Use of an Individualized Relaxation Technique Using Raga Darbari for Rehabilitation of Pediatric Spinal Cord Injury: A Case Report
Keywords:Pediatric spinal cord injury, individualized relaxation, Raga Darbari
Introduction:- A 14 years old male child with spinal cord injury faced great difficulties during transition
and walking with HKFO and walker due to autonomic dysreflexia.
Methods: - A child with thoracic D3-D9 spinal cord injury was included in the study .After discharge
from hospital; he came to physiotherapy OPD regularly. He had achieved sitting with support by 9-10
weeks, floor to bed transitions by 11-12 weeks, sit to stand with HKAFO with walker and parallel bar by 12
weeks, walking with walker with HKFO (indoor) BY 13 weeks. During the transitions he was suffering from
raised blood pressures and palpitation and flushes. Fluctuation in vitals indicated episodes of autonomic
dysreflexia. But day by day he was having less tolerance to therapy and he had started losing confidence
in performing transitions and wheel chair rehabilitation, an individualized relaxation therapy Raga Darbari
of Indian classical music in instrumental form of FLUTE to induce relaxation in him. Post physiotherapy
and post transitions, child was given relaxation for 20-25 minutes and vitals were recorded pre and post
relaxation therapy on day 1 and after last session of 4 weeks of relaxation therapy.
Results: - Post 4 weeks of relaxation therapy the child has more stable vital parameters after the transitions,
gait training. Frequency of episodes of autonomic dysreflexia was also reduced.
Conclusion:- An individualized relaxation therapy using Raga Darbari of Indian Classical music in the
instrumental form has given satisfactory results for autonomic dysreflexia
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