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CLINICAL STUDY ON THE ROLE OF AN
AYURVEDIC COMPOUND (MANAS
NIYAMAK YOGA) AND SHIRODHARA
IN THE MANAGEMENT OF
ADHD IN CHILDREN
۱ od LOCOROCO ICS
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SHANKHPUSHPI JATAMANSI
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RESULTS
CO-EFFICIENT OF DIVISIION OF ATTENTION
(o>)
SNe Aen in Co-efficient of Division of Attention (CD)
۱6۵۴۱ ۶ a 7
N %o 58 SE نیت
عنادلا عندلدلا 2 9 BT AT sO iff. ی
Group A 0.35 0.29 0.06 10 17.14 0.0306 0.0097 05.773 <0.001
Group B 0.34 0.27 0.07 10 20.58 0.0156 0.0049 14.2857 <0.001
Group C 0.33 0.32 0.005 10 01.52 0.0139 0.0044 01.1363 >0.10
Group D 0.34 0.32 0.02 10 05.88 0.0145 0.0046 04.130 <0.01
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change in Reaction
5 1
هنت eee) تن
10 47.42 0.1715 0.0542 11.8753 1
10 55.83 0.0994 0.0314 21.3373 1
10 103.75 0.0610 0.0193 02.642 0
10 29.07 0.0897 0.0284 13.2394 1
Table Showing
تزیرزنه
توت سس
Groups
لد كلما نا
GroupA 01.36 0.72 0.64
GroupB 01.20 0.53 0.67
GroupC 01.36 01.41 -0.51
GroupD 01.29 0.91 0.38
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ای تا فلت من بببره)
۱
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Table Showing change in time taken in
Finger Dexterity Test (FDT)
Pa رمعه سر
(AC یت
عنادلا
a | a | ete
1 19.1730 0.0387 0.1225 10:96 ىر 0.74 0603 0677 ct
1 36.0552 0.0398 0.1259 20.98 144 05.40 06.84 8 مم6
10
GroupC 06.84 06.80 0.04 0.61 0.0816 0.0258 01.6280 >0.10
10
GroupD 06.62 06.511 2 01.85 0.1212 0.0383 03.2110 2
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CO ee ea ۵
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DISCUSSION
»Maximum numbers of ADHD children
(47.50%) were between age ranges 6-9
years followed by 37.50% in age group
9-12 years. The data suggest higher
prevalence of disease in elementary
school years and gradual attenuation
of symptoms with the advancement
of age.
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»Study included maximum number of
cases (70%) with vata-pitta prakriti . The
symptoms of ADHD are comparable to
that of mentioned in individuals with
vata and pitta prakriti. Behaviors of
predominantly vata prakriti individuals
are more similar to that of ADHD.
Predominance of pitta prakriti over vata
is comparable to the co morbidities &
associated problems with ADHD like ODD,
Anti-social behavior, violence,
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»Maximum number of patients (50%) were
of Rajasika-Sattvika prakriti and 30% of
patients were of Rajasika-Tamas prakriti.
Predominance of rajas part thus may cause
wide emotional swings, low tolerance to
emotional changes and exaggerated emotional
reactions that may manifest as ADHD.
»Maximum number of cases (70%) had
average or poor (20%) parent child
relationship. حت فقت indicate that
persistent cases of ADHD seem especially
likely to occur where parent child conflict,
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»Study included Majority of cases (55%)
having fewer friends. Children with
ADHD have immature interactive skills,
egocentric selfish behavior, low
frustration tolerance, increased
sensitivity to environmental stimuli. All of
these may lead to rejection by the peer
group.
»Maximum number of patients (22.50%)
showed a positive family history of
ADHD-_ alike symptoms. The _ findings
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>» Academic underperformance was found in
most of the ADHD children (85%). It can be
concluded that the academic performance
is the most commonly affected areas of child’s
functioning in the school years having
ADHD.
>65% of cases had aggression and 57.50%
had violence associated with ADHD. Anxiety
found in 20% of cases. 15% cases
presented antisocial behaviors. Self-neglect
was found in 30% of cases whereas 25% of
cases had limited social skill. Data indicate the
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EFFECT ON CORE SYMPTOMS OF DSM-IV
*Group B showed maximum % of
improvement among all the four groups in
all the core symptoms while group C
showed minimum improvement.
*Group B showed significant gain over group
A and group D indicating synergistic effect
Iga Aes MOND thos UCONN UA RRS
*Groups A, B and D showed statistically
highly significant change in Reaction
00
*Statistically significant advantage was
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EFFECT ON COEFFICIENT OF DIVISION OF
ATTENTION SPAN (CD)
*Statistically highly significant change in
coefficient of division of attention was observed
group A and B (P<0.001).
*Significant change was observed in-group D
(p<0.01).
*Statistical evaluation of differences of
change in CD between all the four groups
showed insignificant results.
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EFFECT ON FDT
Statistically highly significant improvement
in groups A and B (P<0.02), indicating the
efficacy of the individuals therapies in each
group.
*Only group B showed highly significant
advantage over group C (p<0.001) and
significant advantage over groups A and D
(p<0.02 and p<0.01 respectively), indicating
the combined effect of drug and sirodhara in
ot
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CONCLUSION
*Both the study drug & Shirodhara
were effective in alleviating the
symptoms of ADHD, but drug combined
with Shirodhara had much greater potential
to ameliorate the symptoms of ADHD
rather than the drug or shirodhara alone.
وت تن aes ف adverse eae لم
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