Marsha T Danzig Yoga for Amputees® by Marsha T Danzig · What is cobra pose? ... Sighing breath, breath of fire, downward dog, hip circles, warrior II, seated wide angle Better movement

Marsha T Danzig

Yoga for Amputees® by Marsha T Danzig

1. In this one hour online webinar, participants will be able to demonstrate the 6 basic movements of the spine to help patients develop flexibility, core strength and suppleness in the spine.

2. Participants will be able to practice and repeat three simple breathing techniques to aid their patients’ well being and improve their health.

3. Participants will gain innovative ideas on how to integrate yoga into their one on one sessions with patients as well as the clinic as a whole.

Copyright 2016 Marsha T Danzig All Rights Reserved

Objective Content Time Frame Teaching Method

The learner will learn how

to focus the mind through

simple centering techniques

Introduction and Centering/Meditation

Writing exercise: body, mind spirit check-in

5 minutes Group experience

Demonstration

The learner will recognize

awareness of the

connection between breath

, body, and relaxation

Belly breath

Three- part breath

Cooling breath



Demonstration

The learner will be able to

identify a series of 6

sequential yoga poses

Extension, Flexion, Lateral flexion , and twists in

chair and standing.

Student repeats on own



Demonstration

Repeat demonstration

The learner will become

familiar with current

research on physical

psychological and

emotional benefits of yoga

Discussion of one current evidence based research

projects on the benefits of yoga in rehabilitative

settings

5 minutes Lecture

The learner will become

familiar with ways of

adding yoga to clinics and

private practice

How to add yoga to your clinical practice 5 Lecture

The learner will be able to

refine learning of subject

matter

Open discussion and inquiries about yoga for

amputees

5 minutes Q & A



Seated Mountain:

Help your patient find their sitz bones as if they were feet. Front

of the foot , arch of the foot and heel of the foot become front of

the sitz bones, middle of the sitz bones and back of sitz bones.

Have them rock on sitz bones until they find that point of stillness

and ease.



• Belly breath

Bring awareness to the lower belly. Notice the belly expand on inhale and return to original position on exhale. 3-5 times. This breath helps restore peace and reduce stress.

• Three part breath

Breathe in through the nose for a count of 3, feeling the breath rise from the lower belly to the ribs to the chest. Breathe out through the nose from the chest through the ribs to the lower belly for a count of 4. 3-5 times. This breath reaches expands lung capacity and energizes the body/mind.

• Cooling Breath

Sip air in through pursed mouth, as if sipping through a straw. Suspend the breath for 2 seconds. Exhale through the nostrils. 3-5 times. This breath calms the central nervous system when feeling frustrated and helps with overheating.


Before Centering After Centering

Body

Body

Mind

Mind

Spirit

Spirit

Before Breathing After Breathing

Body

Body

Mind

Mind

Spirit

Spirit

Before Yoga Poses After Yoga Poses

Body

Body

Mind

Mind

Spirit

Spirit


Mountain- grounding

Half moon- balancing

Cobra- extending

Forward bend- flexing

Twist- spinal flush

Relaxation -healing



• Smith, Caroline. A randomised comparative trial of yoga and relaxation to reduce stress and anxiety. 2006. http://www.complementarytherapiesinmedicine.com/article/S0965-2299(06)00043-4/abstract

• Results

Following the 10 week intervention stress, anxiety and quality of life scores improved over time. Yoga was found to be as effective as relaxation in reducing stress, anxiety and improving health status on seven domains of the SF-36. Yoga was more effective than relaxation in improving mental health. At the end of the 6 week follow-up period there were no differences between groups in levels of stress, anxiety and on five domains of the SF-36. Vitality, social function and mental health scores on the SF-36 were higher in the relaxation group during the follow-up period.

• Conclusion

Yoga appears to provide a comparable improvement in stress, anxiety and health status compared to relaxation.


http://www.complementarytherapiesinmedicine.com/article/S0965-2299(06)00043-4/abstract





• Include 5-7 minutes of yoga at the beginning of every patient rehabilitation session

• •Record a yoga video which plays in the waiting area or is available through a link

• •Include group yoga in your morning and weekly meetings for better focus and productivity

• Teach patients the standard yoga protocol to practice at home. Have them keep a log of their progress

• •Invite a yoga teacher to teach a lunchtime yoga class to staff.

• •Offer yoga classes to amputees at your facility.

• •Hire a yoga therapist on staff for customized yoga.


What is three part breath?

What are the six movements of the spine?

What is one key centering technique?

What are three benefits of yoga for your patients?

What is cobra pose?

What is mountain pose?

What is one benefit of yoga breathing?


Benefits of Breathing Exercise: Pranayama - Conscious Health. (2013, May 25). Retrieved November 4, 2015 http://conscioushealth.net/pranayam-breathing-exercise-conscious-health-nahid-ameen/

This is Your Brain on Yoga. (n.d.). Retrieved November 4, 2015. https://yogainternational.com/article/view/this-is-your-brain-on-yoga

• Steiner, B. (2014, April 1). Treating Chronic Pain With Meditation. Retrieved November 4, 2015 http://www.theatlantic.com/health/archive/2014/04/treating-chronic-pain-with-meditation/284182/

Tekur , P. A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise 2011:http://www.complementarytherapiesinmedicine.com/article/S0965-2299(12)00004-0/abstract?cc=y=

Smith, Caroline. A randomised comparative trial of yoga and relaxation to reduce stress and anxiety. 2006. http://www.complementarytherapiesinmedicine.com/article/S0965-2299(06)00043-4/abstract

Moura VL1, Faurot KR, Gaylord SA, Mann JD, Sill M, Lynch C, Lee MY “Mind-body interventions for treatment of phantom limb pain in persons with amputation” Am J Phys Med Rehabil. 2012 Aug;91(8):701-14. http://www.ncbi.nlm.nih.gov/pubmed/22286895

"Yoga and Peripheral Artery Disease – New Pilot Program Aims to Treat PAD by Increasing Circulation." UMHS Headlines. 19 Sept. 2013. Web. 6 Nov. 2015 http://umhsheadlines.org/19/yoga-and-peripheral-artery-disease-new-pilot-program-aims-to-treat-pad-byincreasing-circulation/

Ross A, Birdee G, Touchton-Leonard K, Bevans M The Implementation of Patient-Reported Outcome Measures in Yoga Therapy. 1 Sept. 2016 http://www.ncbi.nlm.nih.gov/pubmed/27583937


Online Yoga for Amputees Clinical Training

September 19- November 1

OPTA approved course for 20 CE’s.

http://www.yogaforamputees.com/clinical-training

Online Yoga for Amputees Foundations Training

September 18- November 2

Yoga Alliance CE’s for Yoga Teachers

https://www.yogaforamputees.com/online-trainings

Online Two Hour Workshop

Yoga for Patients with Urinary Diversions

September 22, 3-5pm

Yoga Alliance CE’s for Yoga Teachers

http://www.yogaforamputees.com/events








http://www.yogaforamputees.com/events

Seminars, Workshops, Trainings,

Speeches

Marsha Therese Danzig

www.yogaforamputees.com

937-999-8058

[email protected]


http://www.yogaforamputees.com/

mailto:[email protected]

PatientcareplanSampleforamputeesThischartgivesbasicbestyogapracticestohelpyouramputeepatient.Thechallengeslistedarecommonforbothlegandarmamputees.MarshaTDanzig7/31/2016

! Copyright©2016Allrightsreserved.MarshaTDanzig

Diagnosis Evaluation YogaIntervention Outcome FollowUpPhantomPain Levelofpain,location,

mentalstress,frequency,connectiontoemotions

UjjayibreathJointfreeingseriesSunsalutation

LessphantompainBettersymptommanagement

30dayhomepracticewithweeklyfollowupappointments

BalanceIssues Standing,steppingforward,backward,sittinginachair,gettingupfromachair

CoreabexercisesDristi-focusedgazeWalkingbreathmeditationwithsupport

Betteruseofcoremusclesratherthanover/underuseofothermusclesAbilitytolookforwardratherthandown

Evaluationat1month,3monthand6monthforchangesinbalance

Scartissue Locationofscartissue,amountofscartissue,rangeofmotioninjointsnearorinscartissue

HissingbreathSlowmovementswithbreathEasytwist

BetterawarenessoflocationofscartissueLearninghowtoworkwithandaroundscartissuetoavoidinjury

Dailycastoroilpacksforoneweek,thenweekly

PTSD Specifictriggers,eyemovements,shortnessofbreath,strongreactiontosuddenmovements,frozen,tightjaw,disassociation

DeepbellybreathDristiondifferentspotsintheroomSeatedsavasanaagainstthewallwitheyeslookingtowardfloor,pillowheldatabdomenifarms/armisavailable.

BetterawarenessofPTSDsymptomsPracticeselfregulationyogatoolstohandletriggersandsymptoms

Dailypracticeforaslongasittakes

Transitions StandingtosittingSittingtostandingSitting/standingtofloorFloortositting

AbdominalcrunchesIfarmsavailable,tricepdipsUddiyanabandhaStepprocess-yogapropssuchasbolsters,blanketsandblockspiledatbottomofchair.Sitatedgeofchairandliftoff,eitherreachingfora

IndependenceandconfidencewithtransitioningfromdifferentmovementplanesCorestrengthandabdominalstabilization

Dailypracticewithcliniciannearbyuntilabletodoonown.

! Copyright©2016Allrightsreserved.MarshaTDanzig

barorwallinfronttostand,orslidingbottomdownto“step”orcushionbelow

NervePain Completehistoryofpainsymptoms,levelofpain1-10,10beingtheworst,howoftenisthepain,chronicoracute,whattimeoftheday

Shouldershrugs,chintilts,mindfulslowmovementwithbreathatjoints,psoasreleaseexercises,creativevisualization

Lesspain.Morefreedomofmovement.Lessstress.Morerelaxedmind.

Practicephysicalexerciseseveryotherdayfor1-3months.Practicemindfulbreathingandcreativevisualizationdaily.

FrozenShoulder Checkrangeofmotioninothershoulder.Historyandlevelofdiscomfort.Whendidthefrozenshoulderbegin?Observationofrepetitivemovementpatterns.

Stabilizationofscapulawithacebandage.Pranayamasenttotheshoulderandsurroundingarea.Armraisestothesidewithmindfulnessandbreath.Warriortwowitharmpitsturnedup.

Moreself-managementofsymptomsandcommitmenttopersonalhealth.Slowsteadyreleaseoffrozenshouldercombinedwithpreventativeyogatools.

Practiceyogatechniquesdailywithrestinbetweeneachexerciseuntilshoulderbeginstorelease.

Anxiety Historyofbehaviorssuchasworry,fear,obsessing,frozen

Ujjayibreath.Sniffingbreath-3sniffsthroughnosethenexhalethroughthemouthasshouldersrelease.Forwardbends,childs.

Reductioninanxioussymptoms,preventionpracticesforstressfulmoments,calmingyogabreathingtechniques

Shortbreathingpracticesthroughoutthedaytoaccustompatienttohabitualself-management.

Poorrangeofmotion Evaluatesimplemovementsatthejoints.Watchfacialexpressionsandfacialtoneforsignsofstrain.

Sixmovementsofthespine,proprioceptionexercises,standingbalance-leaningtoonesidethentheotherwithsupportofchairandwall,torsocirclesinbothdirections

Greaterawarenessofwhatispossiblewithyogapractice.Looserjointswithbettercirculationinandaroundthejoints.

Practicerangeofmotionyogasequencedaily,andweeklywithcliniciantoevaluateprogress

Poorcirculation Coolnessinextremities,tingling,achingjoints,fatigue

Sighingbreath,breathoffire,downwarddog,hipcircles,warriorII,seatedwideangle

Bettermovementinjoints,morewarmth(notheatwhichisinflammation)inbody,lesstingling

Practicehipcirclesandjointrotationofneck,wrists,kneesandankles,daily.

Documents

Marsha T Danzig Yoga for Amputees® by Marsha T Danzig · What is cobra pose? ... Sighing breath, breath of fire, downward dog, hip circles, warrior II, seated wide angle Better movement