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Institute of Medicine.


Spinal Cord Injury: Strategies in a Search for a Cure


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The Committee on Spinal Cord Injury recently released its report, Spinal Cord Injury: Progress, Promise, and Priorities. The report identified three key efforts as the focus of the recommendations:

  1. focus on increasing knowledge of basic neurobiology and therapeutic approaches;
  2. emphasize and coordinate translational multidisciplinary research and clinical trials; and
  3. strengthen the research infrastructure and enhance training.

Additionally, the report provides recommendations to the New York Spinal Cord Injury Research Board, the sponsor of the study.

At any given time about 400,000 Americans suffer from spinal cord injury-associated maladies that include: paralysis, bowel and bladder dysfunction, sexual dysfunction, respiratory impairment, temperature regulation problems, and chronic pain. Over the last two decades longstanding beliefs about the inability of the adult central nervous system to heal itself have been eroded by the flood of new information from research in the neurosciences and related fields. However, there are still no cures and the challenge of restoring function in the wake of spinal cord injuries remains extremely complex.

Public awareness of, and funding for, spinal cord injury research has expanded in the past 10 years, aided greatly by the efforts of patient advocates, scientists, and clinicians.  Currently over $118 million is invested annually in spinal cord injury research, $25 million of which comes from states that have legislated funds.

About the Project:

New York State legislature created the largest state program devoted to restoring lost function associated with spinal cord injuries. New York's Spinal Cord Injury Trust Fund grants up to $8.5 million per year for spinal cord injury related research. In order to broaden the program's impact and advance the search for a cure overall, the New York Department of Health asked the Institute of Medicine of the National Academy of Sciences to convene an expert committee to complete the following tasks:

  1. review the state of the science relevant to spinal cord injury;
  2. identify the gaps in knowledge and technological barriers that exist, with particular emphasis on areas that are ripe for translational development;
  3. consider both short- and long-term approaches to strategies for methods to reduce paralysis and restore lost function after injury;
  4. recommend opportunities for New York State and other funders to support spinal cord injury research.

Additional details about the study process can be found at the following link.

Although we believe that improving services for those with spinal cord injuries is also a critical issue, this particular study is limited to improving research aimed towards cures.  If you have questions about the study: spinalcordinjury@nas.edu.



Project Meetings
Workshop 1: Spinal Cord Injury Feb 24, 2004
Workshop 2: Spinal Cord Injury May 24, 2004
Community Perspectives and Feedback Session in Conjunction with Meeting 3 Sep 27, 2004
Report Release Briefing: Spinal Cord Injury Apr 5, 2005
Related Reports
Spinal Cord Injury: Progress, Promise, and Priorities Spinal Cord Injury: Progress, Promise, and Priorities
Apr 5, 2005



Last Updated: 4/14/2005, 03:03 PM RSS





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