Yog Yoga and nd meditation on for or TBI BI: evi eviden ence, - - PowerPoint PPT Presentation

▶
yog yoga and nd meditation on for or tbi bi evi eviden
SMART_READER_LITE
LIVE PREVIEW

Yog Yoga and nd meditation on for or TBI BI: evi eviden ence, - - PowerPoint PPT Presentation

Mar 21, 2023 125 likes •800 views

Yog Yoga and nd meditation on for or TBI BI: evi eviden ence, e, innova vations, and ways fo forw rward rd Kyla Pearce, Senior Director, LoveYourBrain Foundation Arkansas Trauma Rehabilitation Symposium Disclosure Statement Dr. Kyla

slide-1
SLIDE 1

Yog Yoga and nd meditation

  • n for
  • r TBI

BI: evi eviden ence, e, innova vations, and ways fo forw rward rd

Kyla Pearce, Senior Director, LoveYourBrain Foundation Arkansas Trauma Rehabilitation Symposium

slide-2
SLIDE 2

Disclosure Statement

  • Dr. Kyla Pearce is the Senior Director of the LoveYourBrain Yoga

program for the LoveYourBrain Foundation. She has no industry relationships to disclose.

slide-3
SLIDE 3

Learning Outcomes

1. Be able to define what yoga is and its unique features

slide-4
SLIDE 4

Learning Outcomes

1. Be able to define what yoga is and its unique features 2. Understand the evidence-based benefits of yoga and meditation for TBI rehabilitation

slide-5
SLIDE 5

Learning Outcomes

1. Be able to define what yoga is and its unique features 2. Understand the evidence-based benefits of yoga and meditation for TBI rehabilitation 3. Understand techniques for adapting yoga and meditation for TBI

slide-6
SLIDE 6

Learning Outcomes

1. Be able to define what yoga is and its unique features 2. Understand the evidence-based benefits of yoga and meditation for TBI rehabilitation 3. Understand techniques for adapting yoga and meditation for TBI 4. Learn about free TBI-friendly yoga and meditation resources and how people can access them

slide-7
SLIDE 7

C.A.L.M.

slide-8
SLIDE 8

Hathayoga.net

slide-9
SLIDE 9
slide-10
SLIDE 10

Wha What is s yog yoga?

physical movement (asana)

slide-11
SLIDE 11

Wha What is s yog yoga?

physical movement (asana) breathing exercises (pranayama)

slide-12
SLIDE 12

Wha What is s yog yoga?

physical movement (asana) breathing exercises (pranayama) meditation (pratyahara, dharana, dhyana)

slide-13
SLIDE 13

Wha What is s yog yoga?

physical movement (asana) breathing exercises (pranayama) meditation (pratyahara, dharana, dhyana) moral observations (yamas and niyamas)

slide-14
SLIDE 14

Wha What is s yog yoga?

physical movement (asana) breathing exercises (pranayama) meditation (pratyahara, dharana, dhyana) moral observations (yamas and niyamas) complete wellbeing (samadhi)

slide-15
SLIDE 15

mi mind to to body

slide-16
SLIDE 16

bo body dy to mind

Con Confide dence Fe Fear An Anger Joy Joy

slide-17
SLIDE 17

mind and body integration

slide-18
SLIDE 18

A D D R E S S E S T H E W H O L E P E R S O N

Bi Bio-ps psycho-soc social-sp spiritual Mod Model Pan Pancha Ko Kosha Model

slide-19
SLIDE 19

Enhances awareness Nervous system regulation Dynamic

slide-20
SLIDE 20

Hasenkamp, et al. Mind wandering and attention during focused meditation: A fine-grained temporal analysis of fluctuating cognitive states. NeuroImage. 2012; 59(1)750-760.

slide-21
SLIDE 21

Enhances awareness Self- empowering Nervous system regulation Dynamic

slide-22
SLIDE 22

Enhances awareness Self- empowering Nervous system regulation Dynamic

slide-23
SLIDE 23

Enhances awareness Self- empowering Nervous system regulation Dynamic

slide-24
SLIDE 24

Wha What i is t s the he e evi videnc nce?

slide-25
SLIDE 25
slide-26
SLIDE 26
slide-27
SLIDE 27
slide-28
SLIDE 28
slide-29
SLIDE 29

Wha What are re the he limi mitations?

  • ns?
  • Small samples
  • Lack of controlled studies
  • Different protocols make comparison difficult
slide-30
SLIDE 30

wha what i innova nnovations a

  • ns are

re ou

  • ut t

the here re?

slide-31
SLIDE 31
slide-32
SLIDE 32

LOVEYOURBRAIN YOGA

Six-week program designed to build community and foster resilience for people with TBI and caregivers

  • 10 min breathing exercise for building concentration
  • 45 min gentle yoga for improving balance and strength
  • 15 min guided meditation for relaxation
  • 20 min discussion for building community connections
slide-33
SLIDE 33
slide-34
SLIDE 34
  • Clinical

Affiliate program

Introduce yoga-based tools early post-injury

  • Community-

based program

Expand upon benefits of yoga in community setting

  • Community

integration

Sustain community connection and healing through yoga

OUR VISION

slide-35
SLIDE 35

HOW DOES IT LEAD TO COMMUNITY INTEGRATION?

slide-36
SLIDE 36

CLINICAL AFFILIATES

slide-37
SLIDE 37

YOGA STUDIO AFFILIATES

slide-38
SLIDE 38

LYB YOGA IN ALL 50 STATES BY 2021

slide-39
SLIDE 39

2,103 people with TBI and caregivers served 4,800 people engaged through outreach 199 programs / 1,194 classes / 10,000 attendances 771 yoga teachers and clinicians trained

slide-40
SLIDE 40

Ho How i w is L s LYB Y Yoga e evi vide denc nce-ba based?

slide-41
SLIDE 41
slide-42
SLIDE 42
slide-43
SLIDE 43

Ease of participation Belonging Sustaining community connection Physical health Self-regulation Self-efficacy Resilience

slide-44
SLIDE 44

Ea Ease se of

  • f pa

parti rticipa pati tion

  • n
slide-45
SLIDE 45

Sel Self-ef efficacy y & resi resilienc ence

slide-46
SLIDE 46

Sel Self-regu regulation

  • n
slide-47
SLIDE 47

TBI-specific scales assess changes from baseline to after participating in the program

  • Among 705 people with TBI, significant improvements:

ü Quality of Life (44.9 (SD=17.6) to 54.6 (SD=17.6), p<0.001)

ü Resilience (45.1 (SD=2.8) to 46.4 (SD=2.8), p=0.0004) ü Positive affect (48.8 (SD=2.0) to 50.3 (Sd=2.9), p<0.001) ü Cognition (34.4 (Sd=1.9) to 35.9 (SD=1.8), p<0.001)

VALID AND RELIABLE

slide-48
SLIDE 48

WHAT ARE BEST PRACTICES?

slide-49
SLIDE 49

WHAT ARE BEST PRACTICES?

  • Adapt specific poses to prevent dizziness and headaches,

improve balance, address spasticity and neck pain

slide-50
SLIDE 50

WHAT ARE BEST PRACTICES?

  • Adapt specific poses to prevent dizziness and headaches,

improve balance, address spasticity and neck pain

  • Similar movements and sequences for learning & memory
slide-51
SLIDE 51

WHAT ARE BEST PRACTICES?

  • Adapt specific poses to prevent dizziness and headaches,

improve balance, address spasticity and neck pain

  • Similar movements and sequences for learning & memory
  • Soft lighting, music, no scents to mitigate hypersensitivity
slide-52
SLIDE 52

WHAT ARE BEST PRACTICES?

  • Adapt specific poses to prevent dizziness and headaches,

improve balance, address spasticity and neck pain

  • Similar movements and sequences for learning & memory
  • Soft lighting, music, no scents to mitigate hypersensitivity
  • Strategies to focus attention, activate the parasympathetic

nervous system, and manage negative thoughts

slide-53
SLIDE 53

WHAT ARE BEST PRACTICES?

  • Adapt specific poses to prevent dizziness and headaches,

improve balance, address spasticity and neck pain

  • Similar movements and sequences for learning & memory
  • Soft lighting, music, no scents to mitigate hypersensitivity
  • Strategies to focus attention, activate the parasympathetic

nervous system, and manage negative thoughts

  • Group discussion and empowering themes to build

community and resilience

slide-54
SLIDE 54

Ho How t w to a access ss lo loveyourbr brain yoga? yoga?

slide-55
SLIDE 55

IF YOU HAVE A TBI, WHO CAN SIGN UP?

þ Able to move without assistance (no wheelchair, cane) þ Open to participating in a group discussion þ Able to follow instructions and regulate intense emotions þ Can commit to attending all 6 classes (first class mandatory) þ Are younger than 71 years of age We welcome people with post-concussion syndrome, mild to moderate TBI, and severe TBI, if they meet above criteria.

slide-56
SLIDE 56

Table 1. Participant characteristics Age (mean) 44 years Sex (% female) 70% TBI severity (%) Mild 35% Moderate 28% Severe 37% Symptoms and comorbidities (%) Light sensitivity 40% Post-concussion syndrome 24% Weaknesses on one side of the body 19% Seizures 7% PTSD or post-traumatic stress 14%

PARTICIPANT DEMOGRAPHICS

slide-57
SLIDE 57
slide-58
SLIDE 58

ADDITIONAL RESOURCES

slide-59
SLIDE 59
slide-60
SLIDE 60

MEET OUR PARTICIPANTS

slide-61
SLIDE 61

Diverse benefits contribute to more positive sense of self

slide-62
SLIDE 62

Promotes adjustment by focusing on potential for positive change Diverse benefits contribute to more positive sense of self

slide-63
SLIDE 63

Resilience associated with community integration and quality of life Promotes adjustment by focusing on potential for positive change Diverse benefits contribute to more positive sense of self

slide-64
SLIDE 64

QUESTIONS?

slide-65
SLIDE 65

THANK YOU!

Together, we believe we can change the culture around brain injury healing and support through yoga and meditation. Contact Kyla Pearce, Senior Director kyla@loveyourbrain.com

slide-66
SLIDE 66

RE REFERE RENCES

Cole MA, et al., Simultaneous Treatment of Neurocognitive and Psychiatric Symptoms in Veterans with Post-Traumatic Stress Disorder and History of Mild Traumatic Brain Injury: A Pilot Study of Mindfulness-Based Stress Reduction. Mil Med 2015; 180(9):956-63. Azulay J, et al. A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/post concussive syndrome. Head Trauma Rehabil, 2013; 28(4):323-31. Schmid AA, Miller KK, Van Puymbroeck M, Schalk N. Feasibility and results of a case study of yoga to improve physical functioning in people with chronic traumatic brain injury. Disabil Rehabil. 2015:1-7. Silverthorne C, Khalsa SB, Gueth R, DeAvilla N, Pansini J. Respiratory, physical, and psychological benefits of breath-focused yoga for adults with severe traumatic brain injury (TBI): a brief pilot study report. Int J Yoga Therap. 2012(22):47-51. Johansson B, et al. Mindfulness-based stress reduction (MBSR) improves long-term mental fatigue after stroke or traumatic brain injury. Brain Injury. 2012;26(13-14):1621-8. Donnelly K, et al. The feasibility and impact of a yoga pilot programme on the quality-of-life of adults with acquired brain

  • injury. Brain Injury. 2017;31(2):208-214.

Donnelly K, Goldberg S, Fournier D. A qualitative study of LoveYourBrain Yoga: a group-based yoga with psychoeducation intervention to facilitate community integration for people with traumatic brain injury and their caregivers. Disability and

  • Rehabilitation. In press. 2019.

Steven Southwick and Dennis Charney. Resilience: The Science of Mastering Life’s Greatest Challenges. 2012. Wells RE, Phillips RS, Schachter SC, McCarthy EP. Complementary and Alternative Medicine Use among U.S. Adults with Common Neurological Conditions. J Neurol. 2010;257(11):1822-31. Grace JJ et al. Post-traumatic growth following acquired brain injury: a systematic review and meta-analysis. Front Psychol 2015 Aug 14;6:1162. doi: 10.3389/fpsyg.2015.01162. eCollection 2015.