Faculdade de Medicina da Universidade de São Paulo, Program of Experimental Physiopathology, São Paulo/SP, Brazil.
Clinics (Sao Paulo). 2012 Jul;67(7):799-804. doi: 10.6061/clinics/2012(07)16.
This prospective, randomized, experimental study with rats aimed to investigate the influence of general treatment strategies on the motor recovery of Wistar rats with moderate contusive spinal cord injury.
A total of 51 Wistar rats were randomized into five groups: control, maze, ramp, runway, and sham (laminectomy only). The rats underwent spinal cord injury at the T9-T10 levels using the NYU-Impactor. Each group was trained for 12 minutes twice a week for two weeks before and five weeks after the spinal cord injury, except for the control group. Functional motor recovery was assessed with the Basso, Beattie, and Bresnahan Scale on the first postoperative day and then once a week for five weeks. The animals were euthanized, and the spinal cords were collected for histological analysis.
Ramp and maze groups showed an earlier and greater functional improvement effect than the control and runway groups. However, over time, unexpectedly, all of the groups showed similar effects as the control group, with spontaneous recovery. There were no histological differences in the injured area between the trained and control groups.
Short-term benefits can be associated with a specific training regime; however, the same training was ineffective at maintaining superior long-term recovery. These results might support new considerations before hospital discharge of patients with spinal cord injuries.
本前瞻性、随机、实验性大鼠研究旨在探讨常规治疗策略对中度挫伤性脊髓损伤 Wistar 大鼠运动功能恢复的影响。
51 只 Wistar 大鼠随机分为 5 组:对照组、迷津组、斜坡组、跑道组和假手术组(仅椎板切除术)。大鼠采用 NYU-Impactor 在 T9-T10 水平进行脊髓损伤。除对照组外,每组在脊髓损伤前和损伤后两周内每周进行两次 12 分钟的训练。在术后第一天和随后的五周内每周评估一次大鼠的运动功能恢复情况,采用 Basso、Beattie 和 Bresnahan 量表进行评估。动物安乐死后,收集脊髓进行组织学分析。
斜坡组和迷津组的功能改善效果早于对照组和跑道组,效果也优于对照组和跑道组。然而,随着时间的推移,令人意外的是,所有组都表现出与对照组类似的自发恢复效果,与对照组相比,训练组和对照组在损伤区域的组织学差异无统计学意义。
短期的获益可能与特定的训练方案有关;但是,同样的训练在维持长期的优越恢复方面是无效的。这些结果可能为脊髓损伤患者出院前提供新的考虑因素。