E-ISSN 2149-2018 editor@ejmamr.online


Applied Medical Research. 2019; 6(1):(64-110)


A comparative study to assess the modulation of stress by Shirodhara in healthy individuals by psychometric and heart rate variability measures

Siju Vikhnan, Kaviraja Udupa, Shivarama Varambally, Sudhakar Deverakonda, Talakad Narasappa Sathyaprabha

Abstract
Aim: Psychological stress is one of the risk factors for psychosomatic disorders and Shirodhara has been a standard treatment procedure for many such conditions in Ayurveda. Different liquid media are used for Shirodhara, which has not been explored extensively. In this study, we used heart rate variability (HRV) measures and subjective questionnaires for assessing the effects of Shirodhara with either takra (buttermilk) or jala (water) on psychological stress in normal healthy individuals. Methods: Thirty-six healthy male subjects aged between 25 and 36 years were recruited for this study (2017–2018). The recruited subjects were assessed with baseline parameters: perceived stress scale (PSS), Depression, Anxiety, Stress Scale (DASS-21), World Health Organization (WHO) well-being questionnaire, and HRV assessment by recording resting electrocardiogram for 15 minutes. The subjects underwent continuous 5 days Shirodhara with medicated Takra (buttermilk, n = 18) or Jala (water, n = 18) during afternoon at the Ayurveda facility. After 5 days, all the parameters were re-assessed. Results: The subjects who underwent Shirodhara with Takra showed significant decrease in HR and root mean squared standard deviation (RMSSD). However, the age-matched subjects who underwent Shirodhara with Jala did not show statistically significant changes in these parasympathetic parameters in HRV. On psychometric assessments: sleep quality, PSS, and WHO well-being scales, subjects in both groups (Takra and Jala) showed significant improvement. DASS 21 scales showed improvement in Takra group only. Conclusions: These results suggest that 5 days of Shirodhara lead to modulation in autonomic balance along with stress reduction and improved well-being, particularly in those who underwent Shirodhara with Takra
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