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

BACKGROUND: The major complication faced by patients with chronic static spinal cord injury (SCI) is the loss of mobilization. With the aim to rehabilitate SCI patients, physiotherapy is performed worldwide. However, it only helps the patients to live with their disabilities. An interdisciplinary ma...

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Autores principales: Shroff, Geeta, Thakur, Dipin, Dhingra, Varun, Baroli, Deepak Singh, Khatri, Deepanshu, Gautam, Rahul Dev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073087/
https://www.ncbi.nlm.nih.gov/pubmed/27766603
http://dx.doi.org/10.1186/s40169-016-0122-5
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author Shroff, Geeta
Thakur, Dipin
Dhingra, Varun
Baroli, Deepak Singh
Khatri, Deepanshu
Gautam, Rahul Dev
author_facet Shroff, Geeta
Thakur, Dipin
Dhingra, Varun
Baroli, Deepak Singh
Khatri, Deepanshu
Gautam, Rahul Dev
author_sort Shroff, Geeta
collection PubMed
description BACKGROUND: The major complication faced by patients with chronic static spinal cord injury (SCI) is the loss of mobilization. With the aim to rehabilitate SCI patients, physiotherapy is performed worldwide. However, it only helps the patients to live with their disabilities. An interdisciplinary management involving human embryonic stem cell (hESC) therapy along with physiotherapy as a supportive therapy offers regenerative treatment of the patients with SCI. MAIN BODY: The present study focuses on the role of physiotherapy in the mobilization of patients with SCI (paraplegic 136; tetraplegics 90) undergoing hESC therapy. At admission, patients were assessed on the basis of clinical and American Spinal Injury Association Impairment Scale (AIS), where 153, 32, 36 and 5 patients were designated with AIS score A, B, C and D, respectively. After 8–12 weeks of hESC therapy and physiotherapy, the patients showed clinical and scoring improvement. The patients with AIS score A shifted to B (15.0 %) and C (37.3 %), whereas, patients with grade B moved to C (40.6 %) and D (3.1 %). Patients with AIS score C and D shifted to grade D (13.9 %) and E (60.0 %), respectively. Moreover, orthotic devices were reduced to simpler ones. CONCLUSION: The physiotherapy aided in training of cells and took care of atrophy of limbs, whereas hESC therapy resulted in an overall improvement of the patients with SCI. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40169-016-0122-5) contains supplementary material, which is available to authorized users.
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spelling pubmed-50730872016-11-03 Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation Shroff, Geeta Thakur, Dipin Dhingra, Varun Baroli, Deepak Singh Khatri, Deepanshu Gautam, Rahul Dev Clin Transl Med Review BACKGROUND: The major complication faced by patients with chronic static spinal cord injury (SCI) is the loss of mobilization. With the aim to rehabilitate SCI patients, physiotherapy is performed worldwide. However, it only helps the patients to live with their disabilities. An interdisciplinary management involving human embryonic stem cell (hESC) therapy along with physiotherapy as a supportive therapy offers regenerative treatment of the patients with SCI. MAIN BODY: The present study focuses on the role of physiotherapy in the mobilization of patients with SCI (paraplegic 136; tetraplegics 90) undergoing hESC therapy. At admission, patients were assessed on the basis of clinical and American Spinal Injury Association Impairment Scale (AIS), where 153, 32, 36 and 5 patients were designated with AIS score A, B, C and D, respectively. After 8–12 weeks of hESC therapy and physiotherapy, the patients showed clinical and scoring improvement. The patients with AIS score A shifted to B (15.0 %) and C (37.3 %), whereas, patients with grade B moved to C (40.6 %) and D (3.1 %). Patients with AIS score C and D shifted to grade D (13.9 %) and E (60.0 %), respectively. Moreover, orthotic devices were reduced to simpler ones. CONCLUSION: The physiotherapy aided in training of cells and took care of atrophy of limbs, whereas hESC therapy resulted in an overall improvement of the patients with SCI. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s40169-016-0122-5) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2016-10-20 /pmc/articles/PMC5073087/ /pubmed/27766603 http://dx.doi.org/10.1186/s40169-016-0122-5 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Shroff, Geeta
Thakur, Dipin
Dhingra, Varun
Baroli, Deepak Singh
Khatri, Deepanshu
Gautam, Rahul Dev
Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation
title Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation
title_full Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation
title_fullStr Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation
title_full_unstemmed Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation
title_short Role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation
title_sort role of physiotherapy in the mobilization of patients with spinal cord injury undergoing human embryonic stem cells transplantation
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073087/
https://www.ncbi.nlm.nih.gov/pubmed/27766603
http://dx.doi.org/10.1186/s40169-016-0122-5
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