Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Korea.
J Korean Med Sci. 2010 Nov;25(11):1638-45. doi: 10.3346/jkms.2010.25.11.1638. Epub 2010 Oct 26.
The aim of this study was to evaluate the effect of early motor balance and coordination training on functional recovery and brain plasticity in an ischemic rat stroke model, compared with simple locomotor exercise. Adult male Sprague-Dawley rats with cortical infarcts were trained under one of four conditions: nontrained control, treadmill training, motor training on the Rota-rod, or both Rota-rod and treadmill training. All types of training were performed from post-operation day 1 to 14. Neurological and behavioral performance was evaluated by Menzies' scale, the prehensile test, and the limb placement test, at post-operation day 1, 7, and 14. Both Rota-rod and treadmill training increased the expression of synaptophysin in subcortical regions of the ischemic hemisphere including the hippocampus, dentate gyrus, and thalamus, but did not affect levels of brain-derived neurotrophic factor or tyrosin kinase receptor B. The Rota-rod training also improved Menzies' scale and limb placement test scores, whereas the simple treadmill training did neither. The control group showed significant change only in Menzies' scale score. This study suggests that early motor balance and coordination training may induce plastic changes in subcortical regions of the ischemic hemisphere after stroke accompanied with the recovery of sensorimotor performance.
本研究旨在评估早期运动平衡和协调训练对缺血性大鼠中风模型功能恢复和大脑可塑性的影响,与单纯运动训练进行比较。成年雄性 Sprague-Dawley 大鼠皮质梗死后,在以下四种条件下接受训练:未训练对照组、跑步机训练、Rota-rod 运动训练或 Rota-rod 和跑步机联合训练。所有类型的训练均从术后第 1 天至第 14 天进行。术后第 1、7 和 14 天,通过 Menzies 量表、抓握测试和肢体放置测试评估神经和行为表现。Rota-rod 和跑步机训练均增加了缺血半球皮质下区域(包括海马体、齿状回和丘脑)中突触素的表达,但不影响脑源性神经营养因子或酪氨酸激酶受体 B 的水平。Rota-rod 训练还改善了 Menzies 量表和肢体放置测试评分,而单纯的跑步机训练则没有。对照组仅在 Menzies 量表评分上有显著变化。本研究表明,早期运动平衡和协调训练可能会在中风后诱导缺血半球皮质下区域发生可塑性变化,同时伴随感觉运动功能的恢复。