Management of Spastic Cerebral Palsy due to Wallerian Degeneration through Majja Kshira Basti – A Case Study
Journal Title: International Journal of Ayurveda and Pharmaceutical Chemistry - Year 2014, Vol 1, Issue 1
Abstract
Introduction: Cerebral palsy (CP) is a group of permanent movement disorders that appear in early childhood. Wallerian degeneration is one of the major pathology in spastic cerebral palsy. Wallerian degeneration is a process that results when a nerve fiber is cut or crushed, in which the part of the axon separated from the neuron's cell body degenerates distal to the injury. Wallerian degeneration occurs after axonal injury in both the peripheral nervous system (PNS) and central nervous system (CNS Cerebral palsy (CP) is the leading cause of childhood disability affecting function and development. It occurs in about 2.1 per 1,000 live births. Cerebral palsy is caused by abnormal development or damage to the parts of the brain that control movement, balance, and posture., As it is a multi-factorial disease with clinical features of a wide variation, it cannot be correlated with any single disease or condition in Ayurveda. According to Vāgbhaṭa, it can be classified in the disease categories of sahaja (hereditary) and garbhaja (congenital) type of diseases. It can be taken as Vata Vyadhi as far as its etiology and symptomatology are concerned. Aim:To assess the effect of majja kshira vasti in the management of CP due to cerebral atrophy. Materials and Methods: A 4-year-old male child with spastic type of CP due to cerebral atrophy because of Wallerian degeneration came to OPD of GAC, Hyderabad. Patient was treated with abhyanga followed by sarvanga swedana and then with majja kshira vasti for 10 days. The same course of treatment has been repeated for 3 times with an interval of 15 days. Results of treatment were assessed with anthropometrical measurement, Modified Ashworth Scale, muscle power grading along with motor and sensory symptoms. Result:The above treatment protocol of Ayurveda shows good result in patient especially by improving growth and development, reducing spasticity of right upper limb and muscle spasm with an overall 40- 50 % improvement in the symptoms of the patient. Conclusion: Multisystem approach is needed to improve the condition of the patient. Panchakarma along with internal medication should be given to improve all the facets of spastic CP. Basti acts by their own mode of action and can be used freely for such disease conditions.
Authors and Affiliations
Nidhi Sharma, Chandra Chud Mishra, Ch. Sadanandam
Keywords
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