Deumens Ronald, Jaken Robby J P, Marcus Marco A E, Joosten Elbert A J
Department of Anesthesiology, Maastricht University, Maastricht, The Netherlands.
J Neurosci Methods. 2007 Aug 15;164(1):120-30. doi: 10.1016/j.jneumeth.2007.04.009. Epub 2007 Apr 19.
Functional repair of neurotmesis has been proven most challenging in regenerative medicine. Progress in this field has shown that functional repair not only requires axon regeneration, but also selectivity in target reinnervation. Although selectivity in target reinnervation still involves relatively unexplored avenues, evidence-based medicine, in the end, requires behavioral proof of repair. Therefore, there is a need for tests assessing behavioral deficits after neurotmesis. To date, behavioral tests for detecting both dynamic and static parameters are limited. The CatWalk gait analysis has been shown to detect a multitude of speed-controlled dynamic and static gait deficits after experimental spinal cord injury. Therefore, we here evaluated its use in detecting both dynamic and static gait deficits after neurotmesis. After rat sciatic nerve resection CatWalk testing was performed for 8 weeks. A large amount of dynamic and static gait parameters were detected to be immediately and severely affected in the ipsilateral paw, sometimes reaching levels of only 15% of those of the unaffected paw. We conclude that the CatWalk objectively detects dynamic and static gait impairments after sciatic nerve resection and future experiments are now required to prove which of these parameters are of particular interest to detect functional repair.
在再生医学中,神经断伤的功能修复已被证明是最具挑战性的。该领域的进展表明,功能修复不仅需要轴突再生,还需要在靶标再支配方面具有选择性。尽管靶标再支配的选择性仍涉及相对未被探索的途径,但循证医学最终需要修复的行为证据。因此,需要进行评估神经断伤后行为缺陷的测试。迄今为止,用于检测动态和静态参数的行为测试有限。CatWalk步态分析已被证明可检测实验性脊髓损伤后多种速度控制的动态和静态步态缺陷。因此,我们在此评估其在检测神经断伤后动态和静态步态缺陷方面的应用。在大鼠坐骨神经切除术后,进行了8周的CatWalk测试。大量动态和静态步态参数被检测出在同侧爪立即受到严重影响,有时仅达到未受影响爪的15%。我们得出结论,CatWalk可客观检测坐骨神经切除术后的动态和静态步态损伤,现在需要进一步的实验来证明哪些参数对于检测功能修复特别重要。