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					 Dr.Dinesh.K.S;M.D(Ay.)
           Asst.Professor
  Department of Kaumarabhritya
V.P.S.V.Ayurveda college, Kottakkal
Designing the management
  protocol for the motor
developmental disorders of
         children
Development……
 From zygote to an adulthood
     First 3 months of IUL
     Rest of the gestation
     First 5 minutes of life after birth
     Up to 2 years of life
     Up to school age(6years)
     At the time of adolescence
When should kaumarabhritya
discipline stops concern




 At 20 years
Motor disorders




 Neuro developmental disorders
Problem presentation

 Loose child/Floppy(atonicity)

 Tight child(hypertonic)

 Movement disorders
  (athetoid,epilepsy,myoclonic etc.)
Spastic baby
 (Tight child)
PATHOLOGY
 Diffuse cortical & scattered focal
  atrophy
 Cystic softening of brain in small or
  large areas.
 Hypoplasia of the midbrain or
  cerebellum
 Normal gross appearance with loss of
  cortical neuronal cells on microscopy
Varies according to the cause of the disease………
 Periventricular
  leucomalacia(SD)
 PVL,multicystic
  encephalomalacia,
  malformations(SQp)
 Stroke(in utero/neonatal)
HYPERTONICITY @ ayurveda
Floppy baby(Loose child)
HYPOTONICITY @ ayurveda
Floppy baby
   Benign congenital hypotonia
   Marfan syndrome
   Downs syndrome
   SMA
   Cerebral palsy
   Congenital hypothyroidism
   Muscular dystrophy
Moving baby



                 Epilepsy
                 Myoclonic jerks
                 Chorea
                 Ahtetosis
 Physiology of karmendriya pravritti-Clinical
 view

                    BUDHI




                    MANAS




JNAANEDRIYAS       SAREERA           KARMENDRIYAS
Patho Physiology of karmendriya pravritti-Clinical
view-2


                       BUDHI




                       MANAS




Akshepakam
Ayaamam etc.
                      SAREERA              KARMENDRIYAS
VATAVYADHI
Patho Physiology of karmendriya pravritti-Clinical
view-3


                       BUDHI




                       MANAS




 Apasmaaram


                      SAREERA              KARMENDRIYAS
Patho Physiology of karmendriya pravritti-Clinical
view-1


                       BUDHI




                       MANAS




 Angavikshepanam
 Abheekshnam
 yaanam
 Etc….                SAREERA              KARMENDRIYAS

 UNMAADAM
Functional
obstruction




              Dhatukshaya
Dhatukshaya




              Vata vridhi
Vata vridhi




               Sthana
              samraya   Medas
                        •Snayu
                        •Mamsa
Lakshanas
               Jadatwa




                          Kampa/
   Stabdatwa             akshepaka
                         /apasmara
        MEDAS



SNAYU
         VAYU   MAMSA




        ASTHI
 Most of the dhtus or substratum of
  the vata staana samsraya are
  kaphaja in nature.
Kubjata,kunitwa etc(spasticity)



  KV
  More attention to the vayu
Jadhata(Hypotonicity)


    Sangam (obstruction)
    Sadam (reduced function)
    Chirakaari (make it
     chronic)
Jadhata(Hypotonicity)


  KV
  More attention to the Kapha
Movement (Akshepakam)

 KV



 Kevala vatam
Main points to remember …

 KV problem
 Maximum attention to vata-
  hypertonicity/movement
 Kevalavatika movement.
 Maximum attention to kapha-floppy
   Symptomatic treatment
   Procedure Based Therapy
   Rasayana chikitsa
   Medhyam, balya, KV haram
   Physiotherapy
   Occupational therapy
   Educational intervention
   Orthopaedic support
   Surgery
   Social
Main points to remember …


 Vata--------------------SNEHANA
 Kapha------------------RUKSHANA
Main points to remember …
 SODHANA


  Impossible to eliminate doshas
Main points to remember …
 SAMANA


  Maximum attention to procedure based
   therapies…
Main points to remember …
 RUKSHANA-----Vata vridhi




 SNEHANA------kapha vridhi
  ???????????
Main points to remember …




 Go for alternate snehana and
  rukshana karma
Rukshanam



       Udwarthanam
       Dhanyamla parisheka
       Utkharshanam
       Danyamla potali
Snehanam


              Snehapaanam
              Abhyangam
              Matravasthy
              Pizhichil
              Pichu
              Sirovasthy
Swedanam


          Abhyangam
          Pizhichil
          Pichu
          Sirovasthy
          Nalee swedam
          Pindaswedam
          Avagaham
Application
   6AM-snehapaana/madhoodaka
   9AM-external-
   9AM-vasti
   3PM-pichu/thalam
   5PM-nasal
Sodhanam


            Yogavasthy

            Virechanam

            Nasyam
Rasayanam


         Guluchee

         Nagabala

         Brahmee

         Sankha pushpee