Chair Yoga Intervention Protocol

Transcription

1 Chair Yga Interventin Prtcl General Purpse: T assist clients imprve their physical fitness/health, imprve md, and decrease ptential behavirs thrugh a lw-impact, seated exercise. Ppulatin: All ppulatins wh utilize wheelchairs fr ambulatin r individuals with high fall risk. Prgram Descriptin: Chair yga is an excellent interventin that has evidence backing its beneficial utcmes. Chair yga can be used as an adaptatin frm regular yga fr an individual, wh has difficulty balancing, is cnfined t a wheelchair, r wh is a high fall risk. Chair yga assists in imprving balance, strength, flexibility, anxiety, stress, sleep disturbances, pain, and arthritis amng thers. Client Prblems that may be Addressed: Yga has been knwn t help imprve sleep (Manjunath, Telles, 2005), imprve strength and decrease arthritis symptms (Dash, Telles, 2001), imprve md/anxiety (Gaur, 2001), decrease chrnic pain (Gaur, 2001), and imprve breathing difficulties (Nagarathna, Nagendra, Seethalakshmi, 1991). Cntraindicated Criteria: Sme clients may have physical limitatin such as paralysis r a traumatic injury that may need additinal adaptatin fr the client t participate. Interventin Activity: Depending n the ppulatin (high/lw functining) explain what yga and chair yga is and its benefits. Explain t all participants t take breaks when needed, t listen t their bdies, t stay hydrated, and t take it at their wn pace. Fllw prtcl and take breath breaks frequently. Finish by asking participants hw they feel and prvide water fr hydratin. Staff Training and Certificatin Requirements: Each staff member shuld be certified and licensed (if applicable) as a certified therapeutic recreatin specialist (CTRS) and be required t maintain his r her licensure and certificatin. Mrever, each staff member shuld be trained and educated in implementing a chair yga interventin; understanding the benefits and/r risks that are invlved in using chair yga as an interventin. Risk Management Cnsideratins: Similar t any physical activity, injury can ccur if nt dne prperly. Mrever, be familiar with any serius illness/injury that yur client may be experiencing s that yu can prvide apprpriate adaptatins. Anticipated Outcmes: Clients will understand the benefits and pses f chair yga. With regular participatin, clients will imprve strength, flexibility, decrease stress/anxiety, imprve sleeping patterns, and decrease pain amng thers. Prgram Evaluatin: Staff will ask clients abut their experience with yga and hw they felt befre and after the interventins indentifying validity f the use f yga and/r chair yga as an apprpriate interventin.

2 Research Supprt: Dash M, Telles S (2001). Imprvement in hand grip strength in nrmal vlunteers and rheumatid arthritis patients fllwing yga training. Indian J Physil Pharmacl 45(3): Gaur, S (2001). Preliminary findings f the Harbr-UCLA Medical Center study presented at the American Psychiatric Assciatin s annual meeting in May Dash M, Telles S (2001). Imprvement in hand grip strength in nrmal vlunteers and rheumatid arthritis patients fllwing yga training. Indian J Physil Pharmacl 45(3): Manjunath NK, Telles S (2005). Influence f Yga and Ayurveda n self-rated sleep in a geriatric ppulatin. Indian J Med Res 121(5): Nagarathna R, Nagendra HR, Seethalakshmi R (1991). Yga-chair breathing fr acute episdes f brnchial asthma. Lung India ix, 4: Chair Yga Pses: Arm stretches Hand t grab shulders grabbing ranges Make circles with elbws Change directin Squeeze elbws back and frth chicken wings Inhale pull elbws tgether Exhale pull elbws apart Elbws up and Elbws dwn bird wings Inhale elbws up Exhale elbws dwn Hand t grab shulders picking ranges t side Hands t shulders--inhale Open arms exhale Hand t grab shulders picking ccnuts t frnt Hands t shulders inhale Arms pen exhale Gal pst arms tgether Inhale arms tgether Exhale arms apart Gal pst wave arms dwn

3 Inhale arms up Exhale arms apart Neck stretches Ear t shulder Inhale left Exhale right Frnt and back Just lk at ceiling and grund Inhale up Exhale dwn Left t Right Inhale left Exhale right Back stretch T Right arm t back f chair arm t knee T Left arm t back f chair arm t knee Leg stretch Marching Left and Right Inhale lift right Exhale drp right Inhale lift left Exhale drp left Walking up wall left and right extending leg Inhale lift right Exhale drp right Inhale lift left Exhale drp left Rck N Rll feet--pint and Flex Feet--rcking Inhale pint Exhale flex Te lift Inhale te lift Exhale te dwn Ankle circle right

4 Lift right ft Ft circle Change directins Ankle circle left Lift left ft Ft circle Change directins Ft stretches Pint and Flex Ft Ft 3 Deeper yu breath the better yu feel Back Stretch Extended Leg Frward Fld Extend Feet apart 1-2 feet knees apart, hands n knees, knees stacked n tp f ankles Inhale, Exhale, frward fld Exhale, lift bdy Knees tgether Frward Fld with breath Hands n knees Exhale frward fld Inhale cme up Knee Lift with breath Interlace fingers, grab knee, pull knee tward head with exhale Inhale t release Interlace fingers, grab knee, pull knee tward head with exhale Inhale t release 3 Shulder shrugs Inhale lift Exhale drp Shulder shrugs left and right Inhale up Exhale Dwn Feet pressed int grund Belly engaged Inhale up

5 Exhale Dwn Arm Raises Arm Arrws right and left Straight arm and hand Inhale lift Exhale right Straight arm and hand Inhale lift Exhale right The mre yu exercise.the farther yu will g Apple picking left and right Lift right arm Pick apple Put in bucket Lift left arm Pick apple Put in bucket Cherry picking bth hands Fingers abve Pinting fingers left and right Opening fingers left and right Squeeze and extend hands Arms Extended One arm at a time if residents are tired Inhale extent Exhale squeeze Wrist circles Circle wrists Other directin Flipping Hands Inhale flip up Exhale flip dwn Waving arms Extend arms Wave arms dwn Wave arms up Pinting fingers

6 Pint fingers tward each ther Pint fingers away Rlling fingers Rll fingers in Rll fingers ut Spreading fingers apart Spread fingers apart Bring fingers tgether Prayer Stretch Hands at prayer Mve t left Mve t center Mve t right Sun Shine Arms Inhale raise hands up Exhale raise hands dwn Repeat Chair sun salutatin Inhale bring arms up Exhale hands at heart center Repeat Frward Fld with breath Hands n knees Exhale frward fld Inhale cme up Repeat Cnnect Inhale arms up Exhale hands thrugh heart center fld frward Inhale arms up Repeat Back stretch T Right arm t back f chair arm t knee T Left arm t back f chair

7 arm t knee Lin Eyes wide Tngue ut Frg Eyes wide Deep breath (fish face) Final Relaxatin Hands n knees Eyes clsed, r lk at grund Deep breaths Think f ne psitive thing abut self Open eyes End Namaste