Etiopathological study on cerebral palsy and its management by Shashtika Shali Pinda Sweda and Samvardhana Ghrita

Vyas, Apexa; Kori, Virendra Kumar; S, Rajagopala; Patel, Kalpana S

doi:10.4103/0974-8520.115450

Cited by 38 publications

(31 citation statements)

References 8 publications

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“…In India, such specialized services or databases have yet to be developed. According to the published literature from India, the estimated incidence of CP is 3 per 1000 live births[22] and CVI in CP is reported at 28%,[23] this is just the tip of the iceberg. It is likely to be higher if visual perceptual dysfunction is included in the study.…”

Section: Discussionmentioning

confidence: 99%

Setting up of a cerebral visual impairment clinic for children: Challenges and future developments

Philip

2017

Indian J Ophthalmol

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Aim:The aim of this study is to describe the setting up of a cerebral visual impairment (CVI) clinic in a tertiary care hospital in South India and to describe the spectrum of cases seen.Materials and Methods:The CVI clinic, set up in February 2011, receives interdisciplinary input from a core team involving a pediatrician, neurologist, psychiatrist, occupational therapist, pediatric ophthalmologist, and an optometrist. All children, <18 years of age, with cerebral palsy (CP), learning disability, autism, neurodegenerative diseases, and brain trauma are referred to the clinic for functional vision assessment and opinion for further management.Results:One thousand four hundred and seventy-eight patients were seen in the CVI clinic from February 2011 to September 2015. Eighty-five percent of the patients were from different parts of India. In the clinic, 61% had CP, 28% had seizure disorders, autism was seen in 9.5%, and learning disability, neurodegenerative conditions, and brain injury together constituted 1.5%. Most of the children (45%) had moderate CP. Forty percent of CVI was due to birth asphyxia, but about 20% did not have any known cause for CVI. Seventy percent of patients, who came back for follow-up, were carrying out the habilitation strategies suggested.Conclusions:Average attendance of over 300 new patients a year suggests a definite need for CVI clinics in the country. These children need specialized care to handle their complex needs. Although difficult to coordinate, an interdisciplinary team including the support groups and voluntary organizations is needed to facilitate the successful implementation of such specialized service.

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Section: Discussionmentioning

confidence: 99%

Setting up of a cerebral visual impairment clinic for children: Challenges and future developments

Philip

2017

Indian J Ophthalmol

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“…9 But various conditions have been discussed which can be critiqued and understood as different presentations of cerebral palsy. For instance, shiromarma abhighataja due to akalapravahana vyadhi ie disease causing injury to brain has been seen to present with symptoms like loss of motor activities, difficulties in speech, hearing and vision, drooling of saliva, and improper coordination along with other functional difficulties.…”

Section: Discussionmentioning

confidence: 99%

A Review on Cerebral Palsy in Children: Bridging Ayurvedic Concepts With Scientific Approaches in Medicine

Raj¹,

Viswaroopan²,

Shailaja³

et al. 2017

Int. J. Res. Ayurveda Pharm.

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Cerebral Palsy is a neurological disorder caused by a non-progressive brain injury or malformation that occurs while a child's brain is under development. It is the most common cause for motor disability in children. Population-based studies from around the world report prevalence estimates of Cerebral Palsy ranging from 1.5 to more than 4 per 1,000 live births or children of a defined age range. 2.3 to 3.6 out of every 1,000 children is the rate of occurrence of Cerebral Palsy. Spastic Cerebral Palsy constitutes about 61 percent to 76.9 percent of all Cerebral Palsy cases. There is no single disease or condition explained in classical texts of Ayurveda regarding Cerebral Palsy. But various conditions have been discussed which can be critiqued and understood as different presentations of cerebral palsy. The present paper details the available Ayurveda descriptions of Cerebral Palsy in line with the modern scientific considerations on the same.

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“…Causative factors such as, dauhrida avimananata (negligence of pregnancy craving), presence of garbhopaghatakara bhava (deleterious factors to fetus), incompatible garbha vriddhikarabhava (abnormal factors hindering growth of the fetus) and improper following of garbhini paricharya (lack of proper antenatal care) will produce undesirable effects on the fetus in-utero. These hamper the normal growth and development of the child and cause several diseases, deformities, and even death 3 . CP may be stated as Janma Bala Pravritta Vyadhi (congenital disorder).…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, there was no clarity regarding the Ayurvedic aspect of CP. Previous studies considered CP as, Vata vyadhi 3 , Janma bala pravritta vyadhi 2 (congenital disorder), Shiro marma abhighata bala vata vyadhi 4 (disease caused by injury to head in children), Bala samvardhana vikara 5 (growth and developmental disorder of children) and Balaka pakshaghata 6 (paralysis in children). This creates a major diagnostic and management dilemma in clinical Ayurvedic pediatric practice while approaching a case of CP.…”

Section: Introductionmentioning

confidence: 99%

Ayurvedic Management of Cerebral Palsy: Report of Two Cases With Review of Literature

Mamidi¹,

Gupta²

2015

Int. Res. J. Pharm.

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Cerebral palsy (CP) is a common cause of childhood disability. It is defined as 'a group of non progressive but often changing motor impairment syndromes which are secondary to anomalies or lesions of brain arising in early stages of its development'. The prevalence of CP varies from 1.5 to 2.5 per 1000 live births. There was no clarity regarding the Ayurvedic aspect of CP. The present study reporting two cases of CP diagnosed and treated as per the lines of 'Phakka roga' according to Ayurveda. The Gross Motor Function Measure (GMFM) was used to evaluate the gross motor function. Total two assessments were carried out on the first day of treatment and on 30 th day of treatment. The diagnosis of Phakka roga should be considered while approaching the case of CP. Agnimandya, amavastha and kaphavastha should be considered while planning the line of treatment in CP cases. The treatment modality of the present study is highly effective in relieving the signs and symptoms and reducing the disability in children with CP. Rookshana procedure like udwartana seems to be beneficial in reducing the spasticity along with improvement in agnimandya, amavastha and kaphavastha.

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Etiopathological study on cerebral palsy and its management by Shashtika Shali Pinda Sweda and Samvardhana Ghrita

Cited by 38 publications

References 8 publications

Setting up of a cerebral visual impairment clinic for children: Challenges and future developments

Setting up of a cerebral visual impairment clinic for children: Challenges and future developments

A Review on Cerebral Palsy in Children: Bridging Ayurvedic Concepts With Scientific Approaches in Medicine

Ayurvedic Management of Cerebral Palsy: Report of Two Cases With Review of Literature

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