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1. Define Pranayama and how yogic breathing can influence pulmonary and immune systems
2. Explain ways that yoga can provide therapeutic benefits to improve muscular and joint stability
3. Describe the difference between active and restorative poses and list the therapeutic benefits of each
4. Describe how to position a client with a disability using restorative poses and identify how positioning and Pranayama can improve your client’s overall wellness
5. Demonstrate how to use basic yoga poses, sequences and deep relaxation using props for modification depending on client’s diagnosis
6. Identify how to customize client treatment plans

Yoga as a Therapeutic Modality

• What is yoga?
• Understand integrative medicine
• Review body systems and how they work together
• Yoga and its benefit in a variety of healthcare and home settings

Anatomy of Therapeutic Yoga: Cardiopulmonary System

• Review pulmonary anatomy (case study)
• Proper breathing and its benefits
• Types of Pranayama
• Breathing exercises
• Therapeutic breathing and your clients
• When to use Pranayama
• Define breathing and positioning:
  1. upright
  2. side-lying in bed
  3. wheelchair
  4. standing
• Case study with group practice of Pranayama

Anatomy of Therapeutic Yoga: Musculoskeletal System

• Living with disability - A client’s voice on body image and change (case study)
• Anatomy of the hip joint (case study)
• Opening the joint door: Muscle and body balance
• Practical applications for diagnoses
• Secondary disabilities and their consequences, dissecting the mechanics of movement:
  1. spasticity
  2. hypotonicity
  3. muscle imbalance
• Yoga as medicine

Asana Application and Treatment

• Asana poses
• The science of restorative vs. active poses and the body’s response
• Decide between restorative vs. active poses for treatment
• Case studies in a variety of settings
• Perform active poses

Poses: Props and Our Patients

• Perform restorative poses
• How do resting poses help clients with disabilities? (Client with cancer case study)
• The importance of elongation and extension of the body and how props assist your clients
• Pictures of supported and active yoga poses for clients with a variety of disabilities
• Props for therapeutic use with spasticity, abnormal tone, weakness or imbalance
• How do you decide if your client needs resting or active poses and how much?
• Is the client prone, supine or in the wheelchair?

Pose Lab and Case Study Presentations

• Practice poses and experience the therapeutic benefits of a restorative pose vs. an active pose
• Using props through visuals and poses:
  1. Examine 5 different case studies and determine what poses are best for your clients
• Therapeutic benefits of each pose for each diagnosis, and their contraindications
• What props to use for each pose and why?

Yoga and Expanding Client Treatment

• In your setting: Acute care, inpatient, outpatient, home health, and hospice
• Throughout the lifespan
• Giving client a gift in the community
• Recent studies in medicine and yoga
• Yoga and its future in healthcare
• Yoga and the integrative medicine team

Yoga and Your Practice

Betsy Shandalov, OTR/L, C-IAYT, AWC, is a holistic occupational therapist and has worked as a clinician, educator and supervisor in rehabilitation, community re-entry and the school setting. Her extensive knowledge of disease and disability with adults and children in a variety of settings combines with her complementary holistic treatments to provide a new level of understanding of how the brain and the immune system work together for natural and therapeutic healing. Betsy teaches clients to empower themselves to prevent injury, heal an existing injury and help with pain management and trauma throughout the lifespan. she works with individuals and families helping to find balance in their minds and bodies by using Ayurveda, yoga therapy, meditation and mindfulness for healing.

Betsy is a certified yoga therapist through the International Association of Yoga Therapists and is certified as a yoga kids' teacher and trainer by Yoga Kids International. She has advanced training in trauma through The Center for Mind-Body Medicine in Washington, D.C. and is a Level I Reiki practitioner. She recently completed her Ayurvedic Medicine Training for wellness coaching and this past year authored a chapter on Meditation in an Integrative Medicine Textbook for Rehab Professionals.

Speaker Disclosures:
Financial: Betsy Shandalov maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Betsy Shandalov has no relevant non-financial relationships.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.25 clock hours of instruction that is applicable for physical therapists.

Utah Physical Therapists and Physical Therapist Assistants: This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 6.25 clock hours of continuing education instruction.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Occupational Therapists, Occupational Therapy Assistants, Physical Therapists, Physical Therapy Assistants, Nurses, Athletic Trainers, Yoga Instructors