Brustein E, Rossignol S
Centre de recherche en Sciences Neurologiques, Faculté de Médecine, Université de Montréal, Quebec, Canada.
J Neurophysiol. 1998 Sep;80(3):1245-67. doi: 10.1152/jn.1998.80.3.1245.
The recovery of treadmill locomotion of eight adult cats, subjected to chronic ventral and ventrolateral spinal lesions at low thoracic levels (T11 or T13), preserving at least one dorsolateral funiculus and the dorsal columns, was documented daily using electromyographic (EMG) and kinematic methods. The data show that all cats eventually recovered quadrupedal voluntary locomotion despite extensive damage to important pathways (such as the reticulospinal and the vestibulospinal) as verified by injection of wheat germ agglutinin-horseradish peroxidase (WGA-HRP) caudal to the site of lesion. Initially (in the early period after the spinal lesion), all the cats suffered from pronounced locomotor and postural deficits, and they could not support their hindquarters or walk with their hindlimbs. Gradually, during the recovery period, they regained quadrupedal walking, although their locomotion was wobbly and inconsistent, and they suffered from poor lateral stability. EMG and kinematic data analyses showed a tendency for an increase in the variability of the step cycle duration but no major changes in the step cycle structure or in the intralimb coupling of the joints. However, the homolateral fore- and hindlimb coupling was highly perturbed in cats with the largest lesions. Although the general alternating pattern of extensor and flexors was maintained, there were various changes in the duration and amplitude of the EMG bursts as well as a lack of amplitude modulation during walking uphill or downhill on the treadmill. In cats with larger lesions, the forelimbs also seem to take a greater propulsive role than usual as revealed by a consistent increase of the activity of the triceps. In cats with smaller lesions, these deficits were transient, but, for the most extensively lesioned cats, they were pronounced and lasted long term postlesion even after reaching a more or less stable locomotor behavior (plateau period). It is concluded that recovery of quadrupedal locomotion is possible even after a massive lesion to ventral and ventrolateral quadrants, severing the vestibulospinal pathway and causing severe, although incomplete, damage to the reticulospinal tract. The quick recovery in the less lesioned cats can be attributed to remaining pathways normally implicated in locomotor function. However, in the most extensively lesioned cats, the long period of recovery and the pronounced deficits during the plateau period may indicate that the compensation, attributed to remaining reticulospinal pathways, is not sufficient and that other pathways in the dorsolateral funiculi, such as the corticospinal, can sustain and adapt, up to a certain extent, the voluntary quadrupedal walking.
对八只成年猫进行了低胸段(T11或T13)慢性腹侧和腹外侧脊髓损伤,保留至少一条背外侧索和背柱,每天使用肌电图(EMG)和运动学方法记录其跑步机运动恢复情况。数据显示,尽管经损伤部位尾侧注射小麦胚凝集素 - 辣根过氧化物酶(WGA - HRP)证实重要通路(如网状脊髓束和前庭脊髓束)受到广泛损伤,但所有猫最终都恢复了四足自主运动。最初(脊髓损伤后的早期),所有猫都有明显的运动和姿势缺陷,它们无法支撑后肢或用后肢行走。逐渐地,在恢复期,它们恢复了四足行走,尽管其运动不稳定且不一致,并且横向稳定性较差。EMG和运动学数据分析表明,步周期持续时间的变异性有增加趋势,但步周期结构或关节内肢体耦合没有重大变化。然而,损伤最大的猫同侧前肢和后肢的耦合受到高度干扰。尽管伸肌和屈肌的一般交替模式得以维持,但EMG爆发的持续时间和幅度有各种变化,并且在跑步机上上坡或下坡行走时缺乏幅度调制。在损伤较大的猫中,如肱三头肌活动持续增加所示,前肢似乎也比平常发挥更大的推进作用。在损伤较小的猫中,这些缺陷是短暂的,但对于损伤最广泛的猫,即使在达到或多或少稳定的运动行为(平台期)后,这些缺陷仍很明显且在损伤后长期持续。结论是,即使腹侧和腹外侧象限发生大面积损伤,切断前庭脊髓通路并对网状脊髓束造成严重但不完全的损伤,四足运动的恢复也是可能的。损伤较小的猫恢复较快可归因于通常参与运动功能的剩余通路。然而,在损伤最广泛的猫中,恢复期长且平台期明显缺陷可能表明,归因于剩余网状脊髓通路的补偿不足,并且背外侧索中的其他通路,如皮质脊髓束,在一定程度上可以维持和适应自主四足行走。