Cichoń Natalia, Bijak Michał, Czarny Piotr, Miller Elżbieta, Synowiec Ewelina, Sliwinski Tomasz, Saluk-Bijak Joanna
Department of General Biochemistry, Faculty of Biology and Environmental Protection, University of Lodz, Łódź, Poland.
Department of Medical Biochemistry, Medical University of Lodz, Łódź, Poland.
Front Aging Neurosci. 2018 Sep 26;10:294. doi: 10.3389/fnagi.2018.00294. eCollection 2018.
Neuroplasticity ensures the improvement of functional status in patients after stroke. The aim of this study was to evaluate the effect of extremely low-frequency electromagnetic field therapy (ELF-EMF) on brain plasticity in the rehabilitation of patients after stroke. Forty-eight patients were divided into two groups underwent the same rehabilitation program, but in the study group, the patients additionally were exposed to a standard series of 10 ELF-EMF treatments. To determine the level of neuroplasticity, we measured the plasma level of the brain-derived neurotrophic factor (BDNF), the vascular-endothelial growth factor, as well as BDNF mRNA expression. Additionally, we determined the molecule levels for hepatocyte growth factor, stem cell factor, stromal cell-derived factor 1α, nerve growth factor β, and leukemia inhibitory factor, using 5plex cytokine panel in plasma. After 4 weeks, during which patients had undergone neurorehabilitation and neurological examinations, we assessed functional recovery using the Barthel Index, Mini-Mental State Examination (MMSE), Geriatric Depression Scale, National Institutes of Health Stroke Scale (NIHSS), and the modified Rankin Scale (mRS). We observed that ELF-EMF significantly increased growth factors and cytokine levels involved in neuroplasticity, as well as promoted an enhancement of functional recovery in post-stroke patients. Additionally, we presented evidence that these effects could be related to the increase of gene expression on the mRNA level. Moreover, a change of BDNF plasma level was positively correlated with the Barthel Index, MMSE, and negatively correlated with GDS. Extremely low-frequency electromagnetic field therapy improves the effectiveness of rehabilitation of post-stroke patients by improving neuroplasticity processes.
神经可塑性可确保中风患者功能状态的改善。本研究的目的是评估极低频电磁场疗法(ELF-EMF)对中风后患者康复过程中脑可塑性的影响。48例患者被分为两组,均接受相同的康复方案,但研究组患者额外接受了10次标准的极低频电磁场治疗。为了确定神经可塑性水平,我们测量了血浆中脑源性神经营养因子(BDNF)、血管内皮生长因子的水平以及BDNF mRNA的表达。此外,我们使用血浆中的5重细胞因子检测板测定了肝细胞生长因子、干细胞因子、基质细胞衍生因子1α、神经生长因子β和白血病抑制因子的分子水平。在4周内,患者接受了神经康复治疗和神经学检查,之后我们使用巴氏指数、简易精神状态检查表(MMSE)、老年抑郁量表、美国国立卫生研究院卒中量表(NIHSS)和改良Rankin量表(mRS)评估功能恢复情况。我们观察到,极低频电磁场显著提高了参与神经可塑性的生长因子和细胞因子水平,并促进了中风后患者功能恢复的增强。此外,我们还提供了证据表明这些效应可能与mRNA水平上基因表达的增加有关。此外,BDNF血浆水平的变化与巴氏指数、MMSE呈正相关,与老年抑郁量表呈负相关。极低频电磁场疗法通过改善神经可塑性过程提高了中风后患者的康复效果。
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