Treating spinal cord injuries

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Treating spinal cord injuries

Treating spinal cord injuries - Treating spinal cord injuries matters.

Science making strides in treating spinal cord injuries

By Anita Manning, USA TODAY
August 16, 2004
Not so long ago, a spinal cord injury meant life in a wheelchair with little chance for improvement. But today, scientists say research is pointing toward treatments that may restore movement, relieve pain and offer hope.

Just ask Diane Hughes. The Hammond, La., teacher was partially paralyzed from the chest down 12 years ago by a gunshot wound and spent the following year having "a pity party," she says.

She decided that wasn't helping so with the support of family and faith, she went back to work, built a wheelchair-accessible home and two years ago took part in a study to test new rehabilitation methods at the Miami Project to Cure Paralysis at the University of Miami.

Hughes, 58, was strapped into a computer-driven robot that helped move her legs on a treadmill. After 12 weeks, she says, "I could move my legs easier, lift them easier." With stronger legs, she found it possible to stand or get in and out of her wheelchair more easily.

The concept behind the research, which is evaluating several methods of locomotion training, says study director Edelle Field-Fote, is that inside the spinal cord is a "mini-brain" doing complex movements innately. "Walking, swimming and flying are things animals do innately," she says. Humans have evolved in a way that requires the brain to turn those circuits on, but by retraining the circuits in the spinal cord, it might be possible to enhance motion, even when signals from the brain are blocked.

More than 200,000 people in the United States use wheelchairs because of a spinal cord injury, and every year about 11,000 more injuries occur, slightly more than half in people ages 16 to 30.

Research is moving in several directions as scientists find ways to prevent biological processes that cause harm and encourage those that may restore damaged nerve cells. The studies are producing insights into what causes paralysis.

"In the last five years, it has never been more exciting in terms of the knowledge we're obtaining," says neurosurgeon W. Dalton Dietrich, scientific director of the Miami Project.

Advancements could lead to new treatments to prevent or reverse severe paralysis.


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