No clue what Ayurvedic treatment is. You'll have to ask your doctor.
Ayurvedic Treatment in the Rehabilitation of Ischemic Stroke Patients in India: A Randomized Controlled Trial (RESTORE)
Abstract
Background:
The
effect of Ayurvedic Rehabilitation therapy (ART) in improving the
sensorimotor recovery of patients with ischemic stroke is unclear
irrespective of the fact that ayurveda is a commonly practiced alternate
system of medicine in India and south Asia. The trial hypothesised that
ayurvedic treatment is superior to physiotherapy in recovery of
ischemic stroke patients.
Methods:
We
performed investigator-initiated, multi-centre prospective, parallel
arm randomized, controlled trial (RCT) with blinded outcome assessment
across four comprehensive stroke centres in India. Participants were
randomly assigned in a 1:1 ratio to the ART arm (intervention group) or
on to the conventional physiotherapy (C PT) arm (control group). The
primary outcome was sensory motor recovery of upper extremity assessed
using Fugl Meyer Assessment -upper extremity (FMA-UE) and secondary
outcome, a composite of functional disability, activities of daily
living, postural balance and quality of life at one month and
three-month follow-up. The safety outcomes were serious adverse events
during the study duration.
Results:
Of
403 participants screened, 140 patients were enrolled, 70 in
intervention (ART) and 70 in control (CPT) group. At three months,
compared to ayurveda group, the sensory motor impairment (FMA-UE) score
was significantly better in the physiotherapy group (71.97+ 23.88 Vs
81.97 +24.57, p=0.023) but after adjusting for age, stroke severity,
baseline FMA-UE scale and risk factors, the group differences were not
significant (p= 0.057). None of the secondary outcomes were
significantly better in ayurveda group. During the trial, no major
serious adverse events were reported.
Conclusion:
This
pragmatic first-ever RCT of Ayurveda in stroke looked into benefit of
ayurveda treatment in first ever stroke survivors. The current
intervention protocol of ART was not superior to CPT in improving the
sensorimotor recovery of patients with ischemic stroke. This is the
first RCT of its kind.
Funding:
Funded
by Indian Stroke Clinical Trial (INSTRuCT) Network, Indian Council of
Medical Research,registered in Clinical Trial Registry- India
(CTRI/2018/04/013379)
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