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  4. Rehabilitative potential of Ayurveda for neurological defi cits caused by traumatic spinal cord injury

Rehabilitative potential of Ayurveda for neurological defi cits caused by traumatic spinal cord injury

Journal of Ayurveda & Integrative Medicine, 2014 · DOI: 10.4103/0975-9476.128868 · Published: January 1, 2014

Spinal Cord InjuryAlternative MedicineNeurorehabilitation

Simple Explanation

Traumatic spinal cord injury (SCI) causes severe devastations involving multiple domains affecting a healthy life. Besides ambulatory and occupational defi cits as per the injury level and intensity, it also leads to sensory and autonomic defi cits affecting the bladder and bowel regulation. Ayurvedic hospitals and particularly the pancha karma units therein are found utilizing some indigenous rehabilitative techniques to intervene in various neurological, muscular, and locomotory defi cits. Common conditions where such interventions recommended are neurological deficits caused by cerebrovascular accidents, cerebral atrophy, prolapsed intervertebral disc, and SCIs. A case of SCI was followed up for 3 months upon an Ayurvedic composite intervention and subsequently reported. The composite treatment plan involved Ayurvedic oral medications as well as a few selected external and internal pancha karma procedures.

Study Duration
3 Months
Participants
A 52-year-old male with traumatic spinal cord injury
Evidence Level
Case Report

Key Findings

  • 1
    A substantial clinical and patient centered outcome improvement in existing neurological defi cits and quality of life was observed after 3 months of the Ayurvedic treatment given to this case.
  • 2
    After one month of the therapy, little improvement was observed in neurological defi cits. Most remarkably the patient was able to raise his head without complaint of giddiness as was noticed prior to the Ayurvedic treatment.
  • 3
    A 10-item MBI score, which was reported to be 4 before the start of Ayurvedic intervention, was improved to 10 at the end of 3 month Ayurvedic therapy.

Research Summary

Spinal cord injury (SCI) is associated with worst outcomes and requires a prolonged rehabilitation. Ayurvedic indigenous methods of rehabilitation are often utilized to treat such conditions. The composite treatment plan involved Ayurvedic oral medications as well as a few selected external and internal pancha karma procedures. MBI scoring is used as a dependable index to know about the qualitative improvements in SCI patient’s life by observing the level of independence achieved after the therapy.

Practical Implications

Novel Management Approach

Ayurvedic treatment offers a novel approach to manage neurological deficits in SCI patients, potentially alone or in conjunction with conventional methods.

Utility of Composite Ayurvedic Intervention

The study highlights the utility of Ayurveda as a composite intervention for clinical practice and research, demonstrating improvements with a comprehensive management plan.

Reduced Dependence

The treatment reduced the level of dependence in the patient, as evidenced by the improved MBI score, suggesting a potential for enhanced quality of life.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Experimental nature of therapy with uncertain outcomes.
  • 3
    Lack of a control group for comparison.

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