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  4. Effects of targeted muscle reinnervation on spinal cord motor neurons in rats following tibial nerve transection

Effects of targeted muscle reinnervation on spinal cord motor neurons in rats following tibial nerve transection

Neural Regeneration Research, 2022 · DOI: 10.4103/1673-5374.332153 · Published: August 1, 2022

Regenerative MedicineNeurology

Simple Explanation

Targeted muscle reinnervation (TMR) is a surgical procedure used to transfer residual peripheral nerves from amputated limbs to targeted muscles, which allows the target muscles to become sources of motor control information for function reconstruction. In this study, the researchers explored the effect of hind limb TMR surgery on injured motor neurons in the spinal cord of rats after tibial nerve transection. The findings suggest that TMR may enable the reconnection of residual nerve fibers to target muscles, thus restoring hind limb motor function on the injured side.

Study Duration
6 and 12 weeks
Participants
40 Sprague-Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    TMR improved the reduction in hind limb motor function and atrophy in mice caused by tibial nerve transection.
  • 2
    TMR enhanced nerve regeneration by increasing the number of axons and myelin sheath thickness in the tibial nerve.
  • 3
    TMR increased the number of anterior horn motor neurons, and increasing the number of choline acetyltransferase-positive cells and immunofluorescence intensity of synaptophysin in rat spinal cord.

Research Summary

This study aimed to explore the effect of hind limb TMR surgery on injured motor neurons in the spinal cord of rats after tibial nerve transection. The researchers found that the reduction in hind limb motor function and atrophy in mice caused by tibial nerve transection improved after TMR. The findings suggest that TMR may enable the reconnection of residual nerve fibers to target muscles, thus restoring hind limb motor function on the injured side.

Practical Implications

Restoration of Motor Function

TMR can be used to restore motor function in individuals with nerve injuries by re-establishing connections between nerves and muscles.

Enhanced Nerve Regeneration

TMR promotes nerve regeneration by increasing the number of axons and myelin sheath thickness in the injured nerve.

Improved Motor Neuron Survival

TMR can improve the survival and function of motor neurons in the spinal cord, which is crucial for long-term motor function recovery.

Study Limitations

  • 1
    we observed that TMR surgery protects motor neuron survival, but we did not explore the molecular mechanisms behind this protection.
  • 2
    animal experiments and clinical applications may give different results, and we should investigate the effects of TMR in a clinical research setting.
  • 3
    Not specified

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