EXERCISE

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EXERCISE
Mind body medicine

• P. Prathnadi M.D.

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Exercise is an old prescriptionfor good health

• The risk of cardiovascular death is lower as
  physical activity level are increase

91 Royal Coll of Physician
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Exercise is any activitythat is planned and
regular

• Everyone thinks of changing the world, but no
  one thinks of changing him

Leo Tolstoy
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Exercise for sports training is not the same as
exercise for rehabilitation

• Exercise prescription is very useful in almost
  all chronic disease

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Regular exercise with moderate heart rate
intensity helps to protect

• AGAINST
• Coronary heart disease
• Osteoporosis
• High blood pressure
• Certain cancer
• D.M

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Benefits of exercises

• A lower overall mortality rate
• A decrease risk of coronary heart disease
• Prevention or delayed development of hypertension
• A decrease in risk of colon cancer
• A lower risk of developing non insulin dependent
  diabetes mellitus
• A favorable body composition
• A decrease in depression and anxiety

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Mind-body medicine (1)

• ??????? ?????????????????????????????????????
  ????????????? ???????????????????????????????????
  ??????????????? ?????????????????????
  ?????????????? ?????? ???????????????????????????
  ????????????
• ?????????????????????? ????? ??????? ???????????
• ???????????????? ????? ????? ?????????
  ?????????????????????????????????????????

2004 NIH
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Mind-body medicine (2)

• ????????????????? ??????????????????????????????
  ??????????????????????????????

NCCAM 2004
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Mind-body medicine (3)

• ?????????????????????? (Complimentary Medicine)
  ???????????????????????????????????????????

J Am B Fane Pract 2003 16 131-47
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??????? (Tai Chi)

• ?????????????????????????????????
  ??????????????????????????? ??????????
  ?????????????????????????????????????????
  ??????????????????????????????????????????????????
  ?????????

Cast leman M 1996
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????? (Qi gong)

• ???????????????????????????? ???????????????????
  ????? ?????????? ??????????? ???????????
  ??????????????????????????????????? ?????????????
  ???????? ???

Mc Gree CT Qigong in JCM NY 1996
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Course Content - Qigong

• Dynamic body movement ???????????????????????????
  ?? balance ?????, flexibility ????????????,
  strength ?????????????, ????????????????????????
  ???????????
• Static standing posture ?????????????????????????
  ?????????? balance ??? concentration
• Breathing practices ??????????????? ?????????
  ???????????? O2, ?????????????? ??? concentration
  ?????? self awareness
• Meditation practices ????????????????????
  ????????
• National Expert Meeting on Qi gong and Tai Chi

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Self administered massage

• ???????????? ?????????????? ???????? ?????
  ????????????????? ????????? Natural Healing
  mechahism ??????????????????????????????????????
  ??????????? chi

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Class Characteristic

• Group activities ???? social interaction
• Interesting practice ?????????????????? fun
  Enjoyment
• Quiet environment ????????? meditation
  movement practice
• Safe and supportive facilities
  ????????????????????????????????????????????????

Expert meeting
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Qi gong and Tai Chi practice includes 4 major
components

• 1. Body posture adjustment and gentle movement
• 2. Meditation and purposeful relaxation
• 3. Breath regulation practice
• 4. Self administered massage

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Qi gong Tai Chi

• Warm up
• Body posture with movement
• Breathing technics
• Meditation
• Massage
• Cool-down ( conclusion )

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Qi gong and Tai Chi

• Increase in lower extremity strength
• Movement confidence related to posture and
  balance
• Reduce stress, anxiety and depression
• Improving overall quality of life

1986 314 New Eng.J Med 1995 gcirc
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Benefit of Qi gong and Tai chi(1)

• Reduces blood pressure
• Increases maximum oxygen consumption
• Increases immune function
• Improves flexibility
• Lower their fear and risk of falling

1994 Prin.Int.Med
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Qi Gong and Tai Chi

• Promote - Mental and physical health
• - Vitality
• - and Longevity

1991 Royal Coll.of Phys.
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National Expert Meeting on Qi Gong and Tai Chi

• National Council on Aging
• Institute of Integrating Qi gong and Tai Chi
• FOR AGING NETWORK

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Qi gong

• ??????????????????? ???????????
  ??????????????????????????????????????
• ????????? Stroke ?????????? Hypertension
  ??????????????????? Improve heart function ???
  microcirculation ?????????? Qi gong ??? 1 ??
• Improvement in sex hormone level
  ????????????????????

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???????????

• Reversing symptom of Senility
• ????? Cerebral function
• ????? Sexual function
• ?? Serum lipid level
• ????? Endocrine function
• ??? 6 ????? ???????????????? ????????? 80
  ????????????????????????????????????????????????
  45

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???????????????????????

• ???????????????????? ????????????
• ?? Dizziness , insomnia, tinnitus
• numbess of limb ??? vertigo ?? Cerebral
  arteriosclerosis

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Advanced Cancer

• ????????? Qi gong ????????????????
• - Strength ??????
• - Appetite ??????
• - ??????????????????
• - Diarrhea ????
• - Phagocytic rate ??????????

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Health Promotion Prevention

• ???????????????????? ???????
  ?????????????????????????????? ?????????
• ???????????????????? ??? Frail ??????????

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Thank You