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  4. Effects of progesterone and vitamin D on outcome of patients with acute traumatic spinal cord injury; a randomized, double-blind, placebo controlled study

Effects of progesterone and vitamin D on outcome of patients with acute traumatic spinal cord injury; a randomized, double-blind, placebo controlled study

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1080/10790268.2015.1114224 · Published: May 1, 2016

Spinal Cord InjuryPharmacologyNeurology

Simple Explanation

This study investigated whether combining progesterone and vitamin D with standard treatment could improve recovery for patients with acute traumatic spinal cord injury (SCI). Patients received either progesterone and vitamin D, or a placebo, in addition to methylprednisolone. The researchers assessed motor and sensory function using the American Spinal Injury Association (ASIA) score at 6 days, 3 months, and 6 months after the injury. The study found that patients who received progesterone and vitamin D showed significantly greater improvements in motor and sensory functions after 6 months compared to those who received the placebo.

Study Duration
1 year
Participants
64 adult patients with acute traumatic SCI
Evidence Level
Level 1, Randomized, double-blind, placebo-controlled trial

Key Findings

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    Patients receiving progesterone and vitamin D had significantly higher motor powers and sensory function after 6 months of therapy compared to the placebo group.
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    Those who received the therapy within 4 hours of injury had significantly higher motor powers and sensory function 6 months after treatment in the progesterone and vitamin D group.
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    Therapy lag was negatively associated with 6-month motor powers and sensory function in the progesterone and vitamin D group, indicating that earlier treatment leads to better outcomes.

Research Summary

This randomized, double-blind, placebo-controlled trial investigated the effects of progesterone and vitamin D on functional outcomes in patients with acute traumatic spinal cord injury (SCI). The study found that patients who received progesterone and vitamin D, in addition to standard methylprednisolone treatment, showed significantly greater improvements in motor and sensory functions after 6 months compared to those who received a placebo. The results suggest that administering progesterone and vitamin D in the acute phase of traumatic SCI is associated with better functional recovery and outcome, particularly when administered within 4 hours of injury.

Practical Implications

Clinical Practice

Consider progesterone and vitamin D as adjunct therapy in acute traumatic SCI.

Future Research

Further research is needed to elucidate the mechanisms of action of progesterone and vitamin D in SCI recovery.

Treatment Timing

Emphasize early administration (within 4 hours) of progesterone and vitamin D for optimal outcomes in acute traumatic SCI.

Study Limitations

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