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猫和大鼠在遭受各种类型的脊髓损伤后进行运动训练的“有益”效果。

The "beneficial" effects of locomotor training after various types of spinal lesions in cats and rats.

作者信息

Rossignol Serge, Martinez Marina, Escalona Manuel, Kundu Aritra, Delivet-Mongrain Hugo, Alluin Olivier, Gossard Jean-Pierre

机构信息

Department of Neuroscience and Groupe de Recherche sur le Système Nerveux Central (GRSNC), Faculty of Medicine, Université de Montréal, P.O. Box 6128, Montreal, Quebec, Canada; SensoriMotor Rehabilitation Research Team of the Canadian Institute of Health Research, Montreal, Quebec, Canada.

Department of Neuroscience and Groupe de Recherche sur le Système Nerveux Central (GRSNC), Faculty of Medicine, Université de Montréal, P.O. Box 6128, Montreal, Quebec, Canada; SensoriMotor Rehabilitation Research Team of the Canadian Institute of Health Research, Montreal, Quebec, Canada.

出版信息

Prog Brain Res. 2015;218:173-98. doi: 10.1016/bs.pbr.2014.12.009. Epub 2015 Mar 29.

Abstract

This chapter reviews a number of experiments on the recovery of locomotion after various types of spinal lesions and locomotor training mainly in cats. We first recall the major evidence on the recovery of hindlimb locomotion in completely spinalized cats at the T13 level and the role played by the spinal locomotor network, also known as the central pattern generator, as well as the beneficial effects of locomotor training on this recovery. Having established that hindlimb locomotion can recover, we raise the issue as to whether spinal plastic changes could also contribute to the recovery after partial spinal lesions such as unilateral hemisections. We found that after such hemisection at T10, cats could recover quadrupedal locomotion and that deficits could be improved by training. We further showed that, after a complete spinalization a few segments below the first hemisection (at T13, i.e., the level of previous studies on spinalization), cats could readily walk with the hindlimbs within hours of completely severing the remaining spinal tracts and not days as is usually the case with only a single complete spinalization. This suggests that neuroplastic changes occurred below the first hemisection so that the cat was already primed to walk after the spinalization subsequent to the hemispinalization 3 weeks before. Of interest is the fact that some characteristic kinematic features in trained or untrained hemispinalized cats could remain after complete spinalization, suggesting that spinal changes induced by training could also be durable. Other studies on reflexes and on the pattern of "fictive" locomotion recorded after curarization corroborate this view. More recent work deals with training cats in more demanding situations such as ladder treadmill (vs. flat treadmill) to evaluate how the locomotor training regimen can influence the spinal cord. Finally, we report our recent studies in rats using compressive lesions or surgical complete spinalization and find that some principles of locomotor recovery in cats also apply to rats when adequate locomotor training is provided.

摘要

本章回顾了一些主要在猫身上进行的关于各种类型脊髓损伤后运动恢复以及运动训练的实验。我们首先回顾了在T13水平完全脊髓横断的猫中后肢运动恢复的主要证据,以及脊髓运动网络(也称为中枢模式发生器)所起的作用,还有运动训练对这种恢复的有益影响。在确定后肢运动可以恢复之后,我们提出了一个问题,即脊髓可塑性变化是否也有助于部分脊髓损伤(如单侧半切)后的恢复。我们发现,在T10水平进行这种半切后,猫可以恢复四足运动,并且通过训练可以改善功能缺陷。我们进一步表明,在第一次半切下方几个节段进行完全脊髓横断(在T13,即之前关于脊髓横断研究的水平)后,猫在完全切断剩余脊髓束后的数小时内就能轻松地用后肢行走,而不像仅进行一次完全脊髓横断时通常需要数天时间。这表明在第一次半切下方发生了神经可塑性变化,使得猫在3周前半脊髓横断后的脊髓横断后已经做好了行走的准备。有趣的是,在完全脊髓横断后,训练或未训练的半脊髓横断猫中的一些特征性运动学特征可能会保留下来,这表明训练引起的脊髓变化也可能是持久的。关于箭毒化后记录的反射和“虚拟”运动模式的其他研究证实了这一观点。最近的工作涉及在更具挑战性的情况下训练猫,如在阶梯式跑步机(与平面跑步机相对)上,以评估运动训练方案如何影响脊髓。最后,我们报告了我们最近在大鼠身上使用压迫性损伤或手术完全脊髓横断的研究,发现当提供足够的运动训练时,猫的一些运动恢复原则也适用于大鼠。

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