A RANDOMISED COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF KATIBASTI WITH SAHACHAR TAIL AND SHORT WAVE DIATHERMY ALONG WITH MATRA BASTI WITH SAHACHAR TAIL IN THE MANAGEMENT OF KATIGRAHA.

Lower back pain is one of the common musculoskeletal diseases affecting of the world’s. In the prevalence rate of India was 9.4%. To date, no proper curative measures are found to treat lower back pain in modern science.As per Ayurveda’s unique treatment of basti karma here is an attempt to study the efficiency of katibasti with sahachar tail and short wave diathermy along with Matra basti with sahachar tail in the management of Katigraha.

RESEARCH QUESTIONS:

Which is the more effective therapy for the management of Katigraha- katibasti or SWD along with Matrabasti?

AIM:

To Compare the Efficacy of Katibasti with Sahachara taila and matra basti Sahachar tail and physiotherapy in the Management of Katigraha

OBJECTIVES:

1. To evaluate the efficacy of Kati basti with sahachar tail and matrabasti with Sahachar tail in the management of Katigraha.

2. To evaluate the efficacy of SWD and matra basti with sahachar tail in the management of Katigraha.

3. To compare the efficacy of Katibasti with sahachar tail and SWD along with matrabasti with Sahachar tail in the management of Katigraha.

MATERIAL AND METHODS:

Duration of study:  14 months.

Study design : Randomised comparative clinical study.

Purpose of the study will be explained and written informed consent will be taken from every patient.

SOURCE OF DATA:1. Source of data:

i. Literary source:

All the available literature regarding, katigraha, Sahachara, Katibasti Matrabasti and SWD in classical treatises and contemporary texts including journals and online sources will be reviewed and documented for the study.

ii. Pharmaceutical source:

Medicine will be prepared in the GMP certified Teaching Pharmacy of Parul Institute of Ayurveda.

iii. Clinical source:

Patients diagnosed to be suffering with Katigraha and indicated for Swedana will be randomly selected for the study from OPD and IPD of Parul Ayurved Hospital.

TREATMENT GROUPS

Group A   :  Kati basti with sahachara tai and along with matra basti will be administered on 30 patients for 7 days.

Group B : SWD and Matra basti with sahachara tail  will be administered on 30 patients for 7 days.

SUBJECTIVE CRITERIA:

i. Pain

ii. Stiffness

iii. Restricted movements

OBJECTIVE CRITERIA:

i. Lumbar flexion

ii. Lumbar extension

iii. Left Lateral movement

iv. Right lateral movement

v. Rotation

vi. Walking time

vii. VAS scale

INTERVENTION:

1st day2nd day 3rd day4th day5th day6th day7th day
Katibasti Katibasti Katibasti Katibasti Katibasti Katibasti Katibasti

1st day2nd day3rd day4th day5th day6th day7th day
Matra bastiMasti bastiMatra bastiMatra bastiMatra bastiMatra bastiMatra basti

Katibasti: 7 days

Short wave diathermy :7days

Matra basti: 7days

Quantity:

Katibasti:500ml

Matra basti:525 ml

S.W.D. 20mint

Follow up after 7th and 14 th days of discharge.

Samyak katibasti lakshan:

i.Sheeta Uparama ( Relief of coldness)

ii.Shoola Uparama (Relief of pain)

iii.Stambha Nigraha (Relief of stiffness)

iv.Gaurava Nigraha (Relief of heaviness)

v.Mardava (Softness of the body)

vi.Sweda (Adequate sweating)

vii.Vyadhihani (Remission of disease)

Samyak basti lakshan:

i. Sapurisha Sneha pratyeti

ii. Vatanulomana

iii. Agnidipti

iv. Srusshacha vega

v. Sharir laghavata

vi. Sharir bala

Samyak lakshan of Short wave diathermy:

Relief in Pain

Relief in Stiffness

Relief Tenderness

Relief in heaviness

Remission of disease