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  4. Effects of tail nerve electrical stimulation on the activation and plasticity of the lumbar locomotor circuits and the prevention of skeletal muscle atrophy after spinal cord transection in rats

Effects of tail nerve electrical stimulation on the activation and plasticity of the lumbar locomotor circuits and the prevention of skeletal muscle atrophy after spinal cord transection in rats

CNS Neurosci Ther, 2024 · DOI: 10.1111/cns.14445 · Published: January 1, 2024

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

Severe spinal cord injury leads to nerve cell loss below the injury and muscle atrophy in paralyzed limbs, hindering motor recovery. This study uses tail nerve electrical stimulation (TNES) to activate neural circuits below the injury, aiming to understand how excitatory neurons help rebuild motor function. The results suggest TNES can improve nerve connections, stem cell count, and muscle metabolism in hindlimbs, potentially aiding in restoring voluntary movement.

Study Duration
7 weeks
Participants
Rats (n=10 per group)
Evidence Level
Level II: Animal study

Key Findings

  • 1
    TNES activates motor neural circuits in the lumbosacral spinal cord, affecting muscle excitability in the hindlimbs via afferent nerve transmission.
  • 2
    TNES significantly alleviates muscle atrophy in the hindlimbs, as evidenced by increased wet weights and cross-sectional area of myofibers.
  • 3
    TNES promotes the survival of spinal cord neurons, particularly in the L1 dorsal nucleus and L4 anterolateral horn, and increases activation of neural circuits in the lumbar spinal cord.

Research Summary

This study investigates the effects of tail nerve electrical stimulation (TNES) on spinal cord injury (SCI) in rats, focusing on the activation and plasticity of lumbar locomotor circuits and the prevention of skeletal muscle atrophy. The results show that TNES effectively activates motor neural circuits in the lumbosacral segment, improves synaptic plasticity, and enhances muscle and nerve regeneration. The study concludes that TNES provides a structural and functional basis for future biological treatments aimed at restoring voluntary movement in paralyzed hindlimbs after SCI.

Practical Implications

Clinical Translation

TNES, being non-invasive and safe, has the potential to be translated into clinical practice for SCI repair.

Early Intervention

Lumbosacral nerve electrical stimulation can be administered early after acute SCI to maintain the excitatory function of motor nerve circuits and prevent hindlimb muscle atrophy.

Combination Therapy

TNES can be used in combination with cutting-edge biological treatment strategies to restore voluntary movement in paralyzed hindlimbs.

Study Limitations

  • 1
    Limited promotion of brain-derived nerve fiber regeneration.
  • 2
    Further research is needed to identify more effective SkMES therapy parameters to activate spinal neural circuits.
  • 3
    Further investigation of the biological effects associated with the activation of the lumbar spinal cord neural circuits.

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