Abstract

A CASE STUDY ON PANCHKARMA PROCEDURES IN THE MANAGEMENT OF IDIOPATHIC TOE WALKING IN CHILDREN

Dr. Diksha Kumari* and Prof. Dr. Minakshi

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Abstract

Background of the Study: Idiopathic toe walking is a term used to describe a state in which a child, in the absence of a known cause, walks on his or her toes, as compared to the normal heel-toe gait. It has thus far been unknown how common it is for children to walk on toes. Neuropsychiatric conditions include among others ADHD, tics and autism. The diagnosis is thus used when other defined causes are excluded. Problems that may develop untreated ITW are shortened calf muscles with limited mobility in the ankle, pain, balance and foot problems. It has been shown that impaired ankle mobility is common in patients seeking orthopaedic help for foot problems. Treatment options includes physiotherapy, casting, botulinum toxin A and surgical procedures. There is no exact co-relation found for idiopathic toe walking in Ayurvedic literature. Aim: To assess the effect of Panchkarma procedures and physiotherapy in the management of idiopathic toe walking. Material and Method: In this case study, one case of idiopathic toe walking was registered and treated with multiple treatment modalities. Total period of treatment was of one sitting in which 15 days of Abhyanga with Shasti Shali Pind Swedana and then 7 days of Matra Basti by Ksheer Bala Taila. Physiotherapy includes stretch exercises was done twice for 15 days. Results: Treatment protocol delivered better result in idiopathic toe walking. Conclusion: Panchkarma procedures and physiotherapy are found to be quite effective and with no side effects in managing idiopathic toe walking.

Keywords: Idiopathic toe walking, Neuropsychiatric conditions, Panchkarma procedures, Physiotherapy.