POST POLIO RESIDUAL PARALYSIS RESEARCH AT
AMAR JYOTI HOMOEOPATHIC RESEARCH CENTRE
Amar Jyoti Charitable Trust (NGO), engaged in the service of handicapped since 1981. It provides facilities of Medicare, education, vocational education, physiotherapy, speech therapy to the persons with disability. It also organizes camps for disabled all over the country. It runs an integrated school from Nursery to Class VIII for children with and without disability. A study on Post-Polio Residual Paralysis was initiated at this Centre in May 1999 with the following objectives
The duration of the study was for one year (May 1999 to April 2000). A sample size of 50 students was drawn randomly from the Amar Jyoti Integrated School, which enabled for closer monitoring of the status of the study group. Detailed history and examination of the patient was undertaken indicating the socio-economic data, constitutional features, chronology of disease, severity of motor deficit, severity of associated symptoms, degree of complications, occurrence of any acute illness during treatment. Based on these the patient's abilities were classified into four groups
- To reduce the motor deficit in polio affected limbs to an extend when the use of mobility aids could be reduced to minimum
- To identify most efficacious, inexpensive homoeopathic medicine without any side effect and their potency
- To improve the gait and synchronization of limbs and body movements
- To help in improving the motor power of limbs and body movements
- To help in improving the motor power and deformities so that corrective surgery is minimized and even eliminated.
||i) Muscle Power and Fatigue
|iii) Inability to walk
|iv) Incidence of falling
||i) Distance covering ability
|ii) Gait under three categories
a.) Dragging and stumming
b.) Foot raising
c.) Lateral deviations
||i) Support of hand on knee while walking
|ii) Ability to maneuver ramps and stairs
|iii) Squatting and getting up
||i) Muscle and tendon spasm and related contracture deformity
|ii) Non-bony shortening
| Total Cases under study||50|
| Dropped out (cases from the drug group)||11|
| Followed up Cases (Drug Group and Control Group)||39|
| Drug Group||29|
| Control Group||10|
The total cases studied were from age of 2 ½ years to 23 years. The age incidence of onset of disease under the drug group and control group was as under:
|Age in groups||No. of cases|
|0 months to 12 months||27|
|1 year to 2 years||4|
|2 years to 3 years||6|
|3 years to 5 years||1|
|5 years to 8 years||2|
|8 years to 10 years||0|
Monthly evaluation of the patient was done based on the improvement of signs and symptoms like fatigue, pain rate of falling, distance covered, contracture, deformities, allied symptoms (URI, GIT, enuresis) and physiotherapy was also advised to every patient.
Constitutional and miasmatic drugs have been used in 200 and 1M potency and short acting drugs have been used in lower potency (30. The following drugs were found effective for the treatment of post polio residual paralysis Sulphur (16 cases), Gelsemium (16 cases), Tuberculinum (10 cases), Rhus Tox (5 cases), Merc Sol (4 cases), Nat mur (3 cases), Medorrhinum (3 cases), Pulsatila (3 cases), Cal Carb (3 cases), Causticum (1 case), Psorinum (1 case), Syphillinum (1 case), Bryonia (1 case) and Belladona (1 case).
- The treatment presented mild to moderate signs of improvement in the motor and sensory deficits in the patients. Slow improvement was seen between 12-18 months.
- The rate of falling down while walking presented significant reduction in every case from 50% to 100%. Earlier patients were falling down between 25-30 times to 8-10 times to nil.
- The capacity to walk longer distances had increased. Earlier patients were walking between 10m to 50m. It had increased to 100m and in some cases 500m.
- The capacity to walk against gravity has increased. Earlier from climbing a ramp, patients were able to climb stairs.
- The stability of the body to withstand mild to moderate pushing had increased.
- Gait had improved from dragging to an almost absence of dragging. Patients had started lifting their feet while walking.
- Tendon related contrastive deformity had reduced resulting in lengthening of the affected limb in some cases.
- Medial rotation had started in some of the cases. Lateral rotation at pelvis also showed marginal improvement.
- Improvement appeared to be higher where physiotherapy is carried out regularly along with homoeopathic medicines.
The trust was given a grant-in-aid of Rs.2 lac during the year 1999-2000 out of which Rs.1,66,246/- was utilized and Rs.33,754/- was returned as unspent. The accounts have already been discussed in Scientific Advisory Committee and General Body and no further grant-in-aid have been given.
- The 10 cases of control group of PPRP who were given placebo had not shown any improvement in signs and symptoms, as a result there was a decrease in the number of cases under control group, which could not be followed up and hence a comparative evaluation of these cases with the drug group could not be done to the extent required.
- The random sample size included the patients already undergoing physiotherapy with gradual and marginal improvement presented with one-sided symptoms.