A Birds Eye View on Different Ayurvedic Treatment Modalities in Cerebral Palsy in Children
DOI:
https://doi.org/10.48165/IRJAY.2024.70605Keywords:
Ayurveda, Cerbral palsy, Panchakarma and Herbs, SpasticityAbstract
Introduction: Cerebral palsy (CP) is a permanent, non-progressive, and occasionally evolving disorder of tone, movement, or posture caused by a change to the developing brain, which may be due to birth asphyxia, trauma, infection, or prematurity in antenatal, perinatal, or post-natal periods. Material and Methods: A systematic review of the literature available was carried out on PubMed, Ayush Research Portal, Dhara, and Scopus regarding Ayurvedic intervention in the management of CP. Results: The treatment program for a child with spasticity may include Ayurvedic drugs, allied health therapy, and exercise. Ayurveda recommends multiple treatment options for CP. Out of these treatment options herbal drugs, Panchakarma therapies, etc. are most commended for this disease. Discussion: The present paper reviewed various clinical studies to ascertain the efficacies of these modalities and found that Ayurveda can efficiently manage CP along with its associated condition by improving movement, reducing spasticity, and strengthening the muscles. Conclusion: The current review provides motivating evidence for the usage of herbal treatment in CP and further research utilizes robust available methodology. Cerebral palsy (CP) is a motor function disorder caused by a defect in the developing brain, which may be due to birth asphyxia, trauma, infection, or prematurity in antenatal, perinatal, or postnatal periods. In developing nations like India, the incidence of CP is approximately 3/1,000 live births. This has not altered recently despite better antenatal care and public health.[1] Although CP begins in childhood, it impacts the individual’s whole life course as well as the health-care system. Identifying appropriate interventions to alleviate disability throughout the life of a person with CP is urgent.[2] The male gender was classified as a risk factor for CP. Epilepsy has been shown to be the most commonly associated comorbidity.[3] CP is predominantly a mobility issue, but many children who have it also have additional
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References
MacLennan AH, Thompson SC, Gecz J. Cerebral palsy: Causes, pathways, and the role of genetic variants. Am J Obstet Gynecol 2015;213:779-88.
Ryan JM, Cassidy EE, Noorduyn SG, O’Connell NE. Exercise interventions for cerebral palsy. Cochrane Database Syst Rev 2017;6:CD011660.
Al-Jabri BA, Al-Amri AS, Jawhari AA, Sait RM, Talb RY. Prevalence, types, and outcomes of cerebral palsy at a tertiary center in Jeddah, Saudi Arabia. Cureus 2022;14:e27716.
Basoya S, Kumar S, Wanjari A. Cerebral palsy: A narrative review on childhood disorder. Cureus 2023;15:e49050.
Sharma RK, Dash B, Translator. Agnivesa, Caraka Samhita. Siddhisthanam, Trimarmeeyam Siddhim Adhyaya, 9/6. Vol. 2.
Varanasi: Chaukhambha Sanskrit Series Office; 2012. p. 329. 6. Stanley F, Blair E, Alberman E. Cerebral Palsies: Epidemiology and Causal Pathways. Vol. 151. London, United Kingdom: MacKeith Press; 2000.
Bear JJ, Wu YW. Maternal infections during pregnancy and cerebral palsy in the child. Pediatr Neurol 2016;57:74-9.
Garne E, Dolk H, Krägeloh-Mann I, Holst Ravn S, Cans C, SCPE Collaborative Group. Cerebral palsy and congenital malformations. Eur J Paediatr Neurol 2008;12:82-8.
Grether JK, Nelson KB. Maternal infection and cerebral palsy in infants of normal birth weight. JAMA 1997;278:207-11. Erratum in: JAMA 1998;279:118.
Yoon BH, Romero R, Park JS, Kim CJ, Kim SH, Choi JH, et al. Fetal exposure to an intra-amniotic inflammation and the development of cerebral palsy at the age of three years. Am J Obstet Gynecol 2000;182:675-81.
Gibson CS, MacLennan AH, Hague WM, Haan EA, Priest K, ChanA, et al. Associations between inherited thrombophilias, gestational age, and cerebral palsy. Am J Obstet Gynecol 2005;193:1437.
Blair EM, Nelson KB. Fetal growth restriction and risk of cerebral palsy in singletons born after at least 35 weeks’ gestation. Am J Obstet Gynecol 2015;212:520.e1-7.
O’Callaghan ME, MacLennan AH, Gibson CS, McMichael GL, Haan EA, Broadbent JL, et al. Epidemiologic associations with cerebral palsy. Obstet Gynecol 2011;118:576-82.
Davies MJ, Moore VM, Willson KJ, Van Essen P, Priest K, Scott H, et al. Reproductive technologies and the risk of birth defects. N Engl J Med 2012;366:1803-13.
Nelson KB, Grether JK. Potentially asphyxiating conditions and spastic cerebral palsy in infants of normal birth weight. Am J Obstet Gynecol 1998;179:507-13.
Craver RD, Baldwin VJ. Necrotizing funisitis. Obstet Gynecol 1992;79:64-70.
McMichael G, MacLennan A, Gibson C, Alvino E, Goldwater P, Haan E, et al. Cytomegalovirus and Epstein-barr virus may be associated with some cases of cerebral palsy. J Matern Fetal Neonatal Med 2012;25:2078-81.
Schaefer GB. Genetics considerations in cerebral palsy. Semin Pediatr Neurol 2008;15:21-6.
Shailaja U, Rao Prasanna N, Arun Raj GR. Clinical study on the efficacy of Samvardhana ghrita orally and by matrabasti in motor disabilities of cerebral palsy in children. Int J Res Ayurveda Pharm 2013;4:373-7.
Palande A, Ojha NK. Ayurveda management of spasticity in children with cerebral palsy: Arandomized controlled trial. Int J Res Ayurveda Pharm 2017;8:14-9.
Kumar D, Ojha NK. Ayurvedic management of spastic cerebral palsy: A case study. Int J Res Ayurveda Pharm 2018;9:50-2. 22. Kanzode SP, Kori VK, Patel KS, Rajagopala S. A case study on ayurvedic management of cerebral palsy with Chaturbhadra Kalpa Basti. Eur J Biomed Pharm Sci 2016;3:348-50.
Bhinde SM. A case study on the Ayurvedic management of cerebral palsy. Anc Sci Life 2015;34:167-70.
Shailaja U, Rao PN, Girish KJ, Arun Raj GR. Clinical study on the efficacy of Rajayapana Basti and Baladi Yoga in motor disabilities of cerebral palsy in children. Ayu 2014;35:294-9.
Bhinde SM, Patel KS, Kori VK, Rajagopala S. Management of spastic cerebral palsy through multiple Ayurveda treatment modalities. Ayu 2014;35:462-6.
Kumar Niraj S, Varsha S. A case study on the Ayurvedic managment of spastic cerebral palsy due to birth Asphyxia. J Nat Remedies 2019;19:153-61.
Shailaja U, Rao PN, Debnath P, Adhikari A. Exploratory study on the ayurvedic therapeutic management of cerebral palsy in children at a
Sharma, et al.: Different Ayurvedic treatment modalities in cerebral palsy in children 2024; 7(6):27-33
tertiary care hospital of Karnataka, India. J Tradit Complement Med 2014;4:49-55.
Rajput S, Patni K. Randomized clinical trial to evaluate the efficacy of Ashtamangal Ghrita oral and Nasya in the management of cerebral palsy. Int J Ayurvedic Med 2020;11:483-90.
Rathi R, Rathi B, Pandey VB, Verma J, Khedekar S. Comparative efficacy of therapeutic Panchkarma procedures in children with cerebral palsy. Int J Ayurvedic Med 2023;14:173-9.
Arun Raj GR, Uppinakuduru S, Rao PN. Comparative clinical study to assess the effectiveness of Salavana Upanaha Sweda with and
without Parisheka on spasticity in children with Cerebral Palsy. Ann Ayurvedic Med 2022;11:22-37.