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CSRO Quarterly
Volume 13, Issue 1

President's Message
A Salute to Families
Events Update
Research for the Cure
Shoot For A Cure: A Team Effort
Premier Partner Fundraising Profile




President's Message
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As President of the CSRO, I have had the great fortune of meeting many SCI consumers and their families over the years. As our article “A Salute to Families” will point out, the CSRO would not exist if not for the strength and determination of the parents, siblings and other relatives of these consumers, as well as the consumers themselves who have grown from the support that their families have given them. Both have been essential in helping us further our cause.

The CSRO is proud of its record of funding spinal cord research. With the financial support of people like yourself, we have made great advances in the quest to find a cure for paralysis. Phase 3 clinical trials of Fampridine (4-AP), the first compound to show promise in restoring some neurological function to people with SCI, are now almost complete. Other research projects funded by the CSRO, such as that on Enteric Glia, are also showing promise.

However, spinal cord research is very expensive and it wouldn’t be possible without your generous support. Please help us find a cure for paralysis by generously donating to our organization. As you will see in this magazine, and on our website, there are several ways to give to the CSRO. One option that many people are not aware of is that you can donate to the CSRO through the United Way appeal. Although the CSRO is not a part of the United Way group of charities, you have the option of designating a charity as the recipient of your donation on the back of your pledge forms. We urge you to consider the CSRO as the charity of your choice at anytime, and especially during a United Way drive.

Thank you for your support.

Barry Munro, BA, LLB, President, The Canadian Spinal Research Organization

A Salute to Families
By Iman Abokor

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Families are important to all of us, but to people who have experienced a spinal cord injury, a family’s unconditional love, support and encouragement is essential in helping them recover from their injury and re-integrate back into the community.

The foundation of the Canadian Spinal Research Organization is families. The CSRO was built and is operated by people with spinal cord injuries who were able to move on from their injury and commit themselves to finding a cure for paralysis because of the loving support they received from their families. In addition, we were able to grow as an organization because of local fundraisers held by the families of people with spinal cord injuries.

The support that we receive from families continues to be important to the CSRO. Many of our dedicated volunteers have told us they never would have been able to work with the CSRO if their families hadn’t encouraged them to re-enter the workplace. To highlight the importance of families in the lives of people with spinal cord injuries, we asked a variety of CSRO volunteers to share with us how their families helped make living with their injury a little easier.

On Tuesday afternoons, Andrew Fisher regularly comes to the CSRO head office to volunteer. Andrew is a familiar sight to the staff and he is greeted cheerfully. Soon after, he is on the phone with retailers working to obtain prizes for CSRO events. A C5-6 quadriplegic, Andrew was injured in a diving accident in 1993. After his injury, his family’s love and support helped him put his life back together and begin working towards a cure for paralysis. Their assistance while he was in the hospital and in rehab was especially important to him. “When you’re initially paralyzed, you are a prisoner in your own body. For me, my family was there to help me with anything and everything that I needed,” Andrew explains. One of the ways his parents helped him was by sticking up for him in situations where Andrew felt he was being intimidated by hospital staff. Andrew now sees that “having my parents stand behind me gave me the integrity to rebuild my self-confidence after my injury.”

Anita Kaiser, a C6-7 quadriplegic and another dedicated CSRO volunteer, also found that to rebuild her life after her injury, the support of her family was indispensable. She remembers fondly how, while in the hospital after her injury, her parents helped her tackle every problem whether it was learning to sit up or breathing. They comforted Anita by doing simple things like holding her hand while she slept and bringing home-cooked food to the hospital. Their unwavering support gave her “a strength, security, warmth and love” that she used to move on from her injury.

Carlos Gonsalves, a C4-5 quadriplegic, found the support of his family, which includes four sisters and one brother, therapeutic as well. Carlos was touched by the way his large family came together after his injury to give him the physical and mental support that he needed. The need for and the importance of family support, however, does not end when a person with an SCI leaves the hospital. As one re-adjusts to living in the community, this support can make all of the difference.

Take the example of Mark Woitzik, a C5-6 quadriplegic. When Mark was injured, he had just begun his first year of university in a town away from home. His injury meant having to move back in with his parents following his hospitalization. His parents, however, thoughtfully built an addition to the back of their house which gave Mark his privacy. Mark’s parents continued to be there for him when he needed them. When Mark returned to school, his parents assisted him financially and helped him purchase an accessible van. When he opened his own law firm, his parents gave him the moral and financial support he needed to achieve this goal. His parents’ consistent support helped Mark become self-sufficient and independent. Without their help, he acknowledges, “I wouldn’t be where I am today.”

Another way for families to help a loved one with an SCI is to support the search for a cure for paralysis. This is what Ed and Heather Durham have been doing for over a decade by volunteering regularly with the CSRO. Their son, Ryan, was left a C4-5 quadriplegic in a 1990 diving accident. When Ryan began working with the CSRO, his parents automatically wanted to become involved too. Their generosity and commitment has been overwhelming.

For the past 5 years, Ed has been coming in to the CSRO head office at least once a week to help with administrative work. Heather also volunteers at the head office and has, along with Ed, helped Ryan organize the Annual Spinal Tap Mixed Bonspiel for the past 12 years. To thank them for their dedication to the CSRO, they were recently awarded the prestigious Ralph Spadafore Memorial Volunteer Recognition Award.

Another remarkable story is that of Gisela Krampitz. After her son was injured in a motorcycle accident, Gisela decided to canvass door-to-door to raise money for spinal cord research. She raised thousands of dollars for the CSRO in order to help her son Harold one day walk again.

William Munro, the uncle of Barry Munro who is a C5-6 quadriplegic and President of the CSRO, also rallied to support spinal cord research. He recommended to the Board of Directors at Trillium House – a foundation that makes annual charitable contributions – to make a donation to the CSRO. The foundation gave $2000 to the CSRO and a caring uncle found a way to bring his nephew one step closer to his goal of finding a cure for paralysis.

Like Barry, Alda Webster also believes there will one day be a cure for paralysis. Alda is a paraplegic and the President of the Peterborough chapter of the CSRO. She regularly holds fundraisers to raise money for spinal cord research, and over the past year Alda raised almost $15,000 for the CSRO. However, her fundraisers wouldn’t have been such a success without help from her family. At every event that Alda organized, at least four or five members of her family were there making sure everything ran smoothly.

As these stories demonstrate, families make a huge contribution to the well-being of loved ones with an SCI. They are also an integral part of helping us find a cure for paralysis. For the support that families have given to their loved ones and to the CSRO, we thank you!

Planned Giving (sidebar)

All spinal cord injured individuals and their loved ones hope that there will one day be a cure for paralysis. The CSRO is working hard to make the dream for a cure a reality and Planned Giving is a creative way that you can help us reach our goal.

Methods of Planned Giving include:
  • Will Bequests
  • Gifts of Insurance
  • Charitable Annuities and
  • Insured Charitable Annuities
Planned Giving is a great way to help the CSRO raise funds for spinal cord research while still maintaining income for yourself, or your spouse, or an inheritance for your children in the long term.

For more information on Planned Giving, please visit our web site at www.csro.com, or contact the CSRO at 1-800-361-4004 or by email at bmunro@csro.com.

Events Update
By SARAH HIGGINS

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Once again, enthusiasm and participation generate research funds!

Spinal Tap Mixed Bonspiel On March 1, 2003 more than 70 curlers of all ages and skill levels came together at the 12th Annual Invacare Spinal Tap Mixed Bonspiel at Thornhill Golf and Country Club to enjoy a fun day of curling.

This year was one of the most successful ever for the Bonspiel, which raised over $16,000 for the CSRO and spinal cord research. Over the past 12 years, the Spinal Tap Mixed Bonspiel has raised more than $96,000 for the CSRO and it gets better every year.

Along with a great day of curling, participants also had the opportunity to witness the Celebrity Wheelchair Challenge. In the Challenge, the Canadian Wheelchair Curling Team, fresh off their Gold Medal performance in Glasgow, Scotland, played against a team of celebrity curlers. The celebrity curlers included Mike Harris, the 1998 Olympic Silver Medallist and TV curling analyst; Anne Dunn, the 2003 Ontario Champion and two-time World Senior Curling Champion; George Karrys, the 1998 Olympic Silver Medallist; and Don Landry, morning show host of the FAN590. The game resulted in a 7-1 win for the Canadian Wheelchair Curling Champions in a 3-end exhibition game. Better luck next year for the celebrity team!

The day was made complete with over $5,000 in prizes awarded to some lucky participants. Two of the top prizes were a roundtrip ticket for two on Via Rail and a JVC digital camera. Special thanks go to our event sponsors: the Invacare Corporation, the Labatt Brewing Company and Ross M. Durant Insurance Agency Ltd. Thanks again to all those who participated in the event and supported the CSRO and spinal cord research. We’re looking forward to the 13th Annual Spinal Tap Mixed Bonspiel on Saturday March 6, 2004. Hope to see you there!

A New ChapterIn recognition of our increased membership in Southwestern Ontario, the Canadian Spinal Research Organization (CSRO) is proud to announce the establishment of the Hamilton, Ontario chapter of the CSRO. The chapter is closely affiliated with Dr. Rathbone’s spinal cord research lab at McMaster University in Hamilton. Money raised by the chapter supports Dr. Rathbone’s research being done right there in Hamilton!

Although the Hamilton chapter of the CSRO is new, they have already begun enthusiastically fundraising for the CSRO. Joey and Gina’s “Comedy” Wedding, a comedy play, was held on June 13, 2003 at the Renaissance Special Events Centre in Hamilton with all proceeds going to the CSRO. It was great fun for all those who attended.

Special thanks to Southwestern Ontario Fundraising Co-ordinator, Dorothy Fry and her team for planning and organizing the event.

Upcoming events include a 5 kilometre Walk/Run at McQueston Park (Hamilton Mountain) on September 27, 2003 and a day at the races on November 16, 2003. For more information about these events, you can contact Karen Keller toll free at 1-800-361-4004.

The CSRO looks forward to all of the events and fundraising activities that Dorothy and her team have in store for the next few months. We’re glad to have you on board!

Research for the Cure
By the Rehabilitation Research & Training Center at the University of Alabama at Birmingham

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Have you ever wondered exactly how researchers are working towards finding a cure for paralysis?

This article, published courtesy of the University of Alabama at Birmingham,* outlines the various ways that researchers are trying to help spinal cord injured individuals one day walk again.

Research for finding a cure for spinal cord injury seems to move very slowly and this can be discouraging. This is because the spinal cord is a very complex part of the body and researchers are continually learning new information about the spinal cord, its cells, and how the nerves work. In cure research the focus is on four different areas:
  1. How to keep damaged nerves and cells at the site of the injury alive
  2. How to replace damaged or lost tissue and stimulate the remaining nerves to grow and regenerate
  3. How to find what factors inhibit or keep nerve cells in the central nervous system from growing
  4. Identifying rehabilitation methods that can promote recovery after injury
Let us look at some research goals for each of these four main problem areas.

How can the death of nerves and cells at the site of the spinal cord injury be prevented? The damage to the spinal cord takes place because of the initial trauma or from swelling and blood loss to the site that occurs for a time after the injury. The less damage to the spinal cord, the greater the chances of recovery. Researchers found that the use of a steroid drug, methylprednisolone (MP), reduces swelling at the injury site. It is now the “standard of care” given to all individuals within 8 hours after injury.

Another treatment method being studied to prevent nerve and cell death is the moderate lowering of an individual’s body temperature shortly after the injury.

How can damaged tissue be replaced and the remaining nerves stimulated to grow and regenerate? Sometimes nerves in the spinal cord are damaged permanently and unlike other tissues in the body, can not repair themselves. Furthermore, the physical damage to the spinal cord and its surrounding cells leaves an area that does not allow for new growth and healing. Researchers are trying to encourage new growth by transplanting cells or tissues at the damaged site. Previously, when researchers transplanted adult nerve cells, they did not work. There have been successful results however in laboratory animals with the transplantation of fetal nerve cells taken from an unborn animal.

Dr. Richard Fessler, University of Florida (Gainesville), Shands Hospital, in collaboration with Dr. Paul Reier, transplanted spinal cord tissue from an aborted human embryo to the spinal cord with syringomyelia (a fluid filled cavity). A second patient received the same procedure in April 1998. At 6 months post-surgery, both patients were stable and showed MRI evidence of graft growth.

Because of the controversy in using fetal cells, researchers are looking for other alternatives to use. Through genetic engineering scientists can make new “cell lines” that supply nerve cells for grafting. Cell lines have primarily been used to provide growth factors. This use of transplanted “cell lines” is still in the animal research stage.

Scientists have also found an area in the brain and an area in the spinal cord, that have stem cells. These stem cells are able to divide and produce more nerve cells or neurons. The researchers’ next goal is to remove stem cells from a person with SCI, get the cells to divide in the lab, and then inject them back into the spinal cord of the person. This method would avoid problems with cell rejection.

During the past ten years, researchers discovered certain chemicals called “growth factors.” These growth factors nourish nerve cells and help cells grow during their developing stages. Their goal is to find which growth factors best improve the health of the damaged neurons and increase nerve fibre growth after an SCI.

A new drug, Fampridine-SR (4-AP), helps nerve signals pass along a damaged area of a nerve cell, improving the nerve-impulse signal across the site of injury. It might also help individuals with SCI recover some sensory and motor function. 4-AP is currently in clinical trials with humans at selected rehabilitation centres across North America. [For more information on 4-AP, visit the CSRO’s website at www.csro.com.]

What chemicals are present in the central nervous system that prevent the growth of nerve cells? Researchers know that scar tissue can form at the site of the spinal cord injury and block nerves from growing. Now they have also identified some chemicals that can stop nerve regeneration. The researchers are looking for ways to help the growing nerve fibres overpower those chemicals that inhibit their growth. They are studying ways to supply both the physical support for the nerve cell tissue and a healthy environment for growth.

What rehabilitation methods can promote recovery after injury? Rehabilitation is expected to be a crucial part of any cure treatment strategy. It is unlikely that any cure treatment will result in an individual having immediate or complete recovery of all function.

Researchers are investigating a “central pattern generator” (CPG) in the spinal cord. The CPG is a group of nerve cells recently identified in animals that synchronize muscle activity when stepping. There is increased evidence that the CPG is also present in humans. Current research is examining if this movement/exercise therapy might influence return of function in humans. In Germany a research project has individuals with SCI using a treadmill while at the Miami Project individuals use a monorail suspension system. Researchers also are conducting studies on clinically manipulating the CPG.

Conclusions There are many promising developments in the area of spinal cord injury research. In studies for “cure” research, many are still in the laboratory and animal testing stages. It is likely that no one single therapy or discovery will be the “cure” for SCI, but that multiple therapies will provide the most successful results.

* This article was originally published by the University of Alabama at Birmingham (UAB) Spain Rehabilitation Center. It is re-printed here with permission and is copyrighted. You can visit UAB’s Spinal Cord Injury Information Network at www.spinalcord.uab.edu.

Shoot For A Cure: A Team Effort
By Chris Lomon & Sarah Higgins

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Although it didn’t show up on a scoresheet, six NHL Alumni members who recently lent their time and support to the Shoot For A Cure campaign still know how to provide a timely assist.

NHL Alumni President Brian Conacher, along with former NHL players Pat Flatley, Tom Fergus, Jeff Jackson, Mark Napier and Mike Pelyk played a big role in helping the Shoot For A Cure (SFAC) campaign raise more than $4,000 at the Sportscard & Memorabilia Expo which was held in Toronto on April 25-27, 2003. The six former NHLers signed autographs at the Expo for a donation of $10 to SFAC. SFAC is a partnership with the hockey community that raises money for spinal cord research, promotes safe hockey and raises awareness of neck injuries in hockey. Since its inception in 2000, SFAC has raised over $450,000 for spinal cord research.

For Kurt Gengenbach, Director of Hockey Operations with SFAC, the presence of the NHL Alumni members at the Expo played an integral part in raising funds for the popular hockey-based program. “Without the support of the Alumni, it goes without saying that we would never have raised close to the amount of money we did,” said Gengenbach. “They raised so much awareness for our campaign too. Every time one of the guys was at our booth, it was our busiest time. We’re really grateful for their time and support.”

It’s not the first time that NHL Alumni players have supported the SFAC campaign and according to Brian Conacher, President of the NHL Alumni Association, it won’t be the last. “We are only too happy to support the initiative of SFAC so we may assist in better preparing the youth of today in cautioning them as to the cause and effects of spinal injuries,” said Conacher. “We want to do our part as role models, to provide awareness and hopefully see a greater prevention for the future upcoming stars.”

Along with autograph sales, SFAC also raised money at the Expo through memorabilia and raffle ticket sales. The raffle item was a framed “On The Pond” photo, a unique 8x10 photo from the 2000 All-Star Game autographed by current NHLers Eric Lindros, Pavel Bure, Paul Kariya and Jaromir Jagr.

The CSRO wishes to thank the NHL Alumni players for helping to make the day such a success and Al Sinclair, organizer of the Expo, who donated a corporate booth to SFAC for the three-day event. For more information on Shoot For A Cure, you can visit www.shootforacure.org.

(sidebar) The Shoot For A Cure campaign wasn't the only big winner on December 27, 2002 when Peter Dello won the eBay auction bid to have two NHL referees officiate a hockey game in the location of his choice. Peter Dello, the coach of the Maxan Drywall Flyers in Georgetown, Ontario, gave his players a once in a lifetime opportunity to have their hockey game officiated by two veteran NHL referees, Greg Devorski and Kevin Pollock. “I play in a men’s league and thought about using it for that but I thought the kids would appreciate it more,” Dello said. “They were pretty excited.”

The two NHL referees officiated the opening game of the Georgetown Minor Hockey Association House League Tournament. During the tournament, Dello managed to raise even more money for the Shoot For A Cure campaign by raffling off two pairs of Toronto Raptor tickets, a pair of Toronto Maple Leaf tickets and a package of DVDs raising an additional $1000. The CSRO thanks everyone involved in the event!

Filming for the television PSA with Iginla took place in Edmonton, Alberta during the summer. Always a great sport, and willing to support the CSRO, Iginla gave up a full day of his time to film the PSA at an arena in Edmonton. With him were Bill Zapf and Brett Pearce, who both sustained their injuries at a young age while playing hockey.

Premier Partner Fundraising Profile
By Sarah Higgins

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The CSRO is pleased to announce that Johnson & Johnson Canada is our most recent Premier Partner. It’s partnerships like this one that allow the CSRO to fulfill its mandate.

The CSRO was proud to be a part of the annual Johnson & Johnson Canada Company Hockey Tournament, which was held in Montreal, Quebec on May 9th to May 11th, 2003.

Johnson & Johnson decided to use the tournament as an opportunity to fundraise for the CSRO, making our organization the first charity to benefit from the company’s tournament. The weekend was a spectacular success raising an astounding $30,000 for the CSRO and spinal cord research.

Johnson & Johnson Canada is part of the Johnson & Johnson worldwide family, the world’s most comprehensive and broadly based manufacturer of health care products and other related services. The Canadian division of the Johnson & Johnson family also includes Janssen-Ortho Inc, Johnson & Johnson Medical Products Inc., LifeScan Canada Ltd and McNeil Consumer Healthcare, all of whom participated in the tournament. For more information on any of these companies, you can visit www.jnj.com or www.jnjcanada.com.

Johnson & Johnson Canada has a long history of supporting charities and became interested in our organization through our Shoot For A Cure campaign and the Play It Cool Prevention Program. These two hockey-oriented programs appealed to Johnson & Johnson and they decided that the CSRO was the perfect charity for their company’s hockey tournament.

More than 900 Johnson & Johnson employees participated in the event, demonstrating their hockey skills in the tournament or cheering for their fellow co-workers. Many brought their kids who enjoyed a day of hockey challenges and appearances by NHL Alumni Gaston Gingras and Réjean Houle.

Barry Munro, President of the CSRO, attended the event and said “I was overwhelmed by the generosity and true professionalism of the Johnson and Johnson employees throughout the weekend. I can truly call Johnson & Johnson Canada, Janssen-Ortho Inc, Johnson & Johnson Medical Products Inc., LifeScan Canada Ltd and McNeil Consumer Healthcare and their employees friends of the CSRO.”

(sidebar) “We are responsible to the communities in which we live and work and to the world community as well. We must be good citizens – support good works and charities…” - Johnson & Johnson credo

At Johnson & Johnson, improving health and welfare of people around the world is an integral part of our business.

Johnson & Johnson’s commitment to social responsibility is reflected in the Johnson & Johnson credo and exemplified by a number of key community initiatives.


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