BEING TEAM
FOOD AS
MEDICINE TEAM
INDIVIDUAL GROUP
FAMILY
FRIENDS
CHURCH
YOGA
MEDITATION
PSYCHOLOGISTS
BIOFEEDBACK
COACHES
NUTRITIONISTS
COACHES
MUSCULOSKELETAL
INTEGRITY TEAM
PHYSICAL THERAPY
ACUPUNCTURE
MASSAGE
CHIROPRACTIC
BIOFEEDBACK
MODALITY TARGET POPULATION EQUIPMENT CLAIM TO FAME
Pool exercise Older pool, floats low impact
Yoga Therapy All ages mat and props flexibility
Pilates Women 20s-80s mat to machines core strength
Gyrotonic Women Proprietary machine strength, flexibility
Qi Gong All ages none simpler to learn than Tai
Chi
Tai Chi Old folks, groups none great for groups
Feldenkrais All ages mat, chair, massage
table
meditative, slow
EXERCISE FACTORS TO CONSIDER
HOW TO GET STARTED
Personal
Preference =
Motivation
Poses vs
Flowing
Movements
Cognitive
Benefits
Complexity/
Intensity of
movements
Need for
Equipment
Meditative/
Breathing
Benefits
Need for
Coaching
Social Aspects
Factors
to
Consider
Sherry Brourman
Yoga Therapist
Jessica Zarins
Feldenkrais Practitioner
Nichole Beeks
Gyrotonic Instructor
Tricialee Friedman
Pilates Instructor
Dr. Bonnie Feldman
DDS, MBA
drbonnie360.com
John Chao
Physical Therapist
MY
TEAM
NEXT STEPS
30
VIDEO CREDITS
Ann Swanson
AnnSwansonWellness.com
Living Healthy Chicago
wgntv.com
GAMEPLAN TV
@GAMEPLANonline
AQUA THERAPY
YOGA
THERAPY PILATES
Trifecta Pilates
Trifectapilates.com
GYROTONIC
Gyrotonic Headquarters
gyrotonic.com
Dr. Kien Vuu,
Kienvuumd.com
Tomm Voss
qiwithin.com
Mayo Clinic
mayoclinic.org
Andrea Wool
getautoimmunestrong.com
MD Anderson
mdanderson.org
VIDEO CREDITS
TAI CHI QI GONG FELDENKRAIS
AUTOIMMUNE
STRONG
WORKS CITED
AQUA
THERAPY
Becker, Bruce E. "Aquatic therapy: scientific foundations and clinical rehabilitation applications."
Pm&r 1.9 (2009): 859-872.
Mooventhan, A., and L. Nivethitha. "Scientific evidence-based effects of hydrotherapy on
various systems of the body." North American journal of medical sciences 6.5 (2014): 199.
YOGA
Arora, Sarika, and Jayashree Bhattacharjee. "Modulation of immune responses in stress by
Yoga." International journal of yoga 1.2 (2008): 45.
Büssing, Arndt, et al. "Effects of yoga on mental and physical health: a short summary of
reviews." Evidence-Based Complementary and Alternative Medicine 2012 (2012).
Gothe, Neha P et al. “Differences in Brain Structure and Function Among Yoga Practitioners
and Controls.” Frontiers in integrative neuroscience vol. 12 26. 22 Jun. 2018,
doi:10.3389/fnint.2018.00026
WORKS CITED
PILATES
Wells, Cherie, Gregory S. Kolt, and Andrea Bialocerkowski. "Defining Pilates exercise: a systematic
review." Complementary therapies in medicine 20.4 (2012): 253-262.
FATIGUE
Noakes, Timothy David OMS. "Fatigue is a brain-derived emotion that regulates the exercise
behavior to ensure the protection of whole body homeostasis." Frontiers in physiology 3 (2012): 82.
GYROTONICS
Seo, Hye-Ran, and Tae-Ho Kim. "The effects of Gyrotonic expansion system exercise and trunk
stability exercise on muscle activity and lumbar stability for the subjects with chronic low back pain."
Journal of exercise rehabilitation 15.1 (2019): 129.
WORKS CITED
AUTOIMMUNE DISEASES
Sharif, Kassem, et al. "Physical activity and autoimmune diseases: Get moving and manage the
disease." Autoimmunity reviews 17.1 (2018): 53-72.
Stojanovich, Ljudmila, and Dragomir Marisavljevich. "Stress as a trigger of autoimmune disease."
Autoimmunity reviews 7.3 (2008): 209-213.
FELDENKRAIS
Hillier, Susan, and Anthea Worley. "The effectiveness of the feldenkrais method: a systematic review
of the evidence." Evidence-Based Complementary and Alternative Medicine 2015 (2015).
Paolucci, Teresa, et al. "Improved interoceptive awareness in chronic low back pain: a comparison of
Back school versus Feldenkrais method." Disability and rehabilitation 39.10 (2017): 994-1001.
TAI CHI & QI GONG
Jahnke, Roger, et al. "A comprehensive review of health benefits of qigong and tai chi." American
Journal of Health Promotion 24.6 (2010): e1-e25.
Wang, Chong-Wen, et al. "Managing stress and anxiety through qigong exercise in healthy adults: a
systematic review and meta-analysis of randomized controlled trials." BMC complementary and
alternative medicine 14.1 (2014): 8.
To learn more, download our free ebook
A glance inside
Visit drbonnie360.com/movement-guide
1 of 35

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Personalized Movement Therapy for Chronic Pain

  • 1. FOR CHRONIC PAIN PERSONALIZED MOVEMENT THERAPY
  • 2. @DrBonnie360 @DrBonnie360 @YourAutoimmunityConnection linkedin.com/in/bonniefeldman +1 310 666 5312 drbonnie360.com drbonnie360@gmail.com Bonnie Feldman, DDS, MBA DrBonnie360’s mission is to create a connected world of personalized care for patients with chronic diseases using the best of conventional, functional, and digital medicine. We consult to entrepreneurs and others who are developing new products and services to improve chronic disease research, diagnosis and care.
  • 3. DISCLOSURE I have no financial disclosure or conflicts of interest with the presented material in this presentation.
  • 4. LEARNING OBJECTIVES 1 2 3 Why physical therapy is not enough to manage chronic musculoskeletal pain and improve mobility. How to create personalized movement therapy programs that enhance your patients’ mobility. Find and explore different kinds of movement therapies.
  • 5. DRBONNIE360’S STORY • Family history of several autoimmune diseases. • 35 years of chronic musculoskeletal pain. • Diagnosed with Fibromyalgia 30 years ago. • Weekly physical therapy for over 30 years.
  • 6. LIMITATIONS OF PHYSICAL THERAPY Reactive not proactive Temporary benefits Need long term alternatives
  • 7. WHY WE EXERCISE? REDUCE MORTALITY PREVENT & REDUCE MORBIDITY IMPROVE CHRONIC PAIN & IMMUNE FUNCTION Hoffmann, Tammy C., et al. "Prescribing exercise interventions for patients with chronic conditions." Cmaj 188.7 (2016): 510-518. Sharif, Kassem, et al. "Physical activity and autoimmune diseases: Get moving and manage the disease." Autoimmunity reviews 17.1 (2018): 53-72. Vina, Jose, et al. "Exercise acts as a drug; the pharmacological benefits of exercise." British journal of pharmacology 167.1 (2012): 1-12.
  • 9. BONNIE’S EXERCISE PROGRAM ON PAUSE • Bar Method • 3-4 times per week for 10 years • Shingles outbreak • Post-Shingles Chronic Fatigue
  • 10. EXERCISE INTOLERANCE Noakes, Timothy David OMS. "Fatigue is a brain-derived emotion that regulates the exercise behavior to ensure the protection of whole body homeostasis." Frontiers in physiology 3 (2012): 82. What is exercise intolerance? Why does it happen? Why are autoimmune patients & certain other populations more likely to suffer exercise intolerance?
  • 11. ONE SIZE DOES NOT FIT ALL Varied symptoms of chronic musculoskeletal pain Conventional care may not be enough Individuals have different symptom clusters Hoffmann, Tammy C., et al. "Prescribing exercise interventions for patients with chronic conditions." Cmaj 188.7 (2016): 510-518. Vina, Jose, et al. "Exercise acts as a drug; the pharmacological benefits of exercise." British journal of pharmacology 167.1 (2012): 1-12.
  • 12. FUN REBUILDIN G MUSCLE MEMORY HYDROSTATIC PRESSURE DULLED SENSE OF TOUCH IMPROVED CIRCULATIO N RESISTANC E MASSAGE MUSCLE RELAXATI ON Becker, Bruce E. "Aquatic therapy: scientific foundations and clinical rehabilitation applications." Pm&r 1.9 (2009): 859-872. Mooventhan, A., and L. Nivethitha. "Scientific evidence-based effects of hydrotherapy on various systems of the body." North American journal of medical sciences 6.5 (2014): 199. HOW AND WHY POOL THERAPY WORKS
  • 13. BONNIE BECOMES A FEARLESS EXPERIMENTOR • I realized a need for mind & body exercise • So I became a fearless experimenter: Yoga therapy Pilates Gyrotonic Feldenkrais
  • 14. INTEGRATING MIND AND BODY VIA SOMATIC PRACTICES UNDERSTANDING HOW BODY WORKS PAIN RELIEF GREATER BODY AWARENESS
  • 15. YOGA THERAPY WHAT HOW TYPES Arora, Sarika, and Jayashree Bhattacharjee. "Modulation of immune responses in stress by Yoga." International journal of yoga 1.2 (2008): 45. Büssing, Arndt, et al. "Effects of yoga on mental and physical health: a short summary of reviews." Evidence-Based Complementary and Alternative Medicine 2012 (2012). Gothe, Neha P., et al. "Differences in brain structure and function among yoga practitioners and controls." Frontiers in integrative neuroscience 12 (2018). Empowers practitioners to progress toward improved health & well- being through the application of yoga teachings Gentle to vigorous movements Breathing techniques Meditation & visualization practices One-on-one private coaching Small-to-large group classes
  • 16. YOGA THERAPY VS PILATES YOGA PILATES Flexibility, endurance, stretch Core strength, stretch, posture A variety of breathing techniques Breathing in through nose & out through mouth Poses/Asanas on mat with props or not Dynamic exercises on mat with machines
  • 17. PILATES THERAPY Core strength, muscle balance & postural alignment Low-impact flexibility, strength & endurance exercises Mat Machine Group classes & one- on-one coaching WHAT HOW TYPES Wells, Cherie, Gregory S. Kolt, and Andrea Bialocerkowski. "Defining Pilates exercise: a systematic review." Complementary therapies in medicine 20.4 (2012): 253-262.
  • 18. PILATES GYROTONIC 2-dimensional Uses spring resistance & own weight Teaches control & alignment Requires careful attention to form & breathing BOTH Help elongate muscles & build strength Teach how to move fluidly & create greater body awareness 3-dimensional Uses a pulley and weight system Circling, spiraling & undulating motions to strengthen all of the body's internal support structures
  • 19. GYROTONIC/GYROKENESIS METHOD A holistic movement system that supports the energy opening of pathways by stimulating the nervous system Increases range of motion and improves strength and movement efficiency through circular movements Gyrotonic uses proprietary machines Gyrokenesis |uses mats and chairs WHAT HOW TYPES Seo, Hye-Ran, and Tae-Ho Kim. "The effects of Gyrotonic expansion system exercise and trunk stability exercise on muscle activity and lumbar stability for the subjects with chronic low back pain." Journal of exercise rehabilitation 15.1 (2019): 129.
  • 20. QI GONG A mind-body-spirit practice to improve mental & physical health by integrating posture, movement, breathing, self- massage, sound, and focused intent Slow, gentle standing movements More vigorous in martial 3 types: Medical Martial Meditative WHAT HOW TYPES Jahnke, Roger, et al. "A comprehensive review of health benefits of qigong and tai chi." American Journal of Health Promotion 24.6 (2010): e1-e25. Wang, Chong-Wen, et al. "Managing stress and anxiety through qigong exercise in healthy adults: a systematic review and meta-analysis of randomized controlled trials." BMC complementary and alternative medicine 14.1 (2014): 8.
  • 21. TAI CHI Sometimes described as meditation in motion & body Improves muscle strength, flexibility & balance A series of gentle standing exercises & stretches Each posture flows into the next without pause 5 Types: different styles, Yang is the best for beginners WHAT HOW TYPES Jahnke, Roger, et al. "A comprehensive review of health benefits of qigong and tai chi." American Journal of Health Promotion 24.6 (2010): e1-e25.
  • 22. FELDENKRAIS A practice, a process & a system of self- improvement. Curiosity is the underlying driver A philosophy or way of life Uses gentle movement & directed attention based upon physics & biomechanics to help people learn new & more effective ways of moving Private Functional Integration Instruction Awareness through movement classes WHAT HOW TYPES Hillier, Susan, and Anthea Worley. "The effectiveness of the feldenkrais method: a systematic review of the evidence." Evidence-Based Complementary and Alternative Medicine 2015 (2015).
  • 24. CONSIDER 4 MAIN FACTORS WHEN EXERCISING WITH AUTOIMMUNE DISEASE Frequen cy Duration Intensity Type Wool, Andrea. “The Four Factors You Need To Consider When Exercising With Autoimmune Disease.” Autoimmune Strong, https://www.getautoimmunestrong.com/blog/four-factors-exercise-and-autoimmune-disease.
  • 25. WELL-BEING TEAM FOOD AS MEDICINE TEAM INDIVIDUAL GROUP FAMILY FRIENDS CHURCH YOGA MEDITATION PSYCHOLOGISTS BIOFEEDBACK COACHES NUTRITIONISTS COACHES MUSCULOSKELETAL INTEGRITY TEAM PHYSICAL THERAPY ACUPUNCTURE MASSAGE CHIROPRACTIC BIOFEEDBACK
  • 26. MODALITY TARGET POPULATION EQUIPMENT CLAIM TO FAME Pool exercise Older pool, floats low impact Yoga Therapy All ages mat and props flexibility Pilates Women 20s-80s mat to machines core strength Gyrotonic Women Proprietary machine strength, flexibility Qi Gong All ages none simpler to learn than Tai Chi Tai Chi Old folks, groups none great for groups Feldenkrais All ages mat, chair, massage table meditative, slow EXERCISE FACTORS TO CONSIDER
  • 27. HOW TO GET STARTED Personal Preference = Motivation Poses vs Flowing Movements Cognitive Benefits Complexity/ Intensity of movements Need for Equipment Meditative/ Breathing Benefits Need for Coaching Social Aspects Factors to Consider
  • 28. Sherry Brourman Yoga Therapist Jessica Zarins Feldenkrais Practitioner Nichole Beeks Gyrotonic Instructor Tricialee Friedman Pilates Instructor Dr. Bonnie Feldman DDS, MBA drbonnie360.com John Chao Physical Therapist MY TEAM
  • 30. 30 VIDEO CREDITS Ann Swanson AnnSwansonWellness.com Living Healthy Chicago wgntv.com GAMEPLAN TV @GAMEPLANonline AQUA THERAPY YOGA THERAPY PILATES Trifecta Pilates Trifectapilates.com GYROTONIC Gyrotonic Headquarters gyrotonic.com
  • 31. Dr. Kien Vuu, Kienvuumd.com Tomm Voss qiwithin.com Mayo Clinic mayoclinic.org Andrea Wool getautoimmunestrong.com MD Anderson mdanderson.org VIDEO CREDITS TAI CHI QI GONG FELDENKRAIS AUTOIMMUNE STRONG
  • 32. WORKS CITED AQUA THERAPY Becker, Bruce E. "Aquatic therapy: scientific foundations and clinical rehabilitation applications." Pm&r 1.9 (2009): 859-872. Mooventhan, A., and L. Nivethitha. "Scientific evidence-based effects of hydrotherapy on various systems of the body." North American journal of medical sciences 6.5 (2014): 199. YOGA Arora, Sarika, and Jayashree Bhattacharjee. "Modulation of immune responses in stress by Yoga." International journal of yoga 1.2 (2008): 45. Büssing, Arndt, et al. "Effects of yoga on mental and physical health: a short summary of reviews." Evidence-Based Complementary and Alternative Medicine 2012 (2012). Gothe, Neha P et al. “Differences in Brain Structure and Function Among Yoga Practitioners and Controls.” Frontiers in integrative neuroscience vol. 12 26. 22 Jun. 2018, doi:10.3389/fnint.2018.00026
  • 33. WORKS CITED PILATES Wells, Cherie, Gregory S. Kolt, and Andrea Bialocerkowski. "Defining Pilates exercise: a systematic review." Complementary therapies in medicine 20.4 (2012): 253-262. FATIGUE Noakes, Timothy David OMS. "Fatigue is a brain-derived emotion that regulates the exercise behavior to ensure the protection of whole body homeostasis." Frontiers in physiology 3 (2012): 82. GYROTONICS Seo, Hye-Ran, and Tae-Ho Kim. "The effects of Gyrotonic expansion system exercise and trunk stability exercise on muscle activity and lumbar stability for the subjects with chronic low back pain." Journal of exercise rehabilitation 15.1 (2019): 129.
  • 34. WORKS CITED AUTOIMMUNE DISEASES Sharif, Kassem, et al. "Physical activity and autoimmune diseases: Get moving and manage the disease." Autoimmunity reviews 17.1 (2018): 53-72. Stojanovich, Ljudmila, and Dragomir Marisavljevich. "Stress as a trigger of autoimmune disease." Autoimmunity reviews 7.3 (2008): 209-213. FELDENKRAIS Hillier, Susan, and Anthea Worley. "The effectiveness of the feldenkrais method: a systematic review of the evidence." Evidence-Based Complementary and Alternative Medicine 2015 (2015). Paolucci, Teresa, et al. "Improved interoceptive awareness in chronic low back pain: a comparison of Back school versus Feldenkrais method." Disability and rehabilitation 39.10 (2017): 994-1001. TAI CHI & QI GONG Jahnke, Roger, et al. "A comprehensive review of health benefits of qigong and tai chi." American Journal of Health Promotion 24.6 (2010): e1-e25. Wang, Chong-Wen, et al. "Managing stress and anxiety through qigong exercise in healthy adults: a systematic review and meta-analysis of randomized controlled trials." BMC complementary and alternative medicine 14.1 (2014): 8.
  • 35. To learn more, download our free ebook A glance inside Visit drbonnie360.com/movement-guide