YOGA AND ARTHRITIS: A REVIEW

YOGA AND ARTHRITIS: A REVIEW
Dr. Manoj Dash, BHMS, DYT,Ph.D.

Yoga is an ancient Indian science and way of life, which influences the functioning of the brain and the rest of the body. Several studies have shown that the practice of yoga has a definite role in the promotion of positive health, including mental health, characterized by improved cardio-respiratory efficiency, autonomic responses to stressors, sleep, muscular endurance, and `higher brain functions. With an increase in the incidence of stress-related ailments, related to the rapid pace of life today, yoga has been evaluated as a treatment for such disorders in several controlled trials. The disorders, which were most likely to respond to yoga, with reduced symptoms and need for medication, were bronchial asthma, non-insulin dependent diabetes mellitus, anxiety neurosis, and rheumatoid arthritis. THE CONCEPT OF HEALTH According to the World Health Organization (WHO) the state of health is defined as a state of complete physical, mental, social and spiritual well being and not merely an absence of disease or infirmity. It is clear from this definition that health and ill-health are not two discrete entities as commonly understood but health should be conceived as a continuous function indicating the state of well being.The ancient Indian science, Yoga, has its origin in the Sankhya philosophy of Indian culture, which is about 8000 years old (Nagarathna, 2001). Yoga includes a wide range of techniques (e.g., physical postures, regulated breathing, cleansing techniques, meditation, philosophical principles, and devotional sessions, surrendering to the Supreme). These techniques bring about a calm and balanced state of mind, and are expected to help the spiritual evolution of the individual. However, yoga has more pragmatic applications in medicine. In order to understand these, it is important to know the concepts of health and disease in Yoga texts. According to yoga, man is in perfect health and homeostasis at his subtle levels of existence. All diseases are classified as (i) stress-related (adhija) and (ii) not stress related, e.g., injuries (anadhija) (Vasudeva, 1937). Yoga has been considered especially useful in the management of stress related disorders by getting mastery over the excessive speed of the mind. The technique to reducing the rate of flow of thoughts with deep internal awareness is yoga. This review will describe the therapeutic applications of yoga in the management of arthritis. Physical activity is an essential part of the effective treatment of osteoarthritis (OA) and rheumatoid arthritis (RA), according to treatment guidelines published by the American College of Rheumatology (Hochberg, 1995; Newsome, 2002). In persons with arthritis, exercise is safe and does not exacerbate pain or worsen disease (Ettinger,1997; Minor,1999; O’Grady,2000;Bearne,2002). In fact, exercise may play a key role in promoting joint health (Forrest,1994) , since those who do not exercise often suffer more joint discomfort than those who do (Nordemar,1981). However, regular physical activity is especially important for people with arthritis, who often have decreased muscle strength, physical energy, and endurance (Lyngberg,1988). The psychological benefits of exercise such as stress reduction, fewer depressive symptoms, improved coping and well-being and enhanced immune functioning (Taylor,1985;Scully,1998;Fox,1999 Paluska,2000) also contribute to greater overall health.Scientific studies on yoga Yoga has been used in the management of a wide range of diverse ailments. While there is a great deal of anecdotal evidence of the benefits of yoga, to date only a handful of scientific studies have been conducted on persons with OA and RA (though several more are currently underway). The study conducted in England demonstrated that hand grip strength significantly improved following yoga in rheumatoid arthritis patients (Haslock,1994). It was subsequently proven that yoga resulted in similar benefits in rheumatoid arthritis patients in an Indian population (Dash, 2001). Studies in osteoarthritis of the hands and carpal tunnel syndrome show greater improvement in pain during activity, tenderness and finger range of motion (Garfinkel, 1994). These above studies have shown promising results with some improvement in joint health, physical functioning, and mental/emotional well-being. Perhaps most importantly, yoga has an important positive effect on quality of life. People with arthritis may also enjoy yoga more than traditional forms of exercise, and exercise enjoyment is an important predictor of adherence(Ryan,1997;Trost,2003).This is particularly important considering that, on average, 50% of sedentary individuals will drop out of exercise within 6 months (Dishman,1990).In summary, yoga can be a meaningful and enjoyable alternative to traditional forms of exercise such as aerobics or aquatic exercise with important health benefits. Yoga can play an important role in reducing stress and frustration that results from pain and disability, and increasing positive feelings and wellbeing. Drug treatments for OA and RA have improved markedly in the last few years. Despite this, arthritis cannot be cured, and even the best medications and medical care can only help a little. There is a great need for additional activities patients can do to reduce pain, disability, and take control of the overall impact arthritis may have on their lives. Thus, the evidence suggests that, when combined with a program of good medical care, yoga may provide important additional physical and psychological health benefits for arthritis patients. Finally, it has to be emphasized that while yoga has important therapeutic benefits, the practice of yoga is very important in the promotion of positive health and human potential in body, mind, and spirit (Scott, 1999).References:1.Nagarathna R. Yoga in medicine. API Text book of medicine (6th ed), 2001. 2.Vasudeva Sharma PL. Laghu yoga vasistha (in Sanskriit); Nirnaya sagar prakashan, Bombay 1937,P 684.3.Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee.American College of Rheumatology. Arthritis Rheum 1995; 38(11):1541-1546.4.Newsome G. Guidelines for the management of rheumatoid arthritis: 2002 update. J Am Acad Nurse Pract 2002; 14(10):432-437.5.Minor MA. Exercise in the treatment of osteoarthritis. Rheum Dis Clin North Am 1999; 25(2):397-415, viii.6.Bearne LM, Scott DL, Hurley MV. Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity. Rheumatology (Oxford) 2002; 41(2):157-166.7.O’Grady M, Fletcher J, Ortiz S. Therapeutic and physical fitness exercise prescription for older adults with joint disease: an evidence-based approach. Rheum Dis Clin North Am 2000; 26(3):617-646.8.Ettinger WH, Jr., Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997; 277(1):25-31.9.Forrest G, Rynes RI. Exercise for rheumatoid arthritis. Contemp Intern Med 1994; 6(11):23-28.10.Nordemar R, Ekblom B. [Effects of long-term physical therapy in rheumatoid arthritis]. Lakartidningen 1981; 78(15):1561-1564.11.Lyngberg K, Danneskiold-Samsoe B, Halskov O. The effect of physical training on patients with rheumatoid arthritis: changes in disease activity, muscle strength and aerobic capacity. A clinically controlled minimized cross-over study. Clin Exp Rheumatol 1988; 6(3):253-260.12.Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000; 29(3):167-180.13.Fox KR. The influence of physical activity on mental well-being. Public Health Nutr 1999; 2(3A):411-418.14.Scully D, Kremer J, Meade MM, Graham R, Dudgeon K. Physical exercise and psychological well being: a critical review. Br J Sports Med 1998; 32(2):111-120.15.Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Rep 1985; 100(2):195-202.16.Haslock I, Monro R, Nagarathna R, Nagendra HR, Raghuram NV. Measuring the effects of yoga in rheumatoid arthritis. Br J Rheumatol 1994; 33(8):787-788.17.Dash M, Telles S. Improvement in hand grip strength in normal volunteers and rheumatoid arthritis patients following yoga training. Indian J Physiol Pharmacol 2001; 45(3):355-360.18.Garfinkel MS, Schumacher HR, Jr., Husain A, Levy M, Reshetar RA. Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. J Rheumatol 1994; 21(12):2341-2343.19.OConnor D, Marshall S, & Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpel tunnel syndrome. Cochrane Database Syst Rev. 2003; (1): CD003219.20.Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a model of parental influence on youth physical activity. Am J Prev Med 2003; 25(4):277-282.21.Ryan RM, Frederick CM, Lepes D, Rubio N, Sheldon KM. Intrinsic motivation and exercise adherence. International Journal of Sports Psychology 1997; 28(4):335-354.22.Dishman R. Determinants of participation in physical activity. In: Bouchard C, Shepard R, Stephens T, Sutton J, McPherson B, editors. Exercise, Fitness, and Health. Champaign : Human Kinetics, 1990: 75-102.23.Scott AH. Wellness works: community service health promotion groups led by occupational therapy students. Am J Occup Ther. 1999; 53(6): 566-74. About the Author
I am a Doctor, doing my Ph.D.in Yoga. My topic of interest is to conduct Yoga Retreat, take class for Yoga Teacher and Medical professionals for in depth Research findings, and also Interest to conduct research in various field of yoga, both experimental and theoretical. I have been Traveling to all EUROPIAN countries.My contact: [email protected] web page:http://www.geocities.com/manojrieneke/Research.html

Starting Your Essential Oils Collection

How do I know which essential oils are right for me? There are over 90 essential oils and each can have one or more (most times more) healing properties. Choices! Choices! That’s a huge selection to choose from.

The first thing to consider when making your selection is whether or not the scent appeals to you. Every scent might have a useful medicinal property for each of us, but only certain scents work for us. The aromas of the essential oils work to stimulate our nervous system and brain functions. If we are distracted by the side effect of a scent irritation in our body or the aroma simply does not appeal to our senses, then the essential oil probably is not a good choice. Try to sample the scent if possible especially if we are purchasing it for the first time. This can be accomplished by taking a trip to a local essential oils supplier or at the very least, to a local bath products retailer.

The next thing to consider is the effect we would like to create with our essential oils. The oils have long been known to promote emotional balance and stability in addition to having healing properties and just plain smelling great! Wow! Experience a physical healing in your body and mind and experience a great scent at the same time. That’s two effects for the price of one! How would we like the essential oils to benefit us? The essential oils promote several effects such as providing an atmosphere of peace and tranquility, reducing stress, anger, anxiety, and depression. In addition, the oils are also known to promote a sense of confidence, reduce fatigue and tiredness, reduce feelings of fear and loneliness, and promote memory and concentration. There are many more effects that the use of essential oils provides! It is important to note that not all essential oils promote or reduce all emotions. Time must be taken to learn which essential oil promotes or reduces which effect.

The next thing to consider is the cost associated with the use of essential oils. Not only does the essential oil have to be purchased, but if you are buying from a mainland supplier, shipping and handling costs should be taken into account. If you plan on combining the essential oil with a carrier media such as oils, creams, salts or soap costs should also be estimated as well. The oils need proper storage elements. Wooden craft boxes are relatively inexpensive and are helpful in keeping your bottles in a safe manner while making the transport of those bottles easy to do. Estimate costs for items such as bottles to store your blended oils and diluted mixes. Also knowing the costs of equipment such as distillers (if you plan on making your own essential oils) or a diffuser for refreshing a room would be helpful.

There are many things to consider when selecting your oils because there are many beneficial effects that the use of the oil provides. Do some planning and know what benefits you want to receive through the use of essential oils. Start your collection and experience a wonderful journey!

Tips to Better Your Brain Performance

It may be true that as you get older, your memory also deteriorates. But this does not mean that if you are younger, your brain is not capable of memory deterioration. Aging is just one cause of memory loss, but there are other factors. Thus, if you want to prevent this, you may want to read these tips to a better your brain performance.

1) More Relaxation Period, Better Thinking

If you want to protect your recent memories, you should stay away from stress. Stress can trigger the release of cortisol, a neuro drug which can interfere with the brains performance, especially with handling recent memories. Furthermore, with chronic stress, the part of the brain which handles recent memories may even shrink. If you want to prevent this from happening, you should learn to relax a little and release the tension from your body. You should never let stress overwhelm you.

2) Refrain From Cigarette Smoking

Cigarettes affect the flow of blood in your veins. Because of this, there may be a chance of reduced blood flow to your brain; and reduced blood flow means reduced oxygen. With lesser oxygen to consume, the brain may not function well as expected, hence the memory may be prejudiced.

3) Stay Away from Brain Toxins

As you may know, illegal drugs may cause harm to your brains functioning. However, you should also know that prescription drugs, if misused, may also have the same toxic effect to your brain. Thus, you should always follow the prescription given to you be your doctor, and never self-medicate. This may affect your brains normal performance. Prolonged use of drugs may cause memory loss.

4) Eat Healthy

Your brain functions according to the nutrients that it receives from the food that you eat. Thus, if you are deprived of certain nutrients, then it may have an adverse effect on the functioning of your brain. You most certainly would not want this to happen. Thus, as prevention, you should eat a healthy and balanced diet so that you will absorb all the vitamins and nutrients that your body needs. Also, you should stay away from junk foods.

5) Exercise Your Brain

Find ways to use and improve your thinking skills. Some mentalists propose techniques which are designed to improve mental skills. We all have the potential to possess a good functioning memory, thus it should be something that we can all improve. All we have to do is to find ways and try techniques that can effectively help us develop our potentials.

Most people believe that by engaging themselves into educational activities, they are improving their mental faculties. This is true, and you can try this even at home. Simple activities like crossword puzzles can exercise your brain. This may help your brain functioning to get better, if not, to prevent it from deteriorating easily.

6) Shield Your Brain

There is no point of improving the brain if you cannot protect it physically. You should always protect your head from injuries because trauma may affect the functioning of your brain. Even simple injuries should be avoided, because repeated minor injuries, if accumulated, may cause damage to your brain. Thus, you should try simple prevention, like putting helmets when bicycling, in order for you to avoid situations that may damage your brain functioning.

If you want to be able to think better, your brains health is the key. Thus, you should keep it as healthy as possible and avoid all those factors which may expose you to mental deterioration.

Helpful Tips to Better Your Memory

Through time, as you grow old, you will encounter many health problems that can be countered by leading a healthy lifestyle. This will also be beneficial in the goal to better your memory. In psychology, this is defined as one’s mental ability to encode the registered information, retain and use the helpful data whenever necessary.

You must do everything necessary to keep your brain functioning well. This way, you can avoid getting numerous disorders that are associated with the brain. As people grow old, the one aspect that usually gets affected is their memory. They are having difficult time remembering valuable information, especially at times when they need to come up with an answer. The following processes of how your brain functions get affected, especially when you just let it be and you don’t act upon the problem.

1. Encoding. When your brain receives information, it processes everything and combines pieces of what has been received with the data already stored in your system.

2. Storage. Your brain acts like the hard disk of your system where you store everything. But unlike the computer system, your brain records the information permanently. And it will stay there for as long as you are healthy and you haven’t encountered serious problems that have caused your brain to malfunction.

3. Recall. In cases wherein you have to answer questions and situations based on what has already been stored in your brain, you try to recall the data that may help you arrive at the right conclusions.

Improve Your Memory

The International Longevity Center released a report in 2001 that includes vital tips in improving your brain’s performance. The more pronounced tips include actively seeking new information through learning. This can be achieved by reading and training. You should also engage yourself in physical activities that promote blood circulation on your brain. You should also learn to keep your stress levels at a low by not thinking too much about problems. It is also recommended to get enough sleep and eat right. To help you exercise your memory to improve its performance, here are some more tips that you can opt to do.

1. Make it a habit to write down notes about the things that you want to do and whatever you want to remember. This can aid you in achieving your goal until you no longer have to resort to this activity or do it less often.

2. If you are reviewing for exams and the likes, you must get enough rest after storing too much information on your brain. You can repeat the process after you have rested and before the date of the exam to help your brain absorb more information and retain most of them.

3. You should also practice visualizing things that you need to remember. For example, you need to remember too many names at a short period of time. It will help if you will associate the faces of the people and their names on images that will make you recall them easily.

4. While some people may attest that cramming work for them, this is not healthy as you try to force and overload your brain with too many information for a short period of time. If you have to study, give yourself ample time to finish everything that you have to review. Give your brain time to rest after absorbing too many data. This will help better your memory and for you to perform well on your exams.