The research study entitled “A clinical evaluation of Marma Chikitsa & Conventional Physiotherapy in the management of Grivasandhigata Vata w.s.r to Cervical Spondylosis – A Randomized Controlled Trial” was aimed to evaluate and compare the efficacy of Marma Chikitsa & Conventional Physiotherapy in the management of Grivasandhigata Vata w.s.r to Cervical Spondylosis. This trial was summarized in review of literature, including Ayurvedic literature and modern literature of Grivasandhigata Vata (Cervical Spondylosis) and literature of Marma Chikitsa.

Clinical study stats the open labelled comparative clinical study of 168 clinical cases of Cervical Spondylosis divided into two groups according computer-generated randomization chart. Total 180 cases were screened throughout the study with cervical or neck pain, among which total 168 cases were falling in the study criteria. 06 cases were dropped out and 162 cases completed the course of treatment and follow up as mentioned in study. In Group-A (n=94): One session of Marma Chikitsa was given in morning hours for the period of 14 days. In Group-B (n=71):  Physiotherapy – Isometric and stretching exercise -10 repetition of each exercise in a day for 14 days after completion of treatment follow up was done by every fortnight for 1 month in both groups. Patients were assessed for relief in sign and symptoms adopting gradation method. Follow up period was one month after completion of the treatment to see any complication, recurrence and condition of the patients. All the cases were screened for essential haematology, bio-chemical and radiological investigations prior their enrolment for the study. The effect of the treatment was assessed on the basis of relief in Pain, stiffness, giddiness, tingling and numbness, loss of sensation and NDI Score where subjective criteria were assessed by VAS scale and gradation. Ranges of movements (ROM), were considered as the objective parameters. The ROM namely cervical flexion, cervical extension, left and right lateral flexion, rotation towards left and right were recorded according to the actual values of goniometric readings. The observed results in the study were subjected to statistical calculation to derive final conclusion.

Discussion on study was made on demographic observations and clinical findings. Conclusion of clinical study suggest that both the groups treatment protocol have shown highly significant difference was observed in Grivasandhishula (pain), Grivasandhistambha (Stiffness), NDI score and ROM (Range of Motion). There was increase in ROM as well as relief in pain, decreased stiffness as a result of increase ROM from before treatment to after treatment as a result of Marma Chikitsa and Physiotherapy. Because of that neck disability was reduced compare to before and result of NDI score was improved. Non-significant difference was observed in comparative effect of therapy in all laboratory investigation. Thus, it declares that the alternative hypothesis is accepted and the null hypothesis is rejected. i.e., Marma Chikitsa is more effective than conventional physiotherapy in the management of Grivasandhigata Vata w.s.r. Cervical Spondylosis.