Kj Sujatha, Nk Manjunath, Pg Ahalya
Division of Natural Therapeutics, SDM College of Naturopathy and Yogic Sciences, Ujire, D.K. Affiliated to RGUHS, Bangalore, Karnataka, India.
S-VYASA University, Bengaluru India.
J Ayurveda Integr Med. 2023 Jul-Aug;14(4):100749. doi: 10.1016/j.jaim.2023.100749. Epub 2023 Jul 17.
Spinal cord injury (SCI) is the leading cause of motor and sensory abnormalities due to damage caused to any part of the spinal cord resulting from trauma, disease, or degeneration. Most of the disability caused will be irreversible with various systemic manifestations. Hence, management of SCI focuses on minimising disability, diminishing limitations due to impairment, and improving quality of life, emotional, and psychological aspects.
This review is aimed at describing Ayurveda, Yoga, and Acupuncture therapies in the management of SCI as individual and integrated approaches for alleviating the symptom score in patients with SCI.
The data was collected from six databases, including PubMed Central, the Cochrane Library, Google Scholar, Scopus, MEDLINE, and Grey Literature. The subjects in these studies were between the ages group 21-70 years and had been previously diagnosed with SCI and its clinical presentation. The interventions used in the selected studies incorporate Ayurveda (medicinal system of longevity) herbal medications, Panchakarma (five methods) treatment, diet, and yoga (mind-body medicine) therapy. Full-text publications in English, and research designs such as randomised controlled trials, case studies, review articles and cohort studies were included. Letter to the editor, study protocol, animal trials, and in vitro studies were excluded.
216 records were identified using keywords such as spinal cord injury, Äyurveda, Acupuncture, païca karma, rehabilitation, and yoga. After applying inclusion and exclusion criteria, 28 articles were selected for synthesis, which contain 12 case studies, 12 literature review articles, 2 randomised controlled trials, 1 cohort study, and 1 meta-analysis.
The integration of Ayurveda management, including Panchakarmatherapy and Ayurveda medications, with other alternative therapies like Acupuncture, Yoga, and Rehabilitation improved muscle strength, quality of life, range of motion, and neuronal function, and reduced depression, stress, and pain with symptom scores.
脊髓损伤（SCI）是由于创伤、疾病或退变导致脊髓任何部位受损而引起运动和感觉异常的主要原因。由此造成的大多数残疾将是不可逆的，并伴有各种全身表现。因此，脊髓损伤的管理重点在于将残疾程度降至最低，减少因损伤导致的限制，并改善生活质量、情感和心理方面。
本综述旨在描述阿育吠陀、瑜伽和针灸疗法在脊髓损伤管理中的应用，作为减轻脊髓损伤患者症状评分的单独及综合方法。
数据收集自六个数据库，包括PubMed Central、Cochrane图书馆、谷歌学术、Scopus、MEDLINE和灰色文献。这些研究中的受试者年龄在21 - 70岁之间，之前已被诊断为脊髓损伤及其临床表现。所选研究中使用的干预措施包括阿育吠陀（长寿医学体系）草药药物、五疗法（五种方法）治疗、饮食和瑜伽（身心医学）疗法。纳入英文全文出版物以及随机对照试验、案例研究、综述文章和队列研究等研究设计。排除给编辑的信、研究方案、动物试验和体外研究。
使用“脊髓损伤”、“阿育吠陀”、“针灸”、“五疗法”、“康复”和“瑜伽”等关键词识别出216条记录。应用纳入和排除标准后，选择了28篇文章进行综合分析，其中包括12个案例研究、12篇文献综述文章、2个随机对照试验、1个队列研究和1个荟萃分析。
将包括五疗法治疗和阿育吠陀药物在内的阿育吠陀管理与针灸及瑜伽等其他替代疗法相结合，可改善肌肉力量、生活质量、关节活动范围和神经功能，并降低抑郁、压力和疼痛，同时降低症状评分。
