📄 Abstract
Background: Limb-girdle muscular dystrophy (LGMD) is a group of inherited neuromuscular disorders characterized by progressive weakness of the shoulder and pelvic girdle muscles, resulting in impaired mobility and functional limitations. No curative therapy is available and management remains supportive In Ayurveda, its clinical presentation may be correlated with Mamsagata Vata, a condition involving vitiated Vata Dosha affecting Mamsa Dhatu, associated with Dhatukshaya. Objective: To evaluate the clinical outcomes of an integrated Ayurvedic treatment protocol in a patient presenting with features of limb-girdle muscular dystrophy, interpreted through the Ayurvedic framework of Mamsagata Vata. Methods (case presentation and intervention): A 61-year-old male patient with a six-year history of gradually progressive weakness of the lower back and bilateral lower limbs, difficulty in rising from a sitting position and climbing stairs, generalized fatigue, waddling gait, bilateral foot drop, and reduced muscle power (Grade 3/5) was treated with an integrated Ayurvedic regimen. The treatment included Sarvanga Abhyanga, Bhaspha Sweda, and Sadyo Virechana on the first day, followed by ten days of Shashtika Shali Pinda Sweda, Pizhichil, Anuvasana Basti with Maha Masha Taila, and Niruha Basti with Mustadi Yapana Basti. Functional outcomes were assessed before and after treatment. Assessment is done before and after treatment using criteria like 10 m walking test, gait speed, time to climb 4 stairs, anthropometry, North Star Ambulatory Assessment (NSAA) score. Results: Compared with baseline, the 10-metre walk time fell from 31 to 23 s (25.8% reduction; gait speed 0.32 to 0.43 m/s), the four-stair climb time fell from 14 to 11 s (21.4% reduction), the North Star Ambulatory Assessment (NSAA) score rose from 13 to 18 (+5 points; 38.5% relative gain), and pelvic girdle power (MRC) rose from Grade 3/5 to 4/5. Bilateral Calf muscle circumference reduced by 1cm. Rising from sitting required less support, and fatigue was reduced. No adverse effects were observed. Conclusion: In this single patient, the integrated protocol was followed by short-term, measurable improvement in gait speed, stair climbing, ambulatory function and proximal strength, without adverse events. Because this is an uncontrolled, unblinded single-case observation with immediate post-treatment assessment only, the findings are hypothesis-generating. Controlled studies with longer follow-up are needed.
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📚 How to Cite:
Dr Manoj K.P, Dr Prarthana, Dr Madhushree H.S , AYURVEDIC MANAGEMENT OF MAMSAGATA VATA WITH SPECIAL REFERENCE TO LIMB GIRDLE MUSCULAR DYSTROPHY – A SINGLE CASE STUDY , Volume 12 , Issue 10, October 2026, EPRA International Journal of Multidisciplinary Research (IJMR) , Pages: 516 - 520 , DOI: https://doi.org/10.36713/epra31900