Protocol for a Multicenter, Open-Label Controlled Study Comparing the Efficacy of Ayurvedic Therapeutic Procedures and Physiotherapy in Sarvanga Vata Roga (Spastic Cerebral Palsy)

Background: Cerebral palsy is a group of permanent disorders of movement and posture causing activity limitation that are attributed to non-progressive disturbances in the developing fetal or infant brain.Its incidence is more common in low birth weight infants who weight less than 1000gm, 15 in 100 births .As previous study shown good results of Ayurveda with other intervention, this study is a novel to know the combined effect of Ayurveda therapeutic procedure and gold standard of cerebral palsy , physiotherapy as a multi modal approach compare with other multi modal like approach like occupational therapy,orthopedic management, Baclofen to reduce spastic condition.Cerebral palsy by its clinical features can be correlated to sarvanga vata roga of Ayurveda texts, which is caused by vata prominent, vatasyopakrama is employed in this study - Abyanga, basti, upanaha,sirodhara and physiotherapy along with controlled cases of physiotherapy. Material and Methods: The current research is a prospective , open label, randomized controlled clinical trial consisting of total sample size of 40 participants diagnosed with spastic cerebral palsy. 20 each in study and controlled. Study group will be treated with Sarvanga abyanga with rasa taila for 15minutes,Parisheka with dasamoola Kashaya for 15minutes, Masha godhumadhi upanaha for 3hour, Matrabasti with rasa taila (dose as per the age) after food and Physiotherapy For 30 minutes . All the procedures will be done daily for a period of 15days. Similar course of treatment will be repeated for 2 times with a gap of 15days in between. During the period of 15 days gap parents is advised to continue the exercises at home for 30 minutes every day. Control group: will be subjected to physiotherapy with Paediatrics physiotherapy directed gross motor activities and exercises for 15days. Similar course of treatment will be repeated for 2 times with a gap of 15days in between. During the period of 15 days gap parents is advised to continue the exercises at home for 30 minutes every day. Conclusion : The findings of the study could potentially demonstrate that the Ayurveda Therapeutic intervention along with Physiotherapy is more effective as Physiotherapy alone in the management of spastic cerebral palsy.