Role of Yogic Relaxation in Cardiac Rehabilitation
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Dr Ananda's invited presentation on "Role of Yogic Relaxation in Cardiac Rehabilitation" during the International Conference on YOGA FOR PUBLIC HEALTH, organised at Goa by Ministry of AYUSH on 12-13 November, 2018
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Role of Yogic Relaxation in Cardiac Rehabilitation
- 1. Yogacharya Dr ANANDA BALAYOGI BHAVANANI MBBS, MD (AM), ADY, DSM, DPC, PGDFH, PGDY, FIAY, C-IAYT Professor and Director CYTER of Sri Balaji Vidyapeeth & Chairman ICYER at Ananda Ashram, Puducherry, India. yoga@mgmcri.ac.in Role of Yogic Relaxation in
- 3. SRI BALAJI VIDYAPEETH (Deemed University Accredited with “A” Grade by NAAC) Centre for Yoga Therapy, Education and Research (CYTER) Salutogenesis, our focus!
- 4. Bridging the ancient experiential wisdom of Yoga with empirical modern medical science. Yoga is usually found in Physical Edu & Sports deptts of universities We at CYTER, have it in a medical institution since 2010 – quality of life enhancing benefits for ~ 50, 000 patients – educating future Yoga therapists (PGDYT, M.Phil, PhD), – creating awareness amongst medical, dental and nursing students & professionals – scientifically researching Yoga, – 85 publications & 6 CMEs. – IDY celebrated since 2015
- 6. Salutogenesis, our Focus • Moving from pathogenesis, the focus on disease towards salutogenesis, the focus on health! • CYTER is striding forward on an innovative path of promoting holistic health for one and all. www.sbvu.ac.in
- 8. • Man proposes, but God disposes ! • This may be re-phrased as The Doctor treats, but nature alone heals! • No one can heal us, but ourselves!
- 10. Yoga places great importance on healthy lifestyle, attitudes and relationships: ACHAR – healthy physical activities & exercise VICHAR – right thoughts and right attitude towards life that are vital for wellbeing. AHAR – healthy, nourishing diet with adequate intake of fresh water; balanced intake of fresh food, green salads, sprouts, unrefined cereals & fresh fruits. Sattwic diet, prepared & served with love & affection. VIHAR – proper recreational activities to relax body and mind are essential for good health. VYAVAHAR – healthy relationships for social health
- 11. Relaxation is the key to healing!
- 12. Relaxation is the key to healing! • An essential prerequisite for healing. • We cannot heal when we are stressed. • Conscious relaxation facilitates self-healing • All about educing the “Relaxation Response” • Yoga’s greatest contribution to modern healthcare!
- 16. Helps rehabilitation & manifests healing from within Retards rehabilitation and delays healing
- 17. Do less, and help more!
- 18. Do less, and help more! We must not flog the tired horse!!
- 21. And in ‘head below the heart’ postures, the opposite starts to happen!
- 25. Do less, and help more! • Reset baroreceptor reflexes- reduce HR & BP by self-directed relaxation & slow, deep breathing. • Prolong exhalation phase to enhance cardio- respiratory coupling (Sinus Arrhythmia). • Relax vasculature by power of vibratory sound (Nada) to enhance endogenous NO levels. • Enhance diastole phase of cardiac cycle thus improving myocardial perfusion.
- 26. PRANAYAMA Pranava, Nadi Shuddhi, Chandra Nadi, Sukha, Savitri etc < HR, BP, RPP > Sinus arrhythmia > HRV Enhanced cardiac autonomic function > Respiratory efficiency Facilitates better cardiac rehabilitation Reduced load on the heart Enhanced coronary perfusion Natural collaterals (arterio- neogenesis)
- 27. 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
- 28. Yogic relaxation • Psycho-spiritual aspects: – Letting go: –prejudices & preconceived notions. – Giving up: –stresses and strains – Giving in: –to the dictates of the “Inner” mind – Giving over: –Ishwara pranidhana & Bhakti Yoga
- 29. Yogic relaxation • Marmanasthanam kriya: Part-by-part relaxation • Spanda-nishpanda kriya : Alternate segmental tensing and relaxing • Kaya kriya: Movement of limbs with breath • Yoga nidraa: +ve body image and visualization Reduce peripheral resistance Enhance tissue perfusion & Facilitate holistic healing!
- 30. Psycho-neuro-immuno-endocrinological correlates of rehabilitation NERVOUS SYSTEM ENDOCRINE SYSTEM IMMUNE SYSTEM Retards healing & delays rehabilitation S T R E S S
- 31. Psycho-neuro-immuno-endocrinological correlates of rehabilitation NERVOUS SYSTEM ENDOCRINE SYSTEM IMMUNE SYSTEM Yogic relaxation Enhances healing & facilitates rehabilitation
- 32. We need to focus on wholesomeness & salutogenesis and move consciously from duhkham to sukham….
- 33. “Yoga therapy is the process of empowering individuals to progress toward improved health and well-being through the application of the philosophy and practice of Yoga”. – IAYT
- 34. Thank you!
- 35. SRI BALAJI VIDYAPEETH (Deemed University Accredited with “A” Grade by NAAC and Ranked 72 in NIRF 2018 )