SUMMERY AND CONCLUSION

SUMMERY AND CONCLUSION

The thesis entitled ‘study of Pristhavamsha (thorax & lumber region) with effect of wrong
posture in sitting professions’ was carried out under following broad headings described below

1. Introduction

2. Material and method (conceptual study, cadaveric study, radiological study, observational
study)

3. Observation (on cadaveric dissection and collected data of patients of rheumatoid arthritis)

4. Discussion

5. Summary

6. Conclusion

INTRODUCTION-

Ayurveda, the Indian system of medicine is a term basically made up of two words viz. Ayu
and Veda; Ayu stand for span of life and Veda means knowledge or discourse, thus Ayurveda
means the knowledge of life.

Ancient Acharyas subdivided Ayurveda into eight parts by keeping easy accessibility
to the subject in view, but with advent of science new subjects were added to the prior
established parts. Rachana Sharir being one of these neo branches introduced to study
Ayurveda, deals with the structure & configuration of human body & its applied or clinical
aspect. Every concept of Ayurveda has its own importance. Pristhvamsha, a term used in
Ayurvedic texts stands for vertebrae or vertebral column. Acharya Shusutra has depicted its
position & numbers (as 30) in his Samhitai. A few structures are also narrated to be present in
its vicinity like Mamsa Rajju, Snayu, etc ancient classics like Gopath Brahmanii & Satpath
Brahmaniii have taken all the vertebrae as one bone called Virya having two transverse
processes each which have different name & number in each region: cervical region (Griva)
had 14 Karukaras, thoracic region (Amuka) with 32 Prstikundalas, lumbar region (Udara) had
20 Kuntapas.

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AIMS AND OBJECTIVES:

➢ To elucidate facts related to Pristhavamsha in ancient & Ayurvedic literature with

modern correlation.

➢ To study the structure of vertebrae and its associated structures by cadaveric dissection.

➢ To review the professional health hazards of sitting professions over vertebrae.

➢ To evaluate the structural deformities of vertebrae in wrong sitting posture.

MATERIAL & METHODS-

➢ Conceptual study: this part dealt with the detailed study & compilation of available
literatures on the topic in classical, Ayurvedic & modern texts along with materials
collected from various thesis & articles on web.
➢ Cadaveric study- Structural entities of thoraco-lumber portion were studied by
cadaveric dissection in P.G. department of Sharir Rachana, Rishikul Campus,
Haridwar.
➢ Radiological study- It deals with literature related to X-ray. The detail literature of X-
ray, their importance, mechanism, and indications have been described under this
heading.
➢ Observational study- Detail description of the observational study like selection of the
subject, inclusion and exclusion criteria, type of study, criteria for assessment of result
and observations based on subjective and objective parameters etc. have been explained
in this section.

Observation & Results- This section include the observed results of observational study.
➢ Maximum number of subjects in the present study belongs to the age group of (30-35yr)
and (35-40 years) were 38%, females (80%), Hindu religion (92%), resident of urban
area (72%), vegetarian 60%, graduated (72%), belongs to lower middle class (67%),.
pain (16%), working hours 6-8 hr/day 50%, in x-ray finding we get 18.18%
osteophytes, and osteopenia, 16.36% narrowing IVD space, And 0% case of
sacralization. And get that L1 vertebrae react as neutral curve, L2 vertebrae react as
lordotic curve and L3, L4, and L5 react as complete 100 % lordotic curve.

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➢ We found Mean value of thoracic, lumber curvature and LSA measured 22°, 39°, 32°,
respectively of 55 sitting job subjects.

➢ The Greeva can be assume as cervical region and Pristhavamsha can be correlate with
thorax and lumber portion of spine.
➢ Impact of change in curvature of thoracic and lumber region is more prone in females
with compare to males.
➢ With p value <0.05 in chi square test between structural changes and BMI subjects
statistically significant association has found. it means that with change in BMI, there
is change in structural entities of Pristhavamsha. Which is evaluate by radio graphical
aspect.
➢ With p value <0.05 one-way Anova test between age vs curvature and chronicity vs
curvature statistically significant for thoracic and lumber curvature has been found, it
means increasing in age and chronicity will change the curvature of thoracic and lumber
region.
➢ With p value <0.05 in chi square test between structural changes and working hours per
day statistically significant association has found. it means that increasing in working
from 6 to 10 hours/day, there is change in structural entities of Pristhavamsha. As
increasing working hours, the changes of structural changes will increase, which is a
positive co relation.

Health hazards on wrong posture

➢ The health risks involved with prolonged sitting is an important issue to spread
awareness about, especially as it continues to become more prevalent in society.
Excessive sitting in wrong position significantly increases risk for chronic diseases,
certain health postures but these risks can also be reduced by simply taking breaks
throughout days, sitting in right position and avoid long durations of sitting. Sitting
with intermittent breaks or sitting with incorporated sitting is the best and most simple
solution to the problem of too much sitting. Furthermore, overweight persons, they
should burn more calories. However, it seems clear that less sitting and more moving
overall contribute to better health This might lead to weight loss and increased energy.
Also, physical activity helps maintain muscle tone, ability to move and good for
mental health. Sometimes, carrying weight on only one side of the body can

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contribute to imbalanced or poor posture. Employees were provided with an education

program that focused on the risks of prolonged sitting and deconditioning.
➢ For postural deformities like kyphotic and lordotic these are the common age-related
condition but when it occurs in young age that’s terrible for spinal health so use of
ergonomics chairs in offices, avoiding wrong posture sitting, Switch sitting positions
often. Avoid crossing your legs or ankles. Keep your shoulders relaxed by resting
your forearms and elbows on a desk or table. Avoid twisting at the waist, turn the
whole body instead. Stand up frequently, use a pillow on back for lumber support,
make 90-degree angle in your elbow and knees. A simple strategy message that could
be put forward is ‘Stand Up, Sit Less, Move More, More Often’ So, there are More
public awareness programs are needed on offices, colleges and in IT companies for
better health

Limitations of the study:

➢ In this study only x ray was done. For observation of soft structure involvement MRI
and CT scan and pathological laboratory tests should be done for better result.
➢ Comparison study done with healthy individuals without any professional adverse
effects.
➢ An observational study on profession like traffic police, two-wheeler driver, anatomical
changes in Lumbar Vertebrae.

Further scope of study:

➢ To evaluate the effect of mobile gaming in children on cervical vertebrae.

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