A CLINICAL STUDY TO EVALUATE THE EFFECT OF SHIROBASTI IN PAKSHAGHATA ASSOCIATED WITH VAK VIKRITI W.S.R TO SPEECH DISABILITIES IN STROKE SYNDROME

Globally stroke is the second leading cause of death and third leading cause of disability and one in four people are in danger of stroke in their lifetime. Annually 15,000,000 people worldwide suffer a stroke, Out of these 5 million die and another 5 million are left permanently disabled placing a burden on family and community

Stroke carries a high risk of death and survivors can experience loss of vision and or speech, paralysis and confusion. Patients who become paralyzed following a stroke need a special care to help them to recover and to avoid complications and long-term disabilities and this disease is with close resemblance with the disease Pakshaghata in Ayurveda.

The term Pakshagata denotes specific variety of Vatavyadhi which is caused predominantly by Vata dosha. The term Pakshagata literally means paralysis of one half of the body characterised by impairment of motor and sensory activity and loss/impairment of speech.

Speech impairment whether aphasia or dysarthria are a common consequences of stroke.  A study showing 64% of the 88,974 stroke survivors with speech impairment where 28% had both aphasia and dysarthria, 24% had dysarthria only and 12% had aphasia only

Murdhni taila is one among the bahya snehana procedure where in the oil is applied over shiras in different manner. And shirobasti is one among the murdhnitaila which is considered as superior one among all 4 types where in a pool of oil is poured over shiras for a certain period of time . And this shirobasti can be considered as one of the safest and effective procedure done in treating Pakshaghata