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  4. Clinical observation of umbilical cord mesenchymal stem cell transplantation in treatment for sequelae of thoracolumbar spinal cord injury

Clinical observation of umbilical cord mesenchymal stem cell transplantation in treatment for sequelae of thoracolumbar spinal cord injury

Journal of Translational Medicine, 2014 · DOI: 10.1186/s12967-014-0253-7 · Published: September 2, 2014

Spinal Cord InjuryRegenerative Medicine

Simple Explanation

This study explores a new way to treat spinal cord injuries using stem cells from umbilical cords. These stem cells can turn into different types of cells, including nerve cells, and may help the spinal cord heal. The researchers compared stem cell treatment to rehabilitation therapy and a control group with no specific treatment. They looked at how well patients could move, take care of themselves, and control their muscles. The results showed that stem cell treatment led to better improvements in movement, self-care, and muscle control compared to the other two groups. Stem cell treatment also improved bladder function.

Study Duration
6 Months
Participants
34 patients with thoracolumbar spinal cord injury
Evidence Level
Level 2; Randomized Controlled Trial

Key Findings

  • 1
    UCMSC transplantation significantly improved motor function in patients with spinal cord injury sequelae.
  • 2
    The study found that UCMSC transplantation effectively decreased excessive muscle tension in patients.
  • 3
    Urodynamic analysis showed that UCMSC transplantation improved bladder capacity and reduced detrusor pressure.

Research Summary

This study evaluated the efficacy of umbilical cord mesenchymal stem cell (UCMSC) transplantation for treating sequelae of thoracolumbar spinal cord injury, comparing it to rehabilitation therapy and a blank control group. The results indicated that UCMSC transplantation led to significant improvements in motor function, muscle tension, and self-care ability compared to rehabilitation therapy and self-healing. Urodynamic examination revealed that UCMSC transplantation improved bladder function, suggesting its potential as a therapeutic intervention for spinal cord injury.

Practical Implications

Clinical Treatment

UCMSC transplantation could be considered as a potential treatment option for patients with sequelae of thoracolumbar spinal cord injury.

Rehabilitation Strategies

Combining UCMSC transplantation with rehabilitation therapy may lead to enhanced neurological functional recovery.

Further Research

Additional studies with larger sample sizes and longer follow-up periods are needed to confirm the long-term efficacy and safety of UCMSC transplantation for spinal cord injury.

Study Limitations

  • 1
    Relatively small sample size
  • 2
    Limited follow-up period of 6 months
  • 3
    Single rehabilitation assessor performed all neurofunctional assessments

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