Medical Yogatherapy at Anand Yoga Institute

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1 Medical Yogatherapy at Anand Yoga Institute Mr. Shankar Khedkar (Yoga Therapist) Contact No:

2 Medical Yogatherapy for Degenerative Musculoskeletal Disorders Aims Skeletal Muscles 1) Adequate Strength. 2) Adequate Endurance. 3) Optimum Length & Strength Relationship. 4) Balance of Agonist & Antagonist Group of muscles. 5) Balance of Right & Left sided muscles. 6) Using muscles at both attachments. 7) Conscious relaxation. Joints 1) Near Normal range of movements. 2) Delay the degenerative process. 3) Delay the progress of degenerative process. Posture 1) Awareness of alignment of body segments & LOG passing thro all joint axes (close to ideal) (Cervical, Thoracic, Lumbar curvatures, Lumbosacral angle, Position & movement of pelvis, Hip kneeankle joints)

3 Medical Yogatherapy for Lumbar Spondylosis Aims Distraction of L 4 - L 5 & L 5 - S 1 Correction of position of pelvis (excessesively flexed or forward rotated). Reduction of increased Lumbar Lordosis and Lumbosacral angle. Promotion of mobility of pelvis & flexibility of Lumbar Spine. Postural Awareness.

4 Restorative Yogatherapy for Lumbar Spondylosis Phase I - Slanting Lumbar Traction - Standing Forward Position - Sitting Forward Position Phase II Straightening of Back muscles Sarpasan Bhujangasan Gomukhasan

5 Phase I 1) Slanting Lumbar Traction *Effects - Stretching of Lumbo Sacral Erector spinae - Correction of Lumbo Sacral angle - Reduction in Lumbar Lordosis - Distraction between L 5 - S 1 & L 4 - L 5

6 2) Standing Forward Position *Effects - Extension of pelvis - Reduction in Lumbosacral angle ( If increased) - Distraction of L 5 - S 1 - Stretching of Thoraco Lumbar Erector Spinae - Distraction of Thoraco - Lumbar junction Vertebrae T 12 - L 1, L 1 - L 2. - Hamstring Stretch at Ishial Tuberosities - Abdominal wall muscle toning

7 3) Sitting Forward Position *Effects - Fixed pelvis - Comfortable stretching of Erector Spinae at Thorasic Lumbar & Lumbo sacral regions.

8 Additional corrections Pelvic Lift with belt (Ambulatory) *Effects - Pelvic extension correction - Distraction at L 5 S 1 Level - Correction of increased Lumbosacral angle. - Awareness of proper erect posture with pelvic extension - Awareness of use of anterior abdominal wall Muscles, to support Lumber spine. - Awareness of use of Gluteal muscles for extension of pelvis. *****************************************************************************

9 MYT for OA Knee Aims Distraction At Medial Tibio -Femoral Compartment. Rotational Correction of Tibia & Fibula At upper end. Correction of Mechanical Axis at Tibial condylar surface. Reduction in Varus deformity by Correction of excessive Adduction of Tibia. Restoration of Plantar Arches & Keystone position of Talus. Tibio femoral Compartment Patello femoral Compartment Joint Stress in Medial Compartment Joint Stress in Lateral Facet

10 Aims Tibio Femoral Compartment Proper Weight Transmission with even distribution Patello Femoral Compartment Dynamic Stability Plantar arches Optimization of Ground Reaction force

11 Restorative Yogatherapy for Osteoarthritis of Knee Joint Phase I 1) Double knot foot stretch 2) Double knot ankle stretch 3) Varus correction 4) Fortified varus correction Phase II Straightening of Thigh muscles Vastus medialis straightening

12 Phase I 1) Double knot foot stretch *Effects - Restoration of plantar arches - Restoration of weight bearing points of foot 2) Double knot ankle stretch *Effects - Restoration of Talus as keystone position for medial Longitudinal arch.

13 3) Varus Correction *Effects - Correction of excessive adduction.

14 4) Fortified varus correction *Effects - Correction of Subluxation of Tibia due to high degree of adduction of Tibia. ***************************************************************************

15 MYT for Cervical Spondylosis Aims Distraction at C 5 C 6, C 6 C 7, C 7 T 1 levels. Mobilization of scapulae Retraction & Depression of scapulae Rib cage Elevation Extension of shoulder joint Restorative Yogatherapy for Cervical Spondylosis 1) Cervical Traction 2) Horizantal Arm stretch 3) Rope Jacket 4) Suptaveeran

16 1) Cervical Traction *Effects - Stretching of Trapezius in it s upper fibres - Elevation of rib cage - Depression of Scapulae - Correction of shoulder girdle - Distraction of Lower cervical vertebrae

17 2) Horizantal Arm Position *Effects - Mobilization of Scapula for retraction - Stretching of flexors of shoulder joint - Strengthening of extensors of shoulder joint - Rib cage elevation (Unilateral)

18 3) Rope Jacket *Effects - Rib cage elevation - Depression & Retraction of scapulae - Extension of shoulder joint

19 4) Supta Veerasan *Effects - Reduction in Thorasic kyphosis - Elevation of Rib cage - Depression & Retraction of Scapulae - Transverse & antero posterior rib cage expansion - Deep Breathing leads to calmness of mind (Contraindication Low back ache)

20 Acknowledgements 1) Dr. S. V. Karandikar, founder of Kabir Baug Yogatherapy Centre, Pune 2) Book - Joint Structure & Function by - Pamela K. Levangie, - Cynthia C. Norkin. ***************************************************************************

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