AYURVEDA MANAGEMENT OF SPASTICITY IN CHILDREN WITH CEREBRAL PALSY: A RANDOMIZED CONTROLLED TRIAL

Abstract

Cerebral Palsy (CP) is most common and exorbitant form of chronic motor disability that begins in childhood and spasticity is the most common movement disorder in children with CP. Incidence of CP is 3.6 per 1000 live births with a male: female ratio of 1.4:1. Randomized control trial 1-12 years. of either sex. 30 cases were selected from OPD and IPD of National Institute of Ayurveda, Jaipur for the study; that were satisfied the inclusion and exclusion criteria. They were randomly divided in three groups each comprising 10 patients. In Group A was administered Trial Drug (Shishu Kalyan Ghrita) and Panchkarma procedure [Abhyanga (massage) & Shashtishali Pinda Sweda (sudation)], in Group B Kala Basti (therapeutic enema) (Anuvasana Basti: Dhanvantar taila and Asthapana Basti: Dashmool Kwath) and Panchakarma procedure and in Group C Physiotherapy (Control group) were administered. Assessment was done by Ashworth scale for spasticity. Very significant results were seen in group A while intergroup comparison shows statistically significant gain of Group A over Group C. Ayurveda management with Shishukalyan Ghrita and Panchkarma procedures including Abhyanga with Dashmoola Taila, Shashtishali Pinda Sweda have proved to be a better, safe and cost-effective treatment modality for improving the spasticity of children with Cerebral palsy.