Effectiveness of Ayurveda Treatment Modalities in the Management of Spasticity in Children With Cerebral Palsy at a Tertiary Care Teaching Hospital of Southern India

Gr, Arun Raj; Shailaja, U; Rao, Prasanna N; Pujar, Muralidhar P; Srilakshmi,; Mohan, Kavya

doi:10.7897/2277-4343.09242

Cited by 3 publications

(4 citation statements)

References 11 publications

(13 reference statements)

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“…On assessing eligible studies, it was found that most commonly reported efficacy outcome was QOL scale, [13,20,21] Modified Ashworth scale, [12,[14][15][16]19,21,24,[27][28][29][30] manual ability classification system scale, [12,[14][15][16]21,24] gross motor function measure, [13,23,[26][27][28] Development assessment scales for Indian infants, [17] range of motion (ROM). [15,17] Improvement in subjective symptoms such as stiffness and restricted ROM is observed in almost all the studies identified.…”

Section: Results Of Synthesesmentioning

confidence: 99%

“…Abhyanga is a technique that involves massaging the body with lukewarm medicinal oil. Due to its Snigdh(oily), Mridu(soft), Medhya Churna [12,20,21] Abhaya Ghrita [13] Samvardhana Ghrita [14,28] Ashtangaghrita [15] Baladi Yoga [31] Aarvindaasava [24] 3 1 2 1 1 1…”

Section: Kanzode Et Al 2016mentioning

confidence: 99%

“…[16,26] Basti (therapeutic enema). [12][13][14][15][16][17][18][19][20][22][23][24][25][26][27][28]31] 1 2 16…”

Section: Shodhana (Purification Medicines)unclassified

“…[12][13][14][15][16][17][18]20,21] Shastika-Shali-Pinda Swedana (hot fomentation with rice cooked in milk). [12,14,16,21,[24][25][26]28,31] Shirodhara (dropping of stream of medicated oil in the forehead). [16] Shiropichu (placement of cotton with medicated oil in the scalp).…”

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2023

IJGP

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Child disability is a major concern for any nation. Childhood comorbidity is not only a challenge for parents but also a big concern for pediatricians. The motor disorder of cerebral palsy (CP) is often accompanied by disturbances of sensation, perception, cognition and has multifactorial etiology. Vata is dominant Dosha which plays a major role in childhood disabilities, so the treatment plan should be Vata Shamana like Phakka Roga Chikitsa, and Shiromarmabhighata can be used. The use of Rasayanas with Medhya drugs (intellect promoting) characteristics will enhance the child's mental and physical development. This will go a long way toward curing and preventing impairments. To search and reassess the effects of different CP therapy techniques in Ayurveda. Analysis of published clinical data in a systematic manner to determine the efficacy and safety of Vatavyadhi versus Ayurvedic therapy protocols for CP. The study examined case reports, non-randomized controlled trials (RCTs), and RCTs on the treatment of CP in Ayurveda. They were located using directories of open-access publications as well as databases for Ayurvedic research and medical journals, including MEDLINE, SCOPUS, and Web of Science. Hand-searching was conducted with pre-established search criteria. Search results were only returned for articles up to April 2021. The selection of studies was based on CP symptomatology. The study ID, design, sample size, duration, interventions, results, and outcomes were used to document and retrieve the data. Using the tools at hand, the quality and bias risk were assessed. We did not try quantitative synthesis because we were only interested in systematic review. 20 of the 44 screened records met the predetermined criterion. Two research on Nasya (medicine administered through the nose), 8 studies on Udavartana (application of dry powder to the skin), 9 studies on Shasthi Shali Pinda SwedaSwedana (hot fomentation with rice cooked in milk) and 16 studies concentrating on Basti (therapeutic enema) as the main management strategy is among the most frequently used therapies. The outcomes were divided into Bhaya chikitsa (external procedures), Shamana (palliative medicines), and Shodhana (purification medicines). Overall investigations reveal a significant improvement in the gradation index-measured subjective characteristics. Better alleviation was seen when panchakarma therapy was paired with oral medication. The study's findings led to a significant improvement in spasticity and muscle power and helped to maintain a better quality of life, which is widely appreciated.

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Section: Results Of Synthesesmentioning

confidence: 99%

Section: Kanzode Et Al 2016mentioning

confidence: 99%

“…[16,26] Basti (therapeutic enema). [12][13][14][15][16][17][18][19][20][22][23][24][25][26][27][28]31] 1 2 16…”

Section: Shodhana (Purification Medicines)unclassified

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confidence: 99%

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2023

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A systematic review and meta-analysis focusing on the use of ayurvedic medicine in cerebral palsy

Rocha,

Len,

Santos

et al. 2024

Journal of Ayurveda and Integrative Medicine

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Effect of Ayurveda treatment modalities in motor disabilities of children with cerebral palsy

Uppinakuduru

Raj

Rao

et al. 2021

Journal of Indian System of Medicine

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Background: Cerebral Palsy (CP), is umbrella term which encompasses a broad spectrum of neurological impairments which requires multiple line of treatment. Ayurveda interventions for improving the motor disabilities can contribute in bringing out a better result in this condition. Objective: To evaluate the effect of Ayurveda treatment modalities in motor disabilities of children with cerebral palsy (CP). Materials and Methods: A single-centered, open-labeled, prospective, clinical trial was conducted at a tertiary care teaching hospital attached to Ayurveda Medical College located in district headquarters. Overall, 15 subjects affected with CP were administered with Ayurveda treatment modalities that are inclusive of Udwarthana (dry powder massage), Sarvanga Abhyanaga (oil massage), Sarvanga Parisheka (pouring of warm liquid over a desired body part), Shirodhara (pouring of warm liquid over the head), Upanaha (warm poultice), Matra Basti (medicated enema), and Karnapoorana (administering warm oil into the ear canals) for a period of 15 days. The subjects were assessed before and after treatment for spasticity, muscle power, and range of movements of joints. The data were collected by using a case report form designed for the study. Such collected data were tabulated and analyzed by using Statistical package for social sciences (SPSS, version 20) by using an appropriate statistical test. Results: The intervention was found to be effective in reducing spasticity as well as in improving the movement of joints at P < 0.05. Conclusion: Holistic Ayurveda treatment modalities can be beneficially implemented for treating spasticity in children with CP.

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Effectiveness of Ayurveda Treatment Modalities in the Management of Spasticity in Children With Cerebral Palsy at a Tertiary Care Teaching Hospital of Southern India

Cited by 3 publications

References 11 publications

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A systematic review and meta-analysis focusing on the use of ayurvedic medicine in cerebral palsy

Effect of Ayurveda treatment modalities in motor disabilities of children with cerebral palsy

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