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A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy

Dissertation (MPhyst)--University of Pretoria, 2015.

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Other Authors: Eksteen, Carina A.
Format: Thesis
Language:English
Published: University of Pretoria 2015
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access_status_str Open Access
author2 Eksteen, Carina A.
author_browse Eksteen, Carina A.
author_facet Eksteen, Carina A.
collection Thesis
dc_rights_str_mv © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MPhyst)--University of Pretoria, 2015.
format Thesis
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:39:04.809Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/43774 A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy Eksteen, Carina A. Pepper, Michael Sean Skeen, Melanie Spinal cord injuries Rehabilitation Stem cells Physical rehabilitation UCTD Evidence-based medicine Clinical trials Health sciences theses SDG-03 Health sciences theses SDG-10 Health sciences theses SDG-16 Health sciences theses SDG-17 Dissertation (MPhyst)--University of Pretoria, 2015. A spinal cord injury (SCI) can result in severe dysfunction and disability. Stem cell therapy is seen as a potential means of promoting healing and improving function in persons with spinal cord injuries. Methods and Subjects: Persons with SCI in South Africa who had received stem cell therapy outside of registered clinical trials were identified. Data was collected on the nature of the injury, its treatment and cost. The Spinal Cord Independence Measure (SCIM) III was used as a measure of the recipients’ functional status. Results: Comparisons were drawn between the impairment and functional ability pre- and post-stem cell treatment and the expected outcome level for the specific lesion. Stem cell sources were autologous, allogeneic or xenogeneic. Costs ranged from 0 to 700 000 South African Rands. Following the stem cell therapy there was no significant improvement in SCIM III or ASIA scores. Conclusion: No evidence exists that current ‘stem cell’ therapies administered outside of registered clinical trials for persons with SCI are beneficial. Education of both patients and health professionals is required for ensuring that correct information is transmitted and for avoiding unrealistic expectations, bogus therapies and potential adverse effects. Ethical research is to be encouraged in the field of SCI. em2026 Physiotherapy MPhyst Unrestricted SDG-03: Good health and well-being SDG-10: Reduced inequalities SDG-16: Peace, justice and strong institutions SDG-17: Partnerships for the goals 2015-02-23T12:14:40Z 2015-02-23T12:14:40Z 2015-04-17 2015 Dissertation * A2015 http://hdl.handle.net/2263/43774 en © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle Spinal cord injuries
Rehabilitation
Stem cells
Physical rehabilitation
UCTD
Evidence-based medicine
Clinical trials
Health sciences theses SDG-03
Health sciences theses SDG-10
Health sciences theses SDG-16
Health sciences theses SDG-17
A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy
title A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy
title_full A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy
title_fullStr A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy
title_full_unstemmed A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy
title_short A critical analysis of the functional outcome of persons with a spinal cord injury after ‘stem cell’ therapy
title_sort critical analysis of the functional outcome of persons with a spinal cord injury after stem cell therapy
topic Spinal cord injuries
Rehabilitation
Stem cells
Physical rehabilitation
UCTD
Evidence-based medicine
Clinical trials
Health sciences theses SDG-03
Health sciences theses SDG-10
Health sciences theses SDG-16
Health sciences theses SDG-17
url http://hdl.handle.net/2263/43774