Improvement of balance in progressive degenerative cerebellar ataxias after Ayurvedic therapy: A preliminary report|
Sriranjini, S.J.; Pal, Pramod Kumar; Devidas, K.V. & Ganpathy, Selva
Background: The treatment options for improving the balance in degenerative cerebellar
ataxias are very few. Ayurvedic texts have described diverse treatment regimens for this
Aims: To determine the change in balance indices, if any, by dynamic posturography
(Biodex Balance System, USA) in progressive cerebellar ataxia following Ayurvedic treatment.
Materials and Methods: We performed a preliminary open labelled study on ten patients
diagnosed with progressive cerebellar ataxia. The patients were treated over a period of
one month. Treatment consisted of Shirobasti (therapeutic retention of medicament over
the scalp) in male patients and Shirodhara (pouring of a steady stream of medicament on
the forehead) in female patients with Dhanvantaram tailam (medicated oil) for 45 minutes
daily, followed by Abhyanga (methodical massage) with Dhanvantaram tailam and Bhashpa
sweda (steam bath), for 14 days. In addition, the treatment also consisted Abhyantara
aushadha (oral medicines) of Maharasnadi kashayam 15 ml thrice daily, Dhanvantaram
capsules 101 two capsules thrice daily, and Ashwagandha tablet 500 mg one tablet thrice
daily, for one month. The patients were assessed on the Biodex balance system before
and after the treatment. Results were analyzed using paired samples 't' test.
patients tolerated the treatment well without any adverse events and reported subjective
improvement in walking. There was a statistically significant improvement in the overall and
anteroposterior balance indices of dynamic stability.
Conclusions: Over the short period
of the present study, Ayurvedic therapy was found to be safe and, showed improvement in
the balance in patients with progressive degenerative cerebellar ataxia. Further randomized
placebo-control double-blind studies are needed to validate the results.
Ayurveda, balance, cerebellar ataxia, shirobasti, shirodhara