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Muscular dystrophy

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Muscular dystrophy
Success Stories

Duchenne Muscular Dystrophy

Hassan T.

Age: 9

Country: Lebanon

Our son is 9 years old. When we came to the Clinic, he had difficulty climbing stairs, getting up from supine, could lose balance and fall if someone touched him in the crowd, tiptoed and fatigued easily.  One month after the treatment, we noticed that he feels much better than before the treatment...

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Muscular dystrophy (MD) is a genetic disease, with approximately 30 variations (9 major types and subtypes), all of which can result in both muscle weakness and muscle wasting/loss due to defects in muscle proteins leading to death of muscle cells and tissue and their replacement with fat tissue. MD types can differ in their onset (infancy, childhood, or middle to late thirties), but all of them are genetic diseases with similar symptoms ranging from mild to severe. Most MD types are multi-system disorders affecting not only the muscles, but also cardiovascular, gastrointestinal and nervous system, as well as endocrine glands, eyes and brain This genetic disease is different from other illnesses because there is currently no way to treat it because it is coded into the person’s DNA.

Current Treatment Methods

In spite of the progress in understanding of MD mechanism, there is no cure, and treatment options are limited to either steroids (used to inhibit MD progression) with many side effects, including osteoporosis, hypertension and even delayed growth; physical therapy for muscle strength and flexibility maintenance for a certain period of time, and tendon release surgeries. Gene replacement therapy is widely discussed, but it is still in the trial stage. 

Fetal Progenitor Cell Therapy in Muscular Dystrophy

Though not yet a cure, stem cell therapy is effective for slowing down the progression of this neuromuscular disorder and even regression of some symptoms, prevention or amelioration of MD-associated complications, and decent life quality maintenance.  

Fetal progenitor cells offer a great promise in muscular dystrophies as they

  • have the capacity for dystrophin synthesis (this capacity has been proved by different researches worldwide)
  • produce specialized cells needed by the patient’s body (endothelial, nervous, muscle)
  • stimulate patient’s own, often dormant, stem cells, which results in double stem cell effect
  • ameliorate defective muscle structure and function
  • prevent muscle fiber destruction
  • generate functional muscle fibers through engrafting in the muscles
  • release chemical substances reducing inflammation (ALT, AST, CPK and LDH reduction) of muscle fibers 
  • decrease cytotoxic activity of mesenchymal cells
  • have immunomodulatory properties

Unique Integrated Muscular Dystrophy Treatment Approach

As it has been stated before, muscular dystrophy is a multi-system disorder, and treatment should be designed in the way ensuring optimal efficacy. The target areas for fetal progenitor cells are muscles with impaired dystrophin functioning, therefore direct administration of fetal progenitor cells into the muscles ensures their reaching the area of interest. Fetal progeniotor cells can diffuse from the blood into all muscle areas, therefore intravenous treatment is also very effective and minimally invasive.

Having considered all aspects, Infinity Clinic professionals developed the unique integrated MD treatment by combination of both methods (infusion and direct multi-point injections into the muscles) ensuring integration of stem cells into the muscles in two ways. The world’s largest variety of fetal progenitor cell types and fetal tissue extracts available for use allows for customized treatments for any MD type and MD-associated complications.  The effect of this treatment is incomparable with such from either of the methods used separately or when lesser cell types are used. 

Fetal Progenitor Cell Therapy Results in Muscular Dystrophy

Generally, our patients report the following results:

  • slower disease progression (longer ambulation etc.)
  • muscle power and bulk preservation
  • higher muscle/exercise power and stamina
  • improved gait quality (in ambulant patients)
  • amelioration or restoration of certain skills (climbing stairs, combing, raising from the floor or getting up from sitting position)
  • pseudohypotrophy and strain release
  • ALT, ACT, CPK and LHD decrease indicative of lesser muscle destruction
  • prevention and/or amelioration of MD-associated complications
  • improved functioning of internal organs and systems
  • mental and psycho-emotional amelioration, higher self-esteem 
  • powerful immune boosting
  • ability to lead more active and independent life (life quality improvement and maintenance)

Results by the Stage of the Disease

Muscular dystrophy patients, even those with DMD (Duchenne’s Muscular Dystrophy) can be helped at any stage of the disease, unless they are unable to travel.

DMD Stage

Results

Stage I

  • higher exercise power
  • reduction of disappearance of pseudohypertrophy
  • CPK elevation with subsequent decrease

Stage II

  • higher exercise power and range of voluntary motions
  • gait improvement and better stability (less falls)
  • better posture maintenance

Stage III

  • higher exercise power and range of voluntary motions
  • gait improvement and better stability (narrower base, preservation of the ability to step on the heel)
  • preservation of some reflexes

 

Stage IV

  • higher exercise power and range of voluntary motions
  • learning ability improvement
  • preservation of the ability to move in bed

Stage V

  • higher power
  • wheelchair independence
  • neck control improvement
  • respiratory and cardiac function improvement

Stage VI

  • higher power
  • higher muscle tone
  • more active use of hands
  • neck control improvement
  • respiratory and cardiac function improvement

Treatment of MD-Associated Complications

The most common life-threatening complications of MD are respiratory and heart failure caused by the restrictive changes in the lungs and heart muscle weakening respectively. 

Both mesenchymal stem cells and specific (lung-derived and cardiac) fetal progenitor cells used for MD treatment  

  • migrate to the affected areas
  • regenerate alveoli
  • improve blood circulation in the lungs
  • restore population of cardiomyoblasts
  • restore connective tissue cells with the new and functional cardiomyocytes

The above results in

  • reduced severity of the respiratory failure (forced lung capacity improvement)
  • higher ejection fracture
  • higher contractile activity of myocardium

Muscular Dystrophy Case Histories

Case 1

Becker Muscular Dystrophy (BMD)

Age: 19 y.o.

I Treatment: July 2013

II Treatment: June 2014

Data

Before treatment

4/7/2013

1st treatment day

6/9/2013

2 months after
I treatment

4/2/2014

7 months after
I treatment

10/6/2014

11 months after
I treatment

8/10/2014

3 months after
II treatment

8/5/2015

7 months after
II treatment

CPK –NAC (38-174)

1608

1750

1540

978

739

461

720

CPK MB (< 6.73)

25.65

27.92

20.42

11.69

12.54

10.05

11.43

Manual Muscle Testing (MMT scale)

Grade

Before treatment

3 months

6 months

9 months

12 months

1

 

 

 

 

 

2-

 Ö

 

 

 

 

2

 

 

 

 

 

2+

 

 Ö

 

 

 

3-

 

 

 Ö

 

 

3

 

 

 

 

 

3+

 

 

 

 

 

4

 

 

 

 Ö

 Ö

Muscular Dystrophy Functional Rating Scale (MDFRS)

Domain

Before treatment

3 months

6 months

9 months

12 months

Mobility

 24

28 

30 

30 

32 

Basic activity of daily living

 12

16

18 

20 

20 

Arm

 11

15

22 

22 

20 

Impairment

 36

36 

39 

39 

37 

Total of Score

83

95

109

111

109

Case 2

Becker Muscular Dystrophy (BMD)

Age: 26 y.o.

Manual Muscle Testing (MMT scale)

Grade

Before treatment

3 months

6 months

9 months

12 months

1

 

 

 

 

 

2-

 

 

 

 

 

2

 

 

 

 

 

2+

 Ö

 

 

  

 

3-

 

 

 

 

 

3

 

 Ö

 

 

 

3+

 

 

 

 

 

4

 

 

Ö 

Ö 

Ö

Muscular Dystrophy Functional Rating Scale (MDFRS)

Domain

Before treatment

3 months

6 months

9 months

12 months

Mobility

25

30 

32 

32 

32 

Basic activity of daily living

20

22

23 

23 

23 

Arm

18

24

26 

26 

26 

Impairment

38

40 

42

42 

42 

Total of Score

101

116

123

123

123

Case 3

Duchenne Muscular Dystrophy (DMD)

Age: 13 y.o.

Manual Muscle Testing (MMT scale)

Grade

Before treatment

3 months

6 months

9 months

12 months

15 months

1

 Ö 

 

 

 

 

 

2-

 

  Ö

 

 

 

 

2

 

 

 Ö 

 

 

 

2+

 

 

 

  Ö

 Ö 

  Ö

3-

 

 

 

 

 

 

3

 

 

 

 

 

 

3+

 

 

 

 

 

 

4

 

 

 

 

   

5

 

 

 

 

 

 

Muscular Dystrophy Functional Rating Scale (MDFRS)

Domain

Before treatment

3 months

6 months

9 months

12 months

15 months

Mobility

14

16 

23 

23 

20 

18 

Basic activity of daily living

6

8

Arm

9

13

13 

16 

16 

14 

Impairment

25

26 

28 

28 

27 

27 

Total of Score

54

63

72

76

72

67

Case 4

Duchenne Muscular Dystrophy (DMD)

Age: 6 y.o.

Manual Muscle Testing (MMT scale)

Grade

Before treatment

3 months

6 months

9 months

12 months

15 months

1

 

 

 

 

 

 

2-

Ö

 

 

 

 

 

2

 

Ö

 

 

 

 

2+

 

 

Ö

 

 

 

3-

 

 

 

 

 

 

3

 

 

 

 

 

 

3+

 

 

 

 

 

 

4

 

 

 

 

   

5

 

 

 

 

 

 

Muscular Dystrophy Functional Rating Scale (MDFRS)

Domain

Before treatment

3 months

6 months

9 months

12 months

15 months

Mobility

13

17 

19 

13

17 

19 

Basic activity of daily living

10

12

13 

10

12

13 

Arm

9

14

17 

9

14

17 

Impairment

29

32 

34

29

32 

34

Total of Score

61

75

83

61

75

83

Case 5

Congenital Muscular Dystrophy

Age: 4 y.o.

Manual Muscle Testing (MMT scale)

Grade

Before treatment

3 months

6 months

9 months

12 months

15 months

1

 Ö 

 

 

 

 

 

2-

 

  Ö

 Ö 

 

 

 

2

 

 

  

 Ö 

 Ö 

 Ö 

2+

 

 

 

 

 

 

3-

 

 

 

 

 

 

3

 

 

 

 

 

 

3+

 

 

 

 

 

 

4

 

 

 

 

   

5

 

 

 

 

 

 

Muscular Dystrophy Functional Rating Scale (MDFRS)

Domain

Before treatment

3 months

6 months

9 months

12 months

15 months

Mobility

9

17 

20 

19 

19 

18 

Basic activity of daily living

6

11

11 

10 

10 

Arm

7

14

14 

13 

13 

13 

Impairment

14

22 

26

26 

26 

26 

Total of Score

36

64

71

68

68

66

Advantages of the Stem Cell Therapy in the Infinity Clinic

  • optimal combination of fetal progenitor cell types and tissue extracts tailored for each case with regard to the main disease, its complications and co-morbidity
  • extensive experience
  • plasmapheresis (elimination of toxins, free radicals etc. from plasma, body preparation for better fetal progenitor cell engraftment)
  • advanced safety screening of the cells
  • no adverse effects
  • no rejection risk
  • no cancer risk

As with all the diseases, the earlier the treatment is started, the better results are to be expected. 

For inhibition of MD progression (especially in cases of DMD), for improvement of life quality and prevention of MD-associated cardiovascular and respiratory complications, it is recommended to combine stem cell therapy with proper physical therapy, massages, and breathing exercises.

For effect maintenance and optimal results, MD patients are recommended to repeat stem cell treatment on regular basis as per doctors’ recommendation. 

How to Apply for Treatment

We wish to offer you the best possible treatment, therefore we need to study the case thoroughly and kindly ask you to e-mail medical records available to info@infinityclinic.com.

We are looking forward to welcoming you for treatment and help you in the best possible way. 

Welcome to Infinity!

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