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  • Medical Yoga Conference-2016

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    1st Medical Yoga Conference was organized by Unnati Yogatherapy & Training Center under joint auspices of Hardikar Hospital, Shivajinagar, Pune on 4th December 2016.

    There was an overwhelming response. Dignitaries from Physiology Department of B. J. Medical college & other medical colleges graced the conference.

    The conference was inaugurated in the hands of Dr. Ramesh Bijlani Sir, (Ex-HOD-AIIMS-DELHI). He is the authority in the field of Physiology & Philosophy. In his inaugural speech, he guided us for refinement & purification of our emotions & intelligence. He explained the concept of divine will, divine wisdom & active-voluntary surrender - which should be taken as an opportunity for self-spiritual development. He ended with narration of un-favourable & favourable conditions, under both, we can fulfil purpose of existence.

    Dr. Jagdish Hiremth Sir, eminent -cardiologist of Pune, warned us about depression & rumination of thoughts. He stressed the importance of empathy, humor, calmness for helping heart. Dr. Sanjay Phadke, eminent Neuropsychiatrist of Pune elaborated, about the researches, he has undertaken, In the field of Yoga & Neuroscience. He explained the effects of Yogic Postures during practise & lasting effect thereafter. He explained the effects of Yogic postures, at EEG, EMG & Heart rate. He narrated, the way brain functions (e.g. Heuristic) & the pathway of Yoga as volitional change from automatic or random responses.

    Dr. Leena Phadke madam, associate professor at KN Medical College, explained the new concepts of normal breathing, where she said neuroplasticity is minimal (at respiratory centers), however she narrated many circuits present, which are interlinked with each other & are excitatory. She elaborated about (CPG) Central Pattern Generation & told us that inter mittant efforts bring better results than continuous.

    Dr. Ulka Natu, eminent Gynaecologist & Obstetrician of Thane & also a dedicated Yogic person, explained her research work in the field of Prenatal Yoga. She explained the effects of Omkar recitation on placental circulation, proved by her in foetal Doppler study.

    The conference ended with a brief by Dr. Vineeta Ketkar on the subject of Medical Yogatherapy advised at her center. This is based on Ashtang Yoga, Hath Yoga & Rope & Belt Therapy. Padmashree Dr. Sharad M. Hardikar Sir guided everybody at the conference, for patent - centric & research oriented approach, in the field of Yoga.

  • Times Of India Articles

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    1st Medical Yoga Conference was organized by Unnati Yogatherapy & Training Center, Pune on 4th December 2016.

    Dignitaries from Physiology Department of B. J. Medical college & other medical colleges graced the conference.

    The conference was inaugurated in the hands of Dr. Ramesh Bijlani Sir, (Ex-HOD-AIIMS-DELHI). He is the authority in the field of Physiology & Philosophy. In his inaugural speech, he guided us for refinement & purification of our emotions & intelligence. He explained the concept of divine will, divine wisdom & active-voluntary surrender - which should be taken as an opportunity for self-spiritual development.

    Dr. Jagdish Hiremth Sir, eminent -cardiologist of Pune, warned us about depression & rumination of thoughts. He stressed the importance of empathy, humor, calmness for helping heart. Dr. Sanjay Phadke, eminent Neuropsychiatrist of Pune elaborated, about the researches, he has undertaken, In the field of Yoga & Neuroscience. He explained the effects of Yogic Postures during practise & lasting effect thereafter. He explained the effects of Yogic postures, at EEG, EMG & Heart rate.

    Dr. Leena Phadke madam, associate professor, explained the new concepts of normal breathing, She elaborated about (CPG) Central Pattern Generation & told us that inter mittant efforts bring better results than continuous. Dr. Ulka Natu, eminent Gynaecologist & Obstetrician of Thane & also a dedicated Yogic person, She explained the effects of Omkar recitation on placental circulation, proved by her in foetal Doppler study.

    The conference ended with a brief by Dr. Vineeta Ketkar on the subject of Medical Yogatherapy advised at her center. This is based on Ashtang Yoga, Hath Yoga & Rope & Belt Therapy. Padmashree Dr. Sharad M. Hardikar Sir guided everybody at the conference, for patent - centric & research oriented approach, in the field of Yoga.

    Founder Director
    Dr. Vineeta Ketkar, MBBS (Mumbai)
    Family physician
    Unnati Yogatherapy & Training Center
    Mob No. 8390572626
    www.gnosismedicalyoga.com
    ketkarvs@gmail.com

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  • Rope & Belt Therapy

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    Rope & Belt therapy is pioneered by Yogacharya BKS Iyengar Guruji way back in 1970. Dr. S. V. Karandikar, an ardent disciple of Guruji further developed it. Being an expert clinician & blessed with research mind, he applied his anatomical & physiological acumen for musculo – skeletal disorders.

    It is used as an adjunct in conservative management of Osteoarthritis of Knee Joint, Lumbar & Cervical Spondylosis.

    Eminent Orthopaedic Surgeon, Padmashree Dr. S. M. Hardikar Sir approves and advises it for selective cases.

    The basic principles for Rope & Belt Therapy are -

    • Stretching of selective skeletal muscles.
    • Restoration of alignment of bones.
    • Correction of weight bearing axis of body.
    • Improvement of Postural awareness.
    • Passive Correction of Pelvic & Shoulder Girdles.

    Rope & Belt Therapy has two components -

    • To be given by experienced Yogatherapist at Yoga Center.
    • To be learnt by patient & used in day to day life.

    Rope and Belt Therapy is a valuable application in modern Yogic Science. The classical Yogic postures form its’ base. The patients with history of pain & muscular spasm, are unable to perform & practice classical Yogic postures. Rope & belt Therapy is extremely useful in such cases. It is advised for one month duration to six months after which the patients’ day to day activity comes back to normal & one can practice classical Yogic postures & moderate aerobic activities.

    Rope & Belt Therapy is extremity useful for highly motivated, adherent, studious, self care type persons. In case of senior citizens, it requires a support system at family level.

    rope-belt-therapy
  • Yoga & Irritable Bowel Syndrome (IBS)

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    IBS is a gastrointestinal disorder, characterized by altered bowel habits and abdominal pain in the absence of detectable structural abnormalities.

    Altered bowel habits are in the form of constipation, diarrhea or both. Associated symptoms may be abdominal pain and or flatulence.

    The role of central nervous system in the pathogenesis of IBS is strongly suggested by

    • Clinical association of emotional disorders and stress with symptom exacerbation.
    • The therapeutic response to therapies that act on cerebral cortex.
    No clear diagnostic markers exist for IBS. Hence the diagnosis is based on clinical findings.

    Stool reports are normal, i.e. without micro-organisms, pus cells, mucus, and blood. Colonoscopy is normal i.e. without signs of inflammation or ulcers.

    CNS dysregulation leads to impaired motor reactivity of small bowel and colon to a variety of stimuli. It also leads to altered visceral sensation. (Both lead to motility disorders like constipation and or diarrhea and abdominal pain).

    The neural elements affecting gastro – intestinal activity are –

    • Intrinsic System
    • Afferent nerves
    • Efferent nerves
    • Higher neural influence
    • The intrinsic system, also called as enteric nervous system is present in wall of bowels. It responds to mechanical and chemical stimuli, i.e. mechanical distension and presence of food
    This system makes the gut self sufficient, i.e. its’ work does not get disturbed seriously if the extrinsic nerves are not functioning. These intrinsic nerves release large variety of neurotransmitters.

    • Afferent nerves carry mechanical or chemical stimuli from gut. They are afferent fibers of 10th cranial nerve – Vagus. Few travel in dorsal root of spinal cord.
    • Efferent nerves reaching gut are parasympathetic and sympathetic fibers. Parasympathetic fibers travel in vagus nerve and in sacral outflow. Sympathetic fibers travel in thoracic outflow. Parasympathetic stimulation leads to increased motility and secretion. Sympathetic activity inhibits motor activity & lead to contraction of sphincters. It aslo needs to reduced blood flow in gut circulation which, may lead to reduced secretions.
    • This shows that parasympathetic stimulation will lead to diarrhea and sympathetic stimulation may lead to constipation. Higher neural influence – Limbic system is the seat of emotions. The emotions like fear, anxiety, frustration, insecurity lead to activation of vigilance network, which increases alertness. Stimulation of limbic system (Hypothalamus), limbic cortex and pre-frontal cortex due to emotions and thought process affect the function of gut, via efferent fibers of parasympathetic and sympathetic systems.
    Thus psychogenic factor plays a major role in exacerbations & remissions of IBS. It is said that, the sorrow which does not have a vent in tears, makes other organs weep. Hence therapy is directed to both mind & gut.

    Medical Yogatherapy offers, predictable help in IBS. Following is the Therapeutic schedule advised.

    • 2 days Therapeutic Postures with Props.
    • 2 days Pranayam Sequence with Shavasan and Meditation.
    • 2 days Basic Yogic Posture Sequence.
    Practice of Ashtang Yoga helps in perception correction, cognitive changes, emotional stability & psychological strength. Patients suffering from IBS improve in their symptoms after Yogic study, continued for 6 – 8 weeks.

    irritable-bowel
  • Ashtang Yoga & Nervous System

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    Ashtanga Yoga explained by Mahamuni Patanjali about 2500 years ago consists of 8 limbs, namely Yama, Niyam, Asan, Pranayam, Pratyahar, Dharana, Dhyan, and Samadhi.

    Study of Ashtanga Yoga helps us at multiple levels, taking care of our health. Science of Yoga is science of discipline. Yama & Niyam discipline our behavior. Asan disciplines our body structure & function. Pranayam disciplines our energy system. Pratyahar disciplines our sensory pathways, which begin at sensory organs and end at sensory centers in cerebral cortex. These pathways have to & fro – connections with limbic system. These connections are responsible for emotions. Dharana & Dhyan discipline our cognitive abilities and balance our emotions & rationality.

    All the effects of practice of Ashtang Yoga is mediated by conscious efforts, which is a function of cerebral cortex.

    Limbic system is involved in generation of emotions arising after receiving sensory inputs. This occurs at subconscious level.

    Brainstem takes care of breathing, circulation, heart function, evident in unconscious state.

    Practice of Science of Yoga with honesty, respect and perseverance leads to enhanced pre-frontal cerebral activity. Prefrontal area of cerebral cortex is responsible for elaboration of thoughts after receiving analyzed sensory and motor information.

    This can be called as superconscious level.

    We can have a brief idea of structure & function of Nervous System from following charts.

    nervous-system-functional
    nervous-system-functional
    nervous-system-functional
    nervous-system-functional
    nervous-system-functional
  • Samatva Helps Homeostasis

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    Samatva is a word for equanimity used in Yogic Sciences for state of chitta. Chitta is mind – intellect complex. Aim of Yogic study is to stabilize our body and mind with the help of intellect to experience this state.

    Constant deviations of mind are due to various sensory inputs. These inputs travel their pathways to reach their respective centers in brain. Brain interprets, processes, analyzes, stores them and orders action.

    Homeostasis is a physiological term meaning a state of dynamic equilibrium of internal environment with the help of feedback & regulations.

    The internal environment of a cell is extracellular fluid around it. This fluid contains optimum amount of O2 Glucose, fatty acids and amino acids for nutrition of cell and k+, mg++, PO4—for cellular integrity.

    Aim of cells forming tissue, tissues forming organs, organs forming systems is to maintain Homeostasis. e.g. Lungs bring O2 to blood and maintain acid – base balance, heart delivers sufficient blood as per need to each and every cell of body, kidney excretes the waste products and maintains water and electrolyte balance, brain constantly watches the surroundings, to detect danger & protects body from it.

    Samatva state of chitta teaches us to optimize the challenges in our life and teaches body and mind to face them efficiently. This helps body to maintain Homeostasis. Thus samatva state of chitta helps physiology of body not changing into pathology.

    Science of Yoga teaches us to use our intelligence in the form of awareness and conscious efforts, to watch the state of mind, emotions, thoughts and our actions.

    Ashtang Yoga disciplines our behavior by Yama & Niyam which filter the sensory inputs. Asan, Pranayam maintain our body structurally & functionally with optimum energy utilization.

    Pratyahar, Dharana and Dhyana discipline our sensory inputs and their pathways. They correct our perceptions to reach a state of equanimity, i.e. Samatva.

    It is a long way but a sure way for health & happiness.

    samatva
  • Ujjayi Pranayam & Larynx

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    Ujjayi Pranayam is practiced with both nostrils open, by producing a snoring sound during inhalation and exhalation. This sound is produced due to adduction of vocal cords. i.e. they come near each other, so that air of inhalation and exhalation produce the snaring sound.

    During this practice, inhalation and exhalation are done by thoracic breathing. Thoracic breathing leads to expansion of ribcage in transverse and front to back dimensions.

    Inhalation should be deep and exhalation should be deliberately prolonged.

    Larynx is also called voice box, as voice – (sound) is produced here. It is produced by vibrations of vocal cords present in it.

    Vocal cords are tough white tendinous cords converging in front & separating behind. They are attached to tiny cartilages, behind, called arytenoids & in front to thyroid cartilage.

    Intrinsic muscles are responsible for adduction (coming near) abduction (going away) of vocal cords in their front and back part as the need arises. e.g. during speech they come near each other.

    These muscles have nerve supply by branch of vagus nerve. Vagus nerve also carries afferent fibres(receiving impulses) from larynx.

    Practice of Ujjayi Pranayam leads to -

    • Attention to inhalation and exhalation to deepen & prolong respectively.
    • This reduces resting breathing rate.
    • Reduction in breathing rate increases vagal tone.
    • Afferent impulses are carried by vagal fibers to reach its center.
    • Study of Dharana with breath as an ‘Aalamban’, (To concentrate at) helps us for Dhyana Practice.

    ujjayi-pranayam
    ujjayi-pranayam
  • Yogic Postures for Strengthening Pelvic Floor

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    Pelvic floor or diaphragm is formed by right & left sided levator Ani muscles, meeting in the center.

    The Levator Ani muscle has 3 parts, front - pubococcygeus, middle - ileococcygeus & back - ishio-coccygeus.

    It spreads like a Japanese fan. It is pierced by 3 structures in female & 2 in male. They are urethra, vagina and anal canal and urethra and anal canal respectively.

    The innermost fibers of Puboccocygeus form a sling around these passages to function like a sphincter. After repeated vaginal births or due to loss of tone and strength, this sphincter like function becomes weak.

    This gives rise to dribbling of urine after coughing, sneezing, laughing etc. This embarrasses the female, disturbing her quality of life.

    Following are the Yogic Postures which help to regain tone and strength in Levator Ani.

    Though a striated, skeletal muscle, we do not have awareness of its contraction.

    Contraction of lower fibers of Rectus Abdomens (near pubic symphysis), that of Gluteal muscles and external anal sphincter, (all together) is associated with contraction of Levator ani.

    Since we cannot voluntarily contract Levator Ani, we have take help of these muscles.

    This leads to lifting of pelvis from front and extension at back.

    The following postures, with above mentioned awareness, makes the woman free of her complaints after 6 – 8 weeks.

    • Gomukhasan (Legs)
    • Shalabhasan
    • Setubandha
    • 45O Adhomukh Shwanasan
    • Both Legs Lift 1’ from floor
    • Both Legs rotation 1’ from floor
    • Active Pelvic Lift
    • Pelvic lift belt
    • Slanting Lumbar Traction with awareness.

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  • Yoga & Womanhood

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    Hypothalamus controls the hormones of pituitary, which in turn controls ovaries. This is called Hypothalamopitutaryovarian axis.

    Hypothalamus is the head quarter of limbic System. It is a part of brain which receives all the sensory information from thalamus & gives rise to emotions. These emotional reactions give rise to our actions.

    Hypothalamus is constantly in communication with cerebral cortex. It receives sensory information, for vision,smell,hearing,taste,and fine touch form body. Its’ function is to analyze it, store it, learn from it. If our cerebral activity is over functioning, it sends different signals to hypothalamus, disturbing its’ function.

    Strong emotions arising at hypothalamus are also conveyed to cerebral cortex, which reacts to them by signaling hypothalamus.

    Thus there is a to & fro communication between both of them.

    Emotions like fear, anxiety, insecurity, frustration offen lead to hypothalamic dysfunction.

    Yogic Health Science helps in these situations by Ashtang Yoga. Cognitive corrections, emotional stability and psychological strength are gained by it.

    Hypothalamic dysfunction, disturbing function of HPO axis, in reproductive phase of woman’s life is greatly helped by Yogic Study.

    • Hypothalamic Dysfunction clinically presents as,
      • Amenorrhea
      • Menorrhagia
      • Anovulation
    • We have to rule out organic - pathological cause for such complaints before we label it as Hypothalamic Dysfunctional disorder.
    • We advice Medical Yoga Therapy in such cases.
    • MYT
      • 2 days - Therapeutic Postures with Props
      • 2 days - Pranayam Batch with Shavasan & Meditation
      • 2 days - Basic Posture Sequence.

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  • Yogic Postures & Skeletal Muscles Article – 1

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    ashtanga-yoga Yogic Posture is defined as arrangement of body parts with understanding and awareness.

    Ashtang Yoga explained by Mahamuni Patanjali elaborates Yogic Postures in 3 Sutras. Ashtang Yoga is dedicated to study of mind & its discipline.

    Hathyoga elaborates various types of Yogic Postures in detail. Hathyoga mainly concentrates on purification and strengthening of body.

    In the journey of study of science of Yoga, we begin with study of various Yogic Postures.

    Yogic Postures involve most of the joints of our body.

    Yogic Postures are divided according to body position.
    • Standing
    • Sitting
    • Prone
    • Supine
    • Twisting
    They involve many muscles acting on joints.

    These muscles are called skeletal muscles, as they are attached to skeleton.

    Skeletal muscles are under voluntary control. So we can arrange our body in different positions to work on our muscles and joints.

    The effects of practice of Yogic Postures on our skeletal muscles is a follows –

    Strength

    Strength of the muscle increases, when muscle contracts (works) with weight. This is called weight training. Yogic Postures utilize body’s weight to be balanced against gravity.

    Postures are designed to balance weight of body by palms, forearms, arms, torso muscles respectively in Suryanamaskar, elbow balance, Urdhwamukhshwanasan, etc.

    Similarly postures are designed to strengthen extensors of spine and front torso muscles in prone and supine Naukasan respectively.

    Strength of the muscle increases due to increase in the size of muscle fibre & not the number. This is due to increase in contractile filaments namely Actin & myosin.

    ACTIN AND MYOSIN FILAMENTS-Ashtanga Yoga Training
    URDHWAMUKHSHWANASAN-Yoga in Pune

    Endurance

    Endurance is the ability of muscle to work for long time.

    While performing Yogic Postures, we have to hold the postures for certain time, by counting numbers. Slowly the duration can be increased.

    The selective postures mentioned above can be used for this purpose.

    Endurance of skeletal muscles is due to –

    • Amount of enzymes required during mitochondrial aerobic oxidation of glucose.
    • For muscle to work for long time, these enzymes are produced more.
    • Increased capacity of muscles to extract oxygen i.e. Vo2 max. This is due to more aerobic enzymes plus improved vascularity to muscles.
    • Increased glycogen content of muscle aids in glucose supply for energy.
    MITOCHONDRIA-Ashtanga Yoga Training Pune
    NAUKASAN-Yoga in Pune

    Optimal Length

    muscle has maximum strength when its’ length is optimum.

    Yogic Postures are designed to stretch selective muscles in the body, which show adaptive shortening e.g.

    • Hamstring & calf muscles in Adhomukhshwanasan.
    • Rectus femoris are in Veerbhadrasan.
    This also offers freedom to concerned joints.

    ADHOMUKH SHWANASAN-Yoga Training Pune
    MOTOR CORTEX-Ashtanga Yoga Training

    Conscious Relaxation

    Every skeletal muscle is in resting state of contraction called Tone.

    Tone of muscle is controlled by local muscle receptor called muscle spindle & higher center in cerebral cortex.

    High level of cerebral Activity (During stress) keeps muscles in a state of excessive contraction. This leads to fatigue & compressive effects on concerned joints.

    Shavasan is a selective Yogic Posture, in which we consciously give instructions to muscles for relaxation.

    If we can relax our muscles by practice, signals reaching to higher centers is reduced, which will reduce cerebral activity.

    Conscious relaxation helps to optimize cerebral activity by biofeedback loop.


    MMOTOR CORTEX-Ashtanga Yoga Training
    SHAVASAN-Yoga In Pune
  • Yogic Postures & Skeletal Muscles Article – 2

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    Balance of agonist & antagonist

    The group of muscles doing one action on a joint are called Agonist group of muscles. The muscles doing the opposite action on same joint are called Antagonist group of muscles. e.g. for flexion (folding) of elbow the agonist group is Biceps, Brachialis and Brachioradialis.

    Muscles causing extension unfolding of elbow are their antagonist namely Triceps and anconeus.

    For smooth action at any joint, one group of muscles contracts & other group of muscle undergoes relaxation. Yogic postures are designed to involve both groups of muscles. They are to be practiced in a particular sequence. Working on both group of muscles (agonist & antagonist) is mandatory in Yogic Postures. e.g. Konasan 1 for Biceps & Konasan 2 for Triceps.

    Gnosis Medical Yoga explores this knowledge while studying Yoga in Pune. This balance of agonist and antagonist makes the actions smooth & in full range.

    Biceps Konasan
    Triceps Konasan

    Balance of right and left side muscles of body

    In right handed persons, right sided muscles are used most frequently, than left side giving rise to adaptive changes.

    Yogic postures are designed to balance both side muscles. So one has to practice postures on both sides with a deeper understanding. e.g. Gomukhasan Hands.

    Gnosis Medical Yoga activity is conducted at Unnati Yoga Center. Our center is well-known for Medical aspects of Yoga in Pune. Right & left sided balance is useful to postpone degenerative changes in weight bearing joints.

    Right Gomukhasan
    Left Gomukhasan

    Co-Ordination of different muscles in body

    When we are practicing standing posture e.g. Parshwakonasan, each joint is held in a particular action, with a major difference on both sides. (Right & Left)

    We have to pay attention to toes, arches of foot, ankle, knee, hip joint, pelvis, vertebral column, rib cage, shoulder joint, elbow & wrist joint in Parshwakonasan.

    This leads to stimulation of cortical centers which are controlling the muscles acting on these skeletal sites. Co-ordination among various muscles is responsible for maintaining such postures.

    This power of co-ordination requires concentration. Study of Dharana thus starts at body level in Yogic Postures.

    Asan and Dharana are two limbs of Ashtangyoga. Our center deeply studies the physiological aspects of Yoga in Pune.

    parshwakonasan

    Body Equilibrium

    We human being are gifted with erect posture. But we have to pay cost for it. Our vertebral column & other weight bearing joints need special attention for their health. Balanced muscle action with necessary strength is well understood & practiced in many standing postures. e.g. Ekpadpranamasan.

    Muscles shown below are postural muscles. Asan is practiced with knowledge & awareness. Our center offers courses with such aspects. It is distinguished for its Medical Base for Yoga in Pune.

    Ekpadpranamasan
    Erector Spine
    Gluteus Max

    Adaptive changes due to work pattern

    We tend to be in one body position or movement due to our occupation. e.g. All indoor working people in various professions have to sit for long time in a particular posture. Many other occupations require prolonged standing, lifting weight etc.

    The muscles which are keeping the skeleton for long time undergo adaptive shortening. This reduces freedom in the concerned joints in the course of time. e.g. flexors of hip joint.

    Yogic postures are designed to stretch selective muscles. e.g. Veerbhadrasan for hip flexors.

    Prolonged standing and excessive walking lead to calf muscle shortening. Adhomukh Shwanasan is ideal posture to stretch them.

    Gnosis Medical Yoga offered at Unnati Yoga Institute in Pune thus elaborates on study of skeletal muscles in various Yogic Postures.


    Veerbhadrasan
    Hip Flexors