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  4. Electrical Stimulation of Spared Corticospinal Axons Augments Connections with Ipsilateral Spinal Motor Circuits after Injury

Electrical Stimulation of Spared Corticospinal Axons Augments Connections with Ipsilateral Spinal Motor Circuits after Injury

The Journal of Neuroscience, 2007 · DOI: 10.1523/JNEUROSCI.3489-07.2007 · Published: December 12, 2007

Spinal Cord InjuryNeurology

Simple Explanation

This study investigates how activity and injury contribute to the plasticity of the corticospinal (CS) system in mature animals. Researchers examined if activity-dependent plasticity could strengthen connections between spared CS axons and spinal motor circuits after injury. The researchers electrically stimulated CS tract axons in the medullary pyramid to study the effects of activity. To study injury, one pyramid was lesioned, modeling the sparse CS connections preserved after CNS injury. The study found that both stimulation and injury alone strengthened CS connectivity and increased outgrowth into the ipsilateral gray matter. The combination of stimulation and injury resulted in even stronger connections, particularly in the ventral motor territories of the spinal cord.

Study Duration
10 days
Participants
Adult female Sprague Dawley rats
Evidence Level
Not specified

Key Findings

  • 1
    Both electrical stimulation and injury alone strengthened ipsilateral corticospinal (CS) connectivity.
  • 2
    Stimulation of spared axons after injury promoted outgrowth that reflected the sum of effects attributable to activity and injury alone.
  • 3
    Combined injury and stimulation led to a novel pattern of terminations in the ventral horn.

Research Summary

The study demonstrates that activity promotes plasticity in the mature corticospinal (CS) system and that the interplay between activity and injury preferentially promotes connections with ventral spinal motor circuits. Electrical stimulation of spared corticospinal axons augments connections with ipsilateral spinal motor circuits after injury. Using activity to drive plasticity of spared CS axons could help restore motor function after brain or spinal injury.

Practical Implications

Rehabilitation Strategies

Electrical stimulation of the corticospinal tract could be a valuable tool in rehabilitation programs for individuals with spinal cord injuries or stroke.

Targeted Therapy

The preferential outgrowth of CS terminations into the ventral horn suggests that interventions can be designed to specifically target and strengthen connections with spinal motor neurons.

Combination Therapy

Combining electrical stimulation with other approaches, such as growth factor administration or the reduction of growth-inhibitory factors, may lead to even greater improvements in motor function after CNS injury.

Study Limitations

  • 1
    The study was conducted on rats, and the results may not be directly applicable to humans.
  • 2
    The specific stimulation parameters used in the study may not be optimal for all types of spinal cord injuries.
  • 3
    Further research is needed to determine the long-term effects of electrical stimulation on corticospinal connectivity and motor function.

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