Stevens Jennifer E, Liu Min, Bose Prodip, O'Steen Wilbur A, Thompson Floyd J, Anderson Douglas K, Vandenborne Krista
Department of Physical Therapy, College of Public Health and Health Professions, University of Florida, Gainesville, Florida 32610, USA.
J Neurotrauma. 2006 Nov;23(11):1671-81. doi: 10.1089/neu.2006.23.1671.
The purpose of this study is two-fold: (1) to examine skeletal muscle function in a rat model of midthoracic contusion spinal cord injury (SCI) and (2) to evaluate the therapeutic influence of a short bout (1 week) of treadmill locomotor training on soleus muscle function (peak force, fatigability, contractile properties, fiber types), size (fiber area), and motor deficit and recovery (BBB scores) after SCI. The rats were injured with a moderate T8 spinal cord contusion and were assigned to either receive treadmill locomotor training (TM), starting 1 week after SCI for 5 consecutive days (20 min/trial, 2 trials/day) or not to receive any exercise intervention (no TM). Locomotor training resulted in a significant improvement in overall locomotor function (32% improvement in BBB scores) when compared to no TM. Also, the injured animals that trained for 1 week had 38% greater peak soleus tetanic forces (p < 0.05), a 9% decrease in muscle fatigue (p < 0.05), 23% larger muscle fiber CSA (p < 0.05), and decreased immunoexpression of fast heavy chain fiber types than did rats receiving no TM. In addition, there was a good correlation (0.704) between the BBB scores of injured animals and peak soleus muscle force regardless of group assignment. No significant differences were seen in twitch or time to peak tension values across groups. Collectively, these results indicate that 1 week of treadmill locomotor training, initiated early after SCI, can significantly improve motor recovery following SCI. The magnitude of these changes is remarkable considering the relatively short training interval and clearly illustrates the potential that initiating treadmill locomotor training shortly after injury may have on countering some of the functional deficits resulting from SCI.
(1)在大鼠胸段脊髓中段挫伤性脊髓损伤(SCI)模型中检测骨骼肌功能;(2)评估短时间(1周)跑步机运动训练对SCI后比目鱼肌功能(峰值力、疲劳性、收缩特性、纤维类型)、大小(纤维面积)以及运动功能障碍和恢复情况(BBB评分)的治疗影响。大鼠接受中度T8脊髓挫伤,分为两组,一组在SCI后1周开始连续5天接受跑步机运动训练(TM组)(每次20分钟,每天2次),另一组不接受任何运动干预(非TM组)。与非TM组相比,运动训练使整体运动功能有显著改善(BBB评分提高32%)。此外,接受1周训练的损伤动物比目鱼肌强直收缩峰值力提高38%(p<0.05),肌肉疲劳降低9%(p<0.05),肌纤维横截面积增大23%(p<0.05),快重链纤维类型的免疫表达降低。此外,无论分组如何,损伤动物的BBB评分与比目鱼肌峰值力之间存在良好的相关性(0.704)。各组间的单收缩或达到峰值张力的时间值无显著差异。总体而言,这些结果表明,SCI后早期开始的1周跑步机运动训练可显著改善SCI后的运动恢复。考虑到训练间隔相对较短,这些变化的幅度相当显著,清楚地说明了损伤后不久开始跑步机运动训练在对抗SCI导致的一些功能缺陷方面的潜力。