Neurosciences Intégratives et Adaptatives, UMR 7260, CNRS, Aix-Marseille Université, Marseille, France.
Department of Anatomy and Cell Biology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Brain Pathol. 2018 Nov;28(6):889-901. doi: 10.1111/bpa.12594. Epub 2018 Apr 24.
Motor control and body representation in the central nervous system (CNS) as well as musculoskeletal architecture and physiology are shaped during development by sensorimotor experience and feedback, but the emergence of locomotor disorders during maturation and their persistence over time remain a matter of debate in the absence of brain damage. By using transient immobilization of the hind limbs, we investigated the enduring impact of postnatal sensorimotor restriction (SMR) on gait and posture on treadmill, age-related changes in locomotion, musculoskeletal histopathology and Hoffmann reflex in adult rats without brain damage. SMR degrades most gait parameters and induces overextended knees and ankles, leading to digitigrade locomotion that resembles equinus. Based on variations in gait parameters, SMR appears to alter age-dependent plasticity of treadmill locomotion. SMR also leads to small but significantly decreased tibial bone length, chondromalacia, degenerative changes in the knee joint, gastrocnemius myofiber atrophy and muscle hyperreflexia, suggestive of spasticity. We showed that reduced and atypical patterns of motor outputs, and somatosensory inputs and feedback to the immature CNS, even in the absence of perinatal brain damage, play a pivotal role in the emergence of movement disorders and musculoskeletal pathologies, and in their persistence over time. Understanding how atypical sensorimotor development likely contributes to these degradations may guide effective rehabilitation treatments in children with either acquired (ie, with brain damage) or developmental (ie, without brain injury) motor disabilities.
中枢神经系统(CNS)中的运动控制和身体表现、骨骼肌肉结构和生理学,在发育过程中受到感觉运动经验和反馈的塑造,但在没有脑损伤的情况下,成熟过程中运动障碍的出现及其随时间的持续存在仍然存在争议。通过短暂固定后肢,我们研究了产后感觉运动限制(SMR)对步态和姿势的持久影响,在没有脑损伤的成年大鼠在跑步机上的运动、骨骼肌肉组织病理学和霍夫曼反射的年龄相关变化。SMR 降低了大多数步态参数,并导致膝关节和踝关节过度伸展,导致类似马蹄足的趾行运动。基于步态参数的变化,SMR 似乎改变了跑步机运动的年龄依赖性可塑性。SMR 还导致胫骨长度、软骨软化、膝关节退行性变、腓肠肌肌纤维萎缩和肌肉反射亢进的小但显著减少,提示痉挛。我们表明,即使在没有围产期脑损伤的情况下,不成熟 CNS 的运动输出和感觉输入及反馈的减少和非典型模式也在运动障碍和骨骼肌肉病理的出现及其随时间的持续存在中起关键作用。了解感觉运动发育的异常如何可能导致这些退化,可能有助于为患有获得性(即脑损伤)或发育性(即无脑损伤)运动障碍的儿童提供有效的康复治疗。