Thursday, 10 December 2009

Physical Therapy

YOU & ME Yoga for People with Learning Disabilities

The YOU and ME Yoga system can make a real difference to people's lives, according to a new book on the treatment and management of learning disabilities.

Learning disabilities Physical Therapy Treatment and Management – A collaborative approach, Edited by Jeanette Rennie (pub Wiley, ISBN: 978-0-470-01989-4) includes a chapter on Complementary Therapies with a section on YOU and ME Yoga system, with case studies involving a person with Down's syndrome, autism and the case study below of a young woman with cerebral palsy.

The extracts below are taken from the book:
The YOU and ME Yoga for people with learning disabilities (Gunstone 1988) has been designed for individual needs to improve quality of life by:
  • coordinating the activities of mind and body
  • reducing the distracted state of mind
  • focusing the mind on the present
  • developing the adaptive behaviour
  • enhancing social behaviour
  • increasing self reliance
  • improving general health (Desikachar and Jeyachandran 1983 and 1988)
It is also used to increase students’ mobility, physical dexterity, coordination, communication, sensory awareness and self-confidence.

Programmes

Programmes are planned in conjunction with the YOU and ME record keeping system, which enables the therapist(s) to see at a glance the condition, limitations and abilities of the student(s). A general health questionnaire is used as appropriate.

The recording charts are used for students’ health, safety and welfare and for keeping a record of practice, outcomes and progress. The colour coding of both the body and the related techniques makes record keeping easy enough for most students to complete their own practice record, and indicate their feelings by ticking the column beneath the most appropriate face (for example, smiling or frowning).

This Yoga programme consists of 22 exercises called ‘joint looseners’ and 20 postures.

CASE STUDY 6: WOMAN WHO HAS CEREBRAL PALSY

Click for full-size image
She is 26 years old and has athetoid cerebral palsy (see Chapter 2). Initially she found it very difficult to control her involuntary movements.

The YOU and ME teaching pack explains everything very clearly with health and safety in mind. Thus trainers are enabled to select a suitable plan for people with or even without a learning disability. The colour-coded instruction pack for the postures was essential to give instructions for working out her programme plan of whole-body movement. Her programme was based on the green chest area for her main posture. It followed a similar warming-up, main posture and winding-down procedure to Table 17.5. Hence her programme benefited the whole of her body.

Progress

  • She can consciously relax completely during the relaxation period, keeping her whole body perfectly still.
  • There has been evidence of progress with other members of staff in other learning areas. She is more active and confi dent participation in the swimming pool; her upright sitting position in her own chair has improved; she has progressed to independent transfers from her wheelchair onto the toilet and back again although assistance to adjust her clothing is still required. She has an obvious feeling of achievement and improved dignity.

Whole-body movement is great fun, as well as motivation for learning. Everyone can join in, and anyone can perform the postures regardless of age or ability. Students develop imagination, expression and relationships.

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