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Issue 141, 26 May 2004
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Magnetic treatment for spinal cord injuries
by Tony Stephenson PEOPLE who have suffered partial damage to their spinal cord may
be helped by applying a magnetic therapy to their brain. A team of UK doctors have discovered how patients with
incomplete spinal cord injuries benefited from repetitive
transcranial magnetic stimulation (rTMS) which led to improvements
in their ability to move muscles and limbs, as well as their
ability to feel sensations. Incomplete spinal cord injuries are a type of spinal injury
where the spinal cord has not been entirely severed, but the
patient has still lost the ability to move or feel properly below
the injury point. Writing in Spinal Cord, the doctors describe how rTMS
uses an electromagnet placed on the scalp to generate brief
magnetic pulses about the strength of an MRI scan, which stimulate
the cerebral cortex. A treatment designed to treat psychiatric
disorders, rTMS has been used in treating some of the symptoms of
schizophrenia. Dr Nick Davey, Charing Cross campus and one of the
study's authors, says: "Through rTMS, which we believe strengthens
the information leaving the brain through the undamaged neurons in
the spinal cord, we may be able to help sufferers recover some of
their movement and feeling. "It may work like physiotherapy but instead of repeating a
physical task, the machine activates the surviving nerves to
strengthen their connections." Researchers from Imperial, the National Spinal Injuries Centre
at Stoke Mandeville Hospital, and Charing Cross campus, tested rTMS
on four patients with incomplete spinal injuries. All had sustained
their injuries at least 18 months previously and had already
received conventional rehabilitation including physiotherapy. Patients received both real and sham (simulated) rTMS treatment
during a three-week period which involved five consecutive days of
magnetic stimulation for one hour per day, resulting in a 37.5 per
cent drop in intracortical inhibition, compared with normal
physiotherapy, making it easier for messages from the brain to pass
down the spinal cord to the rest of the body. Motor and sensory function also improved, lasting for at least
three weeks after treatment. The work was supported by the International Spinal Research
Trust. Dr Davey and his team have received a further grant to carry out
larger trials in this field. |
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| ©2003 Imperial College London |
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