Clinical Evaluation of Siddha Therapeutic Management for Siravatham (Cerebral Palsy) in Children

Karthick Kumar, V (2020) Clinical Evaluation of Siddha Therapeutic Management for Siravatham (Cerebral Palsy) in Children. Masters thesis, National Institute of Siddha, Chennai.

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The proportion of disabled children in developing countries is generally higher than in developed countries. It is estimated that 6 to 10% of children in India are born disabled. A child who determined to require special attention is Special Children. Children with multiple disabilities associated with impairments of sensory, motor, physical, socio emotional, behaviour and cognitive domains known as “Cerebral palsy” There are many physical disabilities that can affect children. But cerebral palsy is the most common mental disability in childhood. However, modern drugs can be said to partially fulfil desirable requirements to some extent. It is in the context that we have undertaken a review of the Siddha formulation which could help management of CP. Great efforts have to be made to find out the alternate Siddha medicines and methodologies to improve the life style of special children with cerebral palsy. Siddha literature suggested Sagalavatha Chooranam as internal, Kurunthotti thylam for Thokkanam with Varmam and Vazhuluvai Thylam for oil bath to treat Vadha disease. Hence, the study was undertaken to evaluate the combined management of internal medicine and external therapies for the management of special children with spastic cerebral palsy. Biochemical Qualitative analysis of trial drug was done in Biochemistry laboratory, Department of Biochemistry, National Institute of Siddha, Chennai. The Biochemical analysis of trial medicine shows presence of calcium, magnesium, aluminium, sulphate, zinc, alkaloids phenol, hydro quinine and tannic acid. Preclinical studies of Sagalavatha Chooranam was done in The Nobel research solutions, Chennai. Loss of drying at 105C was found to be 6.633 ± 1.05. The total ash in Sagalavatha Chooranam found to be 5.267 ± 1.25 and the acid insoluble ash to be 0.2 ± 0.02. The water soluble extract value of Sagalavatha Chooranamis 28.43 ± 5.14 and the alcohol soluble extractive is 25.37 ± 4.25. The Phytochemical analysis showed the presence of Alkaloids, Quinones, Diterpenes, Flavanoids, Saponin and Carbohydrates. Children with cerebral palsy were recruited for the study with the internal medicine Sagalavatha Chooranam (3 yrs to 5 yrs–250 mgs, 6 yrs to 9yrs–500 mgs, 10 yrs to 12 yrs – 750 mgs) twice a day along with external therapies such as massage and Varmam with Kurunthotti thylam and Valuzhuvai thylam for oil bath. MAS, MTS, MRCG, GMFCSPAS, DGI, DAS, Selective assessment scale for upper limb and lower limb revealed the significant improvement which was showed by statiscal analysis. There was highly statiscal signifance(p<0.01) differs in clinical assessment in the management of Siravadham. The observation made during the clinical study showed that the trail drug Sagalavatha Chooranam(Internal),Kurunthotti Thylam for Thokkanam and Varmam therapy and Vazhuluvai Thylam for oil bath (External) was clinically effective for siravadham management. CONCLUSION: In Siddha literature CP is under the Vatha disease. So considering this evidence Sagalavatha Chooranam (Internal) and Kurunthotti Thylam (external for thokkanam with varmam) and valuzhuvai thylam (external for oil bath). Siddha system of medicines has certainty with safer medications to treat children. Children with CP have multiple symptoms for which no curative treatment exists. Manipulative and body based methods such as Thokkanam, Varmam improve the quality of life of CP children. The trial drug Sagalavatha Chooranam along Kurunthotti Thyam for massage with Varmam therapy and Valuzhuvai Thylam for oil bath was used to treat the children. Sagalavatha chooram primarily enhance cognitive function. Research has been focused on the mechanism behind these properties. The Alkaloids, Quinones, Diterpenes, Flavanoids, Saponin, Carbohydrates present in Sakalavadha chooranam increase in the muscle tone through enhancing the nerve impulse transmission. Kurunthotti Thylam massage improves mobility of joints and reduces spasticity, reduces the excess fat accumulated in the subcutaneous tissues, softens and exfoliates dead skin cells, improves mobility of joints, strengthens the tone the muscles, refreshes and rejuvenates the body. Massage with Kurunthotti thyalam soothens the sensory nerve endings which produce a hyperaemic effect causing the arterioles dilate in musculature, and reduce stiffness. Massage is also thought to provide a soothing, sedative, invigorating feeling and can give the comfort. In clinical analysis motor function like spasticity, muscle tone, Gross motor function analysis, Gait analysis and selective assessment scale for upper limb and lower limb showed significant improvement in children. By the above encouraging results this trial drug may be taken for larger population to establish the impact on minimising the impact on the disability of innocent children and improving their quality of life.

Item Type: Thesis (Masters)
Additional Information: 321714204
Subjects: AYUSH > Kuzhanthai Maruthuvam
Depositing User: Subramani R
Date Deposited: 26 Sep 2021 17:01
Last Modified: 26 Sep 2021 17:01

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