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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
Writing exercise: body, mind spirit check-in
15 minutes Group experience
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
Writing exercise: body, mind spirit check-in
25 minutes Group experience
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
Copyright 2016 Marsha T Danzig All Rights Reserved
Copyright 2016 Marsha T Danzig All Rights Reserved
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.
Copyright 2016 Marsha T Danzig All Rights Reserved
Copyright 2016 Marsha T Danzig All Rights Reserved
• 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.
Copyright 2016 Marsha T Danzig All Rights Reserved
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
Copyright 2016 Marsha T Danzig All Rights Reserved
Mountain- grounding
Half moon- balancing
Cobra- extending
Forward bend- flexing
Twist- spinal flush
Relaxation -healing
Copyright 2016 Marsha T Danzig All Rights Reserved
Copyright 2016 Marsha T Danzig All Rights Reserved
• 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.
Copyright 2016 Marsha T Danzig All Rights Reserved
• 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.
Copyright 2016 Marsha T Danzig All Rights Reserved
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?
Copyright 2016 Marsha T Danzig All Rights Reserved
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
Copyright 2016 Marsha T Danzig All Rights Reserved
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
Copyright 2016 Marsha T Danzig All Rights Reserved
Seminars, Workshops, Trainings,
Speeches
Marsha Therese Danzig
www.yogaforamputees.com
937-999-8058
marsha@yogaforamputees.com
Copyright 2016 Marsha T Danzig All Rights Reserved
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.
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