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  4. Chondroitinase Combined with Rehabilitation Promotes Recovery of Forelimb Function in Rats with Chronic Spinal Cord Injury

Chondroitinase Combined with Rehabilitation Promotes Recovery of Forelimb Function in Rats with Chronic Spinal Cord Injury

The Journal of Neuroscience, 2011 · DOI: 10.1523/JNEUROSCI.0983-11.2011 · Published: June 22, 2011

Spinal Cord InjuryNeurologyNeurorehabilitation

Simple Explanation

This study investigates whether a treatment using an enzyme called chondroitinase ABC (ChABC), combined with rehabilitation, can help rats recover from chronic spinal cord injuries. The research focuses on injuries that are several weeks old. Rats with spinal cord injuries received ChABC or a control treatment, followed by daily rehabilitation exercises specifically designed to improve their paw reaching skills. The results showed that rats receiving both ChABC and rehabilitation experienced the most significant recovery in paw reaching ability. The scientists observed that ChABC increased the sprouting of nerve fibers in the spinal cord, and rehabilitation increased the number and intensity of perineuronal nets, which are structures surrounding nerve cells. The study suggests that ChABC can create a window of opportunity in chronic spinal cord injuries, allowing rehabilitation to be more effective.

Study Duration
9 weeks after treatment
Participants
Male Lister hooded rats (150–200 g)
Evidence Level
Level II; Animal study

Key Findings

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    ChABC combined with task-specific rehabilitation significantly improved skilled paw reaching in rats with chronic spinal cord injury compared to rehabilitation or ChABC alone.
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    Rats treated with ChABC and rehabilitation showed improvements in other forelimb motor functions, such as ladder and beam walking.
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    ChABC treatment increased sprouting of corticospinal tract axons and serotonergic axons, and these sprouts had more vGlut1-positive presynaptic boutons.

Research Summary

The study evaluated the effectiveness of ChABC combined with rehabilitation in promoting functional recovery in rats with chronic spinal cord injury (SCI). The results showed that ChABC treatment, when paired with task-specific rehabilitation, led to significant functional recovery in skilled paw reaching and other forelimb motor functions. The study suggests that delayed ChABC treatment, when combined with rehabilitation, may be an effective approach for improving functional outcomes in patients with chronic SCI.

Practical Implications

Clinical Translation

The findings suggest that ChABC treatment could be a viable therapeutic option for chronic SCI patients, particularly when combined with rehabilitation.

Rehabilitation Strategies

The study emphasizes the importance of task-specific rehabilitation in maximizing the benefits of ChABC treatment for functional recovery.

Plasticity Enhancement

ChABC may open a window of opportunity for enhanced plasticity in the chronically injured spinal cord, allowing rehabilitation to drive substantial recovery.

Study Limitations

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