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CSRO MAGAZINE BACK ISSUES

 

CSRO Quarterly
Volume 12, Issue 4

President's Message
Mission Statement
CSRO Research - The Search For A Cure Continues
Employment Mentoring Program
CSRO Events - More Fundraising Fun!
A Tribute to Ralph Spadafore
Shoot For A Cure - Former Flame Sparks Neck Injury Campaign
Planned Giving with Ross M. Durant Insurance Agency Limited



President's Message
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I am very pleased to announce that Mr. Barry Munro is now the President of the Canadian Spinal Research Organization. Barry is very well qualified to fill this important position. He has a B.A. in Political Science and a law degree from Osgoode Hall at York University. Barry has been quadriplegic since 1987 and has dedicated himself to this organization since that time. I asked Barry to take on the responsibilities and duties of President and he has accepted.

I will now concentrate more fully on the research aspect of CSRO-the main reason for our existence. My new position will be Director of Research. I've been involved in this area since 1984 and there has been an enormous increase in spinal cord injury research. Each month seems to bring a new advancement in understanding how to address the issue of reversing paralysis. I look forward to putting more of my efforts into this exciting field.

CSRO has updated our website (www.csro.com). We look forward to your comments and suggestions about the site. I would also like to remind you about our e-bay auction website. This is our second year of auctioning items like autographed photos, hockey sticks and sweaters. The NHL players have been very committed to our cause and we appreciate their help. So, if you want to give someone a present for a special occasion or just want some memorabilia for yourself, please bid on an item (www.shootforacure.org). You get a great NHL item and assist CSRO in our fundraising drive.

On a more personal note, we lost one of our most dedicated volunteers a short while ago. Ralph Spadafore passed away in July of 2001. Ralph was a quadriplegic who dedicated his total efforts to CSRO. He was a tireless individual who raised around $750,000 for research towards a cure for paralysis. These funds came from holding events such as sports tournaments and conducting bingos. I want to point this out because Ralph just went out and did it. He knew that raising funds here and there would all add up, and it did. If I could bottle what Ralph had, we would be much further along than we are now.

In honour of Ralph we have introduced the Ralph Spadafore Volunteer of the Year award. Please read the article in the magazine to see who were this year's recipients. We all miss Ralph and will remember him fondly.

Ray Wickson, President, Canadian Spinal Research Organization


Mission Statement Back to Top

The Canadian Spinal Research Organization is dedicated to the improvement of the physical quality of life for persons with a spinal cord injury and those with related neurological deficits, through targeted medical and scientific research. CSRO is also committed to the reduction of the incidence of spinal cord injuries through awareness programs for the general public and prevention programs of targeted groups.

CSRO Research - The Search For A Cure Continues
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In this issue we look at stem cells, enteric neurotransplantation and possible applications of these methods in the area of spinal cord cure. Our hopes are that new cell transplantation techniques will find a place in effective treatments of spinal injury.

Magazines and newspapers today seem full of articles on stem cells. Some discuss the controversial ethics, some seem to promise eternal youth, yet others lead the reader to believe that stem cells are about to cure most diseases known to humans.

Stem cells from embryos Cells in early embryos have the potential to grow, divide and give rise to many types of cells, tissues and organs in the body. If embryonic cells are put into the brain, they can be induced to form, for example, nerve cells. This approach has been tried in patients with Parkinson's Disease, with at least temporary success to date.

Stem cells can also be obtained from adults We humans live for many years. During our lifespan many of our cells and tissues are replenished with new cells, so it is not surprising that stem cells have also been found in tissues of adults. Some of these are limited in the types of cells that they can form. Others seem to be able to transform from one cell into another. For example, cells from bone marrow can be made to form nerve cells. Obtaining cells from bone marrow overcomes several problems. For example, there is no difficulty with rejection since the cells can be obtained from the bone marrow of the same individual into whom the cells are subsequently transplanted. This approach also overcomes ethical problems. Finally, removing cells from bone marrow is a relatively easy procedure.

So, stem cells can be obtained from bone marrow and other tissues of adults. But how can they be used? In the nervous system, most studies have used stem cells to make new nerve cells, or to make cells called oligodendroglia. Oligodendroglia make myelin, which insulates the nerves in the brain and spinal cord.

Repair of spinal injury To understand how stem cells can repair injured spinal cord, let's take a look at what happens after spinal injury.

Most damage happens to the long fibers, which run up and down the length of the spinal cord. Motor nerve cells are in the brain and run down the spinal cord to the motor nerve cells. The sensory nerves run from the various parts of the spinal cord to the brain. Sometimes, spinal injury is incomplete. In these cases some of the nerve fibers remain intact and recover much, or all, of their function. Nothing needs to be done about those (Figure1-#1). Other fibers are damaged, but not destroyed. These lose their myelin insulation (Figure1 - #2).

In other cases, the nerve fibers are destroyed and end in the area of scar, which forms at the site of the injury (Figure 1 - #3). The nerve cell processes cannot regrow through the region of the scar and into the spinal cord because the remaining myelin inhibits the growth of nerve fibers. When nerve cell processes are damaged for extended periods of time, the nerve cell bodies themselves may die.

How might stem cells help with this? Certainly, stem cells can be made to transform into oligodendroglia, which can make myelin. This type of stem cell could, potentially, be used to replace the scar tissue at the site of injury. This might provide a suitable environment to permit damaged nerve fibers to regenerate through the scar.

By using the potential of stem cells to develop into nerve cells, one could potentially replace some of the cells which died when their processes were damaged. It would then be possible to produce and transplant nerve cells.

Nerve regeneration after spinal injury using cells other than stem cells The important issue in stem cell research is how to promote the outgrowth of processes from damaged nerves. This outgrowth is inhibited by the remaining myelin which is the nerve insulation. Transplantation of other types of cells may overcome this problem.

Many years ago researchers in Montreal showed that the processes of nerve cells in the central nervous system could regenerate over long distances through pieces of peripheral nerve. The peripheral nerves, which run outside the brain and spinal cord, have a different type of cell to insulate them called a Schwann cell. Schwann cells, when transplanted into spinal cord, permit regeneration of some nerve processes. However, they secrete substances which tend to "wall them off", limiting their usefulness. Another type of cell, called "olfactory ensheathing glia", also enhances the outgrowth of nerve processes through the spinal cord. These can be obtained from the front part of the brain.

Another approach is to use the cells which insulate the nerves in the intestine, known as enteric glia. The Canadian Spinal Research Organization is funding work in this area.

Enteric glia are relatively easy to obtain. We have developed a method for purifying them. When transplanted into the spinal cord, they migrate in the appropriate directions and appear to act as "pathfinders" for the regenerating nerves. They appear to protect them from the inhibitory effects of the myelin. We anticipate that this work will enable regeneration of damaged nerve fibers in the spinal cord over significant distances. Once these fibers are regenerated, it may be necessary to ensure that they are covered with oligodendroglia from stem cells. However, the work to determine if that is necessary is still some time in the future.

Nevertheless, transplantation of cells certainly appears to be a very promising approach to the treatment of spinal cord injury. Many of the cells which are to be transplanted can be obtained from the same individuals who suffered the injury. This makes the transplantation much less likely to be rejected by the immune system.

Over the next few years more information and important data using cell transplantation techniques will become available. Hopefully, some of this will find a place in effective treatments of spinal injury.

Employment Mentoring Program
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What is a Mentor? A mentor is a trusted counsellor or guide who is willing to be a coach, teacher or leader.

The Canadian Spinal Research Organization believes that the more spinal cord injured (SCI) people who become integrated into the working community through employment, the greater the awareness and appreciation of their abilities and attributes. For this reason CSRO has started an Employment Mentoring Program at the Head Office in Richmond Hill, Ontario.

We welcome Spinal Cord Injured persons into the office so they can start re-accessing society in an employment like setting. Through their experiences, volunteers have been gaining self-assurance in the workplace and realizing that they have extreme potential. With our Mentor Program, consumers learn to take on the responsibility of committing to spending time in the office.

The consumer's attendance in the CSRO office allows them the chance to learn computer skills, communication skills and build a confidence level that may help them in securing employment in the private work force.

The benefits of the Employment Mentoring Program become clear when speaking to those involved in the program. John, who has been helping in the office for several months after being out of the workforce for over 15 years, sums up his experience…

"The Mentoring Program has helped me a lot. The staff at CSRO is friendly and helpful. It feels very satisfying to be giving something back to my community after so many years. My confidence level has increased so that now I feel much better about myself."

CSRO is equally as pleased with John as he is about the program. "John has turned out to be a real gem" was a comment made just last week by one of the staff. It has turned into an exciting time at the Head Office as volunteers are expanding their horizons. Help yourself…get involved!

If you are…
  • A spinal cord injured person (SCI)
  • A resident of Ontario, Canada (Newmarket, Aurora, Richmond Hill, Vaughan, Markham, Whitchurch-Stouffville, East Gwillimbury, King)
  • Interested in seeking employment
  • Willing to make a difference
Please contact Charles Warriner Toll Free at 1-800-361-4004.

Volunteer! Expand your horizons! Enrich your skills! Contribute to your community! Realize your potential!

CSRO Events - More Fundraising Fun!
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Once again, these great events were held on our behalf and each one was a huge success! Our thanks go out to all of the members, volunteers and participants who made them so memorable!

Sandra Burton Golf Tournament - Friday, July 6, 2001 was another beautiful day to hold the 10th annual Sandra Burton Golf Tournament.

In raising over $13,000 the 144 golfers enjoyed a wonderful day of golf, food and entertainment, which many commented was the best ever.

Get your entry fee in early so that you don't miss the 11th annual Sandra Burton Golf Tournament to be held at the Cardinal Golf Club in Newmarket, Ontario, on Friday, July 5, 2002.

Spinal Tap Mixed Bonspiel - This year marked the 10th anniversary of the Spinal Tap Mixed Curling Bonspiel which was held on March 3, 2001 at the Thornhill Country Club.

The event raised over $11,000 for spinal research and was great day of curling with curlers ranging from first timers to an Olympic medallist. The 11th annual Bonspiel is scheduled for Saturday, March 2, 2002, and at $260 per team for event registration you're assured to have great time!

To get involved, please contact Ryan Durham at 905-887-9402 or email at ryandurham@rogers.com to get your team registered, donate a gift for the prize table or inquire about sponsorship opportunities.

Chris Beehler Golf Tournament - The CSRO was again a proud recipient of $17,000 from the Chris Beehler Golf Tournament.

The 7th Annual golf tournament took place on Wednesday, August 15, in Kingston, Ontario. Over $23,000 was raised this year and we have already started to book up spots for the 8th tournament.

CSRO Golf Tournament - The CSRO was proud to hold the 5th Annual CSRO Golf Tournament and Silent Auction on Thursday, August 2 at Woodington Lake Golf Club in Tottenham, Ontario.

The event raised in excess of $26,000 and was a huge success, with the participants enjoying a magnificent day of golf on the challenging course.

Volunteer Recognition Awards Night - The CSRO hosted and recognized several of its key volunteers on November 20, 2001. We were fortunate to have Dr. Michel Rathbone speak to the organization about his work at McMaster University with Enteric Neurotransplantation. Over 35 volunteers showed up and enjoyed an evening of discussion, and our volunteers were then awarded with Certificates of Appreciation for the great work that they do in helping us raise funds for research.

The highlight of the evening was the inaugural presentation of the Ralph Spadafore Memorial Volunteer Recognition Award. This year's recipients were Ed and Heather Durham of Thornhill, Ontario, who for over a decade have volunteered in working with fundraisers such as the Annual Bonspiel and helping out within our head office. Ed and Heather Durham's son, Ryan, is a quadriplegic.

The other recipient of the award was Alda Webster, a paraplegic since the age of five. Alda has worked for over a decade, originally with the Brampton, Ontario Chapter, and now as President of the Peterborough, Ontario Chapter. Alda is responsible for raising over $100,000 in funds between bingo and other events over the years. We were fortunate to have the family members of the late Ralph Spadafore attend and make the presentation to the recipients this year.

Elvis Rocks Event - On May 5, 2001, the CSRO partnered with two other very worthy organizations-the Richmond Hill Mobility Accessibility Foundation and the Elvis Stojko Bursary-to put together the Mayor's Gala Celebration of Figure Skating. The event was sponsored by Rogers and held in Richmond Hill, Ontario, home of our head office.

That event raised over $6,000 for the CSRO, which featured Elvis Stojko and many other local and nationally ranked figure skaters. Elvis contributed his time and once again put on a great show.

More recently, Elvis won his seventh Canadian Figure Skating title on January 12, 2001 in Hamilton, Ontario. Congratulations Elvis! We'll see you on the podium at the Olympic Winter Games in Salt Lake City, Utah!

A Tribute to Ralph Spadafore
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"It is up to us to get it done, and the only way we're going to do it is by raising money. It's as simple as that…"

The following memorial was written by Barry Munro. In July of 2001, the Canadian Spinal Research Organization (CSRO) lost a friend. Ralph Spadafore, of Ajax, Ontario, a long-time chapter president for the Ajax Chapter, as well as one of the earliest members of the CSRO, passed away after a lengthy illness.

Ralph had a spinal cord injury in 1984 rendering him a C-6 Quadriplegic. Before and after his injury, Ralph was active in his community. Ralph became one of the original members of the CSRO. When it came to the issue of funding research for a cure for paralysis, Ralph lived by the credo: "It is up to us to get it done, and the only way we're going to do it is by raising money. It's as simple as that."

With those words, I saw in Ralph someone who put his words into practice. For over a dozen years, Ralph had been a volunteer that had spent most of his spare time raising money for spinal cord research and helping other disabled consumers in the Ajax and Oshawa area. By holding events, and working many bingos, Ralph and his team raised close to $750,000 over the past decade.

When I met Ralph for the first time, I saw in him strength and endurance and knew that there was a chance that one day we would find a cure for paralysis, because people like Ralph were out there working for it. Everybody that knew Ralph considered him a friend. Ralph was a true Canadian hero, giving so much of his time to help people now and in the future by raising money to fund research.

The spirit of Ralph lives on and the Board of Directors of the CSRO has unanimously agreed to create an award in Ralph's name, "The Ralph Spadafore Memorial Volunteer Recognition Award". This award will be presented to individuals who exemplify strength, endurance and dedication to the cause that Ralph Spadafore and other spinal cord injured consumers believed in. Although Ralph has left us, his spirit will always be with us as we move forward and finish the job that he started.

I had the opportunity to attend Ralph's funeral, and hear a poem that Ralph's niece had written in memory of him. I thought the poem captured the essence of Ralph and thought it was important that we printed the poem so that all readers would understand who Ralph Spadafore was.

Good-Bye My Friend
There is a story that must be told,
About a man on four wheels,
With a heart made of gold.
Ralph gave to others all of his life,
Helping me through times of strife,
And now his life has come to an end,
Good-bye, my dear and departed friend.
Thank-you Ralph for all that you have done,
The years of laughter, Joy, Friendship and fun,
We are sad because we are left behind,
But we also know the joy you will find.
So, be as happy as you can be,
Good-bye, my Friend, I love you; Fly free.
For you will live on, in our memory.
In loving memory by: Laura Zutell

Shoot For A Cure - Former Flame Sparks Neck Injury Campaign
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Almost every week during the regular hockey season a player suffers a serious spinal injury. Shoot For A Cure, an initiative of the CSRO, raises money for spinal cord research, promotes safe hockey and raises awareness of neck injuries in hockey.

Steve Smith is no longer a Calgary Flame and no longer playing hockey, but he left a legacy that several of his former teammates are carrying on.

Smith, the rugged defenceman, retired last season as the Flames captain after suffering a neck injury that left him with numbness in his left arm and hand. It was a freak collision with a teammate in front of the Calgary net in January 2000 that left Smith motionless on the ice for what seemed an eternity.

"For the first time in my life I can honestly say I was a afraid," Smith said. "It is something that is logged into the back of my mind and it will never go away." He spent most of the rest of the season recovering from the injury and was forced to retire on December 7, 2000.

Since the injury he has hooked up with a number of National Hockey League players to help raise awareness of neck injuries and raise crucial money for spinal cord research. Shortly after Smith was injured Kurt Gengenbach, himself confined to a wheelchair following a hockey accident in 1989, paid a visit to the Calgary Flames to speak about Shoot For A Cure, an initiative of the Canadian Spinal Research Organization to raise money for spinal cord research, promote safe hockey and increase awareness of neck injuries in hockey.

For Jarome Iginla, getting on board with the program was an easy decision. He had seen what happened to Smith, and had a developed a friendship with Aaron Moser, a young man paralyzed during a junior hockey game, following one of the team's visits to a Calgary hospital. "When you see that, it hits home. Their injuries are hockey related. You realize that every day you are fortunate to be out there. You just never know what is going to happen," said Iginla.

Others on the Flames also joined the program - Clarke Wilm, Dwayne Hay and the recently traded Jeff Cowan are among a number of NHL players donating time and money to the program. Defenceman Bob Boughner, a free agent signing with Calgary in summer, was on board from the beginning. "It obviously hit home with the guys with Steve being the captain," said Boughner.

Research, which is conducted at universities in Canada under the supervision of the Canadian Spinal Research Organization and in the United States under the supervision of the American Spinal Research Organization, is costly.

The program has hooked up with eBay Canada where items donated by players are auctioned. Last year Boughner, who was playing in Pittsburgh, was able to donate a couple of signed Mario Lemieux jerseys. "It's important. This is all about awareness. My kids are going to play hockey, too," said Boughner.

Iginla, however, has been one of the biggest supporters of the program, particularly financially. In November Gengenbach met with the Flames in Detroit, outlining the program and talking about some new drugs that could help regenerate damaged spinal cords. "Jarome," said Gengenbach, "has been an amazing guy." Iginla shrugs off his financial contribution. "It's great to see that they are close to some breakthroughs," he said.

Gengenbach, a quadriplegic from a hockey accident who worked for the National Hockey League Players Association until last December moved over to help run Shoot for a Cure, which was launched last January. Gengenbach's injury was not the result of malice. He caught an edge in a rut, fell and hit the boards, confining him to a wheelchair.

"I was skating hard towards a defenceman in the corner," recalled Gengenbach. I lost an edge and hit the boards. It was a freak accident. It could have been avoided by going sideways, at an angle."

Statistics on the Shoot For a Cure website note that almost every week during the regular hockey season a player suffers a serious spinal injury. From 1982-1996, an average of 20 hockey related major spinal injuries were reported annually. Canada led those statistics reporting 252 injuries followed by Sweden with 54 and the US with 36. During that same 15-year period, at least 8 players died and 85 required wheelchairs indefinitely due to spinal injuries sustained while playing hockey.

Gengenbach added that the injuries occur during organized games in most cases. "Playing pond hockey you hardly ever get injured," said Gengenbach. But, when the equipment is donned, the attitude changes. "They just skate around with this feeling of invincibility," said Gengenbach.

Preventing the injuries and finding a cure became a project for Gengenbach while he was working at the NHLPA. "I just started researching things on my own," he said.

When he travels around the NHL talking to players, he finds sympathetic ears. They are playing a fast game in which an injury is just a split second away.

Among the players involved is Colorado's Chris Drury, a teammate of Travis Roy at Boston College, who suffered a serious spinal injury during a game. Montreal's Brian Savage and Phoenix Coyote Brad May make up the advisory board executive. Theo Fleury, broadcaster John Davidson and Vancouver Canuck Trevor Linden are also with the program.

Why?

Gengenbach has the answer. "There are so many guys in the league that have been affected by it, and the game has changed so much," he said. "There is only a matter of time before there is a major, major injury in the NHL."

By: Mike Board, TSN Max

Planned Giving with Ross M. Durant Insurance Agency Limited
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A gift of life insurance can benefit your favourite charity in a way that could go beyond your wildest dreams!

Here's the dilemma… Each year, government funding to the 75,000 registered charities in Canada continues to be dramatically reduced. This leaves many of these charities in precarious financial situations, facing the reality that they may be unable to maintain the same level of service in the future. There has never been a better time for private and corporate citizens to offer their support by making a charitable donation.

What is the opportunity? Many people would like to donate more to their favourite charity but feel financially unable to do so. Life insurance can help. Life insurance increases the size of your gift to the charity you've chosen and it provides you, the donor, with significant tax benefits.

How does it work? You have a number of choices available when giving a gift of a life insurance policy to a charity. You can purchase the insurance yourself and name the charity as beneficiary. Or, you can own the policy yourself and name your estate as beneficiary and provide direction in your will to gift the funds. You may also choose to make the charity the owner of the insurance policy outright with you paying the premiums on the charity's behalf. Each of these options provides the charity with the policy's proceeds when you die.

What are the benefits to you? Not only will you achieve peace of mind knowing your gift will make a difference, but you will also receive tax benefits. If you purchase the insurance policy and name the charity as beneficiary or have your estate gift the insurance proceeds to the charity, the charity will issue a charitable receipt when it receives the funds. If the charity owns the policy and you make the premium payments on the charity's behalf, the charity will issue a charitable receipt each year for the amount you pay. In both situations, you can use the receipt on your tax return to reduce the amount of tax you pay.

C. Michele Wilson, CFP, CLU, CH.F.C.
Ross M. Durant Insurance Agency Limited
4950 Yonge Street, Suite 508, North York, Ontario M2N 6K1
(416) 222-2262 o Fax: (416) 222-2510
cmwilson@durant-financial.com


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