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  4. Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation

Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation

Clin Trans Med, 2016 · DOI: 10.1186/s40169-016-0122-5 · Published: September 21, 2016

Spinal Cord InjuryRegenerative MedicineRehabilitation

Simple Explanation

This study investigates how physiotherapy aids the mobilization of spinal cord injury (SCI) patients undergoing human embryonic stem cell (hESC) therapy. The research focuses on patients with paraplegia and tetraplegia and assesses their improvement based on clinical evaluations and the American Spinal Injury Association Impairment Scale (AIS). The physiotherapy program was tailored to improve the rehabilitation and quality of life of patients with SCI. It included various exercises, gait training, and the use of devices for positioning joints and mobility aids, with the treatment phase ranging from 8 to 12 weeks depending on the type of injury. The study found that combining hESC therapy with physiotherapy led to improvements in patients with SCI, as indicated by shifts in their AIS scores and reduced reliance on orthotic devices. Physiotherapy helped in training cells and preventing limb atrophy, while hESC therapy contributed to the overall improvement of patients with SCI.

Study Duration
8–12 Weeks
Participants
226 patients (136 paraplegic, 90 tetraplegic)
Evidence Level
Not specified

Key Findings

  • 1
    Patients with AIS score A showed improvement to score B (15%) and C (37.3%) after hESC therapy and physiotherapy.
  • 2
    Patients with AIS score B improved to AIS score C (40.6%) and D (3.1%) after the combined treatment.
  • 3
    Orthotic devices were modified or reduced in complexity as patients improved, demonstrating enhanced mobility and stability.

Research Summary

The study examines the role of physiotherapy in improving mobilization in patients with spinal cord injury (SCI) who are also undergoing human embryonic stem cell (hESC) therapy. The research indicates that combining hESC therapy with physiotherapy leads to improvements in patients with chronic SCI, as evidenced by enhanced clinical condition and reduced reliance on orthotic devices. The findings suggest that physiotherapy aids in cell training and prevents limb atrophy, while hESC therapy contributes to the overall improvement in SCI patients, offering a promising approach in the treatment of SCI.

Practical Implications

Enhanced Rehabilitation Strategies

Combining hESC therapy with physiotherapy can lead to better outcomes for SCI patients.

Personalized Treatment Plans

Customizing orthotic devices based on patient improvement can enhance mobility and stability.

Improved Quality of Life

The integrated approach can improve independence and reduce complications associated with SCI.

Study Limitations

  • 1
    Study design not specified
  • 2
    Long-term outcomes not specified
  • 3
    Control group absent

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