Improved voiding function by deep brain stimulation in traumatic brain-injured animals with bladder dysfunctions

被引:7
作者
Rajneesh, Chellappan Praveen [1 ]
Lai, Chien-Hung [2 ,3 ]
Chen, Shih-Ching [2 ,3 ]
Hsieh, Tsung-Hsun [4 ,5 ,6 ]
Chin, Hung-Yen [7 ,8 ]
Peng, Chih-Wei [1 ,2 ,3 ,9 ]
机构
[1] Taipei Med Univ, Coll Biomed Engn, Sch Biomed Engn, 250 Wuxing St, Taipei 11031, Taiwan
[2] Taipei Med Univ, Coll Med, Sch Med, Dept Phys Med & Rehabil, Taipei, Taiwan
[3] Taipei Med Univ Hosp, Dept Phys Med & Rehabil, Taipei, Taiwan
[4] Chang Gung Univ, Coll Med, Dept Phys Therapy, Taoyuan, Taiwan
[5] Chang Gung Univ, Coll Med, Grad Inst Rehabil Sci, Taoyuan, Taiwan
[6] Chang Gung Mem Hosp, Neurosci Res Ctr, Linkou, Taiwan
[7] Taipei Med Univ, Dept Obstet & Gynaecol, Taipei, Taiwan
[8] Taipei Med Univ, Coll Med, Sch Med, Dept Obstet & Gynecol, Taipei, Taiwan
[9] Taipei Med Univ, Coll Biomed Engn, Grad Inst Biomed Optomechatron, Taipei, Taiwan
关键词
Deep brain stimulations; PnO; Traumatic brain injury; Weight drop model; Cystometric analysis; ELECTRICAL-STIMULATION; MECHANISMS; NUCLEUS; MICTURITION; EFFICACY; DISEASE; RAT;
D O I
10.1007/s11255-018-2028-1
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
ObjectiveTraumatic brain injury (TBI) is a global scenario with high mortality and disability, which does not have an effectual and approved therapy till now. Bladder dysfunction is a major symptom after TBI, and this study deals with the alleviation of bladder function in TBI rats, with the aid of deep brain stimulations (DBS).MethodsTBI was induced by weight drop model (WDM) and standardized with the experimental subjects with variable heights for weight dropping. The rats survived after TBI were considered for bladder dysfunction observations. DBS with variable stimulation parameters like cystometric analysis and MRI studies were also performed.ResultsAfter experimental studies, TBI 2-m-height crash was determined as suitable parameter due to minimal mortality rate and significant reduction in the voiding efficiency from 67 to 28%, whereas DBS significantly reversed the value of voiding efficiency to 65-84%. MRI studies revealed the severity of TBI impact and DBS localization.ConclusionThe results showed profound therapeutic effect of PnO-DBS on voiding functions and bladder control on TBI rats.
引用
收藏
页码:41 / 52
页数:12
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