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Thursday 30 May 2013

Stroke Stem-cell Trial Shows Promise

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Stem cells

Five seriously disabled stroke patients have shown small signs of recovery following the injection of stem cells into their brain.

Prof Keith Muir, of Glasgow University, who is treating them, says he is "surprised" by the mild to moderate improvements in the five patients.

He stresses it is too soon to tell whether the effect is due to the treatment they are receiving.
The results will be presented at the European Stroke Conference in London

BBC News has had the first exclusive interview with one of the patients involved.

They are taking part in a small clinical trial involving nine patients in their 60s, 70s and 80s at Glasgow's Southern General Hospital to assess the safety of the procedure which involves injecting stem cells into the damaged brain part.

It is one of the first trials in the world to test the use of stem cells in patients.

Results to be presented on Tuesday show that there have been no adverse effects on the patients so far and there have been improvements to more than half participating in the trial.

However, at this stage it is not possible to say whether the improvements are due to the close medical attention the patients are receiving. It is well documented that the feeling of wellbeing resulting from such attention, known as the placebo effect, can have a positive effect on people's health.

But it is thought that stroke patients do not recover after the first six months of their stroke. All the patients involved in the trial had their strokes between six months and five years before they received the treatment.
The recovery of any one of them - let alone five - was not expected, according to Prof Muir, who is in charge of the trial.

"It seems odd that it should all just be chance and a placebo effect," he told BBC News. "We are seeing things that are interesting and somewhat surprising.

"We've seen people who now have the ability to move their fingers where they have had several years of complete paralysis," Prof Muir said.

"We have seen some people that have been able to walk around their house whereas previously they had been dependent on assistance and we have had improvements that have enabled people to recognise what is happening around them."

These improvements have made it easier for the patients to do day-to-day tasks such as dressing themselves, walking and being more independent.

"My expectation had been that we would see very little change and if we did see change it would be a relatively short-lived temporary change. (But) we have seen changes that have been maintained over time," Prof Muir said.

Among the patients to have shown improvements is 80-year-old Frank Marsh, who had a stroke five years ago.

Prior to his attack Marsh, a former teacher, was fit and active: a member of the Glasgow Phoenix Choir and a keen piano player. The stroke left him with poor strength and co-ordination in his left hand and poor balance.

He needs a walking stick to help him move around the house and he can no longer play the piano.
After the injection of stem cells into the damaged area of his brain, his balance and mobility improved as did his hand strength. He can now also tie up his shoe laces.

Marsh said he believed the operation had gradually led to improvements.

"I can now grip things that I couldn't grip before, like the hand rails at the swimming baths," he said.


Source: This Day

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