Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Inohana, Chuo-ku, Chiba, Japan.
Spine (Phila Pa 1976). 2013 Aug 1;38(17):1459-65. doi: 10.1097/BRS.0b013e318299536a.
STUDY DESIGN: Pain behavior and immunohistological analysis in intervertebral disc (IVD) injury model. OBJECTIVE: To investigate pain behavior in a rat model of IVD injury using the CatWalk system. SUMMARY OF BACKGROUND DATA: There are few reports examining low back pain behavior in animal models. The CatWalk is a computer-assisted gait analysis system that provides an automated way to assess gait function and pain-related alterations of this behavior. METHODS: In the IVD injury group, L5-L6 IVDs were injured with a 24-gauge needle. Simultaneously, the neurotracer Fluoro-Gold (FG; Fluorochrome, Denver, CO) was injected into the L5-L6 IVDs. In the sham group, FG was injected into the L5-L6 IVDs only. Animals in the control group received no operation. One, 2, 3, and 4 weeks after surgery, the gait of rats in the 3 groups was investigated using the CatWalk system. One, 2, and 4 weeks after surgery, in IVD injury and sham groups, dorsal root ganglions from the L1 to L6 levels were resected. Dorsal root ganglions were immunostained for calcitonin gene-related peptide. RESULTS: In the IVD injury group, the mean stands of hind paws and the mean duty cycle of front paws at some time points were significantly higher than those in the sham group. Furthermore, the mean stride length of the front and hind paws and the mean swing speed of the front and hind paws at some time points were significantly shorter than those in the sham group. The proportion of calcitonin gene-related peptide-immunoreactive, FG-labeled neurons among all FG-labeled dorsal root ganglion neurons in the IVD injury group was significantly higher than the corresponding proportion in the sham group. CONCLUSION: These results suggest that IVD injury produced significant changes in rat gait, including longer stance phases and shorter strides. In the future, we may be able to apply the CatWalk system to the evaluation of behavior associated with pain in models of low back pain. LEVEL OF EVIDENCE: N/A.
研究设计:椎间盘(IVD)损伤模型中的疼痛行为和免疫组织学分析。 目的:使用 CatWalk 系统研究大鼠 IVD 损伤模型中的疼痛行为。 背景资料概要:很少有报道研究动物模型中的下腰痛行为。CatWalk 是一种计算机辅助步态分析系统,提供了一种自动评估步态功能和与该行为相关的疼痛改变的方法。 方法:在 IVD 损伤组中,用 24 号针损伤 L5-L6 IVD。同时,将神经示踪剂 Fluoro-Gold(FG;Fluorochrome,丹佛,CO)注入 L5-L6 IVD。在假手术组中,仅将 FG 注入 L5-L6 IVD。对照组动物不接受任何手术。手术后 1、2、3 和 4 周,使用 CatWalk 系统对 3 组大鼠的步态进行研究。手术后 1、2 和 4 周,在 IVD 损伤和假手术组中,切除 L1 至 L6 水平的背根神经节。对背根神经节进行降钙素基因相关肽免疫染色。 结果:在 IVD 损伤组中,某些时间点后肢的平均站立时间和前肢的平均占空比显著高于假手术组。此外,某些时间点前后肢的平均步长和前后肢的平均摆动速度明显短于假手术组。IVD 损伤组中降钙素基因相关肽免疫反应性、FG 标记神经元占所有 FG 标记背根神经节神经元的比例明显高于假手术组。 结论:这些结果表明,IVD 损伤导致大鼠步态发生显著变化,包括站立时间延长和步幅缩短。在未来,我们可能能够将 CatWalk 系统应用于评估与腰痛模型中疼痛相关的行为。 证据水平:N/A。
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