Understanding and treating the complex chronic patient – an interview with Isobel Knight

Isobel KnightWhat makes treating the chronic complex  patient so difficult? Do you think there is still a lack of understanding about how best to approach this?

I think that practitioners are very scared by complex chronic conditions and can become very overwhelmed. I’ve had so many medical professionals dismiss me because they really didn’t understand what the problem was. Treatment of chronic complex conditions really does require a multi-disciplinary team of people and medical experts, as well as an overarching approach to treatment plans. This can all be overwhelming for one person.

Conditions become chronic and complex over the years. There’s often a long delay in diagnosis (research by the Hypermobility Syndrome Association in the UK suggests that diagnoses can take about 10 years). As an individual gets older, he or she will gather more problems, which makes treatment even more difficult, relating to more bodily systems. If the condition is intercepted younger, these can all be addressed and hopefully better controlled.

How has being an individual with EDSIII (Ehlers-Danlos Syndrome – Type 3, Hypermobility) influenced the way you treat people in your clinic?

Based on what I’ve experienced, I can certainly spot the condition very quickly in people who haven’t had a diagnosis. Although I can’t officially diagnose, if the symptoms are there, I can get them sent to their GP for a referral to an expert rheumatologist. So in this way it’s really helped some people. I also know what ongoing management they are often going to require, so I can both refer them on to practitioners that I know, and support them with Bowen Therapy in the areas that I know they will need help with.

I’m never overwhelmed by what patients say, and I always believe them. And that helps a lot.

Why did you choose the autoethnographic approach in writing your new book?

That was inspired by an author I quote in the book, who wrote about life with a kidney condition and eventually turned it into a PhD thesis. I thought it was a really good way of framing the book. It uses my story as a basis, but also weaves in the stories of others, to ensure that it’s socially representative of that culture group. But also, this is a personal story. I include some quite personal details, and I hope that this makes it much more accessible to read, not a dry textbook. It really says how the patient feels, from my point of view and from the points of view of others.

Book cover: A Multi-Disciplinary Approach to Managing Ehlers-Danlos (Type III) - Hypermobility SyndromeIn the book, you go into quite a lot of depth on the psychology involved both in having a chronic complex condition and in treatment. Do you think that the importance of this area is underestimated?

Yes. I was actually really surprised how large the psychological section of the book ended up being. There are so many layers to it, trust being a very important one. The issue of trust is so important for any medical professional dealing with a chronic complex patient. Personally, I had been consistently told by a range of professionals that the pain I was experiencing was psychosomatic, and that there was nothing wrong with me. I think that most patients have years of that to contend with. In so many cases these conditions involve a legacies of problems that haven’t been fully handled since a young age. Behaviours change because of pain. That really has an impact on people. They get angry, they get depressed, they get anxious.

I’ve also included a section for the patient on managing chronic pain, cognitive behavioural therapy, and other psychological aids such as goal-setting, pacing, ways of communicating and dealing with doctors.

Medical professionals also need support psychologically in dealing with the complex chronic patient because, as mentioned, treatment can be very overwhelming for them, and quite emotionally draining. If one of your patients comes back every week with little improvement to their pain, it can be emotionally difficult as a therapist to make a positive spin on it and focus on treatment.

Social media seems to be a really supportive, positive force for the treatment and understanding of these conditions. How do you see this developing in future?

I think that because some patients with this condition can become quite disabled, and socially isolated, Facebook, for example, can be a real lifeline for them. It’s a way for them to get mutual support, to learn more about the condition, to realise they’re not alone in their experience. I’ve been staggered by the response to my Facebook page, and how it’s being used internationally to provide support and share information on this subject (but never any medical advice).

How do you hope this book will help professionals working with, and patients with the syndrome?

I hope that the patients will be able to see that there has been, in my story, quite a positive improvement due to the level of care I’ve had, and the experts I’ve managed to have access to. Physiotherapy has been essential in this. I’d like to offer patients hope but also the reality that this is a genetically inherited condition, which is about management, not cure. I hope that the book provides not only treatment information, but validation – they can take the book to their doctors to show them what’s going on. It’s as up to the minute as up to the minute can be in terms of medical research and practice.

In terms of the medical professionals, I hope that they can understand the full impact of a multi-systemic chronic complex condition, what it means to have bodily systems not working very well, and the impact that this has psychologically, physically and socially. I hope this helps them to develop a bit of a more empathetic approach.

I’m incredibly lucky to have been able to have 6 real experts in each field contributing to the book. This means that they’ve been really able to bring the book up to date with the latest research on treatment and medical management of the condition. That’s a real privilege.

© 2013 Singing Dragon blog. All Rights Reserved

Request a copy of the UK Singing Dragon Complete Catalogue

Cover of the Singing Dragon UK Complete CatalogueMake sure not to miss Singing Dragon’s latest UK Complete Catalogue. If you have not yet received a copy, please sign up for our mailing list and we’ll send a free one out to you ASAP.

Readers in the UK and Europe who request a copy of the catalogue before February 15th, 2013 will also receive a voucher for a 15% discount on the entire Singing Dragon list of books, with free postage and packing.

Take advantage of this opportunity to find new, forthcoming and classic books on Chinese Medicine, Holistic Health, Taiji, Qigong, Herbal Medicine, Yoga, Spirituality and more. Also, sample health-promoting recipes with The Functional Nutrition Cookbook, and Make Yourself Better with Philip Weeks’ books. Delve into the history of Ayurvedic Medicine and the Mudras of India, and discover the Five Levels of Taijiquan, Daoist Nei Gong and Chinese Medical Qigong.

To request your copy of our Complete Catalogue, please click here. To receive your 15% discount voucher, please be sure to click the checkbox for “Singing Dragon” under area of interest or else mention this offer in the “any further comments” section.

If you have previously received a copy of the catalogue, and would like to take advantage of the 15% discount, please feel free to request a voucher via email at post@intl.singingdragon.com.

Prana Mudra with Cain Carroll

This is the second video in Cain Carroll’s ‘Mudra Moments’ series. See here for part 1: Apana Mudra.

In this two-minute mini-class, Cain Carroll introduces Prana Mudra, a traditional Indian hand mudra which improves overall vitality and immunity, activates the body’s self-healing capacity, improves concentration, and strengthens stamina and willpower.

More information on Prana Mudra, including technique, application, benefits and sanscrit notation, can be found in Mudras of India: A Comprehensive Guide to the Hand Gestures of Yoga and Indian Dance.

Apana Mudra with Cain Carroll

In this two-minute mini-class, Cain Carroll introduces Apana Mudra, a traditional Indian hand mudra which improves digestive health and elimination (including easing constipation and hemorrhoids), and helps to regulate the menstrual cycle (alleviating cramping, dryness and clotting).

More information on Apana Mudra, including technique, application, benefits and sanscrit notation, can be found in Mudras of India: A Comprehensive Guide to the Hand Gestures of Yoga and Indian Dance .

Look out for more videos in the series of Mudra Moments coming soon to the Singing Dragon blog.

Revital and Cain Carroll on Hand Mudras

 

Singing Dragon authors Cain and Revital Carroll (Mudras of India) recently gave a one-hour webinar on hand mudras with Friends Health Connection.  In this presentation, the Carrolls described the health and spiritual benefits of hand mudras as well as historical background and instructions on technique and application.

Click the image above to view the webinar or click this link to view the video on the Friends Health Connection site.

Mudras of India has been called “a much-needed compendium that beautifully illustrates the incredible variety and versatility of the hand gestures.” Click the link below to order or for more information about this book which appeals to spiritual seekers, students and teachers of yoga and Indian Dance, scholars and lay people, and anyone interested in transformative effects of these powerful hand gestures.

Find out more about Mudras of India by Cain and Revital Carroll.

     

Teaching Yoga to Students with Autism Spectrum Disorders? A Piece of Cake!

By Michael Chissick, qualified yoga instructor, primary school teacher and specialist in teaching yoga to children with Autism Spectrum Disorders, and author of Frog’s Breathtaking Speech.


Exciting New Training Project

An exciting new initiative which delivers the benefits of yoga to hundreds of children with autism will be the cherry on the cake. The project will be in action at a Special Needs Academy in Lincolnshire, UK, after Easter with more to follow.

Over the past thirteen years I have developed a model of how to teach yoga to children with autism. The model can be used by class teachers and teaching assistants with no previous experience of yoga. The structures, activities and postures are easy to learn and are safe to teach. The model is suitable for children across all key stages.

Special schools that have a high proportion of children on the autistic spectrum will use the model. The advantages are that teaching and training are geared to the specific needs of their pupils, and staff can be trained economically without time away from school; and the icing on the cake is that staff can use the model immediately.

How did we reach this point?

I have been teaching Yoga to KS1, 2 & 3 pupils as part of the integrated day at Special Needs School for thirteen years. Many of the children I teach have autism and sensory processing disorders. During each thirty minute session I work with the whole class, class teacher and teaching assistants. Time restraints make it impossible for me to teach all classes in my schools, so I tend to alternate classes every half term.

I had noticed that when I returned to a class to continue after a 5/6 week break there was a need to start over again, which can be frustrating. For many years I simply regarded it as part of the job of teaching pupils with ASD.

However over the last couple of years I have noticed that some classes had retained what I had taught them and were as enthusiastic as ever for their yoga. So what distinguishes the ‘ready-for-more-class’ from the ‘let’s-start-again-class? The answer is that the class teachers and teaching assistants have been teaching their pupils yoga without me… and doing a brilliant job at it too!

Why does it work?

The answer also lies in the fundamentals of my highly structured approach. For example, the children are seated on chairs in a circle. I use a visual timetable and posture cards to keep my verbal input to the minimum. Within the structure I target several layers or elements simultaneously; it’s like a multi-tiered cake. These layers are easily recognised by colleagues who are already experts at working with children with ASD and are using similar models in other curriculum areas.

 

The Layers

  1. Engagement tactics are, for example, encouraging children to choose from posture cards hanging from an umbrella; or children throwing tiny bean bags into the holes on a colourful board as a means of choosing a posture.
  2. Fun is key! Children eagerly get out of their chairs and into the posture because it’s fun; if it continues to be fun then they will want to stay in the posture.
  3. Repetition of postures over the weeks is a crucial; as children become more at ease with the posture leading to improved skills and greater confidence.
  4. Every child Achieves in the lesson.
  5. Social Skills like waiting, listening, speaking, helping each other, taking turns and following rules are targeted.
  6. Fitness Flexibility and improved co-ordination are the layers that tend to hit the news.
  7. Sensory is the sweetest layer. The vestibular system ‘tells us if we are moving or still, while our proprioceptive system is the unconscious awareness of our body position’ (Yack et al 2002). A combination of both systems gives us vital information about movement and where we are in relation to, for example, the floor. I teach many children whose vestibular and proprioceptive systems are dysfunctional. Using yoga postures I help to regulate those dysfunctions.

Feedback

Feedback from the Academy in Lincolnshire was wonderfully positive describing the day as excellent and staff commented that the model:

‘…does away with many pre-conceptions and prejudices – it helps make different types of movement accessible to all.’

It is early days in Lincolnshire, but soon the children and staff will be enjoying their yoga while I’ll be teaching 175 miles away. Seems like I’ll be having my cake and eating it.

Copyright © Jessica Kingsley Publishers 2012.

Can Yoga Improve a Child’s Behaviour? A case study by Michael Chissick for World Yoga Day

Michael Chissick has been teaching yoga to children in primary mainstream and special needs schools as part of the integrated school day since 1999. He is a primary school teacher as well as a qualified yoga instructor. He is also a specialist in teaching yoga to children with Autism Spectrum Disorders. Michael trains and mentors students who want to teach yoga to children.


While the main focus of World Yoga Day is on Human Rights, I thought I would give myself poetic licence to focus also on Children’s Rights – specifically the rights of those children whose behaviour is often labelled ‘disruptive’, because, frankly, it is.

In the following case study from my personal experience as a yoga teacher, you can read how *Sinclair’s behaviour improved significantly because of his success in the yoga lessons over two terms. The plan, to teach challenging postures with aspects of social and emotional learning at the core of the programme, helped change Sinclair’s attitude and behaviour.

*Not his real name.

Is this scenario familiar?

Sinclair was a Year 4 pupil child in a primary school where I was asked to deliver yoga for a year. His class teacher described him as having a low self-image; often being moody, with a short attention span; and often disrupting the class with silly noises or swearing. Sinclair was aggressive to other children and found group work difficult. On the positive side, Sinclair enjoyed Physical Education, loved football, was sharp and incredibly flexible.

My main focus

Whilst I am a specialist children’s yoga teacher, the main focus of my work with children centres on the social and emotional aspects of learning. I teach the whole class and everyone is included. The foremost aim in every lesson is to enhance children’s self-esteem. Other benefits like improved flexibility, fitness, better concentration and calmness, for example, are natural when you practice yoga, yet combined with the emphasis on the aspects of social and emotional learning contribute to a powerful increase in the child’s sense self-worth.

Photo: Michael Chissick’s yoga class students in Tiger Posture (courtesy of Michael Chissick).


Individual Aims for Sinclair

Working with his Class Teacher we decided on the following specific aims:

  • Improving Sinclair’s self-esteem
  • Encouraging Sinclair to be a role model 
  • Improving Sinclair’s group communication skills

Our Approach

Our approach was to cultivate and build on the following three positive aspects:

  1. Sinclair the demonstrator
  2. Sinclair the ‘helpful teacher’
  3. Sinclair the ‘star’ at school and at home

Sinclair the demonstrator

Sinclair was a natural yogi and we quickly realised that he was excelling at the posture work. We decided to use Sinclair as much as fairly possible to demonstrate new postures and reinforce old ones to the whole class. Before the lesson, the class teacher would remind Sinclair that he was being given the responsibility of showing the other children postures and it meant that he had to show responsible behaviour too.

Sinclair the ‘helpful teacher’

Group work was an essential ingredient of the lesson in achieving our aims. The children worked in groups of six. Each group was to work as a team to find a way to perform a specific posture in an interesting way that also supported and connected with each other.

We made it clear that we were looking to reward group skills which included listening and making decisions. Above all there was an emphasis on group members helping each other in a kind and encouraging way. In other words, children were given the responsibility of looking out for each other.

Sinclair’s expertise at the postures set him up as a natural leader and his attention to detail meant that he could spot ways to help children in his group.

We had given him some input on how to get his classmates to change an aspect of the posture in an encouraging way, and Sinclair learnt and applied these skills with ease and a gentleness that his teacher had not seen before. Sinclair was also very keen to be the group spokesperson, yet gradually, over time, he more readily agreed to let someone else have a turn.

Sinclair the ‘Star’ at school and at home

Sinclair performed the most challenging postures to the whole school at two achievement assemblies, where he was encouraged to explain how yoga had helped him to be calmer and more focused. We also discovered that his family eagerly awaited his return from school on yoga day when he would teach them new postures and play yoga games with his two brothers.

Certificates and stickers

Sinclair worked hard to get the special certificates that were awarded to children who could show:

  • Good listening skills to teachers and children
  • How to help other children in group work
  • Improved behaviour

He also earned his fair share of stickers for good listening, learning to be still in calming postures and games and relaxation, as well as increasing concentration and being well-mannered.

Summary

The combination of our behavioural approach and the yoga improved Sinclair’s self-esteem and consequently improved his behaviour because:

  • he experienced a great sense of success in the yoga.
  • the calming and relaxation aspects of the lesson gave him experiences that helped him feel in control.
  • he was perceived as an expert by his class and earned their respect
  • he tried hard to overcome his disruptive behaviours in order to win the special certificates and stickers that were an incentive for him to change.
  • Sinclair’s parents were able to celebrate his success at home and give lots of genuine praise.
  • the combined effect of rewards and praise from me, the class teacher, peers and parents had a very powerful and positive effect on Sinclair’s self-esteem.

Conclusion

This case study is yet another example that supports the case for yoga to be taught in schools as part of the integrated school day on an ongoing basis. Clearly, it also shows the importance of placing the social and emotional aspects of learning at the core of the yoga lesson.

If there is one message I hope teachers and parents take away on World Yoga Day, it’s that yoga can help children foster a sense of achievement regardless of stature, academic ability, upbringing and other differences.

Read a Preview of Frog’s Breathtaking Speech »

This post was adapted with permission from Yoga at School. Visit www.yogaatschool.org.uk for more info.

Managing stress and achieving balance through seated Tai Chi and Qigong exercises – An Interview with Cynthia Quarta

Cynthia W. Quarta has taught martial arts for over twenty five years and was the Activities Director at an assisted living facility. She continues to teach seated Tai Chi classes in a number of locations to a range of ages and levels of physical fitness. She lives in Great Falls, Montana, USA.

In this interview, Cynthia talks about how she came to develop the exercises in her forthcoming book, Seated Tai Chi and Qigong: Guided Therapeutic Exercises to Manage Stress and Balance Mind, Body and Spirit.


Can you tell us a bit about yourself and how you came to practice martial arts in the first place?

I saw my first martial arts demonstration (jujitsu) when I was nine years old. I wasn’t able to take lessons, however, until many years later when one of my advanced ballet students asked to be excused from classes so she could take her black belt test. That was the first I had heard about her involvement in the martial arts. I offered to barter dance lessons in exchange for instruction in her style of Korean karate (Kwon Bup) to which she agreed. Shortly after that she began teaching several other classes in which I also participated. I finally received my black belt and, after my sensei moved out of town, opened my own dojo. Throughout the succeeding years, I had the opportunity to study Eagle Dragon Chinese Kenpo Kung Fu as well as a smattering of WuShu and Tae Kwon Do.

What motivated you to write this book, and what is it about generally?

While I was working as the Activities Director at a local retirement community, I used my dance and martial arts background to design an exercise program for the residents. When the community changed from one for able-bodied retirees to an assisted living facility for those with limited physical mobility, I had to change my approach. With the help of a core group of resident fitness enthusiasts, I developed a program of seated exercises based on the Yang style of T’ai Chi Chuan and the energizing exercises of Qigong.

This book presents a series of seated exercises to benefit people of all ages and levels of fitness. It is written for therapists and caregivers who want to provide an alternative, effective and creative approach to healing. The book includes instructions specifically for these health care professionals to assist them in their work with their patients/clients.

Why do the Tai Chi and Qigong exercises you’ve adapted in the book lend themselves so well to being practiced in a chair?

Both Tai Chi and Qigong are gentle exercise systems that provide healing and increase overall wellness. Regardless of a person’s situation – whether they are recovering from surgery, recently injured, elderly, or dealing with a chronic disability – these exercises are safe and yet amazingly effective. The emphasis in these exercises is on proper breathing and the involvement of the mind in the process of reducing stress, increasing energy and improving oxygen levels. For that reason the practitioner need not be in top physical condition or, for that matter, even able to stand in order to reap the benefits from the use of these exercises.

What positive effects can professionals hope to see in their clients and patients as a result of using the exercises?

The professional who uses this system with his/her patients will see immediate results in stress reduction, increased oxygen levels, improved appetite, more restful sleep, and a decrease in pain and stiffness. Mayo Clinic, Harvard Medical School and a number of other medical facilities with research divisions have published studies on the benefits of regular Tai Chi and Qigong practice. I encourage any health care professional considering whether or not to try this program to research these studies (most of them are conveniently available online).

Are there any common obstacles that professionals face when trying to guide their clients/patients through the exercise? How can this book help?

The primary challenge is the lack of knowledge and familiarity. Most of us in Western countries haven’t been exposed to Eastern medicine to any great extent. Overcoming the resistance to a new, holistic approach to improved health is usually the biggest obstacle at the beginning. As time goes on, though, and as patients begin to experience the benefits, their attitudes will change. This book contains a basic but inclusive explanation of Chinese medical theories to help professionals explain to their patients why these types of exercises can improve anyone’s level of health.

Why is it important to include a chapter on self-care for the professional?

If there is anyone who needs help in managing stress and achieving balance in their busy lives it is those who labor daily with patients who are ill or disabled! Therapists must be both relaxed and balanced in all areas of their lives if they are to help others achieve their wellness goals.

How does the book reflect your general philosophy about health?

I believe that an exercise program that works in combination with a healthy lifestyle and a well-balanced body, mind and spirit is the secret to a long and vigorous life. The exercises described in my book are gentle and safe and because they are designed to be practiced while seated, they provide a program that can be used daily even by those with physical limitations or of advanced age. In other words, this exercise system can be used throughout one’s life from youth through middle age and on into the later years, while at peak physical condition or at a stage of life when diminished mobility and strength present a daily challenge.

Copyright © Singing Dragon 2011.

Yoga breathing techniques to help children deal with anger and stress and build self-esteem – An Interview with Michael Chissick

Michael Chissick has been teaching yoga to children in primary mainstream and special needs schools as part of the integrated school day since 1999. He is a primary school teacher as well as a qualified yoga instructor. He is also a specialist in teaching yoga to children with Autism Spectrum Disorders. Michael trains and mentors students who want to teach yoga to children.

Michael is the author of the forthcoming children’s book, Frog’s Breathtaking Speech, which teaches four yoga breathing techniques in a fun and interactive way and shows how they can be used to deal with anger, anxiety and tension.

In this interview, he shares the story of how this beautiful book came to be and the rewarding experiences he’s had teaching yoga to children; why he believes children nowadays need tools to cope with life’s stresses more than ever before; and how the breathing techniques in the book can be used with all children, including those with special needs.


Tell us a bit about you – how did you get into yoga, teaching yoga and teaching yoga to children?

I first came to yoga in 1974, and although I practised regularly it was not till 1990 that I consciously stepped up my practice and interest.

In 1990, following the death of my wife Jill, I decided to give up my business and look after my children. I made up my mind that Jill’s death would not be wasted and that I would do something meaningful with my life. I signed up to an Access Course, which got me back into studying and prepared me for University. As a mature student I simply thrived on the course and it unleashed a creative side of me that I had never known before. I went on to take a four year degree course in Education, (BEd Hons) and eventually took up my first post as a primary school teacher in Old Harlow, Essex, UK at the age of forty-six.

It was during my four year degree course that I established my deep interest in children’s self-esteem – specifically how it can be damaged and how it can be improved. Of all the areas that I studied this was for me the most important and I determined to make enhancing children’s self-esteem the core of my approach to teaching.

In the nineties yoga was such an essential part of my life that soon I had completed my yoga teacher training with the British Wheel of Yoga, and was able to begin my new career teaching yoga to adults. It was an obvious next step to merge my skills and experience as a primary teacher and qualified yoga teacher, and thus I become a children’s yoga teacher. I set up an after school club but found the work frustrating primarily because of my realisation that yoga needed to be taught as part of the school day for children to benefit most.

Nevertheless word of my work had spread and one day I was asked to teach yoga to children in a Special Needs School in East London. That day was a turning point in my life. Despite all my experience I stood there not knowing what to do while this group of children were going absolutely crazy, at one time cussing at me and throwing shoes around – it was chaos. I tried various activities, all to no avail. Then, amazingly, with one specific activity (it was Sun Sequence), they were suddenly hooked… and I even got them to do a relaxation. The transformation was astounding. I came out of there that day, sat in the car and cried tears of joy that I could make such a difference. That was a Tuesday Morning in 1999 and I have taught there every Tuesday ever since. Over time the school has become a beacon school for teaching children with autism. This means that for more than a decade I have been developing teaching approaches for teaching yoga to children with autism. I am now regarded as a specialist in teaching yoga to autistic children. I am very proud of that.

In the last few years I have been fortunate to have taught continuously in the same nucleus of schools. This means that I am there on a specific day every week, every term, every year. It also means that I have had to be creative and develop fun and interesting activities or risk the children’s boredom. I have taught yoga in schools as part of the integrated school day for more than a decade now and have developed many approaches and activities that the children love.

One of those activities has now been turned into a book called Frog’s Breathtaking Speech. Now my enthusiasm for writing knows no bounds and I am busy with three new books that will enable me pass on my considerable expertise to others. Frog’s Breathtaking Speech – and incidentally The Very Hungry Caterpillar, The Gruffalo, and Going on a Bear Hunt – all make terrific stories to embed yoga postures in.

What inspired you to write this wonderful book?

I have been using Frog’s Breathtaking Speech in children’s yoga lessons for many years. The story grew out of the need to increase children’s awareness of their breath and, more importantly, how to apply it in stressful situations. Situations such as dealing with exams, spelling and table tests, being bullied, tension, headaches and anger, and of course performing or presenting to their peers and parents in assembly.

Although, as an adult, I had experienced the benefits of yoga breathing techniques I had honestly found them dry and unexciting. If I was to grab the children’s attention I needed to teach breathing techniques in a way that was fun and relevant. My strategy was to use the story in a yoga/drama format and it was an immediate success.

I would set out the yoga mats in a circle in the hall. As many children as possible would be given the opportunity to be Frog. I would ask for sad faces and then ask for less sad faces as the story unfolds. The other characters, Crocodile, Lion, Humming Bee and Mr Gumble the Woodchopper, would be played by the whole class. To keep the “chorus” in unison I would hold up placards in pantomime style saying, “Why so sad Frog?” and “I know an interesting way to breathe”. We have also performed Frog on stage to great applause.

I think there are several reasons why this approach worked well, including:

  • there was sufficient repetition for everyone to be able to join in;
  • it was obviously great fun;
  • the children were learning the techniques in a fun and relevant context;
  • children found the characters interesting.

Looking back I think that one of the main factors that inspired me to turn the yoga play into a book was the feedback from the children. I have lost count of the amount of times that children would tell me how they had used the techniques to deal with incidents in their lives. Problems ranging from being angry at siblings who stole their sweets or broke their toys, to being the calming influence in big family arguments. My two favourites will always be: the nine-year old boy who was terrified of the dentist and who quietly sat in the waiting room, and ultimately the dentist’s chair, practising his Crocodile Breath to calm himself; and the ten year old girl, who was angry with her parents, who would go to her room and practice Woodchopper Breath every day for three weeks, who eventually came and told the class teacher and me that that she had Haaaa’d out her anger.

The other main factor that inspired me to turn the play into a book was, simply, to get it out there. If this story helped the children that I taught it would help all children.

Can you tell us about your collaboration with the illustrator,
Sarah Peacock?

I have worked with Sarah Peacock in her Hertfordshire Primary School for five years. Sarah would come into in the yoga lesson with her class and over the years had been involved with Frog’s Breathtaking Speech on many occasions. She knew the story very well and how much the children liked it.

Examples of Sarah’s amazing illustrations were displayed around school. Often over lunch she had talked about her dream of being an illustrator. When I finally wrote the story as a book, I asked her to illustrate and she came up with the wonderfully timeless and charming illustrations that make the book so readable.

Where did the character of Frog come from?

Frog came about for a variety of reasons.

Firstly, children can stay in Frog Posture easily for longish periods without too much discomfort (and it’s great for their knees and hips). Secondly, I like Frog characters – they make me laugh; and thirdly, there is a long history of Frogs (and Toads) in children’s literature – for example, The Frog Prince and The Tale of Mr. Jeremy Fisher.

I saw Frog as a character that boys and girls could relate to because he was honest about his fears. I think they could also relate to his courage in taking action, facing his fears and achieving a victory.

I suppose he is based on many of the children that I have taught and if I am being honest there’s a lot of me in Frog. (Well, even grownups need to calm themselves and get angry sometimes.)

Can you describe scenarios in which the different breathing techniques would be especially useful?

I think that being a child nowadays is stressful. I have already mentioned my two favourite examples of how techniques from the story have helped. However as educationalists we are constantly aware that the children in our care are travelling through a minefield of emotional problems in different areas of their lives.

For example children are dealing with major blows within the Family like divorce; separation from parents; death of a family member or friend or pet; worries about family’s financial situation; worries about a family member’s health; or perhaps a new baby brother or sister has arrived.

At school children are often anxious about their lack of specific skills, being bullied, tests, SATs, how to deal with an overload of activities, a belief that they do not have enough friends, lack of self-esteem, fear of failure, and even fear of success.

On the social side, children can be anxious because they may see themselves not “in” with the right crowd, too fat, too thin, too tall, too small, too ugly and so on.

I believe the social pressures on children – in or out of school – are immense today and we need to teach them all manner of strategies to help them deal with the pressure. Yoga and breathing techniques being at the top of the list.

The four strategies that are taught in Frog are:

  • Crocodile Breath. Situations where children could apply the technique are: tests, exams, sports day, making speeches to peers and parents, going to the dentist, finding courage.
  • Humming Bee Breath. Situations could include: headaches, feeling tense, panicky in the middle of a busy shopping centre at Christmas.
  • Woodchopper Breath. Situations could include: venting anger or frustration.
  • Lion Breath. Situations could include: strengthening voice or loosing tension.

How can this book be used with children with special needs?

Frog can be used with all children and that includes many children with special needs.

Used purely as a story, Frog is highly engaging, the illustrations compelling, and there is sufficient repetition to help reinforce readers and invite anticipation. There are also ample opportunities to compare the Frog’s experiences to the children’s if the children are at a suitable level.

On a higher level, if you are reading the book to children and encouraging them to practice the postures there is a lot to be gained. Firstly, the children will benefit from increased flexibility and better muscle tone. The big reward, however, is that yoga postures can help children with Sensory Processing Disorders.

Many children with autism, for example, have Sensory Processing Disorders which affects their Vestibular, Proprioceptive and Tactile systems. This is a vast subject that I will deal with elsewhere. Suffice to say that yoga can go a long way to identify any extremes in a child’s sensory behaviour and provide strategies to help regulate their nervous systems away from those extremes.

Using the story in a yoga/drama format also creates opportunities to work on speaking and listening skills and other communication skills like, for example, projecting the voice. Also social skills such as taking turns, waiting or applauding another child will come up when you use this story.

One massive benefit of using the story with children with Autism Spectrum Disorder (ASD), for example, is the opportunity to be acting out different emotions. Frog becomes less sad as the story progresses. In fact, emotions range from sad to happy, scared to brave, beaten to successful. A great excuse to give those face muscles a good workout.

Finally, if you are using the story in a yoga/drama format and including the breathing techniques then you are encouraging the children to be “in the moment” – a well hackneyed yoga term, I know, but totally appropriate for children on both extremes of the hyperactivity scale who need to find “that middle ground of alert interest where they are not overwhelmed or underwhelmed” (Sher, B. 2009 p. 22).

Copyright © Singing Dragon 2011.

Anywhere in Any Chair – Yoga for All – An Interview with Edeltraud Rohnfeld

Edeltraud Rohnfeld qualified as a yoga teacher at the Berlin Yoga Institute Asha Rekai in 1991. She taught private yoga classes in Berlin for 15 years and trained yoga teachers and healthcare professionals. She later specialised in chair yoga, learning from its founder Erika Hammerstroem. She moved to Ireland in 2008 where she runs seminars on chair and classic yoga.

Here, Edeltraud talks about the many benefits and joys of practicing yoga, and how the exercises in her new book,
Chair Yoga: Seated Exercises for Health and Wellbeing, can help individuals with physical disabilities take control of their bodies and their lives.


What drew you to yoga, and how did you develop an interest in the seated form?

When I was 22 my sister showed me my first yoga exercises. I had just returned from a six-month trip to Israel feeling a little confused and without a clear perspective. I had reached a point where I was wondering what I should do with my life. Discovering yoga helped me not only physically, but emotionally too. Every time I did yoga something beautiful happened in me. It was different than doing sport. Not only my body benefited, but my mind and my soul as well. I began to feel more stable and gained more clarity in this very uncertain period of my life. I became more focused and was able to be more aware of all the possibilities life had to offer me. I practised yoga for years and undertook numerous courses. As I became more knowledgeable, I began to practice yoga with small groups of friends and it gave me such a pleasure that I then decided to become a Yoga Instructor.

Two years after completing my education in 1993, I met Erika Hammerstroem – the founder of Chair Yoga. She was an experienced Yoga Instructor who felt a strong need to aid group members who sometimes found it impossible to continue classes due to physical, aging-related limitations. Not wishing them to be excluded from participating in their much loved yoga classes, she began to adapt and devise exercises based on the classic form of yoga but using a chair instead of a mat. The interest in the classes was so great that she then went on to educate the Instructors so they could go on to teach classes. I was one of her students and I began to take my own chair classes in addition to mat yoga.

I began to develop more exercises as my experience grew. I wanted to share as much knowledge as I could and, realising the interest was so great, I decided to write a book about it. Erika Hammerstroem loved the idea. Sadly, she passed away in 2004 at the tender age of 82, just a few months before my book was published in german. I dedicated my book to her and to the angel to whom we prayed together.

I have been teaching both Classic and Chair Yoga for the last 17 years, and I get great pleasure from teaching anyone who loves yoga. My hope for the future is that Chair Yoga will be practised more widely throughout the world, allowing yoga to become more accessible to people who previously thought they could not do it, and to offer my seminars to Yoga Instructors all over the world.

What are the key benefits of practising Chair Yoga?

The key benefits of Chair Yoga are very similar to those of Classic Yoga. The only difference is that the risk of injury is significantly reduced on the chair. The whole body is moved and becomes more supple. Movements incorporate the spine, and all muscles and inner organs get gently stretched and strengthened (including the heart). The exercises support circulation, enabling better oxygenation to all the cells of the body, to the digestive system and to the immune system. It helps to reduce and cope with stress, anxiety and insomnia and increases self-esteem. By practising Chair Yoga frequently, one can feel more balanced in life and it can enable you to have more joy in life whilst becoming more flexible.

How does the book reflect your general philosophy about health and wellbeing?

In my opinion health and wellbeing is about finding a balance between one’s physical and psychological needs. By undertaking yoga frequently, one can improve and maintain good flexibility and strengthen muscles. Combining this with a good balanced diet, sufficient rest and regularly practising relaxation techniques, one can achieve good physical wellbeing.

The body and mind are strongly linked; if the body feels healthier, the mind will feel clearer and calmer and perhaps more receptive and better able to deal with the challenges in life. People need to have more self-awareness of their individual needs. Yoga empowers people to be more able to focus on their individual needs and not to give in to negative influences.

There is a strong connection between people feeling emotionally stressed and experiencing physical symptoms. Rather than trying to suppress worries and fears, yoga helps people confront their anxieties instead of ignoring them. This in turn can help us become emotionally strong and empowered. It has certainly helped me to find my way through difficult periods in my life, and to have faith and be more accepting of the things that I cannot control.

With my book I want to encourage everybody who is interested in practicing yoga to take their life in their own hands and make the best out of it. Despite any physical or psychological limitations, you can still practice Chair Yoga and significantly improve your health and wellbeing.

Why was it important to include a section about diet?

Whilst practising yoga greatly improves one’s health and wellbeing, in order to achieve the maximum benefits one needs to eat healthy too. A student who smokes, drinks alcohol and eats “junk food” will not gain as much from yoga as an individual who does not.

Throughout my years teaching yoga I’ve met many people who are not well-informed about how to make healthier dietary choices – for example choosing to eat “whole” foods as opposed to refined foods. Additionally I’ve had many students who were unaware of the importance of drinking water frequently while practising yoga. Yoga helps the body excrete accumulated toxins. With enough water the body is able to flush out these toxins; failure to drink enough water can result in headaches and joint and generalised pain throughout the body.

It was critical for me to inform my readers of the role diet and nutrition play in complementing yoga and in improving one’s health.

However, as I discuss in my book, it is not necessary for the individual to be vegetarian or a non-smoker in order to practice yoga. Awareness and understanding may enable students to begin to gradually change and alter their eating, drinking or smoking habits. It is important for people to achieve this in their own individual way. Many of us acquire bad habits over a period of years and therefore changes must be made slowly and at a realistic pace. Yoga is not about pressure or force and every person must respond to their own goals at their own pace.

How should this book be used?

First and foremost, I would recommend that the reader examine the Introduction and exercises. Try a few exercises which may be of particular interest or proceed to “Chapter 13: Exercise Guidelines” and start with a 15-minute program.

Depending on how you find the program, extend it to a 30-minute program in the next session. Try not to over-do the sessions. Instead, give yourself small realistic goals such as 2-3 times a week for 15 minutes, and aim to continue this at regular intervals. As you feel more and more able, increase first the length of each session and then the frequency.

Remember never to force yourself to do yoga, but practise it with joy!

Copyright © Singing Dragon 2011.