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  4. Epidural Stimulation Induced Modulation of Spinal Locomotor Networks in Adult Spinal Rats

Epidural Stimulation Induced Modulation of Spinal Locomotor Networks in Adult Spinal Rats

The Journal of Neuroscience, 2008 · DOI: 10.1523/JNEUROSCI.0080-08.2008 · Published: June 4, 2008

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

This study explores how electrical stimulation of the spinal cord can help rats with spinal cord injuries regain the ability to walk. Researchers looked at how the rats' muscles responded to the stimulation at different points in their recovery. They found that the muscle responses changed over time and were related to the rats' ability to step. The timing and strength of these responses were also linked to the phase of the stepping motion. The study suggests that spinal cord stimulation can facilitate locomotion in a time-dependent manner after a spinal cord injury. The stimulation seems to be activating interneuronal circuits that help generate the stepping motion.

Study Duration
7 weeks
Participants
Nine adult female Sprague Dawley rats
Evidence Level
Level III, Animal study

Key Findings

  • 1
    A progressive and phase-dependent modulation of monosynaptic (middle) and long-latency (late) stimulation-evoked EMG responses was observed throughout the step cycle.
  • 2
    The middle- and late-response magnitudes were closely linked to the amplitude and duration of the EMG bursts during locomotion facilitated by epidural stimulation.
  • 3
    The optimum stimulation frequency that maintained consistent activity of the long-latency responses ranged from 40 to 60 Hz.

Research Summary

The study examined the characteristics of hindlimb EMG activity evoked in response to epidural stimulation at the S1 spinal cord segment in complete midthoracic spinal cord-transected rats at different stages of postlesion recovery. A progressive and phase-dependent modulation of monosynaptic and long-latency stimulation-evoked EMG responses was observed throughout the step cycle, with the middle and late responses closely linked to the amplitude and duration of EMG bursts. The optimal stimulation frequency for maintaining consistent long-latency responses ranged from 40 to 60 Hz, and the recovery of stepping ability was coincident with the reappearance of long-latency responses.

Practical Implications

Therapeutic Potential

Epidural stimulation may offer a therapeutic approach to facilitate stepping after spinal cord injury or other neuromotor disorders.

Understanding Locomotor Circuits

The findings provide insights into the spinal cord circuits involved in generating and controlling locomotion.

Optimizing Stimulation Parameters

Identifying the optimal stimulation frequency (40-60 Hz) is crucial for maximizing the effectiveness of epidural stimulation in promoting locomotion.

Study Limitations

  • 1
    Animal model (rats) may not perfectly translate to human physiology.
  • 2
    The study focused on complete spinal cord transections; results may differ for incomplete injuries.
  • 3
    Long-term effects of epidural stimulation were not assessed beyond the 7-week study period.

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