A cancer diagnosis affects the mind in addition to the body. Many cancer patients find relief through complementary practices that are designed to simultaneously relax mind and body.
Yoga, qigong and tai chi are the three primary mind-body therapies that cancer research has increasingly investigated in recent decades. Research shows the three disciplines are safe and beneficial for cancer patients to practice.
People with mesothelioma, lung cancer and asbestosis experience cancer symptoms and treatment side effects that alternative therapies, such as mind-body therapies, might improve. Improvements with breathing, sleep, fatigue, pain, anxiety and depression are possible by practicing these mind-body therapies.
Yoga is a mind-body practice that originated in India more than 5,000 years ago. For thousands of years, the discipline focused on breathing techniques and meditation as pathways to self-awareness, involving a handful of seated postures to strengthen the body for extended periods of meditation.
In the early 1930s, the postures, as we know them today, were developed by a revered yoga practitioner, Tirumalai Krishnamacharya, in Mysore, India. Numerous postures and styles have surfaced since then, ranging from gentle to vigorous.
Yoga unites bodily movement with breathing and mental focus. For example, a practitioner who wants to access a feeling of peacefulness could perform a collection of certain postures, while breathing slowly with a mental focus on something that brings or represents peace.
In this way, yoga simultaneously exercises body and mind. People with mesothelioma, lung cancer or asbestosis may see improvements in breathing ability if they practice regularly.
Ease difficulty with breathing (called dyspnea)
Reduce asthma symptoms
Improve sleep quality
Reduce anxiety and depression
Reduce the effects of stress
Improve quality of life
Gentle forms are safe for many people with cancer. There is a misconception that flexibility or a high level of fitness is required to practice. Most yoga postures are adaptable to accommodate any level of flexibility or stamina. For example, chair yoga involves modified versions of traditional postures performed with the support of a chair. Using props, such as a chair, helps people modify their yoga practice to accommodate their body and level of fitness. Other props include blocks, blankets, straps, pillows and bolster cushions.
Restorative yoga is a style that uses props to support a person in a relaxing posture. This style, along with other gentle forms, is taught in classes tailored for people with cancer.
More athletic styles aren’t highly recommended to people undergoing or recovering from cancer treatment. Athletic styles include Ashtanga, Power Yoga, Bikram and YogaFit.
Studies evaluating its effects in people with cancer first appeared in the 1980s. Since then, dozens of studies have examined the effects of yoga among people with cancer.
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Enhance ability to exhale more air
Reduce fatigue and increase vigor
Lessen joint pain
Increase sense of well-being
Improve quality of life
Improve social functioning and mood
Yoga can increase the amount of exhaled air in people with lung cancer, reports a 2013 pilot study conducted by Wayne State University in Michigan. Nine participants said there was no significant increase in breathing difficulty during yoga. Some participants reported a moderate decrease in breathing difficulty while practicing the postures. Oxygen saturation was high and vital signs were stable among all participants. Over the 14-week study period, the amount of forced air exhaled by participants significantly increased.
Yogic breathing techniques, known as pranayama, helped people cope with the side effects of chemotherapy in a 2012 study conducted by the University of California, San Francisco. Participants learned pranayama in weekly classes and were encouraged to practice daily at home. A dose-response relationship was discovered. The more participants practiced yogic breathing techniques, the better they felt about symptoms and quality of life. Statistically significant improvements were reported for sleep, anxiety levels and mental quality of life.
Yoga also helps people with cancer sleep better, according to several studies.
Most studies have researched the effects of yoga on cancer survivors rather than patients undergoing treatment. However, a 2017 review of the benefits of yoga among people undergoing cancer treatment showed the practice improved depression, anxiety, distress and sleep in addition to lessening fatigue.
A 2013 study led by Karen Mustain, associate professor in the department of surgery at the University of Rochester Medical Center, confirmed yoga improves sleep quality in cancer survivors. The study also found a reduced need for sleep medication among participants. This study involved 410 cancer survivors following the Yoga for Cancer Survivors program, which involves breathing exercises, meditation and 16 gentle and restorative postures.
The following resources may prove helpful for patients and their loved ones who are interested in yoga:
DVD instructional videos for people with cancer are available. YogaBear.org offers online yoga instruction for people with cancer.
The Osher Center for Integrative Medicine at the University of California, San Francisco is home to YogaCares: Therapeutic Yoga for Cancer Patients, a program offering free classes to people with cancer.
The Yoga Therapy Program at the IU Simon Cancer Center offers free classes to people with cancer through Indiana University Health.
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Qigong and tai chi are similar mind-body disciplines that originated in China thousands of years ago. Both disciplines unite flowing, slow-motion movement with breathing and mindfulness.
Qigong is a more ancient discipline than tai chi. Qigong is a simpler, more repetitive practice that is easier to learn. Some of the movements in qigong are used as warm-up exercises for tai chi. A factor that separates the two disciplines is tai chi’s longer, complex series of choreographed movements.
These mind-body practices are gentle and safe for people with cancer to practice. In 2013, a scientific review was conducted on 13 controlled trials that investigated the effects of qigong or tai chi in people with cancer. The review reported the following benefits:
Both qigong and tai chi can enhance quality of life. Physical functioning, vitality, social functioning and mental health are significantly improved.
Qigong can significantly reduce fatigue, enhance survival rates in liver cancer patients, improve bone density in breast cancer patients, and reduce inflammation by lowering C-reactive protein (a cancer biomarker). Both tai chi and qigong can reduce cortisol, a stress-related hormone.
Tai chi improves self-esteem and qigong lessens signs of depression in breast cancer patients. Qigong improved cognitive function in a group of people with different cancers.
A 2015 study found that tai chi and qigong significantly improved fatigue among breast cancer survivors within a short amount of time. The study also reported that continued practice of tai chi or qigong improved depression and sleep quality.
Qigong and tai chi classes are available throughout the U.S. and online. If you’re not sure which discipline to try, consider that qigong is quicker to learn and implement. Certain people may find tai chi’s structure and sequencing more intriguing or interesting over time.
The Osher Center for Integrative Medicine offers tai chi classes to people with cancer.
Though not specifically tailored to people with cancer, DVDs of qigong and tai chi are available online.
Directories of qigong and tai chi teachers are found online. Check the Qigong Institute, the National Qigong Association and the American T’ai Chi Association.
Joining the team in February 2008 as a writer and editor, Michelle Whitmer has translated medical jargon into patient-friendly information at Asbestos.com for more than eight years. Michelle is a registered yoga teacher, a member of the Academy of Integrative Health & Medicine, and was quoted by The New York Times on the risks of asbestos exposure. Read More