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척수 손상 쥐에 실시한 특정 과제 운동이 운동 행동에 미치는 영향

Effects of Specific Exercises on Motor Function Recovery in Rats With Experimental Spinal Cord Injury

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초록

This study was implemented to verify the feasibility of motor function recovery and the appropriate period for therapy. The research began with spinal laminectomy of 40 white rats of Sprague-Dawley breed and induced them spinal crush injury. Following results were obtained by using the modified Tarlov test (MTT), Basso, Beattle, Bresnahan locomotor rating scale (BBB scale) and modified inclined plate test (MIPT). First, the measurement using the MTT confirm that the most severe aggravation and degeneration of functions are observed two days after induced injury, and no sign of neuromotor function recovery. Second, better scores were achieved by open-ground movement group on BBB locomotor rating scale test, and weight-bearing on inclined plate group show better performance on MIPT. Third, both BBB and MIPT scale manifested the peak of motor function recovery during 16th day after the injury and turn into gradual recovery gradient during 16th to 24th. Fourth, the control group showed functional recovery, however, the level of recovery was less significant when compared with group open-ground movement group and weight-bearing on inclined plate group. Hence, it was clearly manifested that the lumbar region of the spinal cord had shown the best performance when its functions were measured after the execution of specific physical training; therefore it indicated the possibility of learning specific task even in damaged lumbar regions. Thus it is expected to come out with better and more effective functional recovery if concentrated physical therapy was applied starting 4 days after the injury till 16 days, which is the period of the most active recovery.

Abstract

This study was implemented to verify the feasibility of motor function recovery and the appropriate period for therapy. The research began with spinal laminectomy of 40 white rats of Sprague-Dawley breed and induced them spinal crush injury. Following results were obtained by using the modified Tarlov test (MTT), Basso, Beattle, Bresnahan locomotor rating scale (BBB scale) and modified inclined plate test (MIPT). First, the measurement using the MTT confirm that the most severe aggravation and degeneration of functions are observed two days after induced injury, and no sign of neuromotor function recovery. Second, better scores were achieved by open-ground movement group on BBB locomotor rating scale test, and weight-bearing on inclined plate group show better performance on MIPT. Third, both BBB and MIPT scale manifested the peak of motor function recovery during 16th day after the injury and turn into gradual recovery gradient during 16th to 24th. Fourth, the control group showed functional recovery, however, the level of recovery was less significant when compared with group open-ground movement group and weight-bearing on inclined plate group. Hence, it was clearly manifested that the lumbar region of the spinal cord had shown the best performance when its functions were measured after the execution of specific physical training; therefore it indicated the possibility of learning specific task even in damaged lumbar regions. Thus it is expected to come out with better and more effective functional recovery if concentrated physical therapy was applied starting 4 days after the injury till 16 days, which is the period of the most active recovery.

참고문헌 (31)

  1. Bartholdi D, "Degeneration and regeneration of axons in the lesioned spinal cord", Physiol Rev, 76(2), pp.319~370 (1996)
  2. Basso DM, "A sensitive and reliable locomotor rating scale for open field testing in rats", J Neurotrauma, 12(1), pp.1~21 (1995)
  3. Basso DM, "Graded histological and locomotor outcomes after spinal cord contusion using the NYU weight-drop device versus transection", Exp Neurol, 139(2), pp.244~256 (1996)
  4. Basso DM, "Neuroanatomical substrates of functional recovery after experimental spinal cord injury: Implications of basic science research for human spinal cord injury", Phys Ther, 80(8), pp.808~817 (2000)
  5. Behrman AL, "Locomotor training after human spinal cord injury: A series of case studies", Phys Ther, 80(7), pp.688~700 (2000)
  6. Behrmann DL, "Modeling of acute spinal cord injury in the rat: Neuroprotection and enhanced recovery with methyprednisolone, U-74006F and YM-14673", Exp Neurol, 126(1), pp.61~75 (1994)
  7. Behrmann DL, "Spinal cord injury produced by consistent mechanical displacement of the cord in rats: Behavioral and histologic analysis", J Neurotrauma, 9(3), pp.197~217 (1992)
  8. Bergeron L, "Sealing one's fate: Control of cell death in neurons", Curr Opin Neurobiol, 8(1), pp.55~63 (1998)
  9. Bizzi E, "New perspectives on spinal motor systems", Nat Rev Neurosci, 1(2), pp.101~108 (2000)
  10. De Leon RD, "Full weight-bearing hindlimb standing following stand training in the adult spinal cat", J Neurophysiology, 80(1), pp.83~91 (1998)
  11. De Leon RD, "Retention of hindlimb stepping ability in adult spinal cats after the cessation of step training", J Neurophysiology, 81(1), pp.85~94 (1999)
  12. De Leon RD, "Hindlimb locomotor and postural training modulates glycinergic inhibition in the spinal cord of the adult spinal cat", J Neurophysiol, 82(1), pp.359~369 (1999)
  13. Dimitrijevic MR, "Evidence for a spinal central pattern generator in humans", Ann N Y Acad Sci, 860, pp.360~376 (1998)
  14. Duysens J, "Neural control of locomotion: Sensory control of the central pattern generator and its relation to treadmill training", Gait Posture, 7(3), pp.251~263 (1998)
  15. Edgerton VR, "Use-dependent plasticity in spinal stepping and standing", Adv J Neurol, 72, pp.233~247 (1997)
  16. Gates M, "Tail nerve electrical stimulation induces body weight-supported stepping in rats with spinal cord injury", J Neurosci Met, 187(2), pp.183~189 (2010)
  17. Gerlinde A, "Walking pattern analysis after unilateral 6-OHDA lesion and transplantation of foetal dopaminergic progenitor cells in rats", Behav Brain Res, 199(2), pp.317~325 (2009)
  18. Goldberger ME, "The development and recovery of motor function in spinal cats. II. Pharmacological enhancement of recovery", Exp Brain Res, 62(2), pp.387~400 (1986)
  19. Harkema SJ, "Human lumbosacral spinal cord interprets loading during stepping", J Neurophysiol, 77, pp.797~811 (1997)
  20. Klishko AN, "Afferent control of locomotor CPG: Insights from a simple neuromechanical model", Ann N Y Acad Sci, 1198, pp.21~34 (2010)
  21. Krenz NR, "Sprouting of primary afferent fibers after spinal cord transection in the rat", Neuroscience, 85(2), pp.443~458 (1998)
  22. Liu XZ, "Neuronal and glial apoptosis after traumatic spinal cord injury", J. Neurosci, 17(14), pp.5395~5406 (1997)
  23. McCrea DA, "Organization of mammalian locomotor rhythm and pattern generation", Brain Res Rev, 57(1), pp.134~146 (2008)
  24. Popovich PG, "Concept of autoimmunity following spinal cord injury: Possible roles for T lymphocytes in the traumatized central nervous system", J Neurosci Res, 45(4), pp.349~363 (1996)
  25. Popovich PG, "Cellular inflammatory response after spinal cord injury in Sprague-Dawley and Lewis rats", J Comp Neurol, 337(3), pp.443~464 (1997)
  26. Rivlin AS, "Objective clinical assessment of motor function after experimental spinal cord injury in the rat", J Neurosurg, 47(4), pp.577~581 (1977)
  27. Rossignol S, "Plasticity of connections underlying locomotor recovery after central and", or peripheral lesions in the adult mammals, 2006, pp.361(1473), 1647~1671
  28. Shumway-Cook A, "Motor Control: Translating research into clinical practice" (2005), Lippincott Williaams & Wilkins
  29. Tanabe Y, "Specification of motor neuron indentity by the MNR2 homeodomain protein", Cell, 95(1), pp.67~80 (1998)
  30. Weirich SD, "Histopathologic correlation of magnetic resonance imaging signal patterns in a spinal cord injury model", Spine, 15(7), pp.630~638 (1990)
  31. Wolf SL, "Comparison of motor copy and targeted biofeedback training techniques for restitution of upper extremity function among patients with neurologic disorders", Phys Ther, 69(9), pp.719~735 (1989)

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