Accessibility and Adaptations in Therapies

Everyone is a beginner somewhere

Many therapies can be adapted. You do not have to match a standard class. NCCIH notes that health conditions affect safety, and advises choosing a practitioner who knows how to work with people with your specific needs, even when general well-being is the goal. [1] This page covers what the sources say about adaptation and gives questions to ask. It does not give exercise instructions. For movement, see adapted yoga and movement.

What the sources say about adapting

• Yoga. NCCIH says yoga styles range from gentle practices to physically demanding ones. [2] Pregnant women, older adults and people with health conditions should talk with their providers and the instructor, and may need to avoid or modify some poses. [2] Conditions that may call for modifications include preexisting injuries, severe high blood pressure, balance issues and glaucoma. [2]
• Meditation. If you cannot sit still comfortably for long periods, a meditation instructor can adapt the practice so you do not need to. [3]
• Massage. Therapists may need to use less pressure than usual in sensitive areas, for example with people who have cancer. [3]
• Qualified instruction. Practicing yoga with a qualified instructor is advised, and learning on your own without supervision has been associated with increased risks. [2]

Research and inclusion

NCCIH notes that members of minority groups and people with lower incomes are underrepresented in yoga studies, and that different groups may have different experiences. [2] People with disabilities may be underrepresented too, but we did not find a source quantifying this, so we do not state it as fact.

Questions to ask a studio or practitioner

• Can the space be reached without stairs, and is there accessible seating, parking or restroom access?
• Do you have experience with my condition, and with the equipment I use?
• Can I use props such as chairs, bolsters or blocks, or a different position?
• Can I stop, rest or change position any time without explanation?
• Is there a quieter or sensory-friendly option, an online option, or a one-to-one session?
• What are the costs? NCCIH advises not assuming insurance covers it. [1]

Comfort and consent

Consent includes your right to adjust or stop. See informed consent. If you need help communicating needs, bring a support person if the practice allows it.

When to check with a clinician first

If you have pain, balance problems, osteoporosis, a heart condition or other health issues, talk with your provider first. See therapies and existing health conditions and yoga safety.