By Dr. Rita Khanna
Yoga has its role to play in the lives of people of all ages and nationalities. However it has particular benefit for those who are disabled because it works on three levels-the physical, the mental, spiritual and maintains an integrated development. For physical health, Yogasanas and Pranayama can be often utilized to improve sluggish blood circulation in defective limbs, to improve and stimulate nerve functions and to develop weak muscles and bring them under conscious control. For mental health, Yoga definitely helps disabled children to realize their potential and to lead creative, productive lives, so that they can be of maximum use to themselves, their families and society as a whole because they have brilliant minds and the capacity to reach the highest degree levels.For spiritual health, though in spirit there is no disability whatsoever still through Yoga many disabled people come to realize that there is much more to their nature than the limitations imposed upon them by a mere physical defect.
HOW TO TEACH THEM YOGA
Let’s begin the class:
Warming up:
Form a circle and start with music, songs or kirtan, just about anything.
Yogasanas:
Now begin in a circle on the floor, lying on the back, then move onto the side, to the front, into Vajrasana, to seated Asanas and then to the standing position. Transition from one level to the other can be quite challenging for some. Being in a circle creates a feeling of unity, trust and connection, and enables you to observe all quite easily.
You participate in many of the Asanas so that students can be visually reminded of that Asana. Moving around the class and assisting when needed either physically (with permission) or verbally is a technique frequently used.
Balancing Asanas can also be attempted in a circle, holding each other’s hands or shoulders for support. This enables success for most and a feeling of being part of the group even if unable to balance.
You keep the classes similar from week to week so that students become familiar with the Asanas, and this has been beneficial in ways. The students should be encouraged to do regular exercise and should often do the Yoga Asanas they have learned.
The following Asanas can be emphasized throughout the class as many of the students have larger bodies and need to keep moving the joints in particular.
Exercise 1: Toe Bending
Assume the sitting posture with legs stretched directly in front of the body. Place the hands on the floor by the side of the trunk. Lean backward, taking support on the straight arms. Become aware of the toes.
Move the toes of both feet slowly backward and forward, keeping the feet rigid. Repeat 10 times.
Exercise 2: Ankle Bending
Remain in the base position as in exercise 1. Move both feet backward and forward as much as possible, bending them from the ankle joints. Repeat 10 times.
Exercise 3: Ankle Rotation
Remain in the base position as in exercise 1. Separate the legs, keeping them straight. Keep the heels in contact with the floor. Rotate the right foot clockwise about the ankle. Repeat 10 times.
Rotate the right foot in the same way, but anticlockwise. Repeat 10 times. Repeat the same procedure with the left foot. Then rotate both feet together.
Exercise 4: Ankle Crank
Assume the base position. Place the right ankle on the left thigh. With the assistance of the left hand, rotate the right foot clockwise 10 times then anticlockwise 10 times.
Repeat the same procedure with the left foot.
Exercise 5: Knee Bending
Assume the base position. Bend the right leg at the knee and clasp the hands under the right thigh. Straighten the right leg without allowing the heel or toe to touch the ground. Keep the hands under the right thigh but allow the arms to straighten. Bend the right leg as much as possible at the knee, bringing the heel near the right buttock. Repeat 10 times.
Now repeat the same procedure with the left leg.
Exercise 6: Dynamic Spinal Twist
Assume the base position. Separate the legs as much as is comfortable. Keeping the arms straight, bring the right hand to the left big toe and stretch the left arm behind the back. Keep both arms in one straight line. Turn the head and look backward, directing the gaze to the left hand. Turn the trunk in the opposite direction; bring the left hand to the right big toe and stretch the right arm behind. This is one round. Repeat 10 or 20 times.
At the beginning, do the exercise slowly, then gradually increase the speed.
Exercise 7: Half Butterfly
Assume the base position. Fold the right leg and place the right foot on the left thigh. Place the left hand on the left knee and the right hand on top of the bent right knee. Gently move the bent leg up and down with the right hand, allowing the muscles of the leg to relax as much as possible. Continue this exercise until the right knee starts to touch or nearly touch the floor.
Repeat the same process with the left knee.
After some days or weeks of practice, the knee should comfortably rest on the floor without effort.
Exercise 8: Full Butterfly – i
In the base position, bring the soles of the feet together. Try to bring the heels as close to the body as possible. Interlock the fingers and place them under the foot. Gently push the knees towards the ground, utilizing the elbows, and bend the body forward. Try to touch the ground with the head; this will be difficult initially.
Exercise 8: Full Butterfly – ii
Keeping the soles of the feet together, place the hands on the knees. Utilizing the arms, push the knees towards the ground, allowing them to bounce upward again. Repeat 20 or more times.
Exercise 8: Full Butterfly-iii
Maintain the same position, but place the hands on the floor behind and to the side of the back, keeping the arms straight. Move the knees up and down 20 times or more.
Exercise 9: Hand Clenching
Hold the arms straight out in front of the body, so that they are on the same horizontal plane as the shoulders. Stretch and tense the fingers of both hands. Close the fingers over the thumbs to make a tight fist. Again stretch and tense the fingers. Repeat this movement10 times.
Exercise 10: Wrist Bending
Maintain the same position as in exercise 9. Bend the hands at the wrist, as if you are pressing the palms against a wall. From the upward pointing of the fingers, bend the hands at the wrist and point the fingers downward. Again point the fingers upward. Repeat 10 times.
Exercise 11: Wrist Joint Rotation
Stay in the same position as in exercise 10, but with only the right hand extended. Clench the right fist and rotate it clockwise 10 times about the wrist. Then rotate the fist anti-clockwise 10 times. Repeat the same movement with the left hand.
Extend both arms in front of the body with the fists clenched. Rotate the fists together, 10 times clockwise and then 10 times anti-clockwise.
Exercise 12: Elbow Bending
Maintain the same position as in 11, but hold both arms outstretched with the hands open and the palms upwards. Bend both arms at the elbows, touch the shoulders with fingers and then straighten the arms again. Repeat 10 times.
Exercise 12: Variation-i
Perform the same exercise but with the arms extended sideways- Repeat 10 times.
Exercise 13: Shoulder Socket Rotation
Stay in the same position as in exercise 12, variation-i. Make a circular movement from the shoulder joints, keeping the fingers in contact with the shoulders. Repeat 10 times clockwise, then 10 times anti-clockwise. Try to make the circular movement of each elbow as large as possible, bringing the two elbows in contact with each other in front of the chest.
Exercise 14: Neck Movement-i
Assume the base position. Slowly move the head backwards and forwards 10 times.
Exercise 14: Neck Movement-ii
Slowly tilt the head to the left and to the right, first while facing directly forward and then while turning the head to the left and right. Repeat both methods 10 times.
Exercise 14: Neck Movement-iii
Slowly rotate the head in as large a circle as possible, 10 times clockwise and then 10 times anticlockwise. Do not strain.
Some more Asanas:
Utthanpadasana, Chakrapadasana, Pada Sanchalanasana, Naukasana, Shavasana, Gatyatmak Meru Vakrasana (Dynamic spinal twist), Chakki Chalana, Nauka Sanchalana, Vajrasana, Marjariasana, Vyaghrasana, Shashankasana, Ushtrasana, Shashank Bhujangasana, Makarasana. Asanas help to remove extra fat from the abdomen, hips and thighs. Have fun with many of the Asanas as they are based on animal movements, and sounds of those animals are sometimes heard. Even Bhramari Pranayama sound (humming bee breath) is very popular with the students. At the end of each term you provide an opportunity for students to demonstrate their favourite Asana and have the others join them.
As they age, gain weight and lose some mobility, chairs can be brought in and postures can be modified. Students have various ‘conditions’, including Down’s Syndrome, autism, epilepsy and other unknown disabilities. Their abilities range from being able to perform most of the Asanas to attempting some, or relaxing when unable to move into them.
Pranayama:
Pranayama consists of Bhramari, Nadi shodhana (alternate nostril breathing) and abdominal breathing. A form of Nadi shodhana is sometimes performed from Makarasana (crocodile pose), by lifting one leg as they breathe in, lowering the leg as they breathe out, and changing legs alternately. It is also an excellent practice for coordination, for lower back problems and stimulating correct breathing.
As many are mouth breathers, emphasis is placed on breathing with the mouth closed, head up and a slower breath. Upper respiratory tract infections are common so encouragement to keep the mouth closed is beneficial.
Yoga Nidra:
End each session with Yoga nidra. Music can be played quietly in the background during this time as it helps them with settling. In the beginning, Yoga nidra should start for about five minutes, as it is all the time they could lie still. Then it can be done for about ten to fifteen minutes. Keeping language simple is essential for the body rotation stage. Visualizations involve familiar aspects of nature, such as walks at the beach, exploring a park or bush and rural settings. By the end of the hour session, the students will leave in a more relaxed state than when they had entered.
Benefits:
I’ve noticed the following since I started classes with these special groups of people :-
An increase in flexibility in many; a willingness to try anything; an ability to remember many of the Asanas and the order we often do them in; an increased awareness of their body parts; being able to breathe more slowly and deeply in some of the classes and becoming calmer by the end of each session.
I would encourage Yoga teachers to take on the experience of teaching disabled clients as no matter how you feel, they are sure to bring you into the moment totally, to make you smile and laugh. An attitude of fun, love, trust, perseverance and patience is needed when conducting these classes and has a tenfold reward. Their Aum chanting is a special gem in the lotus!
Aum Shanti
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Courtesy: Dr. Rita Khanna’s Yogashaastra Studio.
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Dr. Rita Khanna
Dr. Rita Khanna is a well-known name in the field of Yoga and Naturopathy. She was initiated into this discipline over 25 years ago by world famous Swami Adyatmananda of Sivananda Ashram in Rishikesh (India).
She believes firmly that Yoga is a scientific process, which helps us to lead a healthy and disease-free life. She is also actively involved in practicing alternative medicines like Naturopathy. Over the years, she has been successfully practicing these therapies and providing succour to several chronic and terminally ill patients through Yoga, Diet and Naturopathy. She is also imparting Yoga Teachers Training.
At present, Dr. Rita Khanna is running a Yoga Studio in Secunderabad (Hyderabad, India).


The Yogic way to achieve inner peace is to watch the breathing process in the body, to become aware of each incoming and outgoing breath. You don’t have to make an effort to breathe; the process goes on automatically all the time. Just sit down quietly, with your eyes open or closed, and withdraw your awareness from the external world. Become aware of the breath – flowing in and out. With every inhalation, feel the navel region expanding; with every exhalation, feel the navel area contracting. Try to synchronize the incoming and outgoing breath with the rising and falling of the navel. You can do this for 5-10 minutes.
Another technique, which you can do every day, or at least once a week, is Neti Kriya. This practice also relaxes the brain and brings tranquility. For this, you need a special Neti lota (pot) filled with warm saline water. Place the nozzle of the lota in the right nostril, then tilt the head to the left side and breathe through the open mouth. The water flows out of the left nostril, without any effort or disturbance, as if it were coming through a straight pipe. Afterwards, you clean the nose by exhaling forcefully with Bhastrika Pranayama to remove any excess water. It takes hardly any time.
Where there is no electricity, there is no light; where there is no energy, there is no life. You know what happens when there is a short circuit in the electrical system – the lights go off for a minute. Sometimes, due to overload, the voltage falls very low and all the lights go dim. It is the same way in this physical body, also; the Prana Shakti sometimes undergoes a lot of alterations and depressions. From the different Chakras, Prana is distributed to all the major organs and parts of the body. At some stage, there is an excess of energy, and at other times, there is an energy drop. Everyone has experienced energy loss from time to time. Some people frequently enter into states of depression, in which their energy is so low, that everything appears miserable and clouded, and they do not like anything. Sometimes, although the major Nadis are conducting Prana, there is a failure in the minor Nadis. Then, the body does not work properly. Major disturbance, blockage, or imbalance in the energy channels, results in what is termed in medical language as a ‘nervous breakdown.’ So, all these conditions of depression, breakdown, energy blockage, excessive energy, etc., are due to the various states of Pranic energy.
Transmission of Prana is a natural occurrence, which takes place all the time, consciously as well as unconsciously. If there is an excess of Prana anywhere, with this science, you can balance it. If there is a disease, caused by lack of Prana Shakti, then an excess of Prana from another area is supplied to the affected part of the body. This is done by converting Prana into magnetic energy and then into a flow of psychic energy. When Prana has been converted into magnetic energy, it can also be transmitted outside of the body through your fingers, a look, or a thought. It can be transported by a flower. It can also be used to charge an object, like a Mala, just as you charge your car battery with electric wires.
In Rectocele, parts of the body involved are vagina, rectum, muscle and tissue separating and supporting the rectum and vagina. A rectocele usually occurs if the lower part of the vagina becomes weak; when this happens the rectum can then bulge into the vagina. The rectum may collapse into, or even beyond, the external anal sphincter, causing lower back pain on defecation, and irritation -with some pain in the anal area. The uterus may drop from its original position into the vagina, or in severe cases, protrude externally. This is not painful, only a dull ache in the lower back is apparent. This condition is associated with frequency, or inability to control the flow of urine, so it may be passed when you laugh or cough.
In cystocele, parts of the body involved are vagina, bladder, muscle and tissue = separating and supporting the bladder and vagina. With the bladder sitting directly on top of the vagina, if there is weakness at the top of the vagina, then sometimes the bladder can drop and bulge into the vagina. The bulge happens through a defect in the fascia (This is the connective tissue that separates the vagina from the bladder). A bulge of this type is called an anterior prolapsed and indicates problems with pelvic support tissues (fascia, ligaments, and muscle). The symptom presented in cystocele is frequency of urine because the bladder can never be fully emptied; urine retention (known as stasis) also occurs, giving rise to recurring bladder infections.
The pelvic contents collapse because weakened ligaments and muscles fail to hold the organs in their correct position. The ligaments are fibrous structures and resemble strong ropes. These are attached to the bony pelvic wall and form a network in the pelvic floor, offering their support to organs and anchoring them in position. The central point of this ligamentous and muscular framework is the perineal body, a fibro-muscular node lying approximately two inches inside the body above the perineum (the area between the anus and vagina). From this node, eight important muscles and their ligaments arise, in addition to connecting fibers to the rectal and anal canal. If this is damaged, the function of the whole supporting system is affected, and the organs drop out of place. This allows gravity, another influence exerting itself on the pelvic area, to have an effect too. Gravity pulls and draws the organs downward, and due to impaired support, they are unable to resist its force.
The cause of weakened ligaments and muscles is often from childbirth or may occur due to constipation or frequent bouts of diarrhea. At the time of childbirth, excessive energy is used and a tremendous amount of stress and strain is brought to bear upon the floor of the pelvis. In cases of diarrhea or constipation, this is also true. So, these muscles need to be strong to facilitate the tremendous strain that is brought to bear on them during these periods. In prolapse, this strain is so great that some muscles and ligaments are unable to withstand it, and they either stretch or tear.
If you become aware of your physical body, you will realize that energy is the ingredient that activates every cell within it. In Kundalini Yoga, the basic seat or source of this energy is Mooladhara Chakra – the root or support centre. Its physical counterpart is the same perineal node as previously discussed. On the psychic level, this node is considered to be the seat of the life force, or Shakti, which is not only the fuel for our physical body, emotions and feelings, but for our spiritual aspirations, as well. This area is very sensitive to the impact of energy or to the lack of it. With emotional upsets and conflicts, the energy is blocked or depleted; its creative potential is lost, and physical vitality diminishes. If the blockage continues, energy buildup intensifies until the energy explodes, dissipating itself in a direction of quick release, such as diarrhea. Such explosions may have a damaging effect on the muscles and ligaments, especially if they are already in a weakened
condition.