Integrative Medicine Case Reports

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2022 | January | Volume 3 | Issue 1

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EDITORIAL

Jayaram Thimmapuram

Compassion fatigue in medicine: The result of an inner wear and tear

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:1] [Pages No:1 - 1]

Keywords: Compassion, Empathy, Healthcare, Physicians, Fatigue, Burnout, Heartfulness, Meditation

   DOI: 10.38205/imcr.030101  |  Open Access |  How to cite  | 

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COMMENTARY

Vivek Podder, Akshay Anand

Integrative Healthcare in India: A Paradigm Shift in Modern Medical Education and Practice of 21st Century

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:2] [Pages No:2 - 3]

   DOI: 10.38205/imcr.030102  |  Open Access |  How to cite  | 

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RESEARCH ARTICLE

Kalyan Maity, Navneet Kaur, Rakesh Malik, Gurmeet Singh, Neeru Malik

General health Status and Tridosha analysis of urban high-risk Diabetes after 3- month Diabetes Yoga Protocol: a pilot study

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:8] [Pages No:4 - 11]

Keywords: Anxiety, Quality of Life, Tridosha, Diabetes Yoga Protocol, Urban population, Indian Diabetes Risk Score

   DOI: 10.38205/imcr.030104  |  Open Access |  How to cite  | 

Abstract

Background and Purpose: Stress and anxiety have been closely related to insulin resistance, early appearance of diabetes, and enhanced diabetes progression. Stress and anxiety also have a negative effect on patients general health status and quality of life. In earlier study Yoga has been proven as an effective intervention for prevention, treatment, risk reduction of diabetes, preventing conversion from prediabetes to diabetes, and reducing diabetes complications. The present study was aimed to identify the diabetes high-risk population and to analyze the effect of 3-month DYP on General health, anxiety, quality of life, and Tridosha in the urban high risk for diabetes population. Method: A total of 12 participants were selected for the present study based on inclusion and exclusion criteria and screened through the IDRS scale. Five participants were included in the study based on IDRS score (≥60). General health, quality of life, State and Trait Anxiety, and Tridosha were measured at baseline and after 3 months of Diabetes Yoga Protocol by self-administrated questionnaires. Result: Results showed significant reduction in STAI (p = 0.001) and significant improvement in GHQ-12 (p = 0.022*), Physical health (p = 0.018*), Psychological health (p = <0.001), Environment (p = <0.001), Total WHOQOL (p = 0.001), Vata (p = 0.007**), Pitta (p = 0.032*) and total Tridosha (p = 0.002**) score after 3-month of DYP. Conclusion: DYP helps in improving, not only the general health, quality of life but also reduces the anxiety levels and Tridosha scores in the urban high-risk Diabetic population.

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CASE REPORT

Navneet Kaur, Kalyan Maity, Rakesh Malik, Shweta Ahuja, Gurmeet Singh, Sarika Dhiman, Kiran Sharma, Neeru Malik

Investigating the mitigating role of mind body intervention on glycemic control in prediabetes: A case report

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:4] [Pages No:12 - 15]

Keywords: Glycated haemoglobin, Diabetic Yoga Protocol, Indian Diabetes Risk Score, Prediabetes

   DOI: 10.38205/imcr.030112  |  Open Access |  How to cite  | 

Abstract

In the present case study, the case of a high-risk female participant for diabetes was presented. She is a resident of Dhanas colony, Chandigarh, India. The mapping of risk status for diabetes was done through the Indian Diabetes Risk Score (IDRS) in the participant. She was found to be at high risk for diabetes with a risk score of 60. She joined the Yoga camp organized in the Village Dhanas, Chandigarh. The Diabetic Yoga Protocol (DYP), mainly developed for prediabetics, was given to the participant for 12 weeks. The glycated haemoglbin (HbA1c) was considered the guiding criteria for determining the glycemic threshold for prediabetes. The participant's HbA1c level was 5.8% at baseline, and fasting blood glucose (FBG) was 93 mg/dl. After the 12 weeks of DYP intervention, a significant decline in the HbA1c (5.3%) and FBG (76.9 mg/dl) levels were seen. The present case report supports the efficacy of DYP as an efficient, secure, and cost-effective in reversing prediabetes into normal by ameliorating the glycemic indices.

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CASE REPORT

K. S. Nibedita, Reshma P. Jogdand, Bhavit Bansal, Amit Singh, R. Nagarathna

Integrative treatment on Crohn's disease: A case report

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:5] [Pages No:16 - 20]

Keywords: Crohn's disease, Yoga therapy, Ayurveda, Naturopathy, Diet therapy, Quality of life

   DOI: 10.38205/imcr.030116  |  Open Access |  How to cite  | 

Abstract

A 27 year old female patient with multiple symptoms like pain in the abdomen, loose motions vomiting, headache, fatigue presented at a residential integrative medicine facility at Bangalore, India. The patient was a known case of Crohn's disease since 3 years. The patient was administered with an individualized tailored Integrative medicine protocol for duration of 8 weeks. The protocol included yoga sessions, Diet therapy and individualized Ayurveda and Naturopathy therapies as prescribed by the treating physician with an objective of a holistic approach. The results showed significant reduction in her symptoms and medication scores followingthe individualized protocol. Moreover, the patient reported satisfaction to therapy and improved overall quality of life at the semi-structured interview. The present case study underscores the effect of integrative medicine practices and advocates its effect as a standalone therapy for Cronh's disease.

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CASE REPORT

Praag Bhardwaj, Shridhar Pattar, Ravi Kant, Vyas Kumar Rathaur, Monika Pathania

Effect of Yoga-Nidra as an adjunct to standard treatment in a young male subject with post-COVID pneumonia

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:4] [Pages No:21 - 24]

Keywords: Infection Sequalae, Oxygen Saturation, Pulmonary Fibrosis, Tachycardia

   DOI: 10.38205/imcr.030121  |  Open Access |  How to cite  | 

Abstract

Post COVID-19 patients tend to suffer from ongoing or new symptoms like shortness of breath, fatigue, lack of mental clarity etc. In some severe cases, these might lead to pulmonary fibrosis and need persistent oxygen requirement. Yoga & meditation interventions have been used as an effective adjunct to chronic respiratory diseases in the past. However, this case presents the use of 20 minutes yoga-nidra sessions to cope-up with persistent low-flow oxygen requirement, tachycardia in a 23-year-old male subject over the course of 9 days. This case shows that regular practice of yoga-nidra, without any breath-work and/or bodily postures, might help aid rehabilitation of post-COVID patients and those with severe pulmonary complications when given as a complementary therapy, especially among those unable to do asana or pranayama due to lack of strength, old-age or any other medical reasons. Future pilot studies are necessitated to create further new evidence. It also brings to light the vast untapped potential of mHealth aided Online yoga-based interventions that may spearhead future research in this domain of knowledge, especially during situations like the COVID pandemic.

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CASE REPORT

Reshma P. Jogdand, Amit Singh, Umashankar Khumbhare, Parameshwar, R. Nagaratna

Impact of integrative therapy in remission of Multiple Myeloma: A case study

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:7] [Pages No:25 - 31]

Keywords: Multiple Myeloma, Stage 3, Fatigness, Bone pain, Lower back pain, Yoga therapy, Naturopathy, Ayurveda, Quality of life

   DOI: 10.38205/imcr.030125  |  Open Access |  How to cite  | 

Abstract

The present case is of Multiple Myeloma who visited Arogyadhama (SVYASA University, Bangalore) patient's name is Mr. XXX 65 years old. In March 2019, he was admitted to arogyadhama with a diagnosis of Multiple Myeloma Stage 3 and briefed his medical history as reported to the physician on the first time with a chief complaint of severe pain in the right scapula and mid/lower back. On the advice of the orthopedist, he undertook an MRI of the backbone and a PET CT Scan. Reports revealed lesions in the vertebrae, right scapula, and other skeletal structures. Blood work: CBC, Serum Protein Electrophoresis, Free light chain, Bone marrow, etc showed very high values of Monoclonal Protein, Plasma cells, low Hb, low Albumin, etc. And as per the reports and markers condition was diagnosed as Multiple Myeloma Stage 3. The patient consulted an Oncologist at Cytecare Cancer Hospital, Yelahanka, Bangalore. And treatment commenced for 24 weeks involving Immunotherapy drugs, steroids, bone-strengthening injections, etc. Post this 24 weeks treatment, he was in remission with a maintenance drug. In Dec 2019, he consulted in Arogyadhama and briefed the physician about the diagnosis of Multiple Myeloma and the treatment received. On the physician's suggestion, the patient enrolled himself for Integrative Therapy at SVYASA and received treatment involving various Yoga, Naturopathy, Ayurveda, and Diet therapy techniques for 27 days and followed the same protocol for a year and was successfully able to achieve positive results in the condition.

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CASE REPORT

Sathiya Priya Palanisamy

Impact of Yoga Nidra in managing Kinesiophobia in women leaders with lower back pain

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:4] [Pages No:32 - 35]

Keywords: Yoga Nidra, Kinesiophobia, Fear of movement, Lower back pain, Lumbago, The Tampa scale for Kinesiophobia, Questionnaire, Pain intensity, Fear

   DOI: 10.38205/imcr.030132  |  Open Access |  How to cite  | 

Abstract

The objective of this study is to determine the effect of Yoga Nidra in ameliorating pain intensity and fear in people with Lower Back Pain. The study is a part of a corporate Yoga camp conducted in Bangalore, in which employees were encouraged to register for the yoga therapy workshop for four weeks. Two employees with an average age of 34 volunteered. The subjects underwent Yoga Nidra for four weeks for 45 minutes every day. Their sense of wellbeing improved after four sessions and the participants started responding well to the intervention. The primary outcome measuring source was The Tampa scale for Kinesiophobia. Yoga Nidra and Kinesiophobia were the Independent and Dependent variables used, respectively. The post analysis showed the efficiency of yoga Nidra in reducing fear and lower back pain. The results of this study on kinesiophobia established weak to moderate correlations. But the findings were important with a significant change from pre to post in Tampa Scale measure, thus indicating a shred of evidence to reject the null hypothesis. The results provide the needed scientific base for the health professionals to acknowledge the connection between fear and lumbago and how yoga can play a significant role in alleviating kinesiophobia.

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JOURNAL CLUB

Madhava Sai Sivapuram

Impact of yoga based mind-body intervention on systemic inflammatory markers and co-morbid depression in active Rheumatoid arthritis patients: A randomized controlled trial. Restor Neurol Neurosci. 2019;37(1):41-59

[Year:2022] [Month:January] [Volume:3] [Number:1] [Pages:2] [Pages No:36 - 37]

   DOI: 10.38205/imcr.030136  |  Open Access |  How to cite  | 

Abstract

Rheumatoid Arthritis (RA), an autoimmune disorder develops pain, synovitis, cartilage degradation and bony erosion along with showing the symptoms of depression among the patients. Recent studies have shown that mind body interventions like yoga is effective improving quality of life and depression among patients in such autoimmune conditions. This study has shown improvement of systematic inflammatory markers and co-morbid depression among the yoga group of the active RA patients.

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