Osteoarthritis is a degenerative disorder of Joint. This degeneration in Joint
occurs due to wear & tear mechanism. Hence it is most common in weight bearing
joints. Weight bearing joints of body are intervertebral joints, sacroiliac
joints, hip joints, knee joints & ankle joints.Out of all these, degeneration in
intervertebral joints is called Spondylosis.
Out of remaining joints,degeneration of Knee Joint is most common due to its
incongruence, (mis matching surfaces) & excessive movement.
The tissue involved is articulated cartilage which has poor regeneration
capacity. Hence its degeneration should be ideally prevented.However once starts
& if it gives rise to pain, stiffness & restriction of movements,it can be dealt
with predictably by innovative Yogic Postures & Rope & Belt Therapy.
The principles being restoration of plantar arches,restoration of Talus at its
keystone position, correction of rotational imbalance at Knee Joint, correction
of Varus deformity, mobilising pelvis & correction of Lumbar curvature
(increased lordosis needs correction). Correction Of mechanical axis (weight
bearing axis) is the final aim. This is achieved by working on muscles acting on
Knee Joint.
Yogacharya BKS Iyengar Guruji has pioneered the use of Ropes & Belts in the
practise of Yogic Postures for awareness & perfection. Dr S V Karandikar, an
ardent disciple of Guruji further developed it from Therapeutic point of view.
With his best clinical acumen & anatomical & physiological expertise (being
modern medicine family physician) he formulated Rope & Belt Therapy for
Osteoarthritis of Knee joints. It is an effective tool in conservative
armamentarium. It is extensively used for last 30 years & is found to be
effective in Grade I, II & early III cases.
Rope and Belt Therapy has three aspects.
1) Modified Yogic Postures divided into Phase I & Phase II. Phase I are
stretching postures for hamstring & calf muscles to minimise the flexion
deformity at Knee Joint. Phase II are strengthening postures to strengthen the
extensors of Knee & hip joints to correct mechanical axis of body.These are to
be practised by patients twice a day.
2) Ambulatory belts which aim at correction of plantar arches, Talus at keystone
position, Varus deformity & correction of rotational balance at Knee Joint.These
are to be used by patients in day to day life for few hours.
3) Rope and Belt Therapy which is given to patients at well equipped Yogatherapy
Center.
Time table of MYT Course-Rope & Belt Therapy (Theory) | ||
Day | Topic | Name of Faculty |
Lecture Sequence- OA Knee | ||
Day-1 | Introduction +Quote +Cardinal Principles+RBT-History | Yogaphysician/Doctors |
Day-2 | Bony Skeleton of Foot | Yogaphysician/Doctors |
Day-3 | Arches of Foot | Yogaphysician/Doctors |
Day-4 | Muscles of Leg | Yogaphysician/Doctors |
Day-5 | Muscles of Leg | Yogaphysician/Doctors |
Day-6 | Knee Joint Structure | Yogaphysician/Doctors |
Day-7 | Knee Joint Structure | Yogaphysician/Doctors |
Day-8 | Knee Joint +AA & MA | Yogaphysician/Doctors |
Day-9 | AA + MA + Movements | Yogaphysician/Doctors |
Day-10 | Movements + Locking & Unlocking | Yogaphysician/Doctors |
Day-11 | Muscles acting on Knee Joint | Yogaphysician/Doctors |
Day-12 | Hip Jit - Movements & Muscles, Pelvis - Movements & Muscles + Important Tips | Yogaphysician/Doctors |
Day-13 | Pathophysiology | Yogaphysician/Doctors |
Day-14 | Symptoms -Signs-Investigations | Yogaphysician/Doctors |
Day-15 | 5R+Medical Treatment + RBT | Yogaphysician/Doctors |
Day-16 | At Home + Ambulatory RBT +RBT | Yogaphysician/Doctors |
Lecture Sequence- Lumbar Spondylosis | ||
Day-1 | 12th Rib + Parts of Vertebra | Yogaphysician/Doctors |
Day-2 | Vertebral canal + Intervertebral foramen + Ligaments | Yogaphysician/Doctors |
Day-3 | Lumbar Lordosis | Yogaphysician/Doctors |
Day-4 | Intervertebral Disc, Sacrum-Cocyx, Pelvis | Yogaphysician/Doctors |
Day-5 | Spinal Cord, Spinal Nerves | Yogaphysician/Doctors |
Day-6 | Spinal Nerves | Yogaphysician/Doctors |
Day-7 | Sciatic Nerves | Yogaphysician/Doctors |
Day-8 | SI joint, IV joint, Hip joint | Yogaphysician/Doctors |
Day-9 | Muscles attached to Lumbar Spine | Yogaphysician/Doctors |
Day-10 | Muscles attached to Lumbar Spine Continued | Yogaphysician/Doctors |
Day-11 | Muscles Completed | Yogaphysician/Doctors |
Day-12 | Kinesiology, Pathophysiology | Yogaphysician/Doctors |
Day-13 | Symptoms -Signs-Investigations | Yogaphysician/Doctors |
Day-14 | Additional Information, Complications | Yogaphysician/Doctors |
Day-15 | Medical Management + RBT | Yogaphysician/Doctors |
Lecture Sequence- Cervical Spondylosis | ||
Day-1 | Sternum,Clavicle,Ribs | Yogaphysician/Doctors |
Day-2 | Vertebrae,Cervical Vertebrae | Yogaphysician/Doctors |
Day-3 | Scapula, Joints involved | Yogaphysician/Doctors |
Day-4 | Movement of Selective joints | Yogaphysician/Doctors |
Day-5 | Muscles | Yogaphysician/Doctors |
Day-6 | Muscles | Yogaphysician/Doctors |
Day-7 | Muscles | Yogaphysician/Doctors |
Day-8 | Kinesiology, Forward head Posture | Yogaphysician/Doctors |
Day-9 | Brachial Plexus, Pathophysiology | Yogaphysician/Doctors |
Day-10 | Symptoms -Signs-Investigations At Home + RBT | Yogaphysician/Doctors |
Day-11 | Scoliosis + AS | Yogaphysician/Doctors |
Day-12 | Rheumatoid Arthritis | Yogaphysician/Doctors |
Time table of MYT Course Rope & Belt Therapy ( Practical) | ||
Day | Topic | Name of Faculty |
Day-1 | Basic sequence for TBA,SGA,PGA | Yoga Therapist |
Day-2 | Knee @ Home Phase I | Yoga Therapist |
Day-3 | Knee @ Home Phase II | Yoga Therapist |
Day-4 | _ Fast revision of @ HOME + Ambulatory Belts ( CS & KM) | Yoga Therapist |
Day-5 | Revision of CS & KM + KS | Yoga Therapist |
Day-6 | Double Knot Foot Stretch | Yoga Therapist |
Day-7 | Double knot Ankle Stretch | Yoga Therapist |
Day-8 | Simple Varus Correction + Intro of Fortified VC | Yoga Therapist |
Day-9 | Simple Varus Correction + Fortified VC | Yoga Therapist |
Day-10 | Vertical Leg Stretch | Yoga Therapist |
Day-11 | Revision of @ Home Phase I & II | Yoga Therapist |
Day-12 | Ambulatory Belts - CS,KM ,KS | Yoga Therapist |
Day-13 | DKFS + DKAS | Yoga Therapist |
Day-14 | Varus Correction - Simple & Fortified | Yoga Therapist |
Day-15 | Vertical & Questions & Discussion | Yoga Therapist |
Day-16 | Lumbar - @ Home Phase I | Yoga Therapist |
Day-17 | Lumbar - @ Home Phase II | Yoga Therapist |
Day-18 | Revision of 2 Home + Pelvic Lift | Yoga Therapist |
Day-19 | Lumbar Traction - Horizantal & Slanting | Yoga Therapist |
Day-20 | Lumbar Traction with Ropes & Belts | Yoga Therapist |
Day-21 | Standing Forward Position with Belt GT | Yoga Therapist |
Day-22 | Sitting Forward Position with Belt GT | Yoga Therapist |
Day-23 | P.D. with L T with Belt GT | Yoga Therapist |
Day-24 | Double Rope Pelvic Lift with Rope GT | Yoga Therapist |
Day-25 | Revision of Double Rope Pelvic Lift | Yoga Therapist |
Day-26 | Sciatic Entrapment Release | Yoga Therapist |
Day-27 | Revision of @ Home Phase I & II | Yoga Therapist |
Day-28 | Revision of Lumbar Traction & Standing Forward Position | Yoga Therapist |
Day-29 | Revision of Sitting Forward Position & P.D. with LT | Yoga Therapist |
Day-30 | Revision of Double Rope Pelvic Lift + Sciatic Entrapment Release | Yoga Therapist |
Day-31 | Cervical @ Home Phase I | Yoga Therapist |
Day-32 | Cervical @ Home Phase II | Yoga Therapist |
Day-33 | Self BSD + BSD + Velcro BSD | Yoga Therapist |
Day-34 | Cervical Traction - Horizantal + SittingHorizantal Arm Stretch | Yoga Therapist |
Day-35 | Rope Jacket + P D with L T | Yoga Therapist |
Day-36 | Revision of @ Home Phase I & II | Yoga Therapist |
Day-37 | Revision of Cervical Traction + HAS | Yoga Therapist |
Day-38 | Revision of Cervical Traction + HRS | Yoga Therapist |
Day-39 | Revision of Rope Jacket + P D with L t | Yoga Therapist |
Day-40 | RBT for Ankylosis Spondylosis | Yoga Therapist |
Spondylosis is the price paid for our erect posture.Our spine has to face the
gravitational force to remain erect.This great demanding work is performed by
antigravity vertebral muscles.This task makes them tired which highlights the
need of adequate sleep.Once we lie down ,the gravitational force ceases to act
on it.
This work also necessitates the sufficient strength in vertebral muscles which
can be gained by practising prone Yogic Postures. (Sarpasan, Bhujangasan,
Shalabhasan, Naukasan, Dhanurasan)
This state of their contraction for long time leads to adaptive shortening which
can be attended by practising selective Postures. (Adhomukh shwanasan,
Shashankasan, Janushirshasan, Paschimottanasan)
The vertebral muscles are helped by core muscles in Lumbar area. One needs to
strengthen the core muscles by practising Konasan 1 & 2, Padangushttasan, supine
naukasan.
Cervical spine needs help by maintaining the awareness of scapular mobility for
its depression & retraction. Rope and Belt Therapy Course teaches all these
principles in the form of @ Home Yogic Postures. In addition it offers an
innovative Yogic variation which is very effective in conservative management of
Spondylosis. It works by principles of distraction at vertebral column,
Correction of exaggerated curvatures in spins, Correction of increased
lumbosacral angle, mobilisation os spine.
Offers @ Home Yogic Postures divided into Phase I & Phase II, for stretching &
strengthening of selective muscles. Stretching effect is aimed for Erector
Spinae, Hamstring, Trapezius muscles. Strentening of Pectoralis major, Erector
spinae, Glutei & core muscles is crucially important.
Use of Ropes & Belts is pioneered by BKS Iyengar Guruji way back in 1970. Dr S V
Karandikar, his ardent disciple has further developed & formulated it for
degenerative conditions of spine- Spondylosis. This simple technique is found
extremely effective in mobilising the shoulder & pelvic girdle.It is indicated
for Cervical & Lumbar Spondylosis & Disc disease where there is no neurological
deficit. It is extremely crucial to rule out sensory & motor deficit due to
nerve root impingement by careful clinical examination.
This therapy is educational, where patient’s awareness of spine, it’s
curvatures, deviations, proper erect posture,power of internal distraction is
taught to patients. A word about role of relaxation response taught in Shavasan
is found to minimise the complaints is worth mentioning.