A holistic approach to the management of Erb's palsy

Area of Science:

• Pediatric Neurology
• Integrative Medicine
• Ayurvedic Medicine

Background:

• Erb's palsy, characterized by paralysis of the upper limb, requires effective treatment strategies.
• Ayurvedic principles correlate Erb's palsy with Ekangavata, a condition of Vata imbalance leading to tissue deprivation.

Purpose of the Study:

• To evaluate the efficacy of an integrated treatment protocol combining physiotherapy and Ayurveda for Erb's palsy.
• To promote faster recovery and near-normal function in infants diagnosed with Erb's palsy.

Main Methods:

• An infant with Erb's palsy received integrated treatment including physiotherapy (electrical stimulation with galvanic and faradic currents) and Ayurvedic therapies.
• Ayurvedic interventions included Ashwagandhabalalakshadi Taila Abhyanga (medicated oil oleation) and Shastikashali Anna Lepa (processed rice paste application).
• Treatment was administered over three sessions.

Main Results:

• Significant improvements were observed in the affected right upper limb compared to the unaffected left upper limb.
• Reduction in length disparity and mid-arm circumference difference was noted.
• Muscle power improved from grade zero to grade four, enabling near-normal movement.

Conclusions:

• The integrated approach of physiotherapy and Ayurvedic treatment demonstrated appreciable results in managing Erb's palsy.
• This combined therapy aids in faster recovery and functional restoration in affected infants.
• Ayurvedic nourishing (Santarpana) treatments, combined with physiotherapy, offer a promising therapeutic option.