Ayurveda Management of Global Developmental Delay (Bala Samvardhan Janya Vatavikruti) by collaborative approach of Shaman and Bhrimhana Chikitsa in Ayurveda-A Case Report

Abstract

Background: A child with global developmental delay is unable to attain developmental milestones owing to brain damage which leads to impairment in gross and fine motor, personal social, speech, and activities of daily living (ADL). Aim and objectives:To evaluate the effectiveness of panchakarma procedures in a child with global developmental delay. Materials & Methods:A 3-year-old boy was diagnosed with neuroblastoma and had undergone surgery 2 year back. His parents approached us with complaints of being unable to stand,walk,talk, & ataxia after surgery.There was a significant loss of gross motor function and strength in the lower and upper limbs. The patient underwent treatment with Shaman Chikitsa (medicine interventions) followed by Bhrimhana Chikitsa. In his 1^st sitting, Sarvanaga Abhyanga, pratimarsha Nasya, Shashtika-Shali-Pinda Swedana, Shirodhara, and matra Basti were given for 15 days. Observations and Result:Assessment was done with standard developmental delay parameters i.e GMFCS-Gross motor function classification system. Significant improvement were observed in the domains of gross motor, fine motor, personal-social and language milestones before and after treatment. Discussion:Elimination of vataprakop is the first line of treatment, this is done by shamana and panchakarma bhrimhana Chikitsa. By combining the shamana, panchakarma and physiotherapy a significant improvement was observed, especially in the gross motor milestones as per GMFCS, sitting from grade-2 before treatment to grade-4 after treatment, in standing from  grade-0 to grade-2, fine motor from grade-1 to grade-3, language from grade-2 to grade-4, personal & social from  grade-2 to grade-5. Conclusion:In a nutshell, GDD can be managed by multimodal interventions such as Ayurveda procedures, medicines, and physiotherapy.