Restoration of Motor Functions in Spinal Rats by Electrical Stimulation of the Spinal Cord and Locomotor Training

被引:0
作者
Pavlova N.V. [1 ,2 ]
Bogacheva I.N. [1 ]
Bazhenova E.Y. [1 ]
Gorsky O.V. [1 ]
Moshonkina T.R. [1 ]
Gerasimenko Y.P. [1 ]
机构
[1] Pavlov Institute of Physiology, Russian Academy of Sciences, St. Petersburg
[2] Institute of Translational Biomedicine, St. Petersburg State University, St. Petersburg
关键词
electrical stimulation; locomotor response; spinal cord; training;
D O I
10.1007/s11055-020-00941-y
中图分类号
学科分类号
摘要
The recovery of motor functions in chronic spinal rats with locomotor training on a treadmill combined with electrical stimulation of the spinal cord was studied. Training to a bipedal gait on a moving band with the body weight supported and use of either subcutaneous or epidural electrical stimulation (40 Hz) was performed for five days per week for 20–30 min. The dynamics of changes in locomotor capacity using subcutaneous and epidural electrical stimulation and their actions on the neural structures of the spinal cord could be similar. After three weeks of motor rehabilitation, a single stimulation at a frequency of 1 Hz evoked reflex monosynaptic potentials in the hindlimb muscles, while simultaneous rhythmic stimulation of two loci in the spinal cord at a frequency of 40 Hz initiated locomotor-like activity on the moving band of the treadmill. A more marked rhythm was seen after nine weeks of training, which coincided with the appearance of polysynaptic spinal reflexes. Administration of the serotonin receptor agonist quipazine enhanced polysynaptic activity in reflex responses and improved locomotion. Use of noninvasive subcutaneous stimulation in combination with locomotor training was found to be an effective method of activating neural locomotor networks to an extent comparable to that obtained with invasive epidural stimulation. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.
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页码:599 / 606
页数:7
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共 31 条
[1]  
De Groat W.C., Kruse M.N., Vizzard M.A., Et al., Modification of urinary bladder function after spinal cord injury, Adv. Neurology, 72, pp. 347-364, (1997)
[2]  
Gerasimenko Y.P., Lavrov I.A., Bogacheva I.N., Et al., Features of the formation of locomotor patterns in decerebrate cats on epidural stimulation of the spinal cord, Ros. Fiziol. Zh., 89, 8, pp. 1046-1057, (2003)
[3]  
Harkema S., Gerasimenko Y., Hodes J., Et al., Effect of epidural stimulation of the lumbosacral spinal cord on voluntary movement, standing, and assisted stepping after motor complete paraplegia: A case study, Lancet, 377, pp. 1938-1947, (2011)
[4]  
Hofstoetter U.S., Freundl B., Binder H., Minassian K., Common neural structures activated by epidural and transcutaneous lumbar spinal cord stimulation: Elicitation of posterior root muscle reflexes, PLoS One, 13, 1, (2018)
[5]  
Minassian K., Hofstoetter U.S., Spinal cord stimulation and augmentative control strategies for leg movement after spinal paralysis in humans, CNS Neurosci. Ther., 22, pp. 262-270, (2016)
[6]  
Estes S.P., Iddings J.A., Field-Fote E.C., Priming neural circuits to modulate spinal reflex excitability, Front. Neurol., 8, (2017)
[7]  
Gerasimenko Y., Gorodnichev R., Puhov A., Et al., Initiation and modulation of locomotor circuitry output with multisite transcutaneous electrical stimulation of the spinal cord in noninjured humans, J. Neurophysiol., 113, 3, pp. 834-842, (2014)
[8]  
Minassian K., Hofstoetter U.S., Danner S.M., Et al., Spinal rhythm generation by step-induced feedback and transcutaneous poster root stimulation in complete spinal cord-injured individuals, Neurorehabil. Neural. Repair, 30, pp. 233-243, (2016)
[9]  
Gerasimenko Y.P., Lu D.C., Modaber M., Et al., Noninvasive reactivation of motor descending control after paralysis, J. Neurotrauma, 32, 15, pp. 1968-1980, (2015)
[10]  
Roy R.R., Hutchison D.L., Pierotti D.J., Et al., EMF patterns of rat ankle extensors and fl exors during treadmill locomotion and swimming, J. Appl. Physiol., 70, pp. 2522-2529, (1991)