Yoga Therapy: Class for beginner, with hypertension condition

patient profile:

female
54 years old
hypertension
overweight
mild kyphosis
spleen surgery (full removal of organ)

Kapha type: student will need asanas which bring her into movement; on the other side because of  hypertension issue, attention has to be paid not to increase heart beat rate.

The student has difficulties with exercises with lifted arms (giddiness, sudden weakness, cannot move further and needs to sit and rest for a while)

Note: being a complex case and a ‘rusty’ , absolute beginner student, the asana sequence for hypertension will not be the complete one, as each exercise will require longer time and student not enough fit to.

1.    Warm up (about 5 minutes) from standing position; attention to each joint

2.    Breathing exercise/ to introduce ujjay breathing, in tadasana position; to assess breathing patterns of student and ‘tune’ her into yoga atmosphere; 5 minutes

 Teacher asks to seat down, in any comfortable position (lotus, half lotus or on knees) ask to concentrate on her own breathing, bringing her into deeper and slower breathing and suggest to listen to the sound and rhythm of her own breathing.

3.    Surya namaskara:  repetition 6 times, duration 20 minutes

Sequence for hypertension: all asanas are reduced in intensity to avoid palpitations or faster heart beat rate

Tadasana

Half uttanasana

Arshwa sanchalasana (lunge with one knee on floor)

Simple hanumasana

On all fours : cow and cat 3x

Ashtanga namaskar

Half cobra

Down facing dog *slightly bent knees, if needed)

Simple hanumasana

Arshwa sanchalasana

Half uttanasana

Tadasana

NOTE: Spend about 10 minutes to work out core muscles:

Cat/cow exercise (raise awareness about pelvis and lower abs)

Criss cross exercise for obliques

Pilates mild core work

4.    Asanas sequence (about 30 minutes)

 Standing poses:

aim is to work on strengthening of spine; higher back flexibility; raise awareness of spine and pelvis area, work on Moola Dhara and Manipura chakras; attention to not raise the heart beat rate

Triyaka tadasana  (helps for Kyphosis) but must pay attention as this asana requires both arms lifted up!!! It massages the intestines, stretches intercostal muscles and obliques

Mridangabandha

Ardha Chakrasana (with one arm lifted and the other one bent behind, waist area)– strengthen back muscles and abdominal muscles; expand chest and lungs; tones and improves spinal flexibility and spinal nerves

Malasana (or half, so only half squatting, if knew or ankles are too weak) powerful hips opener; stretches spine and gives elasticity; tones ankles (in full squat)

Parighasana- stretches the spine, obliques and intercostal muscles; tones quadriceps

Side squats- works on quadriceps, ankles flexibility, spine posture and tone; inner thigh muscles and hips openers

Lizard pose –intense stretching
……………………………………………………………………………………………………………………
Seated poses:

Aim is to open chest; work on anahata chakra; strengthen back muscles; open hips; relaxation

Baddha konasana, seated version, attention to rounding the back

Camel (helps for kyphosis)

Balasana (alternative, with clenched fists around navel area, good for lymphatic drenage)- relaxes and relieves the mind; stretches the spine

Half bridge (repeat 5 times)- works on vishudda and anahata chakras; tones gluteus muscles, hamstrings and spine; stretches hips flexors and quadriceps

Vakrasana (helps for kyphosis) – massages abdominal organs, especially liver and pancreas, stretches kidneys; relieves back ache; tones obliques

Supta baddha konasana

5.    full Nidra : 15 to 20 minutes minutes

6.    Pranayama: max 15 minutes

Anuloma Viloma and/or Brahmari

– Sabrina Zuber 

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