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 ence, e, innova vations, and ways fo forw rward rd Kyla Pearce, Senior Director, LoveYourBrain Foundation Arkansas Trauma Rehabilitation Symposium

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.

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

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

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

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

C.A.L.M.

Hathayoga.net

Wha What is s yog yoga? physical movement (asana)

Wha What is s yog yoga? physical movement (asana) breathing exercises (pranayama)

Wha What is s yog yoga? physical movement (asana) breathing exercises (pranayama) meditation (pratyahara, dharana, dhyana)

Wha What is s yog yoga? physical movement (asana) breathing exercises (pranayama) meditation (pratyahara, dharana, dhyana) moral observations (yamas and niyamas)

Wha What is s yog yoga? physical movement (asana) breathing exercises (pranayama) meditation (pratyahara, dharana, dhyana) moral observations (yamas and niyamas) complete wellbeing (samadhi)

mi mind to to body

Con Confide dence Fe Fear An Anger Joy Joy bo body dy to mind

mind and body integration

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

Enhances awareness Nervous system Dynamic regulation

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.

Enhances Self- awareness empowering Nervous system Dynamic regulation

Enhances Self- awareness empowering Nervous system Dynamic regulation

Enhances Self- awareness empowering Nervous system Dynamic regulation

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

Wha What are re the he limi mitations? ons? • Small samples • Lack of controlled studies • Different protocols make comparison difficult

wha what i innova nnovations a ons are re ou out t the here re?

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

OUR VISION Expand upon benefits of yoga in community • Clinical setting • Community • Community- Affiliate integration based program program Sustain community Introduce yoga-based connection and healing tools early post-injury through yoga

HOW DOES IT LEAD TO COMMUNITY INTEGRATION?

CLINICAL AFFILIATES

YOGA STUDIO AFFILIATES

LYB YOGA IN ALL 50 STATES BY 2021

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

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

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

Ea Ease se of of pa parti rticipa pati tion on

Sel Self-ef efficacy y & resi resilienc ence

Sel Self-regu regulation on

VALID AND RELIABLE 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)

WHAT ARE BEST PRACTICES?

WHAT ARE BEST PRACTICES? • Adapt specific poses to prevent dizziness and headaches, improve balance, address spasticity and neck pain

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

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

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

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

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

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.

PARTICIPANT DEMOGRAPHICS 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%

ADDITIONAL RESOURCES

MEET OUR PARTICIPANTS

Diverse benefits contribute to more positive sense of self

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

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

QUESTIONS?

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