The Journal of Neuroscience, 2007 · DOI: 10.1523/JNEUROSCI.3489-07.2007 · Published: December 12, 2007
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.
Electrical stimulation of the corticospinal tract could be a valuable tool in rehabilitation programs for individuals with spinal cord injuries or stroke.
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.
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.