The role of rehabilitation and methodological problems in spinal cord repair therapies<br /> <br />
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2009, Vol 11, Issue 4
Abstract
Despite the rapid development of studies of spinal cord repair therapies (SCRT), there is still a dearth of reliable reports on their clinical usefulness. Basing on a review of current literature, this article emphasises the role and special character of comprehensive rehabilitation based on the modulation of central nervous system plasticity in the treatment of spinal cord injuries with the use of SCRT. Basing on guidelines by the International Campaign for Cures of Spinal Cord Injury Paralysis (ICCP), this article also discusses ethical and methodological issues of SCRT studies. Conclusions. 1. Comprehensive motor rehabilitation exerts an effect that potentially modifies spinal cord plasticity and may significantly supplement SCRT, leading to expected functional effects. 2. Encouraging results of animal studies cannot be directly translated into expectations regarding SCRT utility in people. 3. Ensuring a high quality of studies on SCRT efficacy and safety necessitates compliance with rigorous methodological requirements. Functional ability of the patient needs to be a significant end-point of SCRT studies.
Authors and Affiliations
Piotr Tederko , Marek Krasuski , Jerzy Kiwerski , Izabela Nyka, Dariusz Białoszewski
Keywords
Related Articles
- EP ID EP56923
- DOI -
- Views 127
- Downloads 0
Alloplasty of the humeral joint
Background. Since 1980's, shoulder arthroplasty has become more oftenly performed procedure, and for severe comminuted fractures of proximal humerus (fou r- fragmented fractures, according to Neer's classification) has b...
A Triple Application of Kinesio Taping Supports Rehabilitation Program for Rotator Cuff Tendinopathy: a Randomized Controlled Trial
Background. Rotator cuff tendinopathy (RoCT) is a common pathology among adults. Kinesio-taping (KT) represents a possible rehabilitative treatment. The aim of the present study is to investigate the efficacy of a combin...
Arthroscopy for anterolateral soft tissue impingement of the ankle joint<br />
Twenty-two arthroscopic procedures to treat anterolateral soft tissue impingement of the ankle joint were performed at the Independent Public Regional Hospital of Trauma Surgery in Piekary Śląskie between 2006 and 2007....
Ocena kształtu kanału kręgowego i kątów stawów międzykręgowych w odcinku lędźwiowym
Wstęp. Prace dotyczące kształtu kanału kręgowego i zmian zwyrodnieniowych w stawach międzykręgowych nie zostały dotychczas opracowane we wszystkich szczegółach. Dotyczy to szczególnie przyczyn bólów związanych ze zmianam...
A New Syndrome Sheds Light on Old Medical & Rehabilitative Dilemmas: Paraparesis due to Rhabdomyolysis and bilaterally symmetric Compartment Syndrome in four patients
Via our description of a seemingly heterogenous group of four patients who presented to our rehabilitation facility with a rather unusual clinical presentation of compartment syndrome with development of a flaccid parapa...