A Comparative Clinical Study on The Effect Of Kati Basti WithMahamaasha Taila & I.F.T [Interferential Therapy] In GridhrasiW.S.R To Sciatica

TITLE OF THE STUDY:

"A COMPARITIVE CLINICAL STUDY ON THE EFFECT OF KATI BASTI WITH MAHAMAASHA TAILA & I.F.T [INTERFERENTIAL THERAPY] IN GRIDHRASI W.S.R TO SCIATICAâ€.

 Summary:

Kati Basti is the modification of Snigdha Basti in which sneha usually medicated taila is allowed to stay for a stipulated time over the lumbar spine area, commonly used in pain and inflammatory conditions of the spine . To place the oil a brim of circular or elongated is constructed and the oil is placed for time period maintaining the temperature. It is easy and can be administered without any complication. Mahamaasha Tailam is a unique preparation exclusively indicated in the management of Gridhrasi and it is in practice too.

On the other hand Interferential therapy which is one among the electro-physiotherapy is also widely practiced modality of treatment of sciatica.

 OBJECTIVE OF THE STUDY :

1.     To evaluate the efficacy of Kati Basti with Mahamaasha Taila in Gridhrasi  w.s.r. to Sciatica.

2.     To evaluate the efficacy of I.F.T.( Interferential Therapy) in  Gridhrasi  w.s.r. to Sciatica.

3.     To compare the efficacy of Kati Basti and I.F.T. in Gridhrasi  w.s.r. to Sciatica.

 MATERIALS AND METHODS:

 SAMPLE SOURCE : A minimum of 40 patients will be selected randomly  from IPD & OPD ofDHANVANTARI AYURVEDA COLLEGE HOSPITAL AND RESEARCH CENTRE SIDDAPUR (U.K.) and equally devided into 2 groups  of 20 patients each in Kati Basti with Mahamaasha Taila group and I.F.T. group.

 METHOD OF COLLECTION OF DATA

 A) **STUDY DESIGN :**Present study is A COMPARITIVE clinical study.

B) **SAMPLING TECHNIQUE :**The subjects who fulfill  the inclusion criteria and exclusion criteria complying with the informed consent(IC) will be selected randomly for the study.

C)  SAMPLE SIZE : A minimum of 40 patients fulfilling the inclusion criteria and exclusion criteria of Ghridhrasi  will be selected and equally divided into two groups i.e. 20 patients in each group for the study irrespective of gender, religion, occupation and economic status.

D) **DESIGN OF STUDY :**A clinical study with minimum of  40 patients of Gridhrasi of either gender , aged between  25-65 years will be carried out as part of the research. The signs and symptoms will be assessed before and after treatment.

Group A :  20 patients will be subjected to Kati Basti with Mahamaasha Taila.

Group B :  20 patients will be  subjected to Interferential Therapy.

ASSESSMENT :

Patients will be assessed on 0th day i.e. before treatment , 7th day i.e. after treatment  and follow up assessment will be done on  14th day and 21st day.

 SUBJECTIVE PARAMETERS:

The assessment of results of treatment will be done on the basis of numerical scores assigned for each of the following signs and symptoms;

1.     Ruk (continuous pain) in the sphik, Kati, Uru Janu Jangha and Pada

2.     Toda (intermittent pain) in the sphik, Kati, Uru, Janu Jangha and Pada.

3.     Stambha (stiffness) in the sphik, Kati, Uru Janu Jangha and Pada.

4.      Spandana (fasciculation) in the sphik, Kati, Uru,Janu, Jangha and Pada.

 OBJECTIVE PARAMETERS:

1.     Walking distance.

2.     Sitting.

3.     Straight Leg Raising Test.

4.     Crossed SLR Test

5.     Femoral nerve stretch test/ Reverse SLR test

6.     Slump test

7.     Lasegue’s test

8.     Faber  test

9.     Bowstrings test

10.  Braggard’s Test.

11.  Visual Analog Scale

ASSESSMENT CRIETERIA:

A detailed proforma will be prepared for the assessment of subjective and objective parameters by grading them. The data obtained will be analyzed statistically with suitable method.