Paralysis recovery in humans and model systems

被引:59
作者
Edgerton, VR
Roy, RR
机构
[1] Univ Calif Los Angeles, Inst Brain Res, Los Angeles Brain Res Inst, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Dept Neurobiol, Los Angeles, CA 90095 USA
[3] Univ Calif Los Angeles, Dept Physiol Sci, Los Angeles, CA 90095 USA
关键词
D O I
10.1016/S0959-4388(02)00379-3
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Considerable evidence now demonstrates that extensive functional and anatomical reorganization following spinal cord injury occurs in centers of the brain that have some input into spinal motor pools. This is very encouraging, given the accumulating evidence that new connections formed across spinal lesions may not be initially functionally useful. The second area of advancement in the field of paralysis recovery is in the development of effective interventions to counter axonal growth inhibition. A third area of significant progress is the development of robotic devices to quantify the performance level of motor tasks following spinal cord injury and to 'teach' the spinal cord to step and stand. Advances are being made with robotic devices for mice, rats and humans.
引用
收藏
页码:658 / 667
页数:10
相关论文
共 68 条
[1]   Acute modulation of synaptic transmission to motoneurons by BDNF in the neonatal rat spinal cord [J].
Arvanian, VL ;
Mendell, LM .
EUROPEAN JOURNAL OF NEUROSCIENCE, 2001, 14 (11) :1800-1808
[2]   The role of rehabilitation in the recovery of walking in the neurological population [J].
Barbeau, H ;
Fung, J .
CURRENT OPINION IN NEUROLOGY, 2001, 14 (06) :735-740
[3]   A SENSITIVE AND RELIABLE LOCOMOTOR RATING-SCALE FOR OPEN-FIELD TESTING IN RATS [J].
BASSO, DM ;
BEATTIE, MS ;
BRESNAHAN, JC .
JOURNAL OF NEUROTRAUMA, 1995, 12 (01) :1-21
[4]   Locomotor training after human spinal cord injury: A series of case studies [J].
Behmran, AL ;
Harkema, SJ .
PHYSICAL THERAPY, 2000, 80 (07) :688-700
[5]   Neurotrophic factors, gene therapy, and neural stem cells for spinal cord repair [J].
Blesch, A ;
Lu, P ;
Tuszynski, MH .
BRAIN RESEARCH BULLETIN, 2002, 57 (06) :833-838
[6]   Evidence for a spinal stepping generator in man [J].
Bussel, B ;
RobyBrami, A ;
Neris, OR ;
Yakovleff, A .
PARAPLEGIA, 1996, 34 (02) :91-92
[7]   MYOCLONUS IN A PATIENT WITH SPINAL-CORD TRANSECTION - POSSIBLE INVOLVEMENT OF THE SPINAL STEPPING GENERATOR [J].
BUSSEL, B ;
ROBYBRAMI, A ;
AZOUVI, P ;
BIRABEN, A ;
YAKOVLEFF, A ;
HELD, JP .
BRAIN, 1988, 111 :1235-1245
[8]   Prior exposure to neurotrophins blocks inhibition of axonal regeneration by MAG and myelin via a cAMP-dependent mechanism [J].
Cai, DM ;
Shen, YJ ;
De Bellard, M ;
Tang, S ;
Filbin, MT .
NEURON, 1999, 22 (01) :89-101
[9]   INVOLUNTARY STEPPING AFTER CHRONIC SPINAL-CORD INJURY - EVIDENCE FOR A CENTRAL RHYTHM GENERATOR FOR LOCOMOTION IN MAN [J].
CALANCIE, B ;
NEEDHAMSHROPSHIRE, B ;
JACOBS, P ;
WILLER, K ;
ZYCH, G ;
GREEN, BA .
BRAIN, 1994, 117 :1143-1159
[10]   Synaptic innervation density is regulated by neuron-derived BDNF [J].
Causing, CG ;
Gloster, A ;
Aloyz, R ;
Bamji, SX ;
Chang, E ;
Fawcett, J ;
Kuchel, G ;
Miller, FD .
NEURON, 1997, 18 (02) :257-267