Friday, July 21, 2017

Why Would I Ever Do Yoga?



For my first literary contribution, I decided to spread the word about something that has been a new revelation to me.  As a certified strength and conditioning coach and physical therapy student, I have been repeatedly encouraged to try yoga.  I had my first real introduction this past year, thanks to a professor of mine at Campbell University who is also a yoga instructor. As a warm-up for lab each day, she would take our class through 45 minutes of basic yoga poses, and I’ve been intrigued ever since. As a result, I’ve conducted an investigation to discover how yoga can serve as rehabilitation and as preventative medicine. So far, this is what I have learned….

First and foremost, I think it is important to know that the word “yoga” means “union.”  The concept behind the entire practice is synchronization of the body. There are over 840,000 poses, so to learn yoga in its entirety would take years. In a 2002 literature review, Raub narrowed it down to 84 essential poses, making yoga more bite-sized for anyone who wants to consider themselves well rounded in this practice.

  As far as I can tell, there are numerous ways to reap yoga’s rehabilitative benefits. The muscle synchronization yoga affords is essential for ensuring proper alignment of joints while performing simple tasks. This, in turn, helps ameliorate degenerative diseases such as arthritis.  Garfinkel et al. published literature in 1994 and in 1998 which found that yoga can significantly reduce pain and improve function for those diagnosed with osteoarthritis of the hand and carpal tunnel.  Pain in the hand is just one example of an ailment that can be reduced by yoga; its benefits can be applied throughout the body. 

Yoga has also been shown to be effective in rehabilitation for patients with lung and heart dysfunction.  Individuals with chronic bronchitis and asthma who practiced daily saw vast improvements in lung function and exercise tolerance. Greater improvements were seen in people who practiced yoga more frequently. In another study, up to 70% of patients were able to reduce the frequency of their prescribed asthma medications. Raub’s aforementioned review found that yoga and its associated lifestyle changes can greatly slow the progression of heart disease and help control blood pressure.  Each condition I just named is extremely common in the United States, making yoga a relevant treatment approach for the majority of our patient population. 

In addition to alleviating cardiothoracic issues, yoga has been indicated in bettering cardiovascular function.  In healthy adults, the heart and lung response significantly increases with short burst high intensity and long duration low intensity activity, as seen in yoga. In other words, whether you are training for a specific sport or just want to be able to walk in the park for longer with your family, yoga can help improve performance in a variety of tasks.

I’d also like to touch on a literature finding that may fall outside my scope of practice. Yoga presents significant psychological benefits in addition to its physical ones.  It has been shown to help drastically reduce signs of depression, anxiety, stress, and other mood-related disorders.  When compared with weight lifting and endurance exercise, yoga is favored in the research for mental health treatment. If you’re looking for an exercise that comes with peace of mind, yoga may be the way to go for you.  

In terms of preventative medicine, I think yoga is a beautiful thing. So many injuries occur when we ask our muscles to activate a position in which they have not been trained. For example, when we try and throw from a different angle, or when we catch a falling object awkwardly. Yoga has been shown to significantly improve flexibility and the ability to activate musculature throughout a full range of motion, thus preventing overstretch injuries.  

Finally, the muscle synchronization I mentioned earlier can help with core activation. My upcoming post, “What Health Professionals Mean By the Core,” will give a full explanation of what the core is.  But for now, understand that our ability to activate trunk musculature while performing any movement significantly reduces the chance of injury because of the body’s ability to stabilize itself.  

So, it helps. That’s why I’m going to do it.  My takeaway from all the clinical trials is that the more you do yoga, the more it helps.  For starters, it might be a good idea to get a coach to ensure you are performing poses with the proper form.  In her review, Claire Collins provides a useful guide for finding a coach. I’ve included this guide in the chart below. Hope I have conveyed my knowledge on this topic clearly, and thanks for reading! 

Guidelines for Choosing a Yoga Instructor 

1.       Has completed intensive training in yoga philosophy and practice
2.       Engages in an intensive and ongoing yoga practice
3.       Has several years of teaching experience, with students at varying levels of experience
4.       Participates in continuing education beyond initial yoga teacher training
5.       Is knowledgeable of the medical contraindications of postures and adaptions of postures for students with physical limitations
6.       Uses teaching methods that incorporate instruction on safe performance of postures with breathing awareness and focus on internal experience
7.       Conducts classes in a professional manner
8.       Maintains ethical standards and avoids exploitation of students

Greg Gebler, SPT, CSCS

Citations


1.       Collins, C. (1998), Yoga: Intuition, Preventive Medicine, and Treatment. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 27: 563–568. doi:10.1111/j.1552-6909.1998.tb02623.x
2.       Raub JA. Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review. Journal of alternative and complementary medicine (New York, N.Y.). 2002;8:797-812.


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