Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical Trial
Introduction: Hemiplegia (Fālij) is usually caused due to obstruction (sudda) in ventricles of brain (butūn-i-dimāgh) or base of the brain (mabda-un-nukha). Viscid and tenacious phlegm (Balgham) chokes the passages present in the nerves and blocks the transmission of motor impulses (Rūh-i-Muharrik)...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2022-03-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/16121/53459_F(SS)_PF1(RD_SHU_SS)_PFA(SHU)_PB(RD_SHU)_PN(SHU).pdf |
| _version_ | 1828053052595109888 |
|---|---|
| author | Mobassir Abbas Abdul Nasir Ansari Mohd Nayab Umar Afzal Adil Abdalrhman Abalkhail |
| author_facet | Mobassir Abbas Abdul Nasir Ansari Mohd Nayab Umar Afzal Adil Abdalrhman Abalkhail |
| author_sort | Mobassir Abbas |
| collection | DOAJ |
| description | Introduction: Hemiplegia (Fālij) is usually caused due to obstruction (sudda) in ventricles of brain (butūn-i-dimāgh) or base of the brain (mabda-un-nukha). Viscid and tenacious phlegm (Balgham) chokes the passages present in the nerves and blocks the transmission of motor impulses (Rūh-i-Muharrik) into the organs to cause paralysis of a limb. Rarely, in the absence of any obstruction, the paralysis occurs due to unresponsiveness of organs due to their changed constitution (Sue-Mizāj-i-A′zā). Turkish bath (Ḥammām )is recommended for the resolution (Tahllul) and evacuation (Tanqiya) of viscid phlegm (Ghaleez Balgham) from impacted nerves by virtue of heat therapy to rejuvenate the motor functions in hemiplegia.
Aim: To evaluate the effect of hot and dry bath (Ḥammām-i-Hār Yābis) in activities of daily living in management of post stroke hemiplegia.
Materials and Methods: This open, single arm, exploratory clinical trial was conducted during January 2018 to February 2019 at NIUM hospital, Bangalore, on 30 diagnosed patients of post stroke hemiplegia. Patients were subjected with hot dry bath for 15 minutes at a temperature of 60°C from day 1st till 30th day. A total of 10 sittings were given on every 3rd day. Barthel Index (BI), which consists of Activities of Daily Living (ADL), was used to assess the efficacy of hot and dry bath in the patients of hemiplegia. Friedman’s test with Dunn’s multiple comparison test was used to assess the efficacy of the treatment.
Results: The mean age of the participants in the study was 42.54±3.3 with male dominance. Statistically significant improvement was observed in BI scores between pretreatment to 15th day (p<0.01); 15th to 30th day (p<0.001) and pretreatment to 30th day (p<0.001).
Conclusion: Hot and dry bath significantly improved the activities of daily living in the patients of post stroke hemiplegia. Another benefit of this therapy is infrequent and mild severity of side effects as compared to the oral medications in conventional system of medicine for post stroke neurodisabilities. |
| first_indexed | 2024-04-10T20:01:44Z |
| format | Article |
| id | doaj.art-ab816240f1364ea0afb6ac3ab095a365 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T20:01:44Z |
| publishDate | 2022-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ab816240f1364ea0afb6ac3ab095a3652023-01-27T05:50:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-03-01163KC05KC0810.7860/JCDR/2022/53459.16121Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical TrialMobassir Abbas0Abdul Nasir Ansari1Mohd Nayab2Umar Afzal3Adil Abdalrhman Abalkhail4Assistant Professor, Department of Ilaj bit Tadbeer, Ila State Unani Medical College, Prayagraj, Uttar Pradesh, India.Professor, Department of Ilaj bit Tadbeer, National Institute of Unani Medicine, Bangalore, Karnataka, India.Assistant Professor, Department of Ilaj bit Tadbeer, National Institute of Unani Medicine, Bangalore, Karnataka, India.Assistant Professor, Department of Ilaj bit Tadbeer, Al-Ameen Unani Medical College, Malegaon, Maharashtra, India.Head, Department of Public Health, College of Public Health and Health Informatics, Qassim, Saudi Arabia.Introduction: Hemiplegia (Fālij) is usually caused due to obstruction (sudda) in ventricles of brain (butūn-i-dimāgh) or base of the brain (mabda-un-nukha). Viscid and tenacious phlegm (Balgham) chokes the passages present in the nerves and blocks the transmission of motor impulses (Rūh-i-Muharrik) into the organs to cause paralysis of a limb. Rarely, in the absence of any obstruction, the paralysis occurs due to unresponsiveness of organs due to their changed constitution (Sue-Mizāj-i-A′zā). Turkish bath (Ḥammām )is recommended for the resolution (Tahllul) and evacuation (Tanqiya) of viscid phlegm (Ghaleez Balgham) from impacted nerves by virtue of heat therapy to rejuvenate the motor functions in hemiplegia. Aim: To evaluate the effect of hot and dry bath (Ḥammām-i-Hār Yābis) in activities of daily living in management of post stroke hemiplegia. Materials and Methods: This open, single arm, exploratory clinical trial was conducted during January 2018 to February 2019 at NIUM hospital, Bangalore, on 30 diagnosed patients of post stroke hemiplegia. Patients were subjected with hot dry bath for 15 minutes at a temperature of 60°C from day 1st till 30th day. A total of 10 sittings were given on every 3rd day. Barthel Index (BI), which consists of Activities of Daily Living (ADL), was used to assess the efficacy of hot and dry bath in the patients of hemiplegia. Friedman’s test with Dunn’s multiple comparison test was used to assess the efficacy of the treatment. Results: The mean age of the participants in the study was 42.54±3.3 with male dominance. Statistically significant improvement was observed in BI scores between pretreatment to 15th day (p<0.01); 15th to 30th day (p<0.001) and pretreatment to 30th day (p<0.001). Conclusion: Hot and dry bath significantly improved the activities of daily living in the patients of post stroke hemiplegia. Another benefit of this therapy is infrequent and mild severity of side effects as compared to the oral medications in conventional system of medicine for post stroke neurodisabilities.https://www.jcdr.net/articles/PDF/16121/53459_F(SS)_PF1(RD_SHU_SS)_PFA(SHU)_PB(RD_SHU)_PN(SHU).pdftemperamentthermotherapyunani medicine |
| spellingShingle | Mobassir Abbas Abdul Nasir Ansari Mohd Nayab Umar Afzal Adil Abdalrhman Abalkhail Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical Trial Journal of Clinical and Diagnostic Research temperament thermotherapy unani medicine |
| title | Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical Trial |
| title_full | Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical Trial |
| title_fullStr | Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical Trial |
| title_full_unstemmed | Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical Trial |
| title_short | Efficacy of Hot and Dry Bath (Ḥammām-i-Hār- Yābis) in Activities of Daily Living for Management of Post Stroke Hemiplegia: An Exploratory Clinical Trial |
| title_sort | efficacy of hot and dry bath hammam i har yabis in activities of daily living for management of post stroke hemiplegia an exploratory clinical trial |
| topic | temperament thermotherapy unani medicine |
| url | https://www.jcdr.net/articles/PDF/16121/53459_F(SS)_PF1(RD_SHU_SS)_PFA(SHU)_PB(RD_SHU)_PN(SHU).pdf |
| work_keys_str_mv | AT mobassirabbas efficacyofhotanddrybathhammamiharyabisinactivitiesofdailylivingformanagementofpoststrokehemiplegiaanexploratoryclinicaltrial AT abdulnasiransari efficacyofhotanddrybathhammamiharyabisinactivitiesofdailylivingformanagementofpoststrokehemiplegiaanexploratoryclinicaltrial AT mohdnayab efficacyofhotanddrybathhammamiharyabisinactivitiesofdailylivingformanagementofpoststrokehemiplegiaanexploratoryclinicaltrial AT umarafzal efficacyofhotanddrybathhammamiharyabisinactivitiesofdailylivingformanagementofpoststrokehemiplegiaanexploratoryclinicaltrial AT adilabdalrhmanabalkhail efficacyofhotanddrybathhammamiharyabisinactivitiesofdailylivingformanagementofpoststrokehemiplegiaanexploratoryclinicaltrial |