Art 1 PDF
Art 1 PDF
Art 1 PDF
India.
Received on: 01/03/2015 Revised on: 13/03/2015 Accepted on: 24/03/2015
ABSTRACT
Present era is a period of modernization and fast life. Due to the advancement in life
style people undergo many unwanted practices like faulty dietetic habits, improper
sitting posture, continuous work in one posture and overexertion, load bearing
movements during travelling and sports – all these factors create undue pressure and
compressive injury to the spine and also responsible for early degenerative changes in
bodily tissue which play an important role in producing disease like cervical
spondylosis. In this way, this disease is now becoming a significant threat to the
working population due to its progressive nature.
The Nasya Karma is considered as the best procedure for diseases of head and neck.
Physiotherapy provides several benefits in relieving pain and spasm. It can help to
maintain the strength of the neck muscles and improve the flexibility of the neck
through therapeutic neck exercises and other form of treatment such as manipulation,
US, SWD, IFT etc. These two different modes of treatment having its own importance
in the management of cervical spondylosis so the present study has been conducted to
evaluate the combined effects of these therapies.
Results & Conclusion: All the three groups have given a highly significant
improvement in reducing the signs and symptoms of cervical spondylosis. While
comparing, it was also statistically proved that Nasya along with Physiotherapy is
more effective than either Nasya or Physiotherapy alone in reducing the signs and
symptoms of cervical spondylosis.
KEYWORDS: Nasya; Physiotherapy; Cervical Spondylosis, Karpasasthyadi Taila.
INTRODUCTION
In this period of modernization and fast The description or reference regarding
life, people undergo many unwanted practices like Greevastambha is not available as a separate
improper sitting posture for long time in offices, disease entity in any of the major Ayurvedic texts.
continuous work in one posture and overexertion, It is mentioned as one of the 80 Vataja Nanatmaja
load bearing movements during travelling and Vikaras[1].
sports – all these factors create undue pressure The Nasya Karma is considered as the best
and compressive injury to the spine and play an and the most specific procedure for diseases of the
important role in producing disease like cervical head and neck- “Urdhwa Jatru-Vikaresu
spondylosis. Faulty dietetic habits and irregular Visesannasyamisyate”[2]. Because as stated by
life style is responsible for early degenerative Vagbhatta the nasal passage is considered as the
changes and play a vital role in the manifestation portals of the head “Nasa hi Siraso Dwaram”[3] and
of such degenerative disorder. In this way, this accordingly all drugs measures introduced
disease is now becoming a significant threat to the through the nose spread throughout the head and
working population due to its progressive nature. its constituent parts and may accordingly
Available online at : http://ijapr.in Page 23
Azeem Ahmad et al. The Effect of Karpasasthyadi Taila Nasya, Physiotherapy in Cervical Spondylosis
influence all the Dosas and diseases situated in e. Study setting: Govt. Ayurveda College
these parts.[4] Hospital, Tripunithura.
Due to its anatomical structure, the neck is Criteria for Diagnosis
highly vulnerable to injury and some other The criteria of the diagnosis were mainly
pathological conditions that produce pain, spasm, based on the signs and symptoms of cervical
weakness of muscles and restriction of movement spondylosis (Griva Hundanaum). The detailed
etc.[5] Physiotherapy provides several benefits in locomoter examination of the affected part i.e.
relieving pain, spasm. It can help to maintain the neck was carried out. In addition, radiological
strength of the neck muscles and improve the examination was carried out in all the patients to
flexibility of the neck through therapeutic neck conform the diagnosis as well as to exclude any
exercises and other form of treatment such as other pathology. Routine haematological, urine,
manipulation, US, SWD, IFT etc. which helps to stool and biochemical investigations were carried
improve the circulation and range of movement of out to exclude any other pathology.
the neck, which are vital in Cervical spondylosis
treatment.[6,7] Inclusion criteria
Earlier works carried out Diagnosed cases of cervical spondylosis.
X-ray of cervical spine showing relevant
A clinical study on the development of
changes of cervical spondylosis.
subtype of Abhyanga with reference to its role in
Age group: 20-60 yrs.
the management of Griva-hundana (cervical
Patients with written consent.
spondylosis). By-Dr. Kalapi Patel Department of
Panchkarma I.P.G.T. & R.A.Gujarat Ayurved Exclusion criteria
University, Jamnagar. Nasya anarha.[8]
Effect of Tikta Kshira Basti and Patrapinda Cases where Physiotherapy is contraindicated.
Sweda In The Management Of Cervical Patients with serious Cardiac disorders like
Spondylosis (Asthigata Vata). By- Dr. M.I, Cardiac Failure etc.
Jayadipkumar P. Shah Department Of Severe hepatic disorders.
Panchkarma, I.P.G.T. & R.A. Gujarat Ayurved Patients having associated conditions like
University, Jamnagar. fibrositis, rheumatoid spondylitis, ankylosing
Objectives spondylosis, RA.
Pregnant females.
1. To evaluate the efficacy of Karpasasthyadi
Drug preparation
taila Nasya in cervical spondylosis.
2. To evaluate the efficacy of physiotherapy in Karpasasthyadi taila[9] was prepared in
cervical spondylosis. pharmacy of Govt. Ayurveda College & Hospital
3. To find out the combined effect of Tripunithura, as per Snehapaka vidhi mentioned
Karpasasthyadi taila Nasya and by Sharangdhara in Sh. Sam. Madh. Kh. – ch.9.
Physiotherapy in the management of Cervical Drug intervention:
Spondylosis.
Group A - Nasya group
MATERIALS AND METHODS
Patients were subjected to Uttama matra of
Study population Marsha Nasya[10]:
The patients were selected from the a) Poorva Karma
outpatient unit of Govt. Ayurveda College Hospital,
Tripunithura according to inclusion and exclusion Local Snehana with Karpasasthyadi Taila and local
criteria. They were divided into three equal Nadi Sveda.
groups by Lottery method. b) Pradhana Karma
Sample frame Marsha Nasya with Karpasasthyadi Taila (Mradu
a. Study Design: Comparative Clinical Trail paka) with the dose of 10 Bindu i.e. 5 ml in each
b. Sample size: 45 participants (15 in each nostril at 8:30 am for consecutive 7 days.
group) c) Paschat karma
c. Period of study: 18 months Dhoomapaana with Haridra Varti and Kavala with
d. Selection of patients: As per inclusion and Ushnambu.
exclusion criteria.
Study Photograph