Article: INTEGRATIVE AYURVEDIC MANAGEMENT OF SPASTIC DIPLEGIA IN A CHILD WITH PERIVENTRICULAR LEUKOMALACIA

Article Category: Original Research articles

DOI: 10.7897/2277-4343.165171

Pages: 63-66

Author: Anagha Narayanan *

Abstract: Spastic diplegia is a common form of cerebral palsy often seen in preterm infants and is frequently associated with periventricular leukomalacia (PVL). This case report presents the Ayurvedic management of a 3-year-old male child diagnosed with spastic diplegia due to PVL. The child was born at 7 months of gestation with a birth weight of 1 kg and had a history of delayed motor milestones, increased tone in the lower limbs, and exaggerated reflexes. The primary complaints were difficulty in walking and poor lower limb control. In this case, Panchakarma therapies such as Udwartana, Patra Pinda Sweda, Shashtika Shali Pinda Sweda, Shiropichu, and Matra Basti were administered along with internal medicines like Vacha, Guduchi, Brahmi, and Saraswatharishta with gold. These interventions were combined with physiotherapy including the use of physiotherapy shoes and cycling exercises. Pre- and post-treatment assessments using the Modified Ashworth Scale (MAS), muscle power evaluation, and motor development milestones showed notable improvement in spasticity, muscle strength, and mobility. The child was able to walk with wall support and perform cycling activities effectively. This case demonstrates that integrative Ayurvedic approaches can complement conventional therapies in managing neuromuscular disorders such as spastic diplegia. The correlation between classical Ayurvedic interventions and modern physiotherapy outcomes suggests potential for broader application. Early and holistic management may lead to improved functional independence and better quality of life in children with similar neurological conditions.

Keyword: Spastic diplegia, periventricular leukomalacia, cerebral palsy, neurorehabilitation