Iyengar yoga for treating symptoms of osteoarthritis of the knees

 Journal of Alternative and Complementary Medicine. (N.Y.)

2005 Aug;11(4):689-93.

Kolasinski SL, Garfinkel M, Tsai AG, Matz W, Van Dyke A, Schumacher HR.

Division of Rheumatology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. sharonk@mail.med.upenn.edu

 

{module [198]}

 

 

OBJECTIVES:

The American College of Rheumatology (ACR) Guidelines for the medical management of osteoarthritis (OA) emphasize the use of nonpharmacologic interventions including exercise. Implementation of an exercise program can be difficult for patients, and little is known about the benefits of alternative therapies such as yoga. The aim of this pilot study was to assess the feasibility of using yoga in the tradition of B.K.S. Iyengar to treat the symptoms of osteoarthritis of the knee.

 

DESIGN:

Participants were instructed in modified Iyengar yoga postures during 90-minute classes once weekly for 8 weeks.

 

SUBJECTS:

Participants met ACR criteria for osteoarthritis of the knee and completed a medical history and physical examination, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Arthritis Impact Measurement Scale 2 (AIMS2), Patient Global Assessment (GA) by Visual Analog Scale (VAS), Physician GA by VAS, and 50-foot Walk Time before and following an 8-week course of yoga instruction. Eleven (11) subjects enrolled, nine completed at least one session and seven (six of whom were obese) had data from pre- and post-course time points available for analysis.

 

RESULTS:

Statistically significant reductions in WOMAC Pain, WOMAC Physical Function, and AIMS2 Affect were observed when participants’ status were compared to their pre-course status. WOMAC Stiffness, AIMS2 Symptoms, Social and Role, Physician GA, and Patient GA measured trends in improvement of symptoms. No adverse events from treatment were reported.

 

CONCLUSIONS:

 

 This pilot study suggests that yoga may provide a feasible treatment option for previously yoga-naive, obese patients >50 years of age and offers potential reductions in pain and disability caused by knee OA. Future studies should compare yoga to other nonpharmacologic interventions for knee OA, such as patient education or quadriceps-strengthening exercises.

 

 

 

Kapalabhati-yogic cleansing exercise. II. EEG topography analysis

Homeostasis in Health Disease.

1991 Dec;33(4):182-9.

Stancak A Jr, Kuna M, Srinivasan, Dostalek C, Vishnudevananda S.

Institute of Physiological Regulations, Czechoslovak Academy of Sciences, Praha.

{module [198]}

 

 

 

Topography of brain electrical activity was studied in 11 advanced yoga practitioners during yogic high-frequency breathing kapalabhati (KB). Alpha activity was increased during the initial five min of KB. Theta activity mostly in the occipital region was increased during later stages of 15 min KB compared to the pre-exercise period. Beta 1 activity increased during the first 10 min of KB in occipital and to a lesser degree in parietal regions. Alpha and beta 1 activity decreased and theta activity was maintained on the level of the initial resting period after KB. The score of General Deactivation factor from Activation Deactivation Adjective Checklist was higher after KB exercise than before the exercise. The results suggest a relative increase of slower EEG frequencies and relaxation on a subjective level as the after effect of KB exercise.

 

 

Modulation of cardiovascular response to exercise by yoga training

Indian Journal of Physiology and Pharmacology.

2004 Oct;48(4):461-5.

Madanmohan, Udupa K, Bhavanani AB, Shatapathy CC, Sahai A.

Department of Physiology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry – 605 006, India.

{module [198]}

 

 

This study reports the effects of yoga training on cardiovascular response to exercise and the time course of recovery after the exercise. Cardiovascular response to exercise was determined by Harvard step test using a platform of 45 cm height. The subjects were asked to step up and down the platform at a rate of 30/min for a total duration of 5 min or until fatigue, whichever was earlier. Heart rate (HR) and blood pressure response to exercise were measured in supine position before exercise and at 1, 2, 3, 4, 5, 7 and 10 minutes after the exercise. Rate-pressure product [RPP = (HR x SP)/100] and double product (Do P = HR x MP), which are indices of work done by the heart were also calculated. Exercise produced a significant increase in HR, systolic pressure, RPP & DoP and a significant decrease in diastolic pressure. After two months of yoga training, exercise-induced changes in these parameters were significantly reduced. It is concluded that after yoga training a given level of exercise leads to a milder cardiovascular response, suggesting better exercise tolerance.

 

 

Menopause – Yoga Cure

Menopause  When a woman’s reproductive system slows down and eventually stops around the age of 50, this is called a menopause. Menopause occurs as the ovaries stop producing estrogen, causing the reproductive system to gradually shut down. Each and every one of the aged females has to pass through the period of menopause.

Menopause Symptoms

Heart palpitations
Dizziness
Uneasiness
Decreased sex drive
Feeling of vomiting
Sleeplessness
Headache
Excitement
Worries
Loss of concentration
Gloom
Pain in joints
Dryness of the skin

As the body adapts to the changing levels of natural hormones, vasomotor symptoms such as hot flashes and palpitations, psychological symptoms such as depression, anxiety, irritability, mood swings and lack of concentration, and atrophic symptoms such as vaginal dryness and urgency of urination appear. Together with these symptoms, the woman may also have increasingly erratic menstrual periods. The clinical features of menopause are caused by lessening amounts of estrogen, progesterone, and testosterone in the woman’s body.

Menopause-Vasomotor instability 

  • hot flashes, hot flushes, including night sweats
  • sleep disturbances

Menopause- Urogenital atrophy

  • itching
  • dryness
  • bleeding
  • urinary frequency
  • urinary urgency
  • urinary incontinence

Menopause-Skin, soft tissue

  • breast atrophy
  • skin thinning
  • decreased elasticity

Menopause- Psychological

  • mood disturbance
  • irritability
  • fatigue
  • memory loss
  • depression

Menopause- Skeletal  

  • osteoporosis
  • joint pain, muscle pain
  • back pain

Menopause- Sexual

  • decreased libido
  • vaginal dryness
  • problems reaching orgasm
  • dyspareunia

Menopause

A drop in your estrogens levels can cause you to lose bone mass, but you can easily counter this by exercising your bones. Before the onset of menopause, ovaries of the ladies secrete sex hormones (estrogen). During menopause this estrogen which is continuously circulating in the blood gets reduced to the significant extent. Because of the reduction in the level of estrogen the pituitary gland in the brain has to secrets more gonadotrophin hormones maintaining the balance in the body.

Premature menopause (or premature ovarian failure) is defined as menopause occurring before the age of 40; it occurs in 1% of women. some women enter menopause at a younger age, especially if they have had cancer or another serious illness and undergone chemotherapy. Other causes of premature menopause include autoimmune disorders, thyroid disease, and diabetes mellitus. Premature menopause is diagnosed by measuring the levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH); the levels of these hormones will be higher if menopause has occurred. Rates of premature menopause have been found to be significantly higher in fraternal and identical twins; approximately 5% of twins reach menopause before the age of 40. The reasons for this are not completely understood. Transplants of ovarian tissue between identical twins have been successful in restoring fertility.

One of the foremost menopause symptoms seems to be weight gain and a change in the overall shape of your body. Though you may not be so happy about this, it is important to keep in mind that this weight gain is normal and to be expected.

Reports show that, the 80 % of ladies who are approaching menopause suffer from uneasiness, lot of perspiration and unnatural bodily heat. This uneasiness and hotness is felt because the proportion of estrogen has decreased. Such uneasiness persists every time from half a minute to five minutes. This feeling of heat and perspiration results from chemical changes that take place inside the body when perspiration evaporates; one also feels trembling due to cold.

Some women easily adopt the changes with no discomfort, while others feel uncomfortable and often unwelcome sensations as their body adjusts to a new chemical balance.

Considering menopause can last for five years you will probably want to do everything you can to minimize the unpleasantness. Yoga keeps body and mind in sound health. Ladies practicing yoga practice from their middle-age period they hardly notice the onset as well as the passing away of the menopause period. Yoga can help to alleviate or eliminate many of the sometimes-uncomfortable physical and emotional feelings associated with menopause.

Complementary and alternative therapies

In the area of complementary and alternative therapies, acupuncture treatment is promising. Some studies have noted a slight benefit from soy isoflavones.

Yoga treatment During Menopause

Asana

Inverted postures and Pranayama are particularly helpful of hot flashes because they cool the body and fill it with energy and life force.

Therapeutics Yoganidra

YogaNidra is a state of conscious Deep Sleep. YogaNidra brings an incredible calmness, quietness and clarity. It has great Therapeutics values.

Diet for Menopause

Include

Fresh fruits and vegetables.

Milk — maintain the level of calcium in the body.

Drink lot of water that will stabilize the effects caused by the liquid discharge out of the glands.

Reduce the intake of salt in food.

Obviously following measures gives relief, such as drinking cold liquids and removing excess clothing layers when hot flashes strike, and avoiding hot flash triggers such as spicy foods, may supplement or supplant the use of medications/ treatment for some women.

Botanical (herbs/ herbal) and other dietary supplements can interact with prescription and over-the-counter drugs, affecting how the body reacts.

Note

If the effect of menopause is very serious or in greater proportion, doctors give estrogen in such conditions for hormonal replacement therapy; but such a treatment makes ladies prone to cancer of breast or uterus.

More information on Menopause

Menopause in other species-Unlike humans, other animals rarely experience menopause. This may simply be due to their comparatively shorter lifespans.

Andropause- is a medical phenomenon, similar to the female menopause, that can affect men between the ages of 40 and 55.Key Points
* Many women have few or no symptoms related to menopause, or feel that their symptoms are not enough of a problem that they need to seek treatment. Some symptoms traditionally seen as menopausal may be related to aging in general.
* Menopause should not be viewed as a disease, according to the SoS conference panel.
* For many years, menopausal hormone therapy (MHT; in the past, it was called hormone replacement therapy or HRT) was the primary treatment for troubling menopausal symptoms. Recent studies have found increased risks, however, for certain serious health problems from prolonged use of MHT.
* Women with severe or long-lasting symptoms of menopause that have not been adequately relieved in other ways should consult their health care providers about their personal risks and benefits for using MHT. Certain lifestyle changes can also be helpful.
* There is very little high-quality scientific evidence about the effectiveness and long-term safety of CAM therapies for menopausal symptoms. More research is needed.
* It is very important for women who are considering or using CAM therapies for any health concern to discuss them with their health care provider physicians, doctors. This is to help ensure safety and a comprehensive treatment plan.

Andropause- is a medical phenomenon, similar to the female menopause, that can affect men between the ages of 40 and 55.Key Points
* Many women have few or no symptoms related to menopause, or feel that their symptoms are not enough of a problem that they need to seek treatment. Some symptoms traditionally seen as menopausal may be related to aging in general.
* Menopause should not be viewed as a disease, according to the SoS conference panel.
* For many years, menopausal hormone therapy (MHT; in the past, it was called hormone replacement therapy or HRT) was the primary treatment for troubling menopausal symptoms. Recent studies have found increased risks, however, for certain serious health problems from prolonged use of MHT.
* Women with severe or long-lasting symptoms of menopause that have not been adequately relieved in other ways should consult their health care providers about their personal risks and benefits for using MHT. Certain lifestyle changes can also be helpful.
* There is very little high-quality scientific evidence about the effectiveness and long-term safety of CAM therapies for menopausal symptoms. More research is needed.
* It is very important for women who are considering or using CAM therapies for any health concern to discuss them with their health care provider physicians, doctors. This is to help ensure safety and a comprehensive treatment plan.

 

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