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A Mindfulness & Breath-Based
Approach to Yoga
for Stress Management & Resilience
Maggie Reagh, MA in Teaching,
Certified Yoga Therapist (C-IAYT)
Learning & Teaching Symposium
May 12, 2017
1. Mindfulness & Breath-Based Approach to
Yoga – 60 minutes
2. Body, Breath & Mind Yogic Principles Linked
to Research – 45 minutes
3. Mindfulness & Breath-Based Approach to
Yoga – 60 minutes
4. Discuss Experience & Application – 15 minutes
INTRODUCTION
Mindfulness & Breath-Based Approach to Yoga – 60
Minutes
MAGGIE REAGH
Body, Breath & Mind Yogic Principles Linked to
Research – 45 Minutes
Positioning the Body – Yogic Principles
Effects on the Blood Pressure & Nervous System
Bringing head lower than the heart – Forward bends & Semi-
Inversions such as Bridge & Downward Facing Dog
Inverting the body – Legs up the Wall & Shoulder Stand
variations – Make sure pose doesn’t exert too much effort
Bending the neck in inversions & semi-inversions –Bringing
chin to chest - Shoulder Stand variations and Bridge pose
Bending the neck in twists – Rotated torso twists
MAGGIE REAGH
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Cardiovascular Physiological Response Results In…
Shifts in blood flow to the heart, brain and central circulations
Increased pressure on veins & arteries in forward bends & torso
twists – Heart disease beware – Heart has to work harder
Increased venous blood return to the heart = Heart rate/blood
pressure has to decrease to keep too much blood from going to the
head (Baroreceptors – Vascular Homeostasis of Blood Pressure)
Parasympathetic Nervous System (PNS) - Relaxation Response to
maintain homeostasis (baroreceptors) = A good thing!
MAGGIE REAGH
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Psychophysiologically results in…
Increased Heart Rate Variability (HRV)
= Autonomic Nervous System (ANS) Balance
= Sympathetic (SNS) & Parasympathetic Nervous System (PNS)
Balance
= Increased Vagal Tone (Vagus Nerve – Part of PNS)
= Ventral Vagus Nerve – Front Body – Social Engagement –
Functional PNS
= Dorsal Vagus Nerve – Back Body – Freeze – Dysfunctional PNS
MAGGIE REAGH
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Psychophysiologically results in…
Increased Vagal Tone (Dr. Stephen Porges, Polyvagal Theory)
= Whole Vagus Nerve runs from Neck to Chest to Stomach
= Ventral (Front) Vagus & Dorsal (Back) Vagus Nerves are
Balanced – Down-Regulates the Sympathetic Nervous System
= Regulates the Face, Throat, Neck Arteries/Veins, Heart & Lungs
(Ventral Vagus Nerve) and Digestion (Dorsal Vagus Nerve)
= Helps Alleviate Symptoms of Depression, Anxiety,
PSTD/Trauma, COPD, IBD, Chronic Fatigue & Chronic Pain
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Psychophysiologically results in…
Increased Vagal Tone (Dr. Stephen Porges, Polyvagal Theory)
= Neck Movement, Chanting, Humming in Yoga Down-Regulates
the Ventral Vagus Nerve in Neck – Pharyngeal/Laryngeal &
Cardiac Branches (Carotid/Subclavian Arteries) of Ventral Vagus
Nerve
=Abdominal Compression – Forward Bends/Twists = Gastric,
Celiac, Hepatic Branches of Dorsal Vagus Nerve in Stomach,
Pancreas, Spleen, Intestines, Kidneys, Adrenals & Liver
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Positioning the Body – Yogic Principles
Parasympathetic Nervous System (PNS) Poses
Balancing Poses – Focus on Feeling Feet - Grounding
Supine Poses – Lying Down – Relaxing/Grounding
Forward folds & Twists – Compressing Belly – Encourages
Exhale
Inversions – Head Lower than Heart – Increased HRV &
Vagal Tone/ SNS &  PNS but not BP (Papp, Lindfors,
Storck, & Wändell, 2013).
Restorative Poses – Use of Props like Bolsters to Relax:
Open Front Body – Ventral Vagus Nerve?
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Lengthening the Breath: Breath-Based Approach
Long, Slow & Smooth Exhale and Hold after Exhale
6 Breaths per Minute (bmp) – 5-6 secs/breath (IN+EX)
Increased Heart Rate Variability (HRV)
Diaphragmic/Belly breathing - Treat General Anxiety Disorder (GAD)
Parasympathetic Nervous System (PNS) Response = Increased Vagus
Nerve Tone
 Blood Pressure???/Heart Rate Decreases
Withdrawing the Senses Leads to Meditation
Closing the Eyes, Ears, Nostrils & Pelvic Floor
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Focussing the Mind: Cultivating Mindfulness
Focus mind on the length & sound of the breath
Focus mind on breath starting & ending each
movement
Focus on pause between inhale & exhale
Practice being Present
Avoid automatic process of moving/breathing
Make unconscious, conscious
MAGGIE REAGH
BODY, BREATH & MIND YOGIC PRINCIPLES LINKED
TO RESEARCH
Focussing the Mind: Visualization – Grounding
 Feel soles of feet
Downward flow of water down front body- Ventral
Vagus Nerve? Front Body - Relaxation Response
Lie on back – Relax – Feel warm rocks underneath
you and warm river flowing down from above you
On back, feel warm still lake supporting you with
open clear sky above offering expansion – Ventral
Vagus Nerve? Social Engagement? PNS
Mindfulness & Breath-Based Approach to Yoga – 60
Minutes
MAGGIE REAGH
Discuss Experience & Application
– 15 Minutes
MAGGIE REAGH
Cheema1 BS, Marshall PW, Chang D, Colagiuri B, & Machliss B. (2011). Effect
of an office worksite-based yoga program on heart rate variability: A
randomized controlled trial. BMC Public Health. 11(578). Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154869/
Courneya, Carol-Ann. (2016). Cardiovascular Physiology Applied to Yoga
Therapy. Retrieved from Lecture Notes.
Homeostatic regulation of the vascular system. (n.d.). BC Open Textbooks. Ch.
20.4. Retrieved from
https://opentextbc.ca/anatomyandphysiology/chapter/20-4-homeostatic-
regulation-of-the-vascular-system/
It's official: yoga helps depression. (2017). Time. Retrieved from
http://time.com/4695558/yoga-breathing-depression/
 
REFERENCES
Khattab, K., Khattab, A. A., Ortak, J., Richardt, G., & Bonnemeier, H. (2007).
Iyengar yoga increases cardiac parasympathetic nervous modulation among
healthy yoga practitioners. Evidence-Based Complementary and Alternative
Medicine, 4(4), 511-517.
Kirby, J.N., Doty, J.R., Petrocchi, N., & Gilbert, P. (2017). The current and
future role of heart rate variability for assessing and training compassion.
Front Public Health, 5(40). Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340770/
Lin, I. M., Tai, L. Y., & Fan, S. Y. (2014). Breathing at a rate of 5.5 breaths per
minute with equal inhalation-to-exhalation ratio increases heart rate
variability. International Journal of Psychophysiology, 91(3), 206-211.
REFERENCES
Mini, A., Rau, H., Montoya, P., Palomba, D., & Birbaumer, N. (1995).
Baroreceptor cortical effects, emotions and pain. International Journal of
Psychophysiology, 19(1), 67-77
P A Balaji, Smitha R Varne,& Syed Sadat Ali. (2012). Physiological effects of
yogic practices and transcendental meditation in health and disease. North
American Journal of Medical Sciences. 4(10). Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482773/
Papp, M. E., Lindfors, P., Storck, N., & Wändell, P. E. (2013). Increased heart
rate variability but no effect on blood pressure from 8 weeks of hatha yoga–a
pilot study. BMC research notes, 6(1), 59.
Porges, SW. (2007). The polyvagal perspective. Biol Psychol, 74(2). Retrieved
from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1868418/
REFERENCES
Telles, S., Joshi, M., Dash, M., Raghuraj, P., Naveen, K. V., & Nagendra, H. R.
(2004). An evaluation of the ability to voluntarily reduce the heart rate after a
month of yoga practice. Integrative Physiological & Behavioral Science, 39(2),
119-125.
Santaella, D. F., Devesa, C. R., Rojo, M. R., Amato, M. B., Drager, L. F., Casali,
K. R., ... & Lorenzi-Filho, G. (2011). Yoga respiratory training improves
respiratory function and cardiac sympathovagal balance in elderly subjects: a
randomised controlled trial. BMJ open, bmjopen-2011.
Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. A., & Brown, R. P.
(2012). Effects of yoga on the autonomic nervous system, gamma-
aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic
stress disorder. Medical hypotheses, 78(5), 571-579.
REFERENCES
Strigo IA, & Craig AD. (2016). Interoception, homeostatic emotions and
sympathovagal balance. 371. Retrieved from
http://dx.doi.org/10.1098/rstb.2016.0010
Vagus nerve anatomy. (2017). Retrieved from
http://emedicine.medscape.com/article/1875813-overview
Yoga could be good for heart disease. (2010). Harvard Heart Letter. Retrieved
from http://www.health.harvard.edu/newsletter_article/yoga-could-be-
good-for-heart-disease
REFERENCES

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Yoga for Stress Management

  • 1. A Mindfulness & Breath-Based Approach to Yoga for Stress Management & Resilience Maggie Reagh, MA in Teaching, Certified Yoga Therapist (C-IAYT) Learning & Teaching Symposium May 12, 2017
  • 2. 1. Mindfulness & Breath-Based Approach to Yoga – 60 minutes 2. Body, Breath & Mind Yogic Principles Linked to Research – 45 minutes 3. Mindfulness & Breath-Based Approach to Yoga – 60 minutes 4. Discuss Experience & Application – 15 minutes INTRODUCTION
  • 3. Mindfulness & Breath-Based Approach to Yoga – 60 Minutes MAGGIE REAGH
  • 4. Body, Breath & Mind Yogic Principles Linked to Research – 45 Minutes Positioning the Body – Yogic Principles Effects on the Blood Pressure & Nervous System Bringing head lower than the heart – Forward bends & Semi- Inversions such as Bridge & Downward Facing Dog Inverting the body – Legs up the Wall & Shoulder Stand variations – Make sure pose doesn’t exert too much effort Bending the neck in inversions & semi-inversions –Bringing chin to chest - Shoulder Stand variations and Bridge pose Bending the neck in twists – Rotated torso twists MAGGIE REAGH
  • 5. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Cardiovascular Physiological Response Results In… Shifts in blood flow to the heart, brain and central circulations Increased pressure on veins & arteries in forward bends & torso twists – Heart disease beware – Heart has to work harder Increased venous blood return to the heart = Heart rate/blood pressure has to decrease to keep too much blood from going to the head (Baroreceptors – Vascular Homeostasis of Blood Pressure) Parasympathetic Nervous System (PNS) - Relaxation Response to maintain homeostasis (baroreceptors) = A good thing! MAGGIE REAGH
  • 6. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Psychophysiologically results in… Increased Heart Rate Variability (HRV) = Autonomic Nervous System (ANS) Balance = Sympathetic (SNS) & Parasympathetic Nervous System (PNS) Balance = Increased Vagal Tone (Vagus Nerve – Part of PNS) = Ventral Vagus Nerve – Front Body – Social Engagement – Functional PNS = Dorsal Vagus Nerve – Back Body – Freeze – Dysfunctional PNS MAGGIE REAGH
  • 7. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Psychophysiologically results in… Increased Vagal Tone (Dr. Stephen Porges, Polyvagal Theory) = Whole Vagus Nerve runs from Neck to Chest to Stomach = Ventral (Front) Vagus & Dorsal (Back) Vagus Nerves are Balanced – Down-Regulates the Sympathetic Nervous System = Regulates the Face, Throat, Neck Arteries/Veins, Heart & Lungs (Ventral Vagus Nerve) and Digestion (Dorsal Vagus Nerve) = Helps Alleviate Symptoms of Depression, Anxiety, PSTD/Trauma, COPD, IBD, Chronic Fatigue & Chronic Pain
  • 8. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Psychophysiologically results in… Increased Vagal Tone (Dr. Stephen Porges, Polyvagal Theory) = Neck Movement, Chanting, Humming in Yoga Down-Regulates the Ventral Vagus Nerve in Neck – Pharyngeal/Laryngeal & Cardiac Branches (Carotid/Subclavian Arteries) of Ventral Vagus Nerve =Abdominal Compression – Forward Bends/Twists = Gastric, Celiac, Hepatic Branches of Dorsal Vagus Nerve in Stomach, Pancreas, Spleen, Intestines, Kidneys, Adrenals & Liver
  • 9. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Positioning the Body – Yogic Principles Parasympathetic Nervous System (PNS) Poses Balancing Poses – Focus on Feeling Feet - Grounding Supine Poses – Lying Down – Relaxing/Grounding Forward folds & Twists – Compressing Belly – Encourages Exhale Inversions – Head Lower than Heart – Increased HRV & Vagal Tone/ SNS &  PNS but not BP (Papp, Lindfors, Storck, & Wändell, 2013). Restorative Poses – Use of Props like Bolsters to Relax: Open Front Body – Ventral Vagus Nerve?
  • 10. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Lengthening the Breath: Breath-Based Approach Long, Slow & Smooth Exhale and Hold after Exhale 6 Breaths per Minute (bmp) – 5-6 secs/breath (IN+EX) Increased Heart Rate Variability (HRV) Diaphragmic/Belly breathing - Treat General Anxiety Disorder (GAD) Parasympathetic Nervous System (PNS) Response = Increased Vagus Nerve Tone  Blood Pressure???/Heart Rate Decreases Withdrawing the Senses Leads to Meditation Closing the Eyes, Ears, Nostrils & Pelvic Floor
  • 11. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Focussing the Mind: Cultivating Mindfulness Focus mind on the length & sound of the breath Focus mind on breath starting & ending each movement Focus on pause between inhale & exhale Practice being Present Avoid automatic process of moving/breathing Make unconscious, conscious MAGGIE REAGH
  • 12. BODY, BREATH & MIND YOGIC PRINCIPLES LINKED TO RESEARCH Focussing the Mind: Visualization – Grounding  Feel soles of feet Downward flow of water down front body- Ventral Vagus Nerve? Front Body - Relaxation Response Lie on back – Relax – Feel warm rocks underneath you and warm river flowing down from above you On back, feel warm still lake supporting you with open clear sky above offering expansion – Ventral Vagus Nerve? Social Engagement? PNS
  • 13. Mindfulness & Breath-Based Approach to Yoga – 60 Minutes MAGGIE REAGH
  • 14. Discuss Experience & Application – 15 Minutes MAGGIE REAGH
  • 15. Cheema1 BS, Marshall PW, Chang D, Colagiuri B, & Machliss B. (2011). Effect of an office worksite-based yoga program on heart rate variability: A randomized controlled trial. BMC Public Health. 11(578). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154869/ Courneya, Carol-Ann. (2016). Cardiovascular Physiology Applied to Yoga Therapy. Retrieved from Lecture Notes. Homeostatic regulation of the vascular system. (n.d.). BC Open Textbooks. Ch. 20.4. Retrieved from https://opentextbc.ca/anatomyandphysiology/chapter/20-4-homeostatic- regulation-of-the-vascular-system/ It's official: yoga helps depression. (2017). Time. Retrieved from http://time.com/4695558/yoga-breathing-depression/   REFERENCES
  • 16. Khattab, K., Khattab, A. A., Ortak, J., Richardt, G., & Bonnemeier, H. (2007). Iyengar yoga increases cardiac parasympathetic nervous modulation among healthy yoga practitioners. Evidence-Based Complementary and Alternative Medicine, 4(4), 511-517. Kirby, J.N., Doty, J.R., Petrocchi, N., & Gilbert, P. (2017). The current and future role of heart rate variability for assessing and training compassion. Front Public Health, 5(40). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340770/ Lin, I. M., Tai, L. Y., & Fan, S. Y. (2014). Breathing at a rate of 5.5 breaths per minute with equal inhalation-to-exhalation ratio increases heart rate variability. International Journal of Psychophysiology, 91(3), 206-211. REFERENCES
  • 17. Mini, A., Rau, H., Montoya, P., Palomba, D., & Birbaumer, N. (1995). Baroreceptor cortical effects, emotions and pain. International Journal of Psychophysiology, 19(1), 67-77 P A Balaji, Smitha R Varne,& Syed Sadat Ali. (2012). Physiological effects of yogic practices and transcendental meditation in health and disease. North American Journal of Medical Sciences. 4(10). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482773/ Papp, M. E., Lindfors, P., Storck, N., & Wändell, P. E. (2013). Increased heart rate variability but no effect on blood pressure from 8 weeks of hatha yoga–a pilot study. BMC research notes, 6(1), 59. Porges, SW. (2007). The polyvagal perspective. Biol Psychol, 74(2). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1868418/ REFERENCES
  • 18. Telles, S., Joshi, M., Dash, M., Raghuraj, P., Naveen, K. V., & Nagendra, H. R. (2004). An evaluation of the ability to voluntarily reduce the heart rate after a month of yoga practice. Integrative Physiological & Behavioral Science, 39(2), 119-125. Santaella, D. F., Devesa, C. R., Rojo, M. R., Amato, M. B., Drager, L. F., Casali, K. R., ... & Lorenzi-Filho, G. (2011). Yoga respiratory training improves respiratory function and cardiac sympathovagal balance in elderly subjects: a randomised controlled trial. BMJ open, bmjopen-2011. Streeter, C. C., Gerbarg, P. L., Saper, R. B., Ciraulo, D. A., & Brown, R. P. (2012). Effects of yoga on the autonomic nervous system, gamma- aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Medical hypotheses, 78(5), 571-579. REFERENCES
  • 19. Strigo IA, & Craig AD. (2016). Interoception, homeostatic emotions and sympathovagal balance. 371. Retrieved from http://dx.doi.org/10.1098/rstb.2016.0010 Vagus nerve anatomy. (2017). Retrieved from http://emedicine.medscape.com/article/1875813-overview Yoga could be good for heart disease. (2010). Harvard Heart Letter. Retrieved from http://www.health.harvard.edu/newsletter_article/yoga-could-be- good-for-heart-disease REFERENCES