Lessons on the Lungs from COVID-19: Benefits of Proning
In therapeutic yoga, we often talk about modifying the practice for the seasons, but the year 2020 has tossed a whole new set of considerations into the mix. While watching winter change to spring, and spring to summer, we’ve been forced to reckon with a global respiratory health crisis, and us yoga therapists now have an opportunity to study and teach in support of the respiratory system.
When we think of breath in the yoga practice, we typically go right to pranayama and the practice of manipulating the breath, either by focusing on the rhythm of the inhales and exhales during a flow yoga class, or as a standalone practice, often done seated. But what we are seeing with the treatment of COVID-19 is how our physical posturing can have an impact on how we breathe and the functioning of our lungs.
Prone postures that aim the belly down and open up access to the back body – where the lungs reside -- can be incredibly nourishing, in addition to beneficial for breathing. When working with clients with respiratory issues – whether recovering from COVID-19, those with a history of smoking, or even someone battling a nasty winter cold, here are some postures you can bring them into to recruit the lungs:
Child’s pose – This can be done with a blanket between the thighs and the belly to increase the dome-like shape of the back, opening up more space for the lungs to expand.
Paschimottanasana – Rather than working to lengthen the spine and move the collarbones toward the feet, it's alright to let the spine round in this variation to maximize the posture’s benefits for the lungs.
Rabbit pose – If it is appropriate for the client to put pressure on the head and neck, lifting the hips away from the heels and rolling to the crown of the head can relieve pressure on the lungs.
Restorative twist – With the knees bent to one side, create a prone, restorative twist by lying the belly and chest on the mat, then turning the head toward or away from the knees. This is a good way to incorporate twists without compressing the lungs.
Supta savasana – Taking savasana on the belly is not only a way to release pressure on the lungs in a prone position, but it can be very comforting for clients suffering from anxiety as well.
As the COVID-19 pandemic marches on, it is teaching us complementary practitioners new techniques for working with breath – not just as a pranayama practice to support general healing, but to specifically target respiratory illness and recovery. Learning what we have from the medical field and its emphasis on putting critically ill COVID-19 patients on their bellies, we can prescribe prone asanas to optimize lung function.
Hannah Slocum Darcy is a yoga teacher and a student at Prema Yoga Institute. She specializes in accessibility and adaptive practice for many life stages and scenarios.