Heo Myoung, Kim Eunjung
Department of Occupational Therapy, Gwangju University.
J Phys Ther Sci. 2013 Aug;25(8):943-6. doi: 10.1589/jpts.25.943. Epub 2013 Aug 20.
[Purpose] In the present study, we investigated the effects of antecedent exercise on functional recovery and calpain protein expression following focal cerebral ischemia injury. [Subjects and Methods] The rat middle cerebral artery occlusion model was employed. Adult male Sprague-Dawley rats were randomly divided into 4 groups. Group I comprised untreated normal rats (n=10); Group II comprised untreated rats with focal cerebral ischemia (n=10); Group III comprised rats that performed treadmill exercise (20 m/min) training after focal cerebral ischemia (n=10); and Group IV comprised rats that performed antecedent treadmill exercise (20 m/min) training before focal cerebral ischemia (n=10). At different time points (1, 7, 14, and 21 days), limb placement test score and the levels of calpain protein in the hippocampus were examined. [Results] In the antecedent exercise group, improvements in the motor behavior index (limb placement test) were observed and hippocampal calpain protein levels were decreased. [Conclusion] These results indicated that antecedent treadmill exercise prior to focal cerebral ischemia exerted neuroprotective effects against ischemic brain injury by improving motor performance and decreasing the levels of calpain expression. Furthermore, these results suggest that antecedent treadmill exercise of an appropriate intensity is critical for post-stroke rehabilitation.
[目的] 在本研究中,我们调查了预先运动对局灶性脑缺血损伤后功能恢复和钙蛋白酶蛋白表达的影响。[对象与方法] 采用大鼠大脑中动脉闭塞模型。成年雄性Sprague-Dawley大鼠随机分为4组。第一组为未经处理的正常大鼠(n = 10);第二组为未经处理的局灶性脑缺血大鼠(n = 10);第三组为局灶性脑缺血后进行跑步机运动(20米/分钟)训练的大鼠(n = 10);第四组为局灶性脑缺血前进行跑步机运动(20米/分钟)训练的大鼠(n = 10)。在不同时间点(1、7、14和21天),检测肢体放置试验评分和海马体中钙蛋白酶蛋白水平。[结果] 在预先运动组中,观察到运动行为指数(肢体放置试验)有所改善,海马体钙蛋白酶蛋白水平降低。[结论] 这些结果表明,局灶性脑缺血前进行预先跑步机运动通过改善运动表现和降低钙蛋白酶表达水平,对缺血性脑损伤发挥神经保护作用。此外,这些结果表明适当强度的预先跑步机运动对中风后康复至关重要。