title: Management of spastic cerebral palsy through multiple Ayurveda treatment modalities.
abstract: BACKGROUND
  Cerebral palsy (CP) is a leading cause of childhood disability affecting function and development. The global incidence of CP is 2:1000. It has been reported that children with CP and their caretaker have impaired health-related quality of life (QOL). Of the many types and subtypes of CP, none has any known cure. For a detailed description of the disease CP, though, there is no one to one correlation in Ayurvedic classics; it can be taken as Vata Vyadhi as far as its etiology and symptomatology are concerned.
  
  
  OBJECTIVE
  To assess the effect of certain Panchakarma procedures in the management of CP.
  
  
  METHODS
  Total 8 patients were registered and treated with 5 days of Udvartana, 5 days of Abhyanga followed by Sarvanga Swedana and then 8 days of Yoga Basti. The same course of treatment has been repeated for 3 times with an interval of 14 days. Ashtanga Ghrita was given during whole procedures as internal medication. Results of treatment were assessed with anthropometrical measurement, developmental milestone, Modified Ashworth Scale, spasm scale, reflex scale, and muscle power grading.
  
  
  RESULTS
  This Ayurvedic management shows good result in CP patients, especially by improving growth (height, weight, chest circumference) and development (head holding and sitting), reducing spasticity of left upper limb and muscle spasm.
  
  
  CONCLUSIONS
  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. Yoga Basti acts by their own mode of action and can be used freely for such disease conditions.
authors.affiliation: Department of Kaumarbhritya, GJ Patel Institute of Ayurvedic Studies and Research, New Vallabha Vidyanagar, Anand, India.
authors.forename: Sagar M
authors.initials: SM
authors.lastname: Bhinde
authors.affiliation: Department of Kaumarbhritya, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India.
authors.forename: Kalpana S
authors.initials: KS
authors.lastname: Patel
authors.affiliation: Department of Kaumarbhritya, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India.
authors.forename: Virendra Kumar
authors.initials: VK
authors.lastname: Kori
authors.affiliation: Department of Kaumarbhritya, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India.
authors.forename: S
authors.initials: S
authors.lastname: Rajagopala
keywords: Cerebral palsy; Panchakarma in pediatrics; Yoga Basti