Yoga for dental professionals2017 igids

Yoga for Dental Professionals

Yogacharya Dr. ANANDA BALAYOGI BHAVANANI

MBBS, ADY, DSM, DPC, PGDFH, PGDY, MD (Alt Med), FIAY, C-IAYT

Deputy Director: Centre for Yoga Education, Therapy and Research (CYTER),

Sri Balaji Vidyapeeth, Pondicherry. www. sbvu.ac.in/ahs/yoga

SRI BALAJI VIDYAPEETH(Deemed University Accredited with “A” Grade by NAAC)

Centre for Yoga Therapy, Education

and Research (CYTER)Salutogenesis, our focus!

Bhavanani AB. IGIDS. 4.4.2017

Salutogenesis, our Focus• Moving from pathogenesis, the focus on disease

towards salutogenesis, the focus on health!

• Under SBV AIM HIGH SBV AIM HIGH (Academy of Integrative Medicine for Holistic Intervention towards General Health), Faculty of Allied Health Sciences, CYTER is striding forward on an innovative path of promoting holistic health for one and all.

Bridging the experiential wisdom of Yoga with empirical modern medical science.

Yoga is usually found in Physical Edu & Sports deptts of universitiesWe at CYTER, have it in a medical institution since 2010

– quality of life enhancing benefits for ~ 34000 patients

– educating future Yoga therapists (PGDYT, M.Phil, PhD),

– creating awareness amongst medical, dental and nursing students & professionals

– scientifically researching Yoga, – 60 publications & 4 CMEs

Why introduce Yoga for dental

students and professionals?

?Bhavanani AB. SMVMCH. 16.12.2016

• Dental professionals face unique physical, mental, and emotional challenges every day.

• These can create discord and imbalance, especially when they're combined.

• Contortion of their bodies to gain better visibility, sitting for long periods, as well as hunching over computer keyboards put enormous strain on the musculoskeletal system.

• Dealing with fearful patients, uncooperative team members, and job related frustrations can become overwhelming.

• Results in stress, anxiety, anger, and depression. Bhavanani AB. IGIDS. 4.4.2017

• Prevalence of general musculoskeletal pain is estimated to be between 64% and 93%

• Major issues :– back pain (36.3-60.1%) and – neck pain (19.8-85%).

• Risk factors identified for these occupational predispositions include the static and awkward posture of clinical practice as well as other non-ergonomic work practices.

• Physical, mental and emotional stress precipitate or aggravate such factors!


• It has been recently (2015) suggested that Yoga may be a good way for dentists to relieve stress and reduce the risk for repetitive strain injury and dysfunctional posture.

• Another survey(2015) amongst 220 dentists found statistically significant difference in prevalence of musculoskeletal pain among those practicing Yoga compared to those with no regular activity over a period of 12 months.


• However, ignorance and resistance to Yoga still persists amongst health professionals.

• A recent cross–sectional survey in Chennai (2015) reported that despite musculoskeletal pain and stress being the most common occupational hazard prevalent among dentists, over 50% of the 390 respondents surveyed didn't seek any measure to treat these occupational hazards.

• Only 10% of them practiced Yoga as the alternative therapy.


Restoring Human Values: Role of Yoga• Recent developments showcased through social media

highlight a lack of human values in modern health professionals.

• Compassion, empathy and a sincere desire to relieve suffering are found lacking and this seemingly becomes even rarer as qualifications increase.

• Kidney rackets, unnecessary surgeries, lab commissions & inflated bills commonly bemoaned.

• Recently medical students in Chennai were found throwing a poor dog off their rooftop in glee.

• Monkey tortured and killed at CMC, Vellore


Why yoga? • Yoga, an ancient cultural heritage of India is spreading

rapidly; practiced by millions globally.• Offers a broader perspective of life and refines all round

personality (purna purusha)• Enables the attainment of inherent potential of each

individual in a holistic manner. • Yoga is not just a system of exercise but is a way of life, an

attitude and a conscious lifestyle. • A Yogi is just a good human being.

• Shouldn’t our doctors be good human beings?




SBV 2013-15SBV 2013-15


Bhavanani AB. SMVMCH. 16.12.2016

Yoga for IGIDS students @ CYTER 2015, 16 & 17

SBV 2016SBV 2016


Why yoga? .................. Contd

• Stresses importance of social and personal values– Yama (restraints of subhuman tendencies such as

violence, stealing and greed etc), and – Niyama (humane observances: cleanliness,

contentment, self-introspection & discipline). • Inculcation of these universal values in dental

students and professionals enables them to be more humane in their life and profession.

• Provides a contextual purpose for life and service.


Yoga places great importance on a proper and healthy lifestyle whose main components are:

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. Satwic diet, prepared & served with love & affection.

VIHAR – proper recreational activities to relax body and mind are essential for good health.


Suggested mechanisms• Psycho-physical techniques of Yoga such as asana,

pranayama, mudra, dharana and dhyana enable attainment of physical, mental and emotional fitness.

• Skilful & efficient management of stressors through induction of relaxation response.

• A broader worldview enables doctors to fulfil their responsibility (dharma) in the spirit of nishkama karma (non-attachment to results of one’s actions).

• This prevents unhealthy “Me first”, “Make the most money”, “Who cares as long as I am safe” type of attitudes from developing in dental professionals.


Empathy is the key!


ADVANTAGES OF YOGAWholistic:• Preventive, promotive, rehabilitative, curative? • Science, philosophy, art• Involves body, mind, spirit• Desirable +ve “side benefits”• Simultaneous improvement in health and control of

other conditions • Relief from stress - the main cause of Adhija Vyadhi

(psychosomatic disorders)


THETHEYOGIC YOGIC

CONCEPT CONCEPT OF OF

ORIGIN ORIGIN OF OF

DISEASEDISEASE--

Yoga Yoga VashishtaVashishta



Perceived Stimulus




Stress management through Yoga

• Dr W Selvamurthy gave a beautiful message at SBV recently. He said:

Yoga enables and empowers individuals to

– Modify their perceptions of the stressors,– Optimise their responses to them, and– Efficiently release the pent up stresses.

• We can think of it as a 3-in-1 action!!

How How does this does this happenhappen

??


Psycho-neuro-immuno-endocrinological correlates of stress, illness & health

NERVOUSSYSTEM

ENDOCRINESYSTEM

IMMUNESYSTEM



NERVOUSSYSTEM

ENDOCRINESYSTEM

IMMUNESYSTEM

MENTAL & PHYSICAL ILLNESS

-ve

STRESS



NERVOUSSYSTEM

ENDOCRINESYSTEM

IMMUNESYSTEM

MENTAL & PHYSICAL ILLNESS

+ve

YOGA

-ve

STRESS

HEALTH



YOGA MODALITIES – Physical therapies

• Asanas, Kriyas, Mudras and Bandhas– Emotional therapies

• Swadhyaya, Pranayama, Pratyahara, Dharana, Dhyana and Bhajans

• Development of +ve attitudes– Vairagya – Chitta Prasadan– Maitri, Karuna, Mudita, Upekshanam

– Mental therapies• Relaxation & visualization, Trataka, Pranayama,

Pratyahara, Dharana & Dhyana


YOGA MODALITIES (Contd…)– Spiritual therapies

• Swadhyaya, Satsangha, Bhajans , Upadesa– Preventive therapies

• Start early in childhood• Prevention of accidents• Improved immunity• Knows the technique so that can do it if needed

– Rehabilitative therapies• Prevention of disability & improving QOL

– Pain relief therapies• Increases pain tolerance - improved quality of life


Mec

hani

sms o

f Yog

a

Mec

hani

sms o

f Yog

a




Where the mind goes, there the energy flows!

You can use your mind to change your brain to change your mind for the better.

This is self-directed neuroplasticity.


Yoga Practices Postures, Breathing, Relaxation, Meditation

Fitness

↑Flexibility↑Strength

↑Coordination/Balance ↑Respiratory Function

↑Self-Efficacy

Global Human Functionality ↑Physical & Mental Health, ↑Physical, Mental, Emotional Performance,

↑Positive Behavior Change, ↑Social Responsibility, Values, Relationships, ↑Quality of Life, ↑Life Purpose & Meaning, ↑Spirituality

Self-Regulation

↑Emotion Regulation ↑Stress Regulation

↑Resilience ↑Equanimity

↑Self-Efficacy

Awareness ↑Attention

↑Mindfulness↑Concentration

↑Cognition↑Meta-cognition

Spirituality ↑Transcendence

↑Unitive State↑Flow

↑Transformation↑Life Meaning/Purpose

* Concept and image courtesy of Sat Bir S Khalsa, PhD USA

Uninostril / alternate nostril pranayamas

Suryanadi asana Chandranadi asana

Whooshing tensions away-nasarga mukha bhastrika


Healing the neck-Brahma Mudra


Balancing energy centers (chakras) with gestured mindfulness


Twisting the arms-Garuda


Opening the shoulders-Gomukha


Stretching the spine-Tala Asana


Twisting the spine - Bharadwaja



Vibhaga Pranayama

• Adham Pranayama– abdominal and lower limb disorders

• Madhyam Pranayama– chest and upper limb disorders

• Adhyam Pranayama– head and neck disorders

• Mahat Yoga Pranayama– affects the whole body

Focusing consciousness into broncho-pulmonary segments

Pranava Pranayama• Using foundation of Vibhaga • Chanting Akara, Ukara, Makara and

Omkara Nada• 2 to 3 times longer exhalations• Appropriate hand gestures (Mudras)


Tension relaxation coupling: Spanda nishpanda


Chakra MeditationChakra Chakra dhyanadhyana

Inha

leExhale


Yoga embodies unity of mind and body; thought and action; restraint and fulfillment; harmony between man and nature; a holistic approach to health and well being. It is not about exercise but to discover the sense of oneness with yourself, the world and the nature.…Let us work towards adopting an International Yoga Day

References:1. Bhavanani AB. A Yogic Approach to Stress. Pondicherry, India: Dhivyananda Creations, 2008.2. Bhavanani AB. Mental Health & Wellbeing through Yoga. Jacobs Journal of Yoga & Natural Medicine 2016; 1: 004.3. Bhavanani AB. Role of yoga in health and disease. Journal of Symptoms and Signs 2014; 3(5): 399-406.4. Bhavanani AB. Simple yoga practices for health professionals. Souvenir of the National Seminar and CME on Introducing

Yoga in Health Professions Education. SBVU, Puducherry. 19-21 June 2016. Pg 74-86.5. Bhavanani AB. Understanding the Yoga Darshan. Pondicherry, India: Dhivyananda Creations, 2011.6. Bhavanani AB. Understanding Yoga as a Therapy. Journal of Yoga and Physiotherapy 2016; 1 (1): 555551.7. Bhavanani AB. Yoga Chikitsa: The application of Yoga as therapy. Pondicherry, India: Dhivyananda Creations, 2013.8. Galantino ML, Galbavy R, Quinn L. Therapeutic effects of yoga for children: a systematic review of the literature.

PediatrPhysTher. 2008; 20: 66-809. Gitananda Giri Swami (Meenakshi Devi Bhavanani. Ed). Frankly speaking. Pondicherry, India: Satya Press,199510. Gitananda Giri Swami. Yoga: Step-by-step. Pondicherry, India: Satya Press. 197611. Hayes M, Cockrell D, Smith DR. A systematic review of musculoskeletal disorders among dental professionals. Int J Dent

Hyg. 2009 Aug;7(3):159-6512. Hennington DR. Yoga for Dentists. www.dentaltown.com/dentaltown/Article.aspx?i=396&aid=5489 13. Innes KE, Bourguignon C, Taylor AG. Risk indices associated with the insulin resistance syndrome, cardiovascular disease,

and possible protection with yoga: a systematic review. J Am Board Fam Pract 2005;18:491-519. 14. Koneru S, Tanikonda R. Role of yoga and physical activity in work-related musculoskeletal disorders among

dentists. Journal of International Society of Preventive & Community Dentistry. 2015;5(3):199-204. 15. Madanmohan T and Bhavanani AB. Physiological Benefits Of Yogic Practices: A Brief Review. International Journal of

Traditional and Complementary Medicine 2016; 1(1): 0031-0043.16. Newadkar UR. Yoga: A good way for dentists to relieve stress. Educ Health 2015;28:21517. Ramamoorthy A, Jeevakarunyam SJ, Janardhanan S, Jeddy N, Vasan SA, Raja A, Ikram P. Survey on utility of yoga as an

alternative therapy for occupational hazards among dental practioners. J Nat SciBiol Med. 2015 Jan-Jun;6(1):149-52.18. Streeter CC, Gerbarg PL, Saper RB, Ciraulo DA, Brown RP. Effects of yoga on the autonomic nervous system, gamma-

aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Med Hypotheses 2012; 78:571-9.

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Yoga for dental professionals2017 igids