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Untitled Document
Part I: Importance of Mental Health according to Indian Scriptures
Part II: Complementary effect of Mind Sound Resonance Technique as an add on Programme in Patients undergoing Spinal Traction and Inferential Treatment for Chronic Low Back Pain.
By
Anupritha Ashok Shetty
ABSTRACT
Part I: Importance of Mental Health according to Indian Scriptures
All ancient philosophies agreed about the concept of mind-
body unity. The concept that the mind is important in the treatment of
illness is integral to the healing approaches of traditional Chinese and
Indian medicine, dating back more than 2000 years. ¡yurveda is the five
thousand years old Indian system of medical science. It is derived from
vedic concepts of health and healing and from other philosophical schools
of s¢¼khya and yoga. Besides, it incorporates upani¾adic thoughts. It is a
comprehensive system of body-mind- spirit medicine. Hindu religion,
philosophy and psychology are inseparably connected. Mental health is the
prerequisite of spiritual discipline, so long as mind is disturbed and
agitated by conflicting emotions and consequent tension, there is no peace
in mind and when there is no peace there is no joy in life.
CONCLUSION
There has always been, much controversy over the mind and body connection. It is interesting how the history affected medical philosophies causing the dichotomy between eastern and western medical cultures.Looking at the ancients, one can see a strong connection in their beliefs that the mind and the body should be treated as the whole". Hippocrates(460-377 BC) said “For this is the great error of our day that the physicians separate the soul from the body", The purpose of this study is to shown solid information about the communication link that exists between the mind-brain and body which has been identified and reflected in ancient scriptural texts written thousands of years ago. Certainly evidence has been established that supports the idea of some illnesses being contractible or aggravated by psychosocial pressure which induces stress in the organism. It is too simplistic to believe that all diseases have their basis in emotions. A sense of loss of control over ones situation can lead to a loss of normal homeostasis. When this happens, our immune system is weakened making it easier to contract disease. By conditioning the immune system through mental processes a connection in communication can be made. Providing the patient with some feeling of control over their circumstances may create a positive outlook and attitude Some believe that this may, "Inoculate against disease and act as a valuable supplement to conventional medical care. A complimentary approach would appear to be best for the patient’s wellbeing. This would require a huge paradigm shift for the present way in which the medical community completes its business.“If one man conquers in the battle a thousand men a thousand times and if another conquer himself, (the latter) is the greatest conqueror,” says Buddha in Dhammapada verse 103. From this we can understand that the controlling of mind is the most difficult task in this world.
Part II: Complementary effect of Mind Sound Resonance Technique as an add on Programme in Patients undergoing Spinal Traction and Inferential Treatment for Chronic Low Back Pain.
Chronic low back pain (CLBP) is one of the common pain disorders that have only modestly effective treatment options. Objective was to determine the efficacy of addition of a yoga based relaxation technique, Mind Sound Resonance Technique (MSRT) in patients undergoing treatment for CLBP. 60 patients undergoing spinal traction (ST) and interferential therapy (IFT) for CLBP at a private orthopedic hospital in Bangalore were randomly allotted into yoga and control groups. The mean age of the groups under study was 40+10.99 years. Duration of CLBP was 6.8+3.16 and 5.40+2.66 years for control group and yoga group respectively. Yoga group received the MSRT, by use of a recorded audio tape with head phone during the entire period of 20 min of ST and IFT. The control group had non guided supine rest. Assessments were done on the first and on the 10th day. Analgesic dosage, duration of inter-mmitant spinal traction and IFT was kept constant throughout. Pain was measured by pain analog scale (PAS). Spinal flexibility was measured in terms of forward bending (FB), back bending (BB), lateral bending (LB) by goniometers & sit and reach (S & R) apparatus supplied by Anand agencies, Pune, India. The stress levels were measured by the questionnaire, State and Trait Anxiety Inventory (STAI), and autonomic variables. Autonomic variables measured were blood pressure (BP), pulse rate (PR) and Heart rate variability (HRV). HRV measured by apparatus supplied by Niviqure Meditec Pvt Ltd, Bangalore. Autonomic variables, B.P, PR & HRV were measured before during and after the intervention for both the groups on first and last days. Results were significant for FB (p=0.001), BB (p=0.005), S & R (p<0.001) &PAS (p=0.001). Improvement in flexibility, pain reduction was observed in the yoga group compared to the control group on the 10th day. Before /during (p=0.007), during/after (p=0.011) and before/after (p<0.001) of systolic reading showed significant results in the yoga group. Diastole showed significance only in before/during (p=0.011), before/after intervention (p=0.046) in the yoga group. Pulse rate showed significant difference between groups (p=0.012) as well as before/during (p=0.002), during/after (p=0.010) and before/after (p<0.001) intervention in the yoga group. HRV did not show significant changes between the groups and within the groups. STAI did not show significant results between the groups. Yoga based relaxation technique, MSRT, administered along with conventional treatment in CLBP patients helps in better reduction in pain and stress with increased flexibility as compared the control.
SUMMARY & CONCLUSION
The present study was designed to assess the efficacy of addition of yogic relaxation technique, Mind Sound Resonance Technique to reduce the pain and improve the flexibility better than only traction and medical management.In this study subjects under going traction therapy for chronic low back ache were chosen (n=60, age range=20 to 60 yrs) of both sexes. Subjects were divided into 2 groups of 30 each. 32 were females and
28 were male subjects. Control group had 15 females and 15 males, yoga group16 females and 14 males. The yoga group had the intervention on MSRT while the control group had non guided supine rest. The parameters F.B, LB, B.B, SLR, SAR, PAS and STAI were taken on the 1st and the 10th day. HRV, B.P & Pulse were taken before during and after the intervention on the 1st and 10th day Data was analyzed using Statistical Package for the social sciences (SPSS version 10.0).The base line values for intervention and control group was checked for normal distribution by using Shapiro-Wilk Test. Since the parameters were not normally distributed non parametric tests were used.Wilcoxons signed rank test was done to compare means before and after intervention.The difference in pre and post values between the two groups was assessed by Mann –Whitney test.The Repeated Measures ANOVA was performed for the variables B.P, Pulse, HRV with one Within-subjects Factor, Assessments (before, during and after) and one between-subjects factor, Groups (Yoga, and Control), Post-hoc tests (with Bonferroni adjustment for multiple comparisons) were used to detect significant differences between mean values (during versus before, after versus before andduring versus after on Day1 and Day 10 separately).Analysis of outcomes in categories of pain and spinal flexibility indicated significant difference between the groups by Mann Whitney test. Results were significant for forward bending (p=0.001), back bending (p=0.005), sit & reach (p<.001) & Pain Analog Scale (p=0.001). The results were not significant for lateral bending right and left respectively (p=0.197, 0.152), straight leg raising test on right and left (p=0.537, 0.811) and stress questionnaire, state trait anxiety inventory (p=0.358). Improvement in flexibility, pain reduction was observed in the yoga group compared to the control group at the end of 10th day. Autonomic measures B.P, PR too showed significant difference between the group & within the group. Before /during (p=0.007), during/after (p=0.011) & before/after (p<0.001) of systolic reading showed significant results in the yoga group. Diastole showed significance only in before/during (p=0.011), before/after intervention(p=0.046) in the yoga group. Systole was significant during /after (p = 0.058) & before/after intervention (p = 0.019), diastole was not significant for all the 3 readings in the control group. Pulse rate showed significant difference between groups (p=0.012) as well as before /during (p=0.002), during/after (p=0.010) & before/after (p<0.001) intervention in the yoga group. Though HRV did not show significant changes between the groups & within the groups, B.P & pulse rate indicated relaxation response in the yoga group compared to the control group. The present study shows that the MSRT of the yoga intervention by inducing relaxation helped in pain reduction & improvement of spinal flexibility in subjects with chronic low back pain.
CONCLUSION
The present study shows that the M.S.R.T of the yoga intervention helped
to dissipate stress and anxiety; therefore, relieving back pain caused by
psychological and emotional factors, as well as it improved the flexibility
of the spine by reducing the muscle tension.
Keywords: Mental Health, Indian Scriptures,Mind Sound Resonance Technique,Spinal Traction, Inferential Treatment,Chronic Low Back Pain.
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