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SAMI LUKIS SAMI LUKIS - Cerebral Palsy League

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Spinal cord injury<br />

ON THE<br />

NEWS<br />

FRONT<br />

CURE IN 10 YEARS<br />

Whether transplantation of mature stem cells can<br />

help babies with cerebral palsy is the study focus of<br />

a Medical College of Georgia physician-scientist.<br />

Dr James E. Carroll, Chief of Paediatric Neurology<br />

has received a two-year grant from the National<br />

Institutes of Health to pursue whether brain damage<br />

that occurs during the birth of these babies can be<br />

repaired with transplants.<br />

NSW hosted an important forum to showcase the latest research<br />

into a ‘cure’ for spinal cord injury and discuss future directions<br />

in care. Keynote speakers included Christopher Reeve and<br />

Professor Wise Young, an international expert on spinal cord<br />

injury. During the forum it became clear that the scientific<br />

community believes that a cure for spinal cord injury is only a<br />

matter of when not if, and that realistically a ‘cure’ for spinal cord<br />

injury could happen in 10 years.<br />

Scientific experts believe that a ‘cure’ for spinal cord injury is<br />

likely to have strong relevance for other neurological disorders,<br />

including cerebral palsy.<br />

As spinal nerves can now be regrown, investigations continue<br />

into how to stimulate and trigger the type of desired nerve<br />

growth at specific injury sites in humans. Human ‘safety’ trials are<br />

expected to start by the end of 2004 in the USA.<br />

It was recommended that people with paralysis begin regular<br />

exercise now, in order to prime their body for standing and<br />

walking in the future.<br />

Fit Kids<br />

Victoria recently conducted two research<br />

projects centred on health and fitness for<br />

people with cerebral palsy – the studies<br />

were entitled Fit Kids & Strength Training<br />

for Adults with cerebral palsy.<br />

Fit Kids is a community-based fitness<br />

program for young people with physical<br />

disabilities.<br />

Participants aged 12-17 years attended<br />

the 12 week program twice-weekly. Results indicated a trend<br />

towards improved self-esteem. While no change in the actual<br />

physical fitness of participants was recorded, post program study<br />

revealed that participants and their families also believed benefi ts<br />

included improved physical functioning, development of new<br />

fi tness interests, and an opportunity to socialise.<br />

The findings are expected to encourage young people with a<br />

disability to participate in more community fitness opportunities.<br />

It has been claimed that stem cell therapy may give rise to what<br />

could be the long awaited ‘light at the end of the tunnel’ for many<br />

parents of children with disorders such as cerebral palsy. This is<br />

thought to be possible because stem cell therapy presents the<br />

potential promise for re-wiring the defective nervous system,<br />

however more generic tissue research is required.<br />

So far, scientists know that:<br />

Brain cells can be regrown. This new and important fi nding is<br />

likely to radically change medicine in the future. The issue for<br />

research is how to trigger the growth of brain tissue.<br />

Neurone stem cells (in mice) do migrate to the desired areas<br />

of the brain in order to regrow new neurones.<br />

Areas of ferrets’ brains can be ‘rewired’ to take over other brain<br />

functions, eg auditory cortex to process visual information.<br />

This may mean that the intended ‘functions’ of damaged brain<br />

tissue could be transferred to another part of the brain.<br />

Issues such as whether stem cell implantation trigger an immune<br />

‘rejection’ response, and are embryonic adult stem cells more<br />

effective in achieving brain cell growth, and implanted cell<br />

specialisation, still need to be investigated.<br />

FORTY, FIT & FABULOUS<br />

Strength Training for Adults with cerebral palsy was jointly conducted<br />

with La Trobe University and our Victorian organization to evaluate the<br />

effectiveness of a strengthening program for older adults with CP.<br />

The 10-week program involved adults with CP aged 40+ years.<br />

Results essentially showed a signifi -<br />

cant increase in leg and arm strength,<br />

reduced time for sit-to-stand and a trend<br />

for increased self-selected locomotion<br />

speed. Qualitative analysis suggested<br />

the enjoyment of the program was<br />

a key benefi t and the most common<br />

self-motivating factor for participants.<br />

Social interaction and participation in a<br />

community recreation facility was also<br />

important.<br />

5

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