Preprint / Version 1

Integrative Approach Improves Fall Risk and Postural Stability in Spinocerebellar Ataxia-2 – A Case Report

Authors

  • Kavyashree Kulamarva Department of Integrative Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
  • Umesh Chikkanna Department of Integrative Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
  • Kishore Ramakrishna Department of Integrative Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
  • Hemant Bhargav Department of Integrative Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
  • Selva Velayutham Department of Physiotherapy and Neurorehabilitation, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India
  • Shivarama Varambally Department of Integrative Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India

Keywords:

Fall risk, Panchakarma, postural stability, spinocerebellar ataxia, Vata Vyadhi

Abstract

Spinocerebellar ataxias (SCAs) comprise a large heterogeneous group of autosomal dominant cerebellar ataxias. Despite availability of various conventional treatments, reducing disability and improving the quality of life is a challenge in this condition. In the present case report, based on the clinical symptoms and site of pathology, an Ayurveda-based diagnosis of kaphavruta vayana and kaphavruta udana was considered. Therapeutic measures such as rookshana (drying therapy), vatahara (measures to pacifying vata), balya (strengthening), and brimhana (nourishing) regimens were adopted along with oral medications and specific yoga practices. The objective of the treatment was to improve stability, posture, and balance. After 10 weeks of integrative treatment, a demonstrable improvement was observed in scale for assessment and rating of ataxia Scale for the Assessment and Rating of Ataxia (SARA), fall risk, and limit of stability (using computerized dynamic posturography). Hence, an integrated Ayurveda and Yoga-based lifestyle regimen may serve as a useful adjuvant in improving fall risk and limit of stability in patients with SCAs. Keywords: Fall risk, Panchakarma, postural stability, spinocerebellar ataxia, Vata Vyadhi

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